Loaʻa iā ʻoe ka ʻeha o ka umauma? Aia kekahi hōʻiliʻili o ka pus? E aʻo kākou e pili ana i kēia empyema!

Ke manaʻo nei ʻoe i kekahi manawa e ʻūlū ana kou umauma i kou hanu ʻana, a i ʻole he ʻūlū kou e mau ana no ka manawa lōʻihi me ka ʻeha o ka umauma, a i ʻole ke manaʻo nei ʻoe ʻaʻole ʻoe e hanu ana? He mau hōʻailona paha kēia o ke anu maʻamau a i ʻole kekahi maʻi liʻiliʻi ʻē aʻe. Akā e kuʻu hoaaloha, i kekahi manawa, hiki i kahi maʻi koʻikoʻi ke ulu i loko o ko kākou mau māmā me kēia mau hōʻailona. No laila, ʻo ke kūlana a kākou e kamaʻilio nei i kēia lā ua kapa ʻia ʻo Empyema .

He aha ka Empyema? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo ka empyema kahi hōʻiliʻili o ka pus i loko o ka hakahaka pleural a puni kou mau māmā. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia hakahaka pleural. E noʻonoʻo i kou mau māmā e like me ʻelua mau pōpō. Aia kēia mau pōpō ʻelua i loko o kahi uhi lahilahi e like me ka ʻeke. ʻO ka hakahaka liʻiliʻi loa ma waena o nā māmā a me ka uhi ma waho ua kapa ʻia ʻo ka hakahaka pleural. ʻO ka maʻamau, he liʻiliʻi loa ka wai ma laila, e kōkua ana i nā māmā e paheʻe maʻalahi a puni me ka ʻole o ka hamo ʻana kekahi i kekahi ke hanu ʻoe.

No laila, ke hōʻiliʻili ka pus i loko o kēia wahi pleural, kapa mākou iā ia he empyema. Ke ʻōlelo mākou he 'pus', ʻike ʻoe, i ka wā e loaʻa ai kahi ʻeha ma kekahi wahi o ko mākou kino, lilo ia i pus, a puka mai kahi wai mānoanoa he melemele, keʻokeʻo, i kekahi manawa he ʻōmaʻomaʻo, a poni paha, ʻeā? ʻO ia ke ʻano o kēia. ʻO kēia mea i kapa ʻia ʻo pus, aia nā mea e like me nā hunaola koko keʻokeʻo , nā ʻiʻo make, a me nā bacteria e hoʻoulu ai i ka maʻi. Hoʻopuka ʻia kēia pus i ka wā e hakakā ai ko mākou kino i kahi maʻi.

ʻO ka mea nui loa, inā ʻaʻole mālama pono ʻia kēia maʻi empyema a wikiwiki hoʻi, hiki ke lilo mālie i mea ʻino a i kekahi manawa hiki ke hoʻoweliweli i ke ola. No laila, he mea nui loa ka makaʻala i kēia.

Ua kapa ʻia kēia he mau inoa ʻē aʻe, i kekahi manawa kapa ʻia e nā kauka he 'pyothorax' a i ʻole 'purulent pleuritis' . Akā ʻo ka hapa pinepine ka inoa empyema i hoʻohana ʻia.

He COPD anei ka Empyema?

He nīnau kēia a ka poʻe he nui e nīnau ai. ʻAʻole, ʻaʻole ka empyema he maʻi i kapa ʻia ʻo COPD (Chronic Obstructive Pulmonary Disease) . ʻO COPD kahi huaʻōlelo laulā e pili ana i nā maʻi māmā mau loa, e like me ka bronchitis mau loa ( ka mumū mau o nā alaloa) a me ka emphysema (ka hōʻino ʻana i nā ʻeke ea i loko o nā māmā).

Eia nō naʻe, aia kekahi mea e hoʻomaopopo ai. ʻOi aku ka nui o ka pilikia o ke kanaka me COPD i ka loaʻa ʻana o kahi maʻi e like me ka empyema ma mua o ke kanaka olakino. ʻO ke ʻano kēia, pono nā poʻe maʻi COPD e makaʻala loa i kēia.

ʻO wai ka mea e loaʻa pinepine ai ka empyema?

