Igwebu eliphuma emlonyeni wenja - izimbangela futhi yini okufanele uyenze?

Izimbangela zokukhihliza amagwebu emlonyeni enjeni

Izizathu zalesi simo zingaba kokubili okujwayelekile kwe-physiologically kanye ne-pathological, okungukuthi, isici sesifo futhi sibeka usongo emzimbeni wenja.

I-Physiologically evamile

• Indlala enzima, isikhathi eside. Ngenxa yokuntuleka kokudla isikhathi eside, inani elandayo lejusi yesisu likhishelwa esiswini sesilwane - lokhu kungase kubangele ukuphuma kokuqukethwe kumminzo bese isilwane sikhafula uketshezi olunegwebu.

• Ukusetshenziswa ngokushesha kwezingxenye ezinkulu zokudla ngemva kokuzila isikhathi eside.

• Amagaqa oboya noma otshani, okuthi, lapho kuqoqwe, kukhishwe uketshezi oluningi lwejusi yesisu. Okuqukethwe kuleli cala kuzothatha umbala wokungcola - oluhlaza, onsundu noma omnyama.

• Ukudla izinto ezithile ngokunambitheka okunamandla okucasulayo - okubabayo, okumuncu, okubabayo. Ngokuvamile ukusabela okunjalo kubonakala njengempendulo ekuthatheni izidakamizwa.

• Ukuchayeka ku-stimu yangaphandle, ukuletha isilwane esimweni sokucindezeleka, kunomthelela ekukhululweni okusebenzayo kwamathe, okuthi, ngokuthintana ne-oxygen, kube yi-foamy.

• Izinto ezincane zangaphandle emlonyeni, umzimba wesilwane ozama ukukususa ngamathe amaningi.

• Isicanucanu singenzeka kumabitch akhulelwe (ikakhulukazi izinhlobo ezincane) ekuseni.

Lapho egula

• Izifo ezibangelwa amagciwane – amarabi, i-canine distemper, isifo sika-Aujeszky, i-tracheobronchitis. Zonke lezi zimo zidinga ukungenelela ngokushesha kukadokotela wezilwane futhi ziyingozi esilwaneni nasebantwini. Uma uhlamvu lwesilwane sakho sishintshile ngesikhathi esifushane, umlomo wakhe ugcwele amagwebu futhi kukhona ukwesaba amanzi noma ukukhanya, hlukanisa isilwane kuwe futhi ngokushesha ubize isevisi yezilwane.

• I-oncology. I-neoplasm ku-lumen ye-esophagus, pharynx, noma i-oral cavity ingabangela izimo ezifanayo. Igwebu lingase lingcoliswe igazi.

• Ukuhlukumezeka nokuvuvukala emgodini womlomo. Uma kwenzeka ukuhlukumezeka ku-mucosa yomlomo ngezinto ezibukhali zemishini - ama-chips, amathambo, ama-splinters - amathe amaningi aqala ukukhiqizwa ukuze avikele kumagciwane ayingozi. Ukuvuvukala kwezinsini, amazinyo, ukuba khona kwe-tartar nakho kungaba nomthelela ekuphumeni kwamathe okusebenzayo. Amathe kulesi simo avame ukucasula.

• Izifo zesibindi nezinso. Igwebu eliphuzi noma elimnyama elivela emlonyeni wenja lingakhululwa uma kwenzeka isifo sesibindi noma sezinso, njengokubonakaliswa kokudakwa nokucasuka.

• I-Pathologies yesistimu yenhliziyo. Ukukhishwa kwegwebu emlonyeni womlomo ngemva kwenjabulo noma ukwanda kokuzikhandla ngokomzimba kungase kubonise i-pathology yesistimu yenhliziyo kanye ne-incipient pulmonary edema. Lesi simo sidinga usizo lwezempilo oluphuthumayo.

• Ubuthi nge-neurogenic (esebenza kumaseli ezinzwa) ubuthi kanye nokuquleka kwesithuthwane. Uma inja inegwebu eliningi kanye nokudlikizela okuvela emlonyeni, lokhu kungase kubonise ubuthi emzimbeni ngezinto ezinobuthi, kuhlanganise namalungiselelo okwelapha ngokumelene nama-parasite angaphandle nangaphakathi. Lesi simo sidinga nokungenelela okuphuthumayo. Isithuthwane singase sihambisane nokugeleza kwegwebu noma amathe emlonyeni.

