I-Pleurisy

I-Pleurisy ukuvuvukala kolwelwesi lwamaphaphu nesifuba (i-pleura) okuholela ezinhlungwini zesifuba lapho uphefumula noma ukhwehlela.

I-Pleurisy ingakhula uma ukuvuvukala kwamaphaphu kungenxa yokutheleleka, njengokutheleleka ngegciwane, inyumoniya, noma isifo sofuba.

Kungenzeka futhi nge:

• Isifo esihlobene ne-Asbestos
• Imidlavuza ethile
• Ukuhlukumezeka kwesifuba
• I-clot yegazi (i-pulmonary embolus)
• Isifo samathambo
• ILupus

Uphawu oluyinhloko lwe-pleurisy ubuhlungu esifubeni. Lobuhlungu buvame ukwenzeka lapho uthatha umoya ojulile phakathi noma ngaphandle, noma ukhwehlela. Abanye abantu babuzwa ubuhlungu ehlombe.

Ukuphefumula okujulile, ukukhwehlela, nokuhamba kwesifuba kwenza ubuhlungu bube bukhulu kakhulu.

I-Pleurisy ingadala uketshezi ukuqoqa ngaphakathi kwesifuba. Ngenxa yalokho, izimpawu ezilandelayo zingavela:

• Ukukhwehlela
• Ukuphelelwa umoya
• Ukuphefumula ngokushesha
• Ubuhlungu ngokuphefumula okujulile

Uma une-pleurisy, indawo evame ukubushelelezi ehlanganise amaphaphu (i-pleura) iba lukhuni. Bahlikihla kanye nomoya ngamunye. Lokhu kubangela umsindo ongemuhle, we-grating obizwa nge-rub rub. Umhlinzeki wakho wokunakekelwa kwezempilo angawuzwa lo msindo nge-stethoscope.

Umhlinzeki anga-oda lezi zivivinyo ezilandelayo:

• I-CBC
• I-X-ray yesifuba
• I-CT scan yesifuba
• I-Ultrasound yesifuba
• Ukususwa kwe-pleural fluid ngenaliti (thoracentesis) yokuhlaziywa

Ukwelashwa kuya ngesizathu se-pleurisy. Ukutheleleka kwamagciwane kulashwa ngama-antibiotic. Ukuhlinzwa kungadingeka ukukhipha uketshezi olunegciwane emaphashini. Ukutheleleka ngegciwane kuvame ukuqhuba inkambo yabo ngaphandle kwemithi.

Ukuthatha i-acetaminophen noma ibuprofen kungasiza ekunciphiseni ubuhlungu.

Ukululama kuya ngesizathu se-pleurisy.

Izinkinga zempilo ezingakhula kusuka ku-pleurisy zifaka:

• Ubunzima bokuphefumula
• Ukwakhiwa kwamanzi phakathi kodonga lwesifuba namaphaphu
• Izinkinga ezivela ekuguleni kwasekuqaleni

Shayela umhlinzeki wakho uma unezimpawu ze-pleurisy. Uma unenkinga yokuphefumula noma isikhumba sakho siphenduka siluhlaza okwesibhakabhaka, funa usizo lwezokwelashwa khona manjalo.

Ukwelashwa kokuqala kwezifo zokuphefumula kwamagciwane kungavimbela i-pleurisy.

I-Pleuritis; Ubuhlungu besifuba sePleuritic

• Ukubuka konke kwesistimu yokuphefumula

UFenster BE, uLee-Chiong TL, uGebhart GF, uMatay RA. Ubuhlungu besifuba. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 31.

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.