Exudative mbufụt: akpata, ụdị, npụta

Na mbufụt nke ụdị ụfọdụ gafee niile nke anyị. Ma ọ bụrụ na ọ dị oké njọ iche-iche, dị ka oyi baa ma ọ bụ afọ, na-adabara na n'oge ndị pụrụ iche, dị obere nsogbu ka a ịkpụ ma ọ bụ a ọkọ - a-ahụkarị. Ha na ọtụtụ ndị adịghị ntị. Ma ọbụna ndị kasị obere unan nwere ike ime ka exudative mbufụt. N'eziokwu, ọ bụ obodo nke metụtara, ebe ọ na-anakọtara kpọmkwem ọmụmụ, na mgbe ahụ na seeps site capillary mgbidi atugharị. Usoro a bụ nnọọ mgbagwoju anya, dabere na iwu nke ọmụmụ Ọnọdụ na ike iduga nsogbu nke ọrịa. N'isiokwu a, anyị ga-nyochaa n'ụzọ zuru ezu na ihe ime ka exudative mbufụt akpata. Ụdị (esi maka nke ọ bụla n'ime ha na-erughị eru) ụdị mkpali Filiks na-atụle na n'out oge na-akọwa, na nke ha na-adabere, dị ka ime, ụfọdụ na-achọ ọgwụgwọ.

Mbufụt - Ọ bụ ihe ọjọọ ma ọ bụ ezi ihe?

Ọtụtụ ga-ekwu na, n'ezie, mbufụt - bụ ihe ọjọọ, n'ihi na ọ bụ ihe akụkụ nke ọ fọrọ nke nta ọ bụla ọrịa ma na-ewetara ụmụ mmadụ na-ata ahụhụ. Ma, n'ezie, na N'ezie evolushọn anyị na ozu maka afọ na ọ dọtara elu a tuputa usoro nke mkpali Filiks na ha na-enyere na-adị ndụ mgbe mmetụta ọjọọ, na nkà mmụta ọgwụ na-akpọ stimuli. Ha nwere ike ịbụ na nje virus, nje bacteria, ọ bụla na anụ ọnyá, kemikal (e.g., nsị, nsị), oghom gburugburu ebe obibi ihe. Chebe anyị si ndiiche ọrụ nke ndị a niile stimuli dị nnọọ kwesịrị exudative mbufụt. Gịnị ka ọ bụ? Enweghị na-aga n'ime nkọwa, ọ bụ nnọọ ihe dị mfe ịkọwa. Ọ bụla mkpali, ebe nwetara n'ime ahụ mmadụ, ọ na-emebi mkpụrụ ndụ. Nke a na-akpọ mgbanwe. Ọ na-enye mmalite nke aza. Ya mgbaàmà, dabere na ụdị ihe mkpali na ebe nke ya, mmejuputa iwu nwere ike dị iche iche. N'etiti ndị nkịtị emit:

• -ebili n'oge okpomọkụ ma ọ bụ na ahụ nile na-ma ọ bụ naanị na otụk ebe;
• ozizi nke emetụtara akụkụ;
• mgbu;
• nācha ọbara-ọbara merụrụ ahụ ebe.

Ndị a bụ ndị isi ihe ịrịba ama nke otu nwere ike ịghọta na amalitelarị exudative mbufụt. The foto n'elu na-egosi na ngosipụta nke mgbaàmà - nācha ọbara-ọbara, ọzịza.

N'oge ụfọdụ nke mbufụt na ọbara arịa na-amalite imubanye ọmụmụ (exudate). Mgbe ha banye n'ime site capillary mgbidi n'ime intercellular ohere, exudative mbufụt na-aghọ. Ke akpa ilekiri o yiri ka nke a na-eto eto nsogbu. Ma, n'ezie, na mmepụta nke ọmụmụ, ma ọ bụ, dị ka dọkịta na-ekwu, exudation, dịkwa mkpa. N'ihi ya, si capillaries n'ime anụ ahụ na-a dị nnọọ mkpa okwu - immunoglobulins, kinins, plasma enzymes, mkpụrụ ndụ ọbara ọcha, nke ozugbo ọsọ mbufụt nke n'ekwú-aga n'ebe mkpochapu irritants na-agwọ ọrịa nke mebiri emebi ebe.

