Kukhona isikhala esincane phakathi kwezingxenye zangaphakathi nezangaphandle ze-pleura esifubeni. Ngesikhathi uketshezi olunamanzi luqala ukuqoqa emgodini wesikhala, i-pleurisy ikhonjelwa. Kulokhu, amaqabunga avuleka, futhi ama-exudate akhiwa kuwo ezimweni eziningi.
Izimbangela zokubuthelwa kwamanzi emzimbeni emzimbeni
Cishe njalo i-pleurisy iyesibili. Okusho ukuthi lesi sifo asiyona eyona eyinhloko, futhi ibonakala ngokumelene nengemuva yenkinga ethile enkulu. Ngokuvame uketshezi kwamanzi kuqoqa emgodini wezizathu ezilandelayo:
- ukuhlukunyezwa kwe-sternum;
- i-edema ye-mucosa, ebonakala lapho umsebenzi we -roid ungasebenzi;
- ukuhluleka kwenhliziyo;
- i-thromboembolism yomshini we-pulmonary;
- i-cirrhosis;
- I-oncology (kokubili kokuyinhloko nakwimeko ye-metastase);
- uremia;
- isifo sofuba;
- izifo zesimo esithathelwanayo noma esiyingozi;
- ukuvuvukala kwezitho ezisendaweni ye-retroperitoneal;
- i-nodular periarteritis;
- i-melanoma.
Ngokuvamile, isigxobo se-pleural kufanele sigcwaliswe ngogesi, kodwa kuncane kakhulu kuso esikhaleni. Uma ukuvuvukala kuphakathi kwamashidi kunganqwabelana kuze kube ngamakhulu angamakhulu ama-milliliters of exudate.
Izimpawu zoketshezi ziqoqwe emgodini wezinyembezi
Indlela i-pleurisy izozibonakalisa ngayo, kuqala, ngenxa yezifo zalesi sifo, futhi okwesibili, ngesilinganiso samanzi abilayo. Kodwa kunezibonakaliso eziningi ezivamile zokugula. Phakathi kwabo:
- umuzwa wokubuthakathaka unomphela;
- ubuhlungu;
- ukukhwehlela owomile - umphumela wokucindezela izibhubhu ezinamafutha ezinwabuzelayo;
- ebizwa ngokuthi i-pallor noma i-cyanosis yesikhumba;
- ukuphefumula;
- ukwanda okungazelelwe kokushisa (kubone ukuthi ukuvuvukala kwenzeka);
- ukuvuvukala kwemivimbo yomlomo wesibeletho;
- ukuphefumula ngokushesha.
Ukwelashwa kwalesi simo lapho kukhona uketshezi emgodini wesikhala
Okokuqala udinga ukunquma ukuthi kungani lesi sifo saqala. Emva kwalokhu, kuzomele kwenziwe imizamo emikhulu yokuqeda imbangela yalesi sifo. Uma kunoketshezi oluncane emgodini wesikhala, ungasebenzisa imithi:
- Izidakamizwa ze-non-cecific action sclerosing - Talc, Doxycycline nezinye izidambisigciwane - azisetshenzisiwe namhlanje. Uma bephathwa, bajoza izidakamizwa ngokusebenzisa ukungenwa kwemvelo ngokusebenzisa amanzi.
- I-Cytostatics iyasebenza kakhulu: Etoposide, Bleomycin, Cisplatinum.
- I-Immunotherapy iyimpoqo.
Uma kunamanzi amaningi, ukwelashwa okukodwa komuthi akukwazi ukukwenza. Ezimweni ezinjalo, i-puncture isenziwa, futhi i-exudate isusiwe.