Hiki i kekahi ke loaʻa i ka empyema. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe. E nānā kākou iā lākou:

• Ua loaʻa iā ʻoe ka maʻi niumonia ma mua.Inā ua loaʻa iā ʻoe a i ʻole he pneumonia i kēia manawa.
• Inā ʻoe ma luna o 70 mau makahiki. I kou wā ʻelemakule, emi iho ka palekana o kou kino, no laila ʻoi aku ka nui o ka loaʻa ʻana o kēia mau ʻano maʻi.
• Inā ua hana ʻia ʻoe i ke ʻoki umauma i hala koke aku nei, ʻo ke ʻoki puʻuwai a i ʻole ke ʻoki māmā.
• Inā loaʻa iā ʻoe ka maʻi diabetes , hiki i ka maʻi diabetes ke hoʻonāwaliwali i ka ʻōnaehana pale.
• Inā loaʻa iā ʻoe ka COPD e like me ka mea i ʻōlelo ʻia ma mua.
• Inā loaʻa iā ʻoe ka bronchiectasis , kahi kūlana e hoʻonui mau ʻia ai nā ala ea i loko o nā māmā a nāwaliwali a hōʻino ʻia ko lākou mau paia. ʻO kēia ka mea e maʻalahi ai ka hōʻiliʻili ʻana o ka mucus a me nā mea ʻē aʻe a hoʻoulu i nā maʻi.
• Inā he ʻūpā koko kou, ʻoi aku hoʻi ma nā māmā.
• Hoʻokomo kekahi poʻe i nā lāʻau lapaʻau i loko o ke aʻa (hoʻohana ʻana i nā lāʻau lapaʻau IV). Loaʻa i kēia poʻe ka pilikia kiʻekiʻe no ka mea hiki i nā germs ke komo i ke kino ma o nā nila lepo.

Pehea ka maʻamau o ka empyema?

ʻOiaʻiʻo, ʻaʻole maʻamau loa ka empyema. ʻO ia hoʻi, ʻaʻole ia he maʻi e kū pinepine ana. No ka laʻana, ma kahi ʻāina e like me ʻAmelika Hui Pū ʻIa, he 32,000 wale nō hihia o ka empyema i hōʻike ʻia i kēlā me kēia makahiki. ʻO ia hoʻi, ʻaʻole ia he mea maʻamau loa. Akā, ʻoiai ʻaʻole ia he mea maʻamau, he kūlana ia e pono e lawe koʻikoʻi ʻia inā kū mai.

He aha nā hōʻailona o ka empyema? E makaʻala i kēia mau mea!

He ʻano maopopo ʻole nā ​​hōʻailona o ka empyema. ʻO ia hoʻi, hiki ke ʻike ʻia kēia mau hōʻailona i nā maʻi maʻamau ʻē aʻe, no laila i kekahi manawa ʻaʻole paha ʻoe e manaʻo he empyema ia. Akā e makaʻala i hoʻokahi a ʻoi aku paha o kēia mau mea:

• ʻEha a ʻeha paha ka umauma: Hiki ke ʻoi aku ka ʻeha o kēia ʻeha i ka wā e hanu ana a i ʻole e ʻū ana. Manaʻo paha kekahi poʻe e ʻū ana ko lākou umauma.
• Kuni: Wela ke kino, a i kekahi manawa anuanu a haʻalulu ke kino.
• Paʻakikī ka hanu ʻana: Paʻakikī paha iā ʻoe ke hanu ke luhi iki ʻoe, a i ʻole e manaʻo paha ʻoe ua pōkole ka hanu ʻoiai ʻoe e kū mālie ana.
• ʻŪhū: Hiki i kēia ke lilo i ʻūhū maloʻo, i kekahi manawa e hele pū ʻia me ka phlegm mānoanoa a kala.
• Manaʻo luhi loa ('fatigue'): Hiki iā ʻoe ke manaʻo ua luhi loa ʻoe a ʻaʻole hiki iā ʻoe ke hana i kekahi mea, a hiki paha iā ʻoe ke hiamoe i nā manawa a pau.
• ʻO ka pohō kaumaha i wehewehe ʻole ʻia: Inā ʻoe e pohō wale ana i ke kaumaha me ka ʻole o ka ʻai ʻana a i ʻole ka hoʻoikaika kino ʻana, he hōʻailona kēlā e pono ai ke hoʻolohe.
• Hiki i kekahi poʻe ke loaʻa ka hou i ka pō.

