Mumura Exudative: take, momo, ngā putanga

Ki te mumura o etahi ahua puta noa te katoa o tatou. A, ki te he te reira puka nui, pērā i kakā colitis ranei, pono i runga i ngā wā motuhake, taua raru iti rite te tapahia te wahanga ranei - he āhuatanga noa. Ratou maha e kore e whakarongo. Otiia ara nga wharanga tino iti ka taea e meinga mumura exudative. I roto i te meka, ko reira te āhua o te wāhi kua pā, i reira kohia ai te inu motuhake, a ka seeps roto taiepa capillary waho. Ko te tino uaua tenei tukanga, e hāngai ana i runga i nga ture o akiakinga inu, me te taea ki te arahi ki fifi o te mate. I roto i tenei tuhinga, ka tātari matou i roto i te taipitopito aha meinga take mumura exudative. Types (putanga mo ia o ratou he takarepa) whakaaro tenei ahua o ngā tukanga inflammatory ano me te wā kotahi whakamārama, i runga i nei whakawhirinaki ratou, rite puta, e rapu etahi maimoatanga.

Mumura - he reira kino pai ranei?

He tokomaha e mea e, o te akoranga, te mumura - he kino, no te mea he reira he wāhi o tata tetahi mate, me te hopoi mai mauiui o te taata. Otiia i roto i te meka, i roto i te akoranga o te kukuwhatanga matou tinana mo tau kumea ana ake e ia he tikanga o ngā tukanga inflammatory e āwhina i ratou ki te ora, no te pānga kino, i roto i te rongoā i huaina whakaohooho. Ka taea e ratou hei wheori, huakita, tetahi patunga kiri, matū (hei tauira, paihana, tāoke), āhuatanga taiao kino. Tiakina tatou i te mahi rerekē o enei whakaohooho katoa tika hiahia ki te mumura exudative. He aha te mea te reira? Te kore te haere ki kōrero, he reira tino ohie ki te whakamārama. ka ka Tetahi faaitoitoraa, ki te tinana tangata, te reira pakaru nga pūtau. huaina ana tēnei ko te whakarerekētanga. E horo'a te reira i te tīmatanga o te tukanga inflammatory. Ko tōna tohu, i runga i te momo o te whakahihiko, me te wahi o tona whakatinanatanga rānei kia rerekē. I roto i te emit noa:

• ara i roto i te pāmahana ranei i roto i te tinana katoa, ranei anake i roto i te wāhi kua pā;
• huamo o te wahi i pangia;
• mamae;
• whero whara rohe.

Ko nga tohu matua i e taea tetahi matau e kua timata kē mumura exudative enei. whakaatu i runga i te whakaahua te faaiteraa o tohu - whero, ngawhatanga.

I etahi wā o mumura i roto i nga oko toto tīmata ki te whakaemi inu (exudate). A, no te tomo ratou i roto i nga taiepa capillary ki te wāhi intercellular, riro mumura exudative. I mawhiti tuatahi te mea te reira e tenei raruraru e tipu. Otiia i roto i te meka, te putanga o te inu, ranei, rite taote mea, exudation, kua hiahiatia hoki. Ngā mihi ki a ia, i te tōiti ki te kopa whiwhi he mea tino nui - immunoglobulins, kinins, whākōkī wē, ma pūtau toto, e rere tonu ki te mumura o te takuahi ki te haere ki reira te whakakorenga o nanamu me whakaora o ngā wāhi pakaru.

Ko te tukanga o te exudation

Whakamārama he aha te mumura exudative, anatomy pathological (te ako e Akoranga tukanga pathological) utu tokanga makehe ki te tukanga o te exudation, "kaiwero" o tenei momo o te mumura. Kei a ia ko e toru ngā wāhanga:

1. He whakarerekētanga. rere ia i roto i te pūhui matū waro motuhake - kaitakawaenga inflammatory (kinins, histamine, serotonin, me ētahi atu lymphokines). I raro i to ratou microvascular mana timata moenga ki te whakawhānui, me te rite ki te hua, nui haere uruhanga o nga taiepa oko.
2. I roto i ngā wāhi whānui awa timata rere toto ki te neke uaua. He ko pera-ka karanga te Makere, ko, i roto i te tahuri, kua arahina e ki te hua i roto i te oko pēhanga (hydrodynamic) toto.
3. I raro i te pēhanga o te wai i roto i nga microvessels nui haere mezhendotelialnye kapiti me kōputaputa ētahi wā i uru rahi tubular, ka anga kiko exudate ki turuturu. Kua oho matūriki o ona wāhanga ki te pokapū o te mumura.

momo o exudates

More tika i huaina exudate wai tuku i oko ki te kiko, me te oranga i te inu ano ki te kōhao, - effusion. Otiia i roto i te rongoa maha e ngā enei ariā e rua. Mumura momo exudative whakaritea e te secretion hanganga, e ai kia:

• serous;
• fibrotic;
• purulent;
• e pirau;
• hemorrhagic;
• mucous;
• hiloznym;
• hilusopodobnym;
• psevdohileznym;
• he cholesterol;
• neutrophilic;
• eosinophilic;
• lymphocytic;
• mononuclear;
• whakauru.

