Kukho isikhephe esincinane phakathi kwamacangca angaphakathi naphandle kwe-pleura kwisifuba. Xa i-pleural fluid iqalisa ukuqokelela kwisigxina somlomo, i-pleurisy iyafunyanwa. Kule meko, amaphecana atshabalala, kwaye i-exudate yenziwe kubo kwiimeko ezininzi.
Iimbangela zokuqokelelwa kwamanzi emzimbeni
Phantse njalo i-pleurisy isibini. Okokuthi, esi sifo asiyona eyona nto, kwaye ibonakala ngokuchasene nemvelaphi yenkinga enkulu. Ngokuqhelekileyo umbane uqokelele kwisigxina sobuninzi ngezizathu ezilandelayo:
- ngxakini ye sternum;
- i-edema ye-mucosa, ebonakalayo xa umsebenzi we-thyroid ungasebenzi;
- ukuhluleka kwentliziyo;
- i-thromboembolism ye-pulmonary artery;
- i-cirrhosis;
- I-Oncology (zombini kwiprayimari kunye nakwimeko yeemastastases);
- uremere;
- isifo sofuba;
- izifo zentsholongwane okanye ezithintekayo;
- ukuvuvukala kwamalungu asekwindawo ye-retroperitoneal;
- periarteritis;
- i melanoma.
Ngokuqhelekileyo, isigxina somlomo kufuneka sigcwaliswe ngamanzi, kodwa kuncinci kakhulu kwindawo. Xa ukuvuvukala kukuphakathi kwamakhishithi kunokuqokelela ukuya kwii-mililiters eziliqela ze-exudate.
Iimpawu zobutyebi obuqokelelwa kwisigxina somlomo
Indlela ye-pleurisy iya kubonakala ngayo, okokuqala, ngenxa yesifo, kwaye okwesibini, kwisixa semali eqokelelwayo. Kodwa kukho impawu ezininzi eziqhelekileyo zokugula. Phakathi kwazo:
- uvakalelo olubuthathaka;
- intlungu;
- ukukhwehlela owomileyo - umphumo wokucima izibhabhu ze-bronchial nge-liquid;
- i-pallor okanye i-cyanosis yolusu;
- ukuphefumula okufutshane;
- ukwanda ngokukhawuleza kweqondo lokushisa (kubone xa kuqhuma ukuvuvukala);
- ukuvuvukala kwemvini yomlomo wesibeleko;
- ukuphefumula ngokukhawuleza.
Ukunyangwa kwemeko ebusweni bomnatha kwisigxina somlomo
Okokuqala kufuneka uchaze ukuba kutheni isifo saqala. Emva koko, iinzame eziphambili kufuneka zenziwe ukuphelisa imbangela yesifo. Ukuba kukho umthamo omncinci kwisigxina somlomo, ungasebenzisa amayeza:
- Izidakamizwa zezenzo ezingabonakaliyo ze-sclerosing - iTalc, i-Doxycycline kunye nezinye iziza-antibiotics - aziqhelwanga ukusetyenziswa namhlanje. Xa baphathwa, bajoba iziyobisi ngokusebenzisa ukungena kwemithombo emanzini.
- I-Cytostatics iphumelela ngakumbi: i-Etoposide, iBleomycin, i-Cisplatinum.
- Immunotherapy iyimfuneko.
Xa kukho ezininzi iziyobisi, unyango olungenakunyanga. Kwiimeko ezinje, kuqhutywe i-puncture, kwaye i-exudate isuswe.