He mamae tō uma? He puranga pūkahukahu? Me ako tātou mō tēnei empyema!

Kei te pēhia tō uma i ētahi wā ina manawa koe, kei te maremare koe mō te wā roa me te mamae o te uma, kei te pēhia rānei koe me te mea kāore koe e manawa? He tohu pea ēnei o te makariri noa, o tētahi atu mate iti rānei. Engari e hoa, he onge te puta o tētahi mate kino i roto i ō tātou pukahukahu me ēnei tohu. Nō reira, ko te mate ka kōrerohia e tātou i tēnei rā ko te Empyema .

He aha te Empyema? Kia mārama tātou!

I te whakarapopototanga, ko te empyema he puranga wai i roto i te wāhi pleural e karapoti ana i ōu pūkahukahu. Tērā pea kei te whakaaro koe he aha tēnei wāhi pleural. Whakaarohia ōu pūkahukahu he rite ki ngā poihau e rua. Kei roto i tētahi uhi angiangi, he rite ki te pēke, ēnei poihau e rua. Ko te wāhi tino iti i waenganui i ngā pūkahukahu me te uhi i waho e kiia ana ko te wāhi pleural. I te nuinga o te wā, he iti noa te wai kei reira, e āwhina ana i ngā pūkahukahu kia nekeneke ngāwari me te kore e mirimiri tetahi ki tetahi ina manawa koe.

Nō reira, ina kohia te pūhā ki roto i tēnei wāhi pleural, ka kiia e tātou ko te empyema. Ina kī tātou he 'pūhā', e mōhio ana koe, ina he patunga kei roto i tō tātou tinana, ka huri hei pūhā, ā, ka puta mai he wai matotoru he kōwhai, he mā, he kakariki, he māwhero rānei, tika? Koinei te āhua o tēnei. Kei roto i tēnei matū e kiia nei ko te pūhā ngā mea pēnei i ngā toto toto mā , ngā kiko mate, me ngā huakita e mate ai te mate. Ka puta tēnei pūhā ina whawhai tō tātou tinana ki te mate.

Ko te mea nui, ki te kore e rongoatia tika, kia tere hoki tēnei mate empyema, ka kino haere, ā, i ētahi wā ka mate pea. Nō reira, he mea nui kia mōhio ki tēnei.

He ingoa kē atu tēnei, i ētahi wā ka karangatia e ngā tākuta ko te 'pyothorax' ko te 'purulent pleuritis' rānei. Engari ko te nuinga o te wā ka whakamahia ko te ingoa empyema.

He COPD te Empyema?

He pātai tēnei e pātaihia ana e te tini tāngata. Kāo, ehara te empyema i te mate e kiia nei ko te COPD (Chronic Obstructive Pulmonary Disease) . Ko te COPD he kupu whānui e whakauru ana i ngā mate pūkahukahu mau tonu, pērā i te bronchitis mau tonu ( te mumura mau tonu o ngā ara manawa) me te emphysema (te pakaru o ngā pēke hau i roto i ngā pūkahukahu).

Heoi anō, he mea anō hei mōhio. He nui ake te tūponotanga o te tangata whai COPD ki te pāngia e te mate pēnei i te empyema i te tangata hauora. Ko te tikanga o tēnei me tino tupato ngā tūroro COPD ki tēnei.

Ko wai te mea tino pea ka pāngia e te empyema?

