Kwisisu Pleural ngexesha pulmonary ukudumba iqokobhe: ukwahluka yayo, unyango

imiphunga Human lihambisana inwebu serous obhityileyo - le pleura, elikhusela kubo walimala. Isithuba phakathi iimakhishithi yeqokobhe kuthiwa igama elithi "kwisisu pleural." Le ndawo, ngokungathi yonke inkqubo yokuphefumla, kukho ukubandakanyeka eliphefumla zomzimba. Nakuphi na ukuphazamiseka komsebenzi eziqhelekileyo pulmonary sikhatshwe kukuvela utshintsho ezithile em- pleural. Enye yezinto ezimbi uqhelekileyo isixokelelwano sokuphefumla ngalo mzuzu kuba unepleurisy - kukukrala pleura. Ubangelwa esi sifo ezininzi. Amaninzi, yenzeka njengoko kwingxaki ye umkhuhlane, inyumoniya, ukudumba zepancreas, lung isifo sephepha. Izizathu ngenxa kukuvela unepleurisy yokuba imvelaphi noninfectious zezi: iposi engabalulekanga, ukugcwala ekumfimfitheni, myxedema, isibindi ukuqina, wegazi, glomerulonephritis, umhlaza wemiphunga.

Ukudumba pleura zingenzeka ngokuzenzekelayo xa umonakalo isifuba ngenxa negalelo elikhulu, nangephina, ophuke. Iingcali ukuchonga owomileyo kunye unepleurisy exudative. Kwimeko yokuqala kwisisu pleural womile lonke ixesha kwesi sifo. Kwimeko unepleurisy ezimanzi okanye exudative unakho makaqokelele isixa esithile kolwelo em- pleural kunokutshiseka.

Eyona engundoqo iimpawu unepleurisy kuthathwa ukuba ube:

• Ukuvela kwi iintlungu esifubeni. Le iintlungu mbi ngokuqhelekileyo uphefumle, inokunikwa ngengalo okanye emagxeni.
• Ukunyuka kwamaqondo.
• ukhohlokhohlo Strong owomileyo.
• Ukuphelelwa umoya.
• blanching kancinane kwesikhumba (cyanosis).

Umntu ukuba akukho ngxaki kunye nokusetyenziswa wokuphefumla, kwisisu pleural iqulethe imali encinane kuyimfuneko eqhelekileyo yokusebenza imiphunga ulwelo serous, kwakuwo yayo isuswe ngalo emithanjeni kunye igazi emithanjeni. Uphuhliso ukudumba kunegalelo ukungalingani phakathi kwemveliso kolwelo serous kwaye kususwe ku kummandla pleural. Xa iiyure zokuqala unepleurisy waphawula ukwanda deducing ukusuka kwisisu pleural of capillary fluid, ukuphucula yengxinano yabo iindumbisa. Ngokuthe ngcembe kukho ukuvaleka epheleleyo emithanjeni, pleura oko uba edematous, oko stagnates exudates (protein eninzi ulwelo ekhululwe, ngokuqhelekileyo kwisiza ukudumba eyendawo). Ngophuhliso iqokobhe lung ukudumba accumulated kwi exudate layo kwisisu nga ngcembe ukuyichitha okanye kuguqulwa zibe izihlunu ezinezikhondo. Phambi ubovu exudate zifuna uncedo mandatory zotyando, kwisisu pleural ze isigulane kulo mzekelo kuxhomekeke yokuhambisa amanzi enyanzelekileyo.

Unyango balo naluphi na uhlobo unepleurisy uqalisa ukuseka unobangela ngqo esi sifo. Uphethwe ukuqhuba:

• Chest X-ray.
• Ultrasound Ukuhlolisisa isixokelelwano sokuphefumla.
• Electrocardiogram (ngaphandle iposi engabalulekanga).
• Uhlalutyo jikelele igazi (umyinge neentlenge ukwanda erythrocyte, leukocytosis iqatshelwe unepleurisy).

Enye iziganeko ezibalulekileyo xa kufunyaniswa isifo na okuhlatywa le trocar kwisisu pleural, isifuba okuhlatywa kuthetha iiseli ngeenjongo yoxilongo. Zokuhlatywa likuvumela ukuba wenze ucingo ulwelo pleural ukwenzela uhlalutyo yayo kwilebhu eneenkcukacha. Ukusola ithumba ikhutshwa thoracoscopy - uphando ifildi ukukhanya usebenzisa isixhobo ekhethekileyo, oko lesitofu ngqo kwi esifubeni ngenxa okuhlatywa yayo.

Indlela yokuba ukuphatha unepleurisy ixhomekeke ngokupheleleyo unobangela sifo. Kwimeko yokudityaniswa lwesifo sephepha kunye unepleurisy eyabelwe unyango antibacterial, nangokurhala pleural kwi samathambo eboniswe unyango hormone glucocorticoid. Phambi ubovu pleuritis ndandingohlukani thoracostomy (ububomvu kunye ucoco antibiotics ngqo pleura) phantsi isebe thoracic ekliniki. Emva unyango isigulane siboniswa kwisibhedlele okanye yokuphumla iiholide ngaselwandle.