Empyema we-pleura

I-Empyema ye-pleura, i-pyotorax noma i-pleurisy ehlanzekile-inqubo yokuvuvukala yamaqabunga e-pleural, ehambisana nenqwaba ye-pus emgodini wesikhala. Lesi sifo samacala angaphezu kuka-90% sesibili futhi senzeke lapho inqubo yokuvuvukala idlula emapulazini, mediastinum, udonga lwesifuba, i-pericardium, isikhala ngaphansi kwesifenqo. Ukuvame ukukhalaza kunesifo esiphuthumayo noma esingapheliyo sephaphu: i-pneumonia, i-abscesses, isifo sofuba, ukuxhaswa kwe-cyst yamaphaphu.

Kodwa kungenzeka futhi ukuvela kwe-empyema ngenxa yokutheleleka kusuka ku-folic exilant foci (isib., Ngenxa ye-appendicitis e-purulent, nge- sepsis , angina, njll).

Izimpawu zokucindezela ukucindezeleka

Ngesikhathi sobukhosi obunzima, i-pleura ihlukaniswe yaba nzima futhi engapheli. Okungapheli kuthiwa yi-pleural empyema, ekhona isikhathi esingaphezu kwezinyanga ezimbili, futhi ivela njengomphumela wokuphathwa okungalungile noma okunye okuphawulekayo kwenkambo yokuvuvukala emkhakheni omkhulu.

Izimpawu zobuhlungu obunzima be-chest pain, ukuphefumula, ukuvota komzimba, ukushisa komzimba kuya ku-38-39 ° C, ukukhwehlela okomile noma okuphuzayo, ukuthuthukiswa kokuhluleka ukuphefumula (ukuphefumula okukhulu, i-tachycardia, i-arterial hypotension). Ukuqala kwalesi sifo kuvame ukuqina, kancane kancane ngokunyuka kancane kancane kokushisa nokuthuthukiswa kobuhlungu esifubeni.

Ngenkinga engapheliyo ye-pleura ibonakala inkambo ye-wavy yesifo, ngezikhathi zokweqisa nokukhululwa. Ukushisa komzimba ngokuvamile kuvumelana. Ngenxa yenkambiso, ukukhala kuvela emgodini wezinyembezi, khona-ke ukukhwabanisa kwezicubu kwenzeka, futhi ukuhlanganiswa okubanzi phakathi kwodonga lwesifuba namaphaphu kwakha. I-pleura engonakali ingaba kakhulu (kuze kube ngu-2 cm), igweme ukuphefumula okuvamile nokuvusa ukwehluleka kokuphefumula kwe-pulmonary-heart.

Ukwelashwa kwe-pleural empyema

Uhlelo lokukhululeka kanje:

1. Kuyadingeka ukuba uhlanze umcengezi we-pus of the pus, ngokwenza i-puncture noma ukukhipha. Ekuqaleni ukususwa kwe-pus kwenziwa, ngokushesha ukutholakala kanye nengozi encane yezinkinga.
2. Ukusetshenziswa kwama-antibiotics. Ngaphezu kwenkambo evamile yama-antibiotics Endabeni ye-pleurisy ejulile, isigxobo esinomsoco kufanele sihlanzwe ngamanzi aphethe izidakamizwa zokulwa ne-antibacterial.
3. Kusukela kwezinye izindlela zokwelashwa, ukwelashwa kwe-vitamin, ukuxilongwa kwe-detoxification kanye nokwelashwa okungafani nokuzivikela, ukwethulwa kwamalungiselelo amaprotheni (i-plasma yegazi, i-albin). Ngaphezu kwalokho, i-UVA yegazi, i- plasmapheresis , i-hemosorption ingenziwa.
4. Esikhathini sokuqabuleka, izivivinyo zokwelapha, ukusikhipha umzimba, i-ultrasound nezinye izinto ze-physiotherapy zisetshenziswa.
5. E-chronic impyema, ukwelashwa okuhlinzekwayo kuvame ukuboniswa.

Ukwelashwa kwalesi sifo kuvame ukuqhutshwa esimweni sokumisa.