Exudative kumburi: haddasawa, iri, sakamakon

Tare da kumburi wasu irin fadin duk da mu. Kuma idan shi ne tsanani siffofin, kamar ciwon huhu, ko colitis, mai aukuwa a kan musamman lokatai, irin qananan matsaloli kamar yanke ko wani karce - mai kowa sabon abu. Su yawa ba a kula. Amma har ma da mafi qananan raunin da zai iya sa exudative kumburi. A gaskiya, shi ne jihar da abin ya shafa yankin, inda ta tattara da takamaiman ruwa, sa'an nan seeps ta capillary ganuwar zahiri. Wannan tsari ne da wahala, dangane da dokoki na ruwa muhimmancin da kuma iya kai wa ga rikitarwa da cutar. A cikin wannan labarin, za mu bincika daki-daki, abin da sa exudative kumburi haddasawa. Nau'in (sakamakon ga kowane daga cikinsu akwai rashin) irin wannan kumburi tafiyar matakai ma la'akari da kuma lokaci guda bayyana, a kan abin da suka dogara, kamar yadda faruwa, wasu bukatar magani.

Kumburi - shi ne mugunta ko mai kyau?

Mutane da yawa za su ce, ba shakka, da kumburi - shi ne mugunta, saboda shi ne wani ɓangare na kusan duk wani ciwo ya kuma kawo wahalar 'yan adam. Amma a gaskiya, a cikin shakka daga juyin halitta a jikin mu ga shekara ya fizge up wani sunadaran da kumburi tafiyar matakai da suka taimake su tsira a lokacin da cutarwa effects, a magani kira samuwar kasashe. Suna iya zama da ƙwayoyin cuta, kwayoyin, wani fata raunuka, sunadarai (msl, poisons, gubobi), m muhalli dalilai. Kare mu daga mahaukaci aiki dukkan wadannan kasashe kawai bukatar ya exudative kumburi. Mene ne wannan? Ba tare da faruwa a cikin cikakken bayani, shi ne quite sauki don bayyana. Duk wani mai kara kuzari, ya samu a cikin jikin mutum, shi diyya da Kwayoyin. Wannan ake kira canji. Yana bada farkon na kumburi tsari. Its bayyanar cututtuka, dangane da irin kara kuzari da kuma wurin da aiwatar iya zama daban-daban. Daga cikin na kowa emit:

• tashi a cikin zafin jiki ko a cikin dukan jiki ko kawai a shafa yankin.
• kumburi da abin ya shafa part;
• zafi.
• redness ji rauni yankin.

Waɗannan su ne babban ãyõyi wanda daya zai iya fahimta cewa ya riga ya fara exudative kumburi. A hoto sama nuna bayyanuwar cututtuka - redness, kumburi.

A wani mataki na kumburi a cikin jini fara tara ruwa (exudate). A lõkacin da suka shiga ta hanyar da capillary ganuwar cikin intercellular sarari, exudative kumburi zama. A duban farko alama cewa wannan girma matsala. Amma a gaskiya, da fitarwa daga ruwa, ko, kamar yadda likitoci suka ce, exudation, kuma an da ake bukata. Godiya ta, daga capillaries cikin kyallen takarda samun wani muhimmin abu - immunoglobulins, kinins, jini enzymes, farin jini Kwayoyin, wanda nan da nan rush ga kumburi da hearth je can da kawar da irritants da waraka daga lalace yankunan.

Kan aiwatar da exudation

Bayanin abin da exudative kumburi, pathological haltta (da horo cewa karatu pathological tafiyar matakai) yana biya na musamman da hankali ga aiwatar da exudation, "m" na irin wannan kumburi. Ya kunshi matakai uku:

1. An canji. Ta gudu a cikin na musamman gudanar da mahadi - kumburi shiga tsakani (kinins, histamine, serotonin, da kuma sauran lymphokines). Su rinjayi microvascular gado ya fara fadada, kuma a sakamakon, ya karu permeability da jirgin ruwa katangu.
2. A fadi yankunan riverbeds jini ya kwarara fara motsa wuya. Akwai wani da ake kira yankin Flushing, cewa an, bi da bi, ya haddasa wani karuwa a jini (hydrodynamic) matsa lamba.
3. A karkashin matsin lamba na ruwa ta hanyar da ta ƙara microvessels mezhendotelialnye fasa da pores wani lokacin kai tubular masu girma dabam, nama exudate fara zuba. Barbashi da aka gyara sun koma zuwa tsakiyar kumburi.

iri exudates

More daidai kira ruwa exudate bayarwa daga tasoshin cikin wani nama, kuma wannan ruwa gudu a cikin rami, - effusion. Amma a magani sau da yawa wadannan biyu Concepts ake hada. Kumburi exudative irin ƙaddara da abun da ke ciki mugunya, wanda zai iya zama:

• serous.
• fibrotic.
• surkin jini.
• surkin jini.
• hemorrhagic.
• mucous.
• hiloznym.
• hilusopodobnym.
• psevdohileznym.
• wani cholesterol.
• neutrophilic.
• eosinophilic.
• lymphocytic.
• mononuclear.
• gauraye.

