Ndulu empyema: zizindikiro, matenda ndi mankhwala

anthu ambiri sakudziwa nkomwe chomwe ntchito mu thupi kuchita ziwalo zina. Only pamene anakumana ndi kuyan'anila za ntchito yawo, timayamba Ndikuzindikira mmene iwo ankafunikadi. kupatuka aliyense yomweyo bwanji anthu athanzi, maganizo ake.

Mmodzi wa ziwalo zofunika kwambiri ndi chikhodzodzo ndulu. Izo zonse amasonkhana chinsinsi wapadera, chofunika kumaliza ndondomeko ya chimbudzi. Thupi ili ndi loti pathologies zosiyanasiyana. Ena mwa matenda onse ndi woyeneradi wapadera tcheru ndulu empyema. Chipatala, matenda ndi mankhwala a matenda sioneka - awa ndi ena mwa mafunso polingalira kuti ife tifike.

Kufotokozera za matenda

Pansi empyema ya ndulu zimatanthawuza kutukusira pachimake kuti akufotokozera mwa thupi. Iwo amakhala ndi kudzikundikira mwapang'onopang'ono purulent exudate. matenda akuwonetseredwa ndi ululu, malungo, zizindikiro za kuledzera. Development wa ndondomeko pathological n'zotheka m'njira ziwiri. Kutupa chimaposa ziwalo pafupi kapena chifukwa cha kukhudzana ndi wothandizila opatsirana.

Ndulu empyema amapezeka 5-15% cha odwala amene anali pachimake cholecystitis. Kudwala makamaka azimayi zaka pakati matenda a kunenepa. Empyema zimagawidwa monga matenda mwapang'onopang'ono, kotero pambuyo kudziwika ake amafuna hospitalization yomweyo. Popeza mankhwala okwanira ayenera imfa ya wodwala.

Magawo a kudwala ndi

Ndulu empyema akufotokozera pang'onopang'ono. Tiyeni tione magawo a ndondomeko imeneyi.

Mu wathanzi chamoyo chiwindi mwachangu allocates chinsinsi chimene kudziunjikira mu ndulu ya. Mbali ina ya chimaonetsedwa intestine, kumene zinanso mu chimbudzi chakudya. Other - mipanda kuwira resorbed.

Chifukwa cha kutupa mu M'mimbamo thupi wayamba kukulitsa purulent exudate. Resorbing mphamvu makoma ake anatayika. The chikhodzodzo ndulu pang'ono ndi pang'ono anapeza madzimadzi. Kutupa mawonekedwe serous mofulumira kwambiri amakhala purulent. Concomitant wamba ya ndulu ritsa kutsekeka zina ndi kuchotsa wodzala ya ndulu. Komanso anatambasula za thupi khoma kungachititse kuti manja a zimakhala ndi.

Wambulu ndi empyema a ndulu ya

matenda awiriwa ali etiology ofanana ndi chithunzi matenda. Choncho m'pofunika kuganizira pamodzi.

Wambulu ndi empyema wa chikhodzodzo ndulu kuti nthawi zambiri chifukwa cha blockage wa ritsa lapansi. Kuti kusokonezeka zimenezi zikhoza kakyulasi anapambulwa kapena neoplasm. Mosiyana wambulu, empyema chitukuko nthawi zonse patsogolo pachimake cholecystitis, T. E. The ndondomeko yotupa.

Pankhani chithunzi matenda, matenda onse anawonetseredwa malungo, kusapeza mu hypochondrium bwino. Odwala hydrocephalus komanso amadandaula zonse kusanza ya ndulu ndi matumbo colic.

Madokotala ena amakhulupirira wambulu mmodzi wa chimayambitsa wa empyema. Komabe, pali zinthu zina zimene zimachititsa kuti pakhale ndondomeko pathological.

Zina mwa empyema

Monga tanena kale, matenda zambiri akufotokozera pa maziko a cholecystitis. Kakyulasi kuononga ndi ducts, ndi chifukwa cha kuphwanya ndi kutupa. Chinsinsi mkati chikhodzodzo ndulu pang'ono ndi pang'ono anapeza. Amakuona ngati malo abwino kwa moyo wa zomera tizilombo. Paudindo wothandizila opatsirana atumikire monga clostridia, staphylococci, Klebsiella ndi tizilombo tina.

