Ingabe unesihlungu esifubeni? Ingabe kukhona iqoqo lobomvu? Ake sifunde ngale nkinga yokuphefumula!

Ingabe ngezinye izikhathi uzizwa sengathi isifuba sakho siyacinana uma uphefumula, noma ukhwehlela okuhlala isikhathi eside ngenxa yobuhlungu besifuba, noma uzizwa sengathi awuphefumuli? Lokhu kungaba izimpawu zomkhuhlane ovamile noma esinye isifo esincane. Kodwa mngane wami, akuvamile ukuba nesimo esibi emaphashini ethu sibe nalezi zimpawu. Ngakho-ke, isimo esizokhuluma ngaso namuhla sibizwa ngokuthi i-Empyema .

Kuyini i-Empyema? Masiyiqonde kalula!

Kalula nje, i-empyema iwukunqwabelana kobomvu esikhaleni se-pleural esizungeze amaphaphu akho. Manje ungase uzibuze ukuthi iyini le ndawo ye-pleural. Cabanga ngamaphaphu akho njengamabhaluni amabili. Lawa mabhaluni amabili angaphakathi kwesembozo esincane esifana nesikhwama. Isikhala esincane kakhulu phakathi kwamaphaphu nesembozo esingaphandle sibizwa ngokuthi isikhala se-pleural. Ngokuvamile, kukhona inani elincane kakhulu loketshezi lapho, okusiza amaphaphu ukuthi ashelele kalula ngaphandle kokugudlana lapho uphefumula.

Ngakho-ke, uma ubomvu buqongelela kulesi sikhala se-pleural, siwubiza ngokuthi i-empyema. Uma sithi 'ubomvu', uyazi, uma sinesilonda endaweni ethile emzimbeni wethu, siba ubomvu, bese kuphuma uketshezi olujiyile oluphuzi, olumhlophe, ngezinye izikhathi oluluhlaza okotshani, noma olupinki, akunjalo? Yilokho lokhu okuyikho. Lesi sici esibizwa ngokuthi ubomvu siqukethe izinto ezifana namaseli amhlophe egazi , izicubu ezifile, namagciwane abangela ukutheleleka. Lesi sibomvu sikhiqizwa lapho umzimba wethu ulwa nokutheleleka.

Into ebaluleke kakhulu ukuthi uma lesi simo sokungasebenzi kahle kwe-empyema singelashwa ngendlela efanele futhi ngokushesha, singaba sibi kancane kancane futhi ngezinye izikhathi sibe yingozi empilweni. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.

Lokhu kubizwa ngamanye amagama, ngezinye izikhathi odokotela bakubiza ngokuthi `i-pyothorax` noma `i-purulent pleuritis` . Kodwa ngokuvamile kusetshenziswa igama elithi empyema.

Ingabe i-Empyema iyi-COPD?

Lona umbuzo abantu abaningi abawubuzayo. Cha, i-empyema akuyona isifo esibizwa ngokuthi i-COPD (Isifo Esingapheli Sokuvimbela Amaphaphu) . I-COPD yigama elijwayelekile elihlanganisa izifo ezahlukahlukene zamaphaphu ezingamahlalakhona, njenge -bronchitis engapheli ( ukuvuvukala okungapheli kwemigudu yomoya) kanye ne -emphysema (umonakalo emasakeni omoya emaphashini).

Kodwa-ke, kukhona okufanele kuqashelwe. Umuntu one-COPD usengozini enkulu yokuthola ukutheleleka okufana ne-empyema kunomuntu ophilile. Lokhu kusho ukuthi iziguli ze-COPD kudingeka ziqaphele kakhulu ngalokhu.

Ubani okungenzeka kakhulu ukuthi athole i-empyema?

