Maxaa dhacaya haddii dheecaan ee saabka pleural: Sababaha iyo Daaweynta

Haddii meesha pleural bilaabaa inuu ku ururto dheecaan (effusion), ka dibna xaalad cudur oo culus sida ayaa tilmaamaya laga yaabaa in jidhka uu yeesho qaar ka mid ah cudurka, oo ilaa xad halis ah. Cudurka cudurada siyaabo kala duwan, ka dibna dhakhtarka kuu qoray daaweynta ku haboon.

Xaaladaha qaarkood, raasamaal ee dareeraha sida dhalin kara decompensation neefta, inta badan waa in la dilaa. Intaa waxaa dheer, cudurka this waxaa la socda dhibaatooyin aad u daran. Sidaa darteed, daaweynta cudurkan waa in la bilaabay sida ugu dhaqsaha badan.

warbixin guud

sambabada Human ku hareereysan laba xuubka, loo yaqaan pleura ah. Dibadda biiray derbiga xabadka iyo Arrimaha Gudaha - si sambabada iyo unugyada kale. farqiga A waxaa la aasaasay u dhaxeeya, loo yaqaan saabka pleural ama niyadjabka.

dheecaan Free in falimihiisii kale saabka pleural sida a cabbeeyo qayb meelaha pleural, jidaynayey layers lagu jiro neefsashada si xor ah uma simbiriirixan ka dhanka ah midba midka kale. Tani waxay sidoo kale kordhinayaan in xiisadda dusha sare, kaas oo u ogolaanaya in ay ka wada xajisaan dusha sare ee sambabka la derbiga xabadka. xadiga dareere ah ee saabka pleural waa in ay ahaadaan 4 qaado. Haddii ay tahay natiijada cudur bilaabaa inuu ku ururto, ay mugga gaari karin 5-6 litir.

dheecaanka ururtay in saabka pleural la kala duwanaayeen karaan:

• dhiig, pleural haddii weelashii burburay;
• dabeecadda non-bararka ah ee dareeraha ah (transudate);
• malax ama dheecaan kala kulantay caabuq pleural (exudate).

raasamaal dhiigga caadiga ah dhacdaa iyada oo sababtu tahay dhaawaca xididdada dhiigga, taas oo dhacda in dhaawacyada. Dheecaanka galo saabka pleural dhaawac marka of koollo ah thoracic, taas oo ah markabka lymph waaweyn.

Transudate uruursado laga yaabaa in dalool kasta haddii jidhka waxaa si nidaamsan bandhigi geedi socodka nidaamka kasta. Tusaale ahaan, waxaase laga yaabaa in la yareeyo cadaadiska dhiigga oo ay sabab u tahay dhiig la'aan weyn, ama gubasho. Sidoo kale, joogitaanka transudate in saabka pleural lagu arkay kiiska in weelasha ku kordhiyaa cadaadiska hydrostatic waxa wadnaha oo shaqadiisa gaba.

dareeraha ee saabka pleural, gaar ahaan exudate ururayaa in geedi socodka bararka. Tani waxay noqon kartaa pneumonia, kansarka, pleurisy.

sababaha

dareeraha ururtay in saabka pleural, - disorder ah in uu yahay sare. Taas macnaheedu waa in horumarka cudurka dhacdaa on asalka ah ee dal ee jirka ka mid ah cudur kale.

Waa maxay? Waa maxay dembiga, haddii dheecaan ku ururtay in saabka pleural? Sababaha waxaa laga yaabaa in sida soo socota:

