Senyongo empyema: iimpawu, isifo kwaye afumane unyango

Abantu abaninzi Andazi nokuba yintoni imisebenzi emzimbeni enze amalungu athile. Kuphela xa sijamelene sanctions yomsebenzi wabo, siyaqala ukuba siqonde indlela Kufuneka ke. Nakuphi na ukutenxa nangoko kuchaphazela nentlo-ntle, isimo sakhe.

Enye amalungu nto ibalulekileyo isinye nenyongo. It rhoqo oqokelela mfihlelo, kufuneka ukuba agqibezele inkqubo ukwetyisa. Le umzimba kuxhomekeke ezimbi ezahlukeneyo. Phakathi zonke izifo ufanelwe ingqalelo senyongo ekhethekileyo empyema. Ekliniki, isifo kwaye afumane unyango lwesi sifo singanyangekiyo - ezi nje eminye yemibuzo ukuqwalasela ukuba ngoku bajike.

Inkcazelo sifo

Phantsi empyema lwesinye inyongo ithathwa ukuba ibhekisele nangokurhala etsolo ukuvela ngaphakathi emzimbeni. Lubonakala yi olwenzeka kancane ubovu exudate. Isifo kuboniswa iintlungu eziqatha, ifiva, iimpawu kunxilwe. Ukuphuhliswa kwenkqubo zophendlo lwezifo kunokwenzeka ngeendlela ezimbini. imali ukudumba emazikweni ezikufutshane okanye ngenxa sesichengeni izifo.

Senyongo empyema kwenzeka ngo-5-15% ezigulane abaye baba cholecystitis oyingozi. ubukhulu becala ladies Ill yobudala oluphakathi kunye iimpawu okunzima ukutyeba. Empyema ihlelwa iingxaki zenkqubela phambili, ngoko emva kokuba ubhaqo lwalo kufuna esibhedlele ngoko nangoko. Xa kungekho kusenokwenzeka unyango olwaneleyo ukufa isigulane.

Amanqanaba ngezifo

Senyongo empyema senzeka kancinci. Makhe sihlolisise nganye amanqanaba kwale nkqubo.

Xa eziphilayo sempilweni kwesibindi ngenkuthalo yabela mfihlelo yande senyongo. Enye inxalenye uboniswa ethunjini, apho kubandakanyeke kwi ukwetyisa ukutya. Okunye - bubble esibiyelwe ngodonga into resorbed.

Ngenxa ukudumba em- umzimba uqala iza kuphuhliswa ubovu exudate. Resorbing umthamo neendonga zaso ezilahlekileyo. Isinye inyongo ebegqwese efunde ulwelo. Ukudumba ifomu serous ngokukhawuleza kakhulu uba ubovu. Ebonakalayo efanayo kokuphazamiseka bile duct buphazamisana nokususwa ngokupheleleyo inyongo. Ngokubhekele phaya yade komzimba eludongeni kunokukhokelela yoma ye emzimbeni.

Unegalimoya kunye empyema le senyongo

Ezi zifo ababini umyalezo efanayo kunye umfanekiso clinical. Kuyacetyiswa ke ngoko ukuba babe kunye.

Unegalimoya kunye empyema lwesinye inyongo bavame ziziphumo ukuvaleka duct. Kule ukuphazamiseka kunokubangela calculus ezahlulwe okanye neoplasm. Ngokungafaniyo unegalimoya, uphuhliso empyema usoloko owandulelayo yondele cholecystitis, t. E. Le nkqubo arhabaxa.

Ngokumalunga umfanekiso lwezonyango, zombini isifo babonakaliswa ifiva, ubuhlungu kwi hypochondrium ekunene. Izigulane hydrocephalus kwakhona ezikhala rhoqo duct ukugabha kunye yokulunywa emathunjini.

Abanye oogqirha bakholelwa unegalimoya kwesinye nezizathu ezikwiingcambu empyema. Nangona kunjalo, kukho ezinye izinto ezinegalelo kuphuhliso inkqubo yezifo.

Ezinye izinto ezibangela empyema

Njengoko kuchaziwe ngaphambili, isifo ukuvela imvelaphi cholecystitis. Calculus ingathintela yobisi, kwaye isiphumo bezityholo yi komtshiso oko. Ihlebo ngaphakathi esinyini inyongo ebegqwese wayiqokelela. Kucingwa indawo evumayo ngenxa yomphefumlo izihluma izifo. Xa indima izinto ezosulelayo abe clostridia, staphylococci, Klebsiella kunye namanye amagciwane.