Noma ubani angaba ne-empyema. Kodwa-ke, abanye abantu basengozini enkulu. Ake sibheke ukuthi bangobani:

• Uke waba ne-pneumonia ngaphambili.Uma usuvele une-pneumonia noma njengamanje.
• Uma uneminyaka engaphezu kwengu-70 ubudala. Njengoba ukhula, amasosha omzimba wakho ayancipha, ngakho-ke unamathuba amaningi okuthola lezi zinhlobo zokutheleleka.
• Uma usanda kuhlinzwa isifuba, kungaba ukuhlinzwa kwenhliziyo noma ukuhlinzwa kwamaphaphu.
• Uma unesifo sikashukela . Isifo sikashukela singaphinde senze buthaka isimiso somzimba sokuzivikela.
• Uma une -COPD njengoba kushiwo ngaphambili.
• Uma une -bronchiectasis , isimo lapho izindlela zomoya emaphashini zivuleka unomphela futhi izindonga zawo ziba buthaka futhi zonakale. Lokhu kwenza kube lula ukuthi amafinyila nezinye izinto ziqongelelane futhi zibangele izifo.
• Uma une-blood clot, ikakhulukazi emaphashini.
• Abanye abantu bafaka izidakamizwa emthanjeni (ukusetshenziswa kwezidakamizwa nge-IV). Laba bantu basengozini enkulu ngoba amagciwane angangena emzimbeni ngezinaliti ezingcolile.

Kuvame kangakanani ukungasebenzi kahle kwe-empyema?

Empeleni, i-empyema akuyona into evamile kakhulu. Okusho ukuthi, akuyona isifo esivame ukwenzeka. Isibonelo, ezweni elinjenge-United States, kubikwa amacala angu-32,000 kuphela e-empyema ngonyaka. Lokho kusho ukuthi ayivamile kangako. Kodwa yize ingavamile, iyisimo okufanele sithathwe ngokungathi sína uma senzeka.

Ziyini izimpawu ze-empyema? Qaphela lezi!

Izimpawu ze-empyema azicacile kahle. Okusho ukuthi, lezi zimpawu zingabonakala nakwezinye izifo ezivamile, ngakho ngezinye izikhathi ungase ungacabangi ukuthi yi-empyema. Kodwa qaphela eyodwa noma ngaphezulu yalezi zinto:

• Ubuhlungu besifuba noma ukungakhululeki: Lobuhlungu bungase bube bubi nakakhulu lapho uphefumula noma ukhwehlela. Abanye abantu bangase bazizwe sengathi isifuba sabo siyacinana.
• Umkhuhlane: Umzimba uzizwa ushisa, futhi ngezinye izikhathi umzimba uzizwa ubanda futhi uthuthumela.
• Ubunzima bokuphefumula: Ungase ukuthole kunzima ukuphefumula uma ukhathele kancane, noma ungase uzizwe uphelelwa umoya ngisho noma umi nje.
• Ukukhwehlela: Lokhu kungaba ukukhwehlela okomile, ngezinye izikhathi okuhambisana ne-phlegm ejiyile nenemibala.
• Ukuzizwa ukhathele kakhulu (`ukukhathala`): Ungase uzizwe ukhathele kakhulu kangangokuthi awukwazi ukwenza lutho, futhi ungase uzizwe ulele ngaso sonke isikhathi.
• Ukwehlisa isisindo okungachazeki: Uma umane wehlisa isisindo ngaphandle kokunciphisa ukudla noma ukuzivocavoca, lokho futhi kuyisibonakaliso okufanele usiqaphele.
• Abanye abantu bangase babe nokujuluka ebusuku.

Ungesabi i-empyema ngoba nje unesinye noma ezimbili zalezi zimpawu. Kodwa uma ziqhubeka noma ziba zimbi kakhulu, funa iseluleko sezokwelapha.

Yiziphi izimbangela zokuphelelwa ngamandla emzimbeni?

Ngokuvamile, i-empyema yenzeka lapho ukutheleleka emaphashini akho kusakazekela esikhaleni se-pleural engikhulume ngaso ekuqaleni. Cabanga ngakho njengamanye amagciwane avela ngaphakathi emaphashini aphuma futhi angene esikhaleni esizungeze amaphaphu.

Imbangela eyinhloko nevame kakhulu yalokhu yi-pneumonia . I-pneumonia ukutheleleka kwamaphaphu okubangelwa amagciwane, amagciwane, noma isikhunta. Ngakho-ke yilelo gciwane elivame ukukhula libe yi-empyema.

