Pleurisy: kurapwa

Pleurisy chinhu anogumbura chirwere pamusoro pleura, kunoitika nokuda deposition pakati fibrin ayo nechepamusoro, kana mvura buildup mukati pleural mhango, saka hapana marwadzo pamwe vangakosora uye kufema. The zvinokonzera chirwere ichi chingava vanoverengeka. Pakutanga zvinogona kukonzera zvirwere vaishandira nemavhairasi kana kwemabhakitiriya mavambo, uyewo tupukanana uye hunokuvadza. Pleurisy kurapwa rakaoma zvakakwana, kazhinji kunotangira pahwaro nemabayo, tiibhii kana zvemapapu pute. Mukuwedzera zvinogona kukonzera vamwe vasiri zvirwere uye pathological ezvinhu, semuenzaniso, systemic zvirwere, akaipa bundu muchipfuva mupfungwa uye kuvhiyiwa, zvomudumbu turakiti chirwere, myocardial infarction, systemic vasculitis uye nevamwe.

Pleurisy chirwere, kurapwa rinoitwa chete pashure paizvozvo, pahwaro kurapwa mufananidzo chirwere, pamwe madikanwa muchicherekedza nemigumisiro paku Diagnostics zvinosanganisira radiography uye computed tomography, thoracoscopy, pleural ponji uye Ultrasound. Rinogonawo kushandiswa zvavo miedzo ropa, weti nemiedzo, uyewo kudzidza pleural mukati. Differential chirwere pamusoro angina, pericarditis, myocardial infarction, rikwanise appendicitis, intercostal neuralgia, rikwanise cholecystitis, empyema, vaingoerekana pneumothorax uye dumbu urikanwi.

Pleurisy: kurapwa zvichienderana hunhu chirwere

Kana pleural effusion iri kutapuriranwa hunhu, nayo utachiona kazhinji anopinda chero kupinda pleural mhango, zvichikonzera kuzvimba. Mugumisiro izvi kuwedzera permeability ropa capillaries nokuda unotanga pleural edema, exudation kunoitika uye ipapo kupinda pleural mhango. The mvura mugove wefodya kuburikidza nhengo dzinobudisa midziyo, uye fibrin iri iiswe pamusoro pleural machira, pova yakaoma pleurisy. Muchiitiko ichi chiri hwatakazvarwa kubvisa zvirwere kwemishonga inorwisa mabhakitiriya.

Pane imwe musiyano wezvinyorwa pamusoro chirwere. Izvi zvakawedzera kusimba kushoma, uye kana nokuvhara nhengo dzinobudisa midziyo, exudation mwero kunodzora pamusoro Absorção de Água zvazvingava, nokuda iyo exudate rinoungana iri pleural mhango, pova encysted pleurisy. Muchiitiko chino, kuwedzera kushandiswa kwemishonga inorwisa mabhakitiriya murwere kugadza chaiwo nzira kubvisa exudate.

The panowanikwa non-zvinotapukira pleurisy chokuita migumisiro kuchinja metabolic zvibereko neoplasms pleural machira, asi node midziyo dzakavharika nokuda compression anomera kana dzavo metastases, uye ipapo kwakakanganiswa kufamba node. Panyaya iyi, kupfuura vakarongeka nzira kurapwa ndiko kubvisa zvirwere zvakakonzera pleurisy. Panguva iyoyowo aivabatsira murwere nemamiriro kuburikidza rakavapa gadziriro chaidzo.

Pleurisy: marapirwo zvichienderana navanachiremba mufananidzo chirwere

The kunotoda mufananidzo akaoma pleurisy zvinogona dzinoratidzwa wakawedzera muviri tembiricha, mukuru muutera, muchipfuva marwadzo, tsandanyama uye mapfundo. Paaiita afeme zvakadzika, unogona kugamuchira rakapinza kurwadziwa muchipfuva, uye kana muviri tilted kana apo vangakosora. Panguva kurapwa bvunzo murwere pakaoma pleurisy anogona kuonekwa kudzika kufema, haasaruri lag ari kufema chiito njodzi chikamu mazamu, pleural kukweshera inzwi. Kana tiri kutaura pamusoro pleural effusion, ari kuchengetwa kuwedzera tembiricha, uyewo kunzwa waziya yavamo mubhokisi, kupfupika mweya, akaoma chikosoro, vakawedzera vangadikitira. Vachipemberera blueness ganda kwemitsipa uye chiso, kuzvimba mutsinga dziri mumutsipa, kuwedzera njodzi divi pachipfuva. Izvi chete chikamu zviratidzo kuti vangava nechokuita pleural effusion.

Pakurapa chirwere rinoitwa chete muchipatara pashure mhaka chirwere zvichabviswa iiswe. The nzwisisika kurapwa pleurisy zvinosanganisira:

- inorwisa mabhakitiriya kurapa kana maperembudzi chokuita hutachiwana mumamiriro ezvinhu rinoitwa rinotungamirirwa mishonga;

- kana maperembudzi abuda nechekumashure nemabayo, kushandiswa mishonga inorwisa mabhakitiriya. Kupinda pavo rinoitwa nomutsinga, intramuscularly;

- pleural mhango nokungwarira vakachenesa pamusoro exudate rinoshandiswa uyu Washing rinokosha tupukanana;

- kana uine RA pleurisy kana tibhii hunhu, vakarongeka chaizvo kushandisa prednisone, streptomycin, tubazid, ftivazid uye Pas;

- kushandiswa dzokurapa zvainanga kusimbisa masoja-unodzivirira mabasa.

mushonga Mishonga rinowanzoshandiswa akabatana nevamwe kurapa. Zvisinei, asati kutora ichi kana kuti muunganidzwa unofanira vazivane contraindications ayo.

In mushonga pleurisy chinokosha ndiko kurapwa chaicho chirwere, waiva mhaka chirwere. In yakaoma pleurisy anogona kuderedza marwadzo maronda pechipfuva kwakavharwa nenyama mabhandeji. Kana murwere vari ushandiswe Anti-inflammatories, kufambisa zvikuru chirwere.