Ko kana mvura iri pleural mhango: Kunokonzerwa neMarapirwo

Kana pleural nzvimbo anotanga kuunganidza Urume (effusion), ipapo yakadaro chakakomba pathological mamiriro zvingaratidza kuti muviri hwapedyo nevamwe chirwere, uye zvikuru ngozi. Chirwere zvokurwara munzira dzakasiyana-siyana, uye ipapo chiremba prescribes yakakodzera kurapwa.

Mune zvimwe zviitiko, kuunganidza zvinwiwa dzakadaro kungamutsawo decompensation kufema kukundikana, kazhinji zvichiita kuti rufu. Uyezve, chirwere ichi pamwe zvakakura chaizvo matambudziko. Naizvozvo, mabatiro chirwere ichi anofanira kwakatanga nokukurumidza sezvinobvira.

Vhuṱanzi

mapapu Human wakakomberedzwa membranes maviri, anonzi pleura. Rokunze anobatana chipfuva parusvingo uye mukati - kune mapapu uye mune dzimwe nzvimbo dzomuviri. A pakakoromoka achiumbwa pakati pavo, rinonzi pleural mhango kana kuora mwoyo.

Free mvura iri pleural mhango mabasa ave lubricating chinoumba pleural hukawanika, kubvumira akaturikidzana panguva kufema zvakasununguka Vaiisa imwe. Izvi zvinobatsira kuti pamusoro makakatanwa, izvo anobvumira kuchengeta pemvura zvemapapu pamwechete parusvingo pechipfuva. Huwandu mvura iri pleural mhango inofanira kuva 4 spoon. Kana kunokonzerwa ane chirwere anotanga kuunganidza, vhoriyamu wayo anogona kusvika 5-6 litres.

The vaunganidza Urume ari pleural mhango inogona dzaisiyana:

• ropa, pleural kana wakaremara midziyo;
• non-anogumbura yezvakaita Urume (transudate);
• pus kana Urume vasangana mu pleural kuzvimba (exudate).

Kuunganidza ropa kazhinji kunoitika pamusana kukuvara midziyo ropa, kunoitika mukunyombwa. Node anopinda pleural mhango kana kukuvadzwa pamusoro thoracal mutsinga dzinofamba nemukaka, inova huru node mudziyo.

Transudate anogona -wedzera chero mhango kana muviri zvakanyatsorongwa pachena kuti chero hurongwa rikurumidze. Somuenzaniso, izvi kungava zvinoderedza BP nokuda muhombe nokurasikirwa neropa, kana kutsva. Uyewo, kuvapo transudate ari pleural mhango iri kuchengetwa panyaya iri midziyo anowedzera kuti hydrostatic kumanikidzwa kuti mumwoyo kutadza.

The Urume iri pleural mhango, kunyanya exudate rinoungana mu kushoma. Izvi zvingava nemabayo, kenza, pleurisy.

zvikonzero

The mvura aunganidza ari pleural mhango, - kukanganisika kuti hakukoshi. Izvi zvinoreva kuti kukura hosha kunoitika pazuva pakanyorwa kuyerera mumuviri mumwe chirwere.

Chii? Chii chivi, kana vaunganidza mvura iri pleural mhango? Zvikonzero angava sezvinotevera:

• Chest kunotevera, zvichiguma akaputsika tsinga, vanoda pakati mbabvu. Zvinogona kuitika thoracal mutsinga dzinofamba nemukaka atsamwira.
• Abdominal chirwere, kuti anogumbura yezvakaita kubereka. Exudate anotanga kuunganidza semhinduro chiropa pute, pfungwa nomuviri zvemwana asati, subdiaphragmatic pute, peritonitis.
• Oncological zvirwere chokuita pleura, kwete chete sezvo chinangwa, asiwo paumbwe metastases. Primary mapundu muka kubva mumasero mesothelium uye nevanhu vari asbestos makambani. Fungidziro zvisingafadzi. mhosva. Kana bundu iri benign, kuti fungidziro kazhinji unokurudzira.
• Heart kukundikana, izvo zvinobatsira kuti BP.
• Nemabayo. Kushoma anogona kutora nzvimbo zvose kudzika zvemapapu parenchyma uye pleura pedyo zvakakwana kuti chinokurwadzai anogumbura mvura mvura kuwanda.
• Zvirwere uye sema zvirwere.
• Tibhii.
• Myxedema (mucosal edema) nemhaka kushayikwa thyroid chaitika.
• Pulmonary embolism chirwere arteries kana paine inotungamirwa pulmonary infarction pamwe unozotevera kuunganidza transudate.
• Uremia, zvichiitika renal kukundikana. mamiriro akadaro maitire vakawanda nhengo kukundikana, glomerulonephritis, sepsis, hombe haemolysis masero matsvuku eropa, nemwaranzi kurwara.
• Systemic connective zvinyama zvirwere: periarteritis nodosa, chinonzi systemic lupus erythematosus, zvinova zvinokonzera kuunganidza exudate.

zviratidzo

Pasinei nei paiva kuunganidza mvura iri pleural mhango, kufema kukundikana kunogona kuitika. Unoratidzwa sezvinotevera:

• marwadzo kuruboshwe kana kurudyi;
• dyspnea, kupfupika mweya;
• chikosoro yakaoma, kunoitika nokuda compression ari principales guru vhoriyamu emura;
• Mbabvu rinokwanisa kucheneruka nokuda kwokushayiwa okisijeni;
• kuwedzera tembiricha muviri nokuda kushoma.

