Pleural mhango panguva pulmonary kuzvimba goko: yayo kushanduka, kurapwa

mapapu Human akafukidzwa ne nhete serous Kamudzira - the pleura, iyo anovadzivirira kubva mukukuvara siyana. The nzvimbo pakati machira ari goko anonzi rokuti "pleural mhango." nharaunda iyi, sezvinoita zvose kufema ezvinhu, rinobatanidzwa mumuviri kuti kufema. Chero nyonganyonga iri kuipa pulmonary basa pamwe panowanikwa vamwe kuchinja pleural mhango. Chimwe chezvinhu zvakafanana pathologies ari kufema ezvinhu panguva iri pleurisy - ane kuzvimba pleura. The zvinokonzera chirwere ichi chingava vanoverengeka. Kakawanda, zvinoita somunhu kuomesa zvinowanzoitwa chando, mabayo, kuzvimba rwatata, zvemapapu tibhii. Zvikonzero panowanikwa pleurisy ane noninfectious mavambo vari: myocardial infarction, parasitic infestation, myxedema, chiropa cirrhosis, neleukemia, glomerulonephritis, kenza yemapapu.

Kuzvimba pleura anogona zvaitika kana kukuvara pechipfuva somugumisiro simba kwechirwere, ava vakuvara, akaputsika mbabvu. Nyanzvi kuona yakaoma uye exudative pleurisy. Muchiitiko chokutanga kuti pleural mhango inoramba rakaoma kusvikira nguva chirwere. Kana nyoro kana exudative pleurisy anogona unganidza imwe yakawanda mvura iri pleural mhango rirwadze.

The chikuru zviratidzo pleurisy anoonekwa kuti:

• The chidzoke ari mubhokisi marwadzo. marwadzo Izvi kazhinji zvakaipa befu, anogona kupiwa ari ruoko kana pamapfudzi.
• Kuwedzera tembiricha.
• Strong chikosoro yakaoma.
• Kupfupika mweya.
• Zvishomanana blanching ganda (cyanosis).

Munhu asina matambudziko anoita kufema, pleural mhango rine zvishoma zvakakodzera kuti dzose kushanda mumapapu serous fluid zvakawandisa iyo yabviswa kuburikidza nhengo dzinobudisa uye ropa capillaries. Kukura kuzvimba hunoita kuti kusaenzana pakati kugadzirwa serous mvura yaro kubviswa kubva pleural nharaunda. In maawa pleurisy rokutanga vakachengeta yokuwedzera deducing kubva pleural mhango pakati rirambe richibvira fluid kuwedzera tightness dzavo uye kuzvimba. Zvishoma nezvishoma pane blockage pakati capillaries rakakwana, saka pleura anova edematous, izvozvo stagnates exudates (mapuroteni-vapfumi mvura asunungurwa, kazhinji pane nzvimbo chokutsva localization). With kukura zvemapapu kuzvimba goko vaunganidza ayo mhango exudate anogona zvishoma nezvishoma kuiparadza kana kuchinjwa kuva fibrous tishu. In pamberi purulent exudate zvinoda fanira kuvhiya hanya, pleural mhango murwere hazvisi pasi fanira abudise.

The vabatwe chero pleurisy anotanga kumisa chaiyo kukonzera chirwere. Chirwere iri kuitisa:

• Chest X-ray.
• Ultrassom pakuongorora kufema hurongwa.
• Electrocardiogram (kubvisa myocardial infarction).
• General Kuongororwa ropa (yakawedzera erythrocyte sedimentation zvazvingava, leukocytosis kuchengetwa pleurisy).

Mumwe kiyi zviitiko pa chirwere ndiye ponji ari pleural mhango, chipfuva ponji trocar sechinoreva masero kuti chirwere zvinangwa. Ponji kunoita iwe kuti fenzi pleural mvura nokuda kwayo hwakadzama rabhoritari kuongorora. Nokufungirana ane akaipa nebundu rinoitwa thoracoscopy - tsvakurudzo munda chiedza uchishandisa chaiyo mudziyo, iyo jekiseni zvakananga mubhokisi kuburikidza kwayo ponji.

Nzira kurapa pleurisy zvakazara kunoenderana mhaka chirwere. Kana mubatanidzwa tibhii uye pleurisy akagoverwa antibacterial kurapa, pleural kuzvimba mu rheumatic unoratidzwa glucocorticoid kemikari kurapwa. In pamberi purulent pleuritis kwaiwanzoitwa thoracostomy (pus uye kucheneswa inorwisa mabhakitiriya zvakananga pleura) pasi thoracal bazi kiriniki. Mushure kurapwa murwere anoratidzwa mune pachipatara pacho kana zororo pagungwa uyai.