Kia whai whakaaro ano tatou i roto i te kōrero atu i te momo tino noa o te mumura exudative, ona take me tohu.

Puka mumura exudative serous

I roto i te tinana tangata te peritoneum, kiripūkahu, pericardium pani ki kiriuhi serous, pera ka karanga i te Latino kupu "serum", e te tikanga "serum" no te mea ratou hua ka mimiti inu, Ahakoa toto serum i te whakapakoko ranei. kiriuhi Serous i roto i te āhua noa o maheni, tata mārama, rawa rapa. A, no te haamata mumura exudative, hei ratou taratara, me te puhoi, ka puta pūāhua exudate serous i roto i te kopa, i nga okana. kitea te reira i pūmua (2%), lymphocytes, leukocytes, pūtau epithelial.

Take o te mumura exudative taea e:

• whētuki o ngā etiologies (disorders tapatahi kiri, weranga, ngau pepeke, hukapuri);
• haurangi;
• mate viral me kitakita (mate kohi, meningitis, herpes, koroputa, me ētahi atu);
• mate pāwera.

tauturu inu Serous ki te tango tāoke i te arotahi inflammatory me nanamu. Āpiti atu ki ona āhuatanga pai i reira e kino ano. Na, ki te puta serous mumura exudative i roto i te parenchyma pūkahukahu, kia whakawhanake kore romahā, i roto i te pericardium - kore ngakau, i roto i te meninges - huamo o te roro, tākihi - iti hoki tākihi, i roto i te kiri i raro i te kiriwaho - tihorenga reira i te kiri, me te hanganga o opupu serous. Ko te tohu hoki i ia mate i runga i to koutou ake. Ka taea te tawhiti i te ara whānui i roto i te pāmahana me te mamae. Ahakoa te koi waitohunga māuiuitanga rawa mōrearea i roto i nuinga o te wā pai, kia rite ki horomia te exudate te, mahue kahore wahi, me kiriuhi serous e ora ake.

mumura fibrotic

Ka rite ki tuhia i runga ake, nga mea katoa o te mumura exudative whakaritea e te hanganga o te secretions, ka tipu ratou i te microvessels. Ko te kupu, whiwhi exudate kaiota ka raro i te mahi o whakaohooho inflammatory (whētuki, mate) hanga he nui nui haere o pūwētoto pūmua. Tikanga, te pakeke kia waiho reira 2-4 g / l. Ko te kikokiko pakaru ko te taonga tahuri ki pūtōtepe. Ko te hoki tenei he pūmua e kua he hanganga kaiota te, me te ko te pūtake o clots toto. I tua atu, i reira e kaiota exudate leukocytes, macrophages, monocytes. I etahi wā, whakawhanake te mumura necrosis o nga kopa pāngia e te faaitoitoraa. Ka moe ratou exudate kaiota, reira hanga he kiriata kaiota i runga i to ratou mata. I raro i kaha E whakawhanake reira papapūata e fakafaingata'a'ia'i te akoranga o te mate. Tei runga i te kiriata, me te i runga i ona āhuatanga localization wehewehe pseudomembrane croupous me kaiota mumura exudative. whakaahua ana anatomy pathological ratou rerekētanga:

1. Ka taea e mumura Pseudomembrane puta i roto i aua whekau, e kua hipoki ki te anga maha-paparanga - i roto i te korokoro, kōpū, tara, tōngāmimi, wahi kūnatu. A, no te hanga e tenei kiriata kaiota te matotoru, me te mea tupu ki te tinana anga. Na reira, he uaua ki te kia nekehia atu te reira, ka rau i muri mariao. Neke atu i te wa, whakaora ratou, engari ka taea e noho pokapoka. He he tetahi kino - hoki uri tenei papapūata kiriata atu kaha, kia ai te manawanui ko hua tāoke nui o ratou mahi faufaa. Ko te rongonui tino o tenei momo o te mate, ko te mumura - diphtheria.
2. mumura Croupous i runga i tinana i hanga mucous pani anga monolayer: i roto i te bronchi, te peritoneum, te pukorokoro, pericardium. Ko te kupu whiwhi reira kiriata kaiota kikokore, ngāwari tango, kahore tino hē mucous. Heoi, i roto i ētahi wā, ka taea e meinga reira raruraru nui, pērā i te mumura o te pukorokoro taea kati rere o te hau ki te pūkahukahu.