Mai makaʻu i ka empyema no ka mea wale nō he hoʻokahi a ʻelua paha o kēia mau hōʻailona kou. Akā inā hoʻomau lākou a i ʻole e ʻoi aku ka ʻino, e ʻimi pono i ke kōkua lapaʻau.

He aha nā kumu o ka empyema?

ʻO ka maʻamau, loaʻa ka empyema i ka wā e laha ai kahi maʻi i loko o kou mau māmā i ka hakahaka pleural aʻu i ʻōlelo ai ma mua. E noʻonoʻo e like me kekahi mau germs mai loko mai o nā māmā e pakele ana a neʻe i loko o ka hakahaka a puni nā māmā.

ʻO ke kumu nui a maʻamau o kēia, ʻo ia ka niumonia . ʻO ka niumonia kahi maʻi o nā māmā i hoʻokumu ʻia e nā bacteria, nā virus, a i ʻole nā ​​​​fungi. No laila, ʻo ia ka maʻi e ulu pinepine ai i ka empyema.

Aia kekahi mau kumu ʻē aʻe ma waho aʻe o ka maʻi pneumonia:

• ʻO ka maʻi puʻupuʻu (TB): He maʻi bacteria ka maʻi puʻupuʻu e hoʻopilikia ai i nā māmā.
• ʻŌpū o ka māmā: He lua piha i ka pus a i ʻole ka ʻōpū e hana ʻia ana i loko o ka māmā. Hoʻokumu ʻia kēia e kahi maʻi.
• ʻO ke ʻoki ʻana i ka umauma: I kekahi manawa hiki ke ulu aʻe kahi maʻi ma hope o ke ʻoki ʻana a hana i ka empyema.
• Nā ʻeha a i ʻole ka trauma i ka umauma: ʻO kahi hahau i ka umauma, e like me kahi ulia, hiki ke hōʻino i nā māmā a i ʻole ka pleural space a hoʻoulu i ka maʻi.
• I kekahi manawa, hiki i kahi maʻi i loko o ka lua ʻōpū (ʻōpū) ke laha ma o ka diaphragm a i loko o ka pleural space. Eia nō naʻe, he mea kakaikahi kēia.

Pehea ka wikiwiki o ka ulu ʻana o ka empyema?

ʻO ka maʻamau, ma kahi o ʻehā a ʻeono pule no kahi bacteria e like me ka germ e komo i loko o kou mau māmā a ulu a lilo i empyema. ʻO ke ʻano kēia, inā ulu kahi mea e like me ka pneumonia a ʻaʻole i mālama pono ʻia, hiki i kēia kūlana i kapa ʻia ʻo empyema ke ulu i loko o kekahi mau pule, ʻaʻole wale kekahi mau lā.

He maʻi laha anei ka Empyema?

He nīnau koʻikoʻi nō hoʻi kēia. ʻAʻole, ʻaʻole laha pololei ka empyema mai ke kanaka a i ke kanaka. ʻO ia hoʻi, ʻaʻole ʻoe e loaʻa i ka empyema ma ka noho wale ʻana me kahi mea nona ka empyema.

Akā, e hoʻomanaʻo i kēia: ʻO nā kumu nui o ka empyema he mau maʻi e like me ka pneumonia a me ka maʻi puʻupuʻu . Hiki i kēia mau maʻi ma lalo ke laha. No ka laʻana, i ka wā e ʻū ai a ʻūhā paha kekahi me ka pneumonia, hiki ke hoʻokuʻu ʻia nā germs i ka lewa a laha i nā poʻe ʻē aʻe. No laila, inā laha ka maʻi ma lalo i hoʻokumu i ka empyema, pono ʻoe e makaʻala e pili ana i kēlā.