Ka taea e te tangata katoa te pāngia e te empyema. Heoi, he nui ake te mōrearea o ētahi tāngata. Me titiro tātou ko wai rātou:

• Kua pāngia koe e te niumōnia i mua.Mena kua pāngia koe e te niumōnia, kei te pāngia rānei koe e te mate niumōnia i tēnei wā.
• Mena kua neke atu i te 70 tau te pakeke. I a koe e pakeke haere ana, ka heke te ātete o tō tinana ki te mate, nō reira ka nui ake te tūponotanga ka pāngia koe e ēnei momo mate.
• Mena kua oti koe te pokanga uma i ngā wā tata nei, he pokanga ngākau, he pokanga pukahukahu rānei.
• Mena he mate huka tōu, ka taea hoki e te mate huka te whakaiti i te kaha o te pūnaha ārai mate.
• Mena kei a koe te COPD e ai ki te kōrero i mua ake nei.
• Mena kei a koe te bronchiectasis , he āhuatanga e whānui haere ai ngā ara manawa o roto i ngā pūkahukahu, ā, ka ngoikore, ka pakaru hoki ō rātou pakitara. Mā tēnei ka māmā ake te hanga o te hūpē me ētahi atu matū, ka puta ai he mate.
• Mena he toto totoka tōu, inā koa i roto i ngā pukahukahu.
• Ko ētahi tāngata e wero ana i ngā rongoā ki roto i te uaua (te whakamahi i ngā rongoā IV). He nui ake te mōrearea o ēnei tāngata nā te mea ka taea e ngā iroriki te uru ki te tinana mā roto i ngā ngira paru.

He pēhea te noa o te empyema?

Ehara i te mea tino noa te empyema. Arā, ehara i te mate e puta pinepine ana. Hei tauira, i roto i tētahi whenua pērā i te Hononga o Amerika, e 32,000 noa iho ngā kēhi o te empyema e pūrongohia ana i ia tau. Ko te tikanga, ehara i te mea tino noa. Ahakoa ehara i te mea noa, he āhuatanga tēnei me aro nui ki te puta.

He aha ngā tohu o te empyema? Kia tūpato ki ēnei!

He ahua koretake ngā tohu o te empyema. Arā, ka kitea anō ēnei tohu i roto i ētahi atu mate noa, nō reira i ētahi wā kāore pea koe e whakaaro he empyema. Engari kia tūpato ki tētahi, ki ētahi rānei o ēnei mea:

• Mamae, koretake rānei o te uma: Ka kaha ake pea tēnei mamae i te wā e manawa ana, e maremare ana rānei. Tērā pea ka rongo ētahi tāngata kei te kikī te uma.
• Kirika: Ka wera te tinana, ā, i ētahi wā ka mātao, ka wiri hoki.
• Te uaua ki te manawa: Tērā pea ka uaua ki te manawa ina paku ngenge koe, ka pōturi rānei te manawa ahakoa kei te tū noa koe.
• Maremare: He maremare maroke tēnei, i ētahi wā ka haere tahi me te huware matotoru, he tae.
• Te tino ngenge (‘fatigue’): Tērā pea ka tino ngenge koe, kāore e taea e koe te mahi i tetahi mea, ā, ka hiamoe tonu pea koe.
• Te whakahekenga taumaha kāore i te mārama: Mena kei te whakaheke noa koe i tō taumaha me te kore e kai i tētahi kai iti, e whakakori tinana rānei, he tohu anō tēnā hei aro atu.
• Tērā pea ka pāngia ētahi tāngata e te werawera i te pō.

Kaua e wehi i te empyema nā te mea kei a koe tētahi, e rua rānei o ēnei tohu. Engari ki te mau tonu, ki te kino haere rānei, me rapu tohutohu hauora.

He aha ngā take o te empyema?

I te nuinga o te wā, ka puta te empyema ina horapa te mate i roto i ō pūkahukahu ki te wāhi pleural i kōrerotia e au i mua ake nei. Whakaarohia he rite ki ētahi iroriki mai i roto i ngā pūkahukahu e mawhiti ana, e neke ana ki te wāhi e karapoti ana i ngā pūkahukahu.

Ko te tino take, ko te tino take o tēnei ko te niumōnia . Ko te niumōnia he mate o ngā pukahukahu i puta mai i te huakita, te huaketo, te harore rānei. Nō reira, ko taua mate te mea e whanake ana hei empyema.

