Ngaba uneentlungu esifubeni? Ngaba kukho ingqokelela yobofu? Masifunde ngale ntsholongwane!

Ngaba ngamanye amaxesha uziva ngathi isifuba sakho siyancipha xa uphefumla, okanye ngaba ukhwehlela ixesha elide kunye neentlungu zesifuba, okanye uziva ngathi awuphefumli? Ezi zisenokuba ziimpawu zomkhuhlane oqhelekileyo okanye esinye isifo esincinci. Kodwa mhlobo wam, kunqabile ukuba kubekho imeko embi emiphungeni yethu enezi mpawu. Ngoko ke, imeko esiza kuthetha ngayo namhlanje ibizwa ngokuba yi-Empyema .

Yintoni i-Empyema? Masiyiqonde ngokulula!

Ngamafutshane, i-empyema yingqokelela yobofu kwindawo ye-pleural ejikeleze imiphunga yakho. Ngoku usenokuba uzibuza ukuba yintoni le ndawo ye-pleural. Cinga ngemiphunga yakho njengeebhaluni ezimbini. Ezi bhaluni zimbini zingaphakathi kwengubo encinci efana nengxowa. Isithuba esincinci kakhulu phakathi kwemiphunga kunye nengubo engaphandle sibizwa ngokuba yi-pleural space. Ngokwesiqhelo, kukho inani elincinci kakhulu lolwelo apho, olunceda imiphunga ukuba ityibilike ngokulula ngaphandle kokukhuhlana xa uphefumla.

Ngoko ke, xa ubovu buqokelelana kule ndawo ye-pleural, sibubiza ngokuba yi-empyema. Xa sithi `ubovu`, uyazi, xa sinenxeba kwindawo ethile emzimbeni wethu, liba yibovu, kwaye kuphuma ulwelo olujiyileyo olutyheli, olumhlophe, ngamanye amaxesha oluluhlaza, okanye olupinki, akunjalo? Yiyo le nto injalo. Le nto ibizwa ngokuba yibovu iqulethe izinto ezifana neeseli zegazi ezimhlophe , izicubu ezifileyo, kunye neebhaktheriya ezibangela usulelo. Le bovu iveliswa xa umzimba wethu ulwa nosulelo.

Eyona nto ibalulekileyo kukuba ukuba le meko yokuphelelwa ngamandla ayinyangwa ngokufanelekileyo nangokukhawuleza, inokuba mandundu kancinci kancinci kwaye ngamanye amaxesha ide ibeke ubomi esichengeni. Ngoko ke, kubaluleke kakhulu ukuqaphela oku.

Oku kubizwa ngamanye amagama, ngamanye amaxesha oogqirha bakubiza ngokuba yi-'pyothorax' okanye 'i-purulent pleuritis' . Kodwa ngokuqhelekileyo kusetyenziswa igama elithi empyema.

Ngaba i-Empyema yi-COPD?

Lo ngumbuzo abantu abaninzi abawubuzayo. Hayi, i-empyema ayisosifo esibizwa ngokuba yi-COPD (Chronic Obstructive Pulmonary Disease) . I-COPD ligama eliqhelekileyo eliquka izifo ezahlukeneyo zemiphunga ezingapheliyo, ezifana ne -bronchitis engapheliyo ( ukudumba okungapheliyo kweendlela zomoya) kunye ne -emphysema (umonakalo kwiingxowa zomoya emiphungeni).

Nangona kunjalo, kukho into ekufuneka iqatshelwe. Umntu one-COPD usemngciphekweni omkhulu wokufumana usulelo olufana ne-empyema kunomntu ophilileyo. Oku kuthetha ukuba izigulane ze-COPD kufuneka zilumke kakhulu ngale nto.

Ngubani onokuthi abe nomhlaza womlomo?

