Zosangalatsa

Pleurisy ndikutupa kwamkati mwamapapu ndi chifuwa (pleura) komwe kumabweretsa kupweteka pachifuwa mukamapuma kapena kutsokomola.

Pleurisy amatha kukula mukakhala ndi kutupa kwamapapo chifukwa cha matenda, monga matenda a virus, chibayo, kapena chifuwa chachikulu.

Zitha kukhalanso ndi:

• Matenda okhudzana ndi asibesitosi
• Khansa zina
• Kupweteka pachifuwa
• Kuundana kwamagazi (pulmonary embolus)
• Matenda a nyamakazi
• Lupus

Chizindikiro chachikulu cha pleurisy ndi kupweteka pachifuwa. Kupweteka uku kumachitika nthawi zambiri mukamapuma kapena kutuluka, kapena kutsokomola. Anthu ena amamva kupweteka phewa.

Kupuma mwakuya, kutsokomola, ndi chifuwa kumapangitsa kupweteka kukukulirakulira.

Pleurisy amatha kuyambitsa madzi am'madzi pachifuwa. Zotsatira zake, izi zimatha kuchitika:

• Kutsokomola
• Kupuma pang'ono
• Kupuma mofulumira
• Ululu wokhala ndi mpweya wabwino

Mukakhala ndi pleurisy, malo omwe nthawi zambiri amakhala osalala olowa m'mapapo (pleura) amakhala olimba. Amadzipukuta limodzi ndi mpweya uliwonse. Izi zimapangitsa kuti pakhale phokoso lolira, lolira lomwe limatchedwa kukhulana. Wothandizira zaumoyo wanu amatha kumva mawu awa ndi stethoscope.

Wothandizirayo atha kuyitanitsa mayeso otsatirawa:

• Zamgululi
• X-ray ya chifuwa
• Kujambula kwa CT pachifuwa
• Ultrasound pachifuwa
• Kuchotsa madzi amadzimadzi ndi singano (thoracentesis) kuti isanthulidwe

Chithandizo chimadalira chifukwa cha pleurisy. Matenda a bakiteriya amachiritsidwa ndi maantibayotiki. Kuchita opaleshoni kungafunike kutulutsa madzimadzi omwe ali ndi matenda m'mapapu. Matenda a kachilombo nthawi zambiri amatha popanda mankhwala.

Kutenga acetaminophen kapena ibuprofen kungathandize kuchepetsa ululu.

Kuchira kumatengera chifukwa cha pleurisy.

Mavuto azaumoyo omwe atha kubwera kuchokera ku pleurisy ndi awa:

• Kupuma kovuta
• Kutulutsa kwamadzimadzi pakati pakhoma lachifuwa ndi mapapo
• Zovuta zamatenda oyamba

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za pleurisy. Ngati mukuvutika kupuma kapena khungu lanu litasintha kukhala labuluu, pitani kuchipatala nthawi yomweyo.

Kuchiza koyambirira kwa matenda opatsirana a bakiteriya kumatha kuteteza pleurisy.

Chimfine; Kupweteka pachifuwa cha Pleuritic

• Kuwunika mwachidule

Fenster BE, Lee-Chiong TL, Gebhart GF, Matthay RA. Kupweteka pachifuwa. 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 31.

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.