Empyema

I-Empyema yingqokelela yobofu kwisithuba esiphakathi komphunga kunye nomphezulu wangaphakathi wodonga lwesifuba (indawo yokubongoza).

I-Empyema ihlala ibangelwa lusulelo olusasazeka ukusuka emiphungeni. Kukhokelela ekwakhiweni kobofu kwindawo yokubongoza.

Kunokubakho iikomityi ezi-2 (1/2 ilitha) okanye ngaphezulu kolwelo olosulelekileyo. Olu lwelo lubeka uxinzelelo emiphungeni.

Izinto zomngcipheko zibandakanya:

• I-pneumonia yentsholongwane
• Isifo sephepha
• Utyando lwesifuba
• Ithumba lemiphunga
• Umothuko okanye ukwenzakala esifubeni

Kwiimeko ezinqabileyo, i-empyema inokwenzeka emva kwe-thoracentesis. Le yinkqubo apho inaliti ifakwa khona eludongeni lwesifuba ukususa ulwelo kwindawo yokucela ukuxilongwa okanye unyango.

Iimpawu ze-empyema zingabandakanya nayiphi na kwezi zinto zilandelayo:

• Intlungu yesifuba, ebanzima xa uphefumla nzulu (pleurisy)
• Ukukhohlela owomileyo
• Ukubila okugqithisileyo, ngakumbi ukubila ebusuku
• Umkhuhlane kunye nokubanda
• Ukungakhululeki ngokubanzi, ukungonwabi, okanye ukuziva ungonwabanga (malaise)
• Ukuqhawukelwa ngumphefumlo
• Ukwehla kobunzima (bungaqondanga)

Umboneleli wezempilo unokuqaphela ukuncipha kwezandi zokuphefumla okanye isandi esingaqhelekanga (ukukhuhla irabha) xa umamele esifubeni ngestethoscope (i-auscultation).

Uvavanyo olunoku-odolwa lubandakanya:

• I-x-ray yesifuba
• Ukuxilongwa kwesifuba kwe-CT
• Uhlalutyo lwamanzi amdaka
• Thoracentesis

Injongo yonyango kukunyanga usulelo. Oku kubandakanya oku kulandelayo:

• Ukubeka ityhubhu esifubeni sakho ukukhupha ubofu
• Ukunika ii-antibiotics ukulawula usulelo

Ukuba unengxaki yokuphefumla, unokufuna utyando ukunceda imiphunga yakho ukuba ikhule ngokufanelekileyo.

Xa i-empyema idibanisa inyumoniya, umngcipheko wokonakaliswa ngokusisigxina kwemiphunga kunye nokufa kuyenyuka. Unyango lwexesha elide ngamayeza okubulala iintsholongwane kunye nomsele ofunekayo.

Ngokubanzi, uninzi lwabantu luyachacha ngokupheleleyo kwi-empyema.

Ukuba ne-empyema kunokukhokelela koku kulandelayo:

• Ukutyeba kwePleural
• Ukunciphisa ukusebenza kwemiphunga

Tsalela umnikezeli wakho ukuba uhlakulela iimpawu ze-empyema.

Unyango olukhawulezileyo nolusebenzayo lokosuleleka emiphungeni lunokuthintela iimeko ezithile ze-empyema.

Impyema - isikhalazo; IPyothorax; Ipleurisy - ubovu

• Amaphaphu
• Ukufakwa kwetyhubhu yesifuba-uthotho

I-Broaddus VC, ukuKhanya kweRW. Ukuchithwa kwendalo. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 79.

UMcCool FD. Izifo zediaphragm, udonga lwesifuba, i-pleura, kunye ne-mediastinum. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 92.