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In today's article, we will look at you for pleurisy and everything related to it.

What is pleurisy?

Pleurisy- the fuse of pleural leaflets, which is characterized by falling on the pleura fibrin, or by superficial accumulation of radii in the pleural emptiness.

Pleurisy is more often not due to independent illnesses, but to a pathological state, mindful of others, especially as an aggravation of those other illnesses.

Sometimes under the term "pleurisy" may be due to the accumulation of pathological exudate of a different nature without the presence of an ignition process in the pleura, or a pathological irreversible change in the pleura after the transfer of other illnesses.

The pleura is a serous tunic of the leg and the inner chest wall, which protects the forging of the leg in the middle of the chest, for which the body can freely breathe freely.

The main symptoms of pleurisy are є-, difficult breathing, coughing, elevated body temperature and others.

Among the main causes of pleurisy can be seen - infection, swelling, trauma to the chest.

Pleurisy develops in 5-15% of ailments diagnosed with lung disease.

Development of pleurisy

Before looking at the mechanism of the development of illness, let's dive into the human anatomy.

The pleura, as we have already guessed, is thicker in rows - the serous membrane, which is formed from mesothelial cells, as if covering the fibroelastic frame. The carcass has nerve endings, blood-bearing and lymphatic vessels.

The pleura includes 2 sheets (ball) - parietal and visceral.

The parietal (principal) sheet is the superficial shell of the inner surface of the chest emptying, which adheres to the free forging of the leg of the chest cell.

The visceral leaf is a superficial enveloping shell of the skin leg, which ensures the forging of the leg, if only one of the others.

Offended by parts of the pleurisy, it’s not enough for yourself to lie on the equal footing.

Between the balls of the pleurisy there is also a present narrow expanse, filling a small amount of native land, which ensures the protection of the forging of the leg when breathing. The pleural cavity is established after the leakage of plasma through the capillaries, at the upper part of the leg, at the same time the blood-bearing and lymphatic vessels of the parietal sheet are soaked up too much of the cavity. In this manner, the circulation of the pleural cavity is observed.

Pleurisy is a pathological process, when in the pleural space there is an epididymal pleural effusion (pleural effusion). This damage sounds like it develops for 2 main furnishing - overproduction of the native land or insufficient watering.

There are fluctuations, if pleurisy is characterized only by an inflammatory process in the pleura, without a superficial amount of pleural effusion, prote, nevertheless, pleural effusion is the main sign of pleurisy.

The reason for such a failure is most often - infection, trauma to the organs of the chest, damage to the exchange processes, swelling, systemic illness.

What happens to pleurisy, what develops on aphids, then here is the next thing, what for this molding is necessary to use 3 minds:

1. Getting to the legends of infection, and inducing the level of pathogenicity;

2. The state of the immune system, which plays the role of defending the body against infection;

3. Wash your mouth at the pleural emptiness - again, a bed and a small room in the middle of the pleural emptiness.

Another article about fibrinous and exudative pleurisy.

If the establishment of the pleural cavity on the surface of the legends is exuded in the dead or the colony, but if it does not break, then it is necessary to resorb the exudate on the surface nu pleura fibrin. In this case, the pathological process is called - fibrinous (dry) pleurisy.

In another situation, if the severity of the exudate is overwhelmed by the severity of the current, the amount of pleural r_dini in the legs begins to squash them. This process is called - exudative pleurisy.

Deyakі fahivtsі see kіlka stаdіy development of pleurisy.

Stages of development of pleurisy

Pleurisy stage 1 (exudation phase)- characterized by a stronger pleural effusion. This process begins through the expansion and promotion of the penetration of blood vessels, which is due to the activation of immune cells by immune cells in response to infection in the body. The lymphatic system tends to produce too much pleura, so the amount of pleura is normal.

Pleurisy stage 2 (phase of the purulent exudate)- characterized by an ear of fibrin (blood plasma protein) on the pleura sheets, which may have adhesive power. It is necessary to bring up the leaves of the pleura between oneself, through which the process of soldering (growing) is formed. Similar diya to produce before the appearance of the so-called. "bags" (intestine), through which exudate from the pleural emptiness can not be. Further, in connection with the constant accumulation of pathological exudate in the intestines, they accumulate particles of dead bacteria, killed by immune cells, which, in case of low protein and plasma, lead to purulent processes. The rotten one, at his side, sprinkles the development of the inflamed handrails of the fabrics, breaks down the breath through the lymph vessels. At the pleural emptiness, pathological exudates begin to accumulate in the supramundane.

Pleurisy 3 stages (duration or chronicity)- characterized either by self-disease of pathological cavities, or by the transition of the disease to a chronic form.

Chronic pleurisy is characterized by a significant change in the fragility of the leg, an increase in the volume of the pleura itself, and an increase in the flow of the pleural effusion. Sometimes the stage is accompanied by pleurisy adhesions (mooring) in certain areas, or by overgrown pleurisy with fibrous fibers (fibrothorax).

Widened pleurisy

Illness for pleurisy is one of the most widespread pathological processes that develop in the leg, as it occurs in 5-15% of all patients who go to the therapist.

For the gender sign of recognition, it was not revealed - however, the disease is diagnosed both in men and in women. Only, it is noted that 2/3 of pleurisy develops in women with malignant neoplasms in state organs, breasts, with systemic red dog, in that hour, as a person, this pathology is most often seen in alcoholism, rheumatoid arthritis that .

The most common manifestation of pleurisy does not go into it, there are no exact statistics of this disease, as well as the incidence of mortality. For this reason, pleurisy is the most common ailment for various ailments, the appearance of which is already being carried out. Therefore, when people are separated, after unfortunate depressions, the examination shows a high number of pleural growths (about 48%), which is evidence of the transfer of people earlier pleurisy.

Pleurisy - ICD

ICD-10: J90, R09.1;
ICD-9: 511.

Symptomatology of pleurisy is rich in why lie in the type and form of ailment, causes, stages and other factors.

Main symptoms of pleurisy

• - dry, unproductive, or phlegm of a purulent nature (sound with infectious damage), sound average for intensity;
• Zadishka, especially with physical ambition;
• , for example, rubbed between pleural sheets;
• (Up to 39 ° C and more, with such ailments, like pneumonia) - it is more important in infectious forms of ailment;
• The displacement of the trachea - is bound by the supra-world pressure of the great obligation to exudate on the organs of the mediastinum, with which the trachea is disturbed by a healthy bik.