Pehea e ʻike ʻia ai ka Empyema? He aha ka hana a nā kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka empyema, pono ʻoe e ʻike i ke kauka. Hiki i ke kauka ke ʻike maopopo inā he empyema a i ʻole kekahi mea ʻē aʻe. Penei lākou e ʻike ai i ke kūlana:

1. Nīnau lākou iā ʻoe e pili ana i kou mōʻaukala olakino: Nīnau lākou iā ʻoe i nā nīnau he nui, e like me nā hōʻailona āu i loaʻa ai, pehea ka lōʻihi o kou loaʻa ʻana iā lākou, inā ua loaʻa iā ʻoe kekahi mau maʻi ma mua, a me nā lāʻau lapaʻau āu e lawe nei.

2. Hana ʻia kahi hoʻokolokolo kino:E kau ke kauka i ka stethoscope ma kou umauma, e hoʻolohe, e pā i kou umauma, a e nānā i kou ʻano hanu.

3. Ka lawe ʻana i kahi hāpana o ka wai: ʻO kēia ka hana nui loa. Inā he kānalua no ka wai (pus) i loko o ka hakahaka pleural, e hoʻohana ke kauka i kahi nila lahilahi e wehe i kekahi o ka wai a hoʻouna aku i ka lab no ka hoʻāʻo ʻana. Ua kapa ʻia kēia he thoracentesis . Hana ʻia kēia me kahi lāʻau hoʻomāʻū, no laila ʻaʻole ia e ʻeha nui.

Inā manaʻo kāu kauka he empyema kou, e kauoha lākou i kekahi mau hoʻokolohua hou aʻe e hōʻoia iā ia.

Nā hoʻokolohua ʻē aʻe e ʻike ai i ka empyema

• Nā hoʻāʻo kiʻi:
• X-ray o ka umauma: Hiki i kēia ke hāʻawi i kahi manaʻo maʻamau inā he wai i loko o ka hakahaka pleural a pehea ka nui.
• CT scan: Hāʻawi kēia i nā kiʻi maopopo a kikoʻī hoʻi ma mua o kahi X-ray. Hiki iā ia ke hōʻike i kahi a me ka nui o ka wai, a inā he mau pilikia ʻē aʻe me nā māmā.
• ʻO ke scan ultrasound: Hiki ke hoʻohana ʻia kēia e nānā i ka nui o ka wai i loko o ka hakahaka pleural. He mea kōkua nui kēia i ka hoʻoholo ʻana i kahi e hoʻokomo ai i ka nila i ka wā e lawe ai i kahi hāpana o ka wai (thoracentesis).

Ma hope o kēia mau kiʻi, hoʻouna ʻia ka hāpana wai i ka lab no nā hoʻokolohua like ʻole. Ke nānā nei lākou i nā mea e like me ka loaʻa ʻana o ka pus i loko a me ke ʻano o nā germs i loko (nā moʻomeheu).

• Nā hoʻāʻo koko:
• Hana ʻia nā hoʻāʻo koko e ʻike ai inā loaʻa iā ʻoe kahi maʻi.
• Nānā ʻia ka helu o nā hunaola koko keʻokeʻo (WBC) . Hoʻonui pinepine kēia helu ke loaʻa kahi maʻi.
• Hana ʻia kahi hoʻāʻo i kapa ʻia ʻo C-reactive protein (CRP) . Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he maʻi a mumū paha i loko o ke kino.
• I kekahi manawa, hana ʻia kahi moʻomeheu koko e ʻike ai inā he mau germs i loko o ke koko.

Ma muli o ka ʻike i loaʻa mai kēia mau hoʻokolohua a pau e hoʻoholo pono ai ke kauka inā he empyema kou a he aha kona kūlana.

Hiki ke ho'ōla ʻia ka Empyema? He aha nā lāʻau lapaʻau?

