Cov qauv ntawm peb lub ntsws yog xav los ntawm qhov xwm txheej mus rau qhov nthuav dav tshaj plaws. Lub cev no tsis tso tseg nws txoj haujlwm thoob plaws lub neej, txhawb cov ntshav nrog oxygen thiab tshem tawm cov pa roj carbon dioxide. Tab sis, tib lub sij hawm, nws yog qhov yooj yim heev thiab tuaj yeem yooj yim kis kab mob los ntawm lwm yam kabmob. Feem ntau, raws li qhov tshwm sim ntawm qhov txhab, kab mob hu ua "pleurisy ntawm lub ntsws" tshwm sim. Nws yog dab tsi, yuav kho li cas, thiab qhov tshwm sim thiab cov tsos mob ntawm tus kab mob no yog dab tsi? Cov tshuaj tsoos tshuaj puas tuaj yeem pab kho tus kab mob no, thiab yog tias muaj, ua li cas?
pleura yog dab tsi thiab nws yog dab tsi?
Lub ntsws yog ib lub cev bilobed symmetrical nyob rau hauv lub hauv siab kab noj hniav. Nws yog them nrog ob txheej ntawm ib tug nyias tiv thaiv zaj duab xis - lub pleura. Ib tug ntawm lawv envelops lub ntsws nws tus kheej, tab sis lwm txoj kab peb lub hauv siab los ntawm sab hauv. Ib qho me me ntawm cov kua dej yog tsim los ntawm cov ntaub so ntswg, uas yog qhov tsim nyog kom cov nplooj ntawv pleural tsis rub tawm ib leeg lossis tawm tsam lub hauv siab kab noj hniav thaum lub sij hawm loj thiab contraction (inhalation thiab exhalation). ATFeem ntau, rau qhov ib txwm zawv zawg ntawm cov nplooj ntawv, 2 ml ntawm cov kua pleural yog txaus. Tab sis nws tshwm sim tias cov membranes ua rau mob, thiab ntau cov exudate (kua) yog tsim los ntawm lawv. Qhov no pathology hauv tshuaj yog hu ua pleurisy ntawm lub ntsws. Dab tsi yog nws thiab yuav kho li cas?
Vim li cas qhov no tshwm sim?
Qhov tseeb, pleurisy yog lub cev cov tshuaj tiv thaiv rau lwm yam kab mob, yog li nws yog qhov tseeb los hu nws cov tsos mob, tsis yog kab mob. Tag nrho cov yam ntxwv sib txawv tuaj yeem ua rau muaj kev kawm zoo li no: kev raug mob rau lub ntsws lossis tav, kis kab mob, oncological lossis lwm yam kab mob hauv lub cev. Pulmonary kab mob pleurisy nrog hypoxia, mob hauv lub ntsws. Txhawm rau sau ntawv kho mob, tus kws kho mob tshwj xeeb yuav tsum txiav txim siab seb hom kab mob twg nws nyob thiab vim li cas nws tshwm sim. Feem ntau ua rau muaj tus kab mob no yog cov kab mob sib kis uas ib tus neeg kis tau los ntawm kev tiv thaiv tsis muaj zog.
Ntawm cov kab mob muaj ntau hom:
- Specific - cov kab mob ua rau mob syphilis, tubercle bacillus, thiab lwm yam.
- Tsis yog tshwj xeeb - ua rau pleurisy ntawm lub ntsws: putrefactive thiab lwm yam kab mob, fungi lossis kab mob (staphylococci, pneumococci, streptococci thiab lwm yam).
- Purulent - faib los ntawm qhov hnyav. Tej zaum yuav tshwm sim vim cov ntaub so ntswg necrosis (cancer, leukemia, sarcoma thiab lwm yam kab mob loj).
Kev faib kab mob
Kab mob - pleurisy ntawm lub ntsws -kuj tuaj yeem tshwm sim vim lwm yam kab mob uas tsis cuam tshuam nrog cov kab mob sib kis. Cov no yog mob caj dab, plab zom mov, teeb meem plawv lossis teeb meem gynecological.
Raws li qhov xwm txheej ntawm qhov txhab, pleurisy tau muab faib ua:
- escudative - kua yog tsim thiab khaws cia ntawm cov txheej txheem ntawm pleura;
- fibrous - kua dej tso tawm tsis zoo, tab sis qhov chaw ntawm phab ntsa pleural yog npog nrog txheej ntawm fibrin (protein).
Pleurisy kuj tau muab faib raws li qhov kev faib tawm. Nws tuaj yeem cuam tshuam tsuas yog ib lub ntsws lossis ob lub lobes (unilateral thiab ob sab).
Symptomatics
Raws li kev sau ntawm anamnesis thiab tag nrho cov kev ntsuas cuam tshuam, tus kws kho mob kuaj pom - pleurisy ntawm lub ntsws. Cov tsos mob thiab kev kho mob uas yuav tsum tau muab yog ze ze. Txhua daim ntawv ntawm pleurisy yog kho nrog cov tshuaj tshwj xeeb thiab yuav tsum tau phais.
