Pali danga laling'ono pakati pa mkati ndi kunja kwa pleura mu chifuwa. Pamene phokoso lamadzimadzi limayamba kudziunjikira pamtima, pleurisy imapezeka. Pankhaniyi, timapepala timatenthedwa, ndipo nthawi zambiri timapangidwira.
Zifukwa zamadzimadzi zimagwiritsidwa ntchito podandaula
Pafupi nthawi zonse pleurisy ndi yachiwiri. Izi zikutanthauza kuti matendawa sali otsogolera, ndipo amawoneka kuti sakulimbana ndi vuto lina lalikulu. Kawirikawiri madzi amadzimadzi amasonkhanitsa pazifukwa zotsatilazi:
- kusokonezeka kwa sternum;
- edema wa mucosa, yomwe imawonekera pamene chithokomiro chikugwira ntchito;
- mtima;
- thromboembolism ya mitsempha ya pulmonary;
- chiwindi;
- Oncology (zonse muyambira komanso muyezo wa metastases);
- uremia;
- chifuwa chachikulu;
- Matenda a matenda opatsirana kapena opatsirana;
- kutupa kwa ziwalo zomwe zili mu retroperitoneal space;
- nodular periarteritis;
- melanoma.
Kawirikawiri, phokoso lamakono liyenera kudzazidwa ndi madzi, koma palipang'ono kwambiri m'derali. Pamene kutupa kuli pakati pa mapepala akhoza kusonkhanitsa mpaka mazana angapo olemera a exudate.
Zizindikiro za madzi omwe amasonkhanitsidwa mu pempho lachisomo
Njira yomwe pleurisy idzawonetsere imadalira, poyamba, chifukwa cha matendawa, ndipo kachiwiri, pa kuchuluka kwa madzi okwanira. Koma pali zizindikiro zambiri zofala za matenda. Zina mwa izo:
- kumverera kofooka kwamuyaya;
- ululu;
- chifuwa chouma - zotsatira za kupopera mitsempha yamadzi ndi madzi;
- Kutchedwa pallor kapena cyanosis khungu;
- mpweya wochepa;
- kuwonjezeka kwadzidzidzi kutentha (kuyang'ana pamene kutupa kumachitika);
- kutupa kwa mitsempha ya chiberekero;
- kupuma mofulumira.
Kuchiza kwa chikhalidwe mu kukhalapo kwa madzi muchisomo chofufuzira
Choyamba muyenera kudziwa chifukwa chake matendawa anayamba. Pambuyo pake, amayesetsa kuthetsa vutoli. Ngati muli ndi madzi pang'ono pokhapokha, mungagwiritse ntchito mankhwala:
- Mankhwala osokoneza bongo - Talc, Doxycycline ndi ma antibayotiki ena - sagwiritsidwa ntchito masiku ano. Akamachiritsidwa, amamwa mankhwala osokoneza bongo kudzera mu madzi osokoneza bongo.
- Cytostatics ndi othandiza kwambiri: Etoposide, Bleomycin, Cisplatinum.
- Immunotherapy ndilovomerezeka.
Ngati pali zakumwa zochuluka, mankhwala amodzi sangathe kuchita. Zikatero, mphika umachitidwa, ndipo exudate imachotsedwa.