Kunezinye izimbangela eziningana ezingaba khona ngaphandle kwe-pneumonia:

• Isifo Sofuba (TB): Isifo Sofuba siwukutheleleka kwamagciwane okuthinta amaphaphu.
• Ithumba lamaphaphu: Leli yithumba eligcwele ubomvu noma ithumba elakheka ngaphakathi kwamaphaphu. Lokhu kubangelwa nayisifo.
• Ukuhlinzwa kwesifuba: Ngezinye izikhathi ukutheleleka kungavela ngemva kokuhlinzwa futhi kubangele ukuphelelwa ngamandla.
• Ukulimala esifubeni noma ukulimala: Ukushaywa esifubeni, njengengozi, kungalimaza amaphaphu noma isikhala se-pleural futhi kubangele ukutheleleka.
• Ngezinye izikhathi, ukutheleleka esiswini (esiswini) kungasakazeka nge-diaphragm kuye esikhaleni se-pleural. Kodwa-ke, lokhu akuvamile.

I-empyema ikhula ngokushesha kangakanani?

Ngokuvamile kuthatha cishe amasonto amane kuya kwayisithupha ukuthi igciwane elifana nebhaktheriya lingene emaphashini akho bese likhula libe yi-empyema. Lokhu kusho ukuthi uma kuvela into efana ne-pneumonia futhi ingelashwa kahle, lesi simo esibizwa ngokuthi i-empyema singakhula emavikini ambalwa, hhayi ezinsukwini ezimbalwa nje.

Ingabe i-Empyema iyathelelana?

Lona futhi umbuzo obalulekile. Cha, i-empyema ayidluliselwa ngokuqondile isuka komunye umuntu iye komunye. Okusho ukuthi, ngeke uthole i-empyema ngokuba seduze nomuntu one-empyema.

Kodwa, khumbula lokhu: Izimbangela eziyinhloko ze-empyema izifo ezifana ne -pneumonia nesifo sofuba . Lezi zifo ezingaphansi zingathelelana. Isibonelo, uma umuntu one-pneumonia ekhwehlela noma ethimula, amagciwane angadedelwa emoyeni asakazekele kwabanye. Ngakho-ke, uma isifo esingaphansi esibangele i-empyema sithelelana, kudingeka uqaphele ngalokho.

Itholakala kanjani i-Empyema? Benzani odokotela?

Uma unezimpawu ze-empyema, kufanele nakanjani ubonane nodokotela. Udokotela angabona ngokuqinisekile ukuthi yi-empyema noma okunye. Nansi indlela abahlonza ngayo lesi simo:

1. Bakubuza ngomlando wakho wezokwelapha: Bakubuza imibuzo eminingi, njengokuthi yiziphi izimpawu onazo, ukuthi usunesikhathi esingakanani unazo, ukuthi ngabe uke waba nezifo yini ngaphambilini, nokuthi imiphi imithi oyiphuzayo.

2. Kuhlolwa umzimba:Udokotela uzobeka i-stethoscope esifubeni sakho, alalele, athinte isifuba sakho, bese ehlola indlela ophefumula ngayo.

3. Ukuthatha isampula yoketshezi: Lesi yisinyathelo esibaluleke kakhulu. Uma kukhona ukusolakala koketshezi (ubomvu) esikhaleni se-pleural, udokotela uzosebenzisa inalithi encane ukususa olunye uketshezi bese eluthumela elabhorethri ukuze luhlolwe. Lokhu kubizwa ngokuthi i-thoracentesis . Lokhu kwenziwa ngomuthi oqeda izinhlungu, ukuze kungabi buhlungu kakhulu.

Uma udokotela wakho esola ukuthi une-empyema, uzocela ukuhlolwa okwengeziwe ukuze akuqinisekise.

