Zowuma ndi exudative pleurisy

Pleuritis amatchedwa matenda opweteka a masamba a pleura ndi kutayidwa kwa fibrin pamwamba pake (youma pleurisy) kapena kusungunuka kwa madzi m'chisembwere (exudative pleurisy). Ichi si matenda odziimira okha, amayamba monga chidziwitso cha mchitidwe wamatenda m'mapapo, mediastinum, pachifuwa. Matendawa nthawi zambiri amawonetsa TB, rheumatism, collagen yofala ndi khansa.

Mu pleurisy, matendawa amalowa mwa njira zosiyanasiyana: kukhudzana, mthupi, mthupi, komanso mwadzidzidzi, mabala, opaleshoni.

Mu chipatala cha matenda awa ma syndromes angapo amadziwika:

• Kutupa kwa pleura;
• Kusonkhanitsa madzi mu cavity pleural;
• Kutupa;
• Kuledzera.

Dry pleurisy

Matendawa amayamba kwambiri ndi maonekedwe a ululu m'chifuwa, omwe amadzaza ndi kupuma kwakukulu, kukokera, ndi kusuntha kwa thunthu. Wodwala, poyesera kuteteza malo opweteka, amayesera kunama pa mbali yathanzi. Kupuma kumachitika kawirikawiri. Chifuwa chouma, chosabereka ndi chikhalidwe, chomwe chikuwonjezeredwa ndi kuyenda.

Chipatala cha pleuriy chouma chimakhala chochepa kwambiri. Matendawa amatha milungu iwiri kapena itatu ndipo zimadalira matenda omwe amayambitsa. Kubwezeretsa kwa nthawi yaitali pleuriy youma ndi khalidwe la chifuwa chachikulu cha TB, chomwe chimafuna chithandizo chapadera chokhalitsa.

Kuchuluka kwa pleurisy

Pleudy exudative kungakhale kupitiriza kwauma kapena zovuta za matenda ena. Chikhalidwe cha exudate chimadalira kukula kwa matenda ndi chifukwa cha pleurisy. Mwachitsanzo, ma exudates amagazi amachitika ndi khansara yamapapu, metastases, chifuwa chachikulu, chifuwa cha m'mapapo; Serous ndi serous-fibrinous - ndi rheumatism, chifuwa chachikulu, kulephera kwa mphuno, collagenoses.

Mu njira yachipatala ya pleurousy exudative kapena effusive pali magawo atatu: kudzikuza exudate, kukhazikika kwake ndi resorption. Nthaŵi zina kupempherera kwachinyengo kumayamba, komwe kungakhale kosiyana.

Exudative pleurisy ikhoza kukula ndi pang'onopang'ono. Mu njira yovuta , kutentha kwa thupi kumakula mofulumira , kuzizira kumawoneka, kupweteka mu chifuwa kumbali ya zilonda, chifuwa chouma, kupuma pang'ono, kufooka kwakukulu. Pakuoneka ngati kupweteka, kupweteka kumachepetseratu, koma dyspnea ikuwonjezeka ndipo imawoneka ngakhale kupumula.

Mdima wambiri wamtundu wambiri wa malo omwe umakhalapo pamtundu wa exudate umatsimikiziridwa panthawi yopenda X-ray.

Kuchiza kwa pleurisy

Pankhani ya pleuriy youma, matenda akuluakulu amachiritsidwa makamaka. Mu njira ya chifuwa chachikulu, mankhwala osokoneza bongo amadziwika. Ngati louma pleurisy imayamba chifukwa cha chibayo, ma antibayotiki amaperekedwa. Ndi mankhwala oletsedwa ndi zotupa, salicylates ndi mankhwala osagwiritsidwa ntchito ndi zotupa. Kwa analgesia, analgesics amagwiritsidwa ntchito. Zisonyezozo ndi glucocorticoids, detoxification ndi mankhwala othandiza kwambiri. Kumayambiriro kwa dry pleyyyy, electrophoresis imagwiritsidwa ntchito. Ndi kuchepa kwa maonekedwe ovuta a matendawa, kupaka minofu ndi njira zamatenda za thupi zimasonyeza.

Ngati exudative pleurisy imapezeka, njira yaikulu ya chithandizo ndi kupempherera. Pambuyo pake, chithandizo cha exudative kapena exudative pleurisy chikuchitidwa mofanana ndi youma. Ndi kuchepetsa kutentha kwa thupi ndipo palibe zizindikiro zowononganso madzi m'kati mwake, mankhwalawa amatchulidwa.

Kawirikawiri pleurisy ndi yabwino, koma ikhoza kukhala yayitali. Kusiyanitsa ndi kupweteka kwamtundu wa khansa ndi matenda opatsirana. Exudative pleurisy ndi yovuta kuposa yowuma. Pambuyo pa kusinthasintha, kulumikizana, kukulitsa kwa mapepala a pleura, ndi kukula kwa mtima kusagonjetseka.