Ndeipi pleural ponji?

Pleural ponji kazhinji ndiyo yokuongororwa ponji pamusoro pleural mhango. Kazhinji, nemvura akazviunganidzira vageremo zvirwere zvakasiyana-siyana, somuenzaniso muna namamota zvemapapu, muna cardiac edema, pleuritis kana tibhii. Chokwadi ichi chinoita kuti pleural ponji. The mvura pamwero ari mhango yakajeka percussion pasi radiography kana ultrasonic kuongorora pleural mhango. Empyema, pleural effusion , intrapleural ropa uye pleural mhango transudate kuri chinhu rakananga chiratidzo nokuda nzira.

Pleural ponji. chidobi pamusoro

Chirwere pleural ponji rinoitwa ari kupfeka mukamuri kana panzvimbo murwere. Varwere ndavhiyiwa dzomunharaunda rufimbi Novocain panguva nzira, murwere anotora akagara chinzvimbo naye maoko wakadzivisa yaakapiwa. Chero chirwere ponji kazhinji wakagumiswa hunorapa kupindira, kureva kwakakwana kubviswa kanganisika zviri mhango, kugeza pamwe akambozvishandisa kuuraya utachiona uye kutanga kupinda mhango pakati antibacterial zvinodhaka. Kana hemothorax vakatakura abudise marongedzero kucheka autologous ropa. Mugove zviri pleural mhango wokutanga hunoyerwa nemaziso chiremba, kuti vanyatsonzwisisa zviri zvikuru nzwisisika mashoko akatuma cytological, nemakemikari uye kwemabhakitiriya tsvakurudzo.

Pleural ponji. zvinogoneka yematambudziko

Kuita nzira zvinoda hapana unyanzvi panguva chiremba, asi, kunyange zvakanaka kusvika, murwere ari nedanho evanhu anogona kuonekwa matambudziko akasiyana-siyana. Izvi zvinogona kuva zvinoshamisa kuchinja kubva mediastinum, tachycardia, akawisa. Kuti tidzivise vakadaro mananara chiremba vanofanira kunyatsoongorora kuongorora mamiriro murwere uye panguva pleural ponji nzwara iri kumicheto kiramba.

Nechinangwa akaita pleural ponji?

In chero pleural mhango ane utano munhu achigara anenge 50 ml mvura. Lung chirwere, uye pleural zvingaita rinoungana edematous kana anogumbura pleural mvura pakati mashizha. Nekuti kwakakanganisa kunokanganisa murwere ezvinhu, izvozvo chinobviswa pasi pleural ponji. Kana mvura zvishoma, ipapo murwere anoita chirwere ponji, zvinobatsira kuona pamberi masero kanganisika uye kuona yezvakaita pamusaka mvura.

Kugadzirira pleurocentesis

Set nokuti pleurocentesis zvinosanganisira sirinji tsono dvadtsatigrammovy 7-10 masendimita refu uye 1 - 1.2 mm vari dhayamita uye ane steeply raiiswa pamupendero, zviri vasiyana sirinji pedyo rabha chubhu. Kuti munguva nzira yacho pleural mhango haina yarova mhepo, rinokosha kiramba rinoshandisirwa nayo. Set vaviri - sepombi matatu vanofanira akatumira adzidze fluid mukuwedzera kwavari, unofanira kuva chena tireyi pamwe tweezers, swabs, rwakanamatira shinda, uyewo doro, ayodhini, collodion uye amoniya pane nyaya chavanoziva ezvinhu mune murwere.

Pleural ponji panguva pneumothorax

Vaingoerekana pneumothorax zvakare zvakananga chiratidzo nokuda pleural ponji. Chidobi ose evanhu ichi hachisi rakasiyana dzose, asi kuti pneumothorax, pleural ponji ane sirinji kana plevroaspiratorom aspirated mhepo. With kukura vharuvhu pneumothorax, mhepo panguva achifuridzirwa achigara anopinda pleural mhango. Sezvo neizvi abudise is, mushure ponji kuna chubhu kiramba haina kuiswa, uye mhepo akabvumira kuti wopedza. Usakanganwa kuti pashure pleural ponji murwere hwobva kuiswa muchipatara munyika kuvhiya dhipatimendi.