Exudative kuzvimba: zvinokonzera, mifananidzo, zvaitika

With kuzvimba mhiri tose dzimwe mhando. Uye kana zviri chakakomba siyana, akadai nemabayo kana colitis, zvinowira pazviitiko zvakadai matambudziko kuduku akafanana akagerwa kana chironda - munhu inozivikanwa. Ivo vazhinji havateereri. Asi kunyange kukuvara zvikuru zviduku kunogona kukonzera exudative kuzvimba. Kutaura zvazviri, ndiye mamiriro Munzvimbo iyi, apo raunganidza chairo fluid uye ipapo seeps kuburikidza rirambe richibvira masvingo kunze. Izvi ndizvo chaizvo kunzwisisa, kunobva nemitemo Urume emuchina uye kukwanisa kutungamirira yematambudziko ari chirwere. Munyaya ino, tichakurukura ongorora muudzame omugadziri exudative kuzvimba dzenharo. Types (zvaitika mumwe nomumwe wavo vari kukwana) of anogumbura maitiro mhando iyi funga uye panguva imwe chete kutsanangura, vanovimba iyo, sezvo kuitika, vamwe zvinoda kurapwa.

Kuzvimba - zvakaipa kana zvakanaka?

Vazhinji vachati kuti Chokwadi, chokutsva - zvakaipa, nokuti chinokosha chero chirwere uye zvinounza kutambura kwevanhu. Asi chokwadi, mukufamba shanduka miviri yedu kwemakore dzaaiita imwe nzira kuti anogumbura pezvakaitwa kuti vabatsire pakuriritira kana zvinokuvadza zvinokonzerwa, mukurapa inonzi kuitika. Vanogona kuva nemavhairasi, mabhakitiriya, chero ganda maronda, makemikari (semuenzaniso, chepfu, muchetura), kwakaomarara dzezvakatipoteredza zvinhu. anotidzivirira kubva zvemamiriro basa kuitika izvi zvose chete anofanira exudative kuzvimba. Chii? Pasina vachipinda mashoko, zviri nyore kutsanangura. Chero vakurukurirane, wakati apinda muviri, zvinokuvadza masero. Izvi zvinonzi shandurudzo. Rinopa pakatanga kushoma. Zviratidzo zvacho, zvichienderana chinenge uye nenzvimbo yaro Implementation angava akasiyana. Pakati vanhuwo emit:

• simuka kupisa kana mumuviri wose kana chete Munzvimbo;
• kuzvimba njodzi chikamu;
• marwadzo;
• akatsvuka yakuvara.

Ndivo chikuru zviratidzo izvo munhu anogona kunzwisisa kuti vakatotanga exudative kuzvimba. Mufananidzo pamusoro chinoratidza kuratidzwa zviratidzo - akatsvuka, kuzvimba.

Panguva imwe pavaipfuura kuzvimba nemidziyo ropa kutanga kuunganidza Urume (exudate). Vakati kupinda napakati rirambe richibvira masvingo kupinda intercellular muchadenga, exudative kuzvimba kunova. Pakutanga zvinoita kuti kukura dambudziko iri. Asi chaizvoizvo, goho kuti fluid kana, sezvo vanachiremba vanoti, exudation, kunodiwawo. Nemhaka yake, kubva capillaries kupinda munyama kuwana nyaya inokosha zvikuru - immunoglobulins, kinins, yeplasma makemikari, ropa masero machena, izvo pakarepo kumhanyira kuti kuzvimba pachoto kuenda ikoko kubviswa irritants nokuporesa zvaparadzwa nzvimbo.

