Ipleurisy

I-Pleurisy kukukrala komphetho wesifuba kunye nesifuba (i-pleura) esikhokelela kwintlungu yesifuba xa uphefumla okanye ukhohlela.

I-Pleurisy inokukhula xa unesifo semiphunga ngenxa yosulelo, njengosulelo lwentsholongwane, inyumoniya, okanye isifo sephepha.

Inokwenzeka kwakhona nge:

• Izifo ezinxulumene ne-Asbestos
• Eminye imihlaza
• Umothuko wesifuba
• Igazi legazi (pulmonary embolus)
• Irheumatoid Arthritis
• ILupus

Uphawu oluphambili lwe-pleurisy yintlungu esifubeni. Le ntlungu ihlala yenzeka xa uthabatha umoya ngaphakathi nangaphandle, okanye ukhohlela. Abanye abantu baziva iintlungu egxalabeni.

Ukuphefumla nzulu, ukukhohlela, kunye nentshukumo yesifuba kuyenza ibe mandundu intlungu.

I-Pleurisy inokubangela ukuba ulwelo luqokelele ngaphakathi esifubeni. Ngenxa yoko, ezi mpawu zilandelayo zinokwenzeka:

• Ukukhohlela
• Ukuqhawukelwa ngumphefumlo
• Ukuphefumla ngokukhawuleza
• Intlungu ephefumlayo

Xa une-pleurisy, indawo egudileyo egudle umphunga (i-pleura) iba rhabaxa. Bahlikihla kunye nomphefumlo ngamnye. Oku kukhokelela kwisandi esirhabaxa, esibizwa ngokuba yirubhi yokukhuhlana. Umboneleli wakho wezempilo angasiva esi sandi kunye ne-stethoscope.

Umboneleli unoku-odola ezi mvavanyo zilandelayo:

• I-CBC
• X-ray esifubeni
• Ukuxilongwa kwe-CT kwesifuba
• I-Ultrasound yesifuba
• Ukususwa kwento ebusayo yenaliti ngenaliti (thoracentesis) yohlalutyo

Unyango luxhomekeke kwisizathu se-pleurisy. Usulelo lwebacteria luyanyangwa ngamayeza okubulala iintsholongwane. Utyando lunokufuneka ukukhupha ulwelo olunentsholongwane kwimiphunga. Usulelo lwe-virus luqhuba ikhosi yabo ngaphandle kwamayeza.

Ukuthatha i-acetaminophen okanye ibuprofen kunokunceda ukunciphisa iintlungu.

Ukuchacha kuxhomekeke kwisizathu se-pleurisy.

Iingxaki zempilo ezinokuvela kwi-pleurisy zibandakanya:

• Ukuphefumla ubunzima
• Ulwakhiwo lwamanzi phakathi kodonga lwesifuba kunye nemiphunga
• Iingxaki kwisigulo sokuqala

Shayela umnikezeli wakho ukuba unempawu ze-pleurisy. Ukuba unobunzima bokuphefumla okanye ulusu lwakho lujika luhlaza okwesibhakabhaka, khangela unyango ngokukhawuleza.

Unyango lwakwangoko lwezifo zokuphefumla ezibangelwa ziintsholongwane lunokuthintela ukugcwala komzimba.

Ipleuritis; Intlungu yesifuba sePleuritic

• Isishwankathelo senkqubo yokuphefumla

UFenster BE, uLee-Chiong TL, uGebhart GF, uMatay RA. Iintlungu zesifuba. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahl 31.

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.