Additional symptoms of pleurisy

Due to the presence in the body of infection and the development of aphids in various diseases, including dyshalic passages, increased body temperature, such symptoms may be suspected, such as severe ailments, and daily appetite .

Pleurisy relief

The back of the back after the glee of pleurisy, which can be evidence of the presence of adhesions (mooring) between the pleurisy sheets, as a way to encircle the collapsed building of the leg in case of diarrhea.

Main causes of pleurisy:

• Puhlini;
• Injuries of the chest;
• Systemic contagion - systemic vermicompost, dermatomyositis, scleroderma, (Churg-Strauss syndrome, Wegener's granulomatosis), sarcoidosis;
• in case of allergies, pathological factors, infectious agents (exogenous allergic alveolitis, allergy to alcoholic beverages and food products);
• Spilling on the body of toxic speeches, zocrema. poisoning with ammonia vapors and other speeches;
• prominence to the body by ionizing radiation;
• Having poured on the legend and the pleura the enzymes in the sub-shoulder ridge, which, when the organ is inflamed, are taken from the blood and in a destructive rank, poured onto the pleura, the shards of the part of the body are tried to be sucked close to one to one;

Factori risiku

The onset factors can take the development of pleurisy:

• Presentation - emphysema, obstructive ailment of the leg and others;
• The presence of other illnesses -;
• Alcoholism, chicken;
• Decreased reactivity to the immune system, which is called spriyat -, toxic drugs (especially glucocorticoids, cytostatics), presence (, and others), and, vagity;
• Shlunkovo-stravokhіdny reflux (reverse throwing of їzhi zі slubka in stravokhіd).

The main types of infection, yakі priyat development of pleurisy

1.5. Normalization of corian intestinal microflora

In normal health, the intestines of a person have a brown microflora - bacteria, which take part in the over-etched and acquired zhzhi, as well as the conversion of some brown speech products of their products and eating away from them by the body.

The stagnation of antibacterial therapy has a negative effect on this corrosive microflora, often causing it, and the use of antibiotics is often accompanied by various side effects.

For the restoration of intestinal microflora, probiotics are prescribed - Linex, Bifiform, Acipol.

2. Surgical treatment of pleurisy

In cases of depression, with pleurisy, a pleural puncture is performed, which is also called thoracocentesis.

The essence of thoracocentesis is the introduction of a pleural empty under the mass anesthesia of the thorax, through the body, a large number of radii is excreted from the body.

This manipulation is carried out for two purposes - taking the pleural effusion (exudate) for diagnosis, as well as for the removal of excess exudate, as the main therapy did not produce the necessary results, or else, for the second degree of pleural effusion in dne.

The result of such a manipulation with a jubilant method is to relieve the pressure on the lung, which will improve the distal friability, and, apparently, the patient's self-confidence.

3. Diet for pleurisy

There are no special indications for eating with pleurisy. Diet is prescribed in a fallow way in the case of another illness, through which the pathology of the pleura was formed.

In addition to aggravating the situation, it can still be said that eating in case of various illnesses, especially those of an infectious nature, is due to products enriched with vitamins and vitamins. Tse brought to the point of astonishment as the immune system, and to the whole organism as a fire.

Important! Before zastosuvannya folk zasobіv likuvannya against pleurisy obov'yazkovo consult a doctor!

Hrin. Mix 150 g of dried root khronu with juice from 3 lemons. Take as much as half a teaspoon 2 times a day, in the afternoon and in the evening before going to bed.

Borsuk fat. To grow sumish from 250 g of borsuch fat, 300 g of purified thorns and trimmed aloe leaves and flasks. Put the otriman sumish for 15 quills in the oven, for melting, after which it is necessary to filter, and the syrovina, which is left out, wikinut. Acceptance of the national zasib against pleurisy is required for 1 tbsp. spoons 3 times a day, 30 minutes before eating.

Pleurisy is a burning process that attacks the serosa, which hangs on the chest wall and on the surface of the leg. The etiology of illness can be different, depending on the reasons, it is assigned and exalted. Often the fault is accompanied by other inflamed internal organs such as later molding of evil newborns. Pleurisy can cause a widened pathology (especially among people), with a protracted nature, it can give a different complication.

The serous tunic satisfies the closed empty space in the chest cavity. One part (visceral) covers the curves of the legend and is strongly grown with them, and the other part is parietal - adhering to the diaphragm, ribs, organs of the middomain. The empty pleural cavity is filled with a small amount of native land, which ensures the forging of the walls between itself. Її the main functions are the protection of the legenth and the safety of the dichal process.

Inflammation of the serous membrane - pleurisy - maє code MKH-10 R09.1, proteas of various pathologies are indicated otherwise. For example, A15-A16 in tuberculous cases. And pleurisy with vaping (purple rіdini in emptiness) may well be coded J90.

Signs of warning of left-sided pleural effusion

Nebezpeka, be it a form of illness, lies in the fact that the ignition process occurs in the zone of life of important organs. The purulent pleurisy proceeds especially hard, and in case of exudative pleurisy, the heart rhythm is disrupted. The most common signs of prolonged illness are obliteration of empty pleural space, damage to the fragility of the diaphragm, and dychal insufficiency. Cancerous medial or metastatic pleurisy may be the most unfavorable prognosis for wear.

Classification of pleurisy

For more than 30 years, the specific form of this disease was determined by the classification of Professor M. U. Putov. In the early stages of the ignition process, it can progress acutely, subhospally, or go into a chronic form, depending on the degree of symptom variability at the skin stage, successively weaker. If the pleura is affected only right-handed or left-handed, go about right- or left-sided pleurisy, and if the shell is caught in the process, both legs are about bilateral.

Dry pleurisy, the title is more fibrinous, as an exudative tear in the empty pleural cavity. In another type of depression, there is a purulent, serous, hemorrhagic, chylous, cholesterol-like rash. Whipitis can be localized in the sing area or spread along the entire surface of the pleura, so the pleurisy of the leg becomes encapsulated (parietal, interchastkovy, upper, diaphragmatic thin) or diffuse.

Cause

Pleurisy is rarely diagnosed as an independent pathology. Call the wines accompanying those who have suffered from other illnesses. For example, the development of pleurisy after pneumonia is no less likely, at least in 5% of cases, and is called metapneumonic. With a greater frequency, parapneumonic pleurisy develops, which is leading, and then accompanying the inflammation of the lungs.