• trauma Laab, taasoo keentay in xididdada dhiigga jabay, ee ikhtiyaarkooda u dhexeeya feeraha ah. Waxa kale oo dhici kara dillaac koollo thoracic.
• Cudurka caloosha, nooca bararka dhalista ah. Exudate bilaabaa inuu ku ururto jawaab u malax beerka, ganaca, malax subdiaphragmatic, peritonitis.
• cudurada Oncological saamayn pleura ah, ma aha oo kaliya sida diiradda hoose, laakiin sidoo kale in formation of metastases. burooyinka Primary kac ka unugyada mesothelium ay la kulmaan dadka ka shaqeeya shirkadaha asbestos ah. Saadaal kiiska allifey. Haddii buro waa benign, saadaasha sida caadiga ah waxaa lagu dhiiri.
• Heart failure, kaas oo ku kordhinaya cadaadiska dhiigga.
• Pneumonia. Geedi socodka bararka dhici kartaa labadaba si qoto dheer ee parenchyma sambabada iyo pleura dhow ku filan in dhirfinaya dheecaan bararka.
• cudurrada faafa iyo xasaasiyad.
• Tuberculosis.
• Myxedema (bararka xuubka) natiijooyinka ka soo la'aanta ah ee shaqo thyroid.
• lungemboli halbowlayaasha syndrome marka uu jiro formation of a Wadnaxanuun pulmonary la raasamaal xiga ee transudate.
• Uremia, dhaca kilyaha. xaalad noocan oo kale ah waa caan ku failure badan xubnaha, glomerulonephritis, sepsis, Haemolysis weyn ee unugyada dhiigga cas, bukaanka shucaaca.
• cudurada systemic connective unugyada: nodosa periarteritis, lupus erythematosus oo nidaamsan, kuwaas oo sabab u ah raasamaal ee exudate.

calaamadaha

Marka laga sababta waxaa jiray raasamaal ah ee dareeraha ah ee saabka pleural, neefta laga yaabaa inuu dhaco. Waxaa lagu muujiyey sida soo socota:

• xanuun dhinaca midig ama bidix,
• dyspnea, neefta oo ku qabata;
• qufac qalalan, taas oo dhacda sabab u riixo ee mugga hawomareenno weyn oo cabitaan ah;
• addimada buluug sabab la'aanta ah ee ogsijiin,
• korodhaa heerkulka jidhka ay sabab u tahay geedi socodka bararka.

Ha ka fikiro si aynu si faahfaahsan calaamado ah in farta raasamaal ah ee dareeraha ah ee saabka pleural in cuduro gaar ah.

dhaawac

trauma xabadka ama sambabada keenaysaa in horumarka degdeg ah kaafi neefsashada. Oo saas aawadeed waxaa hemoptysis, candhuufta afka foamy muuqataa casaan. Ayaa xadgudub ku ah miyir, maqaarka uu noqdo towns buluug, qofka ku dhici karaa kooma.

At dillaac dhiigga quseyo thoracic bilaabaa inuu ka duuli galay saabka pleural, taasoo keentay in dhiig la'aan sare oo lama filaan ah dhiigbaxa. Save qof ku dhowaad aan macquul ahayn.

cudurada Oncological

Haddii ay dhacdo in joogitaanka dheecaan mesothelioma in saabka pleural waa heerka ugu dambeeya ee horumarinta burooyinka. Waxaan dhihi karnaa si hubaal weyn oo dhimasho iman doonaa 7-10 bilood. Dheecaan cudurka sida lagu gartaa hoos u dhac af ee heerka glucose waxa ku jira, ku nafwaayay ee hyaluronic acid ah, oo inta badan ku daatay.

pneumonia

Calaamadaha soo socda ee pneumonia tilmaami doonaa in geedi socodka bahal meel parenchyma sambabka:

• qandho,
• qufac qoyan;
• xanuun soo noqnoqday ee kooxdiisa,
• neefta oo ku qabata;
• crackles;
• sarkhaan daran.

wadnaha oo shaqadiisa gaba

dheecaanka ururtay in saabka pleural ee wadnaha oo shaqadiisa gaba muuqato sida soo socota:

• itaaldarro,
• daal,
• qalbiga ka soo bilaabaa inuu ka shaqeeyo googo'an,
• la'aanta damac hawlaha jirdhiska;
• xabad xanuun.