• Isimo se-acute se-allergic. Esimweni esinokungezwani komzimba okunamandla, ngaphezu kokusabela kwamanje ngendlela yama-lymph nodes avuvukele, ukuhlanza, isifo sohudo noma ukulunywa, ukuhlanza kungenzeka. Kulokhu, inja ikhipha igwebu elimhlophe namathe emlonyeni.

Izimpawu ezengeziwe

Ngakho-ke, ukuphuma okuningi kwegwebu kungahambisana nalokhu:

• ukudlikizela;

• ukuntula ukudla;

• ukuhlanza;

• ukuphuma kwegazi emlonyeni womlomo;

• iphunga elibi eliphuma emlonyeni.

Insiza yezimo eziphuthumayo

Isinyathelo sokuqala siwukuqonda ukuthi kulokhu kukhona ingozi ngqo kubantu. Akufanele uye enja ekhihlize amagwebu uma lesi silwane singenakhaya noma singagonyelwe amarabi. Kungcono ukuxhumana ngokushesha nesikhungo sikahulumeni sezilwane. Izinja ezinjalo zihlaliswa zodwa, zilandelwa ngochwepheshe ukuze zigweme ukuthelela ezinye izilwane nabantu ngesifo esiyingozi. Ukulawula isifo esiyingozi - amarabi.

Uma inja ethintekile igonyelwe amarabi futhi akukho mlando (umlando ohlanganiswe ngokusho komnikazi) wokulunywa yizilwane zasendle, isilwane esifuywayo singanikezwa usizo lokuqala, ngoba kulokhu akukho lutho olusongela impilo yomuntu. Kumele ibekwe eceleni kwayo endaweni eyisicaba, imbozwe ngengubo noma ingubo. Kungakhathaliseki ukuthi kufanele ubuyisele ikhanda lakho emuva ukuze ugweme ukuhogela okuqukethwe komlomo womlomo emgudwini wokuphefumula.

Udokotela kuphela ongasiza inja ekuhlaseleni, ngakho-ke kufanele ihanjiswe emtholampilo ngokushesha okukhulu. Kuchwepheshe, kufanelekile ukuqopha ividiyo yalokho okwenzekayo.

Akufanelekile ukulungisa noma ukubamba isilwane ekuhlaselweni - ngesikhathi sokugubha, asilawuli umzimba wayo, ngokuvamile akaqapheli ukuthi kwenzekani nxazonke, angase angaqapheli umnikazi futhi alimaza umuntu ngokungazi.

Uma isilwane esifuywayo siqaphela, ukuphelelwa yisikhathi kungasuswa ngendwangu ethambile ukuze kugwenywe ukumanzisa ijazi kanye nokwehla okungenzeka kwezinga lokushisa lomzimba.

Emtholampilo, kubalulekile ukuthi uhlolwe ngokuphelele ukuze uthole ukuxilongwa okufanele futhi unqume ukwelashwa.

Imidlwane ikhihliza amagwebu

Kugeleza igwebu emlonyeni wengane, kungaba yini isizathu?

Lesi simo kumdlwane singabangelwa yizizathu ezifanayo nezinja ezindala: isikhathi eside sokulamba, ubuthi, ama-neoplasms, isithuthwane, ngisho nobuthi obunobuthi be-neurogenic. Umehluko yizinga elikhulayo lokuthuthukiswa kwezinqubo ze-pathological emzimbeni wesilwane. Lokhu kusho ukuthi udinga ukuya kudokotela ngokushesha ngangokunokwenzeka.

Umntwana angase futhi adinge i-pad yokufudumeza enamanzi afudumele lapho ethutha - kuba nzima kakhulu ukugcina izinga lokushisa lomzimba womdlwane. Uma kwenzeka i-malaise, ukwehla kwengcindezi, izinga likashukela - liwa ngokushesha.

Diagnostics

1. Isibalo segazi eliphelele - ukuhlaziywa okuvamile okubonisa ukuba khona kanye nemvelo yenqubo yokuvuvukala, izinkomba zokumpontshelwa igazi noma ukwelashwa okuphuthumayo (ukuvuselela kabusha).

2. Amakhemikhali egazi. Lokhu kuhlaziywa kuyimpoqo esiswini esingenalutho - amahora angu-6-8 endlala - futhi kubonisa isimo sezitho - isibindi, izinso, inhliziyo, kubonisa izimo eziphuthumayo zesilwane ezidinga ukungenelela ngokushesha.

