Zamkatimu
Kufotokozera kwathunthu kwa matendawa
Empyema ndi matenda omwe mafinya amakhala pakati pa chiwalo chobowolera (chowonjezera, mafupa am'mimbamo kapena ndulu) kapena mthupi (chitsanzo ndi kupempha kwamphamvu, kupsinjika kwa thupi). Mawu oti "empyema" sayenera kusokonezedwa ndi chotupa chomwe chimakhudza makulidwe a minofu ndipo chimachepetsedwa ndi nembanemba. Ndi empyema, pakhoza kukhala zotupa m'munsi mwa nembanemba ya mucous, pokhapokha pakakhala njira yayitali komanso yayitali kwambiri yotupa.
Empyema yamtundu uliwonse imachitika m'magawo atatu:
- 1 exudative - kupanga ndi kudzikundikira kwa matumbo a purulent kumayamba;
- 2 fibrous-purulent - mafinya omwe amapezeka m'matumba;
- 3 kukonzekera (komaliza) - zipsera zam'mimbamo.
Monga matenda aliwonse, empyema imatha kupezeka osatha ndi zovuta mawonekedwe. Ngati sanalandire chithandizo, pakhoza kukhala zovuta. Poyamba, kumangiriza kumalumikizidwa ndi minofu yolumikizana, yomwe imabweretsa kukulira kwake, komwe kumatha kubweretsa kumaliza njerwa.
Empyema ya zakumapeto appendicitis wa pachimake purulent chikhalidwe amatchedwa, imene mafinya amasonkhana mu kwambiri kukodzedwa patsekeke za zakumapeto, zomwe zimapangitsa kutsegula kwake kosatheka. Pambuyo pake, njira yotupa imayamba kusunthira pachikuto cha peritoneum. Pachifukwa ichi, njira ya cecum yatupa ndikupanga botolo. Zizindikiro zimafanana ndi appendicitis - kupweteka ndi colic m'mimba, kutsatiridwa ndi nseru ndi kusanza, lilime louma kwambiri lokhala ndi zokutira zoyera, kuwonjezeka pang'ono kwa kutentha mozungulira madigiri 37,5-38. Mu kafukufuku wa labotale wamagazi, zimawonjezeka kuchuluka kwama leukocyte.
Mphamvu ya pembedzero - mafinya amasonkhana m'mphuno. Chithunzi chachipatala: phokoso lenileni mukamagwira m'mapapu, malungo, kupweteka m'mapapu, kupuma movutikira, thukuta. Zifukwa zowonekera purulent pleurisy (pleural empyema):
- kuwonongeka kwa mapapo ndi mabakiteriya a coccal;
- zovuta pambuyo pa opaleshoni, pambuyo pa mabala ndi zoopsa pachifuwa, mutadwala chifuwa chachikulu kapena chibayo;
- Matenda a khansa mu sternum;
- Matenda kudzera m'mimba ndi magazi.
Empyema ya ndulu - kudzikundikira mafinya mumimbamo ya ndulu, limodzi ndi kupweteka kwambiri m'mimba, m'chiwindi, chomwe chingaperekedwe m'manja, scapula. Amawonetsedwa ngati mawonekedwe a cholecystitis pachimake. Nthawi yomweyo, kutentha kumawonjezeka mpaka madigiri 39, kumatha kuchepa pang'ono nthawi ndi nthawi. Zowawa ndi zotupa sizimatha, kukula kwa chikhodzodzo kumawonjezeka.
Zakudya zathanzi zolimbitsa thupi
Mu empyema, maziko a chithandizo chamankhwala ndi bungwe la zakudya zoyenera za wodwalayo. Mosasamala kanthu za kuuma kwamaphunziro ndi mawonekedwe a empyema, wodwalayo amafunikira kudya kwamadzi okwanira, mapuloteni, chakudya, mavitamini ndi mchere m'thupi kutengera kulemera kwake. Izi ndizofunikira kuti mukhale ndi kagayidwe kabwino ka mchere komanso madzi amchere.
Ngati sizingatheke kuti mudye nokha, ziyenera kuyambitsidwa kudzera mumachubu zapadera. Pachifukwa ichi, mayankho a shuga (10%) ndi Ringer's, potaziyamu mankhwala enaake (2%), plasma, magazi, panangin (makamaka omwe amagwiritsidwa ntchito popempherera) ndi oyenera kuperekera zakudya za makolo.
Pamene empyema ndulu zothandiza adzakhala dzulo mankhwala ophika buledi, crumbly dzinthu, masamba ndi zipatso soups, yophika kapena stewed Taphunzira nyama ndi nsomba, mkaka, decoctions (kuchokera duwa m'chiuno, hawthorn), mofooka brewed tiyi ndi khofi, woyera msuzi, katsabola ndi parsley, mukhoza onjezerani shuga, uchi ndi kupanikizana (ngati wodwalayo amalekerera kumwa moyenera).
Mankhwala achikhalidwe a empyema
Chithandizo cha empyema, momwe mafinya amadziunjikira m'mimbamo ya ziwalo za peritoneal (zowonjezera, chubu cha fallopian, ndulu), zimangofunika chithandizo chamankhwala okha. Ngati pali chiopsezo chachikulu pamoyo panthawi ya opareshoni, ndiye kuti ndikulimba kwa pleura, ngalande ya ndulu imachitika, ndikulumikizana kwa olowa, kugwiritsa ntchito pobowola ndikutsuka ndi yankho la antiseptic kumachitika.
Komanso, ndi purulent pleurisy, ma compresses ndi mpiru amatha kupangidwa kuti athetse chifuwa. Pofuna kutulutsa mafinya, kutikita minofu kumachitika, komwe kumachitika magawo anayi: kusuntha, kusisita, kutentha ndi kusunthira.
Ndi chakudya cha ndulu, ngati njira ina, mutha kumwa mankhwala kuchokera ku beets, decoctions tansy, celandine (maluwa), immortelle, St. nthunzi zouma zouma. Pamapeto pa mankhwalawa, mutha kuwonjezera kapu yamadzi a nkhaka (imachepetsa bwino bile ndipo ili ndi mankhwala a analgesic).
Zakudya zoopsa komanso zovulaza
- Zofufumitsa zatsopano, makeke, mitanda, makeke, makeke ophikira ndi zofufumitsa;
- nyama ya mafuta, nsomba;
- yokazinga, yokazinga, yamchere, chakudya chosuta;
- mitundu yonse ya mafuta, makamaka mafuta ophika, mafuta opatsirana (omwe amapezeka m'margarine ndi kufalikira koterera);
- maswiti ogulitsira;
- bowa;
- masamba obiriwira komanso masamba obiriwira kwambiri: nyemba, radish, horseradish, sorelo, sipinachi;
- mowa, koloko;
- okroshka.
Zonsezi zimakhala ndi phindu pa kukula kwa mabakiteriya, zimathandiza kuti thupi likhale lopweteka komanso kuipitsidwa kwa magazi, zomwe zimasokoneza kutuluka kwake ndikuwonjezera chiopsezo cha mabakiteriya omwe amalowa m'magazi.
Chenjerani!
Otsogolerawo sali ndi udindo uliwonse poyesa kugwiritsa ntchito zomwe zaperekedwa, ndipo sizikutsimikizira kuti sizikukuvulazani. Zipangizozo sizingagwiritsidwe ntchito kuperekera chithandizo chamankhwala ndikupanga matenda. Nthawi zonse muzifunsa dokotala wanu!