Cov tsos mob tseem ceeb:
- Mob thaum nqus tau rau sab uas lub ntsws cuam tshuam. Nws ua rau hnoos qhuav thiab tuaj yeem ua rau lub plawv, plab.
- ua pa nyuaj, mob thaum nqos, mob hiccups.
- Tus neeg mob yuav hnov zoo li nruj hauv lub ntsws.
- Kev mob hnoos qhuav thiab ua tsis taus pa.
- Kab mob, kub cev, tsis qab los noj mov, mob taub hau yog cov tsos mob ntawm kev lom lub cev nrog co toxins nyob rau hauv lub pleural kab noj hniav.
- Tus neeg mob daim tawv nqaij ua cyanotic. Venous leeg nyob rau hauv lub caj dabnce, mem tes nrawm.
- Tej zaum yuav muaj qhov o ntawm thaj tsam ntawm cov kua dej sib xyaw (hauv qhov chaw nruab nrab).
Diagnosis
Muaj ntau cov txheej txheem pathological uas zoo sib xws hauv lawv cov tsos mob rau tus kab mob xws li pleurisy ntawm lub ntsws. Nws yog dab tsi, tus kws kho mob yuav tsum txiav txim siab. Thaum kuaj, tus neeg mob raug xa mus kuaj x-ray thiab pleural puncture los sau thiab tshuaj xyuas cov kua dej. Ultrasound, ECG, CT nrog tus neeg sawv cev sib txawv kuj tuaj yeem ua tau. Kev kuaj ntshav rau bacteriology thiab histology tab tom ua.
Kev kho mob
Yog tias koj tau kuaj pom tias "pleurisy ntawm lub ntsws", nws yog dab tsi, yuav kho tus kab mob li cas - tus kws kho mob tuaj koom yuav piav qhia. Cov txheej txheem inflammatory hauv cheeb tsam pleural yog vim li cas rau kev mus pw hauv tsev kho mob. Tus neeg mob tau muab tshuaj ua kom tiav lossis ib nrab so. Cov kab mob zoo li no yog tshwm sim los ntawm lwm tus kab mob thawj zaug, vim tias pleurisy tau kho cov tsos mob, tab sis kev kho mob tseem ceeb twb tau npaj rau kev tshem tawm cov hauv paus hauv paus ntawm kev kuaj mob ntawm "pulmonary pleurisy". Cov tsos mob thiab kev kho mob zoo sib xws. Tus neeg mob yuav xav tau pleural punctures los yog kua dej ntawm qhov chaw pleural. Qhov no yuav tso cai rau koj tso tawm cov kua dej, yaug cov kab noj hniav nrog cov tshuaj tua kab mob thiab xyuas kom cov kua paug tawm. Tsis tas li ntawd, cov tshuaj immunostimulating, tshuaj tua kab mob, tshuaj tiv thaiv kab mob thiab cov vitamins. Yog tias tus neeg mob hnoos qhuav qhuav, lub hauv siab tau muab qhwv thiab muab tshuaj tua kab mob. Feem ntau, cov kws kho mob muab kev pom zoo rau kev kuaj mob."pleurisy ntawm lub ntsws". Nws yog dab tsi, yuav kho li cas - paub zoo tshuaj. Wb saib nws yuav pab tau li cas.
tshuaj ntsuab
tshuaj ntsuab yog siv hauv tsev kho mob ntau zaus thiab ua tau zoo. Ntau tus nqi tau muab tso ua ke rau hauv tus account anti-inflammatory, expectorant thiab tshuaj tiv thaiv kab mob. Tab sis nws yuav tsum tau borne nyob rau hauv lub siab hais tias pleurisy yog ib tug loj thiab complex kab mob uas yuav kho tsis tau tsuas yog nrog tshuaj ntsuab. Tus kab mob purulent tuaj yeem ua rau tuag taus thiab yuav tsum tau kho tshwj xeeb hauv kev saib xyuas ntawm tus kws kho mob tshwj xeeb. Tab sis ua ke nrog cov kws kho mob, cov tshuaj hauv tsev muaj peev xwm pab kho pleurisy ntawm lub ntsws. Nws yog dab tsi, yuav ua li cas kho pej xeem tshuaj? Nov yog qee cov lus qhia.
- Aloe, zib ntab thiab cov rog rog tau ua pov thawj lawv tus kheej zoo heev hauv kev kho cov kab mob ua pa. Noj ib khob ntawm zib mu thiab badger rog, ntxiv 300 g ntawm crushed aloe nplooj rau lawv. Sib tov thiab xa rau 15 feeb hauv qhov cub. Lim cov muaj pes tsawg leeg, thiab noj ib tablespoon ua ntej noj mov.
