Pleurisy nge umdlavuza wamaphaphu: incazelo izimbangela, izimpawu kanye nokwelashwa

Cishe zonke izinqubo sokugembula ezenzeka ngempela esifundeni pleural yamaphaphu, kukhona yesibili. Lokhu akusona isifo ehlukile. Njengomthetho, zingabantu uhlobo isimo esibucayi ngaphezulu kwalesi sifo. Ngo uketshezi Oncology Ungase futhi buthelela endaweni pleural inqwaba ngokwanele. Ezimweni ezinjalo, kukhona izinkinga zokuphefumula. Pleurisy ephashini Oncology kuvimbela zemvelo ukunyakaza kwezitho. Ngenxa yalokho, kuholela nokuvaleka kwemigudu yokuphefumula.

Izizathu eziyinhloko

Ake sibheke ukuthi kungani kukhona pleurisy ukukhanya in Oncology, izimpawu, ukwelashwa, enempilo nokugula nokunye. Okokuqala, kufanele abone kwezimbangela eziyinhloko sifo. Kufanele kuqashelwe ukuthi ngaso esigabeni yokugcina ukuvuvukala izicubu umdlavuza kwenzeka. Ukuphungula akunjalo elula. Kukhona ukuvuvukala ngesikhathi lapho supply kwezakhi emzimbeni wachitha. Yilokhu liyabulala ezimweni eziningi.

Pleurisy lapho umdlavuza wamaphaphu kuwumphumela:

1. Izinkinga ukuthi ukuthuthukisa iziguli ngemva kokususwa ngemisebe kwemigudu yokuphefumula noma ukumelwa ngemuva.
2. Sabalalisa ku-lymph yesimila eyinhloko. Lokhu, kwenza kube nzima sokukhipha uketshezi. Ngenxa yalokho, it aqoqana endaweni pleural.
3. Ngokunciphisa ezingeni wamaprotheni kungenzeka ukwehla e ingcindezi oncotic. Iphinde icuphe ukuthuthukiswa pleurisy.
4. Permeability Ukwandisa pleura.
5. ekunciphiseni ingcindezi kule ndawo pleural kanye ekuqongeleleni uketshezi therein. Isenzakalo esifanayo nasemkhakheni bronchi ophahleni.

Izici lesi sifo

Kuze phendla effusion pleural nge umdlavuza wamaphaphu, kubalulekile ukwazi izimpawu ezikhungathekisayo zalesi sifo. Ukuthuthukiswa lesi sifo kungavuka phezu esifushane. Ukuvuvukala kwezicubu kwenzeka ngaphakathi kwamahora ambalwa. Kubalulekile ngesikhathi esifanele ukubona isifo futhi ukuhlinzeka ukunakekelwa nesineke kuqala.

Uphawu lokuqala isifo - Imoto yayisikhahlameza esifubeni. Lapho ukuphefumula umuntu bangezwa ukuntuleka komoya. Kulokhu, ungase uzizwe kwesifuba kanye iphika. Ukuvuvukala kancane kancane kwandisa ngobukhulu futhi kukhona okuthiwa umsebenzi motor. Isiguli kunzima kakhulu ukuthola esesimweni esinjalo yesikhundla ukhululekile. Skin ihlanganisa bluish nesineke. Kuyaqapheleka futhi ukhwehlela ezinzima nge isikhwehlela. Uma uhlangabezana lezi zimpawu kumele ngokushesha ukuthola uncedo esibhedlela esiseduze.