Ukuhlolwa okwengeziwe kokuxilonga i-empyema

• Ukuhlolwa kwezithombe:
• I-X-ray yesifuba: Lokhu kunganikeza umbono oqondile wokuthi kukhona yini uketshezi esikhaleni se-pleural nokuthi kungakanani.
• I-CT scan: Lokhu kunikeza izithombe ezicacile nezinemininingwane eminingi kune-X-ray. Kungabonisa indawo kanye nenani loketshezi, nokuthi ngabe kukhona yini ezinye izinkinga ngamaphaphu.
• Ukuskena nge-ultrasound: Lokhu kungasetshenziswa futhi ukuhlola inani loketshezi esikhaleni se-pleural. Lokhu kusiza kakhulu ekunqumeni ukuthi kufanele ufake inaliti kuphi lapho uthatha isampula yoketshezi (thoracentesis).

Ngemva kwalezi zithombe, isampula yoketshezi ithunyelwa elabhorethri ukuze ihlolwe ngezindlela ezahlukene. Babheka izinto ezifana nokuthi kukhona yini ubomvu kuyo nokuthi imuphi ubomvu obuqukethe (amagciwane).

• Ukuhlolwa kwegazi:
• Ukuhlolwa kwegazi kwenziwa ukuze kubonakale ukuthi unesifo yini.
• Inani lamangqamuzana amhlophe egazi (i-WBC) liyahlolwa. Leli nani livame ukwanda uma kukhona ukutheleleka.
• Kwenziwa ukuhlolwa okubizwa ngokuthi i-C-reactive protein (CRP) . Lokhu kungasiza futhi ekunqumeni ukuthi kukhona yini ukutheleleka noma ukuvuvukala emzimbeni.
• Ngezinye izikhathi ukuhlolwa kwegazi kungenziwa ukuze kubonakale ukuthi kukhona yini amagciwane egazini.

Udokotela uzonquma ngqo ukuthi une-empyema nokuthi isimo sayo sinjani ngokusekelwe olwazini olutholwe kuzo zonke lezi zivivinyo.

Ingabe i-Empyema ingelapheka? Yiziphi izindlela zokwelapha?

Yebo, izindaba ezinhle ukuthi i-empyema ingelapheka . Kodwa idinga ukuxilongwa kusenesikhathi futhi yelashwe ngendlela efanele. Ukwelashwa kunezinhloso ezimbili eziyinhloko:

1. Ukususa ubomvu esikhaleni se-pleural.

2. Ukwelashwa kokubulala amagciwane abangele ukutheleleka (lokhu kuvame ukwenziwa ngama-antibiotic ).

Manje ake sibone ukuthi singawususa kanjani lobovu:

• I-Thoracentesis:Ezigabeni zokuqala ze-empyema, noma uma inani lobomvu lincane, udokotela angafaka inalithi encane kanye nethubhu (i-catheter) esifubeni iye esikhaleni se-pleural bese ekhipha ubomvu obuthile. Ngezinye izikhathi, ithubhu elincane (ithubhu lesifuba noma ithubhu lokukhipha amanzi) lingashiywa endaweni yalo izinsuku eziningana ukuze kuqhubeke nokukhipha ubomvu.
• Ukwelashwa nge-fibrinolytic: Ngezinye izikhathi ubomvu bungaba bukhulu kakhulu futhi buqhekeke. Bese bungaphumi kalula ngepayipi. Ezimweni ezinjalo, udokotela angajova umuthi esikhaleni se-pleural ngepayipi lesifuba. Lo muthi usebenza ngokuncibilikisa obunye ubomvu obukhulu. Bese bungasuswa kalula.
• Ukuhlinzwa:

Uma i-empyema inzima, uma ubomvu busakazeke ezindaweni eziningi, uma sekwakhe izicubu ezine-fibrous, noma uma ezinye izindlela zokwelapha zingazange zisize, udokotela wakho kungadingeka ahlinze. Kunezinhlobo eziningana zokuhlinzwa:

• Ukuhlinzwa Kwesifuba Okusizwa Yividiyo (VATS): Lokhu kuhilela ukwenza izimbobo eziningana ezincane esifubeni, ukufaka ikhamera namathuluzi akhethekile, nokuhlanza isikhala se-pleural, ukususa ubomvu kanye nolwelwesi olujiyile. Lokhu kwenziwa ngokusika okuncane, okuvumela ukuphulukiswa okusheshayo.
• Ukususwa kwesifuba kanye nokususwa kwesifuba: Uma isimo sibi kakhulu ukuba singalashwa nge-VATS, kungenziwa i-thoracotomy (ukuvula isifuba). Lokhu kuvumela udokotela ukuthi abuke ngqo amaphaphu futhi asuse noma yiluphi ulwelwesi oluqinile nolunciphile (olubizwa ngokuthi i-decortication) kanye nobomvu.