Pfungwa exudation

Achitsanangura exudative kuzvimba, pathological anatomi (kuranga inodzidza pathological pezvakaitwa) anonyatsoteerera kuti nedanho exudation, "muparanzvongo" kwaiita kuzvimba. Inoitwa muzvikamu zvitatu:

1. An shandurudzo. Akamhanya ari inokosha Organic yeimwe - anogumbura nevamiririri (kinins, histamine, kweserotonin, uye dzimwe lymphokines). Under kwavo simba microvascular mubhedha yakatanga kukura, uye somugumisiro, vakawedzera permeability ari mudziyo masvingo.
2. In yakakura nzvimbo riverbeds ropa riyerere akatanga kufamba zvakasimba. Paiva anonzi Flushing, ndiko, akavapindurawo, kwaita kuti kuwedzera ropa midziyo (hydrodynamic) kuvafurira.
3. Under kumanikidzwa mvura kuburikidza wakawedzera microvessels mezhendotelialnye makatsemuka uye pores dzimwe nguva runowanika tubular hukuru, zvinyama exudate akatanga achigarira maoko. Nezvimedu yenhengo dzayo vakatamira pakati chokutsva.

marudzi exudates

Zvakanyatsorurama inonzi mvura exudate zvinobva midziyo kuva zvinyama, uye zvakafanana mvura kupukunyuka kupinda mhango, - effusion. Asi mushonga kazhinji pfungwa mbiri idzi ikashandiswa. Kuzvimba exudative mhando pakutsvaga nziyo secretion, izvo zvinogona:

• serous;
• fibrotic;
• purulent;
• chinonyangadza;
• Hemorrhagic;
• mucous;
• hiloznym;
• hilusopodobnym;
• psevdohileznym;
• mumwe remafuta akawandisa;
• neutrophilic;
• eosinophilic;
• lymphocytic;
• mononuclear;
• yakavhenganiswa.

Ngatikurukurei muudzame mhando dzakawanda zvinowanzovapo exudative kuzvimba, ayo zvinokonzera uye zviratidzo.

Kuumba serous exudative kuzvimba

In womunhu ari peritoneum, pleura, pericardium zvinenge zvakazara serous membranes, saka akadana kubva rechiLatin rokuti "serum", iro rinoreva "serum" nokuti zvibereko uye kufambisa fluid chakatodzana ropa serum kana kubva mufananidzo. Serous membranes ari chakaipa ezvinhu mvere, anenge segirazi, kwakavharwa nenyama chaizvo. Kana exudative kuzvimba kunotanga, vanova kunaka uye mikukutu, uye serous exudate hunhu iri nyama uye nhengo dzomuviri. It padzakacherechedza mapuroteni (2%), lymphocytes, leukocytes, masero epithelial.

Zvinokonzera exudative kuzvimba kunogona kuva:

• kunotevera-siyana etiologies (ganda kuvimbika zvinetso, kutsva, zvipembenene ikaruma, frostbite);
• kudhaka;
• nemavhairasi uye zvirwere zvinokonzerwa noutachiona (tibhii, yomumuzongoza, herpes, huku pox, etc.);
• chisimbwa.

Serous Urume kunobatsira kubvisa tsvina kubva anogumbura huve uye irritants. Pamwe zvakwakanakira zvinhu panewo kunaka. Saka kana serous exudative kuzvimba akaonekwa zvemapapu parenchyma, anogona kuva kufema kukundikana, ari pericardium - mwoyo kukundikana, ari meninges - kuzvimba uropi, itsvo - renal insufficiency, paganda pazasi Epiderme e - peeling kubva dermis uye paumbwe serous Maronda akasiyana. Zviratidzo kuti chirwere nomumwe uri woga. Inogona kure mukuru kuwedzera kupisa uye kurwadziwa. Pasinei nokunenge ngozi zvikuru zvokurwara fungidziro kakawanda zvakanaka, sezvo exudate wefodya, vachisiya pasina zvisaririra, uye serous membranes vari akapora.