Haunga te niumōnia, tera atu ētahi atu take pea:

• Te mate kohi (TB): He mate huakita te mate kohi e pā ana ki ngā pukahukahu.
• Te whēwhe o te pūkahukahu: He kōhao, he whēwhe rānei tēnei e puta mai ana i roto i te pūkahukahu. He mate pukupuku anō hoki tēnei.
• Pokanga uma: I ētahi wā ka puta he mate i muri i te pokanga, ā, ka puta te empyema.
• Ngā whara, ngā whara rānei o te uma: Mā te pā ki te uma, pērā i te aituā, ka kino pea ngā pukahukahu, te wāhi pleural rānei, ā, ka pā mai he mate.
• I ētahi wā, ka horapa te mate i roto i te kōhao puku (puku) mā roto i te diaphragm ki roto i te wāhi pleural. Heoi, he mea onge tēnei.

Kia pēhea te tere o te whanaketanga o te empyema?

E whā ki te ono wiki pea te roa ka uru mai he huakita rite ki te iroriki ki roto i ō pukahukahu, ka whanake hei empyema. Ko te tikanga, ki te puta he mea pēnei i te niumōnia, ā, kāore i te rongoatia tika, ka puta pea tēnei āhuatanga e kīia nei ko te empyema i roto i ētahi wiki, ehara i te mea he torutoru noa ngā rā.

He mate hopuhopu te Empyema?

He pātai nui anō hoki tēnei. Kāo, kāore te empyema e horapa tika mai i te tangata ki te tangata. Arā, e kore koe e pāngia e te empyema mā te noho tahi me te tangata he empyema tōna.

Engari, kia maumahara ki tēnei: ​​Ko ngā tino take o te empyema ko ngā mate pēnei i te niumōnia me te mate kohi . Ka taea e ēnei mate huna te horapa. Hei tauira, ina maremare, ina tihe rānei te tangata kua pāngia e te niumōnia, ka tukuna ngā iroriki ki te rangi ka horapa ki ētahi atu. Nō reira, ki te mea he mate huna te mate huna i puta ai te empyema, me tūpato koe ki tēnā.

Me pēhea te tātaritanga o te Empyema? He aha ngā mahi a ngā tākuta?

Mena kei a koe ngā tohu o te empyema, me toro atu koe ki te tākuta. Ka taea e te tākuta te tino mōhio mena he empyema, he mea kē atu rānei. Koinei te huarahi e tātaritanga ai rātou i te mate:

1. Ka pātai atu rātou ki a koe mō tō hītori hauora: He maha ngā pātai ka pātai atu rātou ki a koe, pērā i ngā tohumate kei a koe, te roa o te wā kua pāngia koe e ēnei tohumate, mēnā kua pāngia koe e ētahi mate o mua, me ngā rongoā kei te tangohia e koe.

2. Ka whakahaerehia he whakamātautau tinana:Ka whakatakotoria e te tākuta he stethoscope ki tō uma, ka whakarongo ia ki a ia, ka patopato i tō uma, ka tirotiro hoki i tō tauira manawa.

3. Te tango tauira wai: Koinei te taahiraa tino nui. Mena kei te whakapaehia he wai (pupu) kei roto i te wāhi pleural, ka whakamahia e te tākuta he ngira angiangi hei tango i ētahi o te wai ka tukuna ki te taiwhanga hei whakamātautau. Ka kiia tēnei he thoracentesis . Ka mahia tēnei mā te whakamahi i tētahi rongoā whakangote, kia kore ai e tino mamae.

Mena kei te whakapae tō tākuta kei a koe te empyema, ka tonoa e rātou ētahi atu whakamātautau hei whakaū.

