Abin da idan ruwa a cikin pleural kogo: Haddasawa da Jiyya

Idan pleural yanki fara tara ruwa (effusion), sa'an nan irin wannan tsanani pathological yanayin iya nuna cewa jiki tasowa wasu cuta, da kuma quite m. Bincikar lafiya Pathology a hanyoyi daban-daban, sa'an nan kuma likita ta zayyana da ya dace magani.

A wasu lokuta, jari na wannan ruwaye iya fararwa decompensation numfashi gazawar, sau da yawa abu don mutuwa. Bugu da kari, wannan cuta yana tare da sosai tsanani da rikitarwa. Saboda haka, lura da wannan cuta ya kamata a fara maza maza.

janar bayanai

Human huhu aka kewaye da biyu membranes, da ake kira pleura. M shiga cikin kirji bango da ciki - da huhu da sauran kyallen takarda. A rata aka kafa tsakanin su, ya kira pleural rami ko ciki.

Free ruwa a cikin pleural rami ayyukan matsayin lubricating bangaren pleural saman, da barin yadudduka a lokacin numfashi da yardar kaina slide da juna. Wannan ma na taimaka wa surface tashin hankali, wanda damar a ci gaba da surface na huhu tare da bango na kirji. The adadin ruwa a cikin pleural rami dole 4 teaspoons. Idan shi ne sakamakon wani rashin lafiya ya fara tara, ta girma iya isa 5-6 lita.

The tara ruwa a cikin pleural rami za a iya bambanta:

• jini, pleural idan lalace tasoshin.
• ba-kumburi yanayi na ruwa (transudate).
• ruɓaɓɓen jini ko ruwa ci karo a pleural kumburi (exudate).

A jari na jini yakan auku a sakamakon lalacewar jini, wanda ya auku a raunuka. Lymph shiga pleural rami a lokacin da rauni daga cikin thoracic bututu, wanda shine babbar Lymph jirgin ruwa.

Transudate iya tara a wani kogo idan jiki aka tsare fallasa su da wani tsarin tsari. Alal misali, wannan yana iya zama wani raguwa a jini saboda m jini hasara, ko konewa. Har ila yau, a gaban transudate a pleural kogo aka lura a cikin harka a tasoshin qara da hydrostatic matsa lamba cewa shi ne a cikin zuciya rashin cin nasara.

The ruwa a cikin pleural rami, musamman exudate accumulates a kumburi tsari. Wannan na iya zama ciwon huhu, da ciwon daji, pleurisy.

dalilai

The ruwa tara a cikin pleural rami, - wani cuta da cewa shi ne na biyu. Wannan yana nufin cewa da ci gaban da cuta auku a kan bango na gudãna a cikin jikin wani cuta.

Mene ne wannan? Abin da zunubi, idan da tara ruwa a cikin pleural rami? A dalilan iya zama kamar haka:

• Chest rauni, sakamakon karye jini, zubar tsakanin hakarkarinsa. Yana iya ma faru thoracic bututu katsewa.
• Ciki cuta, da kumburi yanayin da hali. Exudate fara tara a mayar da martani ga hanta ƙurji, pancreatitis, subdiaphragmatic ƙurji, peritonitis.
• Oncological cututtuka da shafi pleura, ba kawai a matsayin farko mayar da hankali, amma kuma a cikin samuwar metastases. Primary marurai tashi daga sel da mesothelium kuma saduwa da mutane aiki a cikin asbestos kamfanoni. Hangen nesa unfavorable hali. Idan wani ƙari ne benign, da hangen nesa yawanci tana arfafa.
• Zuciya rashin cin nasara, wanda na taimaka wa jini.
• Ciwon huhu. A kumburi tsari zai iya faru duka a cikin zurfin cikin huhu parenchyma da pleura kusa isa cewa tsokani kumburi ruwa jari.
• Kamuwa da kuma rashin lafiyan cututtuka.
• Da tarin fuka.
• Myxedema (mucosal edema) results daga wani rashin thyroid aiki.
• Na huhu embolism ciwo arteries idan akwai wani samuwar na huhu infarction tare da m jari na transudate.
• Uremia, abin da ke faruwa a koda gazawar. Irin wannan jiha ne halayyar mahara Gabar gazawar, glomerulonephritis, sepsis, m haemolysis na ja da maikacin jini, radiation cuta.
• Tsari connective nama cututtuka: periarteritis nodosa, tsari lupus erythematosus, wanda suke cikin hanyar jari na exudate.

cututtuka

Ko da kuwa me ya sa akwai wani jari na ruwa a cikin pleural kogo, na numfashi gazawar iya faruwa. An bayyana kamar haka:

• zafi a kan hagu ko dama gefe.
• dyspnea, shortness na numfashi;
• bushe tari, wanda ya auku saboda matsawa na bronchi manyan girma na ruwa.
• wata gabar jiki bluish saboda rashin oxygen.
• kara a yanayin jiki saboda da kumburi tsari.