Nabani na unokuba ne-empyema. Nangona kunjalo, abanye abantu basengozini enkulu. Makhe sijonge ukuba bangoobani:

• Wakha waba ne-pneumonia ngaphambili.Ukuba sele unesifo se-pneumonia okanye okwangoku une-pneumonia.
• Ukuba uneminyaka engaphezu kwama-70 ubudala. Njengoko ukhula, amasosha omzimba wakho ayancipha, ngoko ke unamathuba amaninzi okufumana olu hlobo losulelo.
• Ukuba usandul’ ukwenziwa utyando lwesifuba, nokuba lutyando lwentliziyo okanye utyando lwemiphunga.
• Ukuba unesifo seswekile . Isifo seswekile sinokuwenza buthathaka amajoni omzimba.
• Ukuba uneCOPD njengoko bekutshiwo ngaphambili.
• Ukuba une -bronchiectasis , imeko apho iindlela zomoya emiphungeni zikhula ngokusisigxina kwaye iindonga zazo ziba buthathaka kwaye zonakale. Oku kwenza kube lula ukuba i-mucus kunye nezinye izinto ziqokeleleke kwaye zibangele usulelo.
• Ukuba unehlwili legazi, ingakumbi emiphungeni.
• Abanye abantu bafaka amayeza emthanjeni (ukusetyenziswa kweziyobisi nge-IV). Aba bantu nabo basengozini enkulu kuba iintsholongwane zinokungena emzimbeni ngeenaliti ezingcolileyo.

Ixhaphake kangakanani i-empyema?

Enyanisweni, i-empyema ayisiyonto ixhaphakileyo. Oko kukuthi, ayisosifo esixhaphakileyo. Umzekelo, kwilizwe elifana ne-United States, zixelwa kuphela iimeko ze-empyema ezingama-32,000 ngonyaka. Oko kuthetha ukuba ayixhaphakanga kangako. Kodwa nangona ingaqhelekanga, yimeko ekufuneka ithathwe nzulu ukuba iyenzeka.

Zithini iimpawu zokuphelelwa ngamandla emzimbeni? Zilumkele ezi!

Iimpawu ze-empyema azicacanga kangako. Oko kukuthi, ezi mpawu zinokubonakala nakwezinye izifo eziqhelekileyo, ngoko ngamanye amaxesha usenokungacingi ukuba yi-empyema. Kodwa khangela enye okanye ezingaphezulu kwezi zinto:

• Intlungu okanye ukungakhululeki esifubeni: Le ntlungu inokuba mandundu xa uphefumla okanye ukhohlela. Abanye abantu banokuziva ngathi isifuba sabo siyancipha.
• Umkhuhlane: Umzimba uziva ushushu, kwaye ngamanye amaxesha umzimba uziva ubanda kwaye uqhaqhazela.
• Ubunzima bokuphefumla: Unokufumana kunzima ukuphefumla xa udiniwe kancinci, okanye ungaziva uphelelwa ngumphefumlo nokuba umi nje.
• Ukukhwehlela: Oku kungaba kukukhwehlela okomileyo, ngamanye amaxesha kuhamba ne-phlegm etyebileyo nenemibala.
• Ukuziva udiniwe kakhulu (`ukudinwa`): Usenokuziva udiniwe kangangokuba awukwazi kwenza nto, kwaye unokuziva ulele ngalo lonke ixesha.
• Ukunciphisa umzimba ngendlela engachazekiyo: Ukuba unciphisa umzimba nje ngaphandle kokunciphisa ukutya okanye ukwenza umthambo, olo luphawu ekufuneka uluqwalasele.
• Abanye abantu banokuba nokubila ebusuku.

Musa ukoyika i-empyema kuba nje unenye okanye ezimbini zezi mpawu. Kodwa ukuba ziyaqhubeka okanye ziya zisiba mandundu, qiniseka ukuba ufuna ingcebiso kagqirha.

Zithini izizathu zokuphelelwa ngamandla emzimbeni?

Ngokwesiqhelo, i-empyema yenzeka xa usulelo olukwimiphunga yakho lusasazeka luye kwindawo ye-pleural endikhankanyileyo ngaphambili. Cinga ngayo njengeentsholongwane ezivela ngaphakathi kwimiphunga eziphumayo zingene kwindawo ejikeleze imiphunga.

Isizathu esiphambili nesixhaphakileyo soku yi-pneumonia . I-pneumonia lusulelo lwemiphunga olubangelwa ziibhaktheriya, iintsholongwane, okanye iifungi. Ngoko ke losulelo oluhlala lukhula lube yi-empyema.

