Ubuso bamapayipi bumbozwe ngamapheshethi, lapho kukhona khona i-gap encane ebizwa ngokuthi i-pleural cavity. Umuntu onempilo kuleli cavity unesilinganiso esithile somswakama. Kuvimbela ukungqubuzana kwamaqabunga nokuhlanganiswa kwamapayipi nama-tisses esifubeni. Kodwa-ke, kaningi ngezifo emgodleni, inani eliningi ngokweqile lomswakama liqoqa, elicindezela amaphaphu futhi liphazamise ukuphefumula. I-pleurisy exudative iyisifo sokuvuvukala ngokuqoqwa kwe-plaque noma i-plaque efribheni ebusweni be-pleura.
Izimbangela zesifo
Lezi zifo azibonakalwanga njengezifo ezizimele, kodwa zibhekwa njengezibonakaliso kwezinye izifo. Kuye ngokuthi isimo se-fluid siyagcinwa, pleurisy exudative ingenzeka ngezizathu eziningana.
I-Transudate yiketshezi eqoqa izicubu nezitho lapho umsebenzi wabo uphazamisekile.
Kungaba:
- izifo zezinso, inhliziyo;
- I-Meigs syndrome;
- i-cirrhosis yesibindi ;
- i-myxedema.
I-exudate - i-liquide ye-purulent, i-serous noma yegazi, isakhiwe lapho:
- ngenxa yezinqubo zokuvuvukala;
- emva kokusebenzisa isikhathi eside imithi;
- nezifo ze-collagen.
I-chilothorax iyinhlangano yamanzi e-lymphatic eqoqa emgodini owodwa lapho:
- ukulimala;
- izifo ezingokwemvelo.
I-pleurisy exudative - izimpawu
Njengomthetho, lesi sifo siphuthuma futhi sihambisana nalezi zibonakaliso ezilandelayo:
- umkhuhlane, izikhukhula;
- ubuhlungu lapho ukhwehlela, ukungabi nomoya;
- ubuhlungu ohlangothini, ukuqinisa umoya ojulile, ukunikela ehlombe;
- lapho ulalela ukuxubha kwe-pleura;
- njengoba uketshezi luqoqa, ubuhlungu buyancipha, kodwa i- dyspnea kanye nobuthakathaka obukhulu banda;
- ukuqoqwa kwenqwaba ye-exudate kungaholela ekuhambeni kwenhliziyo.
I-pleurisy exudative ekhula ne-oncology ingaba nenkambo esheshayo futhi ephuthumayo. Ezimweni eziningi, lesi sifo yilona kuphela uphawu lomdlavuza we-metastatic. I-Pleurisy ingabonisa umdlavuza wamaphaphu, isisu, isifuba, ama-ovari. Ukuvela kwama-metastases ku-pleura, kuthuthukisa ukuguqulwa kwama-capillari ayo, ukuze i-fluid exudative ifike ngokukhululekile emgodini.
I-pleurisy exudative - ukuxilongwa
Ukuxilongwa kudinga indlela ephelele, efaka izigaba ezilandelayo:
- Ukuqoqa anamnesis, ukucacisa iziguli zangaphambilini zesiguli.
- Ukunqunywa kohlobo lwesifo, ngokusho kwezikhalazo zesiguli.
- Ukuhlolwa kwe-Radiographic, okuvumela ukukhomba imbangela yalesi sifo, ukusungula ukuguquguquka kokubuthelwa kwamanzi. Ngalolu hlelo, kungenzeka ukunquma i-pleurisy engakwesokunxele noma ngakwesokudla kwesiguli. Ucwaningo olwengeziwe lusiza ukuthola i-pleurisy yamazwe angama-exudative.
- Ngaphezu kwe-X-ray, ikhompyutha ye-computer ne-ultrasound isetshenziselwa kakhulu ukuxilongwa.
Isigaba esibalulekile ekutholeni i-pleurisy exudative ukuxilongwa ngokungafani. Kulesi simo, kwenziwa i-puncture
Ukwelashwa kwe-pleurisy exudative
Kungakhathaliseki izimbangela zesifo, iziguli zibekwe izidakamizwa zokulwa nokuvuvukala, izidakamizwa kanye nezidakamizwa eziphikisayo.
Uma izibonakaliso zokuhluleka kwe-pulmonary-cardiac zivela, isiguli esinomlomo we-pleurisy sibheka ukwelapha nge-puncture ukuze kukhishwe uketshezi.
Lapho i-exudate iqala ukuxazulula, isiguli singanikezwa ukuvivinya umzimba nokuphefumula.