Foam e tsoang molomong oa ntja - lisosa le seo u lokelang ho se etsa?

Lisosa tsa ho ntša makweba ka hanong ho ntja

Mabaka a ketsahalo ena e ka ba ka bobeli physiologically tloaelehileng le pathological, ke hore, tšobotsi ea lefu lena le ho beha tšokelo ho 'mele oa ntja.

Physiologically tloaelehileng

• Tlala e matla, nako e telele. Ka lebaka la khaello ea nako e telele ea lijo, lero le eketsehang la matute a ka mpeng le koaheloa ka mpeng ea phoofolo - sena se ka qholotsa ho tsoa ha lintho tse ka har'a 'metso' me phoofolo e tšoela mokelikeli o phophomang.

• Tšebeliso e potlakileng ea likarolo tse kholo tsa lijo ka mor'a ho itima lijo nako e telele.

• Boea kapa makote a joang, eo, ha e bokelloa, e tlosoa ke secretion e ngata ea lero la gastric. Likahare tabeng ena li tla nka 'mala oa tšilafalo - e tala, e sootho kapa e ntšo.

• Ho ja lintho tse itseng ka tatso e matla e halefisang - e babang, e bolila, e hlabang. Hangata karabelo e joalo e bonoa e le karabelo ea ho noa lithethefatsi.

• Ho pepeseha ho ts'usumetso e kantle, ho tlisa phoofolo ea lapeng hore e be boemong ba khatello ea kelello, e tlatsetsa ho lokolloa ha mathe ka mafolofolo, ao, ha a kopana le oksijene, a fetoha foamy.

• Lintho tse nyane tsa kantle ho naha ka hanong, eo 'mele oa phoofolo o lekang ho e ntša ka mathe a mangata.

• Ho nyekeloa ke pelo ho ka etsahala limpeng tsa bakhachane (haholo-holo mefuta e menyenyane) hoseng.

Ha o kula

• Maloetse a tšoaetsanoang – rabies, canine distemper, lefu la Aujeszky, tracheobronchitis. Maemo ana kaofela a hloka ho kenella hanghang ha ngaka ea liphoofolo 'me a kotsi ho phoofolo le ho motho. Haeba sebopeho sa phoofolo ea hau ea lapeng se fetohile ka nako e khutšoanyane, molomo oa hae o foaming 'me ho na le tšabo ea metsi kapa leseli, arola phoofolo ho uena' me hang-hang u bitse tšebeletso ea bongaka ba liphoofolo.

• Oncology. Neoplasm ka har'a lumen ea 'metso, pharynx, kapa molomo oa molomo e ka baka maemo a tšoanang. Foam e ka 'na ea silafatsoa ke mali.

• Tlokotsi le ho ruruha molomong oa molomo. Haeba ho na le ts'oaetso ho mucosa ea molomo ka lintho tse hlabang tsa mechine - li-chips, masapo, li-splinters - mathe a mangata a qala ho hlahisoa ho sireletsa khahlanong le libaktheria tse kotsi. Ho ruruha ha marenene, meno, ho ba teng ha tartar le hona ho ka tlatsetsa ho salivation e sebetsang. Hangata mathe tabeng ena a khopisa.

• Mafu a sebete le liphio. Foam e mosehla kapa e lefifi e tsoang molomong oa ntja e ka lokolloa tabeng ea lefu la sebete kapa liphio, e le pontšo ea ho tahoa le ho nyekeloa ke pelo.

• Pathologies ea tsamaiso ea pelo. Ho tsoa ha foamy ho tloha molomong oa molomo ka mor'a thabo kapa ho eketseha ha matla a 'mele ho ka bontša hore ho na le lefu la tsamaiso ea pelo le incipient pulmonary edema. Boemo bona bo hloka tlhokomelo e potlakileng ea bongaka.

• Ho chefo ka methapo ea kutlo (e sebetsang liseleng tsa methapo) chefo le lefu la sethoathoa. Haeba ntja e e-na le lepulo le leholo le ho ferekana ho tsoa molomong, sena se ka 'na sa bontša chefo ea' mele ka lintho tse chefo, ho kopanyelletsa le litokisetso tsa phekolo khahlanong le likokoana-hloko tse ka ntle le tse ka hare. Boemo bona bo boetse bo hloka ho kenella ha tšohanyetso. Lefu la sethoathoa le ka 'na la tsamaea le ho tsoa lekoeba le leholo kapa mathe a tsoang molomong.

