Mukati
General tsananguro yechirwere
Empyema chirwere icho huwandu hwakawanda hwepus hwakaiswa pakati penzvimbo isina chinhu (muapendikisi, renal pelvis kana nduru) kana mune yemuviri mhango (muenzaniso ndeye pleural empyema, articular empyema). Izwi rekuti "empyema" harifanire kuvhiringidzwa nethumba rinokanganisa hukobvu hwenyama uye rinogumira nemukoko. Ne empyema, panogona kunge paine huturu hwakakanganiswa pasi peiyo mucous membrane, chete neyakaomarara uye yakareba kwazvo nzira ye purulent-yekuzvimba maitiro.
Empyema yemhando ipi neipi inoitika mumatanho matatu:
- 1 exudative - kugadzirwa uye kuunganidzwa kwemasuru enhengo anotanga;
- 2 fibrous-purulent - mafomu akaunganidzwa muhomwe;
- 3 kuronga (yekupedzisira) - vanga remukati.
Kufanana nechirwere chero chipi zvacho, empyema inogona kuitika mukati tora nguva refu uye acute mafomu. Kana ikasiiwa isina kurapwa, panogona kuve nezvinetso. Pakutanga, mubato, zvinonamatira uye zvinoshamisira zvinyama zvinogadzirwa, izvo zvinotungamira mukukora kwayo, izvo zvinogona kutungamira mukukanya zvidhinha zvemukati.
Empyema yewedzero appendicitis yeacute purulent hunhu hunodaidzwa, panguva iyo pus inounganidza mune yakakura kwazvo mhango yeapendikisi, inoita kuti kuvhurika kwayo kusapfuurike. Pashure paizvozvo, kuzvimba muitiro anotanga kutamira pabutiro peritoneum. Mune ino kesi, maitiro eiyo cecum azvimba muchimiro cheflask. Zviratidzo zvakafanana neappendicitis - kurwadziwa uye colic mudumbu, zvichiteverwa nesvoto uye kurutsa, rurimi rwakawoma chaizvo nechena yekupfeka, kuwedzera kudiki kwetembiricha kutenderedza 37,5-38 degrees. Muongororo yerabhoritari yeropa, nhamba inowedzera yemaleukocyte inoonekwa.
Empyema ye pleural mhango - pus inounganidza munzvimbo yekuchemera. Clinical pikicha: yakatarwa ruzha kana uchirovera mumapapu, fivha, kurwadziwa mumapapu, kufema kufema, kuwedzera kudikitira. Zvikonzero zvekuonekwa kwe purulent pleurisy (pleural empyema):
- kukuvara kumapapu nema coccal bacteria;
- matambudziko mushure mekuvhiyiwa, mushure memaronda uye kushungurudzika pachipfuva, mushure mekurwara netibhii kana mabayo;
- oncological zvirwere mu sternum;
- hutachiona kuburikidza ne lymph uye ropa.
Empyema yeguruva - kuunganidzwa kwepus mudumbu renduru, pamwe chete nekurwadziwa kwakanyanya mudumbu repasi, munzvimbo yechiropa, iyo inogona kupihwa ruoko rwemberi, scapula. Inoratidzirwa nenzira yekurwisa kweacute cholecystitis. Panguva imwecheteyo, iyo tembiricha inowedzerwa kusvika pamadhigiri makumi matatu nemapfumbamwe, inogona kuderera zvishoma nezvishoma. Marwadzo uye kutsemuka hazvimiri, saizi yedundira inowedzera.
Zvikafu zvine hutano zvempyema
Mune empyema, hwaro hwekurapa kurapa ndiko kurongeka kwekudya kwakakwana kwemurwere. Zvisinei nekuomarara kwedzidzo uye chimiro chempyema, murwere anoda kudya kwakaringana kwemvura, mapuroteni, makabhohaidhiretsi, mavitamini uye munyu mumuviri zvichibva pakurema. Izvi zvinodikanwa kuchengetedza zvakajairika metabolic uye mvura-munyu chiyero.
Kana zvisingaite kutora chikafu uri wega, chinofanirwa kuunzwa kuburikidza neakakosha machubhu. Muchiitiko ichi, mhinduro dzeglucose (10%) uye Ringer's, potasium chloride (2%), plasma, ropa, panangin (inonyanya kushandiswa mukumbundira empyema) inokodzera chikafu chevabereki.
Kana empyema gallbladder zvinobatsira zvichave zvakabikwa nezuro zvigadzirwa, zviyo zvinoputika, sopu yemiriwo nemichero, yakabikwa kana yakabikwa nyama yakaonda nehove, zvigadzirwa zvemukaka, decoctions (kubva muhudyu, hawthorn), tii isina kubikwa nekofi, muto muchena, dill uye parsley, unogona. wedzera shuga, uchi uye jamu (kana murwere achibvumira kushandiswa kwavo kazhinji).
Chivanhu mushonga wempyema
Kurapa ne empyema, mune iyo purulent masese anounganidzwa mumatanda enhengo dzeperitoneal (appendix, fallopian chubhu, nduru) inoda kurapwa chete. Kana paine njodzi huru kuhupenyu panguva yekuvhiya, ipapo neyakaomarara yeiyo pleura, nduru yemvura inoitwa, pamwe neyemubatanidzwa wekubatana, ponji inoshandiswa uye kuchenesa nemushonga unouraya hutachiona.
Zvakare, ne purulent pleurisy, kumanikidza nemasitadhi kunogona kuitwa kubvisa kukosora. Kuputsa kuwanda kwepus, kukwiza muviri kunoitwa, kunoitwa mumatanho mana: kupuruzira kufamba, kukwiza, kudziya-uye vibration mafambiro.
Uine empyema yeguruva, seimwe nzira yekurapa, unogona kutora manyuchi kubva kune beet, decoctions yetansy, celandine (maruva), immortelle, St. yakanyoroveswa apricots akaomeswa. Pakupera kwekurapa iwe unogona kuwedzera girazi remuto wemagaka (inodurura bile zvakanaka uye ine analgesic zvivakwa).
Zvikafu zvine njodzi uye zvinokuvadza zvempyema
- mafirita manyowani, makeke, mafekeji, mapai, puff pastry uye shortcrust pastry yakabikwa zvinhu;
- nyama yakakora, hove;
- yakakangwa, yakakangwa, ine munyu, yekuputa chikafu;
- mhando dzese dzemafuta, kunyanya ekubikisa mafuta, mafuta ekushambadzira (anowanikwa mumargarine uye anopararira anotapira);
- maswiti ezvitoro;
- howa;
- inorema miriwo uye miriwo ine acidity yakakura: nyemba, radish, horseradish, sorrel, sipinashi;
- doro, soda;
- okroshka.
Zvose izvi zvigadzirwa zvine simba rinobatsira pakukura kwebhakitiriya, zvinobatsira kuslagging yemuviri uye kusvibiswa kweropa, izvo zvinokanganisa kubuda kwayo uye zvinowedzera njodzi yebhakitiriya inopinda neropa.
Chenjerera!
Iwo manejimendi haatarisiri chero kuyedza kwekushandisa ruzivo rwunopihwa, uye haivimbise kuti harukuvadze iwe pachezvako. Izvo zvinhu hazvigone kushandiswa kupa mushonga uye kugadzirisa chirwere. Nguva dzose bvunza chiremba wako wezvechiremba!