Ngā whakamātautau tāpiri hei tautuhi i te empyema

• Ngā whakamātautau whakaahua:
• X-ray o te uma: Mā tēnei ka taea te whakaatu mēnā he wai kei roto i te wāhi pleural me te nui.
• Matawai CT: Ka homai e tēnei he whakaahua mārama ake, he whakaahua taipitopito ake i te hihi-X. Ka taea e ia te whakaatu i te wāhi me te nui o te wai, me te whakaatu anō hoki mēnā he raruraru kē atu kei roto i ngā pukahukahu.
• Matawai Ultrasound: Ka taea hoki te whakamahi i tēnei hei tirotiro i te nui o te wai i roto i te wāhi pleural. He tino āwhina tēnei ki te whakatau i te wāhi hei whakauru i te ngira ina tangohia he tauira o te wai (thoracentesis).

Whai muri i ēnei whakaahua, ka tukuna te tauira wai ki te taiwhanga mō ngā whakamātautau maha. Ka rapua e rātou ngā mea pēnei i te mea he pūkahukahu kei roto, me te momo iroriki kei roto (ngā ahurea).

• Ngā whakamātautau toto:
• Ka mahia ngā whakamātautau toto hei tirotiro mēnā he mate pāwera tōu.
• Ka tirohia te maha o ngā pūtau toto mā (WBC) . Ka piki ake tēnei maha ina pāngia koe e te mate.
• Ka mahia he whakamātautau e kīia nei ko te pūmua C-reactive (CRP) . Ka āwhina hoki tēnei ki te whakatau mēnā he mate pāwera, he mumura rānei kei roto i te tinana.
• I ētahi wā, ka mahia he ahurea toto hei tirotiro mēnā he iroriki kei roto i te toto.

I runga i ngā mōhiohio i kohia mai i ēnei whakamātautau katoa ka whakatau tika te tākuta mēnā he empyema tōu, me tōna āhua hoki.

Ka taea te whakaora i te Empyema? He aha ngā maimoatanga?

Ae, ko te rongo pai ko te empyema ka taea te rongoā . Engari me tautuhi wawe, me te rongoā tika. E rua ngā whāinga matua o te maimoatanga:

1. Te tango i te pūkahukahu mai i te wāhi pleural.

2. Te rongoā hei patu i ngā huakita i puta ai te mate (ko te tikanga ka whakamahia ngā rongoā paturopi hei patu i tēnei).

Inaianei, kia titiro tātou me pēhea te tango i tēnei pūkahukahu:

• Te whakapūtanga o te roro:I ngā wāhanga tōmua o te empyema, mēnā he iti noa te nui o te pupuhi, ka werohia pea e te tākuta he ngira angiangi me te ngongo (catheter) mā roto i te uma ki roto i te wāhi pleural, ka tangohia te wai i roto. I ētahi wā, ka waiho pea he ngongo iti (ngā ngongo uma, ngā ngongo wai rānei) ki tōna wāhi mō ētahi rā hei tango tonu i te pupuhi.
• Te rongoā fibrinolytic: I ētahi wā ka tino matotoru te pūhā, ka piri. Kātahi ka kore e puta ngāwari mā te ngongo. I ēnei wā, ka taea e te tākuta te wero i tētahi rongoā ki roto i te wāhi pleural mā te ngongo uma. Ka mahi tēnei rongoā mā te whakarewa i ētahi o te pūhā matotoru. Kātahi ka ngāwari te tango.
• Pokanga:

Mena he kino te empyema, mena kua horapa te pūkahukahu ki ngā wāhi maha, mena kua hanga he kiko muka, mena rānei kāore ētahi atu maimoatanga i āwhina, me mahi pea tō tākuta i te pokanga. He maha ngā momo pokanga:

• Pokanga Uma Āwhina Ataata (VATS): Kei roto i tēnei ko te hanga i ētahi tapahi iti ki te uma, te whakauru i tētahi kāmera me ngā taputapu motuhake, me te horoi i te wāhi pleural, te tango i te pupuhi me ngā kiriuhi matotoru. Ka mahia tēnei mā te tapahi iti, e taea ai te whakaora tere.
• Te tango i te uma me te whakatō i te uma: Mena he kino rawa te āhua, kāore e taea te rongoā ki te VATS, ka taea te mahi i te tango i te uma (te whakatuwhera i te uma). Mā tēnei ka taea e te tākuta te tiro tika i ngā pukahukahu me te tango i te kiriuhi matotoru, whakawhāiti (e kiia nei ko te whakatō) me te waikura.

