I-Empyema ye-pleura, i-pyotorax okanye i-pururisent pleurisy-inkqubo yokuvuvukala yamagqabi enqabileyo, ihamba kunye nenqwaba yepus. Isi sifo kwisithuba se-90% seemeko sisibini kwaye senzeke xa inkqubo yokuvuvukala idlulela kwi-pleura esuka kumapapu, i-mediastinum, udonga lwesifuba, i-pericardium, indawo engezantsi kwesithintelo. Uninzi lwamaxesha omzimba olwenziwe ngomsindo luba nezifo eziphazamisayo okanye ezingapheliyo eziphazamisayo emphupheni: i-pneumonia, i-abscesses, isifo sofuba, ukuxhaswa kwe-cyst yomphunga.
Kodwa kunokwenzeka kwakhona ukuvela kwe-empyema ngenxa yokusuleleka kwintsholongwane ephuma kude (umzekelo, ngenxa ye-appendicitis, i- sepsis , i-angina, njl njl).
Iimpawu zoxinzelelo
Ngethuba lekhosi yoqeqesho, i-pleura iyahlula ibe yinto eqhelekileyo kwaye ingapheliyo. Isifo esingapheliyo sibizwa ngokuba yi-pleural empyema, ekhoyo iinyanga ezingaphezu kweenyanga ezimbini, kwaye ivela ngenxa yonyango olungafanelekanga okanye ezinye izinto ezikhethileyo zendlela yokuvuvukala kwiimeko eziphambili.
Iimpawu zobuhlungu besifuba, ubuhlungu besifuba, ukuphefumula okuqhelekileyo, ukutywala komzimba, umkhuhlane ukuya ku-38-39 ° C, ukukhwehlela okomile okanye okuhlambulukileyo, ukuphuhliswa kokuphefumula ukuphefumula (ukuphefumula okufutshane, i-tachycardia, i-hypotension). Ukuqala kwesi sifo kudla ngokuqhelekileyo, kaninzi kuncinci ngokunyuka kokuhamba kweqondo lokushisa nokuphuhliswa kwentlungu esifuba.
Ukuba ne-chrome engapheliyo ye-pleura ibonakaliswe yinkambo ye-wavy yesifo, kunye nexesha lokuxhatshazwa kunye nokuxolelwa. Iqondo lokushisa lomzimba lisoloko lincinci. Njengomphumo wenkqubo, ukukhala kwenzeke kwisigxina soxinzelelo, ngoko kubonakala kwinqabunga le-tissue, kunye nokuhlanganiswa okukhulu phakathi kwodonga lwesifuba kunye nemiphunga. I-pleura engonakaliyo inokubakho (ukufika ku-2 cm), ikhuphe ukuphefumla okuqhelekileyo kunye nefuthe lokuphefumula kwe-pulmonary-heart disease.
Unyango lwentlungu
Inkqubo yokunceda ilandelayo:
- Kufuneka ukuba uhlambulule umgca wesigxina se-pus, ngokwenza i-puncture okanye i-drain. Ekuqaleni ukususwa kwepus kwenziwa, ukukhawuleza ukubuyiswa kunye nomngcipheko omncinci weengxaki.
- Ukusetyenziswa kwamachiza. Ukongezelela kwikhosi jikelele yamayeza
Kwimeko ye-pleurisy enzima, isigxina esilunxwemayo kufuneka sihlanjwe ngamanzi anee-antibacterial drugs. - Ukusuka kwezinye iindlela zokonyango, unyango lwe-vitamin, ukuchithwa kwe-detoxification kunye ne-immunostimulating therapy, ukuqaliswa kwamalungiselelo eeprotheni (asetyenziswa i-plasma yegazi, i-albin). Ukongeza, i-UVA yegazi, i- plasmapheresis , i-hemosorption ingenziwa.
- Kwinqanaba lokubuyisela, ukusetyenziswa kwezilwanyana, ukuxilonga, ukuchithwa kwe-ultrasound kunye nezinye izifo zonyango zisetyenziswa.
- Kwiimeko ezingapheliyo, unyango oluphambili lubonakala.
Ukonyango kwesi sifo kudla ngokuqhutyelwa kwisithuba sokumisa.