The usoro nke exudation

N'ịkọwa ihe exudative mbufụt, enweghị nchịkwa mmewere (ịdọ aka ná ntị na-amụ enweghị nchịkwa Filiks) akwụ uche pụrụ iche na usoro nke exudation, "mpu" nke ụdị mbufụt. Ọ mejupụtara atọ nkebi:

1. An mgbanwe. Ọ gbaara ọsọ na pụrụ iche organic ogige - mkpali ogbugbo (kinins, histamine, serotonin, na ndị ọzọ lymphokines). N'okpuru ha mmetụta microvascular bed malitere mụbaa, na dị ka a N'ihi ya, ụba permeability arịa mgbidi.
2. Na nabatara umu ebe riverbeds ọbara malitere ịga ike. E a na-akpọ flushing, ya bụ, n'aka nke ya, emewo ka onye na-abawanye na ọbara arịa (hydrodynamic) mgbali.
3. N'okpuru nrụgide nke ọmụmụ site na ụba microvessels mezhendotelialnye cracks na pores mgbe ụfọdụ imezu tubular nha, anụ ahụ exudate malitere ihihi. Ahụ nke ya mmiri kwaga etiti nke mbufụt.

ụdị exudates

N'ụzọ ziri ezi karị akpọ mmiri mmiri exudate esite n'ebe arịa n'ime a anụ ahụ, na otu ọmụmụ n'ịgbanahụ n'ime uji eze, - effusion. Ma na nkà mmụta ọgwụ na-abụọ ndị a echiche na-jikọtara. Mbufụt exudative ụdị kpebisiri ike site mejupụtara secretion, nke nwere ike ịbụ:

• serous;
• fibrotic;
• purulent;
• putrid;
• hemorrhagic;
• mucous;
• hiloznym;
• hilusopodobnym;
• psevdohileznym;
• a cholesterol;
• neutrophilic;
• eosinophilic;
• lymphocytic;
• mononuclear;
• mbuaha.

Ka anyị tụlee ihe nkowa nke kasị ahụkarị ụdị exudative mbufụt, ya na-akpata na mgbaàmà.

Etolite serous exudative mbufụt

N'ime ahụ mmadụ nke peritoneum, pleura, pericardium ntekwasa na serous membranes, otú a na-akpọ si Latin okwu "ọbara", nke pụtara "ọbara" n'ihi na ha na-emepụta ma banye ọmụmụ, yiri ọbara ọbara ma ọ bụ site na ihe oyiyi ahụ. Serous membranes na nkịtị ala nke ezigbo, ọ fọrọ nke nta uzo, nnọọ na-agbanwe. Mgbe exudative mbufụt amalite, ha na-aghọ o siri ike ma dull, na serous exudate agwa na-egosi na nsụkọrọ na akụkụ. Ọ achọpụtara na-edozi (2%), lymphocytes, leukocytes, epithelial mkpụrụ ndụ.

Akpata exudative mbufụt nwere ike ịbụ:

• trauma nke dị iche iche etiologies (akpụkpọ ike n'ezi ọrịa, Burns, ọtịta ahụhụ, frostbite);
• igbu egbu;
• malitere ịrịa na nje na-efe efe (ụkwara nta, meningitis, herpes, kịtịkpa, wdg);
• anataghi.

Serous ọmụmụ na-enyere aka wepu toxins si mkpali-elekwasị anya na irritants. Yana ya mma atụmatụ e nwekwara na-adịghị mma. Ya mere ọ bụrụ serous exudative mbufụt pụtara na akpa ume parenchyma, nwere ike ịzụlite akụkụ okuku ume na ọdịda, na pericardium - obi ọdịda, na meninges - ọzịza nke ụbụrụ, akụrụ - gbasara akụrụ insufficiency, na akpụkpọ n'okpuru epidermis - ekpepụsị ya si dermis na guzobe serous blisters. Mgbaàmà maka nke ọ bụla ọrịa na gị onwe gị. Nwere ike kewapụrụ izugbe ịrị elu okpomọkụ ma na mgbu. N'agbanyeghị yiri nnọọ ize ndụ daa ọrịa prognosis ọtụtụ mgbe mma, dị ka ndị exudate na-etinye obi gị dum, na-ahapụ mba Chọpụta, na serous membranes na-natara.