Bari mu bincika a cikin mafi daki-daki, ga cututtuka da cewa nuna wa jari na ruwa a cikin pleural rami a wasu cututtuka.

rauni

Chest rauni ko huhu take kaiwa zuwa m ci gaba da numfashi insufficiency. Kamar wancan akwai hemoptysis, baki foamy sputum bayyana mulufi. An wani take hakkin sani, da fata ya zama bluish tint, mutum zai iya fada a cikin wani coma.

A katsewa na thoracic lakã jini fara gudãna daga cikin pleural rami, manyan zuwa high jini da asarar da hemorrhagic buga. Ceton wani mutum kusan ba zai yiwu.

Oncological cututtuka

A taron na gaban mesothelioma ruwa a cikin pleural rami ne karshe mataki a cikin ci gaban da siffofin maruran. Za mu iya ce da tabbacin cewa mutuwa zai zo a 7-10 watanni. Bewafa ga wannan wata cuta halin da kaifi karu a matakin glucose a cikinsa, da danko hyaluronic acid, kuma mafi sau da yawa na jini.

ciwon huhu

Wadannan cututtuka da ciwon huhu zai nuna cewa pathological aiwatar daukan wuri a cikin huhu parenchyma:

• zazzabi.
• rigar tari.
• maimaita zafi a gefe.
• shortness na numfashi;
• crackles.
• m maye.

zuciya rashin cin nasara

The tara ruwa a cikin pleural rami a zuciya rashin cin nasara bayyana kanta kamar haka:

• rauni.
• gajiya.
• da zuciya fara aiki yayyanke.
• rashin so ga jiki ayyuka.
• ciwon kirji.

bincikowa da

A mafi m bincike Hanyar aka dauke kirji radiography, na taimaka tabbatar da kasancewar wannan Pathology kamar ciwo ruwa a cikin pleural rami, ko ta rashi. Wannan fi mayar facilitates aiki na likita a nada dace magani. Radiographs daidai buga da matakin da ruwa da kuma ta m girma, gaban da babu iska.

Shi ne kuma dole domin sanin yanayin da effusion, kuma wannan karshen, huda da aka yi. A saboda wannan dalili, da ruwa abun ciki dauka daga pleural rami domin su gane rabo na adadin furotin, musamman nauyi, da ayyukan lactate dehydrogenase. Gudanar da amfanin gona a kan fungi, kwayoyin, acid-sauri kwayoyin. The m iya zama jini, mugunya, serosa. Jari na ruwa a cikin jini yana lura a tagayyara, tsokar huhu ciwon daji marasa lafiya tare da pleural hannu. Surkin jini exudate accumulates a zuciya rashin cin nasara, da kuma serous - bayan cututtuka.

Shi ne kuma mai kyau hanya don ganin huhu da kuma kirji CT scan an dauke. Its amfani ta'allaka ne da cewa hanya ba ka damar daidai ƙayyade yawan ruwa saki da kuma dalilin wannan yanayin. Pulmonologists bayar da shawarar da suke ciyarwa a CT duba kowane watanni shida. Wannan damar da katin shaida na ruwa jari a cikin pleural rami ciwo.

magani

Tare da kadan jari na ruwa daukarsu kawai muhimmi cuta. A manyan yawan effusion, musamman idan ta tsokani wheezing cewa bukatar magudanun ruwa don kawar da wannan cuta. Sau da yawa da ruwa ne fitarwa via da huda, a lokacin da pleural rami catheter ko kananan allura. Yawancin lokaci, needling ne da za'ayi domin bincike dalilai, amma a lokacin da irin wannan hanya zai yiwu Pump har zuwa 1.5 lita effusion. More Delete ba da shawarar, kamar yadda hadarin na huhu edema faruwa.