The rest is observed in the fifth part of patients with inflamed pleurisy, and more lower in half of those who suffer from an exudative form of inflamed. Have zv'yazku s cym blame the law of nutrition: contagious tuberculous pleurisy chi nі? Oskіlki yogo the cause in most cases of depression is tuberculosis of the leg, and the alarm is transmitted randomly and dropwise, trivial contact with ailments can lead to infection. The maximum risk of infection is observed in patients with reduced immunity, circulatory diabetes, and cardiovascular pathologies.

Aseptic or non-infectious ignition process develops for other reasons:

• Evil swellings, localized both in the pleura itself (mesothelioma), and in other organs. In another type, metastases affect the pleura in breast cancer, leg, ovary, and upper thigh cancer. Oncology is the cause of pleurisy in 25% of patients.
• Myocardial infarction, legenia, BODY.
• Pleurisy of the leg can become a consequence of systemic damage to healthy tissue - vasculitides, VKV, scleroderma.

Other possible causes of inflammation of the pleura include leukemia, hemorrhagic diathesis, pancreatitis and other pathologies.

Development mechanisms

Infectious pleurisy develops as a result of exposure of the workers without intermediary into the pleural emptiness with blood or lymph or contact path from the inflamed pits. So it is used in tuberculosis, pneumonia, cysts, abscesses, bronchoectatic ailments. Direct infection occurs after damage to the body (surgical insertion, injury and other injuries).

Diagnostics

Anterior diagnosis can be made already at the first glance: the thoracic clitina is asymmetric, the intercostal space on the affected side is bulging, before that it looks out of rhythm in the process of breathing. When vibrating (percussion), the sound over the exudate is muffled, and the breath during auscultation does not hang there, but is rather weak.

For clarification between the vipotus, ultrasonic and radiographic studies are carried out. There is a puncture of the pleural cavity, behind the warehouse, which can be judged by the cause of the pathology. Bacteriological analysis allows the identification of an abnormality, and a deep blood test shows an increase in WOE, leukocytosis. The biopsy of the pleura is also carried out by the method of thoroscopy.

Pleurisy legenia - symptoms and treatment

Symptoms of inflammation of the pleurisy lie down in a variety of ways - dry chi exudative, causes of pathology, localization of fever. Likuvannya is assigned for the results of diagnostic obstezhennia and can be taken from a few days to a few months (with a tuberculosis form, for example).

Symptoms of dry pleurisy

Primary signs of pleurisy in mature adults, which occur in fibrinous forms - ce bil, which stab, localized in the chest, which are relieved by coughing, sickness and simply wild rushes. The patient, in case of an emergency, takes a supine position on the affected side of the body, in order to maximize the fragility of the chest cavity. Z tієї Well, the cause of the breath becomes superficial, you are afraid of the appearance of the dyhal rhythm of one half of the breasts. The temperature rises to subfebrile values, due to increased sweating, chills at night. With vislukhovuvanni, a characteristic rustle is manifested - the last thing is rubbing the leaves of the pleura one by one.

Signs of exudative pleurisy

It starts like this, like hostria (pain, cough), but in the world accumulated in empty exudate, the following symptoms of pleurisy are common in adults:

• visceral severity from the affected side;
• zgladzhuvannya, and then vipinannya promіzhkіv between the ribs;
• dead cyanosis of the upper arm and growing ass;
• the stance is febrile temperature (and during empієmі it is hectic, due to significant fluctuations in stretching the doby);
• tachycardia, decreased arterial pressure;
• weakness, drinkability, loss of appetite.

Actual forms of inflammation may have specific symptoms. For example, serosa can be accompanied by hemoptysis, and when paramediastinal sacs are encapsulated, they swell that appearance, the voice becomes hoarse, and dysphagia appears. With VKV, there are aggravations of suglobiv and nirok, pericarditis. Perebіg pleurisy without temperature and other manifestations is a sign of a metastatic variety of oncology.

Lіkuvannya in the hospital

In the minds of the medical mortgage, a complex therapy of severe depressions of inflammation is carried out, directed to the reduction of their causes and relief of symptoms. A number of medications, treatment of exudative pleurisy can include puncture (thoracocentesis) or drainage to remove exudate, washing the empty with antiseptics during empia. For indications in case of chronic illness (especially for tuberculous variant), surgery is performed - pleurectomy.

How to exult pleurisy in domestic minds

All jubilation can be recognized as a fakhivtsy, self-jubilation is unacceptable.

Let's take care of the ailing one with a calm and bed rest. In the dry form of the ignition process, a tight bandage and warming of the chest, setting cans or girchichniks are shown. Obov'yazkovaya є medicamental therapy, which includes the following groups of medicinal zabiv:

• antibiotics in case of pleurisy of infectious disease, sub-optimal to the type of alarm;
• anti-tuberculosis drugs in case of mild form of pleurisy (, isoniazid, rifampicin);
• NPZZ and glucocorticosteroids - with rheumatic inflammation;
• The treatment of pleurisy includes also the use of anti-cash preparations for fibrinous pathology.
• Antipyretic effects are indicated at a significant increase in temperature.
• Specific chemotherapy is prescribed for different oncological causes of illness.

Dihal gymnastics after pleurisy enters the complex of jubilant entrances in case of fibrinous variability. As soon as the symptoms of dry inflammation change, it is necessary to take special measures in order to avoid adhesive pleurisy - gluing and obliteration of the parietal and visceral pleurisy.

Treating pleurisy of the lungs with folk remedies

Zastosuvannya prescriptions of alternative medicine in case of any illness can be only after the diagnosis is made and the doctor is condemned. Vykoristannya herbal infusions, herbal remedies, warming compresses, ointments, inhalations do not help much as an additional benefit, as there is no counter-indication. The main treatment for pleurisy is drug therapy. Tim is bigger, it is unacceptable to rely on the people's welfare, as the cause of the disease is evil puh.

Pleurisy legenitis in oncology

As it was determined, in four cases, the inflammation of the serous membrane of the legenium is the cause of cancer. Mesothelioma of the pleurisy itself does not shrink so often, and the axis of the secondary lesion - metastatic or secondary pleurisy - is a wider phenomenon. Metastases of the primary swelling in case of any localization are hostile, first for everything, the liver and the legend.

The basis for treatment of pleurisy in oncology is chemo- promeneva therapy, as well as prompt intervention, as it will help to get rid of the cause of illness. At the same time, drugs are taken to relieve the sick symptoms of inflammation. Predictions for duplication to lie down at the stage of the cancer process and the effectiveness of the treatment of the main disease.