mumura purulent Exudative

kitea ana tēnei māuiuitanga te ka exudate he pirau - puwhero-kōwhai papatipu Kaore, i roto i nuinga o te wā he kakara āhuatanga. Ko āhua Ko tōna hanganga e whai ake: pūtau ma toto, te nuinga o nei e ngaro, albumin, whenu pūtōtepe, whākōkī o te take mai koiora, cholesterol, lipids, whatiwhatinga DNA, te lecithin, globulins. Ēnei matū hanga purulent serum. I tua atu i reira, te exudate hakari i roto i purulent detritus kiko, ora me te / ranei degenerated microorganisms pūtau purulent. Ka taea e purulent mumura puta i roto i tetahi tinana. He tino maha "pūhia" pukupuku e tupu huakita pyogenic (ngā cocci, Escherichia coli, Proteus), me te Candida, Shigella, Salmonella, Brucella. Ka taea e Puka purulent exudative mumura kia pera:

1. Whēwhē. tohu te reira i te takuahi ki te capsule arai ārai tomo ki o pirau i roto i nga kopa e karapoti ana. Ko te ruma kōhao piki purulent exudate tomo i reira i roto i tōiti arai capsule.
2. Whēwhē. I roto i tenei ahua o te mumura kanga i rohe mārama me horahia purulent exudate ki tata kopa me kōwhao. Ka taea te kitea i tēnei tauira i roto i te papa subcutaneous, hei tauira, i roto i te kiko adipose i roto i te retroperitoneal me ngā wāhi perirenal nga wahi katoa te hanganga morphological o te kikokiko taea te pirau ki te haere ki tua atu i te arotahi o te mumura.
3. Empyema. Ko te rite ki te whēwhē, ka kitea i roto i nga kōwhao, muri ki nei i reira ko te aronga o te mumura tenei puka.

Ki te pirau he reira maha neutrophils degenerative, ka karanga exudate neutrophilic purulent. I roto i te whānui, i te tūranga o neutrophils ko ki te whakangaro huakita me te harore. Ko ratou kaitiaki toa, te taunga rawa tuatahi i hoariri nei i infiltrated ki to tatou tinana. Na reira, i te wāhanga tuatahi o neutrophils mumura tino katoa, ore me te exudate huaina mikrognoynym. Ka rite ki te ahunga whakamua o te mate ma pūtau toto e ngaro me te pirau i degenerated te nuinga o ratou.

Ki te hinga te aronga inflammatory microorganisms putrefactive (i roto i nuinga o te wā huakita anaerobic), tahuri purulent exudate ki te pirau. He he kakara āhuatanga, me te tae, me te whakatairanga i te whāwehe o kiko. he mahi wehe, ki te haurangi tiketike o te kaiao reira me kua he putanga rawa rawakore.

hāngai ana maimoatanga o te purulent mumura te i runga i te whakamahi o paturopi, me te whakarite secretion o te ruma matamua. I te tahi taime e titau te reira pokanga. Prevention o taua mumura ko te disinfection o patunga. Maimoatanga o tenei mate i taea e whai i te putanga pai i roto i te hahau kaha anake i te tango hāparapara o pirau whatiwhatinga i.

mumura hemorrhagic

I roto i te tahi mau mate tino kino pērā i Anthrax, koroputaputa, whiu, paitini rewharewha pāngia hemorrhagic mumura exudative. Ko te take o taua mea ko te whakapiki ake i te uruhanga o microvessels noa ratou roimata. Ko te exudate i te nuinga e ngā pūtau toto whero, kia e rerekē tona kara i māwhero ki whero pouri. Ko te faaiteraa waho o te mumura hemorrhagic rite ki te toto, engari, i rite ki te muri, i roto i te exudate kitea erythrocytes kore anake te hautanga iti o neutrophils ki macrophages engari ano hoki. whakaritea maimoatanga o te hemorrhagic mumura exudative te hāngai i runga i te momo o microorganisms e arahina ki reira. Ko te putanga o te mate e taea e tino kino, ki te tīmata te therapy te mutunga me te mea kahore e whai nui te kaha ki te pato'ii te mate tinana o te manawanui.

Tuhinga

He āhuatanga motuhake o tenei mate ko taua exudate ia kia waiho ai hei serous me purulent, me hemorrhagic, engari i nga wa katoa ki te hūpē. I roto i ngā take pēnei, i hanga te secretion mucous te. Rerekē serous, heheu te reira atu mucin lysozyme kaihoko antibacterial me immunoglobulin te piha haapiiraa. Kei te hanga e te reira i mo te take e whai ake nei:

• mate viral huakita ranei;
• pānga i runga i te matū matū tinana, pāmahana teitei;
• raruraru i roto i te ka pākia;
• mate pāwera (hei tauira Rhinitis mate pāwera).