Udokotela wakho uzonquma ukuthi yikuphi ukwelashwa okufanele wena ngemva kokucabangela izici eziningi, njengobunzima bokungenwa yisifo sakho kanye nempilo yakho iyonke.

Yimiphi imithi yokwelapha i-empyema?

Ukuze alawule futhi aqede ukutheleleka, udokotela wakho uzokunikeza ama-antibiotic . Lawa anganikezwa ngemithambo yegazi (IV), noma njengamaphilisi noma ama-capsule. Anganikezwa nge-IV kuqala bese eshintshelwa emithini yomlomo.

Amanye ama-antibiotic asetshenziswa kakhulu yilawa:

• `I-Amoxicillin-clavulanate`
• `I-Piperacillin-tazobactam`
• `Imipenem`
• `I-Meropenem`
• Ngezinye izikhathi imithi efana ne-'Clindamycin' noma i-'Metronidazole' nayo ingafakwa.

Lezi yizibonelo nje. Udokotela wakho uzonquma ukuthi imuphi umuthi olwa namagciwane kanye nomthamo ofanele wena kanye nokutheleleka kwakho. Ungalokothi uthathe noma yimuphi umuthi olwa namagciwane ozizwa sengathi uwuthanda ngaphandle kweseluleko sikadokotela.

Ngizolulama ngokushesha kangakanani ngemva kokwelashwa?

Lokhu futhi kuyinto engahlukahluka kumuntu nomuntu.

• Ama-antibiotic ngokuvamile kudingeka athathwe amasonto amabili kuya kwayisithupha, ngezinye izikhathi isikhathi eside.Into ebaluleke kakhulu ukuthatha umuthi ngqo isikhathi esinqunyiwe ngudokotela wakho, noma ngabe uzizwa ungcono kancane. Ngaphandle kwalokho, ukutheleleka kungase kungapheli ngokuphelele futhi kungabuya, okwenza kube nzima ukwelapha, futhi umuthi owunikiwe ungase ungasebenzi.
• Ngemva kokuhlinzwa ngenaliti ( ukususwa kobomvu), kungase kube nokungakhululeki endaweni yokufaka inaliti izinsuku ezimbalwa noma isonto. Udokotela uzokunikeza imithi yokwelapha izinhlungu ngalokhu.
• Uma unepayipi lesifuba , ungase uzizwe ungakhululekile kuze kube yilapho likhishwa.
• Uma uhlinzwa kakhulu (i-VATS noma i-Thoracotomy) , kungathatha amasonto amane kuya kwayisithupha, noma ngaphezulu, ukululama ngokugcwele nokuqhubeka nemisebenzi evamile. Phakathi nalesi sikhathi, kubaluleke kakhulu ukuphumula nokuzivocavoca njengoba kuqondiswe udokotela wakho.

Ungakuvimbela kanjani ukuthuthukiswa kwe-empyema?

"Ukuvimbela kungcono kunokwelapha." Indlela engcono kakhulu nebaluleke kakhulu yokuvimbela ukuthuthukiswa kwe-empyema ukwelapha noma yikuphi ukutheleleka kwamaphaphu, ikakhulukazi i-pneumonia, ngokushesha nangendlela efanele.

• Uma unezimpawu ze-pneumonia (ukukhwehlela, i-phlegm, umkhuhlane, ubuhlungu besifuba, ubunzima bokuphefumula), ungakushayi indiva, bona udokotela ngokushesha, bese uthatha imithi njengoba nje uyalelwe.
• Uma ubhema, ukuyeka ukubhema kuyindlela enhle yokugcina amaphaphu akho ephilile.
• Imikhuba emihle yokuhlanzeka, njengokugeza izandla njalo nokuqaphela ezindaweni ezinabantu abaningi, nayo ibalulekile.
• Kunemithi yokugomela etholakalayo kwabanye abantu (isib. asebekhulile, abantu abanezinye izifo) yokulwa ne-pneumonia. Buza udokotela wakho ngayo.

