Pleurisy akpa ume. Mgbaàmà na Nsogbu

Pleurisy akpa ume bụghị ihe ọhụrụ. Ya mere, ọ dị mkpa ịghọta ihe ndị ya mgbaàmà na nsogbu. Pleurisy na nkà mmụta ọgwụ na-akpọ mbufụt nke pleural Ibé akwụkwọ, nke na-esonyere ntọhapụ nke exudate. Dị ka a na-achị, pleurisy akpa ume bụ a abụọ ọrịa, nke pụtara na ọ nwere ike ime ka a sikwuoro nke ihe odide ọrịa, dị ka oyi baa, ụkwara nta, cancer, ọrịa obi na ọrịa.

N'ọnọdụ ka ukwuu, ndị causative gị n'ụlọnga nke pleurisy dị iche iche na bacteria (streptococcus, pneumococcus), ma ọ bụ tubercle nje na-akpata, ma nwere ike ịkpalite a ọrịa ma ọ bụ obi unan. Ofufe Ọrịa pleura penetrates ụzọ atọ: kpọmkwem site n'akpa ume (bronchogenic), hematogenous (site n'ọbara), lymphogenous (via na Lymph). Pleurisy ìhè nkewa: na-efe efe, na-abụghị na-efe efe, akọrọ (fibrinous), exudative (exudative). Na ọdịdị nke ọrịa na-ekewa exudates: serous, purulent, hemorrhagic, ígwè, putrid.

Pleurisy akpa ume akọrọ - a ọrịa nke na-esonyere ntọhapụ nke oké exudate. Ọ, n'aka, enwekwu esemokwu n'etiti Ibé akwụkwọ mgbe ụkwara na-eku ume, na oké ihe mgbu emee ya ruru ka ìgwè a protein (fibrin). Site na nke a ụdị ọrịa pleurisy edu ndú (dị ka ọnụ ọgụgụ, 90% - tubercle nje na-akpata). Ma e nwere ike ịbụ ihe ndị ọzọ: na-abụghị na-efe efe etiology, eg, etuto ahụ, trauma, rheumatism, nakwa dị ka mgbawa, ie, nke na-amaghị ihe kpatara ya.

Mgbe akọrọ pleurisy fọrọ dịghị mgbaàmà nke igbu egbu, ma anụ bụ nnọọ ọtọ, na cheeks "feverish" ime ihiere. A mara mma nke ọrịa, n'ezie, dị nnọọ oké ihe mgbu nke na-eme na, ụkwara, na-eku ume ma ọ bụ tilting ahụ na a ike. Ọrịa nwekwara ike usọrọ a obere wheezing, ịda ozugbo si mgbu, uche na-anọgide doro anya. Ọtụtụ mgbe e nwere mgbanwe na akụkụ nke sternum, ejedebeghị ya agagharị, otú ahụ ka onye na-agha ụgha na otụk n'akụkụ, t. Iji. Naanị na a ọnọdụ na ọ bụ mfe eku ume, ma na-emighị emi ume, nwayọọ. Auscultation audible mkpọtụ e ji mara nke pleural esemokwu.

Ọ bụrụ na onye ọrịa nwere a akọrọ pleurisy, akpa ume, ọgwụgwọ e nyere kwesịrị ekwesị. Ọ dabeere n'eziokwu na dọkịta na-edepụta mgbochi inflammatories, ọgwụ nje, ọgwụ mgbu na Steroid. Ọzọkwa, ọ bụ ihe amamihe na-physiotherapy, ịhịa aka n'ahụ na ọgwụgwọ anụ ahụ. Ná mmalite ogbo eji a mgbali bandeeji na obi, ọ dị mkpa idozi ya ma si otú ahụ belata ihe mgbu. Na nke a n'ụdị na-amalite otu - mgbake.

Pleurisy akpa ume exudative ụdị, e ji nwayọọ nwayọọ na ìgwè ọmụmụ, nke na-eduga mkpakọ nke akpa ume lobes na mmepe nke akụkụ okuku ume na ọdịda. Ndị na-akpata nke otu, dị ka a akọrọ pleurisy. Mgbaàmà nke igbu egbu na pleural effusion akpọ. Egosi akpata oyi, budata enwekwu okpomọkụ na-mgbagwoju anya nsụhọ, ụcha akpụkpọ-aghọ-acha anụnụ anụnụ (cyanosis) enwekwu dyspnea. A, ihe mgbu na mmalite nke ọrịa bụ ugbu a, ma mgbe ahụ, mbelata, na kama e nwere arọ. Ịrịba Ama mgbanwe dabara ǹgụ - ndidi ọkara n'azụ ike n'oge na-eku ume, na intercostal oghere larịị ruru ka ìgwè ọmụmụ. Mgbe pleural effusion ndidi bụ nnọọ ike iku ume na a kehoraizin ọnọdụ, ya bụ, mgbe ha dina, ya mere, ọ bụ mgbe niile na a nọ ọdụ ọnọdụ, e nwere tachypnea (ngwa ngwa) iku ume.

Mgbe pleural effusion mesiri ike na oriri na-edozi. Dọkịta nwere ike ikwu na ịmachi oriri nke oke mmiri na nnu. Ọzọkwa diets e kenyere na mgbochi mkpali ọgwụ ọjọọ, ọgwụ nje, glucocorticoids na, bụchaghị, diuretics. Ọ bụrụ na onye ọrịa a chọpụtara - akpa ume pleural effusion, mmetụta nwere ike ịbụ dị iche iche. Ka ihe atụ, e guzobere pleural adhesions, mmepe nke-adịghị ala ala akụkụ okuku ume na ọdịda.

Na exudative pleurisy ụlọ ọgwụ.