fibrotic mbufụt

Dị ka e kwuru n'elu, na ụdị nile nke exudative mbufụt kpebisiri ike site mejupụtara nke secretions, mgbe ha ghọrọ usoro si microvessels. N'ihi ya, fibrous exudate nwetara mgbe n'okpuru edinam nke mkpali stimuli (trauma, ọrịa) Nleta ibu fibrinogen protein. Nọmalị, ndị okenye na ọ kwesịrị 2-4 g / l. The mebiri emebi anụ ahụ bụ a umi ghọrọ ka fibrin. Nke a bụkwa a protein nwere a fibrous Ọdịdị na bụ ihe ndabere egbochi mkpụkọ nke ọbara. Ke adianade do, e nwere fibrous exudate leukocytes, macrophages, monocytes. N'oge ụfọdụ, mbufụt amalite necrosis nke anụ ahụ na-emetụta ihe mkpali. Ha impregnated fibrous exudate, si otú na-akpụ a fibrous film na ha n'elu. N'okpuru ya na-arụsi ọrụ ike na-emepe emepe na ụmụ nje na sikwuoro N'ezie nke ọrịa. Dabere na film na na ya orunótu atụmatụ iche croupous pseudomembrane na fibrous exudative mbufụt. Enweghị nchịkwa Mmebe na-akọwa ha dị iche iche:

1. Pseudomembrane mbufụt nwere ike ime na ndị na akụkụ, nke na-kpuchie na multi-layered shei - na akpịrị, akpanwa, ikpu, eriri afo, digestive tract. Mgbe a fibrous film a kpụrụ oké, dị ka ma ọ bụrụ na toro n'ime shei ozu. Ya mere, ọ bụ ike na-ewepụ, na doo n'azụ onya. N'ime oge ahụ, na-agwọ agwọ, ma scars pụrụ ịnọgide. E nwere ihe ọzọ ihe ọjọ - n'ihi na nke a film ụmụ nje mụta nwa ọzọ ifịk ifịk, nke mere na ndidi dị elu toxicity ngwaahịa nke ha mkpa ọrụ. The kasị ama nke ụdị ọrịa mbufụt - diphtheria.
2. Croupous mbufụt na mucous kpụrụ ozu ntekwasa monolayer shei: na bronchi, na peritoneum, na oghere eji ekunye ume, pericardium. N'ihi ya, ọ nwetara mkpa fibrous film, mfe mbughari, na-enweghị ịrịba ntụpọ mucous. Otú ọ dị, mgbe ụfọdụ, ọ pụrụ ime ka oké nsogbu, ndị dị ka mbufụt nke oghere eji ekunye ume nwere ike egbochi ikuku eruba na ngụgụ.

Exudative purulent mbufụt

Nke a daa ọrịa a hụrụ mgbe exudate bụ abu - greenish-odo viscous uka, ọtụtụ mgbe na-enwe a mara ísì ụtọ. Ya mejupụtara bụ mkpokọta dị ka ndị a: mkpụrụ ndụ ọbara ọcha, ọtụtụ nke na-ebibi, albumin, fibrin uzo, enzymes nke microbial si malite, cholesterol, lipids, DNA rifọrọ, lecithin, globulins. Ndị bekee na-etolite purulent ọbara. E wezụga ya, exudate ugbu a na purulent detritus anụ ahụ, na-ebi ndụ na / ma ọ bụ eziihe microorganisms purulent mkpụrụ ndụ. Purulent mbufụt nwere ike ime na ihe ọ bụla ahụ. "Buru" aba aba na-Ọtụtụ pyogenic bacteria (iche iche cocci, Escherichia coli, Proteus), nakwa dị ka candida, Shigella, Salmonella, Brucella. Bụla purulent exudative mbufụt nwere ike ịbụ ya mere:

1. Etuto. Ọ na-anọchi anya a n'ekwú na a mgbochi Capsule egbochi ingress nke abu na gburugburu anụ ahụ. Uji eze ulo accumulates purulent exudate abanye e site capillaries mgbochi Capsule.
2. Etuto. Na nke a n'ụdị n'ekwú mbufụt nwere doro anya ókè na purulent exudate agbasa agbata obi anụ ahụ na cavities. Ụkpụrụ a pụrụ hụrụ na subcutaneous n'ígwé, ihe atụ, na adipose anụ ahụ na retroperitoneal na perirenal ebe n'ebe ọ bụla na morphological Ọdịdị nke anụ ahụ na-enye ohere abu ime ihe karịrị na-elekwasị anya nke mbufụt.
3. Empyema. Nke a na ụdị ahụ yiri ihe etuto na hụrụ na cavities, na-esote bụ nke a na-elekwasị anya nke mbufụt.

