Okuqukethwe
Incazelo jikelele yalesi sifo
I-Empyema yisifo lapho inani elikhulu lobofu ligxila phakathi kwesitho esingenalutho (esithasiselweni, i-renal pelvis noma i-gallbladder) noma emzimbeni womzimba (isibonelo yi-pleural empyema, articular empyema). Igama elithi "empyema" akufanele lididaniswe nethumba elithinta ukushuba kwesicubu futhi lilinganiselwe ulwelwesi. Nge-empyema, kungahle kube nezicubu ezithintekile ngaphansi kolwelwesi lwamafinyila, kuphela ngenkambo ebucayi futhi ende kakhulu yenqubo yokuvuvukala.
I-Empyema yanoma yiluphi uhlobo ivela ngezigaba ezintathu:
- 1 exudative - ukukhiqizwa nokuqoqwa kwenqwaba yamapayipi aqala;
- 2 fibrous-purulent - amafu anqwabelene emaphaketheni;
- 3 ukuhlela (okokugcina) - ukusikeka komgodi.
Njenganoma yisiphi isifo, i-empyema ingenzeka ku okungapheliyo futhi i-acute amafomu. Uma kushiywe kungalashwa, kungaba nezinkinga. Ekuqaleni, kwakhiwa ukunamathela nezicubu ezixhuma emgodini, okuholela ekuqineni kwawo, okungaholela ekuqedeni izitini zomgodi.
Impyema yesithasiselo I-appendicitis yemvelo e-acute purulent ibizwa ngokuthi, lapho ubomvu buqoqa emgodini owandisiwe kakhulu we-appendix, okwenza ukuvulwa kwawo kungahambeki. Ngemuva kwalokho, inqubo yokuvuvukala iqala ukuhambisa ikhava ye-peritoneum. Kulokhu, inqubo ye-cecum ivuvukale ngesimo se-flask. Izimpawu zifana ne-appendicitis - ubuhlungu kanye ne-colic esiswini, kulandelwa isicanucanu nokuhlanza, ulimi olomile kakhulu olunombala omhlophe, ukwanda kancane kwezinga lokushisa elizungeze ama-37,5-38 degrees. Esifundweni se-laboratory segazi, inani elikhulayo lama-leukocyte liyabonakala.
Impyema yomgodi wokuncenga - ubomvu buqoqa emgodini wokuncenga. Isithombe somtholampilo: umsindo othize lapho uthinta amaphaphu, umkhuhlane, ubuhlungu emaphashini, ukuphefumula okuncane, ukujuluka okwandayo. Izizathu zokubonakala kwe-purulent pleurisy (pleural empyema):
- ukulimala kwamaphaphu ngamagciwane e-coccal;
- izinkinga ngemuva kokuhlinzwa, ngemuva kwamanxeba nokuhlukumezeka esifubeni, ngemuva kokuphathwa yisifo sofuba noma i-pneumonia;
- izifo ze-oncological ku-sternum;
- ukutheleleka nge-lymph kanye negazi.
Empyema senyongo - ukuqoqwa kobomvu emgodini we-gallbladder, okuhambisana nobuhlungu obunzima ngaphansi kwesisu, endaweni yesibindi, enganikezwa ingalo, i-scapula. Kuboniswa ngendlela yokuhlasela kwe-cholecystitis eyingozi. Ngesikhathi esifanayo, izinga lokushisa likhuphuka libe ngama-39 degrees, linganciphisa kancane ngezikhathi ezithile. Izinhlungu nama-spasms aziyeki, ubukhulu besinye buyanda.
Ukudla okunempilo kwe-empyema
Ku-empyema, isisekelo sokwelashwa kokwelashwa yinhlangano yokudla okunempilo kwesiguli. Kungakhathaliseki ubunzima benkambo kanye nohlobo lwe-empyema, isiguli sidinga ukudla okwanele koketshezi, amaprotheni, ama-carbohydrate, amavithamini kanye nosawoti emzimbeni ngokusekelwe isisindo. Lokhu kuyadingeka ukuze kugcinwe ibhalansi evamile ye-metabolic kanye nosawoti wamanzi.
