Pathology, uas yog ntawm cov feem ntau txaus ntshai thiab nyuaj kho tshuaj pulmonological, yog abscessed pneumonia, abscess los yog gangrene ntawm lub ntsws. Nws yog tus txheej txheem ntawm kev puas tsuaj thiab kev tuag ntawm qhov kev tiv thaiv kab mob ntawm cov hlab ntsws nrog lub plab loj paim foci, uas yuav mob kis mus rau cov ntaub so ntswg nyob ib puag ncig.
Ua rau thiab cov tsos mob ntawm tus kab mob gangrene ntawm lub ntsws
Lub ntsiab causative tus neeg saib xyuas ntawm kev puas thiab putrefactive kev yog anaerobic microbes ntawm ob peb ntau yam:
- haemophilus influenzae;
- Staphylococcus aureus;
- enterobacteria;
- pneumococcus;
- Pseudomonas aeruginosa;
- Klebsiella ;
- fusobacteria thiab lwm yam kab mob.
Yuav kom nkag mus rau hauv lub ntsws lub npe ntawm microbes tuaj yeem ua ntau txoj hau kev, ntawm cov uas:
- pathological kev nyob hauv lub qhov ncauj kab noj hniav thiab nasopharynx;
- kab mob ntawm digestive system;
- craniocerebral kev tuag;
- lom cawv, tshuaj, tshuaj lom neeg;
- hauv zos purulent o.
Gangrene yog nrog cov tsos mob hnyav:
- muaj zog tsis muaj zog;
- tshav kub (qhov kub li 40 degrees);
- ua daus no thiab tawm hws;
- poob lub cev hnyav;
- mob hauv siab;
- deterioration ntawm qab los noj mov;
- insomnia;
- mob taub hau;
- pallor ntawm daim tawv nqaij;
- txog kev ua tsis taus pa;
- hnoos qeev ntau nrog tshuaj tsw qab.
On x-rays nrog gangrene ntawm lub ntsws, distinctly hom loj ntawm obscuration. Yog xav paub ntxiv, kuaj tomography, bronchoscopy, kuaj cov hnoos qeev thiab kuaj ntshav.
Kev kho mob ntawm gangrene ntawm lub ntsws
Txoj kev kho ntawm cov kab mob pathology no yog kev kho mob thiab kev phais.
Cov kev kho kom nruj heev muaj xws li:
- siv cov tshuaj tua kab mob (yam tsawg 2);
- detoxification ntawm lub cev;
- normalization ntawm homeostasis thiab electrolyte tshuav.
Raws li txoj cai, qhov kev kho kom ua tau zoo ntawm txoj kev kho yog ua tiav los ntawm cov tshuaj tso kua dej kom ntws los ntawm cov tshuaj. Txhua lub sijhawm teem los ntawm tus kabmob pulmonologist nrog ib tus kws phais neeg mob tomqab paub cov neeg ua haujlwm hauv cov kabmob gangrene, thiab lawv cov tshuaj tua kabmob sib txawv.
Qee zaum, yuav tsum tau phais. Ib qho ntawm cov kev xaiv phais yog xaiv:
- bilobectomy;
- pneumotomy;
- lobectomy;
- pneumonectomy.
Kev tiv thaiv ntawm gangrene ntawm lub ntsws
Txhawm rau tiv thaiv cov kev hloov hauv txoj hlab ua pa yog ib txoj haujlwm nyuaj. Rau nws txoj kev siv, nws yog ib qho tseem ceeb:
- Txhim kho tus qauv ntawm kev ua neej.
- Muab txhua yam phem coj los rhuav tshem.
- Hauv lub sijhawm, kho cov kab mob hauv septic.
- Ua cov duab xoo ntawm lub ntsws tsis tu ncua .