Effects of pleurisy

Timely diagnosis of illness in hostile forms and recognition of adequate therapy help to get rid of inflammation. However, the trivality and success of the exuberance lie in the form of the nature of the disease. So, with a fibrinous variant, about 2 strokes are needed, and the treatment of pleurisy for a tubercular disease may take 3 days.

Negative effects of the disease are manifested in the case of chronic form. In most cases, the spiking process is to be observed, which leads to the expansion of interstitial slits, obliteration of empty spaces, and, obviously, dychal insufficiency. Particularly unsafe pleurisy is legenia in summer people: manifestations of symptoms and exuberance for a long time often lead to a chronic process, frequent relapses, and a severe deterioration in health.

Prevention

As a prophylactic visit, physicians recommend to improve immunity, in time to exult if you are infectious. Particularly significant may be the regular building of analyzes for oncomarkers for osib, yakі perebuvayut riziku group. Periodic obstezhennia will help to detect oncology at an early stage.

The pleura is called the serous membrane, which covers the legenia, that zdiisnyu їkhsnu function. As a consequence of the aggravation of many infectious and non-infectious pathologies, the pleurisy can be scorched. Tsya ailment zustrіchaєtsya dosit often and ring pleurisy legeni. The pleasure of pleurisy lies in various forms, the stages of illness and the age of the sick. Different forms of inflammation of the pleurisy show themselves differently. For the jubilation of the vicorists, there are medicines and folk remedies.

Appointment for pleurisy legen

The pleura is divided into two balls - the visceral (internal), which covers the lightest, and the parietal (outer), strongly attached to the walls of the chest. Vaughn spryaє zahistu legeni vіd tertya pіd hіd hannya, i don't let the internal organs hang around.

In the space between the balls, the pleurisy accumulates up to approximately 25 ml of serous fluid, which is vinified through plasma filtration in the legs. In connection with the onset of infection, from injuries of other important illnesses, the number of diseases of the motherland is rapidly increasing, which leads to pleural inflammation.

Symptoms and features of pleurisy

The first signs of pleurisy are similar to a cold, so the ear of illness is important to reveal. However, there are some features, power only of these pathologies:

• a sharp and strong pain from one side of the chest with a sharp flu, cough, wheezing and deep breath;
• sometimes penetratingly felt not only in the legs of the leg, but at the same time in the other part of the body (at the shoulder, at the stomach, on the neck);
• bіl pіd аn hour dyhannya potentiate dry cough.

For overbіg ill, it is possible to reveal the nature of the lesion of the pleurisy area. With acute pleurisy, the development of ailment mittevii, and chubby and chronic forms proceed calmly.

Variations of pleurisy with etiology

Pleurisy is legenary in different forms and varieties, so they are classified as dekilcoma characteristics. The main viznachayut for etiological signs - infectious infection and pleurisy of non-infectious nature.

Infectious pleurisy of the respiratory organs caused by:

• viruses;
• bacteria.

The non-infectious development of pathology is based on:

• evil newborn on the leaves of the pleura;
• heart and legenev infarctions;
• chest trauma;
• diffuse inflammation with good tissue.

Regardless of localization, the symptoms are always the same. The most common pleurisy, also called this form of illness, begins with fibrinous inflammation. However, with the development of pathology, the morbidity of the organs of the respiratory and chest cells changes, the shards between the visceral and parietal pleurisy are stingy (rіdina). At the cob stage of the ignition process, discomfort in the expansion of the chest cell is daily. Fever, ass and other symptoms are worse.

Signs of exudative pleurisy:

• Temple temperature;
• on the faces of that shi commemoration, swollen veins, swollen;
• z'yavlyaєtsya ass;
• watch for an enlargement of the thoracic cell;
• sharp bіl zmushuє unikati sharp ruhіv;
• may viniknuti hemoptysis;
• from the side of the burning, it’s kind of commemorated on the shkіrі.

The most exudative form is tuberculous pleurisy. Yogo is diagnosed more in a young man. Three forms of pathology are distinguished: perifocal inflammation, tuberculosis of the pleura itself, allergic inflammation.

May I call my friend - inflamed fibrinosis. From the beginning, practically all pleurisy is repaired, both in children and in grown-ups. All symptoms run smoothly:

• sharp pains from the side of the inflamed;
• bіl posilyuєєєєєєєє pіd hour cough that chhannya;
• sharp inhaling dry cough;
• the temperature increase is insignificant;
• you can see the weakness of the body and head bіl;
• break the drift, and hurt the m'yazi.

When listening to the chest cell, there is a distinctly sensitive noise that is created by the rubbed pleural sheets. The widest type of dry pleurisy is parietal.

For example, pain is felt near the lung area, and near the shoulder there is an anterior part of the empty stomach, which is more diaphragmatically inflamed. If it is transmitted at the shoulders and shoulder blades, it is possible to recognize upper pleurisy. Often this form can be tubercular pleurisy, which can spread around the bags.

The most safe is a purulent form of pleural inflammation, shards in most cases lead to death. For children of the first fate of life and people of a frail age, ailments become extremely unsafe. The purulent process begins under the hour of pneumonia. Occasionally, natomist lung abscess develops.

Symptoms of the skin vіku own. There are no signs of illness similar to umbilical sepsis, staphylococcal form of pneumonia and more. Children of an older age may experience the symptoms themselves, which they watch out for in adults.

It is possible to resurrect purulent pleurisy of legenia in other forms for such signs:

• rіzhuchy bіl at botsі from the side of the fire;
• a little heavy;
• superficial breathing;
• bіl zmenshuєtsya when filling pleural empty pus;
• the temperature rises sharply to high signs;
• shkira blіda, protruding cold pіt;
• dry cough at the cob stage, then phlegm appears.

Pleurisy in a child

In a small child, the illness manifests itself as an aggravation of pneumonia or as a result of injury. Sometimes it can be blamed for infected blood. Chim is a smaller age, Tim is a strong sign. The most ill people do not get sick. To reveal the inflamed pleurisy at the early stages, they have the following signs:

• butt;
• reddened shkiri, sometimes from a bluish tint;
• frequent coughing;
• restless;
• disruption of the herbal process;
• ugliness.

For the detection of pleurisy, fluoroscopy and analysis of the pleural effusion are not prescribed.

