Empyema

Specific empyema mere site tubercle nje na-akpata, nonspecific forms nwere strep, staph na
mbuaha okike. Empyema nwere ike ime n'ihi na ihihi
gbara na obi ma ọ bụ na Mgbasa nke purulent usoro ke obi na
mfe.

The isi na-akpata ọrịa na-cavities na cysts na akpa ume
etuto ahụ, ahụ etuto, oyi baa, osteomyelitis n'ọnụ ya. Ukwuu na-erughị purulent pleurisy
Ọ na-ebilite n'ihi nnukwu appendicitis, septicemia, tonsillitis. N'ihi ya,
akpa ume ụkwara nta na-ebilite tuberculous pleurisy.

Nnukwu empyema bụ oké sikwuoro nke intrathoracic arụmọrụ tumadi na nkọlọ na ngụgụ. Nnukwu pleurisy dịruru 2-3 ọnwa. Empyema mgbaàmà ndị ahụ ọkụ, iyi tojubigara ókè, ihe mgbu, iku ume ọkụ ọkụ. Achọpụtara ịgba agagharị nke obi n'oge na-eku ume usoro.

Iwepụ purulent Mkpokota si na pleural uji eze, na-emekarị na-eduga ná mụbaa ka a ìhè na mma na ọnọdụ nke onye ọrịa. Blood picture na ọnọdụ okpomọkụ normalized, mgbake emee. Bụrụ na nke nnwụchu na ezughi oke ọgwụgwọ nke nnukwu empyema nwere ike ịghọ-adịghị ala ala. Na ndị ọrịa a, obi na-aghọ ewepụghị na echekwa, narrowed intercostal ohere, belata emega ahụ, oge na-, ịzụlite scoliosis. Mgbe ogologo oge na-adịghị ala ọgwụgwọ nwere ike ime ka obi na akpa ume ọdịda, ike ọgwụgwụ, amyloidosis ozu.

The ọrịa a chọpụtara site electrocardiography, punctures, spirography, radionuclide usoro. Dabere na analysis data nwetara na-chọpụtara - empyema pleura. Ọgwụgwọ a rụrụ site ọchịchọ,
ya bụ, na esi kpọpụ mmadụ nile nke purulent Mkpokota si pleural oghere. Bụrụ na nke ezughi oke
irè nke usoro a empyema emeso surgically. ihe dị mkpa
uru a rụrụ ke ukem antibacterial, detoxification na
ume ọhụrụ ọgwụ. Ndị ọrịa bụ ndị ọgwụ nje, na-eku ume omume, infusion ọgwụ na vitamin-ọgaranya nri.

Empyema na-emekarị tutu amama dị ka a n'ihi nke ọchịchọ ọgwụ. Fistulas agwọ akpa ume nwayọọ nwayọọ ịgbatị. Nke ịwa ahụ a rụrụ na ọnọdụ ebe akpa ume na-agbasa mgbanwe ụzọ bụ ekwe omume. The ọrụ na-rụrụ n'oge mmepe nke etuto ma ọ bụ oghere na kollabirovannom akpa ume, ala ala ụdị ọrịa ahụ.

Empyema nwekwara emeso iji intercostal thoracotomy na lezie mwepụ nke fibrin na abu, ugboro ugboro saa uji eze na antiseptik ngwọta na proteolytic enzymes. The drainage ulo abụọ bụ input, sochiri emechi. Na nke a site na mbu drainage nye ngwọta antiseptics ma ọ bụ ọgwụ nje, na a abụọ mgbe nile aspirated ọdịnaya nke pleural oghere.

Gwọọ-adịghị ala ala ụdị suppurative pleurisy nwere ike na-enweta na-enyemaka nke ịwa ahụ. The kasị oru oma na ime ka zuru mwepụ nke akpa empyema, a na-akpọ pleurectomy na decortication
mfe. Nke a na usoro mma akpa ume ọrụ na-eduga mụbaa ka a akpa ume.
Operation na nke a na-adịghị esonyere site na oké obi nrụrụ.
N'ọtụtụ ọnọdụ, ịwa ahụ iji wepụ pleural nwa jikọtara na dị iche iche
variants nke akpa ume resection. Mgbe ụfọdụ, ihe dị otú ahụ aka na-contraindicated n'ihi na
oké akụkụ okuku ume na ọrịa, ogbenye izugbe ọnọdụ onye ọrịa, obere
ohere nke mkpughe ruru ka akpa ume fibrosis. N'ọnọdụ dị otú ahụ, a phased thoracoplasty.