Tus kab mob no yog ib hom kab mob uas tsis tshwm sim los ntawm kev kis kab mob microbial, nrog rau kev tsim kom muaj cov kab mob hauv lub cev. Lub plab ntawm lub ntsws tsim los ntawm nkag mus rau cov kab mob hauv cov kab noj hniav. Feem ntau, qhov ua rau tus kab mob no yog kev ua ntawm Staphylococcus aureus, anaerobic bacilli thiab Gram-tsis zoo aerobic. Muaj cov txheej txheem inflammatory hauv nasopharynx yuav ua rau muaj mob.
Abscess ntawm lub ntsws - cov tsos mob
Cov tsos mob ntawm tus kab mob no txawv rau theem ntawm tsim ntawm abscess thiab tom qab nws breakout. Mob hnyav ntawm thawj theem yog tshwm sim hauv daim ntawv ntawm cov kev tsis txaus siab ntawm tus neeg mob:
- kev tsis muaj zog;
- tshav kub, ua raws li ntawj txias;
- hnoos nrog phlegm, muaj ntxhiab tsis hnov tsw;
- mob hauv qhov ntswg ;
- ntxiv zog kub cev;
- Ua tsis taus pa, uas yog ntawm kev qaug cawv.
Tom qab ib qho paug ntawm pus, muaj ib qho kev txhim kho rau tus neeg mob tus yam ntxwv:
- kev ua pa yog ua kom yooj yim;
- Appetite tshwm;
- qhov kub txias zuj zus;
- disappears tawm hws;
- cov hnoos qeev tsiv tawm.
Cov tsos mob ntawm cov mob ntsws ntev hauv lub cev yog cov xeeb ntxwv ntawm kev hnoos thiab tso tawm cov hnoos qeev ntshiab. Qee cov tsos mob tseem nyob txawm tias nyob rau theem ntawm kev so:
- tsis tu ncua mob taub hau;
- tsis muaj zog ntawm lub cev;
- nce qaug zog.
Sij hawm dhau los, muaj kev hloov hauv lwm tus neeg lub cev:
- puffiness ntawm lub ntsej muag;
- thickening ntawm phalanges ntawm cov ntiv tes;
- lub qhov muag daj tau kis tus cyanotic ua cim.
Nrog kev sib zog tshwm sim tuaj:
- hnoos nrog hnoos qeev, uas cov leeg ntshav tuaj yeem tshwm sim tau;
- mob hauv siab.
Cov teeb meem ntawm lub ntsws abscess
Lub caij nyoog ntev ntawm tus kab mob ntev ntawm tus kab mob yuav ua rau txoj kev loj hlob ntawm:
- subcutaneous emphysema;
- pneumosclerosis;
- pulmonary haemorrhage;
- thrombosis ntawm pulmonary leeg;
- tus abscess ntawm lub hlwb;
- kab mob bacteremia;
- pa tsis txaus.
Kev mob ntawm lub ntsws abcess
Kev kuaj kom pom tus kab mob thiab tus mob yog coj los ntawm lub hom phiaj kev kuaj mob, cov duab hluav taws xob, kev kuaj mob, kev kuaj ntshav thiab kuaj tom tsev.
Ntawm lub hom phiaj kev kuaj mob them nqi rau:
- lagging ntawm sab hauv lub hauv siab hauv kev ua pa;
- kev tsim cov tsos mob ntawm txoj kev tsis muaj kev voos;
- tachycardia;
- mob hauv palpation ntawm intercostal tej qhov chaw;
- shortening of percussion suab;
- Auscultation qhia tias ua pa nyuaj thiab qhuav txhau.
Bronchoscopy tso cai rau koj los kawm txog qhov ntawm lub pus seb nws microflora thiab sau cov tshuaj tua kab mob uas tsim nyog.
Nrog kev pab los ntawm PKT, qhov chaw nyob ntawm qhov kab noj hniav thiab txawm tias muaj cov kua hauv nws tsim.
Kev kuaj xoo hluav taws xob yog qhov tseem ceeb ntawm kev kuaj mob rau lub sij hawm ntawm kev kho mob ntawm lub ntsws abscess. Cov txheej txheem qhia tawm ib qho infiltrative darkening, uas muaj convexities nyob rau hauv ib thaj tsam. Lub xub ntiag nyob rau hauv cov kab noj hniav pleural ntawm lub effusion qhia tias xam nrog rau txoj kev mob ntawm lub pleura.
Kev kuaj ntshav ntsuam xyuas pom kev nce qib ESR, hloov ntawm daim ntawv leukocyte mus rau sab laug thiab hypo-urbuminemia. Feem ntau nrog
Yuav ua li cas kho ib tug abscess ntawm lub ntsws?
Tus neeg mob yuav tsum tau mus pw hauv tsev kho mob. Ib qho tseem ceeb hauv txoj kev kho yog kom muaj huab cua ntshiab, vim feem ntau nws tau sau cov pa pa pa tawm.
Txoj kev kho yuav tsum tshem tawm cov kua paug, tshem tawm cov tsos mob ntawm kev qaug zog thiab txhawb nqa kev tiv thaiv.
Lub hauv paus ntawm kev kho mob yog tshuaj tua kab mob, uas yog kws kho raws li qhov ua kom muaj kab mob rau cov tshuaj.
Kev siv tshuaj ntxhua khaub ncaws, transthoracic puncture thiab fibronchoscopy tseem siv tau.