Peculiarities of pleurisy in vaginal

Nebezpeka ailments under the hour of vagity are in the fact that you can signify for the development of the fetus through a lack of sourness. When the form of pleurisy is started, there is a risk of death of a child in the womb, with the onset of the weekend.

Particularly great concern is to develop purulent and microbial pleurisy, and lead to blood poisoning. It is also necessary to heal that purulent forms give rise to suppuration in various parts of the body, and localize in the mother. For the treatment of this stage, you may need a surgical intervention.

For timely manifestation, for the first signs of suspicion of illness, the woman in the rest of the term is guilty of turning to fahivtsya. When confirming the diagnosis, the doctor prescribes preparations, as obov'yazkovo it is necessary to consult with a gynecologist - an obstetrician.

For the purpose of treating pleurisy, the leg in the vagina is prescribed the following obstezhennia:

• looking around;
• wild analysis of cross-section and blood;
• biochemical blood analysis;
• Ultrasound of an empty leg;
• Puncture of a fragment of the pleura.

After the diagnosis is established, the doctor assigns the most safe treatment.

Pleurisy in people with a frail age

The ailment is blamed as a consequence of various infectious diseases, including pneumonia, tuberculosis, arthritis, etc. The most susceptible to ailments are bed ailments. Tse comes through those who have such patients to settle down the process of stagnant processes and tricks of endings through a low-grade way of life.

Pleurisy in people of a frail age is most likely to occur in malignant forms and it is important to diagnose, shards of sickness are “masked” by symptoms of other illnesses. The symptomatic picture in most cases is the same, but some manifestations may or may not be present (patients with Alzheimer's disease have a daily cough; leukocyte count in the blood may not appear).

Likuvannya can be carried out with medication or folk remedies. With the recognition of medicinal preparations, the cause, the stage of infection and the nature of the damage to the legenevous tissue are always covered.

If the inflammation process of the pleurisy is the last of the most serious illnesses, then merrily come in directing us in front of the diagnosis of the main pathology. In case of pneumonia, the treatment course includes the use of antibiotics. In case of rheumatoid inflammation, which affects the area of ​​the leg, prescribe non-steroidal anti-inflammatory drugs. In case of tuberculosis infection, a viable therapy with anti-tuberculosis drugs is prescribed.

Various microbes and bacteria are absorbed by the organs of the stomach from the ovary middle, which, settling on the walls of the leg, lead to microbial pleurisy. In this case, the drug prescribes anti-cash and antibacterial drugs.

Rejoice with anti-inflammatory and anti-cough preparations. After a change in the ignition symptoms, the juvenile course is supplemented with special dyhal gymnastics.

By the savage method of likuvannya for all kinds of sickness - calm and warm. In addition, additional physiotherapeutic procedures are prescribed. Likuvannya, fallow at the level of importance, is carried out on an outpatient basis.

In some cases, the treatment is carried out with additional manipulations. With a great squandering of the rіdini in the empty pleura, it is necessary to prescribe a vipota. In case of rotten processes, it is additionally washed with antiseptic roses.

If pleurisy is the last evil swelling, then in order to protect it, the development goes into pleurodesis - gluing the leaves of the pleura piece by piece.

If suppuration may be a large area of ​​​​the wound, or the ailment is too late and it turns into a chronic one, then the life of the patient is taken by the surgical method - to destroy the pleurectomy (vidalennya pleurisy).

Folk methods

In folk medicine, there are a few prescriptions for the treatment of pleurisy. Ale vikoristovuvat such a likuvannya is necessary only after the consultation of the doctor, so as not to miss the moment, and not to force the process.

Those who see pleurisy of non-infectious nature easily rejoice at the sum of scarlet and honey with the addition of borsuk fat. For this, take 300 grams of finely chopped leaves or aloe juice, and add 1 glass of other ingredients. Relatively I mix the sum to 15 minutes in the oven. After reaching the zasib, get ready for the zastosuvannya. Live yoga in the heart for a tablespoon of trich for a day.

Kindness is given to the jubilation of a lot of legenevikh ill, as if to accept. For whom it is not necessary to pass the root through a juicer, but it is enough to see the upper part of the root, bury it with a knife and put a spoonful of honey there. Tsey zasіb іz vechora to fight, and vranci is accepted. For nothing, the radish kindly releases sik and pours with honey, passing on to him all the colorful speeches. Such a recipe miraculously helps with any kind of cold.

Fibrous pleurisy is good to be treated with tincture of cibula with honey on white grape wine. Sufficiently 300 g of crushed cibula and 250 g of fresh honey pour 500 ml of wine. For the next day, put the warehouse near the dark place and periodically shake it. Take faces in front of hedgehog.

Relief from exudative pleurisy gives good results already in a few days, as if ailments were replaced with vicorist tea in linden color in the afternoon with birch nirkami. Put herbs in proportion 1:1. You can take 200 g of linden color, pour 500 ml of okrop and trimati on a proper fire, sprat of khvilin. After that, they pour 20-30 quills and take it in the pan.

Herbs

Brew herbal tea from mint, dryweeds and start cory when you have a cold. On the pleurisy of the veins it is also beneficial, znimayuchi inflamed and relieved symptoms. Take nastіy trichі for mining by 1 slant. You can add a leaf of plantain to vіdvar.

Tuberculosis, pneumonia and pleurisy have been treated with miraculous additional care from the root of Caucasian hellebore. Place 1 teaspoon of rhizomes near the pan and pour in a pinch of water. Boil on a povіlny fire until the change of the rіdini by 3 times. Take a teaspoonful of trichi for doba.

It is impossible to exult with the help of the swedish ailment using only folk methods. Tse mozhe provokuvati zagostrennya that bring to the satisfaction of pus. Usy zasobi nontraditional medicine is good at victorious at the same time with medical exuberance.

Contagious pleurisy

The fallow cause of ailments, pleurisy can be both contagious and safe. If the igniting process has been caused by injuries of the leg of the thoracic cavity, such pleurisy will not be contagious.

And if the cause of the pathology was a virus or a bacterial infection, then ailments can infect others. For example, tubercular pleurisy is easily transmitted from sick to healthy people just like a form of tuberculosis.

If there is a suspicion of pleurisy of the leg, it is necessary to find out the reason. Likuvannya also needs to be repaired from the main ailment, even if it burns in the empty pleura. If the process does not pass into a chronic form, it is not possible to start an ailment and interrupt a splendid course. I need to remember that the best way to prevent health is to improve immunity.