Yini engingayilindela uma ngine-empyema?

Sesikhulume kakade ngokuthi i-empyema ayiyona into evamile. Ezimweni eziningi , uma itholakale futhi yelashwa kusenesikhathi, okungukuthi, ngokushesha nje lapho izimpawu ziqala, ingelapheka ngokuphelele ngaphambi kokuba ibe yimbi kakhulu.

Kodwa-ke, uma ungelashwa kahle, noma uma unezinye izimo zezokwelapha zesikhathi eside (ama-comorbidities) njengesifo sikashukela, isifo senhliziyo, noma isifo sezinso, kungaba yingozi kubantu abaphakathi kuka-5% no-30% abane-empyema. Lokho kusho ukuthi kungaba yingozi empilweni.

Uma i-empyema ikhula kubantu abanezivikeli mzimba ezibuthakathaka (isib., abantu abanegciwane lesandulela ngculaza, iziguli ezinomdlavuza, abantu abathola ukufakelwa izitho zomzimba), izinga lokufa lingafinyelela ku-40%. Lokho kusho ukuthi kuyingozi kakhulu.

Ngakho-ke, uma unezimpawu zokuphelelwa ngamandla emzimbeni, into engcono kakhulu ongayenza ukubonana nodokotela ngaphandle kokuchitha isikhathi. Uma udokotela ekunike ama-antibiotic, qiniseka ukuthi uthatha yonke imithi ukuqinisekisa ukuthi ukutheleleka sekuphelile ngokuphelele futhi akubuyi.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela wakho, kuwumqondo omuhle ukubuza imibuzo efana nale ukuze uthole ukuqonda okucacile ngesimo sakho:

• "Dokotela, uphethe kanjani ngempela ngokuthi nginesifo sofuba? Yiziphi izivivinyo eziqinisekisile lokho?"
• "Uma ngingenayo i-empyema, yisiphi esinye isimo esingaba imbangela yalezi zimpawu?"
• "Ngithole kanjani i-empyema? Ingabe kukhona isizathu esithile salokho?"
• "Ingakanani ingozi yami yokuphefumula? Ikusiphi isigaba?"
• "Ungincoma uhlobo luni lokwelashwa? Yini engilindele kuyo?"
• "Kufanele ngithathe la ma-antibiotic isikhathi esingakanani, kangaki ngosuku, ngaphambi noma ngemva kokudla?"
• "Ingabe le mithi ingabangela imiphumela emibi? Uma kunjalo, kufanele ngenzeni?"
• "Ngingawagcina kanjani lawa ma-antibiotic? (isib., esiqandisini noma ezingeni lokushisa legumbi?)"
• "Ingabe ngidinga ukubuya ngizofika (`ama-aphoyintimenti okulandelela`)? Kunini lokho?"
• "Ingabe kukhona izinto ezikhethekile okufanele ngiziqaphele ngokudla, iziphuzo, kanye nemisebenzi yansuku zonke phakathi nalesi sikhathi?"

Ungesabi ukubuza le mibuzo. Ukuqonda kahle ukugula kwakho kubaluleke kakhulu ukuze ululame ngokushesha.

Uyini umehluko phakathi kwe-Empyema ne-Pneumonia?

Nakuba kokubili lokhu kuyizifo zamaphaphu, kunomehluko omncane.

• I-pneumonia ukutheleleka kwelinye noma womabili amaphaphu akho, noma izicubu zamaphaphu ngokwawo . Kungabangelwa amagciwane, amagciwane, noma isikhunta. Uma une-pneumonia, ungase ukhwehlele i-mucus ethelelekile.
• I-Empyema iqoqo lobomvu esikhaleni se-pleural esizungeze amaphaphu akho . Ivame ukubangelwa amagciwane abangela i-pneumonia (okungukuthi, njengenkinga ye-pneumonia). Uma une-empyema, ubomvu ngeke buphume uma ulukhwehlela. Ubomvu kuzodingeka buphathwe ngama-antibiotic, noma udokotela kuzodingeka awukhiphe ngenaliti noma ngokuhlinzwa.

