Unepleurisy: unyango

Unepleurisy sisifo yokukrala pleura, olwenzeka ngenxa yokulahlwa kwe fibrin kumphezulu wayo, okanye ukugcwala ulwelo ngaphakathi kwisisu pleural, ngaloo ndlela kukho intlungu kunye ekhohlela nokuphefumla. Ubangelwa esi sifo ezininzi. Kwindawo yokuqala oko kunokubangela ezasulelayo imvelaphi ziintsholongwane, kwakunye izinambuzane kunye nezinye izinto. unyango unepleurisy intsonkothile ngokwaneleyo, amaxesha amaninzi ukuvela ngokusekelwe pneumonia, isifo sephepha okanye ithumba semiphunga. Ukongeza ingabangela ezinye izifo non-ezosulelayo kunye neemeko lwezidumbu, umz, izifo lwenkqubo, ithumba emphefumlweni esifubeni kwegazi, isifo wokugaya, iposi engabalulekanga, vasculitis systemic kunye nabanye.

Unepleurisy bene, unyango lwenziwa kuphela emva koko, ngokusekelwe umfanekiso kwezonyango sifo, kunye mandatory nisingasinga impumelelo kuxilongo negalelo equka ray kunye Itomography ngekhompyutha, thoracoscopy, okuhlatywa pleural ultrasound. Kananjalo kufuneka lisetyenziswe kwiimvavanyo jikelele kwegazi, iimvavanyo umchamo, kwakunye isifundo kwiziqulatho pleural. uxilongo mahluko of angina, pericarditis, iposi engabalulekanga, appendicitis etsolo, intercostal neuralgia, cholecystitis etsolo, empyema, pneumothorax ezizenzekelayo kunye isilonda nesisu.

Unepleurisy: unyango kuxhomekeka kuhlobo sifo

Ukuba effusion pleural ubuntu esosulelayo, lelo gciwane ngokuqhelekileyo ongena nangayiphi na indlela, waya kwisisu pleural, ebangela komtshiso oko. Isiphumo sale kukwandisa permeability ngcanjana igazi, ngenxa eqala nokudumba pleural, exudation kwenzeka uze kungena kwisisu pleural. Inxalenye ulwelo ifunxwe ngokusebenzisa iimpahla emithanjeni, yaye fibrin ekufakwa kumaxwebhu pleural, ukwakha unepleurisy owomileyo. Kule meko ke kubaluleke kakhulu ukuba balahle nga antibiotics.

Kukho olunye uhlobo lwe sifo. Oku kwandisa ngamandla kwenkqubo kwiintetho ezikralayo, kananjalo xa uvala izitya emithanjeni, izinga exudation bulawulwe phezu njengeSpecific Absorption Rate, ngenxa apho exudate oluhlala em- pleural, ukwakha unepleurisy encysted. Kulo mzekelo, ukongeza ekusebenziseni amachiza isigulane amisele iinkqubo ezikhethekileyo ukususa exudate.

Kukuvela unepleurisy non-esosulelayo ezinxulumene iziphumo yempembelelo phezu iimveliso pathways of neoplasms sheets pleural, iimpahla nkovu zivaliwe ngenxa ucinezelo yamathumba okanye metastases zabo, baze emva koko lungqubano intshukumo ye nkovu. Kulo mzekelo, eyona ndlela isebenzayo unyango ukuphelisa izifo ezibangelwa unepleurisy. Ngelo xesha lula imeko yomguli ngokuyinika amalungiselelo akhethekileyo.

Unepleurisy: unyango kuxhomekeka umfanekiso bezonyango sifo

Lo mfanekiso kwe unepleurisy owomileyo wabonakalisa lobushushu kakhulu umzimba, ubuthathaka jikelele, iintlungu esifubeni, izihlunu kunye namalungu. Xa usenza Ukuphefumla nzulu, uya kufumana buhlungu elibukhali kwi esifubeni, kananjalo xa umzimba axis okanye xa ukhohlela. Ngexesha leemviwo Clinical unepleurisy nomonde owomileyo kungabonwa ukuphefumla nzulu, lag nanonelela isenzo sokuphefumla inxalenye uchaphazelekayo zamabele, isandi ukukhuhlana pleural. Ukuba sithetha effusion pleural, ukwanda iqatshelwe ubushushu, kwakunye imvakalelo ubunzima esifubeni, ukuphelelwa umoya, ukhohlokhohlo owomileyo, ukwanda ukubila. Ukubhiyozela Imivumbo isikhumba entanyeni nasebusweni, udumba ngemithambo entanyeni, ukwandisa icala uchaphazelekayo womGaqo esifubeni. Le yinxalenye kuphela iimpawu esinxulunyaniswa ne effusion pleural.

Unyango lwe sifo lwenziwa kuphela esibhedlele emva kokuba unobangela izifo ziza kufakelwa. Le unepleurisy ebanzi unyango lubandakanya:

- therapy zintsholongwane ukuba isifo lu dityanisiwe kusulelo, kwezinye iimeko ikhutshwa phandle ichemotherapy ngqo;

- ukuba esi sifo kuphuhliswa kwisiqalo yinyumoniya, ukusetyenziswa ebanzi-omoya antibiotics. Ukungena kwabo wenziwa yegazi, intramuscularly;

- kwisisu pleural ngenyameko icocwe of exudate isetyenziswa le ukuhlamba antimicrobials ezizodwa;

- Ukuba une unepleurisy samathambo okanye isifo character, ukusetyenziswa kakuhle kakhulu prednisone, streptomycin, tubazid, ftivazid kunye PAS;

- kusetyenziswa amayeza ezijolise ekolulweni imisebenzi immune-zokhuselo.

namakhambi isoloko isetyenziswa ne amanye amayeza. Noko ke, ngaphambi kokuba lo okanye ingqokelela kufuneka baqhelane Izimo yayo.

Xa therapy unepleurisy umba obalulekileyo impatho kwesi sifo engundoqo, nto leyo ebangele ukuba sifo. Xa unepleurisy owomileyo baphelise intlungu bandaging ityesi amabhandeji elastic. Xa isigulane ezimiselweyo anti-ukudumba, lula kakhulu esi sifo.