Bari mu bincika a cikin mafi daki-daki, ya fi na kowa iri exudative kumburi, ta haddasawa da kuma bayyanar cututtuka.

Form serous exudative kumburi

A cikin jikin mutum da peritoneum, pleura, pericardium rufi da serous membranes, don haka ya kira daga Latin kalmar "magani", wanda ke nufin "magani", saboda sun nuna da kuma sha ruwa, kama jini magani ko daga image. Serous membranes a cikin al'ada jihar na da santsi, kusan m, sosai na roba. Lokacin da exudative kumburi fara, suka zama m da kuma maras ban sha'awa, kuma serous exudate hali bayyana a cikin tsokoki da kuma gabobin. Yana gano sunadaran (2%), lymphocytes, leukocytes, epithelial Kwayoyin.

Sanadin exudative kumburi iya zama:

• rauni daga daban-daban etiologies (fata mutunci cuta, konewa, cizon kwari, frostbite).
• maye.
• kwayar kuma kwayan cututtuka (tarin fuka, meningitis, herpes, kaza pox, da dai sauransu).
• alerji.

Serous ruwa taimaka wajen cire gubobi daga kumburi mayar da hankali da kuma irritants. Tare da ta m siffofin akwai kuma korau. Saboda haka idan serous exudative kumburi bayyana a cikin huhu parenchyma, na iya ci gaba numfashi rashin cin nasara, a cikin pericardium - zuciya rashin cin nasara, a cikin meninges - busa na kwakwalwa, koda - koda insufficiency, a cikin fata a kasa da epidermis - peeling shi daga dermis da kuma samuwar serous blisters. A bayyanar cututtuka ga kowane cuta a kan kansa. Za a iya ware daga janar Yunƙurin a yawan zafin jiki da kuma zafi. Duk da sabõda matukar hatsari Pathology hangen nesa a mafi yawan lokuta m, a matsayin exudate da ake tunawa, da barin wani alama, kuma serous membranes an dawo dasu.

fibrotic kumburi

Kamar yadda muka gani a sama, da kowane irin exudative kumburi ƙaddara da abun da ke ciki na secretions, a lõkacin da suka samo asali daga microvessels. Saboda haka, fibrous exudate samu lokacin karkashin mataki na kumburi samuwar kasashe (rauni, kamuwa da cuta) suranta wani ƙara adadin fibrinogen gina jiki. Yadda aka saba, balagaggu da shi ya zama 2-4 g / l. A lalace nama ne mai abu tuba zuwa fibrin. Wannan ne ma mai gina jiki da cewa yana da wani fibrous tsarin da kuma shi ne tushen jini clots. Bugu da kari, akwai fibrous exudate leukocytes, macrophages, monocytes. A wani mataki, da kumburi tasowa necrosis na kyallen takarda shafi da kara kuzari. Su impregnated fibrous exudate, game da shi, kafa fibrous fim a kan su surface. Karkashin shi suna rayayye tasowa microbes da ya dagula mana da cutar. Dangane da fim, kuma a kan ta sarrafawa siffofin rarrabe croupous pseudomembrane kuma fibrous exudative kumburi. Pathological haltta bayyana su bambance-bambance:

1. Pseudomembrane kumburi zai iya faruwa a cikin wadanda gabobin, wanda aka rufe da Multi-mai lebur harsashi - a cikin makogwaro, mahaifa, farji, mafitsara, da narkewa kamar fili. Lokacin da wannan fibrous fim da aka kafa lokacin farin ciki, kamar yadda idan girma a cikin harsashi jikinsu. Saboda haka, yana da wuya a iya cire, da kuma bar ulcers. A tsawon lokaci, da suka warkar, amma scars iya zama. Akwai wani mugun - domin wannan fim microbes haifa mafi rayayye, don haka da cewa haƙuri ne high yawan guba kayayyakin na da harshen damo. Mafi shahara daga irin wannan cuta ne kumburi - diphtheria.
2. Croupous kumburi a kan mucous kafa jikin mai rufi monolayer harsashi: a cikin bronchi, da peritoneum, da trachea, pericardium. Kamar wancan shi samu bakin ciki fibrous film, sauƙi m, ba tare da gagarumin lahani mucous. Duk da haka, a wasu lokuta, shi zai iya sa tsanani matsaloli, kamar kumburi da trachea iya hana iska ya kwarara zuwa cikin huhu.