Uyini umehluko phakathi kwe-empyema kanye ne-lung abscess?

Ngisho noma ubomvu buqoqana kuzo zombili lezi zinto, busezindaweni ezimbili.

• Ithumba lamaphaphu liyiqoqo elingavamile lezicubu ezifile kanye nobomvu okwakheka ngaphakathi kwezicubu zamaphaphu . Leli thumba lihlala endaweni eyodwa futhi alihambi.
• I-Empyema iqoqo lobomvu endaweni ye-pleural ngaphandle kwamaphaphu. Lobo bomvu bungagxila endaweni eyodwa noma busakazeke kuyo yonke indawo ye-pleural.

Uyini umehluko phakathi kwe-Empyema ne-Pleural Effusion?

Laba ababili bangadideka.

• I-Pleural effusion iwuketshezi olwengeziwe phakathi kwezicubu ezincane phakathi kwamaphaphu akho kanye nesikhala se-pleural.Kungenxa yokuthi iyaqoqana. Abanye abantu babiza lokhu ngokuthi 'uketshezi emaphashini'. Lolu ketshezi lungaqoqana ngezizathu ezahlukene (njengesifo senhliziyo, isifo sezinso, umdlavuza). Lolu ketshezi lungaba ubomvu noma kungabi ubomvu.
• I-Empyema ukuqongelela kobomvu, ikakhulukazi esikhaleni se-pleural. Okusho ukuthi, akuwona wonke ama-pleural effusions angama-empyema, kodwa ama-empyema ama-pleural effusions aqukethe ubomvu (obuthelelekile).

Uyini umehluko phakathi kwe-Empyema kanye ne-Parapneumonia Effusion?

Ake sichaze lokhu kancane.

• I-parapneumonic effusion uhlobo lwe-pleural effusion. Kwenzeka ngenxa ye-pneumonia . Lokhu kusho ukuthi uketshezi luqoqana esikhaleni se-pleural ngenxa ye-pneumonia. Lolu ketshezi lungase lube uketshezi ekuqaleni (ngaphandle kobomvu).
• Uma lokhu kukhishwa kwe-parapneumonic kutheleleka ngamagciwane bese kwakheka ubomvu kukho, khona-ke sikubiza ngokuthi 'i-Empyema' . Okusho ukuthi, ukukhishwa kwe-parapneumonic kungakhula kube yi-empyema.

Okokugcina, izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, mngane wami, ngithemba ukuthi usuyaqonda kangcono i-empyema. Gcina la maphuzu engqondweni:

• I-Empyema yisimo lapho ubomvu buqoqana khona endaweni ye-pleural ezungeze amaphaphu akho futhi kudinga ukwelashwa.
• Lokhu kuvame ukubangela izimpawu ezithinta isifuba nokuphefumula (ubuhlungu besifuba, ubunzima bokuphefumula, umkhuhlane, ukukhwehlela).
• Nakuba lesi singesona isimo esivamile kakhulu, uma udokotela ethola ukungasebenzi kahle kwesisu kusenesikhathi, unethuba elikhulu kakhulu lokululama ngokugcwele.

Okubaluleke kakhulu: Uma ungelashwa, noma uma unezinye izimo zezokwelapha, njengesifo sikashukela, i-empyema ingakubulala. Ngakho-ke, uma unenkinga yokuphefumula noma ezinye izimpawu zesifuba ezisolisayo, ungazinaki njengokujwayelekile, futhi nakanjani ubone udokotela ngokushesha.

Udokotela wakho angakuxilonga ukuthi une-empyema noma okunye, athole imbangela, futhi akunikeze ukwelashwa okusebenza kahle nokufanele. Khumbula, ukwelashwa kusenesikhathi nokulandela imiyalelo kadokotela wakho kuyindlela engcono kakhulu yokuhlala uphilile!

I - Empyema, isikhala se-pleural, ubomvu, i-pneumonia, ukutheleleka kwamaphaphu, ubuhlungu besifuba, ubunzima bokuphefumula