The symptoms and treatment of pleurisy person
Pleurisy treatment which is required to conduct comprehensive, is tailored to the individual patient. To determine the techniques used during treatment, the doctor needs to conduct a complex survey of the patient.
General information about the disease
The surface of the chest and covers the lungs connective tissue membrane called the pleura. It consists of separate, interconnected petals. Under the influence pathogenic processes occurring in the body, these petals are able to become inflamed, which leads to the development of different forms of such diseases as pleurisy. The treatment of this disease is complicated by the fact that it is in rare cases occurs independently. Most often disease is a consequence of the development of damage to the respiratory system.
When pleurisy treatment lungs depends entirely on the reasons that contributed to the emergence of pathogenic disorders, and concomitant illness. Doctors there are several varieties of pathogenic disorders:
- fibrous (dry) form of pleurisy;
- purulent form;
- exudative (exudative) form.
Latest variety of pathogenic disorders includes several types of the disease. Notably summany type. This kind of disease is the most dangerous, because in the process of development of the disease there is the accumulation of a significant amount of exudate in the lower part of the pleural sheath, the result of the development of the disease occurs in numerous pathogenic splicing petals.
With long-term progression of the disease is observed a modification of the serous membrane. She gets an increased hardness and is covered by cortical formation, which provokes the emergence and development of respiratory failure and empyema of the lungs.
In the case of acute forms of the disease and the absence of appropriate treatment, the disease transformirovalsya in chronic adhesive pleurisy of the lungs. This form of disease is characterized by thickening of the leaflets, forming the pleura that causes a disruption in the implementation of the ventilation function of the respiratory system.
The causes of pleurisy
Depending on the reasons that triggered the development of disorders, all of pleurisy can be divided into two large groups: pleurisy infectious and noninfectious nature.
The emergence and development of infectious disorders due to the negative impact on the body during activity of certain pathogens. Activators of pleurisy infectiousnature are:
- bacteria (pneumococcus, Staphylococcus, Streptococcus and others);
- mycobacteria, causing in the body of tuberculosis;
- the group of protozoa organisms (amoeba);
- parasites (Echinococcus).
The emergence of this form of pleurisy occurs on the background of developing pneumonia, tuberculosis, lung abscess or subphrenic region.
Pleurisy with non-infectious origin, can be triggered by the result of the progression in the human body following ailments:
- cancer tumors (the primary tumor of the pleura and metastasis in the development of cancer in the adjacent organs);
- systemic disease (lupus erythematosus, rheumatoid arthritis, vasculitis);
- injury to the breast or surgical intervention;
- pulmonary infarction in the occurrence of thromboembolism;
- myocardial infarction;
- enzymatic pleurisy in the progression of acute pancreatitis in the case when there is a dissolution of the pleura enzymes produced by the pancreas.
- the development of the thermal stage of chronic renal failure.
For the emergence and progression of infectious type of disease requires penetration of pathogenic microorganisms in the region of the pleura. It occurs by contact as a result of penetration of infection from lesions formed in the lung tissue. Transport of pathogenic microorganisms is limfoottoka and blood flow. In addition, the penetration of a pathogen can occur through the open in the result of trauma to the chest.
The microorganisms causing inflammation of the pleura with the emergence of prepodavanija of fluid in the pleural area that leads to the development of exudative pleurisy.
The symptoms of pleurisy
Often there is an acute development of dry pleurisy. The characteristic symptoms of the disease are pain in the chest, fever, weakness throughout the body.
The occurrence of pain is associated with irritation in the nerve endings of the pleural leaves. Most often, the pain is unilateral and intense, increasing it is observed in the implementation of deep breaths, coughing or sneezing. The temperature rise is noted to the level of 38°C. If the disease develops gradually, the temperature rise of the body can not occur. In the process of development of the disease a patient is having headaches, General weakness, increased sweating and pain in the muscles and joints of the musculoskeletal system, wearing irregularcharacter.
In the case of exudative pleurisy the symptoms of occurrence associated with the process of accumulation of fluid in the pleural area. Symptoms can differ depending on the version of the development of the disease. If the disease manifested itself after the development of fibrous pleurisy, in the initial stage patients concerned about the unilateral pain is intense in nature. They are enhanced with the implementation of deep breaths. With the further progress of the disease appear shortness of breath and a feeling of heaviness in the chest region. This may lead to increased nonspecific symptoms of intoxication.
Methods of treatment of this disease
The question of how to treat pleurisy, the doctor will decide after conducting a comprehensive examination of the patient and obtain reliable data about the state of his body.
Treatment for pleurisy caused by infectious processes should be performed with the help of antibacterial medications with broad spectrum of action. These remedies are used at the initial stage of development of the disease. After determining the type of agent used specific therapy. In addition to the antibacterial agents in the process of conducting therapeutic interventions used drugs, has a pronounced anti-inflammatory effect. They can be “Voltaren” and “Indomethacin”. Treatment of pleurisy of the lungs includes the use of methods of desensitizing therapy.
Non-infectious forms of the disease represent complications of other diseases that are major in relation to pleurisy. Such forms require, in addition to specific treatment, treat diseases that triggered the emergence of non-communicable forms of pleurisy.
Surgical intervention for evacuation of exudate occurs in the following scenarios:
- when a large volume of fluid in the pleural area;
- when pressure accumulating exudate into adjacent organs;
- to prevent empyema.
Currently used method of simultaneous removal of no more than 1.5 l of fluid. After the procedure in the pleural region is introduced a solution containing an antibiotic.
Pleural puncture is performed in a hospital. This procedure is carried out in a seated position with support on hand. Most often, the puncture is made in the eighth intercostal space on the posterior surface of the thoracic region. Before the procedure is done in local anesthesia with novocaine. A thick needle pierced the soft tissue after penetration of the pleural region is the removal of exudate.
Ina result of timely and adequate treatment of pleurisy the patient there comes a full recovery.