Enye imbangela oqhelekileyo esi sifo yobubi. Ukuba akukho sisusa nethumba ukusuka esinyini, inkqubo yokukrala iza kuqhubeka inkqubela. Kulo mzekelo, umphumo umguli ukuhla - ijwabu necrosis.

Amagqirha bodwa iqela izigulane ezithandwa kakhulu isenzeko empyema lwesinye inyongo. Oku kuquka:

• abantu amavila;
• seswekile;
• izigulane iindidi ngeendidi immunodeficiencies.

Ukumisela unobangela sifo Kudla ngokuba luncedo ukukhetha amaqhinga zonyango.

Indlela ukuqaphela sifo kusekwangoko?

Ukuphuhlisa empyema iimpawu zesinye inyongo ezifana nezo ukuba uphawu cholecystitis ahlekise. Izigulane akhalaze kabi kummandla hypochondrium ekunene, ukunyuka okukhulu lobushushu. Ngamanye amaxesha mpawu intw nomkhuhlane olomeleleyo.

Le miqondiso ngqo zesi sifo ziquka ukungabi namdla, ukubila ngokugqithiseleyo kunye umlomo owomileyo. Intlungu kwindawo ekunene subcostal akukho ngokusisigxina. Zingakotshwa mandundu kukuphefumla enzulu okanye ekhohlela.

Kufuneka kuqatshelwe ukuba iimpawu seswekile kunye immunodeficiency ukuphazamiseka zidweliswe abangathathi ngokukhawuleza. Ngenxa yoko, izigulane kakhulu ukuba ufune uncedo lonyango. Akukho unyango igcwele wesinye perforation kunye nokudumba. Kuphuhliso ezi ithi zophendlo lwezifo kubonisa ukwanda engakumbi lobushushu. Kusenokubakho isiphithiphithi, ukuncitshiswa kwezalathisi uxinzelelo lwegazi.

Izigulane acute cholecystitis okanye senyongo nangezilonda kufuneka kunye ingqalelo ekhethekileyo impilo yabo. Xa mpawu zingasentla kufuneka ngoko nangoko abize igqiza leengcali zempilo. esibhedlele kuphela kunye nonyango nobuchule kwiimeko ezinjalo unako ukusindisa ubomi.

iimviwo Medical

Empyema lwesinye inyongo eshiyekileyo ifunyanwa ngokusekelwe izikhalazo nomonde, imbali kunye neziphumo wohlalutyo yayo. Isigulana kufuneka kukuxelela elide kangakanani eneempawu iimeko phantsi kwayo namandla kwandisa, athe aphathwa ngaphambili. Yonke idatha kubalulekile ukuba ngugqirha. Ngaphandle kolu lwazi akunakwenzeka ukuba ukukhetha unyango olufanelekileyo.

Kunyanzelekile ukuba zonke izigulane eyabelwe iimviwo komzimba. Ukuba urhanela isifo ezifana senyongo empyema, uxilongo kuquka le misebenzi ilandelayo:

1. test Blood. Ukwanda iiseli ezimhlophe zegazi ubonisa komtshiso oko.
2. uvavanyo ekuzakuqalwa egazini. Ukuze ubone ubukho ezasulelayo kunye novakalelo yabo antibiotics.
3. Blood ngamachiza ezinto eziphilayo. Nalo olu vavanyo kunokwenzeka ukuba ukuhlola umsebenzi esibindini. umsebenzi yibilirubin Ukwandisa ibonisa empyema.
4. US. Ngenkqubo okuqhubekayo ukudumba ngokuqhelekileyo ukwanda senyongo ngeenxa uyakwazi ukuqwalasela beqokelela fluid.

Ukongeza, kukho umahluko une unegalimoya kunye empyema le senyongo.

unyango okunikezelwe

Olona nyango kuphela empyema - kususwa senyongo. Lo msebenzi ubizwa ngokuba "cholecystectomy". Ngaphambi kokuba abulawe yayo isigulane emiselweyo ikhosi antibiotics. therapy Drug kunciphisa iimpawu esihamba kunye, ukunciphisa ingozi kubunzima postoperative.

