Ntchito

Empyema ndi mafinya pakati pa mapapo ndi mkatikati mwa khoma la chifuwa (malo opembedzera).

Empyema nthawi zambiri imayamba chifukwa cha matenda omwe amafalikira kuchokera m'mapapu. Zimatsogolera kukulira kwa mafinya m'malo opembedzera.

Pakhoza kukhala makapu awiri (1/2 lita) kapena zambiri zamadzimadzi omwe ali ndi kachilomboka. Amadzimadzi amenewa amapanikiza mapapo.

Zowopsa ndi izi:

• Chibayo cha bakiteriya
• Matenda a chifuwa chachikulu
• Opaleshoni pachifuwa
• Kutupa m'mapapo
• Kuvulala kapena kuvulala pachifuwa

Nthawi zambiri, empyema imatha kuchitika pambuyo pa thoracentesis. Imeneyi ndi njira yomwe singano imalowetsedwa kudzera pachifuwa pakhosi kuti ichotse madzimadzi pamalo opempherera kuti athe kupeza chithandizo chamankhwala.

Zizindikiro za empyema zitha kuphatikizira izi:

• Kupweteka pachifuwa, komwe kumawonjezeka mukamapuma mwakuya (pleurisy)
• Chifuwa chowuma
• Kutuluka thukuta kwambiri, makamaka thukuta usiku
• Malungo ndi kuzizira
• Kusapeza bwino, kusakhazikika, kapena kudwala (malaise)
• Kupuma pang'ono
• Kuchepetsa thupi (mwangozi)

Wopereka chithandizo chamankhwala amatha kuzindikira kuchepa kwa mawu kapena phokoso losazolowereka (kukwapula) akamamvera pachifuwa ndi stethoscope (auscultation).

Mayeso omwe atha kulamulidwa ndi awa:

• X-ray pachifuwa
• Kujambula pachifuwa kwa CT
• Kusanthula kwamadzimadzi
• Thoracentesis

Cholinga cha mankhwala ndi kuchiza matenda. Izi zimaphatikizapo izi:

• Kuyika chubu m'chifuwa chanu kuti muchotse mafinya
• Kukupatsani maantibayotiki kuti muchepetse matendawa

Ngati mukuvutika kupuma, mungafunike kuchitidwa opaleshoni kuti mapapu anu akule bwino.

Pamene empyema imasokoneza chibayo, chiopsezo chakuwonongeka kwamapapu ndiimfa chimakwera. Chithandizo cha nthawi yayitali ndi maantibayotiki ndi ngalande chimafunikira.

Mwambiri, anthu ambiri amachira kuchipatala.

Kukhala ndi mphamvu kumatha kubweretsa izi:

• Kukongola kwa Pleural
• Kuchepetsa ntchito yamapapu

Itanani omwe akukuthandizani ngati mukudwala matendawa.

Kuchiza mwachangu komanso mothandizidwa ndi matenda am'mapapo kumatha kupewa matenda ena.

Empyema - kupempha; Pyothorax; Pleurisy - mafinya

• Mapapo
• Kuyika chubu pachifuwa - mndandanda

Broaddus VC, Kuwala RW. Kutulutsa kwa Pleural. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 79.

Malangizo: McCool FD. Matenda a chotupa, khoma pachifuwa, pleura, ndi mediastinum. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 92.