Ngatikurukurei muudzame zviratidzo zvinoratidza kuunganidza mvura iri pleural mhango mune zvimwe zvirwere.

gumo

Chest kunotevera kana zvemapapu kunotungamirira kukurumidza kukura kufema insufficiency. Saka pane hemoptysis, muromo foamy sputum anooneka tsvuku. Kwave kutyorwa pfungwa, ganda inova rinokwanisa kucheneruka tint, munhu anogona vanowira pakoma.

Panguva atsamwira rimwe thoracal yeropa ropa anotanga iyerere munzvimbo pleural mhango, zvichitungamirira yakakwirira kurasikirwa neropa uye Hemorrhagic kuvhunduka. Save munhu anenge zvisingaiti.

Oncological zvirwere

In zvinoitirwawo pamberi mesothelioma mvura iri pleural mhango ndeyekupedzisira Danho kukura anomera. Tinogona kutaura nechivimbo kwazvo kuti rufu achauya 7-10 mwedzi. Urume nokuti chirwere chakadai dzinoratidzwa unopinza kuderera padanho shuga mairi, iyo viscosity pamusoro hyaluronic acid, uye kazhinji ropa.

chibayo

Zvinotevera Zviratidzo nemabayo achataura kuti pathological kwacho kunoitika muna bapu parenchyma:

• fivhiri;
• kunyorova chikosoro;
• idzokororo marwadzo parutivi rwake;
• kupfupika mweya;
• crackles;
• zvakakomba kudhaka.

mwoyo kutadza

The vaunganidza Urume ari pleural mhango mumwoyo kukundikana kunoratidza pacharo sezvinotevera:

• simba;
• nekuneta;
• mwoyo kunotanga kushanda intermittently;
• kushaya chido kunyama mabasa;
• bhokisi marwadzo.

Diagnostics

Nzira inonyanya anodzidzisa chirwere anonzi bhokisi radiography, kunobatsira kusimbisa kuvapo zvokurwara akadai chirwere mvura iri pleural mhango, kana ayo kusavapo. Izvi zvikuru hwezvekukurukurirana basa chiremba iri kugadzwa kurapwa. Radiographs zvakarurama anogadza pachiyero nemvura dzaro anofungidzirwa vhoriyamu, kuvapo uye kusavapo mhepo.

Zvinokoshawo kuziva yezvakaita effusion, uye izvi pakupedzisira mumwe ponji rinoitwa. Nokuti chinangwa ichi, nemvura kugutsikana kubva pleural mhango kuti tizive nhamba uwandu mapuroteni, zvakananga uremu, basa lactate dehydrogenase. Aite chirimwa pamusoro notumwe, mabhakitiriya, asidhi-kutsanya utachiona. The Urume angava ropa, pus, serosa. Kuunganidza Urume muropa riri kuchengetwa kunotevera, myocardial kenza yemapapu varwere pleural kubatanidzwa. Purulent exudate rinoungana mumoyo kukundikana, uye serous - pashure zvirwere.

Uyewo yakanaka nzira kuona mumapapu uye chipfuva CT scan anonzi. Its nani iri ndechokuti nzira unokubvumira zvakarurama huwandu emura akasunungurwa uye mhaka ichi. Pulmonologists vanokurudzira kuti tipedze CT tarisei mwedzi mitanhatu ose. Izvi zvinoita kuti kuziva kuti mvura ikwanise kuwanika munzvimbo pleural mhango syndrome.

mabatiro

With zvishomanana kuunganidza Urume kubatwa chete inotsigira chirwere. A dzakawanda effusion, kunyanya kana chinokurwadzai wheezing kuti zvinoda abudise kubvisa chirwere ichi. Kazhinji nemvura ndiye goho nomukombiyuta ponji, apo pleural mhango anobudisa mushonga zvishoma nezvishoma kana chiduku tsono. Kazhinji, needling rinoitwa kuti chirwere zvinangwa, asi panguva yakadaro muitiro zvinobvira kupomba kusvika 1.5 litres effusion. More Delete haina yakarumbidza, sezvo mukana pulmonary edema kuitika.