Uma kungenakwenzeka ukuthatha ukudla ngokwakho, kufanele kwethulwe ngamashubhu akhethekile. Kulokhu, izixazululo ze-glucose (10%) kanye ne-Ringer's, i-potassium chloride (2%), i-plasma, igazi, i-panangin (ikakhulukazi esetshenziselwa i-pleural empyema) ifaneleka ukudla okunomsoco.
Lapho empyema gallbladder Okuwusizo kuzoba imikhiqizo yokubhaka izolo, okusanhlamvu okuyizicucu, isobho semifino nezithelo, inyama nenhlanzi ebilisiwe noma ephekiwe, imikhiqizo yobisi, ama-decoctions (kusuka ezinqulwini ze-rose, i-hawthorn), itiye nekhofi eliphekwe kancane, isoso elimhlophe, i-dill ne-parsley, ungakwazi. engeza ushukela, uju kanye nojamu (uma isiguli sibekezelela ukusetshenziswa kwabo ngokujwayelekile).
Imithi yendabuko ye-empyema
Ukwelashwa nge-empyema, lapho uquqaba lwe-purulent lunqwabelana khona emigodini yezitho ze-peritoneal (isithasiselo, ishubhu le-fallopian, gallbladder), ludinga ukwelashwa okuhlinzekwayo kuphela. Uma kunengozi enkulu yokuphila ngesikhathi sokuhlinzwa, khona-ke uma kunesidingo se-pleura, kwenziwa ipayipi le-gallbladder, nge-empyema yejoyini, kusetshenziswa ukubhoboza futhi kuhlanjululwe ngesisombululo samagciwane.
Futhi, nge-purulent pleurisy, ukucindezela ngesinaphi kungenziwa ukuze kuqedwe ukukhwehlela. Ukuze kuqedwe ukuqoqwa kobomvu, i-massage isetshenziswa, eyenziwa ngezigaba ezine: ukunyakaza kokushaya, ukuxubha, ukufudumala nokunyakaza kokudlidliza.
Nge-empyema ye-gallbladder, njengenye indlela yokwelashwa, ungathatha isiraphu kusuka ku-beet, ama-decoctions we-tansy, i-celandine (izimbali), i-immortelle, i-wort yaseSt. amabhilikosi omisiwe ngesitimu. Ekupheleni kokwelashwa, ungangeza ingilazi yejusi lekhukhamba (ihluza i-bile kahle futhi inezici ze-analgesic).
Ukudla okuyingozi nokulimazayo kwe-empyema
- amaqebelengwane amasha, amakhekhe, amakhekhe, ophaya, ikhekhe le-puff ne-shortcrust khekhe izimpahla ezibhakiwe;
- inyama enamafutha, inhlanzi;
- ukudla okuthosiwe, okuthosiwe, okunosawoti, okubhemayo;
- zonke izinhlobo zamafutha, ikakhulukazi amafutha okupheka, amafutha we-trans (atholakala imajarini nokusakazeka okunokhilimu);
- amaswidi ezitolo;
- amakhowe;
- imifino esindayo nemifino ene-asidi ephezulu: okusanhlamvu, isithombo, i-horseradish, i-sorrel, isipinashi;
- utshwala, isoda;
- okroshka.
Yonke le mikhiqizo inomphumela onenzuzo ekukhuleni kwamabhaktheriya, ifaka isandla e-slagging yomzimba kanye nokungcoliswa kwegazi, okuphazamisa ukuphuma kwayo futhi kwandise ingozi yamagciwane angena ngegazi.
Qaphela!
Abaphathi abanacala nganoma yimuphi umzamo wokusebenzisa imininingwane oyinikiwe, futhi akuqinisekisi ukuthi ngeke ikulimaze wena uqobo. Izinto zokwakha azinakusetshenziselwa ukunquma ukwelashwa nokwenza ukuxilongwa. Njalo thintana nodokotela wakho onguchwepheshe!