fibrotic kuzvimba

Sezvataurwa pamusoro apa, nemhando dzose exudative kuzvimba pakutsvaga Kuronga secretions vakati rakavapo kubva microvessels. Saka, fibrous exudate vakawana apo pasi zvinoitwa anogumbura kuitika (kunotevera, chirwere) unoumba yakawanda fibrinogen mapuroteni. Kazhinji, mukuru anofanira kuva 2-4 g / l. Ukama zvinyama ndiyo fuma vatendeukira fibrin. Izvi zvakare puroteni kuti ane fibrous marongerwo uye ndiyo hwaro ropa. Uyezve, pane fibrous exudate leukocytes, macrophages, monocytes. Pane imwe nguva, kuzvimba hwapedyo necrosis pakati munyama kunetsekana vakurukurirane. Ivo akaiswa mushonga wokuuraya fibrous exudate, nokudaro wezvamatongerwe fibrous firimu kwavo pamusoro. Pasi payo vari kushingaira kusimukira tupukanana kuti zvinoomesa weboka chirwere. Zvichienderana firimu uye localization ayo zvinhu tisiyanise croupous pseudomembrane uye fibrous exudative kuzvimba. Pathological anatomi anorondedzera kusawirirana kwavo:

1. Pseudomembrane kuzvimba munogona nhengo iwayo, izvo akafukidzwa multi-layered goko - iri huro, dumbu, nyinyo, dundira, zvomudumbu turakiti. Kana firimu iri fibrous aumbwa paukobvu, sokunge akura kupinda goko miviri. Naizvozvo, zvakaoma kubviswa, uye inosiya shure maronda. Nokufamba kwenguva, anoporesa, asi mavanga vanogona kuramba. Pane imwe chakaipa - nokuti ichi firimu tupukanana bereka maziso, saka kuti murwere zvakakwirira toxicity zvigadzirwa zvavo anokosha. The kupfuura nomukurumbira izvi Chirwere kuzvimba - diphtheria.
2. Croupous kuzvimba pamusoro mucous vakaumba mitumbi zvemapuranga monolayer goko: iri principales, iyo peritoneum, iyo trachea, pericardium. Nokudaro vakawana mutete fibrous firimu, nyore bvisika, pasina zvinokosha kuremara mucous. Zvisinei, mune zvimwe zviitiko, zvinogona kukonzera zvinetso zvakakomba, akadai kuzvimba trachea anogona kuvatadzisa mhepo aibuda kune mumapapu.

Exudative purulent kuzvimba

zvokurwara iri kuchengetwa kana exudate ndiyo pus - greenish-yellow viscous guru, kazhinji vane maitiro zvakanaka. sezvamunoita wayo anenge sezvinotevera: chena masero eropa, zvakawanda izvo vanoparadzwa, sealbumin, fibrin tambo, makemikari ose microbial mavambo, remafuta akawandisa, lipids, DNA zvimedu, lecithin, globulins. Izvi zvinhu vanoumba purulent serum. Kunze izvozvo, exudate aripo purulent detritus rinenge kurarama uye / kana yazova majemusi masero purulent. Purulent kuzvimba anogona kuitika chero muviri. "Honzeri" Maronda ari Kuwedzera Kushata vanowanzobatwa pyogenic bacteria (siyana cocci, Escherichia coli coli, Proteus), uyewo Candida, Shigella, Salmonella, Brucella. Forms purulent exudative kuzvimba kunogona kudaro:

1. Pute. Rinomiririra pachoto pamwe chipingamupinyi Kamudzira kunodzivisa ingress kuti pus iri dzakapoteredza munyama. The mhango mukamuri rinoungana purulent exudate kupinda imomo kuburikidza capillaries chipingamupinyi Kamudzira.
2. Pute. In chimiro ichi wechoto kuzvimba vane miganhu zvakajeka uye purulent exudate rinopararira kuti pedyo nyama uye in. muenzaniso Izvi zvinogona kuonekwa mune subcutaneous akaturikidzana, somuenzaniso, mune adipose zvinyama ari retroperitoneal uye perirenal dzine pose morphological nemamiriro zvinyama anobvumira pus kuenda mhiri chinangwa chokutsva.
3. Empyema. fomu Izvi zvakafanana imwe mota uye vakachengeta ari in, pedyo ine chinangwa kuzvimba.