• Boemo bo hlobaetsang. Boemong bo nang le allergy e matla, ntle le karabelo ea hajoale ka mokhoa oa ho ruruha ha lymph nodes, ho hlatsa, letšollo kapa ho hlohlona, ​​ho hlatsa ho ka hlaha. Tabeng ena, ntja ka mafolofolo e ntša foam e tšoeu le mathe a tsoang molomong.

Matšoao a mang

Kahoo, ho tsoa ka bongata ha foam ho ka tsamaea le:

• ho ferekana;

• ho hloka takatso ea lijo;

• ho hlatsa;

• ho tsoa ha mali ho tsoa molomong oa molomo;

• monko o khopisang o tsoang molomong.

Thuso ea pele

Mohato oa pele ke ho utloisisa hore na tabeng ena ho na le kotsi ka ho toba ho batho. Ho hang ha ua lokela ho atamela ntja e phophomang molomo haeba phoofolo ena e se na lehae kapa e sa entoa khahlanong le lefu la rabies. Ho molemo ho ikopanya hang-hang le setsi sa 'muso sa bongaka ba liphoofolo. Lintja tse joalo li behelloa ka thōko, li lateloa ke litsebi e le ho qoba ho tšoaetsa liphoofolo tse ling le batho ba nang le lefu le kotsi. Taolo holim'a lefu le kotsi - rabies.

Haeba ntja e amehileng e entoa khahlanong le rabies 'me ha ho na histori (histori e hlophisitsoeng ho ea ka mong'a eona) ea ho loma ke liphoofolo tse hlaha, phoofolo ea lapeng e ka fuoa thuso ea pele, kaha tabeng ena ha ho letho le sokelang bophelo ba batho. E tlameha ho beoa ka lehlakoreng la eona sebakeng se bataletseng, se koahetsoeng ka kobo kapa kobo. Ha ho joalo, ha ua lokela ho khutlisetsa hlooho ea hau morao ho qoba ho hema likahare tsa molomo oa molomo ka har'a pampiri ea ho hema.

Ke ngaka feela e ka thusang ntja tlhaselong, kahoo e tlameha ho isoa tleliniking kapele kamoo ho ka khonehang. Bakeng sa setsebi, ho bohlokoa ho rekota video ea se etsahalang.

Ha hoa tšoanela ho lokisa kapa ho tšoara phoofolo ha e hlaseloa - nakong ea ho ferekana, ha e laole 'mele oa eona, hangata ha e hlokomele se etsahalang ho pota-pota, e ka' na ea se ke ea lemoha mong'a eona le ho ntša motho kotsi a sa tsebe.

Haeba phoofolo ea lapeng e tseba, ho felloa ke nako ho ka tlosoa ka lesela le bonolo ho qoba ho kolobisa seaparo le ho fokotseha ho ka khonehang ha mocheso oa 'mele.

Tleliniki, ho bohlokoa ho etsa tlhahlobo e felletseng ho etsa tlhahlobo e nepahetseng le ho fana ka kalafo.

Lintjanyana tse phophomang makweba ka hanong

Foam e phalla molomong oa lesea, lebaka e ka ba lefe?

Boemo bona ho ntja bo ka bakoa ke mabaka a tšoanang le a lintja tse kholo: nako e telele ea tlala, chefo, li-neoplasms, lefu la sethoathoa, esita le chefo e nang le chefo ea neuroogenic. Phapang ke lebelo le ntseng le eketseha la nts'etsopele ea lits'ebetso tsa pathological 'meleng oa phoofolo. Sena se bolela hore u lokela ho ea ngakeng kapele kamoo ho ka khonehang.

Lesea le ka 'na la hloka letlapa le futhumatsang le nang le metsi a futhumetseng ha le tsamaisa - ho thata haholo ho boloka mocheso oa 'mele oa ntja. Tabeng ea malaise, khatello ea khatello, boemo ba tsoekere - hang-hang e oa.

tlhathoba

1. Palo e feletseng ea mali - tlhahlobo e akaretsang e bontšang boteng le tlhaho ea ts'ebetso ea ho ruruha, lipontšo tsa tšelo ea mali kapa phekolo ea tšohanyetso (resuscitation).