ʻAe, ʻo ka nūhou maikaʻi, hiki ke mālama ʻia ka empyema. Akā, pono e ʻike mua ʻia a mālama pono ʻia. ʻElua mau pahuhopu nui o ka lāʻau lapaʻau:

1. Ke wehe ʻana i ka pus mai ka hakahaka pleural.

2. Ka lāʻau lapaʻau e pepehi i nā germs i hoʻoulu ai i ka maʻi (hana pinepine ʻia kēia me nā antibiotics ).

I kēia manawa, e nānā kākou pehea e wehe ai i kēia pus:

• Ka hoʻokaʻawale ʻana o ke kino:I nā pae mua o ka empyema, a inā he liʻiliʻi ka nui o ka pus, hiki i ke kauka ke hoʻokomo i kahi nila lahilahi a me ka paipu (catheter) ma o ka umauma i loko o ka pleural space a hoʻokahe i kekahi o ka pus. I kekahi manawa, hiki ke waiho ʻia kahi paipu liʻiliʻi (ʻōmole umauma a i ʻole ka paipu hoʻokahe) ma kahi no kekahi mau lā e hoʻomau i ka hoʻokahe ʻana i ka pus.
• Lapaʻau Fibrinolytic: I kekahi manawa hiki i ka pus ke mānoanoa loa a paʻa. A laila ʻaʻole ia e puka maʻalahi ma o ka paipu. I kēlā mau hihia, hiki i ke kauka ke hoʻokomo i kahi lāʻau lapaʻau i loko o ka pleural space ma o ka pahu umauma. Hana kēia lāʻau lapaʻau ma ka hoʻoheheʻe ʻana i kekahi o ka pus mānoanoa. A laila hiki ke wehe maʻalahi ʻia.
• ʻO ke ʻoki kino:

Inā koʻikoʻi ka empyema, inā ua pālahalaha ka pus i nā wahi he nui, inā ua hana ia i nā ʻiʻo fibrous, a inā ʻaʻole i kōkua nā lāʻau ʻē aʻe, pono paha i kāu kauka ke hana i ke ʻoki kino. Aia kekahi mau ʻano ʻoki kino:

• ʻO ke ʻoki ʻana i ka umauma me ke kōkua wikiō (VATS): Pili kēia i ka hana ʻana i kekahi mau ʻoki liʻiliʻi ma ka umauma, ke hoʻokomo ʻana i kahi kāmela a me nā mea hana kūikawā, a me ka hoʻomaʻemaʻe ʻana i ka hakahaka pleural, ka wehe ʻana i ka pus a me nā membrane mānoanoa. Hana ʻia kēia me kahi ʻoki liʻiliʻi, e hiki ai ke ho'ōla wikiwiki.
• ʻO ka Thoracotomy a me ka Decortication: Inā ʻoi aku ka koʻikoʻi o ke kūlana e hiki ʻole ke mālama ʻia me VATS, hiki ke hana ʻia kahi thoracotomy (wehe ʻana i ka umauma). ʻAe kēia i ke kauka e nānā pololei i nā māmā a wehe i kekahi membrane mānoanoa a paʻa (i kapa ʻia ʻo decortication) a me ka pus.

E hoʻoholo kāu kauka i ka lāʻau kūpono iā ʻoe ma hope o ka noʻonoʻo ʻana i nā kumu he nui, e like me ke koʻikoʻi o kou empyema a me kou olakino holoʻokoʻa.

He aha nā lāʻau lapaʻau no ka empyema?

No ke kāohi ʻana a me ka hoʻopau ʻana i ka maʻi, e kuhikuhi kāu kauka i nā lāʻau antibiotic . Hiki ke hāʻawi ʻia kēia mau mea ma ke ʻano intravenous (IV), a i ʻole ma ke ʻano he mau pila a i ʻole nā ​​capsules. Hiki ke hāʻawi mua ʻia iā lākou ma IV a laila hoʻololi i nā lāʻau lapaʻau waha.

ʻO kekahi o nā lāʻau antibiotic i hoʻohana pinepine ʻia:

• ʻAmoxicillin-clavulanate
• ʻO ka lāʻau ʻo Piperacillin-tazobactam
• ʻImipenem
• ʻO Meropenem
• I kekahi manawa hiki ke hoʻohui ʻia nā lāʻau lapaʻau e like me 'Clindamycin' a i ʻole 'Metronidazole'.

He mau laʻana wale nō kēia. Na kāu kauka e hoʻoholo i ka antibiotic a me ka nui kūpono nou a me kou maʻi. Mai lawe i kekahi antibiotic āu e manaʻo ai me ka ʻole o ka ʻōlelo aʻoaʻo lapaʻau.

Pehea ka wikiwiki o koʻu ho'ōla ʻana ma hope o ka lāʻau lapaʻau?