Kana pus aripo mazhinji chinopedza neutrophils, neutrophilic exudate inonzi purulent. Kazhinji, basa neutrophils ndiko kuparadza utachiona uye hunokuvadza. Vane vakashinga varindi, kuti uzvirasire wokutanga kwazvo vavengi vakanga infiltrated mumuviri wedu. Naizvozvo, panguva kutanga kwekupwanyiwa kuzvimba neutrophils zvikuru wose, rusingakanganiswi uye exudate inonzi mikrognoynym. Sezvo kuchiita hosha chena ropa masero anoparadzwa uye pus vazhinji vavo yazova.

Kana anogumbura foci kuwa putrefactive tusingaoneki (kakawanda anaerobic utachiona), purulent exudate ichichinja kuita chinonyangadza. Ine maitiro kwakanaka uye ruvara uye anokurudzira manyowa kuti tishu. It hwakazara yakakwirira kudhaka ane Muviri ane murombo chaizvo mugumisiro.

Mabatirwo purulent kuzvimba kunobva kushandisa mishonga inorwisa mabhakitiriya uye kuona secretion yacho water drainage yomukati. Dzimwe zvinoda kuvhiyiwa. Kudzivirira kuzvimba akadaro disinfection mumaronda. Kurapa chirwere ichi aigona kuva zvakanaka zvinozoitika ndichibvunza mishonga chete apo kuvhiya kubviswa kuorera mazviri zvimedu.

Hemorrhagic kuzvimba

Mune zvimwe zvirwere ngozi zvikuru zvakadai hwechigwadara, chibhokisi, denda, hunokachidza yokuSpain akaonekwa Hemorrhagic exudative kuzvimba. Zvikonzero hazvina kuwedzera permeability pamusoro microvessels kusvikira misodzi yavo. The exudate apo hunodzorwa masero matsvuku eropa, saka kuti ayo ruvara dzinosiyana Pink kune rima dzvuku. Pano kuratidzwa Hemorrhagic kuzvimba akafanana ropa, asi, kusiyana yokuteverera, ari exudate kuwana chete erythrocytes asiwo chiduku neutrophils pamwe macrophages. Mabatirwo Hemorrhagic exudative kuzvimba iri basa kwakavakirwa mhando zvigare akatungamirira nayo. Zvaizobuda chirwere kunogona zvikuru vanoshorwa, kana kurapa akatanga kunonoka uye kana muviri murwere haana simba zvakakwana kudzivisa chirwere.

catarrh

Chimwe chinhu chinokosha chirwere ichi ndechokuti exudate apo ave serous uye purulent, uye Hemorrhagic, asi nguva dzose madzihwa. Muzviitiko zvakadaro, mashoko mucous secretion aumbwa. Kusiyana serous, rinozivisa zvimwe mucin antibacterial mumiririri lysozyme uye immunoglobulin A kirasi. Zvinonzi akaumba nokuda kwezvikonzero zvinotevera:

• chirwere nemavhairasi kana kwemabhakitiriya;
• migumisiro iri muviri makemikoro, yakakwirira tembiricha;
• mhirizhonga munyika muviri;
• neutachiona (semuenzaniso sema rhinitis).

Catarrhal exudative kuzvimba nechirwere bronchitis, catarrh, rhinitis, gastritis, catarrhal colitis, chenjera zvirwere kufema, pharyngitis, uye kunogona kuitika munguva chakasimba uye chirwere siyana. Muchiitiko chokutanga riri vakarapwa zvizere mavhiki 2-3. Chechipiri, zvachinja mucosa - atrophy, panguva iyo goko kunova wakawondereiko kudai mazuva ose, kana hypertrophy, iyo, nekusiyana, iyo mucosa yava thickened uye anogona protrude mumuviri mhango.