Mā tō tākuta e whakatau ko tēhea te maimoatanga e tika ana māu i muri i te whai whakaaro ki ngā āhuatanga maha, pēnei i te kaha o tō empyema me tō hauora whānui.

He aha ngā rongoā mō te empyema?

Hei whakahaere me te whakakore i te mate, ka tohua e tō tākuta he rongoā paturopi . Ka taea te hoatu mā te uaua (IV), mā te pire, mā te kāpū rānei. Ka taea te hoatu mā te IV i te tuatahi, kātahi ka huri ki ngā rongoā ā-waha.

Ko ētahi o ngā paturopi e whakamahia whānuitia ana ko:

• 'Amoxicillin-clavulanate'
• `Piperacillin-tazobactam`
• `Imipenem`
• `Meropenem`
• I ētahi wā ka taea hoki te tāpiri i ngā rongoā pēnei i te 'Clindamycin' me te 'Metronidazole'.

He tauira noa iho ēnei. Mā tō tākuta e whakatau te rongoā paturopi me te horopeta e tika ana mōu me tō mate. Kaua rawa e tango i tētahi rongoā paturopi e pai ana ki a koe me te kore he tohutohu hauora.

Kia pēhea te tere o taku ora ake i muri i te maimoatanga?

He mea anō hoki tēnei ka rerekē i ia tangata, i ia tangata.

• Ko te tikanga me tango ngā paturopi mō ngā wiki e rua ki te ono, i ētahi wā ka roa ake.Ko te mea nui ko te tango i te rongoā kia rite ki te roanga o te wā i whakaritea e tō tākuta, ahakoa kua pai ake te āhua. Ki te kore, kāore pea te mate e memeha rawa, engari ka hoki mai anō, ka uaua ake te rongoā, ā, kāore pea te rongoā i hoatu ki a koe e mahi.
• I muri i te thoracentesis ( te tango i te pupuhi ki te ngira), tera pea ka pāngia koe e te mamae i te wāhi i werohia ai te ngira mō ētahi rā, mō te wiki rānei. Ka hoatu e te tākuta he rongoā whakamamae mamae ki a koe mō tēnei.
• Mena he ngongo uma tōu, tera pea ka pāngia koe e te mamae kia tangohia rā anō.
• Mena ka pokanga nui koe (VATS, Thoracotomy rānei) , ka roa pea te wā e whā ki te ono wiki, ka roa ake rānei, kia tino ora ai, kia hoki anō ki ngā mahi o ia rā. I tēnei wā, he mea tino nui kia okioki me te whakakori tinana e ai ki ngā tohutohu a tō tākuta.

Me pēhea te aukati i te whanaketanga o te empyema?

"He pai ake te ārai i te rongoā." Ko te huarahi pai rawa atu, me te huarahi tino nui hoki hei ārai i te whanaketanga o te empyema ko te rongoā i ngā mate pūkahukahu katoa, inā koa te niumōnia, i te wā tika me te tere.

• Ki te pā mai ngā tohu o te niumōnia (mare, huware, kirika, mamae o te uma, uaua ki te manawa), kaua e warewarehia, me toro atu ki te tākuta tonu, ā, me tango tonu te rongoā kia rite ki te whakahaunga.
• Mena he kaipaipa koe, he huarahi pai te whakamutu i te kaipaipa hei pupuri i te hauora o ōu pukahukahu.
• He mea nui anō hoki ngā tikanga akuaku pai, pērā i te horoi pinepine i ō ringaringa me te tupato i ngā wāhi kī tonu i te tangata.
• Kei te wātea ngā kano ārai mate mō ētahi tāngata (hei tauira, ngā kaumātua, ngā tāngata whai mate kē atu) hei ārai i te niumōnia. Pātai atu ki tō tākuta mō ēnei kano ārai mate.