Xa lokuqala amanqanaba ukudumba nkqubo isetyenziswa "Ampicillin" kwakunye cephalosporins sizukulwana sokuqala. Ukuba inzima ukuba nokudumba okanye perforation le senyongo, oko kufuna kwanonyango elikhulu ngakumbi isibulala-zintsholongwane. Ngokuqhelekileyo, isigulane emiselweyo ukusetyenziswa ehamba amachiza amathathu: "Gentamicin," "Ampicillin" yaye "metronidazole". Oyidlayo kunye nonyango kwirejimeni ekhethiweyo ngamnye.

Cholecystectomy eyenziwa okanye liqatywe ngokupheleleyo esiswini, okanye laparoscopically. Inguqulo ye ecetywayo ukhethe ugqirha isigqibo. Emva kotyando, xa kukho senyongo empyema edlulileyo, unyango zintsholongwane kwaqhubeka. Ubude unyango kuxhomekeke kwindlela ngokukhawuleza iqondo lobushushu negazi ubale ubuyele esiqhelweni. Ngamanye amaxesha izigulane kufuneka ukuba uthathe amayeza, nasemva kokuba uphuma esibhedlele.

Zokupheka yamaxhwele

amayeza elondoloza kuphela ukunceda izigulana empyema. Self-amayeza badla ziyabulala okanye kukhokelela kuphuhliso iingxaki.

Noko ke, ezinye izityalo zamachiza ukuze silwe enye ezibangela isifo - cholecystitis. Yamaxhwele bayacetyiswa ukuba sinikele ingqalelo esihogweni. Iingcambu zezityalo uncedo izifo ezininzi. Ukuze ukuphelisa cholecystitis iimpawu kufuneka ukulungiselela decoction. A iglasi impahla ekrwada kufuneka ezaliswe ilitha yamanzi ashushu yaye lashiywa isitya phantsi kwekhwapha. A imini kamva, nokuhlanganiswa eliphuma kuyimfuneko some. Eli yeza kufuneka zigcinwe ifriji kuthatha ixesha elide ngohlobo ubushushu izabelo ezincinane.

iingxaki kunokwenzeka

Senyongo empyema, ngaphandle ubhaqo kwayo okufika Ubomi busengozini. Le ngozi inkulu athwale iingxaki zenkqubo zophendlo lwezifo ukuba izigulane ezinochaso lo unesifo ivamile.

Ukolula yoma kweendonga senyongo kunokukhokelela umzimba perforation. Perforation ke iintlobo ezimbini: okufuna nangokupheleleyo. Kwimeko yokugqibela, lo ngokukhawuleza ekuphuhliseni peritonitis. Emva ukunxibelelana ezasulelayo umlambo igazi kwenzeka nokudumba, esibonakala kwiimeko ezininzi, iziphumo ezibi.

Phakathi iingxaki postoperative ziquka usulelo enxebeni obstructive ububovu.

Sase- sokubuyisela

Yintoni lifanele lilindeleke izigulane unesifo "empyema inyongo isinye?" Species nebakala nayiphi na inkqubo sifo umisela imiphumela yayo. Ukuba isifo eso ngendlela ngexesha, kwaye isigulane wafumana uncedo oluyimfuneko kufuneka ibe ithemba abane kakuhle. Kwimeko ngesiphumo unyango Ityhefu igazi akusoloko positive. Amathuba ukufa nomonde iingxaki ezinjalo kakhulu aphezulu.

amanyathelo othintelo

Ngaba kunokwenzeka ukuba ukunqanda iziganeko zezifo ezifana empyema inyongo isinye? Iimpawu kwenkqubo lwezidumbu, apho uchazwe apha ngasentla nje nqaku, kuye kwabangela abantu abaninzi bacinga ngayo ubunzulu esi sifo.

Ukuthintela ukukhula kwayo, oogqirha bacetyiswa ukuba bangenele njalo axilongwe ezele umzimba. ingqalelo ekhethekileyo kufuneka inikwe ultrasound zangasese. uxilongo Inkcukacha senyongo utyhila nantoni na engaqhelekanga kusekwangoko yophuhliso lwayo. I msinyane isigulane izakuqhubeka yonyango emiselweyo, kamsinya wosinda.