3. Ukuhlolwa kwe-Ultrasound yomgodi wesisu nenhliziyo – ukulawula izinguquko ezibonakalayo ezithweni zenja.

4. Ukuhlaziywa kwama-electrolyte - le nkomba ibonisa ukwakheka kukasawoti egazini, okwenza kube lula ukukhetha izixazululo ze-saline ze-dropper.

5. I-Laryngo-, esophago-, i-gastroscopy - ukuhlolwa okubukwayo kolwelwesi lwamafinyila lwepheshana eliphezulu lesisu - ukuhlolwa kwe-endoscopic.

6. Ukukhethwa kwe-biopsy yezingxenye ezishintshiwe zezitho - i-histology eyengeziwe kanye ne-cytology (ukuhlaziywa kwamaseli) wezinto ezibonakalayo - ukusungulwa kohlobo lwesimila noma inqubo yokuvuvukala.

7. I-X-ray ye-skull, imihlathi engaphezulu nephansi yesilwane - uma kunesidingo sokukhishwa kwezinyo - ukuzimisela kwesimo sezinyo, ukuhlukaniswa kwamazinyo ashintshiwe kusuka kunempilo.

8. Izifundo ze-PCR, ELISA, ICA zezinto zezilwane zokutheleleka ngegciwane - i-canine distemper, ukutheleleka kwe-adenovirus nabanye.

9. I-CT, ukuhlolwa kwe-MRI kwekhanda, intamo, isifuba sesilwane, uma kunesidingo, ekulawuleni ukwakheka kwezicubu ezithambile ezibangela izinguquko ze-pathological.

Ukwelashwa

1. Kunconywa inja enokudlikizela nokulunywa izilwane zasendle, engagonyelwe amarabi, ukuvalelwa yodwa esikhungweni sikahulumeni sezilwane, ukuqapha isimo nokugcina ukuphepha kodokotela abazungezile, abanikazi, nezinye izilwane.

2. Igwebu emlonyeni wenja kanye nokudlikizela kungase kubonise ubuthi, isithuthwane, izifo zegciwane le-neurogenic. Kulokhu, kunconywa:

   • ukwethulwa kwesilwane ebuthongweni bezidakamizwa;

   • ukusetshenziswa kwama-antidote angenzeka (ama-antidote);

   • ukusetshenziswa kwama-anticonvulsants noma izidakamizwa ze-antiepileptic;

   • ukwelashwa kwesondlo ngendlela yama-antiemetics, ama-painkillers, ama-decongestants, ukwethulwa kwezixazululo ze-saline, njll.;

   • ukuzinza kwesimo esibhedlela ngaphansi kweso lodokotela. Iziguli ezinjalo zidinga ukuqapha njalo izinga eliphezulu: ukulawula ingcindezi, ukusebenza kobuchopho, amazinga kashukela, isimo semigodi yesisu kanye ne-thoracic.

3. Ngezifo zesistimu yenhliziyo, udinga:

   • i-diuretic therapy, enikeza ukwehla kwengcindezi emithanjeni futhi, ngokufanelekile, ukuphuma (ngokweqile) koketshezi emaphashini.

   • ukwelashwa kwe-oxygen - isilwane esine-edema yamaphaphu sihlangabezana nokuntuleka kwe-oksijeni eyinhlekelele, okuthinta ukusebenza kwawo wonke umzimba. Odokotela bazovala lesi sikweletu.

   • inja idinga isibhedlela ubusuku nemini kanye nokuqapha: ama-x-ray kanye ne-ultrasound yesifuba ku-dynamics, ukulawulwa kwezinga lokushisa, ukukhethwa komthamo womuthi okhipha isisu.

4. Ngokulamba isikhathi eside emidlwaneni yezinja zezinhlobo ezincane, kuyadingeka:

   • ukwethulwa kwe-antiemetic therapy (uma kunesidingo);

   • ukuphakela - baqala ukunikeza ukudla ezingxenyeni ezincane, kancane kancane bakhulise kube okujwayelekile njengoba isimo sesilwane sizinza.