2. K'hemik'hale ea mali. Tlhahlobo ena e tlama ka mpeng e se nang letho - lihora tse 6-8 tsa tlala - mme e bonts'a boemo ba litho tsa 'mele - sebete, liphio, pelo, e bontša maemo a tšohanyetso a phoofolo e hlokang ho kenella hang-hang.

3. Tlhahlobo ea Ultrasound ea sekoti sa mpa le pelo - taolo ea liphetoho tse bonahalang lithong tsa ntja.

4. Tlhahlobo ea li-electrolyte - letšoao lena le bontša motsoako oa letsoai oa mali, e leng se etsang hore ho khonehe ho khetha tharollo ea saline bakeng sa dropper.

5. Laryngo-, esophago-, gastroscopy - tlhahlobo ea pono ea lera la mucous ea pampiri e ka holimo ea mala - tlhahlobo ea endoscopic.

6. Ho khethoa ha biopsy ea likarolo tse fetotsoeng tsa litho - histology e eketsehileng le cytology (tlhahlobo ea lisele) ea thepa - ho thehoa ha mofuta oa hlahala kapa mokhoa oa ho ruruha.

7. X-ray ea lehata, mehlahare e ka holimo le e ka tlaase ea phoofolo - haeba ho na le tlhokahalo ea ho ntša leino - boikemisetso ba boemo ba leino, phapang ea meno a fetotsoeng ho tloha ho a phetseng hantle.

8. Lithuto tsa PCR, ELISA, ICA tsa lisebelisoa tsa liphoofolo bakeng sa tšoaetso ea kokoana-hloko - canine distemper, tšoaetso ea adenovirus le tse ling.

9. CT, tlhahlobo ea MRI ea hlooho, molala, sefuba sa phoofolo, ha ho hlokahala, taolong ea sebopeho sa lisele tse bonolo tse bakang liphetoho tsa pathological.

Treatment

1. Bakeng sa ntja e nang le moferefere le ho longoa ke liphoofolo tse hlaha, e sa entoa khahlanong le lefu la rabies, ho behelloa ka thoko setsing sa mmuso sa bongaka ba liphoofolo, ho beha leihlo boemo le ho boloka polokeho bakeng sa lingaka tse potolohileng, beng le liphoofolo tse ling.

2. Foam molomong oa ntja le ho ferekana ho ka 'na ha bontša chefo, sethoathoa, tšoaetso ea kokoana-hloko ea neuroogenic. Tabeng ena, e kgothaletswa:

   • ho kenya phoofolo borokong ba lithethefatsi;

   • tšebeliso ea li-antidote tse ka khonehang (li-antidote);

   • tšebeliso ea li-anticonvulsants kapa lithethefatsi tsa antiepileptic;

   • phekolo ea tlhokomelo ka mokhoa oa li-antiemetics, li-painkillers, li-decongestants, ho kenngoa ha tharollo ea saline, joalo-joalo;

   • ho tsitsisa boemo boo sepetlele tlas'a tlhokomelo ea lingaka. Bakuli ba joalo ba hloka tlhokomelo e sa khaotseng ea boleng bo phahameng: taolo ea khatello, ts'ebetso ea boko, maemo a tsoekere, boemo ba maqeba a mpa le a thoracic.

3. Bakeng sa mafu a tsamaiso ea pelo, o hloka:

   • diuretic therapy, e fanang ka ho fokotseha ha khatello ea methapo ea mali, 'me ka lebaka leo, effusion (e feteletseng) ea mokelikeli matšoafong.

   • phekolo ea oksijene - phoofolo e nang le edema ea pulmonary e hlaheloa ke ho haelloa ke kotsi ea oksijene, e amang ts'ebetso ea 'mele oohle. Lingaka li tla lefella khaello ena.

   • ntja e hloka sepetlele nako le nako le ho beha leihlo: x-ray le ultrasound ea sefuba ka matla, taolo ea mocheso, khetho ea litekanyetso tsa moriana oa diuretic.

4. Ka tlala ea nako e telele ho malinyane a lintja tsa mefuta e menyenyane, hoa hlokahala:

   • ho kenyelletsa kalafo ea antiemetic (haeba ho hlokahala);

   • ho fepa - ba qala ho fana ka lijo ka likaroloana tse nyenyane, butle-butle ba li eketsa ho tse tloaelehileng ha boemo ba phoofolo bo tsitsitse.