Catarrhal mumura exudative pāngia ki Bronchitis, Tuhinga, Rhinitis, gastritis, catarrhal colitis, whakapeka mate romahā, pharyngitis, a kia puta i roto i ngā puka whakapeka, me te ma'i. I roto i te take tuatahi kei te tino ora te reira i roto i te 2-3 wiki. Tuarua, huringa i roto i te mucosa - atrophy, i nei riro te anga kikokore, hypertrophy ranei, i roto i nei, i runga i te anga ke, e tau thickened te mucosa me taea protrude ki kōhao tinana.

Ko te tūranga o te hūpē exudate he piti. I runga i te ringa kotahi, e tauturu te reira te whawhai mate, a ki runga ki te tahi atu, tona haaputuraa i roto i te hua kōwhao i roto i atu tukanga pathological, pērā i hūpē i roto i te sinuses nasal whakatairanga pakohu kakā.

Maimoatanga o exudative catarrhal mumura whakahaere taero antibacterial, i tua me ngā tikanga tuku iho pērā i painaina ana ake, horoia atu ki te rongoā rerekē, te ingestion o infusions me decoctions o otaota.

mumura Exudative: te āhuatanga motuhake o wai exudative

I runga whakahuatia me exudates psevdohilezny chylous putanga ki injuries oko lymphatic. Hei tauira, i roto i te uma i taea e te reira i whaturama o te tau mahani rei. exudate Chylous ma i roto i te tae e tika ana ki te aroaro reira o nui haere moni o te ngako.

Psevdohilezny hoki kua he hue te repa, engari ngako he kore neke atu i 0.15% i roto i reira, engari i reira taonga mucoid, tinana pūmua, nukleina, lecithins. kite ia i te nephrosis lipoid.

White me hilusopodobny exudate, tika hoatu reira nofo tae ngā pūtau degenerated. Kei te hanga e te reira na roto i te mumura ma'i o te kiriuhi serous. Ko te kōhao puku ko te take ki te ate cirrhosis, pleural - i roto i te mate kohi, mate pukupuku o te kiripūkahu, pakewakewa.

Ki te te exudate maha rawa lymphocytes (90%), e karangatia ana ko lymphocytic. tu te reira i roto i te oko, ina te mate kohi pleural. Ki te te aroaro ngaro o te cholesterol, i te faaauraa i huaina ai ko te cholesterol. He he ōritetanga matotoru, tae kowhai hāurakaho ranei, a kia whai ahua i tetahi atu exudative wai whakaratohia e te kōhao i roto i nei te putu reira mo te wa roa, ko te reabsorption o te wai me te kohuke matūriki.

Ka rite ki a koutou e taea te kite, i reira e maha ngā momo o exudates, ia o nei te mea ulungāanga o te tetahi momo o te mumura exudative. Ano, i reira he take i reira i tetahi mate kotahi pāngia te whakauru mumura exudative, pērā i sero-kaiota seropurulent ranei.

puka tāhapa, me te ma'i

Ka taea e mumura Exudative puta i roto i te puka whakapeka ma'i ranei. I roto i te take tuatahi ko reira he whakautu tonu ki te faaitoitoraa, a hangaia te faaitoitoraa e ki te whakakore. pea te take o tenei ahua o te tukanga inflammatory te rota. Ko te tino noa:

• whara;
• mate;
• paihana matū;
• rangirua o tetahi okana me ngā pūnaha.

āhuatanga Exudative Koi mumura e whero me te ngawhatanga o te whara rohe, mamae, kirika. I te tahi taime, rawa e tika ana ki te mate i roto i te tūroro ki tohumate tohua o disorders autonomic me intoxications.

e mumura whakapeka te wa āhua poto, me te mea kawea therapy te i roto i tika, tino ora.

Ma'i mumura exudative taea muri mō tau. Kei te māngai reira e te purulent me catarrhal momo o mumura. I te wa ano ki te whakaora whakawhanake whakangaromanga kiko. Ahakoa whakauaua mumura ma'i murunga manawanui āwangawanga, te reira pae hopea e taea arahi ki te kēkeno (cachexia), huringa sclerotic i nga oko, tauwhatinga tina heke o whekau, me te ara te hanganga o te pukupuku. whakahaua Treatment te matua ki te mau tonu wāhanga murunga. I roto i tenei take, piri reira faufaa nui ki te āhua noho tika, kai, whakakaha i te pūnaha ārai mate.