- Lung abscess - severe consequences of serious illness
- Signs
Signs of lung abscess
What you need to know the symptoms of serious illnesses such as lung abscess? Certainly not to treat it yourself, because the disease and the doctor is difficult to handle. Everything about lung abscess need to know to make time to seek medical help - it can only be a guarantee of recovery.
Lung abscess - a demarcated capsule collection of pus in the lung tissue. Lung abscess caused by various microorganisms (eg staphylococcus, streptococcus, etc.) and there are primary and secondary. When primary lung abscess infectious agent enters the lungs through the blood, lymph or bronchitis from other foci of infection (for example, purulent tonsillitis). Secondary lung abscesses are the result of various processes in the lung: pneumonia
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, Bronchitis, tumors (both benign and malignant), cysts, and so on.
Contributing factors to the development of lung abscess is to reduce the body's defenses (immune system, including the various chronic diseases such as diabetes mellitus
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When chronic administration of glucocorticoids and so forth), secretions entering the lungs of the nasopharynx, vomitus, small foreign bodies.
Initially, the lung tissue inflammation arises, which causes swelling of the tissue and impaired blood flow in it, and then under the influence of toxins pathogens occurs purulent fusion of the tissue around it and formation of a protective capsule. Acute process may end up being the abscess will burst into the lumen of the bronchi and recovered. But in some cases, lung abscess can become chronic with long undulating course.
Signs of acute lung abscess
Hot abscess
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light begins acutely, with fever, chills, alternating with sweating, faintness, chest pain, shortness of breath, palpitations and a dry cough. After the abscess breaks through the wall and emptied the contents of the abscess through the bronchi (the patient at the same time can suddenly cough up a mouthful of fetid purulent sputum), the patient's condition improves. The temperature drops, cough becomes wet, sputum - purulent, bloody. Recovery occurs slowly for 4-12 weeks at the site of the abscess grows connective tissue replacing the destroyed lung tissue, a process called pneumosclerosis. In some cases, an acute process becomes chronic.
Severe complication of acute lung abscess is its breakthrough in the pleural cavity (the space between the two leaves of pleura covering the lungs), the pericardium (heart bag) and mediastinum (the part of the chest cavity, which is located in the heart, trachea and esophagus). In addition, infection with blood and lymph can get into other organs and tissues and cause inflammation there same.
Symptoms of chronic lung abscess
Chronic abscess is characterized by thickening of the capsule surrounding the cavity with pus and undulating course of exacerbations and remissions. Purulent process has a general effect on the body patients even in remission they are concerned about the weakness, malaise, and a slight rise in temperature. During exacerbation of the process the temperature rises to high numbers, increased cough, purulent sputum comes with an unpleasant odor.
As time changed, and the appearance of the patient: the face is puffy, bluish, the tips of the fingers thickened, fingers take the form of drum sticks and nails are raised as watch glasses.
Chronic lung abscess often joined by the disease of the bronchi and pulmonary emphysema (alveolar expansion rack - sacs at the ends of the smallest bronchi). There may also be pulmonary hemorrhage and spontaneous pneumothorax
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(violation of the integrity of light and air into the pleural cavity). Intoxication leads to disruption of blood (anemia), and the internal organs.
Diagnosis of lung abscess
To confirm the diagnosis of lung abscess conducted the following studies:
- CBC - there are bound to be signs of inflammation;
- sputum examination to identify the infectious agent and its sensitivity to antibiotics;
- immunogram - a comprehensive study, which reflects the state of the immune system;
- X-rays of the lungs - the lungs revealed the presence of a cavity;
- bronchoscopy (the study of the bronchi using a special device - bronchoscope) with taking pus from the bronchi to the study.
Treatment
Treatment of lung abscess is conducted individually and comprehensively, taking into account all the peculiarities of this process it.
First of all, carry out the improvement of drainage function of bronchi. To this end, prescribers expand the bronchi (bronchodilators), expectorants, held therapeutic bronchoscopy with the removal of pus and the introduction of drugs directly into the bronchi (usually means thinning mucus and facilitate its separation). If the abscess is located in the lower divisions of the bronchi, then lifted a foot end of the bed (the bronchi drainage position). Conduct courses chest massage and therapeutic gymnastics.
To combat infection antibiotics are appointed in accordance with the sensitivity of them infectious agents, immune stimulants (in accordance with the result of the immunogram), nutrition, vitamins and minerals.
If conservative treatment is ineffective for 1, 5-2 months, the surgical treatment - surgical drainage or removal of part of the lung.
Timely detection of lung abscess - a guarantee of his cure.
Galina Romanenko