Kukho ezinye izizathu ezininzi ezinokubakho ngaphandle kwe-pneumonia:

• Isifo Sephepha (TB): Isifo Sephepha sisifo sebhaktheriya esichaphazela imiphunga.
• Ithumba lemiphunga: Eli lithumba elizaliswe bubovu okanye ithumba elenzeka ngaphakathi emiphungeni. Oku kubangelwa nalusulelo.
• Utyando lwesifuba: Ngamanye amaxesha usulelo lunokukhula emva kotyando luze lubangele ukuphelelwa ngamandla.
• Ukulimala esifubeni okanye ukwenzakala: Ukubethwa esifubeni, okufana nengozi, kungonakalisa imiphunga okanye indawo yepleural kwaye kubangele usulelo.
• Ngamanye amaxesha, usulelo olukwisisu (esiswini) lunokusasazeka nge-diaphragm luye kwindawo ye-pleural. Nangona kunjalo, oku kunqabile.

Ikhula ngokukhawuleza kangakanani i-empyema?

Ngokwesiqhelo kuthatha malunga neeveki ezine ukuya kwezintandathu ukuba intsholongwane efana nebhaktheriya ingene emiphungeni yakho ize ikhule ibe yi-empyema. Oku kuthetha ukuba ukuba into efana ne-pneumonia iyavela kwaye ayinyangwa kakuhle, le meko ibizwa ngokuba yi-empyema inokuvela kwiiveki ezimbalwa, kungekuphela nje kwiintsuku ezimbalwa.

Ingaba i-Empyema iyasulela?

Lo ngumbuzo obalulekileyo. Hayi, i-empyema ayidluliselwa ngqo ukusuka komnye umntu ukuya komnye. Oko kukuthi, awuyi kufumana i-empyema ngokuba kufutshane nomntu one-empyema.

Kodwa, khumbula oku: Ezona zizathu ziphambili ze-empyema zizifo ezifana ne-pneumonia kunye nesifo sephepha . Ezi zifo zingaphantsi zinokosulela. Umzekelo, xa umntu one-pneumonia ekhohlela okanye ethimla, iintsholongwane zinokukhutshwa emoyeni zize zisasazeke kwabanye. Ke ngoko, ukuba isifo esingaphantsi esibangele i-empyema sisosulela, kufuneka ulumke ngaloo nto.

Ifunyaniswa njani i-Empyema? Benza ntoni oogqirha?

Ukuba uneempawu ze-empyema, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Ugqirha angatsho ngokuqinisekileyo ukuba yi-empyema okanye enye into. Nantsi indlela abaxilonga ngayo imeko:

1. Bakubuza ngembali yakho yezonyango: Bakubuza imibuzo emininzi, efana nokuba zeziphi iimpawu onazo, ixesha osele unazo, nokuba ubukhe wagula ngaphambili, kunye namayeza owasebenzisayo.

2. Uvavanyo lomzimba lwenziwa:Ugqirha uza kubeka i-stethoscope esifubeni sakho, amamele, acofe isifuba sakho, aze ajonge indlela ophefumla ngayo.

3. Ukuthatha isampuli yolwelo: Eli lelona nyathelo libalulekileyo. Ukuba kukho ukurhaneleka kolwelo (i-pus) kwindawo ye-pleural, ugqirha uza kusebenzisa inaliti encinci ukususa olunye lolwelo aze aluthumele kwilebhu ukuze luvavanywe. Oku kubizwa ngokuba yi-thoracentesis . Oku kwenziwa ngamayeza okubulala iintlungu, ukuze kungabi buhlungu kakhulu.

Ukuba ugqirha wakho ukrokrela ukuba une-empyema, uza kuyalela ezinye iimvavanyo ezininzi ukuqinisekisa oko.

