Pleurisy: chithandizo

Pleurisy ndi yotupa matenda a pleura, amene amapezeka chifukwa mafunsidwe a Ulimbo pamwamba pake, kapena buildup madzimadzi mkati M'mimbamo pleural, motero pali ululu ndi kukhosomola ndi kupuma. The zimayambitsa matenda zingakhale angapo. Mu malo oyamba zingayambitse wothandizila opatsirana chiyambi tizilombo toyambitsa matenda, komanso tizilombo bowa. Pleurisy chithandizocho kobvuta zokwanira, nthawi zambiri akufotokozera pamaziko a chibayo, chifuwa chachikulu kapena m'mapapo abscess. Komanso zingayambitse matenda ena omwe si opatsirana ndi zinthu pathological, mwachitsanzo, matenda zokhudza zonse, zilonda chotupa zoopsazo chifuwa ndi opaleshoni, m'mimba matenda thirakiti, m'mnyewa wamtima infarction, zokhudza zonse vasculitis ndi ena.

Pleurisy matenda, mankhwala ikuchitika okha, pa maziko a chithunzi matenda a matenda, ndi kuvomerezedwa kuganizira zotsatira za diagnostics malangizo ongokhala radiography ndi yopangidwa tomography, thoracoscopy, pleural puncture ndi ultrasound. Angagwiritsidwenso ntchito pa mayesero ambiri magazi mayesero mkodzo, komanso kuphunzira nkhani pleural. Masiyanidwe matenda a angina, pericarditis, m'mnyewa wamtima infarction, pachimake appendicitis, intercostal neuralgia, pachimake cholecystitis, empyema, mowiriza pneumothorax ndi chilonda m'mimba.

Pleurisy: chithandizo malingana ndi chikhalidwe cha matenda

Ngati pleural effusion ndi matenda chikhalidwe, tizilomboto zambiri akulowa mu njira iliyonse kuti patsekeke pleural, kuchititsa kutupa. Motero ndi kuonjezera permeability wa capillaries magazi, chifukwa anayamba pleural edema, exudation amapezeka kenako kuti patsekeke pleural. Mbali madzi odzipereka mwa zotengera lymphatic, ndi Ulimbo unayikidwa pa mapepala a pleural, kupanga pleurisy youma. Pankhaniyi ndiyofunikila kuchotsa matenda ndi mankhwala.

Pali zosinthika wina wa matendawa. Izi kuchuluka mphamvu ya ndondomeko yotupa, komanso pamene kutseka zipangizo lymphatic, mlingo exudation umalamulira pa mlingo mayamwidwe, chifukwa chimene exudate amasonkhana M'mimbamo pleural, kupanga encysted pleurisy. Pankhaniyi, kuwonjezera pa ntchito mankhwala kwa wodwala anaika njira yapadera kuchotsa exudate.

Nthawi ya si opatsirana pleurisy kugwirizana ndi zotsatira za zochita pa katundu kagayidwe kachakudya wa neoplasms mapepala pleural, ziwiya lymph atsekedwa chifukwa psinjika a zotupa kapena metastases awo, ndiyeno akusokoneza kayendedwe ka lymph. Pankhaniyi, njira yabwino kwambiri chifukwa cha mankhwala ndi kuchotsa matenda oyamba pleurisy. Pa nthawi yomweyo atsogolere alili pouza kukonzekera mwapadera.

Pleurisy: mankhwala malingana ndi chithunzi matenda a matenda

Chithunzi matenda a pleurisy youma akhoza yodziwika ndi kuchuluka kutentha thupi, kufooka ambiri, kupweteka m'chifuwa, minofu ndi mafupa. Posankha mpweya kwambiri, mukalandire kupweteka kwambiri pachifuwa, komanso pamene thupi linapendekeka kapena pamene kutsokomola. Pa mayeso matenda a mtima wouma pleurisy angathe kuonedwa osaya kupuma, tsankho kwanthawi mu kupuma kuchita akhudzidwa mbali ya bere, pleural mikangano phokoso. Ngati tikulankhula effusion pleural, anaona kuwonjezeka kutentha, komanso kumverera za kulemera mu chifuwa, kufupika kwa mpweya, chifuwa youma, kuchuluka thukuta. Kukonderera blueness wa khungu la khosi ndi nkhope, kutupa kwa mitsempha khosi, kuwonjezera mbali akhudzidwa a chifuwa. Izi ndi mbali yokhayo ya zizindikiro limene likhoza kulumikizidwa ndi effusion pleural.

Chithandizo cha matenda ikuchitika yekha mu chipatala pambuyo chifukwa cha matenda adzakhala anaika. The mabuku chithandizo pleurisy zikuphatikizapo:

- mankhwala opha tizilombo ngati matenda amagwirizana ndi matenda ndiponso zinthu zina ikuchitika imatsogoleredwa mankhwala amphamvu;

- ngati nthendayo anayamba pa maziko a chibayo, ntchito yotakata-sipekitiramu mankhwala. Kuyamba iwo ikuchitika m'nsinga, intramuscularly;

- pleural M'mimbamo mosamala kuchapidwa wa exudate ntchito osamba izi antimicrobials wapadera;

- ngati muli rheumatoid pleurisy kapena khalidwe TB, kothandiza kwambiri ntchito prednisone, streptomycin, tubazid, ftivazid ndi Pasi;

- ntchito njira umalimbana kulimbitsa ntchito m'thupi oteteza.

mankhwala azitsamba kawirikawiri amagwiritsidwa ntchito limodzi ndi mankhwala ena. Komabe, asanadye izi kapena kuti deta muyenera kukhala bwino ndi contraindications ake.

Mu mankhwala pleurisy mbali yofunika ndi chithandizo cha matenda vutoli, umene unali chifukwa cha matenda. Mu pleurisy youma akhoza tisaletse vuto la bandaging chifuwa zotanuka nsalu. Pamene wodwala ali Kwalamulidwa odana inflammatories, kwambiri mutsogolo matenda.