Pleurisy legenitis: what is it, causes, symptoms and treatment

The most important disease of the organs of the respiratory tract is the inflammation of the lower respiratory paths, and from them the unsafe form of inflammation is pleurisy.

In this article, we can look at what it is, rozpovimo about the symptoms and treatment of pleurisy legenia.

Chi can be exulted, like exaltation of the inflamed pleurisy with folk remedies.

What is pleurisy

Pleurisy of legenia is a primary process in the pleural obolontsi, which leads to accumulation of the native tissue (exudate or fibrin) in the empty pleura.

Vinikaє as a pathological camp after the various infectious or mortals who lay down before them. Even more rarely blamed as self-inflicted illness.

The pleura is a membranous shell, as if it is on the surface of the leg. It is made up of a pair of feathers, like a diaphragm, the middle wall and the inner surface of the chest empty.

Parapneumonic pleurisy begins abruptly, due to the presence of pneumonia. Turbulent cough, soreness in the chest with diarrhea. The amount of exudate is small.

Metapneumonic culprit is more common in debilitated bedridden patients. It starts after pneumonia, it’s important to get happy and the empyema of the pleurisy (pyothorax, purulent pleurisy) is getting better.

Cause a vindictive

Infections of the lower dichal passages often lead to the development of pleurisy of the leg. From the primary cavity in pneumonia, , pathogenic organisms in the bloodstream and lymph drain from the pleural emptiness and call out inflamed.

Infection of the pleurisy can be an hour of internal emptying surgery, or in case of trauma to the chest.

Accompanying ailments of non-infectious travel can cause the development of pleurisy. With oncological diseases, metastases are seen, when they get into the pleura, the stench saturates the exudate. even more often aggravated by severe pleurisy.

At severely damaged immune system ( , hemorrhagic vasculitis , ) develops exudative pleurisy. For such a blow, it is two-sided.

In summer people, pleurisy can begin through the inflamed subslaves. In case of acute enzyme, toxic action is applied to the pleural membrane, calling for fibrin to be dissolved.

Symptoms of pleurisy legenitis

Symptoms of pleurisy lie down in the form of inflammation of that yogo stage.

Headache symptom of dry pleurisy cough. Like ailments, they lie on the side of the ailment, the unacceptable ones seem to change. Be careful hyperthermia to subfebrile numbers, dry cough, severe weakness. When breathing, it is indicated that the thoracic cell in breathing from the pathological side.

Exudative pleurisy develops violently, manifests itself fever, drunkenness, symptoms of intoxication. There is an increase in the buttocks, almost like the heaviness of the breasts. It is important for an ailing person to lie down, they occupy a sedentary camp.

Symptoms of serous-fibrinous pleurisy. It is characterized by accumulation of serous exudate. The shoulder develops asymptomatically, then sickness develops, dry nonproductive cough, hyperthermia,

Symptom of hemorrhagic pleurisy almost, strong intoxication, blіdіst skіrnіh pokrivіv, cough with streaks of blood.

Purulent pleurisy characterizes temperature increase up to 39-40 C, weak with weakness, drinkability.

Tuberculous pleurisy is characterized by striae subfebrile temperature, buttocks, dry cough, pain in the mouth.. Often transforms into empієmu legen.

complication

When the cause of illness is revealed in due time, that correct exaltation of ailment will end in new clothes.

In the same upheavals, the following arrangements develop:

• Spike process in legenia. It is a scar tissue in the happy tissue of the pleura. Most often they form after exudative pleurisy. With multiple adhesions, the dychal legion system is destroyed.
• Formation of pleural moorings. Characterized by fibrinous nags on the surface of the pleura. They blame it after a violent pleurisy, so after a dry one. Most often they are localized at the top of the legs. Patients with compressive turbulence, heaviness in the breasts with physical pressure.
• pneumosclerosis. The process, in which one needs to change the fabric of the leg for a coarse fabric. In the fields of pneumosclerosis, legenev tissue loses its elasticity and does not lose gas exchange function.
• Empyem pleurisy. Not safe aggravation of pleurisy, which leads to legenia to gangrene. Characterized by high body temperature up to 40 C, unbearable pain in the chest. Heart and dichal deficiency develops. What is most likely to lead to a deadly result.
• Dyhal deficiency. A purulent inflammation, or a large inflammation of the pleura, can cause a dychal insufficiency.

Diagnostics

Diagnostic entry include:

• looking around at that experience of the sick;
• clinical obstezhennya;
• X-ray follow-up and computer tomography;
• ultrasonic follow-up;
• global blood test;
• pleural puncture.

When looking at an ailing patient with pleurisy, the leg can be seen the asymmetry of the chest, part of the disease is seen in the act of breathing. With a great tightness of the sweat, cyanosis of the skin curves can be observed, shards of blood flow in the neck veins through pressure are broken. The ailment of the chest of the thoracic cell looks about'mnishe.

During percussion, there is a weakening of the percussion sound, moreover, the upper boundary is an oblique line-Damuazo, which is clearly visible on radiography. When listening to the leg with a phonendoscope, there is a distinctly slightly noise rubbing the pleura, vin similar to the creaking of snow. Dihannia at the mіstsyah skuchennya rіdini sharply weakened.

on radiography symptoms of acute pleurisy of the leg appear as intense uniform darkening in the lower parts of the organ. The high standing of the diaphragm is guarded for a small sting of the motherland. The middle is reduced to a healthy legeni. When vikonannі znіmka in lateropozitsії (illness lying on the bіk) vydbuvaetsya horizontal displacement of the exudate.

Chi is not strong pleurisy of the leg in the picture is manifested by intense shadows of a heterogeneous structure, the sinuses are not visible. Rukhlivist pleurisy sharply obmezhena.

In a global blood test with pleurisy, the leukocyte formula is shown to the left, the increase in the level of leukocytes, the increase. Eosinophilia and monocytosis are characteristic of tuberculous pleurisy.

Biochemical blood test shows the presence of fibrinogen and the high level of sialic acids.

The main informative method of diagnostics thoracocentesis (pleural puncture). The patient should try to puncture the empty pleural cavity under mass anesthesia with the method of taking the pleural effusion. The follow-up of the exudate helps to identify the form of pleurisy and infectious illness.

With tuberculous, traumatic pleurisy, erythrocytes are visible in the exudate. The color can change from horn to dark red.

With a purulent process, exudate of calamity of a gray or gray-green color, with gangrene, which has begun, may have a stinking smell. Yakshcho exudate prozory and odorless diagnosing serous pleurisy.