Wina chifukwa chofala wachisokonezo ndi chotupa chija. Ngati ayi mwamsanga kuchotsa chotupa ku chikhodzodzo, yotupa ndondomeko adzapitiriza patsogolo. Pankhaniyi, tidzapambana wodwala zokhumudwitsa - minofu necrosis.

Madokotala olekanitsidwa gulu la odwala amene kuti atengeke yatsoka empyema wa chikhodzodzo ndulu. Pamafunikanso:

• anthu onenepa;
• odwala matenda ashuga;
• odwala ndi mitundu yosiyanasiyana ya immunodeficiencies.

Kuona chifukwa cha matenda zambiri zothandiza kusankha njira za chithandizo.

Kodi kuzindikira matenda pa siteji oyambirira?

Akutukuka empyema ndulu zizindikiro ndi ofanana ndi amene ali khalidwe la cholecystitis pachimake. Odwala kudandaula mavuto mu hypochondrium dera lamanja, nyamuka lakuthwa kutentha. Nthawi zina zizindikiro ndi lowonjezera ndi malungo amphamvu.

Zizindikiro zotsalira za matenda monga kusowa chilakolako cha thukuta zimabwezera pakamwa youma. Ululu malo pomwe subcostal kulibe okhazikika. Iwo akhoza kukula ndi kupuma kwambiri kapena kukhosomola.

Tikumbukenso kuti zizindikiro shuga ndi immunodeficiency matenda tatchulazi zochepa kutchulidwa. Choncho, odwala mochedwa kwambiri kupita kuchipatala. Palibe mankhwala ndi zinadzala ndi chikhodzodzo perforation ndi sepsis. Pa chitukuko cha limati izi pathological zikusonyeza kuwonjezeka kwambiri kutentha. Pakhoza kukhala chisokonezo, kuchepetsa zizindikiro magazi.

Odwala pachimake cholecystitis kapena ndulu zotupa muyenera ndi mwapadera kuti umoyo wawo. Pamene zizindikiro pamwamba ayenera yomweyo kuitana gulu la zachipatala. hospitalization yekha ndi chithandizo aluso Zikatero akhoza kupulumutsa miyoyo.

Kupenda Medical

Empyema wa chikhodzodzo ndulu ndi wapezeka pamaziko a madandaulo mtima, mbiri ndi zotsatira za kufufuza ake. Wodwala ayenera kukuuzani inu utali anali ndi zizindikiro za mavuto mwamphamvu chawo chinawonjezeka, umene woyesedwa kale. deta zonse n'kofunika kuti dokotala. Popanda zimenezi n'zosatheka kusankha mankhwala oyenera.

Ndi kuvomerezedwa odwala onse anatumizidwa Kupenda thupi. Ngati mukukayikira matenda monga ndulu empyema, diagnostics zikuphatikizapo zinthu zotsatirazi:

1. magazi. Kuwonjezeka maselo oyera limasonyeza kutupa.
2. Microbiological kuyezetsa magazi. Kudziwa pamaso pa nthumwi opatsirana ndi tilinazo awo opha tizilombo.
3. Magazi sayansi. Ndi yesero ili n'zotheka kuunikira ntchito chiwindi. Kuchuluka bilirubin ntchito limasonyeza empyema.
4. US. Ndi kupata yotupa ndondomeko zambiri kuchuluka ndulu mozungulira icho Taganizirani kudzikundikira madzimadzi.

Komanso, masiyanidwe matenda a wambulu ndi empyema a ndulu ya.

mankhwala analimbikitsa

Mankhwalawa okha empyema - kuchotsa ndulu ya. ntchito amatchedwa "cholecystectomy". Asanaphedwe ake wodwala Kwalamulidwa njira ya mankhwala. mankhwala amachepetsa zizindikiro concomitant, kuchepetsa chiopsezo cha matenda oyamba postoperative.