Pleurisy umdlavuza wamaphaphu ingaqala lapho isikhathi eside. Kulokhu, therapy isifo kungenzeka ukunikeza umphumela omuhle. Ngemva ukwelashwa okufanele isiguli ithuba lokuphila ngesikhashana eside. Fluid olwenzekayo endaweni pleural kancane kancane. Kujwayele akuyona wazizwa ekuqaleni. Ngokuvamile, zokugula kutholakala ngezikhathi. Kulokhu, isiguli siqala abaphazamisa izimpawu ezichazwe ngezansi.

izimpawu

Pleurisy nge umdlavuza wamaphaphu inezici ezithile ezivumela ngesikhathi esifanele ukukhomba inkinga. Izimpawu oyinhloko sifo zihlanganisa:

1. isifuba esomile. Ngakho kungaba khona isikhwehlela kancane.
2. Umonakalo obangelwa, kanye umuzwa yobunzima ku sternum.
3. Ukuphelelwa ngumoya, egqoke imvelo ezithuthukayo. Kancane kancane kuba bunzima kakhulu futhi kwenzeka ngisho at imithwalo ongaphakeme.
4. Ubuhlungu ezindaweni ezithile emzimbeni wesiguli.

Kangakanani uphethwe

kanjani kutholakala ukuthi uphethwe yini pleurisy in Oncology? izimpawu Metastatic uvumele cishe ngokushesha ukuhlonza isifo. Kulesi luhlolo kumele ebibanjelwe oncologist. I professional yokuqala kufanele interview isiguli mayelana nokuba khona noma yimuphi angahlangani elihlobene ne isimo jikelele kanye nesimo sempilo isiguli. Lokhu kwenza kube lula ukubona izimpawu eziyinhloko zesifo.

Ngemva kwalokho, udokotela ngokuvamile uqhuba kuhlolwe ngamehlo futhi palpation kwezitho nasesifubeni. Kwezinye izimo, ayabelwe ze-X ray. Isithombe umgudu wokuphefumula kungacacisa ukuthi ngokunembile indawo kwezicubu edema.

Ukukhomba kwezimbangela eziyinhloko pleurisy kwenza ikhompyutha tomography. Ezimweni ezithile, ngaphezu kwalokho labetibambile ultrasound kwesifuba. Futhi wenza wokubhoboza. Lokhu kuvumela ukuhlaziya uketshezi ethathwe endaweni pleural.

Izigaba main yokwelapha

Okufanele ukwenze uma uthola namanzi emaphashini i-Oncology? Izimbangela pleurisy zihlukile. Ukwelashwa kuxhomeke ezicini ezithile. Ngokuyinhloko odokotela kutholakale imbangela yokushona pleurisy bese linqume. Uma isizathu itholakala isimila eyinhloko, bese isuswe uma kungenzeka. Nokho, okokuqala, kudingeka sithole indawo yayo. Kuyaphawuleka ukuthi imishanguzo pleurisy kudinga ukususwa esifike uketshezi. Le nqubo okuyinhloko kanye eziyisisekelo, okwenza kungabi iphika ngcono kakhulu isimo lesiguli.

Ngemva liqine ejenti etiologic lesi sifo udokotela angase akunikeze imithi yokwelashwa. Neoplasms, egqoke uhlamvu abulalayo, kukhona kakhulu sensitive ngamakhemikhali. It is ngenxa yalesi sizathu, ukwelashwa siqhutshwa ukusetshenziswa kwezidakamizwa cytotoxic. Ngokuvamile lokhu kwelashwa aqede izicubu edema.

Uma isiguli ine isimila inoperable, ukwelapha ongaqeda izimpawu eziyinhloko zesifo kunikezelwe. Kulokhu, lo osetshenziswayo futhi thoracentesis pleurodesis.

imithi

effusion Pleural abanomdlavuza akuyona into engavamile. Ukuze ekwelapheni lesi sifo, kanye ukubhekana izici eziyinhloko zonke izinhlobo izidakamizwa ezisetshenziswa. Okokuqala iziguli ebekiwe glycosides inhliziyo. Le mithi kungaba ngcono contractility esivimba amanzi. Uhlu izidakamizwa ezinjalo zihlanganisa "Storofanin". Ngaphezu kwalokho, prescribers uyakwazi ukunweba bronchial imisipha bushelelezi, njengokuthi "Eufillin". Isisu avame ukusetshenziswa: "Furosemide" nabanye. Bavumela wena ukuhoxisa uketshezi esifundeni pleural ne umchamo.

Uma Ithumba abulalayo, ukusetshenziswa kwemithi nge pleurisy imiphumela. Nokho, ukuze kube lula isimo lesiguli kungaba, ukumpompa ketshezi.