Exudative surkin jini kumburi

Wannan Pathology an lura lokacin da exudate ne ruɓaɓɓen jini - greenish-yellow danko sosai taro, a mafi yawan lokuta ciwon halayyar wari. Its abun da ke ciki shi ne kamar yadda haka: fari da maikacin jini, mafi yawan abin da aka hallaka, albumin, fibrin igiyoyin, enzymes na da ake dasu asalin, cholesterol, lipids, DNA, niƙaƙƙun gaɓãɓuwa, lecithin, globulins. Wadannan abubuwa samar surkin jini magani. Baya daga gare ta, da exudate ba a surkin jini detritus nama, rayuwa da kuma / ko degenerated kwayoyin surkin jini Kwayoyin. Surkin jini kumburi zai iya faruwa a kowane jiki. "Mãsu laifi" festering ne mafi sau da yawa pyogenic kwayoyin cuta (daban-daban cocci, Escherichia coli, Proteus), kazalika da Candida, Shigella, Salmonella, Brucella. Siffofin surkin jini exudative kumburi iya zama haka:

1. Ƙurji. Yana wakiltar wani hearth tare da wata tõshiya a kwantena hana ingress na ruɓaɓɓen jini a cikin kewaye kyallen takarda. A rami jam'iyya accumulates surkin jini exudate shigar akwai ta hanyar capillaries shãmaki kwantena.
2. Ƙurji. A wannan nau'i na hearth kumburi da hujjõji iyakoki da kuma surkin jini exudate bazuwa zuwa makwabciyar tsokoki da cavities. Wannan abin kwaikwaya za a iya lura a cikin subcutaneous yadudduka, misali, a adipose nama a cikin retroperitoneal da perirenal yankunan duk inda da morphological tsarin da nama damar da ruɓaɓɓen jini je bayan da mayar da hankali na kumburi.
3. Empyema. Wannan nau'i shi ne kama wani ƙurji da kuma lura a cikin cavities, kusa da akwai wani mayar da hankali na kumburi.

Idan ruɓaɓɓen jini ne ba da yawa degenerative neutrophils, neutrophilic exudate kira surkin jini. A general, rawar da neutrophils ne ya hallaka kwayoyin da fungi. Su ne jarumi masu gadi, da sosai farko jħfa a makiya da suka infiltrated cikin jikin mu. Saboda haka, a farko mataki na kumburi neutrophils mafi dukan, ta tsinke da exudate kira mikrognoynym. Kamar yadda da ci gaban da cutar farin jini Kwayoyin suna hallaka ne da ruɓaɓɓen jini, mafi yawansu sun degenerated.

Idan kumburi foci fada putrefactive kwayoyin (a mafi yawan lokuta anaerobic kwayoyin), surkin jini exudate jũya a cikin wani surkin jini. Shi yana da halayyar wari da kuma launi da kuma inganta harkokin da bazuwar na gangar jiki. Shi ne fraught tare da high maye na wani kwayoyin, kuma yana da talauci sosai sakamako.

Jiyya na surkin jini kumburi dogara ne a kan yin amfani da maganin rigakafi da kuma tabbatar da mugunya na outflow jam'iyya. Wani lokaci yana bukatar tiyata. Rigakafin wannan kumburi ne disinfection da raunuka. Jiyya da wannan cuta iya samun m sakamako a m jiyyar cutar sankara ne kawai yayin da m kau na Rotting, niƙaƙƙun gaɓãɓuwa.

hemorrhagic kumburi

A wasu matukar hatsari cututtuka kamar Anthrax, smallpox, annoba, mai guba mura kamu hemorrhagic exudative kumburi. A dalilai na shi ne kara da permeability na microvessels har su hawaye. A exudate yayin da mamaye ja da maikacin jini, sabõda haka, da launi dabam daga ruwan hoda zuwa duhu ja. A waje bayyanuwar hemorrhagic kumburi kama da hemorrhage, amma, sabanin karshen, a cikin exudate samu ba kawai erythrocytes amma kuma a kananan sulusi da murabba'i na neutrophils da macrophages. Jiyya na hemorrhagic exudative kumburi da ake sa bisa irin kwayoyin da ya kai ga da shi. A sakamakon cutar iya zama musamman unfavorable, idan far an fara marigayi, kuma idan haƙuri ta jiki ba ya da isasshen ƙarfi ga tsayayya da cutar.

catarrh

A musamman alama ce ta wannan cuta ne cewa exudate yayin da shi yana iya zama wani serous kuma surkin jini, da kuma hemorrhagic, amma ko da yaushe tare da gamsai. A irin haka ne, mucous mugunya da aka kafa. Ba kamar serous, shi ya bayyana more mucin antibacterial wakili lysozyme da immunoglobulin A aji. An kafa ga wadannan dalilai:

• kamuwa da cuta kwayar ko kwayan.
• effects a jiki sunadarai abubuwa, high yanayin zafi.
• disturbances a metabolism.
• rashin lafiyan halayen (msl rashin lafiyan rhinitis).