On the ultrasound examination, there is an increase in echogenicity in the area of ​​the r_dini, pleura sweating.

Pleurisy

The main principle in the treatment of pleurisy is the manifestation of that therapy of the main disease. I'm ill with pleurisy for legenia, it is necessary to balance eating with a high amount of vitamins. Strict bed rest is shown.

Surgical operation ( thoracentesis)

Operative intervention in pleurisy in mature adults is necessary in case of purulent inflammation.

Thoracocentesis- help the world without help. In case of a large number of vipota, a pleural puncture should be carried out for emptying the stool from the chest.

The procedure depends on the number of stages.

At one time, no more than 1 liter of exudate is removed. Vikachuvannya great amount of exudate can lead to acute heart failure and a sharp spread of the leg.

If necessary, inject antibacterial preparations into the empty body. After the procedure is completed, tightly bandage the chest to prevent collapse.

Medical treatment

• Antibacterial therapy. Pleurisy of the legenia of infectious etiology is treated with antibiotics. Ring out to stop amoxiclav, ceftriaxone, cefotaxime, sumamed. Therapy of tuberculous pleurisy stagnates rifampicin, isoniazid.
• Corticosteroid therapy. Treatment of pleurisy in autoimmune pathologies is better in vicarious hormonal preparations. zastosovuєtsya prednisolone.

Also, in the treatment of pleurisy, there are symptomatic symptoms:

• Anti-cash preparations. Illness on pleurisy turbuє dry painful cough. That is why they are assigned to treat the cough reflex. codeine, bluecode.
• Sechoginnі preparations. For the elimination of the zavoi rіdini from the body, it is necessary to stosuvannja sechogіnnyh zabіv. furosemide.
• . For usunennya pain syndrome that znyattya inflamed zastosovuyut faces. butadion, ibuprofen, analgin.
• Heart glycosides. For the improvement of the short-term function of the myocardium - corglicon.
• Bronchodilators. To expand the bronchi, prescribe eufilin, berodual. Relax bronchial mucus, improve the function of inhalal mucus.
• Infusion therapy. In case of severe intoxication, vicorist internally ringer.

Physiotherapy procedures

Effective in treating pleurisy physiotherapy procedures. With this help, the evacuation of the vipota is more likely to occur, and adhesions are also broken up.

Z of physiotherapy procedures zastosovuєtsya:

• electrophoresis h;
• heating;
• different compressors.

If pleurisy is followed by tumor metastases, chemotherapy is carried out.

The exultation of pleurisy can be taken for the minds of the hospital under the supervision of fakhivtsiv. Trival therapy for 2 to 4 days.

Celebration of pleurisy legen with folk remedies

The use of traditional medicine and the treatment of pleurisy with folk remedies will help more effectively and quickly get rid of these ailments.

Treating pleurisy with folk remedies is used to relieve symptoms of pleurisy.

Folk recipes based on anise help to relieve cough, to relieve bronchorosis:

• Brew 1 teaspoon of anise fruit with 1 bottle of dill. Take 20 strands out of the stretch. Drink ¼ flask 4 days a day 30 khvilin to їzhi.

Tuberculosis pleurisy can be repeated more than once, it is the fault of the ailment to be rehabilitated under medical supervision for a period of 2 months.

Pleurisy is legenous due to the presence of oncology, and it also ends unacceptably. Metastases destroy the pleura, leading to severe intoxication and the development of dychal insufficiency.

Tsikave

Pleurisy - inflammation of the pleurisy with a fibrous deposit on the surface of the vein in the middle of it. It appears as a pathology that accompanies, or as a legacy of ailments.

Pleurisy is caused by self-inflicted illnesses (primary pleurisy), but most often there are cases of acute inflammation and chronic inflammatory processes in legenia (secondary pleurisy). It is subdivided into dry, otherwise called fibrinous, and vip (serous, serous-fibrinous, purulent, hemorrhagic) pleurisy.

Often pleurisy is one of the symptoms of systemic diseases (oncology, rheumatism, tuberculosis). Prote yaskravі klіnіchnі show ailments most often zmushuyut likarіv vystavlyat pleurisy first planі, and already from yogo obviousness z'yasovuvat prjaznіy diagnosis. Pleurisy can be blamed on any other person, so many of them are left unrecognised.

Cause

Why is the pleurisy of legenia blamed, what is it and how is it? Pleurisy is a disease of the dichal system, with its development, the visceral (legenevial) and parietal (parietal) sheets of the pleura are inflamed - the tissue membrane, as if covering the lungs and the inner surface of the chest.

Also, in case of pleurisy between pleurisy sheets (near pleural empties), pleural effusions can appear, for example, blood, rot, serous or rotten exudate. Causes of pleurisy can mentally be subdivided into infectious and aseptic fuses (non-infectious).

infectious causes pleurisy legenitis include:

• bacterial infections (pneumococcus, staphylococcus),
• fungal infections (blastomycosis, candidiasis),
• typhus,
• tularemia,
• chest trauma,
• surgical intervention.

Causes of non-infectious pleurisy is legen like this:

• evil swells of pleural leaves,
• metastasis to the pleura (with cancer of the mammary gland, legend and in.),
• damage to healthy tissue of a diffuse nature (, scleroderma,), lung infarction,
• BODY.

Officials who increase the risk of development pleurisy:

• stress and rewind;
• hypothermia;
• unbalanced, eating on the coris of the speech;
• hypokinesia;
• Drug allergies.

Flow of pleurisy can buti:

• gostre up to 2-4 days,
• pіdhostry vіd 4 tizhnіv up to 4-6 months,
• chronically, over 4-6 months.

Get microorganism to pleural emptiness in a different way. The alarms of infection can penetrate through the contact path, through the blood lymph. Directly used in case of injuries and wounds, during operations.

Dry pleurisy

In case of dry pleurisy, the pleura is in the middle of the day, and the superficial prominence of fibrin. Basically, this form of pleurisy precedes the development of the exudative.

Dry pleurisy is often associated with secondary ailments with ailments of the lower dycal passages and intrathoracic lymph nodes, malignant neoplasms, rheumatism, collagenoses and other viral infections.

tuberculous pleurisy

In the rest of the hour, the disease progressed to tuberculous pleurisy, which aggravates in all forms: fibrous, exudative and purulent.