- Radish nrog zib mu - qhov no yog li cas peb cov yawg koob tau kho. Siv ib tug loj dub radish, txiav tawm tus Tsov tus tw nrog "lub hau", txiav lub cores ntawm cov cag qoob loo kom nws zoo li lub tais. Ncuav zib mu rau hauv nws, kaw "lub hau" thiab tawm mus rau brew ib hmos. Noj ib tablespoon ua ntej noj mov. Tib txoj kev kho mob zoo rau cov me nyuam mob khaub thuas.
- Cov tshuaj no pab tau zoo nrog fibrouskab mob. Noj 2 khob ntawm dawb wine, ntxiv ½ khob ntawm zib mu thiab 300 g ntawm minced dos. Sib tov thiab infuse nyob rau hauv ib qho chaw tsaus rau ib lub lim tiam. Koj yuav tsum noj cov tshuaj ua ntej noj ib tablespoon.
- Nrog escudative pleurisy: npaj ib decoction ntawm txiv qaub paj thiab birch buds. Ncuav 2 khob dej npau nrog 100 g ntawm linden thiab 75 g ntawm lub raum, boil rau li 20 feeb. Cia txias. Tom qab ntawd lim thiab ntxiv rau nws 100 g ntawm aloe kua txiv thiab zib mu. Ua kom sov dua, txias thiab ncuav me ntsis zaub roj. Haus 2 tablespoons ua ntej noj mov.
Nrog pleurisy, decoctions ntawm tshuaj ntsuab pab zoo: linden, cudweed, coltsfoot, mountaineer, plantain, St. John's wort, licorice paus thiab elecampane, willow bark, fennel txiv hmab txiv ntoo. Koj tuaj yeem brew cov khoom plig ntawm ntuj thiab haus es tsis txhob tshuaj yej nrog zib mu.
Kev nyuaj siab
Dab tsi yog qhov txaus ntshai pleurisy ntawm lub ntsws thiab yuav kho li cas kom raug? Qhov tseem ceeb tshaj plaws yog nrhiav kev pab raws sijhawm thiab ua raws li cov lus pom zoo ntawm tus kws tshaj lij. Tsuas yog ib tus kws kho mob tuaj yeem sau cov kev kho mob kom raug thiab ua tau zoo, tab sis kev kho mob tsis zoo tuaj yeem ua rau muaj ntau yam teeb meem. Ntawm lawv - tsim ntawm adhesions, vim li ntawd - ua pa tsis ua haujlwm. Kev kho mob tsis tu ncua tuaj yeem ua rau qaug zog ntawm lub cev. Purulent kis kab mob pleurisy tshwj xeeb tshaj yog txaus ntshai. Purulent formations yuav xav tau kev phais tshem tawm. Cov kws kho mob muab cov kev mob tshwm sim zoo nrog kev kho kom raug thiab raws sijhawm. Cov teeb meem nyuaj tshaj plaws suav nrog kev tshwm sim oncological thiab necrosis ntawm lub ntsws.
Tsis taumob
Raws li kev txheeb cais, txhua feem kaum ntawm peb txhua xyoo raug mob los ntawm cov kab mob xws li pleurisy ntawm lub ntsws. Nws yog dab tsi, tam sim no koj paub, nws tsuas yog yuav tsum nco ntsoov ob peb txoj cai yooj yim uas yuav pab tiv thaiv kev txhim kho ntawm qhov teeb meem no.
- Nco ntsoov nrhiav kev kho mob raws sijhawm yog tias koj tsis xis nyob. Ib qho mob khaub thuas tuaj yeem hloov mus ua pleurisy.
- Ua raws li cov cai ntawm kev nyiam huv, ua raws li kev noj zaub mov kom puv sijhawm. Thaum lub caij txias, suav nrog cov vitamins hauv koj cov zaub mov. Kev tiv thaiv muaj zog yog tus yuam sij rau kev noj qab haus huv.
- Txhais tus cwj pwm phem - kev haus luam yeeb yuav tsis txhim kho koj lub ntsws lossis lub ntsws.
- Tsis txhob ua haujlwm dhau ntawm koj tus kheej, tsaug zog txaus thiab ua tus cwj pwm zoo ntawm kev khiav thaum sawv ntxov lossis ua gymnastics.
Nco ntsoov tias pleurisy yog qhov tshwm sim ntawm lwm tus kab mob. Tsis txhob tso tseg kev kho mob ib nrab vim kev tub nkeeg lossis tsis muaj sijhawm, thiab sim ua kom tsis txhob muaj xwm txheej uas tuaj yeem ua rau muaj tus kabmob. Tsuas yog tus cwj pwm rhiab rau koj tus kheej thiab koj cov neeg koj hlub xwb thiaj yuav pab tau koj noj qab haus huv mus txog thaum muaj hnub nyoog.
