Ukuchithwa kweparapneumonic pleural

Ukuchithwa kwePleural kukwakhiwa kolwelo kwindawo yokubusa. Indawo yokubhengeza yindawo phakathi kwamanqanaba eethishu embombo wemiphunga kunye nesifuba.

Kumntu one-parapneumonic pleural effusion, ulwakhiwo lwamanzi lubangelwa yinyumoniya.

I-pneumonia, exhaphake kakhulu kwiintsholongwane, ibangela iparapneumonic pleural effusion.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Intlungu yesifuba, ihlala ibuhlungu kakhulu xa ukhohlela okanye uphefumla nzulu
• Khohlela ngesikhohlela
• Ifiva
• Ukuphefumla ngokukhawuleza
• Ukuqhawukelwa ngumphefumlo

Umboneleli wezempilo uyakukuvavanya akubuze malunga neempawu zakho. Umboneleli uya kuphulaphula imiphunga yakho nge-stethoscope kwaye ucofe (ukubetha) isifuba sakho kunye nomqolo ongasentla.

Olu vavanyo lulandelayo lunokunceda ukuqinisekisa isifo:

• Gcwalisa uvavanyo lwegazi (CBC)
• Isifuba se-CT scan
• I-x-ray yesifuba
• I-Thoracentesis (isampuli yolwelo isuswe ngenaliti efakwe phakathi kweembambo)
• I-Ultrasound yesifuba kunye nentliziyo

Amayeza okubulala iintsholongwane amiselwe ukunyanga inyumoniya.

Ukuba umntu unomphefumlo omfutshane, i-thoracentesis ingasetyenziselwa ukucoca umbane. Ukuba umsele ongcono wolwelo uyafuneka ngenxa yosulelo olomeleleyo, ityhubhu yokuhambisa amanzi inokufakwa.

Le meko iphucula xa inyumoniya iphucula.

Iingxaki zinokubandakanya:

• Umonakalo wemiphunga
• Usulelo olujika lube lithumba, olubizwa ngokuba yi-empyema, oluya kufuna ukukhutshwa ngethumbu lesifuba
• Umphunga owileyo (pneumothorax) emva kwe-thoracentesis
• Ukuqhekeka kwendawo yokubongoza (ulungelelwaniso lwemiphunga)

Nxibelelana nomboneleli wakho ukuba uneempawu zokuchana.

Nxibelelana nomboneleli wakho okanye uye kwigumbi likaxakeka ukuba ukuphefumla okufutshane okanye ubunzima bokuphefumla kwenzeka kanye emva kwetoracentesis.

Ukuchithwa kwemiphunga - inyumoniya

• Inkqubo yokuphefumla

Ibhlokhi BK. Thoracentesis. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka kunye noKhathalelo oluQhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 9.

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.

Ingcongolo JC. Iziphumo zePleural. Ku: Ingcongolo JC, ed. I-Radiology yesifuba: Iipateni kunye nokuchongwa okwahlukileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 4.