Pleurisy ndi khansa ya m'mapapo: kufotokoza zimene zimayambitsa, zizindikiro ndi mankhwala

Pafupifupi njira zonse pathological zimene zimachitika chimodzimodzi m'dera pleural ya phapo, ndi sekondale. Izi si matenda osiyana. Monga ulamuliro, iwo ali ngati vuto lalikulu kwambiri za matendawa. Mu madzimadzi Oncology akhoza kudziunjikira m'dera pleural lalikulu zedi mokwanira. Zikatero, pali kuvutika kupuma. Pleurisy mu m'mapapo Oncology chindiletsa ziwalo kayendedwe achilengedwe. Chifukwa, izo zimabweretsa kulephera kupuma.

The zifukwa

Tiyeni tione chifukwa chake pali kuwala pleurisy ku Oncology, zizindikiro, chithandizo, moyo wathanzi matenda ndi zina zotero. Choyamba, tiyenera kudziwa chikuchititsa mavuto a matenda. Tikumbukenso kuti pa siteji yotsiriza ya khansa minofu kutupa amapezeka. Kuthetsa si mophweka. Pali kutupa pa nthawi imene kundipatsako kwa zakudya m'thupi anathera. Chimene amapha nthawi zambiri.

Pleurisy pamene khansa ya m'mapapo chifukwa cha:

1. Zovuta kuti kukhala odwala pambuyo kuchotsa kupuma kapena pambuyo walitsa.
2. Wakafika lymph mfundo za chotupa chachikulu. Zimenezi, kukupangitsa kukhala kovuta kukhetsa madzimadzi. Chifukwa, izo amasonkhana malo pleural.
3. Ndi kuchepetsa mlingo wa mapuloteni kumachitika kuchepa mu kuthamanga oncotic. Komanso akapsa chitukuko cha pleurisy.
4. Permeability Chikukula pleura.
5. kuchepetsa kuthamanga m'dera pleural komanso kudzikundikira m'menemo a madzimadzi. A chodabwitsa ofanana zimawonedwa mu bronchi denga.

Features matendawa

Kuti awulule pleural effusion ndi khansa ya m'mapapo, m'pofunika kudziwa mbali za matendawa. Development wa matenda angayambe pa nthawi yochepa. Kutupa zimakhala kumachitika mwa maola angapo. Nkofunika yake azindikire matenda ndi kupereka chisamaliro mtima woyamba.

Chizindikiro cha matendawa - rattling pachifuwa chake. Pamene kupuma munthu akhoza kuona kusowa kwa mpweya. Pankhaniyi, mungachite wheezing ndi kupuma movutikira. Kutupa pang'onopang'ono kumawonjezera kukula ndiponso pali otchedwa galimoto ntchito. Wodwalayo amavuta kwambiri mu chikhalidwe ngati cha malo omasuka. Khungu chimakwirira wodwala bluish. Iwo ananenanso chifuwa aakulu ndi sputum. Ngati muli ndi zizindikiro zimenezi ayenera yomweyo kupempha thandizo ku chipatala yapafupi.

Pleurisy khansa ya m'mapapo angathe pamene kwa nthawi yaitali. Pankhaniyi, matenda mankhwala angapeleke zabwino. Pambuyo chithandizo choyenera wodwalayo mpata woti akhale nthawi ndi nthawi. Madzimadzi amasonkhana malo pleural pang'onopang'ono. Nthawi zambiri si anamva pachiyambi. Nthawi zambiri, ndi kudwala opezeka mosintha. Pankhaniyi, wodwala wayamba kusokoneza zizindikiro pansipa.

zizindikiro

Pleurisy ndi khansa ya m'mapapo ali zina zimene zingathe yake kudziwa vuto. Zizindikiro zazikulu za matenda ndi monga:

1. Youma chifuwa. Choncho pangakhale pang'ono sputum.
2. The mwamphamvu, komanso kudzikayikira zikayamba mu sternum lapansi.
3. Kufupika kwa mpweya, atavala mwapang'onopang'ono chikhalidwe. Pang'onopang'ono kumakhaladi kwambiri ndipo amapezeka ngakhale pa katundu wochepa.
4. Ululu isanafalikire mu thupi la wodwalayo.

Kodi matenda

Kodi matenda pleurisy ku Oncology? Zizindikiro Metastatic kulola pasanapite nthawi kudziwa matenda. Mu kufufuza chiyenela kuchitika pa oncologist lapansi. The katswiri choyamba ayenera alankhule wodwala za kukhalapo kwa chosayenerera chilichonse chogwirizana ndi chikhalidwe ambiri ndi ukupeza wodwala. Izi zimathandiza kudziwa zizindikiro zazikulu za matendawa.

Pambuyo kuti dokotala zambiri amachita kuyendera zithunzi ndi palpation ziwalo ndi chifuwa. Mu zina, anatumizidwa X-ray. Zithunzi za dongosolo kupuma molondola kudziwa malo minofu edema.

Kuti mmene zinthu zazikulu za pleurisy chimathandiza kompyuta tomography. Nthawi zina zowonjezera Kulumikizana ultrasound a chifuwa. Komanso anapanga puncture. Zimenezi zimathandiza yoganizira za madzimadzi anatengedwa kuchokera m'dera pleural.