Baadhista xanuunada

The hab lagu ogaanayo ugu wargelin ah waxaa loo arkaa raajada xabadka, waxay ka caawisaa loo xaqiijiyo jiritaanka cudurada sida dareere syndrome ee saabka pleural, ama ay ka maqan. Tani inta badan fududeeyaa hawsha dhakhtarka ee ballanta daaweynta saxda ah. Radiographs si sax ah u dhigaya heerka dareeraha iyo mugga qiyaas, joogitaanka iyo maqnaanshaha of hawada.

Waxa kale oo loo baahan yahay si loo ogaado nooca effusion ah, iyo in ay dhamaadka this, dalool ah waxaa la sameeyaa. Ujeedada this, ka kooban dareeraha laga soo saabka pleural si ay u aqoonsadaan ratio ee cadadka protein, miisaan gaar ah, waxqabad ee dehydrogenase lactate. Fuliyaan dalagga on fangaska, bakteeriyada, bakteeriyada acid-degdeg ah. Dheecaanka waxaa laga yaabaa in dhiig, malax, serosa. Raasamaal ah ee dareeraha ah ee dhiigga lagu arkay dhaawacyada, bukaannada kansarka sanbabada myocardial la lug pleural. exudate carow ah ururayaa in wadnaha, iyo nabarrada - ka dib markii cudurrada faafa.

Waxaa sidoo kale waa hab wanaagsan loo arki sambabada iyo CT scan xabadka waxaa loo arkaa. Its faa'iido been in xaqiiqda ah in nidaamka kuu ogolaanaya in aad si sax ah loo ogaado xaddiga dareere sii daayay iyo sababta keentay xaalad this. Pulmonologists ku talinaynaa in ay qaataan CT scan a lixdii biloodba mar. Tani waxay u ogolaaneysaa aqoonsiga ee raasamaal dheecaan in saabka syndrome pleural.

daaweynta

Iyada oo raasamaal yar oo ah dheecaan lagu daweynayaa kaliya salka cudurka. Tiro badan oo effusion, gaar ahaan haddii ay dhirfinaya hinraagid u baahan dheecaan si loo baabi'iyo cudurkan. Inta badan dareeraha waa wax soo saarka via dalool ah, marka tuubada saabka pleural ama irbad yar. Sida caadiga ah, needling waxaa lagu fuliyaa ujeedooyin cudur-aqoonsiga, laakiin inta lagu guda jiro nidaam sida ay suurtagal tahay kor u lisidda in 1.5 litir effusion. More delete laguma talinayo, sida halista ah ee bararka pulmonary dhacaan.

In meesha laga saaro ururtay in qadar weyn oo ah dheecaan derbiga xabadka iyada oo ay tube waxaa soo bandhigay. Habkani waxaa lagu fuliyaa sida soo socota: ka dib dhakhtarka suuxdinta u qabata jeexay iyo durayo tuubo caag ah oo u dhexeeya labada daraf ee xabadka. Ka dib markii in, wuxuu ku xira in nidaamka bullaacadaha ah, taas oo aan u oggolayn hawada si aad u hesho galay saabka pleural. Isticmaalka khabiir gacanta X-ray qeexan tube rakibo saxda ah, tan iyo dheecaan suurtogal ma aha haddii kale.

Haddii dheecaanka in saabka pleural ururtay ay sabab u tahay cudurka qaaxada ama coccidioidomycosis, kiiskan, waxay u baahan tahay daaweyn muddo dheer oo la isticmaalayo antibiyootiko. Dheecaan fuliyaan adag hoos malax aadka u culus, ama marka ay tahay in buunshada "ka buuxdo", si xaaladda loo sixi karaa oo keliya iyadoo la fogeynayo qayb ka mid ah feeraha ee hordhaca ah ee tuubo dheecaan waaweyn. Marar dhif ah hawlgalka waxaa loo baahan yahay in meesha laga saaro lakabka sare ee pleura ah.