He mea kēia e hiki ke ʻokoʻa mai kēlā kanaka a kēia kanaka.

• Pono e lawe ʻia nā lāʻau antibiotic no ʻelua a ʻeono pule, i kekahi manawa ʻoi aku ka lōʻihi.ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau no ka manawa piha i kuhikuhi ʻia e kāu kauka, ʻoiai inā ʻoe e manaʻo nei ua ʻoi aku ka maikaʻi. A i ʻole, ʻaʻole paha e nalowale loa ka maʻi a hoʻi hou mai, e paʻakikī ai ka mālama ʻana, a ʻaʻole paha e hana ka lāʻau lapaʻau i hāʻawi ʻia iā ʻoe.
• Ma hope o ka thoracentesis ( ka wehe ʻana i ka pus me ka nila), aia paha kekahi ʻeha ma kahi i hoʻokomo ʻia ai ke nila no kekahi mau lā a i ʻole hoʻokahi pule. E hāʻawi ke kauka iā ʻoe i nā lāʻau ʻeha no kēia.
• Inā he ʻōmole umauma kou , hiki paha iā ʻoe ke manaʻo i kekahi ʻeha a hiki i ka wā e wehe ʻia ai.
• Inā loaʻa iā ʻoe kahi ʻoki kino nui (VATS a i ʻole Thoracotomy) , hiki ke hala i ʻehā a ʻeono pule, a ʻoi aku paha, e hoʻōla piha ai a hoʻomaka hou i nā hana maʻamau. I loko o kēia manawa, he mea nui loa ka hoʻomaha a me ka hoʻoikaika kino e like me ke kuhikuhi a kāu kauka.

Pehea e pale ai i ka ulu ʻana o ka empyema?

"ʻOi aku ka maikaʻi o ka pale ʻana ma mua o ka hoʻōla." ʻO ke ala maikaʻi loa a koʻikoʻi loa e pale ai i ka ulu ʻana o ka empyema, ʻo ia ka mālama ʻana i kekahi maʻi māmā, ʻoiai ka pneumonia, me ka wikiwiki a me ke kūpono.

• Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi niumonia (ke kuni, ka huʻa, ke kuni, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana), mai hoʻowahāwahā iā ia, e ʻike koke i ke kauka, a e lawe i ka lāʻau lapaʻau e like me ke kauoha.
• Inā ʻoe e puhipaka ana, he ala maikaʻi loa ka haʻalele ʻana i ka puhipaka e mālama ai i ke olakino o kou mau māmā.
• He mea nui nō hoʻi nā hana hoʻomaʻemaʻe maikaʻi, e like me ka holoi pinepine ʻana i kou mau lima a me ka makaʻala i nā wahi piha kanaka.
• Aia nā lāʻau pale no kekahi poʻe (e laʻa, ka poʻe ʻelemakule, ka poʻe me nā maʻi ʻē aʻe) e kūʻē i ka niumonia. E nīnau i kāu kauka e pili ana iā lākou.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka empyema?

Ua kamaʻilio mua mākou e pili ana i ke ʻano o ka empyema ʻaʻole ia he maʻi maʻamau. I ka hapanui o nā hihia , inā ʻike ʻia a mālama ʻia i ka wā mua, ʻo ia hoʻi, i ka wā e hoʻomaka ai nā hōʻailona, ​​​​hiki ke ho'ōla loa ʻia ma mua o ka lilo ʻana i mea ʻino.

Eia nō naʻe, inā ʻaʻole i mālama pono ʻia, a inā he mau maʻi olakino lōʻihi ʻē aʻe kou (comorbidities) e like me ka maʻi diabetes, ka maʻi puʻuwai, a i ʻole ka maʻi puʻupaʻa, hiki ke make ma waena o 5% a me 30% o ka poʻe me ka empyema. ʻO ia hoʻi, hiki ke hoʻoweliweli i ke ola.

Inā ulu ka empyema i loko o ka poʻe me nā ʻōnaehana pale kino nāwaliwali (e.g., ka poʻe i loaʻa i ka maʻi HIV, nā maʻi kanesa, nā mea loaʻa i ka hoʻoili ʻana o nā kino), hiki i ka nui o ka make ke piʻi aʻe i ka 40%. ʻO ia hoʻi, he mea weliweli loa ia.