Uvavanyo olongezelelweyo lokufumanisa i-empyema

• Uvavanyo lomfanekiso:
• I-X-reyi yesifuba: Oku kunokunika umbono ocacileyo wokuba kukho ulwelo kwindawo ye-pleural na kwaye lungakanani.
• I-CT scan: Oku kunika imifanekiso ecacileyo neneenkcukacha ezingaphezulu kune-X-ray. Kungabonisa indawo kunye nobungakanani bolwelo, kunye nokuba kukho naziphi na ezinye iingxaki ngemiphunga.
• Iskeni ye-ultrasound: Oku kungasetyenziselwa ukujonga ubungakanani bolwelo kwindawo ye-pleural. Oku kunceda kakhulu ekumiseleni apho kufuneka ufake khona inaliti xa uthatha isampuli yolwelo (thoracentesis).

Emva kwale mifanekiso, isampuli yolwelo ithunyelwa kwilebhu ukuze kwenziwe uvavanyo olwahlukeneyo. Bakhangela izinto ezinje ngokuba kukho ubovu na kuyo kunye nohlobo lweentsholongwane ezikuyo (iinkcubeko).

• Uvavanyo lwegazi:
• Uvavanyo lwegazi lwenziwa ukuze kubonwe ukuba unayo na intsholongwane.
• Inani leeseli ezimhlophe zegazi (i-WBC) liyajongwa. Eli nani lidla ngokwanda xa kukho usulelo.
• Uvavanyo olubizwa ngokuba yi -C-reactive protein (CRP) luyenziwa. Oku kunokunceda ekuqinisekiseni ukuba kukho usulelo okanye ukudumba emzimbeni.
• Ngamanye amaxesha kunokwenziwa i-culture yegazi ukuze kubonwe ukuba kukho iintsholongwane egazini na.

Ngokusekelwe kulwazi olufunyenwe kuzo zonke ezi mvavanyo, ugqirha uya kugqiba ngokuchanekileyo ukuba unayo na i-empyema kwaye injani imeko yayo.

Ngaba i-Empyema inganyangeka? Zithini iindlela zonyango?

Ewe, iindaba ezimnandi zezokuba i-empyema iyanyangeka . Kodwa kufuneka ifunyaniswe kwangethuba kwaye inyangwe ngokufanelekileyo. Unyango luneenjongo ezimbini eziphambili:

1. Ukususa ubofu kwindawo yepleural.

2. Unyango lokubulala iintsholongwane ezibangele usulelo (oku kudla ngokwenziwa ngee-antibiotics ).

Ngoku makhe sibone indlela yokususa le pus:

• I-Thoracentesis:Kwinqanaba lokuqala le-empyema, okanye ukuba ubungakanani bobovu buncinci, ugqirha unokufaka inaliti encinci kunye netyhubhu (i-catheter) esifubeni ukuya kwindawo ye-pleural aze akhuphe inxalenye yobovu. Ngamanye amaxesha, ityhubhu encinci (ityhubhu yesifuba okanye ityhubhu yokukhupha amanzi) ingashiywa endaweni yayo kangangeentsuku ezininzi ukuze iqhubeke nokukhupha ubovu.
• Unyango lwe-Fibrinolytic: Ngamanye amaxesha ubomvu bunokuba bukhulu kakhulu kwaye buqhekeke. Emva koko abuphumi lula ngetyhubhu. Kwimeko ezinjalo, ugqirha unokufaka iyeza kwindawo ye-pleural ngetyhubhu yesifuba. Eli yeza lisebenza ngokunyibilikisa ubomvu obuninzi. Emva koko bunokususwa lula.
• Utyando:

Ukuba i-empyema inzima, ukuba ubomvu busasazeke kwiindawo ezininzi, ukuba yenze izicubu ezine-fibrous, okanye ukuba ezinye iindlela zonyango azincedanga, ugqirha wakho unokufuna ukwenza utyando. Kukho iintlobo ezahlukeneyo zotyando:

• Utyando lweTyala oluNcedwa yiVidiyo (VATS): Oku kuquka ukwenza imingxunya emincinci esifubeni, ukufaka ikhamera kunye nezixhobo ezikhethekileyo, kunye nokucoca indawo yepleural, ukususa ubomvu kunye neenwebu eziqinileyo. Oku kwenziwa ngemingxunya emincinci, evumela ukuphiliswa ngokukhawuleza.
• Utyando lwesifuba kunye nokucoca isifuba: Ukuba imeko inzima kakhulu ukuba inganyangwa nge-VATS, kunokwenziwa i-thoracotomy (ukuvula isifuba). Oku kuvumela ugqirha ukuba ajonge imiphunga ngqo aze asuse naluphi na ulwelo oluqinileyo nolunciphileyo (olubizwa ngokuba yi-decortication) kunye ne-pus.

