- Treatment of dry pleurisy
- How to treat pleural effusion in children?
- Treatment of purulent pleurisy in children
Treatment of pleurisy in children requiresdifferentiated integrated approach. Treatment of the disease is determined by the current character and assigned individually to each child, depending on the type of disease and the expected pathogen, presence or absence of complications, and the patient's condition.
Dry pleurisy in children is rare,primarily as a complication of pneumonia. Its main symptom is non-productive cough and chest pain with each breath, these manifestations of the disease deliver the suffering child. The goal of treatment of dry pleurisy is to fight infection and inflammation, suppression of obsessive dry cough.
In the foreground is treatment of the underlying disease, most commonly pneumonia. Traditionally, the event is usually enough to win pleurisy.
When protracted course of dry pleurisy in children and the absence of tuberculosis infection, to eliminate inflammation prescribe physiotherapy, such as diathermy, UHF.
Shown therapeutic breathing exercises, receive bracing means, vitamin-mineral complex preparations, immunomodulators and adaptogens.
Pericardial effusion is characterized by the accumulationpleural exudate - liquid formed as a result of inflammation. The children found serous and purulent pleurisy, the treatment of these diseases have common features and the features.
First of all, the child shows a strict bed rest, a balanced diet with restriction of salt and fluids.
Accumulates in the pleural exudatelimits movement of the lungs and causes respiratory and heart failure, in exudative pleurisy resorted to pleurocentesis - puncture the chest and fluid evacuation. Pleural puncture is carried out only in the hospital, so the child must be hospitalized. The resulting puncture fluid is directed to the study and its results are judged on the infectious agent.
The mainstay of treatment of pleurisy in children is antibiotic therapy, appointed according to the nature of the disease.
Since the development of serous pleurisyinvolving allergic reactions, used in the treatment of anti-allergic agents, often with prolonged disease have resorted to the introduction of hormonal agents directly into the pleural cavity. Therapy is complemented by a fortifying agent, drugs that reduce permeability and strengthens blood vessel walls, vitamins C, PP, group B. In order to improve the respiratory function of the lungs and the prevention of adhesions of the pleura is shown a massage and breathing exercises.
Purulent pleurisy - the most common form of the diseasein children. The main objective of therapy in this case is the evacuation of the pleural cavity of pus. Pleural puncture is performed or a large syringe or device Potena. After extracting pus antibiotic is introduced between the sheets of pleura. Punctures are repeated as needed for a complete cleansing of the pleural cavity. In the absence of the effect of them is shown surgical intervention.
Total antibiotic therapy is prescribed totaking into account the sensitivity of the pathogen to antibiotics. In order to increase the reactivity, resort to fractional blood and plasma transfusions, to reduce the severity of allergic disease using desensitization agent component.
Throughout the treatment the child needsenhanced care, a balanced diet, aerotherapy. In the recovery period prescribed physiotherapy absorbable treatments, massage and physiotherapy.
Prediction pleurisy in infants depends on the naturedisease and the effectiveness of therapy. Dry and serous effusion at the appropriate therapy and sufficient reactivity end recovery. Purulent pleurisy occurs most severely, often requires radical surgery. The consequences may be purulent pleuritis adhesions pleural cavity and chest deformity of the spine, pulmonary fibrosis, bronchiectasis, pulmonary heart formation and, ultimately, disability child. The outcome of purulent pleurisy depends primarily on timely, as much as possible early diagnosis and competent treatment.