Sambabada Pleurisy. Astaamaha iyo Dhibaatooyinka

sambabada Pleurisy ma aha wax aan caadi ahayn. Sidaa darteed waxaa lagama maarmaan ah in la fahmo waxa ay yihiin calaamadaha iyo dhibaatooyin. Pleurisy in daawada waxaa loo yaqaan caabuq warqadaha pleural, kaas oo la Ulasocto sii daayo exudate. Sida caadiga ah, sambabada pleurisy waa cudur sare, taas oo macnaheedu yahay waxa dhici karaan sida dhibaato ah cudur aan muuqan, sida pneumonia, qaaxada, kansarka, cudurrada wadnaha.

Xaaladaha intooda badan, wakiilka sababaya of pleurisy waa bakteeriya kala duwan (streptococcus, pneumococcus), ama Bacillus tiibiida, laakiin waxay keeni kartaa dhaawac cudur ama xabadka. pleura Cudurka guskiisa saddex siyaabood: si toos ah uga sambabada (bronchogenic), hematogenous (dhiiga), lymphogenous (via lymph). iftiinka Pleurisy tilmaamay galay: faafa, non-faafa, qalalan (fibrinous), exudative (exudative). Iyo dabeecada cudurka wuxuu u qaybsan yahay exudates: nabarrada, purulent, dhiigbaxa, iyo birta, carow ah.

Pleurisy sambabada qalalan - cudur kaas oo la Ulasocto sii daayo exudate qaro weyn. Waxa uu, ka bacdi, waxay kordhisaa khilaaf u dhexeeya go'yaal marka qufaca iyo neefsiga, iyo xanuun aad u daran wuxuu dhacaa sabab u raasamaal ee protein ah (fibrin). By foomkan of pleurisy cudurka hogaanka (sida ay tirakoob ku, 90% - Bacillus tiibiida). Laakiin waxaa jiri kara sababo kale: etiology non-faafa, tusaale ahaan, burooyinka, dhaawacyada, laabotooyinka, iyo sidoo kale idiopathic, ie, ee sabab aan la garaneyn.

Marka pleurisy qalalan ficil ahaan wax calaamado ah sarkhaan, laakiin maqaarka waa mid aad u cirro leh, iyo dhabanada guduudayn "xumad". Muuqaalka caan ku cudurka, dabcan, waa xanuun aad u daran badan waxay kordhisaa la qufacayo, neefsashada ama garkooda jidhka hab caafimaad. Bukaan-socodka ayaa sidoo kale u dabaaldegay hinraagid yar, si toos ah oo sababo soo baxay xanuunka, maanka weli cad. Inta badan waxaa jira isbedel ah oo ku saabsan qayb ka mid ah sternum ah, ku koobnayn iyada dhaqdhaqaaqa, si qofka jiifo dhinac ay dhibaatadu saameysey, t. Si aad. Kaliya booska this waxaa si fudud loo neefsado, laakiin neefsashada gacmeed, qabow yahay. Auscultation sifo qaylada maqli karo ee khilaaf pleural.

Haddii bukaanka uu pleurisy qalalan, sambabada, daaweyn la siiyo ku haboon. Waa been in xaqiiqda ah in uu dhakhtarku kuu qoray anti-hurgunta, antibiotics, xanuun joojiyaha iyo steroids. Sidoo kale, waxaa lagu talinayaa in daaweynta dabiiciga ah, massage iyo daaweynta jirka. Marxalad hore la isticmaalayo faashadda cadaadiska xabadka, waxaa lagama maarmaan ah inaan ku saxno oo sidaas loo yareeyo xanuunka. In foomkan of laga bilaabo mid ka mid ah - soo kabashada.

Pleurisy sambabada foomka exudative, waxa lagu gartaa raasamaal tartiib ah dareeraha, taas oo keenta in riixo ee dhafoorka sambabada iyo horumarinta neefta. Sababaha isku mid, sida ku pleurisy engegan. Astaamaha sarkhaan la effusion pleural dhawaaqaa. U muuqataa qarqaryo, si weyn u kordhay heerkulka uu noqdo qasan miyir, maqaarka midabka noqdo buluug (dhiigrooraan) korodhka dyspnea. Sida caadiga ah, xanuunka bilowga ah ee cudurka waa la joogo, laakiin markaas hoos u, iyo halkii jira waa u caloolxumo. isbeddel weyn Oo Qaliin thorax - badh bukaan ka dambeeya caafimaad inta lagu guda jiro neefsashada, iyo meelaha intercostal smoothed sabab u raasamaal ah ee dareeraha. Marka bukaanka effusion pleural waa mid aad u adag tahay in aad neefsato meel siman, in uu yahay, marka jiifa, sidaasi darteed waxa uu had iyo jeer waa in meel fadhiya, waxaa jira tachypnea (degdeg) neefsashada.

Marka pleural xoogga effusion on nafaqada. Dhakhaatiirta ku talinaynaa yareysey qaadashada cabitaano iyo cusbada. Intaas waxaa sii dheer cuntada lagu qoray daawooyinka anti-bararka, antibiotics, glucocorticoids iyo, qasab, diuretics. Haddii bukaanka cudurka - sambabada effusion pleural, saamaynta noqon kartaa kala duwan. Tusaale ahaan, formation of adhesions pleural, horumarinta neefta chronic.

In isbitaal pleurisy exudative.