Ugqirha wakho uya kugqiba ukuba loluphi unyango olufanelekileyo kuwe emva kokuqwalasela izinto ezininzi, ezinje ngobunzima bokugabha igazi lakho kunye nempilo yakho ngokubanzi.

Ngawaphi amayeza okubulala i-empyema?

Ukulawula nokuphelisa usulelo, ugqirha wakho uya kukunika amayeza okubulala iintsholongwane . La mayeza anokunikwa ngemithambo yegazi (IV), okanye njengeepilisi okanye iikhaphu. Asenokunikwa nge-IV kuqala aze emva koko atshintshelwe kumayeza omlomo.

Ezinye zezona antibiotics zisetyenziswa kakhulu zezi:

• `I-Amoxicillin-clavulanate`
• `I-Piperacillin-tazobactam`
• `Imipenem`
• `I-Meropenem`
• Ngamanye amaxesha amayeza anjenge-`Clindamycin` okanye `Metronidazole` anokongezwa.

Le yimizekelo nje. Ugqirha wakho uza kugqiba ukuba yeyiphi i-antibiotic kunye nomlinganiselo ofanelekileyo kuwe nakwisifo sakho. Ungaze uthathe nayiphi na i-antibiotic ovakalelwa kukuba unayo ngaphandle kwengcebiso kagqirha.

Ndingaphila ngokukhawuleza kangakanani emva konyango?

Oku kukwayinto enokwahluka kumntu nomntu.

• Ii-antibiotics zihlala zifuna ukuthatyathwa iiveki ezimbini ukuya kwezintandathu, ngamanye amaxesha ixesha elide.Eyona nto ibalulekileyo kukuthatha amayeza ngqo ixesha lonke elichazwe ngugqirha wakho, nokuba uzive ungcono kancinci. Kungenjalo, usulelo lusenokungapheli ngokupheleleyo kwaye lunokubuya, nto leyo eyenza kube nzima ukunyanga, kwaye amayeza owanikiweyo asenokungasebenzi.
• Emva kokuhlinzwa nge-thoracentesis ( ukususwa kobomvu ngenaliti), kunokubakho ukungakhululeki kwindawo efakwe kuyo inaliti kangangeentsuku ezimbalwa okanye iveki. Ugqirha uza kukunika amayeza okudambisa iintlungu ngenxa yoku.
• Ukuba unetyhubhu yesifuba , ungaziva ungakhululekanga ide isuswe.
• Ukuba wenze utyando olukhulu (i-VATS okanye i-Thoracotomy) , kungathatha iiveki ezine ukuya kwezintandathu, okanye nangaphezulu, ukuba uphile ngokupheleleyo kwaye uqalise imisebenzi yakho yesiqhelo. Ngeli xesha, kubaluleke kakhulu ukuphumla nokuzilolonga njengoko kuyalelwe ngugqirha wakho.

Ungakuthintela njani ukuphuhliswa kwe-empyema?

"Ukuthintela kungcono kunonyango." Eyona ndlela ilungileyo neyona ibalulekileyo yokuthintela ukuphuhliswa kwe-empyema kukunyanga naluphi na usulelo lwemiphunga, ingakumbi i-pneumonia, ngokukhawuleza nangendlela efanelekileyo.

• Ukuba uneempawu ze-pneumonia (ukukhwehlela, i-phlegm, umkhuhlane, iintlungu zesifuba, ubunzima bokuphefumla), musa ukuzityeshela, bona ugqirha ngoko nangoko, kwaye uthathe amayeza njengoko uyalelwe.
• Ukuba ungumntu otshayayo, ukuyeka ukutshaya yindlela entle yokugcina imiphunga yakho isempilweni.
• Imikhwa emihle yococeko, njengokuhlamba izandla rhoqo nokulumka kwiindawo ezinabantu abaninzi, nayo ibalulekile.
• Kukho imigonyo ekhoyo kwabanye abantu (umz., abantu abadala, abantu abanezinye izifo) yokulwa ne-pneumonia. Buza ugqirha wakho ngayo.

