Empyema

Itseng empyema bakiloeng ke tubercle bacillus, liforomo nonspecific na strep, staph le
tsoakiloeng tlhaho. Empyema ka 'na etsahala ka lebaka la ho lesoba le
thunngoa ka sefubeng kapa ho boikatiso ea purulent baprocedure sefubeng 'me
bonolo.

Lisosa tsa sehlooho tsa lefu lena le ke cavities le cysts ka matšoafo ka
lihlahala, abscesses, serame sa matšoafo, osteomyelitis metshetshe. Haholo ka tlaase ho moo purulent pleurisy
E hlaha ka lebaka la appendicitis hlobaetsang, septicemia, tonsillitis. Ka lebaka leo,
lefuba methapo hlaha tuberculous pleurisy.

Hlobaetsang empyema ke complication e tebileng ea tshebetso intrathoracic haholo-holo ka ea metso le matšoafong. Hlobaetsang pleurisy nka likhoeli tse 2-3. matšoao a Empyema ke feberu, bohloko lehlakoreng, bokhutšoanyane phefumoloho. Lemoha moedi tsamaiso ya sefubeng nakong tshebetso hema.

Ho tlosa purulent accumulations tswa ho cavity mesothelioma, hangata isang atolosa ho tla leseling le ho ntlafatsa boemo ba mokuli. Mali setšoantšong le mocheso boetse maemong, hlaphoheloa se hlahile. Tabeng ea tšohanyetso le lekaneng kalafo ya empyema hlobaetsang ka 'na ba sa foleng. Ka bakuli bana, ea sefubeng fetoha nwela a bataletse 'me, narrowed sebaka intercostal, fokotswa ho ikoetlisa, ha nako e ntse, ntshetsa pele scoliosis. Ha nako e telele kalafo sa foleng ho ka etsa hore pelo le matšoafo hloleha, mokhathala, amyloidosis mele.

Lefu lena le e fumanoa ke electrocardiography, punctures, spirography, dithekeniki radionuclide. Thehiloeng and analysis ya data a fumana e fumanoa - empyema pleura. Kalafo o etsoang tsoa ka aspiration,
ke hore, le sebakeng seo ba purulent accumulations tswa cavity mesothelioma. Tabeng ea lekana
ho atleha ha ena empyema mokhoa tšoaroa ngaka e ka. ea bohlokoa
boleng o etsoang ho tsoa e tšoanang le antibacterial, detoxification le
tsosolosa phekolo. Bakuli ba lithibela-mafu, ho hema tsa boitlhakiso, phekolo Infusion le vithamine e ngata ea lijo.

Empyema hangata felisoa ka lebaka la phekolo aspiration. Fistulas folisa matšoafo butle-butle otlolloa. ho buoa ka o etsoa maemong a moo matšoafo jala mekhoa mekhoa e tloaetsoeng ke ke ha khoneha. opereishene e hape atlehe nakong ea ntshetsopele ya e abscess kapa cavity ka matšoafo kollabirovannom, mofuta o sa foleng oa lefu lena.

Empyema hape tšoaroa sebelisa intercostal thoracotomy le hlokolosi tlosa fibrin le boladu, ka makhetlo-khetlo ho hlatsoa ba cavity ka ditharollo sebolaya dikokwana-hloko le enzyme proteolytic. The drainage kamoreng e 'meli di input, lateloa ke koaloa. Tabeng ena ka lekhetlo la pele drainage kenya ditharollo antiseptics kapa lithibela-mafu, 'me ka bobeli dikahare kamehla aspirated ea cavity mesothelioma.

Phekola foromo ya pleurisy suppurative foleng ka feela finyelloa ka thuso ea ho buoa. Tshebetso sebetsang hantle ka ho fetisisa bakeng sa ho tlosa ka ho feletseng ea mokotla empyema, seo ho thoeng ke pleurectomy le decortication
bonolo. Mokhoa ona ntlafatsa mosebetsi ea matšoafo le itlhomme atolosa ho ea matšoafo ka.
Opereishene tabeng ena e ha se tsamaea le haholo sefubeng deformity.
Maemong a mangata, ho buuoa ho tlosa karaoke tren mesothelioma kopantswe le fapaneng
variants ea matšoafo resection. Ka linako tse ling, o ile a kenella e joalo e contraindicated e loketseng ho
haholo matšoafo maloetse, mafutsana kakaretso boemo ba mokuli, tse nyenyane
monyetla oa ho senoleha ka lebaka la ho fibrosis methapo. Maemong a joalo, e le oo tlhomelwa thoracoplasty.