Mu koyamba anaima pa yotupa ndondomeko ntchito "Ampicillin" komanso cephalosporins m'badwo woyamba. Ngati ndi zosavuta sepsis kapena perforation a ndulu, iwo amafuna unyinji wochuluka mankhwala mankhwala. Kawirikawiri, wodwalayo Kwalamulidwa ntchito concomitant mankhwala zitatu: "gentamicin," "Ampicillin" ndi "mankhwala a metronidazole". Mlingo ndi chithandizo kamwedwe anasankha payekha.

Cholecystectomy anachita kapena mwa ang'ambe thupilo zonse m'mimba, kapena laparoscopically. Zomwe Baibulo la akufuna kusankha dokotala mukuganiza. Pambuyo pa opaleshoni, pamene pali m'mbuyomu ndulu empyema, mankhwala Anapitiriza. Kutalika kwa mankhwala zimadalira m'mene mofulumira kutentha ndi magazi udindo kubwerera mwakale. Nthawi zina odwala ndi kumwa mankhwala, ngakhale pambuyo inu kuchoka ku chipatala.

Maphikidwe a asing'anga

mankhwala Only ndiwofatsa akhoza kuthandiza odwala empyema. Self-mankhwala zambiri amapha kapena kungathandize kuti apange matendawo.

Komabe, ena zomera mankhwala ntchito kulimbana chimodzi mwa zifukwa za matenda - cholecystitis. Ochiritsa akulangizidwa kulabadira gehena. Mizu ya zomera kuthandiza matenda ambiri. Kuthetsa cholecystitis zizindikiro muyenera kukonzekera decoction. A galasi zopangira ayenera kudzazidwa ndi lita imodzi ya madzi otentha ndi kusiyidwa mu chotengera pansi pa chivundikirocho. A tsiku Patapita kulowetsedwa chifukwa m'pofunika kukhetsa. Mankhwala ayenera kusungidwa mu firiji ndi nthawi yaitali mu mawonekedwe a kutentha mu chakudya chochepa.

zosokonezeka zotheka

Ndulu empyema, malinga kudziwika ake yake si moyo pachiswe. Kuopsa kwambiri kunyamula mavuto a ndondomeko pathological kuti odwala matenda izi si zachilendo.

Anatambasula ndi manja a malinga a ndulu kungadzatipezetse perforation thupi. Perforation ndi mitundu iwiri: covert kalikonse. Zikatero, mofulumiracho. osauka peritonitis. Pambuyo kukhudzana ndi wothandizila opatsirana mu mtsempha wa magazi kumachitika sepsis, amene amakhala mu nthawi zambiri chokhwima zotsatira.

Mwa mavuto a postoperative monga chilonda matenda ndi abscess obstructive.

The Mapa apeze

Kodi ayenera odwala ndi matenda a "chikhodzodzo empyema ndulu?" Species ndi gawo la ndondomeko iliyonse matenda Mzimuyo zotsatira zake. Ngati nthendayo matenda m'njira yake, ndi mtima analandira thandizo lofunika ayenera kuyembekezera kwa madokotala ananena zawo zabwino. Pankhani ya magazi poizoni mankhwala zotsatira si nthawi zonse zabwino. Mwina imfa ya wodwala ndi mavuto amenewa si mkulu.

zodzitetezera

Kodi n'zotheka kuteteza zosayembekezereka wa matenda monga chikhodzodzo empyema ndulu? Zizindikiro za ndondomeko pathological, amene anapereka basi pamwamba nkhani, kwachititsa anthu ambiri amaganiza za kuopsa kwa matenda.

Pofuna kupewa chitukuko, madokotala akulangizidwa kuti nthawi linakhala zachipatala Kupenda zonse za thupi. chidwi ayenera ultrasound m'chiuno. Mwatsatanetsatane matenda a ndulu limasonyeza kuvutika kulikonse pa siteji oyambirira a chitukuko. Mwamsanga wodwala adzatuluka mankhwalawa akuchipatala, mwamsanga achire.