Don cire tara a babban adadin ruwa a kirji bango, ta hanyar da bututu da ake gabatar. Wannan hanya ne da za'ayi kamar haka: bayan maganin sa barci likita aikin wani incision da abun da ake sakawa a roba tube tsakanin biyu gefuna da kirji. Bayan haka, ya haɗu da shi zuwa magudanun ruwa tsarin, wanda ba ya ba da damar iska don samun a cikin pleural kogo. Amfani da X-ray iko gwani ƙayyade daidai shigarwa tube, tun magudanun ruwa ne ba zai yiwu in ba haka ba.

Idan ruwa a cikin pleural rami tara saboda tarin fuka ko coccidioidomycosis, a wannan yanayin, shi na bukatar dogon lokaci da magani tare da maganin rigakafi. Magudanun gudanar da hadaddun karkashin sosai da danko sosai ruɓaɓɓen jini, ko a lokacin da shi ne a fibrous "aljihu", don haka halin da ake ciki za a iya gyara kawai ta cire wani ~ angare na haƙarƙari ga gabatarwar babban magudanun catheter. Da wuya aiki ake bukata don cire m Layer na pleura.

Ƙari Pleural ma take kaiwa zuwa da cewa ruwa ya fara tara a cikin pleural kogo. Jiyya a cikin wannan yanayin ne quite dogon, kamar yadda zai iya zama da wahala a kawar da exudate saboda ta m jari. Zo da taimakon magudanun ruwa da kuma samun anticancer kwayoyi. Duk da haka, idan irin wannan hanyoyin bai yi aiki ba, da kuma cikin ruwa ya ci gaba da tara, da kadaici ne da za'ayi pleural kogo. A gaba dayan girma na exudate an cire ta cikin bututu, sa'an nan a cikin pleural rami therethrough gudanar irritant, kamar talc ko doxycycline bayani. Tare da irin da kara kuzari na faruwa jointing biyu pleural yadudduka, kuma babu free sarari ga ruwa jari.

Idan pleural rami da aka cika da jini, sai zubar jininta ta tsaya, yana da za'ayi ta hanyar da magudanun ruwa tube wanda aka kuma yi amfani ga gwamnati da kwayoyi da cewa karya saukar jini clots. Gudana zub da jini, ko da rashin iyawa don cire ruwa ta hanyar da catheter - alamomi ga m baki.

rikitarwa

Tara a pleural rami na ruwa, musamman a cikin manyan yawa, za su iya haifar da wani taro na rikitarwa. Yana iya zama wani m huhu insufficiency, kumburi da kuma kamuwa da cuta daga cikin huhu asalin, da matsaloli tare da hanta aiki, zuciya da kuma sauran kayan ciki.

Tun da ruwa da ruɓaɓɓen jini da wani babban yiwuwar yaduwar cikin kogon ciki, ya kamata a sa ran daga rikitarwa daga cikin gastrointestinal fili. Wannan irin exudate tara a cikin pleural yanki ne mai factor, sau da yawa abu don mutuwa ko tawaya samun mutum. Wannan ya shafi bukatar resection na pancreas ko baƙin ciki.

Irin wannan rikitarwa iya faruwa a duka maza da mata da dukan zamanai, don haka magani ya kamata a fara a farkon yiwu kuma yi amfani da m matakan.

rigakafin

Don kauce wa abin da ya faru da cututtuka da za su iya sa jari na ruwa a cikin pleural kogo, su dole ne a da sauri bi da. Idan kwayoyin far ko tiyata da aka ci nasara, matsa zuwa ƙarin ayyuka. Wannan na iya zama kin amincewa da miyagun halaye, lafiya salon, shan bitamin gidaje da kuma arziki amfani aka gyara na kwayoyi.

M matakan dole hada da girmamawa ga jiki aiki da kuma musamman rage cin abinci. Ya kamata a cinyewa a kullum kamar yadda zai yiwu, yanayi 'ya'yan itatuwa da kayan lambu, halitta sunadarai, carbohydrates, fats, nama. Doctors bayar da shawarar a yi darussan kowace rana, ta kasu da kuma tafiya mai yawa a kan kafar. Wannan tsarin kula da rigakafin cutar a 100% tasiri.

ƙarshe

Saboda haka abin da idan ruwa da aka gano a cikin pleural rami? Dalilin irin wannan pathological yanayin ne da ci gaban da cuta, sau da yawa quite tsanani. A wasu lokuta, cutar fito iya kai ga mutuwa. Tabbata tuntubar wani gwani, wanda bayan da bincike matakan zai sanya ya dace da kuma m magani. Domin ya hana ci gaban cutar rigakafin da ya kamata a bi.