Buro Pleural sidoo kale keenaysaa in xaqiiqda ah in dareeraha bilaabaa inuu ku ururto saabka pleural. Daaweynta kiiskan waa wax dheer, sida ay noqon kartaa wax adag in la baabi'iyo exudate ah ay sabab u raasamaal degdeg ah. Timaado in dheecaan gargaarka iyo helidda daawooyinka anticancer. Si kastaba ha ahaatee, haddii hababka sida uma shaqeeyo, iyo dareere sii deyn inay ku ururto, karantiimada waxaa lagu fuliyaa saabka pleural. mugga oo dhan exudate laga saaro tuubada, ka dibna gelin therethrough ee saabka pleural irritant maamulo, sida Rusheyn kartaa ama xal doxycycline. Iyada oo ku heshaa sida ugu dhacdaa jointing labo lakab pleural, iyo meel xor ah oo raasamaal dareere lahayn.

Haddii saabka pleural dhiig baa ka buuxsamay, ilaa dhiig joojin, waa la fuliyay iyada oo loo marayo tube dheecaan taasoo sidoo kale loo isticmaalaa maamulka daawooyin dumin xinjiro dhiig. dhiig socda ama awood la'aanta in meesha laga saaro dheecaanka marinayo tuubo - muujinaya waayo qalliin.

dhibaatooyin

Ururtay in saabka pleural ah ee dareeraha, gaar ahaan xaddi badan, waxay keeni kartaa in dad badan oo la dhibaatooyin. Waxay noqon kartaa ba'an pulmonary la'aan, barar iyo caabuq ka soo jeedo sambabada, dhibaato beerka, wadnaha iyo xubnaha kale ee gudaha.

Tan iyo dareeraha kulul iyo Dhaacaanka ehelu leeyihiin itimaalka sare ah faafinta gudahood saabka caloosha, waa in la filayaa in dhibaatooyinka ka mareenka caloosha iyo mindhicirka. Noocan ah exudate ururtay aagga pleural waa qodob, inta badan in la dilo ama naafo helo qof. Tani waxay khusaysaa baahida loo qabo resection ganaca ama beeryarada.

dhibaatooyinka noocan oo kale ah ku dhici kara rag iyo dumarba da'da ah oo dhan, si daaweynta waa in la bilaabay sida ugu dhaqsaha badan iyo in la isticmaalo tallaabooyinka ka hortagga.

ka hortagga

Si looga fogaado dhacdo ee cudurrada keeni kara raasamaal ah ee dareeraha ah ee saabka pleural, waa in dhakhso loo daweyn. Haddii therapy antibiyootiko ah ama qaliin lagu guulaystay, dhaqaaqo tallaabooyin dheeraad ah. Tani waxay noqon kartaa diidmada ah caadooyinka xun, qaab nololeed caafimaad leh, qaadashada kaxeynayo vitamin iyo qaybaha qani ku ah daroogada waxtar leh.

tallaabooyin ka hortag ah waa in ka mid ah ixtiraamka dhaqdhaqaaqa jirka iyo cunto gaar ah. Waa in la wada baabbi'in si maalinle ah intii suurtogal ah, miraha iyo khudaarta xilliyeed, borotiinada dabiiciga ah, carbohydrates, dufanka, hilibka. Dhakhaatiirta ku talinaynaa in la sameeyo jimicsi maalin kasta, ka demayn iyo wax badan oo lug ah ku socdaan. Habkan ka hortagga cudurka in 100% wax ku ool ah.

gunaanad

Sidaas waxa haddii dareeraha la ogaado in saabka pleural? Sababta sida xaalad bahal waa horumarinta cudurka, inta badan ilaa xad halis ah. Xaaladaha qaarkood, cudurka baxday keeni kartaa dhimasho. U hubso in aad la tashato takhasus ah, kuwaas oo ka dib markii ay talaabooyin lagu ogaanayo u dooran doonaa daaweynta ku haboon iyo karti. Si looga hortago horumarinta ka hortagga cudurka waa in la raaco.