Mayzhe in half of the cases the presence of dry pleurisy indicates those who have a tuberculous process in the body in the attached form. By itself, tuberculosis of the pleurisy rarely develops, more fibrous pleurisy is a reaction in patients with tuberculosis of the lymph nodes or a legion.

Tuberculosis pleurisy, fallow due to ailments and її peculiarities, is divided into three varieties: perifocal, allergic and pleurisy tuberculosis.

purulent pleurisy

The purulent pleurisy vibrates with such microorganism as the disease-causing staphylococcus, pneumococcus, streptococcus. In lonely vipadkah, there are protein, escherih sticks. As a rule, purulent pleurisy develops after one type of microorganism, but it spreads, which causes illness due to the association of microbes.

Symptoms of purulent pleurisy. Overbіg zahvoryuvannya vіdrіznjaєtsya fallow vіd vіku. In the first three months of life, purulent pleurisy is even more easily recognized, shards of wine are masked by severe symptoms that are powerful for umbilical sepsis, pneumonia, caused by staphylococci.

From the side, the thoracic cell becomes swollen. Also, there is a drooping of the shoulder, a lack of slackness of the arm. In older children, standard symptoms of total pleurisy are observed. It can also be seen as a dry cough with sputum, sometimes with pus - when the abscess of the pleurisy breaks into the bronchi.

Pleurisy

Encapsulated pleurisy is one of the most important forms of pleurisy, with any enlargement of pleural leaves, it can lead to accumulation of pleural extrudate.

This form develops as a result of trivial flaming processes in legenia and pleura, which leads to numerical adhesions and interstitial exudates in pleural effusion. In this rank, vipіt accumulates in one place.

exudative pleurisy

Exudative pleurisy is seen in the presence of a pleurisy in an empty pleura. It can cause injury to the breasts from bleeding, or bloody, lymphatic bleeding.

According to the nature of the cycle, pleurisy is subdivided into serous-fibrinous, hemorrhagic, chilezny and confusion. Qiu homeland, often of an obscure journey, is called a vipot, which is the same building strimuvati ruh legenia and compose dihannia.

Symptoms of pleurisy

In times of pleurisy, the symptoms may appear stalely, depending on whether the pathological process proceeds - with exudate or without it.

Dry pleurisy is characterized by such signs:

• prickly pain in the chest, especially when coughing, deep breath and sharp blows,
• vimushene camp on the sick side,
• on top of that sparing breath, with which the side is visually visible in the breath,
• with hearing loss - noise of rubbing the pleura, weakened breathing in the zone of fibrin ducts,
• fever, chills and strong thirst.

In case of exudative pleurisy, the clinical manifestations are devastating:

• dull pain in the affected area,
• stronger protrusion of the affected chest cavity in the respiratory tract,
• feel the heaviness, butt, vibrating between the ribs,
• weakness, rise in temperature, severe chills and profuse fever.

The most important break is indicated for purulent pleurisy:

• high body temperature;
• strong pain in the breasts;
• chills, aches in the whole body;
• earthy vіdtinok shkіri;
• vraty vaga.

If the pleurisy is overcome by a chronic character, then in the lung, scarring changes are formed at the sight of pleural adhesions, like a reshuffle of the full spread of the leg. Massive pneumofibrosis is accompanied by changes in perfusion pressure of legenous tissue, thereby aggravating the symptoms of dychal insufficiency.

complication

The result of pleurisy is rich in why lie in yoga etiology. In cases of advanced overflow of pleurisy nadal, the development of a spike process in the empty pleura, overgrowth of interstitial slits and pleural pleura, thickening of massive moorings, thickening of the pleural leaves, development of pleurosclerosis and dychal insufficiency, obstruction of rukhliv awn of the diaphragm dome.

Diagnostics

The first lower signified as an exuberant pleurisy of the leg, varto to pass obstezhennya and signify the cause of yogo viniknennya. In the minds of clinics for the diagnosis of pleurisy, there are such obstezhennia:

• looking around at that experience of the sick;
• clinical obstezhennya sick;
• radiological follow-up;
• blood test;
• analysis of pleural effusion;
• Microbiological research.

Diagnosis of pleurisy as a clinical condition will not become especially difficult. The main diagnostic complexity in this pathology is to determine the cause that caused the inflammation of the pleurisy and the formation of the pleural effusion.

How to exult pleurisy?

With the appearance of symptoms of pleurisy, healing can be complex and directed towards the elimination of the main process, which caused this development. Symptomatically exultation may be on the point of pain and speed up the dissolution of fibrin, ahead of the establishment of great moorings and growth at the pleural emptiness.

At home minds, they treat less than ailments with diagnosing dry (fibrinous) pleurisy, the decision of patients to be hospitalized for carrying out obstezhennia and selection of an individual scheme for treating pleurisy is legen.

Specialized considerations for such a category of patients are more therapeutic, and ailments for purulent pleurisy and pleural effusion require special treatment in the minds of a surgical hospital. Skin forms of pleurisy may have their own peculiarities of therapy, but in case of any type of pleurisy, etiotropic and pathogenetic direct treatment is indicated.

So, with dry pleurisy, the sick person is prescribed:

1. For the treatment of pain syndrome, they are prescribed: analgin, ketanov, tramadol in case of ineffectiveness of these drugs, in the minds of the hospital, it is possible to introduce narcotic painkillers.
2. Effectively drink alcohol or camphor compresses that warm up, gyrchichniks, iodine sieve.
3. Prescribe preparations that suppress cough - sinekod, codelac, libexin.
4. The most common reason for tuberculosis is tuberculosis, after confirming the diagnosis of tubercular pleurisy in the pro-tuberculosis dispensary, a specific treatment is carried out.

As an expeditative pleurisy with a great amount of vipota, robbing a pleural puncture for either evacuation or drainage. At one time, trochs more than 1.5 liters of exudate are exuded, so as not to provoke heart complications. In case of purulent pleurisy, wash the empty with antiseptics. As if the process had become chronic in nature, they go to pleurectomy - surgical removal of a part of the pleura with a method of preventing relapses. After rozmoktuvannya eksudat ill prescribe physiotherapy, likuvalnu physical culture, dyhal gymnastics.

In acute tuberculous pleurisy, the complex may include such drugs as isoniazid, streptomycin, ethambutol or rifampicin. The very course of treating tuberculosis is close to fate. In case of parapneumonic pleurisy, it is successful to lie down in the selection of antibiotics for the sensitivity of pathological microflora to them. In parallel, immunostimulating therapy is prescribed.

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