Ukunyanzelwa kweparapneumonic

Umxholo

• Nguwuphi umahluko phakathi kokuchithwa kwe-parapneumonic kunye ne-empyema?
• Iindidi zokuchithwa kweparapneumonic
• Iimpawu
• Oonobangela
• Izinketho zonyango
• Imbonakalo

Ushwankathelo

Ukuchithwa kweParapneumonic (PPE) luhlobo lokuchithwa kwembambano. Ukuchithwa kwePleural kukwakhiwa kolwelo kwindawo yokuncoma - indawo ebhityileyo phakathi kwemiphunga kunye nesifuba. Kuhlala kukho isixa esincinci samanzi kule ndawo. Nangona kunjalo, ukuba nolwelo oluninzi kwindawo yokubongoza kunokuthintela imiphunga yakho ekwandeni ngokupheleleyo kwaye yenze kube nzima ukuphefumla.

Ukwakhiwa kolwelo kwi-PPE kubangelwa yinyumoniya.

Nguwuphi umahluko phakathi kokuchithwa kwe-parapneumonic kunye ne-empyema?

I-PPE kukukhula kolwelo kwisisu seplato. I-Empyema yinto eyakha ubomvu - ulwelo olumthubi-mthubi olungqingqwa olwenziwe ziintsholongwane kunye neeseli ezimhlophe zegazi ezimnyama. Kukwabangelwa yinyumoniya.

Unokuphuhlisa i-empyema ukuba i-PPE ayinyangwa ngokukhawuleza ngokwaneleyo. Phakathi kweepesenti ezintlanu ukuya kwi-10 zabantu abane-PPE bafumana i-empyema.

Iindidi zokuchithwa kweparapneumonic

I-PPE yahlulwe yaziindidi ezintathu ngokusekwe kuhlobo lolwelo olukwindawo yokubongoza kunye nendlela ekufuneka inyangwe ngayo:

• Izinto ezintsonkothileyo zeparapneumonic effusions. Ulwelo lunokuba namafu okanye lucace, kwaye alunazo iintsholongwane. IPPE izakulunga xa uthatha amayeza okubulala iintsholongwane ukunyanga inyumoniya.
• Ubunzima beparapneumonic effusions. Iibhaktiriya ziye zahamba ukusuka emiphakeni zaya kwindawo yokubhenela, zibangela ulwakhiwo lweeseli zegazi ezimhlophe kunye namhlophe. Ulwelo lunamafu. Kuya kufuneka ukuba ikhutshwe.
• I-Empyema thoracis. Ubomvu, obumhlophe-tyheli obumhlophe buyakha kwindawo yokubhenela. Oku kunokwenzeka ukuba inyumoniya ayinyangwa ngokukhawuleza ngokwaneleyo.

Iimpawu

Iimpawu zePPE zibandakanya:

• ifiva
• ukukhohlela, ngamanye amaxesha ngephlegm
• ukudinwa
• ukuqhawukelwa ngumphefumlo
• iintlungu zesifuba

Kuba ezi zikwayimpawu zenyumoniya, ugqirha unokufuna ukwenza i-X-ray yesifuba okanye i-ultrasound ukufumana ngokuqinisekileyo ukuba unayo iPPE.

Oonobangela

IPPE ibangelwa lusulelo lwemiphunga, inyumoniya. Zombini iibacteria kunye ne-pneumonia yentsholongwane inokubangela i-PPE, kodwa iibacteria zihlala ziyibangela.

Xa usulelekile, amajoni akho omzimba akhupha iiseli ezimhlophe zegazi ukuze zihlasele intsholongwane okanye intsholongwane. Iiseli ezimhlophe zegazi zinokonakalisa imithambo yegazi emincinci emiphungeni, ibangele ukuba ulwelo luphume kuyo luye kwindawo yokubongoza. Ukuba i-PPE ayinyangwa, iiseli ezimhlophe zegazi kunye neebhaktiriya zinokuqokelela kulwelo kwaye zibangele empyema.

Phakathi kwama-20 nama-57 eepesenti abantu abalala esibhedlele ngenxa yenyumoniya minyaka le eUnited States baphuhlisa iPPE. Kungenzeka ukuba ufumane i-PPE ukuba inyumoniya yakho ayinyangwa iintsuku ezininzi.

Abantu abadala kunye nabantwana ngabona basesichengeni sokufumana i-PPE kwinyumoniya.

Izinketho zonyango

Ukunyanga inyumoniya yenyumoniya ngamayeza okubulala iintsholongwane ngokukhawuleza kungathintela iPPE kunye ne-empyema.

Ukuba awuphuli ngamayeza okubulala iintsholongwane, okanye i-PPE yakho iqhubekele phambili kwi-empyema, ugqirha wakho unokufuna ukukhupha ulwelo kwindawo yokucela. Enye indlela yokwenza oku yinkqubo ebizwa ngokuba yi-thoracentesis. Ugqirha uza kufaka inaliti phakathi kweembambo ezimbini kwicala lakho. Emva koko, isirinji isetyenziselwa ukususa ulwelo kwindawo yokubongoza.

Olunye ukhetho kukubeka ityhubhu engenamngxunya ebizwa ngokuba yityhubhu yesifuba okanye ipayitili yesifuba esifubeni ukukhupha ulwelo.

Ukuba ukukhupha umbane akusebenzi, unokufuna utyando ukuze uwususe. Izinketho zibandakanya:

• Thoracoscopy. Ugqirha wenza usiko oluncinci esifubeni sakho kwaye ufake ikhamera encinci kunye nezixhobo. Le nkqubo inokusetyenziselwa zombini ukuxilonga i-PPE kunye nokususa ulwelo kwindawo yokubongoza.
• Uncedo lwevidiyo yokuncedisa utyando lwe-thoracic (VATS). Ugqirha ufaka ikhamera encinci kunye nezixhobo ezincinci ngokusebenzisa iziqwengana ezincinci kudonga lwesifuba sakho. Ugqirha uyakwazi ukubona umfanekiso wemiphunga yakho kwiscreen sevidiyo ukususa ulwelo.
• Thoracotomy. Ugqirha wenza ukusikwa kudonga lwesifuba phakathi kweembambo zakho kwaye kususe ulwelo.

Imbonakalo

Imbonakalo ixhomekeke ekubeni inzima kangakanani imeko yakho, kwaye uphathwa ngokukhawuleza kangakanani. Ukuthatha amayeza okubulala iintsholongwane ngokukhawuleza kungathintela inyumoniya ekubeni iguquke ibe yi-PPE kunye ne-empyema. Abantu abane-PPE bane-pneumonia ebukhali kakhulu okanye eqhubele phambili, enokuthi ibe mandundu kakhulu kwaye isongele nobomi.

Ngonyango, umbono ulungile. Emva kokuba unyangwe, ugqirha wakho uya kulandela ngesifuba iX-reyi kunye nolunye uvavanyo ukuze aqiniseke ukuba usulelo luye lwasuswa kwaye ulwelo alukho.