No laila, inā loaʻa iā ʻoe nā hōʻailona o ka empyema, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i ke kauka me ka hoʻonele ʻole i ka manawa. Inā kuhikuhi ke kauka i nā antibiotics, e hōʻoia e lawe i ka papa holoʻokoʻa o ka lāʻau lapaʻau e hōʻoia i ka pau loa o ka maʻi a ʻaʻole e hoʻi hou mai.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke hele ʻoe e ʻike i kāu kauka, he mea maikaʻi ke nīnau i nā nīnau e like me kēia e loaʻa ai kahi ʻike maopopo o kou kūlana:

• "E ke kauka, pehea lā ʻoe i hoʻoholo ai ua loaʻa iaʻu ka empyema? He aha nā hoʻokolohua i hōʻoia i ia mea?"
• "Inā ʻaʻohe oʻu empyema, he aha ke ʻano ʻē aʻe e hiki ai ke hoʻoulu i kēia mau hōʻailona?"
• "Pehea lā i loaʻa ai iaʻu ka empyema? Aia kekahi kumu kikoʻī no ia mea?"
• "Pehea ke koʻikoʻi o koʻu empyema? I ke kahua hea ia?"
• "He aha ke ʻano o ka lāʻau lapaʻau āu e ʻōlelo mai nei noʻu? He aha nā mea e manaʻo ʻia ai no ia mea?"
• "Pehea ka lōʻihi o koʻu lawe ʻana i kēia mau lāʻau ʻalopelo, ʻehia mau manawa o ka lā, ma mua a ma hope paha o ka ʻai ʻana?"
• "Hiki i kēia mau lāʻau lapaʻau ke hana i nā hopena ʻaoʻao? Inā pēlā, he aha kaʻu e hana ai?"
• "Pehea e mālama ai i kēia mau lāʻau antibiotic? (e.g., i loko o ka friji a i ʻole ma ka mahana o ka lumi?)"
• "Pono anei au e hoʻi mai a hōʻike i nā manawa hoʻopaʻa (`nā manawa hoʻopaʻa hou`)? Āhea ia?"
• "Aia kekahi mau mea kūikawā e pono iaʻu e makaʻala e pili ana i ka meaʻai, ka mea inu, a me nā hana o kēlā me kēia lā i kēia manawa?"

Mai makaʻu e nīnau i kēia mau nīnau. He mea nui loa ka hoʻomaopopo maikaʻi ʻana i kou maʻi no ka hoʻōla wikiwiki ʻana.

He aha ka ʻokoʻa ma waena o ka Empyema a me ka Pneumonia?

ʻOiai he mau maʻi māmā kēia mau mea ʻelua, aia kahi ʻokoʻa iki.

• ʻO ka niumonia kahi maʻi o kekahi a i ʻole nā ​​​​​​mea ʻelua o kou mau māmā, a i ʻole ka ʻiʻo māmā ponoʻī . Hiki ke hana ʻia e ka bacteria, nā virus, a i ʻole nā ​​​​​​haʻi. Inā loaʻa iā ʻoe ka niumonia, hiki iā ʻoe ke ʻūhā i ka mucus i loaʻa i ka maʻi.
• ʻO ka empyema kahi hōʻiliʻili o ka pus i loko o ka pleural space a puni kou mau māmā . Hoʻokumu pinepine ʻia e ka bacteria e hoʻoulu ai i ka pneumonia (ʻo ia hoʻi, he pilikia o ka pneumonia). Inā loaʻa iā ʻoe ka empyema, ʻaʻole e puka mai ka pus ke ʻū ʻoe. Pono e mālama ʻia ka pus me nā antibiotics, a i ʻole e pono i ke kauka ke hoʻokahe iā ia me kahi nila a i ʻole ke ʻoki kino.

He aha ka ʻokoʻa ma waena o ka empyema a me ka abscess o ka māmā?

ʻOiai ua hōʻiliʻili ka ʻōpala ma kēia mau mea ʻelua, aia ia ma nā wahi ʻelua.

