Pleural oghere na oge nke akpa ume mbufụt shei: ya mgbanwe, ọgwụgwọ

Human akpa ume na-ekpuchi a mkpa serous akpụkpọ - na pleura, nke na-echebe ha si dị iche iche unan. The mbara n'etiti Ibé akwụkwọ nke shei na-akpọ okwu bụ "pleural oghere." Nke a na ebe, dị ka ihe niile akụkụ okuku ume na usoro, bụ idem ke ahụ ume. Ọ bụla nsogbu nke nkịtị akpa ume ọrụ so site omume nke mgbanwe ụfọdụ na pleural oghere. Otu n'ime ihe ndị kasị pathologies nke akụkụ okuku ume na usoro na oge bụ pleurisy - ihe mbufụt nke pleura. Na-akpata ọrịa a nwere ike ọtụtụ. Ọtụtụ mgbe, ọ na-amalite dị ka a sikwuoro ndị nkịtị oyi, oyi baa, mbufụt nke pancreas, akpa ume ụkwara nta. The ihe mere omume nke pleurisy enwe noninfectious si malite bụ: myocardial infarction, parasitic infestation, myxedema, imeju imeju, ọrịa kansa ọbara, glomerulonephritis, ọrịa cancer akpa ume.

Mbufụt nke pleura nwere ike ime spontaneously bụrụ na nke mmebi nke obi dị ka a n'ihi nke ike mmetụta, ịlụ merụrụ ahụ, gbajiri ọgịrịga. Ọkachamara mata akọrọ na exudative pleurisy. Ke akpa idaha na pleural oghere anọgide akọrọ ofụri oge nke ọrịa. Na ikpe nke mmiri ma ọ bụ exudative pleurisy nwere ike ịnakọta a ụfọdụ ego nke ọmụmụ na pleural oghere mkpali.

Isi mgbaàmà nke pleurisy -atụle ga-:

• Ntoputa na obi mgbu. Nke a mgbu bụ na-emekarị njọ na a miri emi ume, nwere ike e nyere na ogwe aka ma ọ bụ ubu.
• Na-abawanye na okpomọkụ.
• Strong akọrọ ụkwara.
• Iku ume ọkụ ọkụ.
• Nta blanching nke anụ (cyanosis).

A onye nwere dịghị nsogbu na-arụ ọrụ nke akụkụ okuku ume, pleural oghere nwere a obere ego dị mkpa maka kwesịrị ịrụ ọrụ nke ngụgụ serous ọmụmụ, ngafe nke a na-ewepụ site na lymphatic na ọbara capillaries. Mmepe nke mbufụt na-eme ka ihe ahaghị nhata n'etiti mmepụta nke serous ọmụmụ na ya mwepụ si pleural mpaghara. Ke akpa awa nke pleurisy hụrụ mgbasa nke deducing si pleural oghere nke capillary ọmụmụ, ha ka mma tightness na ọzịza. Nke nta nke nta e nwere a zuru ezu mkpọchi nke capillaries, pleura otú a ghọọ edematous, ọ stagnates exudates (protein-ọgaranya ọmụmụ a tọhapụrụ, na-emekarị na saịtị nke mbufụt orunótu). Na mmepe nke akpa ume mbufụt shei akwakọba ya oghere exudate pụrụ iji nwayọọ nwayọọ igbari ma ọ bụ ghọọ fibrous anụ ahụ. Na ọnụnọ nke purulent exudate achọ amanyere bụ iwu nke ogwugwo na-elekọta, pleural oghere onye ọrịa, na nke a isiokwu na-amanyere bụ iwu nke drainage.

The ọgwụgwọ nke ọ bụla n'ụdị pleurisy amalite igosi kpọmkwem akpata ọrịa ahụ. Nchoputa bụ kụziere:

• Obi X-ray.
• Ultrasound nnyocha nke akụkụ okuku ume na usoro.
• Ngwá (ewepu myocardial infarction).
• General analysis of ọbara (ụba erythrocyte sedimentation ọnụego, leukocytosis hụrụ pleurisy).

Otu n'ime ndị isi ihe na nchoputa bụ mgbapu nke pleural uji eze, obi mgbapu trocar negosi mkpụrụ ndụ maka achọpụta ọrịa na nzube. Mgbapu-enye gị ohere ka a ngere pleural ọmụmụ maka ya zuru ezu nnyocha. Enyo nke a ajọ akpụ na-rụrụ thoracoscopy - research ubi ìhè eji a pụrụ iche ngwá, nke a na-agbara kpọmkwem n'ime obi site ya mgbapu.

Method nke n'imeso pleurisy n'ụzọ zuru ezu na-adabere na-akpata ọrịa ahụ. Na ikpe nke a Nchikota ụkwara nta na pleurisy kenyere antibacterial ọgwụ, pleural mbufụt ke rheumatic gosiri glucocorticoid hormone ọgwụgwọ. Na ọnụnọ nke purulent pleuritis mgbe rụrụ thoracostomy (abu na ọcha nke ọgwụ nje ozugbo na pleura) n'okpuru thoracic alaka ụlọ ọgwụ. Mgbe ọgwụgwọ ọrịa na-egosi na a sanatorium ma ọ bụ ọzọ na seaside eme.