Empyema

empyema Specific kubangelwa imbewu eletha tubercle, amafomu nonspecific babe strep, staph futhi
ubunjalo okuxubile. Empyema kungenzeka ngenxa ukuvuza
wadutshulwa esifubeni noma wokusakazeka inqubo ubovu esifubeni
lula.

Ziyini izimbangela eziyinhloko zalokhu zesifo kukhona izimbotshana futhi izinhlumba e iphaphu
izimila, abscesses, inyumoniya, osteomyelitis emaphethelweni. Kakhulu kangakanani ubovu pleurisy
It kuvela ngenxa appendicitis acute, septicemia, namathansela. Ngenxa yalokho,
isifo sofuba yamaphaphu kuphakama pleurisy tuberculous.

empyema olunamandla kuyinto isimo esibucayi kwemisebenzi intrathoracic ikakhulu emphinjeni kanye namaphaphu. pleurisy olunamandla ihlala izinyanga 2-3. izimpawu Empyema ziyimfiva, ubuhlungu flank, iphika. Kutholwe umkhawulo ukuhamba esifubeni ngesikhathi senqubo ukuphefumula.

Ukususa ubovu accumulations kusuka ngaphakathi komgodi pleural, ngokuvamile kuholela ukusabalalela ukukhanya futhi kuthuthukisa ngezimo zesiguli. Igazi isithombe futhi izinga lokushisa benganhlanhlathi, yokutakula kwenzeka. Endabeni ka ukwelashwa ngaphambi kwesikhathi futhi enganele empyema okucindezelayo kungase bubé. Kulezi iziguli, esifubeni iba nokucwila flat futhi, ayisesemikhulu isikhala intercostal, wanciphisa ukuhileleka ngokomzimba, ngokuhamba kwesikhathi, ukuthuthukisa ukugobeka komhlandla. Lapho eside ukuphathwa ezingamahlalakhona kungabangela inhliziyo futhi wamaphaphu ukwehluleka, ukukhathala, emizimbeni amyloidosis.

Lesi sifo ngomshini electrocardiography, punctures, spirography, amasu radionuclide. Ngokusekelwe idatha ukuhlaziywa etholwe sitholakale - empyema pleura. Ukwelashwa Kwenziwa isifiso,
okungukuthi, kanye kuhlengwe ubovu accumulations kusuka ngaphakathi komgodi pleural. Endabeni ka enganele
ukuphumelela kwalesi empyema indlela aphathwa surgically. obalulekile
Inani Kwenziwa parallel elwa namagciwane, ngokukhishwa kobuthi egazini futhi
ukwelashwa okubuyisela. Iziguli kukhona imithi elwa namagciwane, ukuphefumula ukuzilolonga, ukwelashwa ukumnika nokudla Vitamin-ocebile.

Empyema ngokuvamile iqedwe ngenxa yokwelapha nenshisekelo. Fistulas ukuphulukisa wamaphaphu kancane kancane waqonda. I ukuhlinzwa wenziwa ezimweni lapho wamaphaphu ukusakaza izindlela olandelanayo akunakwenzeka. Ukusebenza futhi kwenziwe ngesikhathi ukuthuthukiswa ithumba noma umgodi ephashini kollabirovannom, ifomu njalo lesi sifo.

Empyema futhi iphathwa usebenzisa thoracotomy intercostal nge ukususwa ngokucophelela fibrin futhi ubomvu, ukuwasha okuphindiwe ingaphakathi nezixazululo isinqandakuvunda enzyme proteolytic. I amanzi ekamelweni ezimbili kukhona okokufaka, kulandele kokuvala. Kulokhu ngokusebenzisa amanzi kuqala wafaka izixazululo antiseptics noma imithi elwa namagciwane, futhi okuqukethwe yesibili njalo aspirated we umgodi pleural.

Yelaphani ifomu njalo pleurisy suppurative kuphela azuzwe ngosizo ukuhlinzwa. Ukusebenza kahle kakhulu ukususwa ephelele empyema isikhwama, okuthiwa pleurectomy nge decortication
lula. Le ndlela kuthuthukisa wamaphaphu umsebenzi kanye umkhondo ukwandisa kumuntu wamaphaphu.
Ukusebenza kuleli cala hhayi ephelezelwa ezinzima esifubeni deformity.
Ezimweni eziningi, ukuhlinzwa ukhishwe sac pleural kuhlanganiswe ezahlukene
okuhlukile wamaphaphu resection. Ngezinye izikhathi, i-sokungenela is contraindicated ngenxa
iziyaluyalu ezinzima zokuphefumula, usesimweni esibi jikelele isiguli, encane
amathuba eyayembuleka ngenxa cystic yamaphaphu. Ezimweni ezinjalo, ngendlela yezigaba thoracoplasty.