Ukuqina kwe-Parapneumonic

-Delile

• Uyini umehluko phakathi kwe-parapneumonic effusion ne-empyema?
• Izinhlobo ze-parapneumonic effusion
• Izimpawu
• Izimbangela
• Izinketho zokwelashwa
• Umbono

Ukubuka konke

I-Parapneumonic effusion (PPE) uhlobo lwe-pleural effusion. I-Pleural effusion iyinhlanganisela yoketshezi emgodini we-pleural - isikhala esincane phakathi kwamaphaphu akho nesifuba sesifuba. Kuhlala kunenani elincane loketshezi kulesi sikhala. Kodwa-ke, ukuba noketshezi oluningi kakhulu esikhaleni sokucela kungavimbela amaphaphu akho ukuthi ande ngokugcwele futhi kwenze kube nzima ukuphefumula.

Ukwakhiwa koketshezi ku-PPE kubangelwa inyumoniya.

Uyini umehluko phakathi kwe-parapneumonic effusion ne-empyema?

I-PPE iyinqwaba yoketshezi emgodini we-pleural. I-Empyema iyinqwaba yobomvu - uketshezi olujiyile olumhlophe oluphuzi olwenziwe ngamagciwane kanye namaseli egazi amhlophe afile. Kubangelwa futhi yinyumoniya.

Ungakha i-empyema uma i-PPE ingelashwa ngokushesha ngokwanele. Phakathi kwamaphesenti ama-5 no-10 abantu abane-PPE bathola amandla.

Izinhlobo ze-parapneumonic effusion

I-PPE ihlukaniswe ngezinhlobo ezintathu ngokuya ngohlobo loketshezi olusesikhala sokuncoma nokuthi ludinga ukwelashwa kanjani:

• Ukukhubazeka okungahambeki kahle kwe-parapneumonic. Uketshezi kungenzeka kube namafu noma kucace, futhi alinawo amagciwane. I-PPE izoba ngcono uma uthatha ama-antibiotic ukwelapha inyumoniya.
• Izinkinga ze-parapneumonic eziyinkimbinkimbi. Amagciwane asuke emaphashini aya esikhaleni sobuningi, abangela inqwaba yamaseli egazi amhlophe namhlophe. Uketshezi lunamafu. Izodinga ukukhishwa.
• Empyema thoracis. Ubomvu obujiyile, obumhlophe ngokuphuzi buyakheka esikhaleni sobuningi. Lokhu kungenzeka uma inyumoniya ingelashwa ngokushesha ngokwanele.

Izimpawu

Izimpawu ze-PPE zifaka:

• imfiva
• ukukhwehlela, kwesinye isikhathi nge-phlegm
• ukukhathala
• ukuphelelwa umoya
• ubuhlungu besifuba

Ngoba lezi nazo ziyizimpawu ze-pneumonia, udokotela kungadingeka ukuthi enze i-X-ray yesifuba noma i-ultrasound ukuthola ngokuqinisekile ukuthi unayo yini i-PPE.

Izimbangela

I-PPE ibangelwa ukutheleleka kwamaphaphu, inyumoniya. Kokubili i-pneumonia yebhaktheriya negciwane kungadala i-PPE, kepha ama-bacteria ayibangela kakhulu.

Uma unesifo, amasosha akho omzimba akhipha amangqamuzana amhlophe egazi ukuhlasela igciwane noma amagciwane. Amaseli egazi amhlophe angalimaza imithambo yegazi emincane emaphashini, abangele ukuthi uketshezi luphume kuyo luye esikhaleni sobuningi. Uma i-PPE ingelashwa, amangqamuzana amhlophe egazi nama-bacterium angaqoqa kuketshezi futhi kubangele empyema.

Phakathi kwamaphesenti angama-20 kanye nama-57 abantu abangalaliswa esibhedlela ngenxa ye-pneumonia unyaka nonyaka e-United States baba ne-PPE. Kungenzeka ukuthi uthole i-PPE uma i-pneumonia yakho ingalashwa izinsuku ezimbalwa.

Abantu abadala abadala nezingane basengozini enkulu yokuthola i-PPE kusuka kunyumoniya.

Izinketho zokwelashwa

Ukwelapha i-pneumonia yebhaktheriya ngama-antibiotic ngokushesha okukhulu kungavimbela i-PPE ne-empyema.

Uma ungangcono ngama-antibiotic, noma i-PPE yakho iqhubekele phambili yaba yi-empyema, lapho-ke udokotela wakho angadinga ukukhipha uketshezi endaweni yesikhala. Enye indlela yokwenza lokhu ngenqubo ebizwa nge-thoracentesis. Udokotela uzofaka inaliti phakathi kwezimbambo ezimbili ohlangothini lwakho. Ngemuva kwalokho, isirinji isetshenziselwa ukususa uketshezi esikhaleni sobuningi.

Enye indlela ukufaka ishubhu elingenalutho elibizwa ngokuthi isifuba sesifuba noma ipayipi lokufaka ipayipi esifubeni ukuze ukhiphe uketshezi.

Uma ukukhipha uketshezi kungasebenzi, ungadinga ukuhlinzwa ukuze ususwe. Izinketho zifaka:

• I-Thoracoscopy. Udokotela ohlinzayo wenza ukusikeka okumbalwa esifubeni sakho bese efaka ikhamera encane nezinsimbi. Le nqubo ingasetshenziselwa ukuxilonga i-PPE futhi isuse uketshezi esikhaleni sokuncenga.
• Ukuhlinzwa kwe-thoracic (VATS) okusizwa ngevidiyo. Udokotela ohlinzayo ufaka ikhamera encane nezinsimbi ezincane ngokusebenzisa imisiko embalwa odongeni lwesifuba sakho. Udokotela ohlinzayo uyakwazi ukubona isithombe samaphaphu akho kusikrini sevidiyo ukukhipha uketshezi.
• I-Thoracotomy. Udokotela ohlinzayo wenza imbobo odongeni lwesifuba phakathi kwezimbambo zakho futhi asuse uketshezi.

Umbono

Ukubukeka kuncike ekutheni isimo sakho sinzima kangakanani, nokuthi uphathwa ngokushesha kangakanani. Ukuthatha ama-antibiotic ngokushesha okukhulu kungavimbela i-pneumonia ekubeni iphenduke i-PPE ne-empyema. Abantu abane-PPE imvamisa bane-pneumonia ebucayi noma esithuthukile, engaba yimbi kakhulu futhi isongele nokuphila.

Ngokwelashwa, umbono muhle. Ngemuva kokuthi welashwe, udokotela wakho uzolandela nge-X-ray esifubeni nokunye ukuhlolwa ukuze aqiniseke ukuthi ukutheleleka sekusukile futhi uketshezi luphelile.