Empyema wa pleura

Empyema wa pleura, ndi pyotorax kapena puriulent pleurisy - njira yotupa ya masamba otukumula, limodzi ndi mulu wa pus mu chumity. Matendawa ndi oposa 90 peresenti ndi ochepa ndipo amapezeka pamene kutupa kumapitanso kumapapo, mapiri, chifuwa, chiwonetsero, malo oseri. Nthawi zambiri chithandizo choperewera chimakhala ndi matenda opatsirana kapena amphamvu omwe amabwera m'mapapo: chibayo, zibambo, chifuwa chachikulu, kukhudzidwa kwa chifuwa cha mapapo.

Koma ndizotheka kuti apyema ayambe kutuluka chifukwa cha matenda opatsirana kuchokera ku foi (mwachitsanzo, chifukwa cha purulent appendicitis, mu sepsis , angina, etc.).

Zizindikiro za pemphoma

Pofika nthawi yopuma, pleura imagawanika kukhala yovuta komanso yosasintha. Matendawa amatchedwa pleural empyema, omwe amakhalapo kwa miyezi iwiri, ndipo amadza chifukwa cha chithandizo chosayenera kapena zochitika zina za kutupa pachimake.

Zizindikiro za kupweteka kwapachifuwa, kupuma kwa mpweya, kuledzera kwa thupi, kutentha thupi kwa 38-39 ° C, chifuwa chouma kapena purulent chifuwa, kupititsa patsogolo kupuma kwa mpweya (kutentha pang'ono, tachycardia, arterial hypotension). Kuyamba kwa matendawa kumakhala kovuta, kawirikawiri ndi kuwonjezeka kwa kutentha kwapang'onopang'ono ndi kukula kwa ululu mu chifuwa.

Kukhala ndi chinyezi chachikulu cha pleura chimadziwika ndi matenda a chiwindi, ndi nthawi zovuta komanso kukhululukira. Kutentha kwa thupi nthawi zambiri kumagwirizana. Chifukwa cha ndondomekoyi, kudandaula kumachitika pamtanda, ndipo phokoso la minofu limapezeka, ndipo kusakanikirana kwakukulu pakati pa khoma la chifuwa ndi mapapo kumapangidwa. Pulogalamu yowonongeka ikhoza kuwonjezeka (mpaka 2 cm), kuteteza kupuma kwabwino ndikupangitsa kupuma kwa mtima kupuma kwa mtima.

Kuchiza kwa pleural empyema

Chiwembu cha mpumulo ndi chonchi:

1. Ndiloyenera kuyeretsa phokoso la phokoso la pus, pochita kupuma kapena kukhetsa. Poyamba kuchotsedwa kwa mafinya kumachitika, kuthamanga msanga komanso kuchepa kwa mavuto.
2. Kugwiritsa ntchito maantibayotiki. Kuphatikizana ndi mankhwala ambiri omwe amachititsa maantibayotiki Pankhani ya pleurisy yovuta, phokoso lopempherera liyenera kutsukidwa ndi zakumwa zomwe zimakhala ndi antibacterial mankhwala.
3. Kuchokera ku njira zina zothandizira, mavitamini, mankhwala othandizira anthu komanso mankhwala osokoneza bongo, kuyambitsa mapuloteni (plasma, albumin) amagwiritsidwa ntchito. Kuwonjezera apo, UVA wa magazi, plasmapheresis , hemosorption akhoza kuchitidwa.
4. Panthawi ya kuchira, zochitika zachipatala, ma massage, ultrasound ndi zina zotchedwa physiotherapy zimagwiritsidwa ntchito.
5. Mu matenda aakulu, mankhwala opaleshoni amawonetsedwa.

Chithandizo cha matendawa kawirikawiri chimapangidwira pamalo osungira.