Ndingalindela ntoni ukuba ndine-empyema?

Sele sithethe ngendlela i-empyema engeyonto ixhaphakileyo ngayo. Kwiimeko ezininzi , ukuba ifunyenwe kwaye inyangwa kwangethuba, oko kukuthi, kwangoko nje ukuba iimpawu ziqale, inokuphiliswa ngokupheleleyo ngaphambi kokuba ibe mandundu.

Nangona kunjalo, ukuba awunyangwa kakuhle, okanye ukuba unezinye iimeko zempilo ezihlala ixesha elide (iimeko ezingaqhelekanga) ezifana nesifo seswekile, isifo sentliziyo, okanye isifo sezintso, sinokubulala phakathi kwe-5% kunye ne-30% yabantu abane-empyema. Oko kuthetha ukuba inokuba yingozi ebomini.

Ukuba i-empyema ikhula kubantu abaneenkqubo zomzimba ezibuthathaka (umz., abantu abane-HIV, izigulane ezinomhlaza, abo bafumana ukufakelwa amalungu omzimba), izinga lokufa linokuba phezulu ukuya kuma-40%. Oko kuthetha ukuba iyingozi kakhulu.

Ngoko ke, ukuba uneempawu ze-empyema, eyona nto ingcono onokuyenza kukubona ugqirha ngaphandle kokuchitha ixesha. Ukuba ugqirha unika amayeza okubulala iintsholongwane, qiniseka ukuba uwathatha onke amayeza ukuqinisekisa ukuba usulelo luphelile ngokupheleleyo kwaye alubuyi.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha wakho, kungcono ukubuza imibuzo efana nale ukuze uqonde kakuhle imeko yakho:

• "Gqirha, ugqibe njani kanye kanye ukuba ndine-empyema? Zeziphi iimvavanyo eziqinisekisileyo oko?"
• "Ukuba andinayo i-empyema, yeyiphi enye imeko enokubangela ezi mpawu?"
• "Ndiyifumene njani i-empyema? Ngaba kukho isizathu esithile sayo?"
• "Ingakanani ingozi yam yokuzala? Ingakanani inqanaba?"
• "Undicebisa ukuba ndinyangwe ngoluphi uhlobo lonyango? Zithini izinto ezilindelweyo kulo?"
• "Ndifanele ndizithathe ixesha elingakanani ezi antibiotics, kangaphi ngemini, ngaphambi okanye emva kokutya?"
• "Ngaba la mayeza angabangela naziphi na iziphumo ebezingalindelekanga? Ukuba kunjalo, ndingenza ntoni?"
• "Ndingazigcina njani ezi antibiotics? (umz., efrijini okanye kubushushu begumbi?)"
• "Ngaba kufuneka ndibuye ndize ndifike (`ixesha lokulandela`)? Linini elo xesha?"
• "Ngaba kukho izinto ezikhethekileyo ekufuneka ndizilumkele malunga nokutya, iziselo, kunye nemisebenzi yemihla ngemihla ngeli xesha?"

Ungoyiki ukubuza le mibuzo. Ukuyiqonda kakuhle imeko yakho kubaluleke kakhulu ukuze uphile ngokukhawuleza.

Yintoni umahluko phakathi kwe-Empyema kunye ne-Pneumonia?

Nangona zombini ezi zizifo zemiphunga, kukho umahluko omncinci.

• I-pneumonia lusulelo lomphunga omnye okanye yomibini, okanye izicubu zemiphunga ngokwayo . Ingabangelwa ziibhaktheriya, iintsholongwane, okanye ifungi. Ukuba une-pneumonia, unokukhwehlela i-mucus enesifo.
• I-Empyema yingqokelela yobofu kwindawo ye-pleural ejikeleze imiphunga yakho . Idla ngokubangelwa ziibhaktheriya ezibangela i-pneumonia (oko kukuthi, njengengxaki ye-pneumonia). Ukuba une-empyema, ubofu abuyi kuphuma xa ukhohlela. Ubofu buya kufuneka bunyangwe ngamayeza okubulala iintsholongwane, okanye ugqirha uya kufuneka awukhuphe ngenaliti okanye ngotyando.