Kuyini thoracentesis

Thoracentesis - eyohlinzwa elikuvumela ukuba ususe exudate athutha. Ngesikhathi inqubo, udokotela ifaka inaliti mncane futhi wenze wokubhoboza kule ingaphakathi pleural. Yiqiniso, lo msebenzi ngeke mnandi kakhulu, kodwa kungaba lula isimo lesiguli. Ngemva kudutshulwa ingaphakathi iqondiswa omunye inaliti ixhumeke kagesi ukuncela tube. Le divayisi ivumela ukususa ketshezi. Ngemva kokuhlinzwa, isiguli uphefumule ngendlela evamile.

A Ububi le nqubo wukuthi ngemuva kwesikhathi esithile ketshezi zanqwabelana futhi ingaphakathi pleural, njengoba imbangela eyinhloko lesi sifo iqhubeka. Ukuphindwa eyohlinzwa okunjalo akukhona ezifiselekayo, njengoba isiguli ibhebhetheke. Ngaphezu kwalokho, kungase kube ukuvuvukala. Lesi senzakalo izinkinga kakhulu ukuhlinzwa.

Kuyini pleurodesis

Lokhu kungenye inqubo ukuthi wenziwa khona umdlavuza. Kulokhu, lo ingaphakathi pleural ligcwele izingoma ekhethekile okwelapha ungavumeli uketshezi buthelela.

Kuyaphawuleka ukuthi pleurodesis zithandwa kakhulu. Phela, le nqubo ivumela ukwelashwa ngendlela ephumelela kakhudlwana ka pleurisy, iphinde ivimbele eminye okuphindaphindiwe ukuthuthukiswa yayo.

Kwenzekani kumuntu onalesi sifo?

ukwelashwa Pleurisy in Oncology - akuyona into elula. Ngempela, kuncike kakhulu ku-sithole nokuthi zibangelwa yini lesi sifo. Imiphumela kwelashwa encike ngqo kwi uphethwe. Ukwelashwa lesi sifo sivame ukuba nzima ngenxa khona umdlavuza. Kube pleurisy, ngokuvamile ngezigaba eziyinkimbinkimbi lesi sifo.

Izibikezelo okungekuhle ebukhoneni izilonda metastatic ezenzeka ngenkathi isebenza lapho ugula. Kwezinye izimo, akukho usongo ekuphileni, uma ketshezi isusiwe ngokuphelele kusukela endaweni pleural. Nokho, isiguli kufanele bahlolwe njalo ukuze uvimbele Ukuphinda.

HLS ekwelapheni

Ekwelapheni neoplasms abulalayo wayevame ukusebenzisa HLS. Nokho, ukwelashwa kufanele kwenziwe eziyinkimbinkimbi. Kungenjalo, yalokho omuhle ngeke. Kuvele udokotela onolwazi kungakwenza bakutshele ukuthi kusho HLS ingasetshenziswa, kodwa yini okufanele ukuba uyekwe. Kuyaphawuleka ukuthi umdlavuza ungasebenzisi izidakamizwa Omunye umuthi:

1. Tincture, lapho Ukwakheka has Aconite Jungar. Lesi simila kuba nethonya antitumor. I nomuthi ngokuvamile esetshenziselwa ukugaya nokuhlanganisa zigwinye. Umthamo kunqunywa udokotela.
2. Chest compressions. Ngesikhathi inqubo ukugwema endaweni inhliziyo. Massage kumele kwenziwe nge ukusetshenziswa amafutha abalulekile. Inqubo kuthuthukisa kwegazi futhi kalula ukuphefumula.

Ekupheleni

Lesi sifo esibi kunazo - kuba Oncology. Umdlavuza pleurisy - kwetintfo ezenzeka ukuthuthukiswa izimila ebulalayo emaphashini. Ukuze izifo ezifana zinezikhathi izimpawu ezithile, okuyinto avumele isikhathi ukuhlonza khona isifo. ukwelashwa Ukungabi kungaholela nemiphumela enqala ngaphezulu, kuhlanganise nokufa.