• ʻO ka abscess māmā he hōʻiliʻili ʻano ʻē o nā ʻiʻo make a me ka pus e hana ʻia ana i loko o nā ʻiʻo māmā . Noho kēia abscess ma kahi hoʻokahi a ʻaʻole e neʻe a puni.
• ʻO ka empyema kahi hōʻiliʻili o ka pus i loko o ka pleural space ma waho o nā māmā. Hiki ke hoʻopili ʻia kēia pus ma kahi hoʻokahi a i ʻole e pālahalaha ma loko o ka pleural space.

He aha ka ʻokoʻa ma waena o ka Empyema a me ka Pleural Effusion?

Hiki ke huikau kēia mau mea ʻelua.

• ʻO ka effusion pleural ka wai keu ma waena o nā membrane lahilahi ma waena o kou mau māmā a me ka hakahaka pleural.No ka mea, hōʻiliʻili ia. Kāhea pū kekahi poʻe i kēia 'wai i loko o nā māmā'. Hiki i kēia wai ke hōʻiliʻili no nā kumu like ʻole (e like me ka maʻi puʻuwai, ka maʻi puʻupaʻa, ke kanesa). Hiki paha i kēia wai ke lilo i pus.
• ʻO ka empyema ka hōʻiliʻili ʻana o ka pus, ma ka hakahaka pleural. ʻO ia hoʻi, ʻaʻole nā ​​​​empyemas āpau o nā effusions pleural, akā ʻo nā empyemas he mau effusions pleural i loaʻa ka pus (i loaʻa i ka maʻi).

He aha ka ʻokoʻa ma waena o ka Empyema a me ka Parapneumonic Effusion?

E wehewehe iki kākou i kēia.

• ʻO ka parapneumonic effusion kahi ʻano pleural effusion. Hana ʻia ia ma muli o ka maʻi pneumonia . ʻO ke ʻano kēia, hōʻiliʻili ka wai i loko o ka pleural space ma muli o ka maʻi pneumonia. I ka wā mua, he wai wale nō paha kēia wai (me ka ʻole o ka pus).
• Inā loaʻa kēia parapneumonic effusion i ka bacteria a puka mai ka pus i loko, a laila kapa mākou ia he 'Empyema' . ʻO ia hoʻi, hiki i kahi parapneumonic effusion ke ulu a lilo i empyema.

ʻO ka mea hope loa, nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

No laila, e kuʻu hoaaloha, ke lana nei koʻu manaʻo ua ʻoi aku kou maopopo i ka empyema. E hoʻomanaʻo i kēia mau manaʻo:

• ʻO ka Empyema kahi ʻano e hōʻiliʻili ai ka pus i loko o ka hakahaka pleural a puni kou mau māmā a pono e mālama ʻia.
• ʻO ka maʻamau, ʻo kēia ke kumu o nā hōʻailona e hoʻopilikia ai i ka umauma a me ka hanu ʻana (ʻeha umauma, paʻakikī ka hanu ʻana, kuni, ʻūlū).
• ʻOiai ʻaʻole kēia he kūlana maʻamau loa, inā ʻike mua ke kauka i ka empyema, ʻoi aku ka nui o ka manawa e hoʻōla piha ai.

ʻO ka mea nui loa: Inā ʻaʻole mālama ʻia, a inā he mau maʻi ʻē aʻe kou, e like me ka maʻi diabetes, hiki i ka empyema ke make. No laila, inā pilikia ʻoe i ka hanu ʻana a i ʻole nā ​​​​hōʻailona umauma kānalua ʻē aʻe, mai hoʻowahāwahā iā lākou e like me ka mea maʻamau, a e ʻike koke i ke kauka.

Hiki i kāu kauka ke ʻike inā he empyema kou a i ʻole kekahi mea ʻē aʻe, e ʻimi i ke kumu, a hāʻawi iā ʻoe i ka lāʻau lapaʻau kūpono loa. E hoʻomanaʻo, ʻo ka mālama mua ʻana a me ka hahai ʻana i nā ʻōlelo a kāu kauka ke ala maikaʻi loa e noho olakino ai!

ʻEmpyema , hakahaka pleural, pus, pneumonia, maʻi māmā, ʻeha umauma, paʻakikī ka hanu ʻana