Basa madzihwa exudate ndiyo zviviri. Kudivi rimwe, zvinobatsira kurwisa utachiona, uye pamusoro mumwe, kuwanda kwayo muna in kunoguma yokuwedzera pathological urongwa, dzakadai madzihwa ari nasal sinuses kunoita sinusitis.

Mabatirwo exudative kuzvimba catarrhal inoitwa mishonga antibacterial, physiotherapy uye nemakwenzi zvakadai up, sukurudza nedzimwe zvinogadzirisa, ari ingestion pamusoro infusions uye decoctions wemiriwo.

Exudative kuzvimba: chaizvo unhu exudative mvura

Yekunwa uye chylous psevdohilezny exudates kuonekwa chete akuvara nhengo dzinobudisa nemidziyo. Somuenzaniso, muna chityu kungava panguva atsamwira pamusoro thoracal mutsinga dzinofamba nemukaka. Chylous exudate chena ruvara nokuda pamberi mariri kuti vawedzere uwandu mafuta.

Psevdohilezny ane whitish Hue, asi mafuta haasi kupfuura 0,15% mariri, asi pane mucoid fuma, mapuroteni miviri, nukleina, lecithins. Akaona pamwe lipoid nephrosis.

White uye hilusopodobny exudate, chete kuripa ruvara Zvaparara masero yazova. It chakaumbwa chisingaperi kuzvimba serous membranes. The abdominal mhango zvakadaro kune chiropa cirrhosis, pleural - mu tibhii, kenza pleura, njovhera.

Kana exudate lymphocytes vakawandisa (90%), inonzi lymphocytic. It anomira kubva midziyo apo pleural tibhii. Kana chakavanzika pamberi remafuta akawandisa, nomuenzaniso nayo inonzi remafuta akawandisa. It ane gobvu kusachinja-chinja, yellowish kana brownish ruvara, uye vanogona kuumbwa kubva chero mvura exudative inopiwa kuti mhango umo iri vaunganidza kwenguva refu, ndiko reabsorption nemvura chicherwa inoramba.

Sezvaunogona kuona, pane mhando dzakawanda exudates, chimwe nechimwe maitire imwe mhando exudative kuzvimba. Uyewo, pane zviitiko apo pane mumwe chirwere kunokwanisa kuonekwa zvakasiyana exudative kuzvimba, akadai sero-fibrous kana seropurulent.

Chenjera uye chisingaperi siyana

Exudative kuzvimba munogona chakasimba kana chirwere chimiro. Muchiitiko chokutanga chiri pakarepo kupindura vakurukurirane uye anotikurudzira akagadzirirwa kubvisa. The zvinokonzera nzira iyi kushoma angava mugove. Vanhuwo zvikuru;

• zvinokuvadza;
• chirwere;
• makemikari chepfu;
• nokuvhiringidzirwa chero nhengo uye hurongwa.

Exudative yakakomba ingabatanidza kuzvimba kunoratidzwa akatsvuka uye mumatenhere yakuvara, marwadzo, fivhiri. Dzimwe nguva, kunyanya nokuda chirwere vari varwere kwakaratidza zviratidzo autonomic zvirwere uye intoxications.

Chenjera kuzvimba anotora pfupi nguva, uye kana kurapa rinoitwa nemazvo, akaporesa zvachose.

Chirwere exudative kuzvimba anogona kwemakore. It inomiririrwa purulent uye catarrhal mhando kuzvimba. Panguva iyoyo nokuporesa hwapedyo tishu kuparadzwa. Kunyange zvazvo chirwere kuzvimba kuregererwa murwere asiri hanya, izvozvo pakupedzisira zvinogona kutungamirira kuparadzwa (cachexia), sclerotic kuchinja nhumbi, kusingarapiki nokuvhiringidzirwa nhengo uye kunyange paumbwe anomera. Treatment anorayirwa anonyanya kuramba kangamwiro kutotanga. Muchiitiko chino, izvozvo rinokoshesa zvikuru yakakodzera mararamiro, zvokudya, kusimbisa zvirwere.