5. Li-neoplasms, likotsi tse hlokang ho buuoa, ho ruruha ha meno, marenene a hloka:

   • ka ho buoa excision ea thuto;

   • ho tlosoa ha meno a amehileng ka phekolo e latelang ea maqeba a maqeba;

   • kalafo ea antibacterial le kalafo ea antiseptic, e fokotsang boemo ba microflora ea pathological (e ferekaneng). Ka hona, ho ruruha le ho u lumella ho khetha cytology e rutang ka botlalo kapa histology ea lisele tse amehileng;

   • chemotherapy (haholo-holo ka mor'a ho fumana sephetho sa histology, e khethoa ho ea ka mofuta oa ts'ebetso ea hlahala e ileng ea ama ntja).

6. Boemo ba ho kula bo lokisoa ka antihistamine (khahlanong le ho kula) lithethefatsi, lihomone tsa steroid (ho itšetlehile ka boima le boima ba boemo boo).

Thibelo ea lisosa

• Ho entoa ka nako ea boleng bo holimo ho pholosa phoofolo ho tsoa ho mafu a bakoang ke kokoana-hloko, ho akarelletsa le rabies.

• Tlhahlobo ea nako le nako ea phoofolo ke litsebi le ho shebella boemo ba eona ho etsa hore ho khonehe ho lemoha lefu lena qalong ea tsoelo-pele - kahoo, ho tla ba bonolo hore phoofolo ea lapeng e thuse.

• Ho hloekisa selemo le selemo ka ultrasound le ho bentsa meno, ho phekola ka li-gel, li-sprays, tšebeliso ea li-additives tse khethehileng ka metsing li u lumella ho boloka bophelo bo botle ba meno le lisele tse bonolo tsa molomo oa molomo.

• Ho ba sieo ha masapo, lintho tsa ho bapala tse bohale le lintho tse ling tsa ho ja ho pholosa ntja ho tsoa likotsi le ho phunyeha (khefu) ea lisele tse bonolo tsa molomo, pharynx, esophagus.

• Tlhokomelo ea boleng bo phahameng ba phoofolo ha e tsamaea, tlhokomelo ea sebaka sa ho tsamaea e thusa ho thibela ntja ho ja lithethefatsi tse chefo, lintho le tharollo.

• Ho buisana le setsebi sa bongaka ba liphoofolo ho u lumella ho fumana tsebo ea ho hlokomela phoofolo e nyenyane, e kholo le e tsofetseng, ho shebella ho fepa ha eona (bongata, sebopeho le boleng ba lijo). Kahoo, hoa khoneha ho fana ka ho hloka mamello ea lijo, ho mpefala ha ho ruruha ha manyeme, sebete, liphio kapa ho hlatsa ho lapileng, ho nyekeloa ke pelo.

Summary

1. Ho fela ha foam ho tloha molomong oa ntja, ka bobeli boemong ba ho ferekana le ntle le, ho hloka tlhahlobo ea ngaka, ho hlahlojoa le ho kena sepetlele.

2. Lisosa tsa boemo bona e ka ba ka bobeli 'meleng (tlala ea nako e telele, ho ferekana, litokisetso tse bohloko, joalo-joalo), le pathological (chefo, tšoaetso ea kokoana-hloko, neoplasm ea molomo oa molomo, esita le stomatitis).

3. Tlhahlobo e bohlokoa haholo 'me e na le mefuta e mengata ea lithuto: liteko tsa mali, x-rays, CT kapa MRI, lithuto tsa ultrasound, histology le tse ling. E khethoa ho latela liphello tsa tlhahlobo ea phoofolo.

4. Kalafo e kenyelletsa khetho ea boleng ba kalafo le lithethefatsi, ho nahanoa ka tlhahlobo e netefalitsoeng, 'me e ka kenyelletsa: opereishene, kalafo, antibacterial, anti-inflammatory, esita le antihistamines.

5. Thibelo ea boemo bona e kenyelletsa ente, khetho e hlokolosi ea litloaelo tsa ho fepa, tlhokomelo nakong ea maeto, litlhahlobo tsa thibelo le litlhahlobo.

Likarabo tsa lipotso tse botsoang khafetsa

Pherekhong 31 2022

E nchafalitsoe: Pherekhong 31, 2022