Kuphulika kwa parapneumonic pleural

Kutulutsa kwa Pleural ndikumangirira kwamadzi m'malo opembedzera. Malo opembedzera ndi dera pakati pa zigawo za minofu yomwe ili m'mapapo ndi pachifuwa.

Mwa munthu yemwe ali ndi parapneumonic pleural effusion, kuchuluka kwamadzimadzi kumayambitsidwa ndi chibayo.

Chibayo, makamaka kuchokera ku mabakiteriya, chimayambitsa kuphulika kwa parapneumonic pleural.

Zizindikiro zimatha kuphatikizira izi:

• Kupweteka pachifuwa, nthawi zambiri kupweteka kopweteka komwe kumakulirakulira ndi chifuwa kapena kupuma kwambiri
• Tsokomola ndi sputum
• Malungo
• Kupuma mofulumira
• Kupuma pang'ono

Wothandizira zaumoyo adzakufunsani ndikufunsani za matenda anu. Woperekayo amamveranso m'mapapu anu ndi stethoscope ndikudina (kukumenyani) pachifuwa ndi kumtunda.

Mayesero otsatirawa angathandize kutsimikizira kuti matendawa ndi awa:

• Kuyezetsa magazi kwathunthu (CBC)
• Chifuwa cha CT
• X-ray pachifuwa
• Thoracentesis (nyemba yamadzi imachotsedwa ndi singano yolowetsedwa pakati pa nthiti)
• Ultrasound pachifuwa ndi pamtima

Maantibayotiki amapatsidwa mankhwala ochizira chibayo.

Ngati munthuyo ali ndi mpweya wochepa, thoracentesis itha kugwiritsidwa ntchito kukhetsa madziwo. Ngati ngalande yabwinobwino yamadzi ikufunika chifukwa cha matenda owopsa, chubu chazitsulo chitha kulowetsedwa.

Vutoli limakula bwino chibayo chikayamba kusintha.

Zovuta zingaphatikizepo:

• Kuwonongeka kwa mapapo
• Matenda omwe amasanduka abscess, otchedwa empyema, omwe amafunika kuthiridwa ndi chubu pachifuwa
• Mapapu atagwa (pneumothorax) pambuyo pa thoracentesis
• Kukula kwa malo opembedzera (akalowa m'mapapo)

Lumikizanani ndi omwe amakupatsani ngati muli ndi zisonyezo zakusokonekera.

Lumikizanani ndi omwe akukuthandizani kapena pitani kuchipinda chadzidzidzi ngati kupuma pang'ono kapena kupuma movutikira kumachitika patangopita thoracentesis.

Pleural effusion - chibayo

• Dongosolo kupuma

Malo BK. Thoracentesis. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: chaputala 9.

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.

Bango JC. Zovuta za Pleural. Mu: Reed JC, mkonzi. Radiology pachifuwa: Zitsanzo ndi Kusiyanitsa. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 4.