Empyema

I-Empyema iqoqo lobomvu esikhaleni esiphakathi kwamaphaphu nengaphakathi langaphakathi lodonga lwesifuba (isikhala somlomo).

I-Empyema ivame ukubangelwa ukutheleleka okusakazeka kusuka emaphashini. Kuholela ekwakheni ubomvu esikhaleni sobuningi.

Kungaba nezinkomishi ezi-2 (1/2 litre) noma ngaphezulu koketshezi olunegciwane. Lolu ketshezi lufaka ingcindezi emaphashini.

Izici zobungozi zifaka:

• I-pneumonia yebhaktheriya
• Isifo sofuba
• Ukuhlinzwa kwesifuba
• Ithumba lamaphaphu
• Ukuhlukumezeka noma ukulimala esifubeni

Ezimweni ezingavamile, i-empyema ingenzeka ngemuva kwe-thoracentesis. Le yinqubo lapho kufakwa khona inaliti odongeni lwesifuba ukususa uketshezi esikhaleni sokucela ukuxilongwa noma ukwelashwa.

Izimpawu ze-empyema zingafaka noma yikuphi okulandelayo:

• Ubuhlungu besifuba, obubi lapho uphefumulela ngaphakathi (pleurisy)
• Ukukhwehlela okomile
• Ukujuluka okweqile, ikakhulukazi ukujuluka ebusuku
• Umkhuhlane namakhaza
• Ukungakhululeki okuvamile, ukungakhululeki, noma ukugula (malaise)
• Ukuphelelwa umoya
• Ukwehla kwesisindo (ngokungenhloso)

Umhlinzeki wezokunakekelwa kwempilo angabona ukuthi ukuncipha kwemisindo yokuphefumula noma umsindo ongajwayelekile (ukugoqana kokukhuhla) lapho ulalele isifuba nge-stethoscope (auscultation).

Izivivinyo ezinga-odwa zifaka:

• I-x-ray yesifuba
• I-CT scan yesifuba
• Ukuhlaziywa kwe-Pleural fluid
• Thoracentesis

Umgomo wokwelashwa ukwelapha ukutheleleka. Lokhu kufaka lokhu okulandelayo:

• Ukubeka ithubhu esifubeni sakho ukukhipha ubomvu
• Ukunikeza ama-antibiotics ukulawula ukutheleleka

Uma unezinkinga zokuphefumula, ungadinga ukuhlinzwa ukuze usize iphaphu lakho likhule kahle.

Lapho i-empyema icindezela inyumoniya, ingozi yokulimala unomphela nokufa iyakhuphuka. Ukwelashwa kwesikhathi eside ngama-antibiotic kanye ne-drainage kuyadingeka.

Ngokuvamile, abantu abaningi balulama ngokuphelele empyema.

Ukuba ne-empyema kungaholela kokulandelayo:

• Ukuqina kwe-Pleural
• Ukunciphisa ukusebenza kwamaphaphu

Shayela umhlinzeki wakho uma uba nezimpawu ze-empyema.

Ukwelashwa ngokushesha nangempumelelo kokutheleleka kwamaphaphu kungavimbela ezinye izimo ze-empyema.

Empyema - ukunxusa; IPyothorax; I-Pleurisy - ubovu

• Amaphaphu
• Ukufaka ishubhu esifubeni - uchungechunge

I-Broaddus VC, i-Light RW. Ukuchithwa kwe-Pleural. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 79.

UMcCool FD. Izifo ze-diaphragm, udonga lwesifuba, i-pleura, ne-mediastinum. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 92.