I-parapneumonic pleural effusion

I-Pleural effusion iyinhlanganisela yoketshezi esikhaleni sobuningi. Isikhala sobuningi siyindawo ephakathi kwezendlalelo zezicubu ezigcwala iphaphu nesifuba.

Kumuntu one-parapneumonic pleural effusion, i-fluid buildup ibangelwa i-pneumonia.

I-pneumonia, imvamisa evela kubhaktheriya, ibangela ukukhishwa kwe-parapneumonic pleural.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Ubuhlungu besifuba, imvamisa ubuhlungu obubukhali obubi kakhulu ngokukhwehlela noma ukuphefumula okujulile
• Khwehlela ngesikhwehlela
• Imfiva
• Ukuphefumula ngokushesha
• Ukuphelelwa umoya

Umhlinzeki wezokunakekelwa kwempilo uzokuhlola abuze ngezimpawu zakho. Umhlinzeki uzophinde alalele amaphaphu akho nge-stethoscope bese uthepha (ushaya) isifuba sakho nomhlane ongaphezulu.

Ukuhlolwa okulandelayo kungasiza ukuqinisekisa ukuxilongwa:

• Qedela ukuhlolwa kwegazi (CBC) kwegazi
• Isikena se-CT esifubeni
• I-x-ray yesifuba
• I-Thoracentesis (isampula loketshezi lisuswa ngenaliti efakwe phakathi kwezimbambo)
• I-Ultrasound yesifuba nenhliziyo

Ama-antibiotic abelwe ukwelapha inyumoniya.

Uma umuntu ephefumula kancane, i-thoracentesis ingasetshenziselwa ukukhipha uketshezi. Uma kudingeka ukugeleza okungcono koketshezi ngenxa yokutheleleka okunzima kakhulu, kungafakwa ithubhu yokukhipha amanzi.

Lesi simo siyathuthuka lapho i-pneumonia ithuthuka.

Izinkinga zingafaka:

• Ukulimala kwamaphaphu
• Ukutheleleka okuphenduka ithumba, elibizwa ngokuthi i-empyema, elizodinga ukukhishwa ngeshubhu lesifuba
• Iphaphu eliwile (pneumothorax) ngemuva kwe-thoracentesis
• Ukuqhekeka kwesikhala sokuncenga (ulwelwesi lwephaphu)

Xhumana nomhlinzeki wakho uma unezimpawu ze-pleural effusion.

Xhumana nomhlinzeki wakho noma uye ekamelweni eliphuthumayo uma ukuphefumula okuncane noma ukuphefumula kanzima kwenzeka ngemuva nje kwe-thoracentesis.

I-Pleural effusion - inyumoniya

• Uhlelo lokuphefumula

Ibhulokhi BK. Thoracentesis. Ku: Roberts JR, Custalow CB, Thomsen TW, ama-eds. Izinqubo Zomtholampilo zikaRoberts noHedges ku-Emergency Medicine kanye ne-Acute Care. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 9.

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.

Umhlanga JC. Imiphumela ye-Pleural. Ku: Reed JC, ed. I-Radiology yesifuba: Amaphethini nokutholwa okwehlukile. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 4.