Catarrhal exudative kumburi kamu da mashako, catarrh, rhinitis, gastritis, catarrhal colitis, m na numfashi da ciwon ya kama, pharyngitis, da kuma na iya faruwa a m kuma na kullum siffofin. A cikin farko idan shi ne cikakken warke a 2-3 makonni. Na biyu, canje-canje a cikin mucosa - atrophy, a da harsashi zama sirara, ko hypertrophy, a cikin abin da, a akasin haka, da mucosa wãyi thickened da kuma iya protrude cikin jiki kogo.

Rawar da gamsai exudate ne ninki biyu. A daya hannun, yana taimaka yãƙi kamuwa da cuta, da kuma a kan wasu, ta jari a cikin cavities sakamakon a ƙarin pathological tafiyar matakai, kamar gamsai a cikin hanci sinuses inganta sinusitis.

Jiyya na exudative kumburi catarrhal gudanar da antibacterial kwayoyi, physiotherapy da gargajiya da hanyoyin kamar Warming up, kurkura tare da daban-daban mafita, ingestion na infusions da decoctions na ganye.

Exudative kumburi: da takamaiman halaye na exudative taya

Sama da aka ambata da kuma chylous psevdohilezny exudates bayyana tare da raunin da lymphatic tasoshin. Alal misali, a cikin ƙirjinka da shi zai iya zama a katsewa na thoracic bututu. Chylous exudate fari a launi saboda gaban cikinta, daga ƙãra yawa na kitse.

Psevdohilezny kuma yana da wata whitish ya dafa, amma mai ba fiye da 0,15% a cikinsa, amma akwai mucoid abu, da furotin da jikinsu, nukleina, lecithins. Ya lura da lipoid nephrosis.

White kuma hilusopodobny exudate, kawai ba shi launi rududdugaggu degenerated Kwayoyin. An kafa ta na kullum kumburi da serous membranes. Kogon ciki shi ne yanayin da hanta cirrhosis, pleural - a da tarin fuka, ciwon daji na pleura, syphilis.

Idan exudate da yawa lymphocytes (90%), shi ne ake kira lymphocytic. Yana tsaye a waje daga cikin tasoshin lokacin da pleural da tarin fuka. Idan m gaban cholesterol, da misalin shi ne ake kira mai cholesterol. Yana yana da wani lokacin farin ciki daidaito, yellowish ko brownish launi, da kuma za a iya kafa daga duk wani sauran ruwa exudative bayar cewa rami a wadda a kanta aka tara na dogon lokaci, shi ne reabsorption na ruwa da kuma ma'adinai barbashi.

Kamar yadda ka gani, akwai da yawa iri exudates, wanda kowannensu yana da halayyar da wasu irin exudative kumburi. Har ila yau, akwai lokuta inda a kowane daya cutar da ake bincikar lafiya gauraye exudative kumburi, kamar sero-fibrous ko seropurulent.

M kuma na kullum siffofin

Exudative kumburi zai iya faruwa a m ko na kullum form. A cikin farko idan shi ne wani take mayar da martani ga kara kuzari da kuma kara kuzari da aka tsara don kawar. A Sanadin wannan nau'i na kumburi tsari iya zama da yawa. Mafi na kowa:

• rauni.
• kamuwa da cuta.
• sinadaran da guba.
• rushewa daga wani gabobin da kuma tsarin.

Exudative m kumburi ne halin redness da kuma kumburi daga cikin jikkata yankin, zafi, da zazzaɓi. Wani lokaci, musamman saboda kamuwa da cuta a marasa lafiya tare da alama bayyanar cututtuka na autonomic cuta da kuma intoxications.

M kumburi daukan gwada da kankanen lokaci, da kuma idan far ne da za'ayi daidai, gaba daya warke.

Kullum exudative kumburi iya wuce shekaru. An wakilta wani surkin jini da kuma catarrhal iri kumburi. A lokaci guda tare da waraka tasowa nama, halakarwa. Ko da yake na kullum kumburi gafarar haƙuri wuya damu, shi ƙarshe iya kai wa ga ãr (cachexia), sclerotic canje-canje a cikin tasoshin, babu ja rushewa daga gabobin da kuma ko da samuwar siffofin maruran. Jiyya ne directed da farko don kula da gafarar lokaci. A wannan yanayin, shi ya dora muhimmanci a dace salon, rage cin abinci, ƙarfafa tsarin na rigakafi.