He aha ka Broncopleural Fistula a pehea e mālama ʻia ai

Anter

• Nā kumu o ka fistula bronchopleural
• Pehea e ʻike ai
• Pehea e hana ai i ka lāʻau

Kūlike ʻo fistula ʻo Bronchopleural i ka kamaʻilio kūpono ʻole ma waena o ka bronchi a me ka pleura, he membrane pāpālua ia e kū ana i nā māmā, a laila ʻoi aku ka maikaʻi o ka hele ʻana o ka ea a ʻoi aku ka pinepine ma hope o ke kahakaha ʻana o ka māmā. Hoʻomaopopo pinepine ʻia ʻo fistula Bronchopleural e nā hōʻailona a me nā ʻōuli i hōʻike ʻia e ke kanaka a me nā hoʻokolohua kiʻi, e like me ka radiography umauma a me ka bronchoscopy.

He kakaikahi a koʻikoʻi kēia kūlana, keu hoʻi i ka wā e loaʻa ai i nā keiki, a pono e hoʻoholo wikiwiki ʻia i ʻole e hoʻoweliweli i ke ola o kēlā kanaka. No laila, he mea nui ia ma hope o ke kahakaha ʻana o ka hanu a i ʻole ke ʻano o ka hanu maʻi o ke kanaka, lawe ʻia nā hoʻokolokolo hope e nānā ai i nā loli a, inā pono, e hoʻomaka i ka lāʻau.

Nā kumu o ka fistula bronchopleural

ʻOi aku ka pili o ka Bronchopleural fistula i ka ʻoki ʻana o ka hake, ʻo ka nui o ka lobectomy, kahi e hemo ai kahi ʻūhā māmā, a me ka pneumonectomy, kahi e hemo ai kahi ʻaoʻao o ka akemāmā. Eia hou, he mea maʻamau ia no nā fistula bronchopleural e like me ka hopena o ka maʻi necrotizing, a ma muli o ke alo o ka microorganism kuleana no ka maʻi, hiki i ka make make. ʻO nā kumu kūpono ʻē aʻe o ka fistula bronchopleural:

• ʻO Ponia, ʻo ka fistula i manaʻo ʻia he pilikia o ka maʻi, ʻoiai ke kumu ʻia e nā fungi a i ʻole bacteria o ka genus ʻO Streptococcus;
• Maʻi ʻaʻai puʻu;
• Ma hope o chemotherapy a radiation radiation therapy;
• Hoʻopilikia i ka biopsy māmā;
• Puhi puhi mau;
• Maʻi maʻi pulmonary ākea;
• Ea hoʻokomo ea.

He mea nui e ʻike ʻia ke kumu o ka fistula bronchopleural i hoʻomaka ʻia ka lapaʻau kūpono a pale ʻia nā pilikia, e like me ka paʻakikī i ke kaʻina hanu ʻana, ka lawa ʻole o ka hoʻonui ʻana o nā akemāmā, ka paʻakikī i ka mālama ʻana i ka ea ma ka alveoli pulmonary a me ka make.

Pehea e ʻike ai

ʻO ka hōʻailona o ka fistula bronchopleural i hana ʻia e ka loio maʻamau a i ʻole pulmonologist ma o nā hoʻokolohua kiʻi ʻana, e like me ka radiography umauma, kahi e ʻike ʻia ai ka atelectasis, kahi kūlana kahi e loaʻa ʻole ai kahi ea i kahi kikoʻī o ka akemāmā, hāneʻe ʻana, a i ʻole ka hoʻokaʻawale pulmonary. Ma waho aʻe o ka radiography, pono i ke kauka e hana i ka bronchoscopy, kahi i hoʻokomo ʻia ai kahi puʻupuʻu liʻiliʻi ma o ka ihu i hiki ke ʻike ʻia nā ʻano o ka ʻōnaehana hanu, a hiki ke ʻike pololei ʻia kahi o ka fistula a me kona nui.

Eia hou, pono ke kauka e loiloi i nā hōʻailona a me nā ʻōuli i hōʻike ʻia e ke kanaka, e like me ke kahe ʻana i ke koko a i ʻole ka mucus, ka paʻakikī i ka hanu ʻana a me ke kuni, ka mea maʻamau e ʻike ʻia ma hope o ka hana ʻana i nā ʻōpala māmā, nona nā ʻōuli i hōʻike ʻia ma mua o 2 mau pule ma hope o ke kaʻina hana. .

No laila, he mea nui ia ma hope o ke kaha ʻana o ka hanu, nānā pinepine ʻia ke kanaka e ke kauka i mea e hōʻalo ai i ka hoʻokumu ʻia ʻana o nā fistula a me kā lākou mau pilikia.

Pehea e hana ai i ka lāʻau

Hoʻololi ka mālama ʻana no ka fistula bronchopleural e like me ke kumu, ka mōʻaukala o ke kanaka a me nā hōʻailona a me nā ʻōuli i hōʻike ʻia. ʻO ka hapa nui o ka manawa, ʻo ka mālama ʻana he hana ʻoki e hoʻonā i ka fistula, akā hiki nō naʻe ma hope o kekahi manawa e puka hou ka fistula. Paipai pinepine ʻia ka ʻoki lāʻau i nā hihia kahi i loaʻa ʻole ai ka hopena i makemake ʻia i ka conservative therapy, ke loaʻa nā hōʻailona e hōʻike ana i ka sepsis a i ʻole ke kahe ʻana o ka ea.

ʻO ka Conservative therapy ka paipū o ka wai pleura, ka hoʻokomo ʻana o ka mīkini, ke kākoʻo olakino a me ka hoʻohana ʻana i nā lāʻau ʻalopika, a ʻoi aku ka maʻamau o kēia ʻano therapeutic i ka wā e kū ai ka bronchopleural fistula ma muli o nā maʻi. Eia nō naʻe, hiki i ke kahe o ka wai pleura ke makemake i ka hoʻokumu ʻana i nā fistula hou. No laila, manaʻo ʻia ka lapaʻau ʻana no kēia kūlana he pilikia no ka lāʻau lapaʻau a me ka nānā ʻole i ka lāʻau i koi ʻia, pono e nānā pinepine ʻia ke kanaka i mea e loiloi ai i ka kūleʻa a me ka pono no nā hana hou.

ʻO kahi ala therapeutic hou i hoʻopaʻa ʻia i hoʻopaʻa ʻia ʻo ke kau ʻana o nā pūnaewele mesenchymal i loko o nā fistula bronchopleural, he mau sel i hiki ke hoʻoponopono hou i nā mea a, no laila, hiki ke aloha i ka pani ʻana o ka fistula. Eia naʻe, ʻaʻole i ʻike ʻia ka hana ʻana o kēia mau hunaola i ka hoʻonā ʻana o ka fistula a ʻaʻole hoʻi e like ka hopena i nā poʻe āpau. No laila, pono nā noiʻi hou e hōʻoia i ka hopena o kēia ʻano lapaʻau ma nā fistula bronchopleural.