Magawo waukulu wa mankhwala

Kodi kuchita ngati inu kupeza madzimadzi mu mapapo pa Oncology ndi? Zimayambitsa pleurisy zosiyana. Therapy kumatengera zifukwa zina. Makamaka madokotala kudziwa chifukwa cha pleurisy kenako mankhwala. Ngati chifukwa chake chagona pa chotupa chachikulu, ndiye amachotsedwa ngati nkotheka. Komabe, choyamba muyenera kudziwa malo ake. Dziwani kuti mankhwala pleurisy amafuna yake kuchotsa madzimadzi. Izi pulayimale ndi zofunika ndondomeko, amene kumatha kupuma movutikira ndipo amasintha alili.

Pambuyo nthumwi etiologic matendawa dokotala angakupatseni mankhwala. Neoplasms, atavala khalidwe loopsa, ali tcheru kwambiri mankhwala amphamvu. Pachifukwa ichi, mankhwala wochititsidwa ndi kugwiritsa ntchito mankhwala cytotoxic. Nthawi zambiri mankhwala kumatha minofu edema.

Ngati wodwala ali ndi chotupa inoperable, anatumizidwa mankhwala amene angathe kuthetsa zizindikiro zazikulu za matendawa. Mu nkhani iyi, Akutsatira ndi thoracentesis pleurodesis.

mankhwala

Pleural effusion odwala ndi khansa si zachilendo. Zochizira matenda, komanso kuti akonze zinthu zofunika kwambiri pa mitundu yonse ya mankhwala ntchito. Choyamba odwala onse Kwalamulidwa mtima glycosides. Mankhwalawa amatha kukulitsa m'mnyewa wamtima contractility. Mndandanda wa mankhwala monga "Storofanin". Komanso, prescribers angathe kuwonjezera bronchial yosalala minofu, monga "Eufillin". Okodzetsa Mankhwalawa amagwiritsidwa ntchito: "Furosemide" ndi ena. Iwo adzalola inu kuti mupewe madzimadzi ku dera pleural ndi mkodzo.

Ngati chotupa ndi zilonda, kugwiritsa ntchito mankhwala ndi zotsatira palibe pleurisy. Komabe, kuti magawowa alili akhoza kukhala, ikukoka madzi.

thoracentesis Kodi

Thoracentesis - opareshoni kuti amalola kuti kuchotsa exudate umakaniko. Pa ndondomeko, dokotala amaika singano woonda ndi kupanga puncture mu M'mimbamo pleural. Kumene, ntchito si zosangalatsa kwambiri, koma chingathandize alili. Pambuyo kuboola M'mimbamo kutumikiridwa singano wina olumikizidwa kwa magetsi suction chubu. chipangizo Zimenezi zimathandiza kuchotsa madzi. Pambuyo pa opaleshoni, wodwala kupuma bwinobwino.

A sangathe la njirayi ndi kuti pambuyo nthawi zina madzi anadzadza kachiwiri mu M'mimbamo pleural, monga chifukwa chachikulu cha matenda likupitirirabe. Kubwereza ngati opareshoni si zofunika, kuyambira wodwala yekha aziwonjezereka. Komanso, pangakhale adhesions. zinthuzo kwambiri kusokoneza opaleshoni.

pleurodesis Kodi

Ichi ndi ndondomeko wina amene anachita pamaso pa chotupa chija. Mu nkhani iyi, M'mimbamo pleural ladzala ndi nyimbo yapadera mankhwala kuti salola madzimadzi kudziunjikira.

Dziwani kuti pleurodesis chotchuka kwambiri. Ndipotu, ndondomeko amalola mankhwala aluso pleurisy, ndiponso kupewa zina mobwerezabwereza chitukuko.

Kodi madokotala ananena zawo?

Pleurisy chithandizo ku Oncology - si nkhani yamasewera. Inde, zimadalira chimene chimachititsa matenda. Zotsatira za mankhwala mwachindunji amadalira matenda. Chithandizo cha matenda zimavuta chifukwa cha kukhalapo kwa chotupa chija. Pali pleurisy, makamaka mu magawo zovuta za matendawa.

Kulosera tsogolo la matenda ndi akumane pamaso pa zotupa metastatic zimene zimachitika pamene akuthamanga pa matenda. Nthawi zina, palibe choopsa pa moyo, ngati madzi wakhala kwathunthu kuchotsedwa m'dera pleural. Komabe, wodwalayo ayenera ndisanabadwe nthawi zonse kuteteza zisadzachitikenso.

HLS mankhwalawa

Mankhwalawa neoplasms zilonda kawirikawiri amagwiritsidwa ntchito HLS. Komabe, mankhwala ayenera kuchitidwa mu zovuta ndi. Apo ayi, chifukwa zabwino sadzapezekapo. An dokotala wodziwa akhoza kukuuzani inu chomwe njira HLS angagwiritsidwe ntchito, koma kodi adzasiyidwa. Dziwani kuti khansa ntchito mankhwala Medicine Njira:

1. Tincture, zimene zikuchokera ali Aconite Jungar. zomera ali ndi antitumor kwenikweni. The medicament amagwiritsidwa ntchito kwa akupera ndi ingest. mlingo anatsimikiza ndi dokotala.
2. Pachifuwa compressions. Pa ndondomeko kupewa malo mtima. Kutikita zizichitidwa ndi ntchito mafuta n'kofunika. Ndondomeko bwino magazi ndi omasuka kupuma.

Kumapeto kwa

The matenda oopsa kwambiri - ndi Oncology. Cancer pleurisy - vuto kuti akupezeka chitukuko cha zotupa zilonda mu mapapo. Pakuti matenda yodziwika ndi zizindikiro zina, moti nthawi kudziwa pamaso pa matenda. mankhwala kusowa akhoza kukumana ndi mavuto aakulu kwambiri, kuphatikizapo imfa.