He aha taku e tumanako atu ai mēnā he empyema tōku?

Kua kōrero kē tātou mō te korenga o te empyema i te mea noa. I te nuinga o te wā , ki te kitea wawetia, ka rongoatia hoki, arā, i te tīmatanga tonu o ngā tohu, ka taea te whakaora katoa i mua i te kino haere.

Heoi, ki te kore e rongoatia tika, ki te mea rānei kei a koe ētahi atu mate hauora roa (ngā mate tāpiri) pērā i te mate huka, te mate ngakau, te mate tākihi rānei, ka mate pea i waenga i te 5% me te 30% o te hunga e pāngia ana e te empyema. Ko te tikanga ka mate pea.

Mena ka puta te empyema i roto i te hunga ngoikore te pūnaha ārai mate (hei tauira, te hunga kua pangia e te HIV, te hunga mate pukupuku, te hunga i whakawhitia ōkana), ka eke te reiti mate ki te 40%. Arā, he tino morearea.

Nō reira, ki te pāngia koe e ngā tohu o te empyema, ko te mea pai ko te toro atu ki te tākuta me te kore e moumou taima. Ki te tohua e te tākuta he paturopi, kia tino tangohia te rongoā katoa kia kore rawa te mate e pā mai, ā, kia kore ai e hoki mai anō.

He aha ngā pātai me pātai atu koe ki te tākuta?

Ina haere koe ki te kite i tō tākuta, he mea pai kia pātaihia ēnei pātai kia mārama ai koe ki tō āhua:

• "E te tākuta, me pēhea rawa koe i whakatau ai he empyema tōku? He aha ngā whakamātautau i whakaū i tēnā?"
• "Ki te kore he empyema i roto i ahau, he aha atu anō te mate e puta ai ēnei tohu?"
• "Nā te aha ahau i pāngia ai e te empyema? He take motuhake tērā mōna?"
• "Kei te pēhea te kino o taku empyema? Kei tehea taumata?"
• "He aha te momo maimoatanga e taunaki ana koe māku? He aha ngā tumanakohanga mōna?"
• "Kia pēhea te roa me tango e au ēnei paturopi, kia hia ngā wā i te rā, i mua atu i te kai, i muri mai rānei i te kai?"
• "Ka pā mai pea ētahi pānga taha ki ēnei rongoā? Mena koinā, me aha ahau?"
• "Me pēhea te penapena i ēnei paturopi? (hei tauira, i roto i te pouaka whakamātao, i te pāmahana rūma rānei?)"
• "Me hoki mai anō ahau ki te whakaatu mai ('ngā whakaritenga whai muri')? Āhea rā?"
• "He aha ngā mea motuhake hei tūpato māku e pā ana ki te kai, te inu, me ngā mahi o ia rā i tēnei wā?"

Kaua e wehi ki te pātai i ēnei pātai. He mea tino nui te mārama ki tō mate mō te tere o te ora.

He aha te rerekētanga i waenga i te Empyema me te Pneumonia?

Ahakoa he mate pūkahukahu ēnei e rua, he iti noa te rerekētanga.

• Ko te niumōnia he mate pāwera ki tētahi, ki ngā pūkahukahu e rua rānei, ki te kiko pūkahukahu tonu rānei . Ka pā mai pea i te huakita, i te huaketo, i te harore rānei. Mēnā he niumōnia tōu, ka maremare pea koe i te hūpē kua pangia.
• Ko te empyema he kohinga pupuhi i roto i te wāhi pleural e karapoti ana i ō pukahukahu . He maha ngā wā ka puta mai i ngā huakita e hua ai te niumōnia (arā, he raruraru o te niumōnia). Mena he empyema tōu, e kore te pupuhi e puta mai ina maremare koe. Me rongoā te pupuhi ki ngā paturopi, me tango rānei e te tākuta ki te ngira, ki te pokanga rānei.