5. Ama-neoplasms, ukulimala okudinga ukungenelela kokuhlinzwa, ukuvuvukala kwamazinyo, izinsini kudinga:

   • ukukhishwa kwemfundo ngokuhlinzwa;

   • ukususwa kwamazinyo athintekile ngokwelashwa okulandelayo kwemigodi yesilonda;

   • ukwelashwa kwe-antibacterial kanye nokwelashwa kwe-antiseptic, okunciphisa izinga le-microflora ye-pathological (ephazamisekile). Ngakho-ke, ukuvuvukala futhi kukuvumela ukuthi ukhethe ngokulandelayo i-cytology yokufundisa egcwele noma i-histology yezicubu ezithintekile;

   • i-chemotherapy (ngokuqondile ngemva kokuthola umphumela we-histology, ikhethwa ngokusho kohlobo lwenqubo yesimila ethinte inja).

6. Isimo se-allergies silungiswa nge-antihistamine (ngokumelene nokungezwani komzimba) nezidakamizwa, amahomoni e-steroid (kuye ngokuthi ukuqina nokuqina kwesimo).

Ukuvimbela izimbangela

• Ukugoma okufika ngesikhathi kwekhwalithi ephezulu kusindisa isilwane ezifweni ze-neurogenic virus, okuhlanganisa namarabi.

• Ukuhlolwa ngezikhathi ezithile kwesilwane ngochwepheshe kanye nokuqapha isimo saso kwenza kube nokwenzeka ukubona lesi sifo ekuqaleni kwentuthuko - ngakho-ke, kuyoba lula ukuthi isilwane sisize.

• Ukuhlanza ngonyaka nge-ultrasound kanye nokupholishwa kwamazinyo, ukwelashwa ngama-gel, izifutho, ukusetshenziswa kwezithasiselo ezikhethekile emanzini kukuvumela ukuba ugcine impilo yamazinyo nezicubu ezithambile zomlomo womlomo.

• Ukungabikho kwamathambo, amathoyizi abukhali nezinye izinto ekudleni kusindisa inja ekulimaleni nasekubhobozeni (amakhefu) ezicubu ezithambile zomlomo, i-pharynx, i-esophagus.

• Ukunakekelwa okusezingeni eliphezulu kwesilwane ekuhambeni, ukunakekelwa kwendawo yokuhamba kusiza ukuvimbela inja ekudleni izidakamizwa ezinobuthi, izinto kanye nezixazululo.

• Ukubonisana nochwepheshe bezilwane kukuvumela ukuba uthole ulwazi mayelana nokunakekela isilwane esincane, esikhulile nesikhulile, ukuqapha ukudla kwaso (ubuningi, ukwakheka kanye nekhwalithi yokudla). Ngakho-ke, kungenzeka ukuhlinzekela ukungabekezelelani kokudla, ukukhushulwa kokuvuvukala kwamanyikwe, isibindi, izinso noma ukuhlanza okulambile, isicanucanu.

Isifinyezo

1. Ukuphelelwa yisikhathi kwegwebu eliphuma emlonyeni wenja, kokubili esimweni sokudlikizela nangaphandle, kudinga ukuhlolwa kukadokotela, ukuxilongwa nokulaliswa esibhedlela.

2. Izimbangela zalesi simo kungaba kokubili ngokomzimba (ukulamba isikhathi eside, ukuyaluza, amalungiselelo ababayo, njll.), kanye ne-pathological (ubuthi, ukutheleleka ngegciwane, i-neoplasm yomlomo womlomo, ngisho ne-stomatitis)

3. Ukuxilongwa kubaluleke kakhulu futhi kunezinhlobo eziningi zezifundo: ukuhlolwa kwegazi, ama-x-ray, i-CT noma i-MRI, izifundo ze-ultrasound, i-histology nabanye. Kukhethwa ngokusekelwe emiphumeleni yokuhlolwa kwesilwane.

4. Ukwelashwa kuhilela ukukhethwa kwekhwalithi yokwelashwa nezidakamizwa, kucatshangelwa ukuxilongwa okumisiwe, futhi kungase kuhlanganise: ukuhlinzwa, ukwelashwa, i-antibacterial, anti-inflammatory, ngisho nama-antihistamines.

5. Ukuvimbela lesi simo kuhlanganisa ukugoma, ukukhetha ngokucophelela imikhuba yokudla, ukugadwa phakathi nohambo, ukuhlolwa kokuzivikela kanye nokuhlolwa.

Izimpendulo zemibuzo evame ukubuzwa

Januwari 31 2022

Kuvuselelwe: Janawari 31, 2022