Ọ bụrụ na abu bụ ugbu ọtụtụ degenerative neutrophils, neutrophilic exudate akpọ purulent. Ke ofụri ofụri, ọrụ nke neutrophils bụ ibibi bacteria na fungi. Ha na-obi ike nche, ata akpa otutu na ndị iro abatawo n'ime anyị ahu. Ya mere, n'oge mbụ ogbo nke mbufụt neutrophils kasị dum, unbroken na exudate akpọ mikrognoynym. Dị ka progression nke ọrịa mkpụrụ ndụ ọbara ọcha na-ebibi ma na abu ọtụtụ n'ime ha nwere eziihe.

Ọ bụrụ na ndị mkpali foci ada putrefactive microorganisms (ọtụtụ mgbe anaerobic bacteria), purulent exudate amama n'ime a putrid. Ọ nwere a mara isi na agba na-akwalite decomposition nke anụ ahụ. Ọ bụ fraught na elu mmenaanya nke organism na nwere nnọọ ogbenye pụta.

Ọgwụgwọ nke purulent mbufụt na-dabere na ojiji nke ọgwụ nje na huu secretion nke outflow ụlọ. Mgbe ụfọdụ, ọ na-achọ ịwa ahụ. Prevention of dị otú ahụ mbufụt bụ disinfection nke ọnyá. Ọgwụgwọ ndị a na ọrịa nwere ike a mma pụta kpụ ọkụ n'ọnụ na-anara ọgwụ naanị mgbe nke ogwugwo mwepụ nke rere ere akwụkwọ ya.

hemorrhagic mbufụt

Na ụfọdụ nnọọ ize ndụ ọrịa ndị dị ka anthrax, kịtịkpa, ihe otiti, na-egbu egbu influenza chọpụtara hemorrhagic exudative mbufụt. Ihe mere nke ọ bụ dịkwuo permeability nke microvessels ruo mgbe ha anya mmiri. The exudate mgbe adịkwaghị mkpụrụ ndụ ọbara uhie, nke mere na ya na agba dịgasị si pink ọchịchịrị red. The mpụga ngosipụta nke hemorrhagic mbufụt yiri hemorrhage, ma, n'adịghị ikpeazụ, na exudate hụrụ bụghị naanị erythrocytes ma a obere akụkụ nke neutrophils na macrophages. Ọgwụgwọ nke hemorrhagic exudative mbufụt na-kenyere dabeere na ụdị microorganisms na ada ya. The pụta nke ọrịa pụrụ nnọọ ịdị na ọjọọ, ma ọ bụrụ na ndị ọgwụ na-malitere mbubreyo na ọ bụrụ na onye ọrịa ahụ na-adịghị na-ezuru ike iguzogide ọrịa.

catarrh

A akụkụ pụrụ iche nke a na ọrịa bụ na exudate mgbe o nwere ike ịbụ a serous na purulent, na hemorrhagic, ma mgbe nile na imi. N'ọnọdụ dị otú ahụ, na mucous secretion a kpụrụ. N'adịghị ka serous, ọ na-ekpughe ihe mucin antibacterial gị n'ụlọnga lysozyme na immunoglobulin A na klas. Ọ na-kpụrụ maka ndị na-esonụ:

• ọrịa malitere ịrịa ma ọ bụ nje na;
• mmetụta na-ahụ chemical bekee, okpomọkụ;
• na-enwe nsogbu metabolism;
• nfụkasị Jeremaya (e.g. imi nsụchi).

Catarrhal exudative mbufụt chọpụtara na bronchitis, catarrh, rhinitis, mgbu, catarrhal afọ, nnukwu akụkụ okuku ume na-efe efe, pharyngitis, na nwere ike ime nnukwu na-adịghị ala ala iche-iche. Ke akpa idaha ọ na-n'ụzọ zuru ezu gwọrọ na 2-3 izu. Nke abụọ, mgbanwe ndị na-mucosa - atrophy, na nke shei na-aghọ thinner, ma ọ bụ hypertrophy, nke, na Kama nke ahụ, ndị mucosa na-thickened na ike protrude n'ime ahu oghere.