Yintoni umahluko phakathi kwe-empyema kunye ne-lung abscess?

Nangona ubovu buqokelelana kuzo zombini ezi zinto, bukwiindawo ezimbini.

• Ithumba lemiphunga yingqokelela engaqhelekanga yezicubu ezifileyo kunye nobovu obenzeka ngaphakathi kwezicubu zemiphunga . Eli thumba lihlala kwindawo enye kwaye alishukumi.
• I-Empyema yingqokelela yobofu kwindawo ye-pleural engaphandle kwemiphunga. Le bofu inokuxinana kwindawo enye okanye isasazeke kuyo yonke indawo ye-pleural.

Yintoni umahluko phakathi kwe-Empyema kunye ne-Pleural Effusion?

Ezi zimbini zinokubhideka.

• I-Pleural effusion lulwelo olongezelelweyo phakathi kwee-membranes ezincinci phakathi kwemiphunga yakho kunye nendawo ye-pleural.Kungenxa yokuba iyaqokelelana. Abanye abantu babiza olu 'lwelo olusemaphaphu'. Olu lwelo lunokuqokelelana ngezizathu ezahlukeneyo (ezifana nesifo sentliziyo, isifo sezintso, umhlaza). Olu lwelo lusenokuba lubovu okanye alubi lubovu.
• I-Empyema kukuqokelelana kwe-pus, ngakumbi kwindawo ye-pleural. Oko kukuthi, ayizizo zonke ii-pleural effusions ezizi-empyema, kodwa ii-empyema zii-pleural effusions eziqulethe i-pus (eyosulelekileyo).

Yintoni umahluko phakathi kwe-Empyema kunye ne-Parapneumonia Effusion?

Masiyicacise kancinci le nto.

• I-Parapneumonic effusion luhlobo lwe-pleural effusion. Yenzeka ngenxa ye-pneumonia . Oku kuthetha ukuba ulwelo luqokelelana kwindawo ye-pleural ngenxa ye-pneumonia. Olu lwelo lusenokuba lulwelo ekuqaleni (ngaphandle kobomvu).
• Ukuba le parapneumonic effusion isuleleka yibhaktheriya kwaye kwakheka ubovu kuyo, ngoko siyibiza ngokuba yi-'Empyema' . Oko kukuthi, i-parapneumonic effusion inokuba yi-empyema.

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, mhlobo wam, ndiyathemba ukuba ngoku uyiqonda ngcono i-empyema. Gcina la manqaku engqondweni:

• I-Empyema yimeko apho ubofu buqokelelana kwindawo ye-pleural ejikeleze imiphunga yakho kwaye ifuna unyango.
• Oku kudla ngokubangela iimpawu ezichaphazela isifuba kunye nokuphefumla (iintlungu zesifuba, ubunzima bokuphefumla, umkhuhlane, ukukhwehlela).
• Nangona le ingaqhelekanga kakhulu imeko, ukuba ugqirha ufumanisa ukungabikho komntwana kwangethuba, unethuba eliphezulu lokuchacha ngokupheleleyo.

Okubaluleke kakhulu: Ukuba awunyangwa, okanye ukuba unezinye izifo, ezifana nesifo seswekile, i-empyema ingakubulala. Ngoko ke, ukuba unengxaki yokuphefumla okanye ezinye iimpawu zesifuba ezikrokrisayo, musa ukuzityeshela njengesiqhelo, kwaye ngokuqinisekileyo bonana nogqirha ngoko nangoko.

Ugqirha wakho unokuxilonga ukuba une-empyema okanye enye into, afumane unobangela, aze akunike unyango olusebenzayo nolufanelekileyo. Khumbula, unyango lwangethuba kunye nokulandela imiyalelo kagqirha wakho yeyona ndlela ilungileyo yokuhlala usempilweni!

Ukukhupha umoya , indawo yepleural, ubomvu, inyumoniya, usulelo lwemiphunga, iintlungu zesifuba, ubunzima bokuphefumla