He aha te rerekētanga i waenga i te empyema me te whēkau pūkahukahu?

Ahakoa e kohia ana te pūhā ki ēnei mea e rua, e rua ngā wāhi e noho ana.

• He kohinga kiko mate me te pūkahukahu rerekē te whewhe pūkahukahu e puta mai ana i roto i te kiko pūkahukahu . Ka noho tēnei whewhe ki te wāhi kotahi, kāore e nekeneke haere.
• Ko te empyema he kohinga waikura i roto i te wāhi pleural i waho o ngā pukahukahu. Ka taea te kohikohi i tēnei waikura ki te wāhi kotahi, ka horapa rānei puta noa i te wāhi pleural.

He aha te rerekētanga i waenga i te Empyema me te Pleural Effusion?

Ka taea te whakapoauau i ēnei e rua.

• Ko te rerenga wai i roto i te pleural he wai nui atu i waenganui i ngā kiriuhi angiangi i waenganui i ō pukahukahu me te wāhi pleural.Nā te mea ka kohia. Ka kiia hoki tēnei e ētahi he 'wai i roto i ngā pukahukahu'. Ka kohia pea tēnei wai mō ngā take maha (pērā i te mate manawa, te mate tākihi, te mate pukupuku). Tērā pea he pūkahukahu tēnei wai, kāore rānei.
• Ko te empyema te kohikohinga o te pūhā, inā koa i roto i te wāhi pleural. Ara, ehara i te mea ko ngā pūhā katoa he empyema, engari ko ngā empyema he pūhā kei roto he pūhā (kua pangia).

He aha te rerekētanga i waenga i te Empyema me te Parapneumonic Effusion?

Me whakamārama tātou i tēnei.

• Ko te parapneumonic effusion he momo pleural effusion. Ka puta mai i te niumōnia . Ko te tikanga ka kohia te wai ki te wāhi pleural nā te niumōnia. Tērā pea he wai noa iho tēnei wai i te tīmatanga (kāore he pupuhi).
• Ki te pangia tēnei rerenga parapneumonic e te huakita, ā, ka puta he pūkahukahu ki roto, ka kiia tēnei he 'Empyema' . Ara, ka taea e te rerenga parapneumonic te whanake hei empyema.

Hei whakamutunga, ko ngā mea tino nui hei maumahara (Karere hei tango ki te kāinga)

Nō reira, e hoa, ko tāku tumanako kua mārama ake koe ki te empyema. Kia maumahara ki ēnei kōrero:

• Ko te empyema he āhuatanga e kohia ai te pūkahukahu ki te wāhi pleural e karapoti ana i ō pukahukahu, ā, me rongoā.
• Ko te tikanga ka pā mai ngā tohu ki te uma me te manawa (mamae o te uma, uaua ki te manawa, kirika, mare).
• Ahakoa ehara tēnei i te mate tino noa, ki te kitea wawetia e te tākuta te empyema, he nui ake te tūponotanga ka ora katoa koe.

Ko te mea nui: Ki te kore e rongoatia, ki te mea rānei he mate hauora kē atu āu, pērā i te mate huka, ka mate pea te empyema. Nō reira, ki te uaua koe ki te manawa, ki te pāngia rānei koe e ētahi atu tohumate o te uma, kaua e warewaretia pērā i te mea noa, me toro atu ki te tākuta tonu.

Ka taea e tō tākuta te tātaritanga mēnā he empyema tōu, he mea kē atu rānei, te kimi i te take, me te hoatu i te maimoatanga tino whai hua, tino tika hoki ki a koe. Kia maumahara, ko te maimoatanga wawe me te whai i ngā tohutohu a tō tākuta te huarahi pai ki te noho hauora!

` Empyema, āputa pleural, pus, niumōnia, mate pukahukahu, mamae uma, uaua ki te manawa