The ọrụ nke imi exudate bụ abụọ. Na otu aka, ọ na-enyere agha ọrịa, na-na ndị ọzọ, ya ìgwè ke cavities arụpụta ọzọ enweghị nchịkwa Filiks, dị ka imi gọzie gị sinuses akwalite Sinusitis.

Ọgwụgwọ nke exudative mbufụt catarrhal ekenịmde antibacterial ọgwụ ọjọọ, physiotherapy na omenala ụzọ ndị dị otú ahụ dị ka ọkụ elu, itucha na dị iche iche ihe ngwọta, na ingestion nke infusions na decoctions nke herbs.

Exudative mbufụt: kpọmkwem e ji mara exudative mmiri

N'elu kwuru banyere na chylous psevdohilezny exudates pụtara na unan lymphatic arịa. Ihe atụ, na ara ọ pụrụ ịbụ na-agbawa nke thoracic duct. Chylous exudate ọcha na agba n'ihi ọnụnọ nime ya nke mụbara ichekwa abụba.

Psevdohilezny nwekwara a whitish hue, ma abụba bụ karịa 0,15% na ya, ma e mucoid umi, protein ozu, nukleina, lecithins. Ọ hụrụ na lipoid nephrosis.

White na hilusopodobny exudate, nye ya agba rekasịrị degenerated mkpụrụ ndụ. Ọ na-kpụrụ ala ala mbufụt nke serous membranes. The abdominal oghere bụ ikpe na imeju imeju, pleural - na ụkwara nta, cancer nke pleura, syphilis.

Ọ bụrụ na ndị exudate ọtụtụ lymphocytes (90%), ọ na-akpọ lymphocytic. Ọ na-anọchi si arịa mgbe pleural ụkwara nta. Ọ bụrụ na nzuzo ọnụnọ nke cholesterol, site ntụnyere ọ na-akpọ a cholesterol. Ọ nwere a oké anọgidesi, acha ma ọ bụ brownish agba, na ike kpụrụ ọ bụla ọzọ mmiri mmiri exudative bụrụhaala na uji eze na nke ọ na-akwakọba ihe a ogologo oge, bụ reabsorption mmiri na ịnweta ahụ.

Dị ka ị pụrụ ịhụ, e nwere ọtụtụ ụdị nke exudates, onye ọ bụla nke bụ ihe e ji mara nke a ụfọdụ ụdị exudative mbufụt. Ọzọkwa, e nwere otu ebe mgbe ọ bụla otu ọrịa a na-chọpụtara mbuaha exudative mbufụt, dị ka sero-fibrous ma ọ bụ seropurulent.

Nnukwu na-adịghị ala ala iche-iche

Exudative mbufụt nwere ike ime na nnukwu ma ọ bụ ala ala ụdị. Ke akpa idaha ọ bụ nzi nzaghachi mkpali na ihe mkpali na-iji kpochapụ. Na-akpata ụdị nke mkpali usoro nwere ike ịbụ a otutu. Kacha nkịtị:

• mmerụ;
• ọrịa;
• chemical nsi;
• emeghasịkwa nke ọ bụla akụkụ na usoro.

Exudative Nnukwu mbufụt e ji nācha ọbara-ọbara na ọzịza nke merụrụ ahụ ebe, ihe mgbu, fever. Mgbe ụfọdụ, karịsịa n'ihi na ọrịa na ọrịa na-akara mgbaàmà nke autonomic ọrịa na intoxications.

Nnukwu mbufụt ewe a dịtụ mkpirikpi oge, ma ọ bụrụ na ọgwụ a rụrụ n'ụzọ ziri ezi, kpamkpam gwọrọ.

Adịghị ala ala exudative mbufụt nwere ike ịdịgide ruo ọtụtụ afọ. Ọ na-anọchi anya a purulent na catarrhal ụdị mbufụt. N'otu oge ahụ na-agwọ ọrịa na-amalite anụ mbibi. Ọ bụ ezie na-adịghị ala ala mbufụt ngbaghara ndidi na o siri ike na-eche, ọ emecha nwere ike ime ka depletion (cachexia), sclerotic mgbanwe arịa, irreversible emeghasịkwa nke akụkụ na ọbụna guzobere etuto ahụ. Ọgwụgwọ na-eduzi isi nọgide na-enwe ngbaghara na-adọ. Na nke a, ọ attaches oké mkpa iji kwesịrị ekwesị ndụ, nri, na-ewusi dịghịzi usoro.