Kubvisa vaunganidza yakawanda mvura iri mubhokisi rusvingo kuburikidza kwayo chubhu kutaurwa. nzira iyi rinoitwa sezvinotevera: pashure chiremba yokutindivadza anoita chinhu incision uye inoisa munhu mapurasitiki chubhu pakati miviri yehombodo pechipfuva. Pashure paizvozvo, iye rinobatanidza kusvikira abudise hurongwa, izvo haabvumiri mhepo kupinda pleural mhango. Kushandisa X-ray kudzora nyanzvi kutaura zvakarurama kugadzwa chubhu, sezvo abudise hazvibviri zvimwe.

Kana Urume iri pleural mhango vaunganidza nokuda tibhii kana coccidioidomycosis, muchiitiko ichi, zvinoda kurapwa kwenguva refu pamwe nemishonga. Abudise aite zvakaoma pasi zvikuru viscous pus, kana kana zviri fibrous "muhomwe", saka mamiriro anogona kugadziriswa chete nokubvisa chikamu nerumbabvu kuti kutanga hombe abudise anobudisa mushonga zvishoma nezvishoma. Kashoma mashandiro anofanira kubvisa rokunze rukoko yacho pleura.

Bundu Pleural zvakare inoenda ndechokuti mvura anotanga kuunganidza ari pleural mhango. Treatment hazvisi rebei, sezvo zvingatiomera kubvisa exudate nokuda kwayo nokukurumidza kuwanda. Anouya kuzobatsira abudise uye kugamuchira zvinodhaka anticancer. Zvisinei, kana nzira dzakadaro zvikasashanda, uye mvura inoramba kuunganidza, kuti voga rinoitwa pleural mhango. The yose Vhoriyamu exudate yabviswa kuburikidza chubhu, uye ipapo kupinda pleural mhango therethrough raitongwa irritant, zvakadai talc kana doxycycline mhinduro. With vakadaro vakurukurirane kunoitika jointing maviri pleural akaturikidzana, uye hapana akasununguka nzvimbo mvura kuwanda.

Kana pleural mhango izere neropa, kusvikira ropa akamira, rinoitwa kuburikidza abudise chubhu iro rinoshandiswawo vaitarira mishonga kuti kuputsa ropa. Kuramba ropa kana nekusagona kubvisa mvura kuburikidza anobudisa mushonga zvishoma nezvishoma - zvairatidza kuti kuvhiya kupindira.

yematambudziko

Vaunganidza munyika pleural mhango pakati fluid kunyanya zvizhinji, kungaita kuti vazhinji yematambudziko. Zvinogona kuva chakasimba pulmonary insufficiency, kuzvimba uye hweHIV kubva zvemapapu mavambo, nezvinetso chiropa basa, mwoyo uye nezvimwe nhengo dzomukati.

Sezvo mvura uye pus vane yakakwirira ndingangokuvara kufambiswa mukati abdominal mhango, zvinofanira kutarisirwa yematambudziko kubva nemudumbu. Izvi mhando exudate aunganidza ari pleural nzvimbo iri chinhu, kazhinji zvichiita kuti rufu kana kuremara kugamuchira munhu. Izvi zvinoshanda kudiwa resection pakati rwatata kana chirwatata.

yematambudziko kwakadaro kunogona kuitika munyika varume nevakadzi vemazera ose, saka kurapwa inofanira kwakatanga mangwanani sezvinobvira uye kushandisa matanho.

dziviriro

Kuti udzivise panowanikwa zvirwere anogona kukonzera kuunganidza mvura iri pleural mhango, zvinofanira kukurumidza kurapwa. Kana inorwisa mabhakitiriya kurapa kana kuvhiya akabudirira, kune dzimwe zviito. Izvi zvinogona kuva kurambwa tsika dzakaipa, utano mararamiro, achitora vhitamini zvivako uye nomupfumi anobatsira zvinoumba zvinodhaka.

Matanho anofanira zvinosanganisira kuremekedza kurovedza muviri uye rinokosha kudya. Apere zuva nezuva napo, nemwaka michero uye miriwo, dzinongoitika mapuroteni, makabhohaidhiretsi, mafuta, nyama. Doctors vanokurudzira kuita kurovedza ose zuva, vadzimwa uye famba zvakawanda netsoka. Kutungamirirwa kudzivirirwa hosha muna 100% kunobudirira.

mhedziso

Saka chii kana mvura iri dzakaonekwa mune pleural mhango? Chikonzero akadaro pathological mamiriro ndiko kukura chirwere, kazhinji zvikuru zvakakomba. Mune zvimwe zviitiko, chirwere yakabuda kunogona kutungamirira kurufu. Iva nechokwadi kubvunza nyanzvi, uyo pashure chirwere matanho achagadza rakakodzera uye anokwanisa kurapwa. Kuitira kudzivirira kukura Kudzivirira chirwere tinofanira kutevedzerwa.