Mediastinitis

Mediastinitis kuzvimba uye kutsamwa (kuzvimba) kwenzvimbo yechipfuva pakati pemapapu (mediastinum). Iyi nharaunda ine moyo, hombe midziyo yeropa, mhepo (trachea), chubhu yekudya (esophagus), thymus gland, lymph node, uye nyama dzakabatana.

Mediastinitis inowanzo guma nehutachiona. Inogona kuitika kamwe kamwe (acute), kana inogona kukura zvishoma nezvishoma ichiwedzera kukura nekufamba kwenguva (chisingaperi). Izvo zvinowanzoitika mumunhu achangobva kuve neeposcopy yepamusoro kana kuvhiyiwa chipfuva.

Munhu anogona kuve nemisodzi mudumbu ravo inokonzeresa mediastinitis. Zvinokonzera kuchema zvinosanganisira:

• Maitiro akadai seendoscopy
• Kumanikidza kana kugara uchirutsa
• Kushungurudzika

Zvimwe zvikonzero zve mediastinitis zvinosanganisira:

• Utachiona hwefungal hunonzi histoplasmosis
• Radiation
• Kuzvimba kwema lymph node, mapapu, chiropa, maziso, ganda, kana zvimwe zvinyama (sarcoidosis)
• Tiibhii
• Kufema muAnthrax
• Gomarara

Njodzi zvinhu zvinosanganisira:

• Chirwere chegurokuro
• Chirwere cheshuga mellitus
• Matambudziko ari mudumbu repamusoro dumbu
• Kwazvino chipfuva kuvhiya kana endoscopy
• Dziviriro yezvirwere mumuviri

Zviratidzo zvinogona kusanganisira:

• Kurwadziwa pachifuva
• Kutonhora
• Kupindwa nechando
• Kazhinji kusagadzikana
• Kufema kwekufema

Zviratidzo zve mediastinitis muvanhu vakambovhiyiwa munguva pfupi yapfuura zvinosanganisira:

• Chest rusvingo unyoro
• Ronda drainage
• Akagadzika chipfuva madziro

Anopa hutano anoita bvunzo dzepanyama uye obvunza nezvezviratidzo uye nhoroondo yezvokurapa.

Miedzo inogona kusanganisira:

• Chest CT scan kana MRI scan
• Chest x-ray
• Ultrasound

Mupiro anogona kuisa tsono munzvimbo yekuzvimba. Uku kutora sampuli yekutumira kune gramu tsvina uye tsika yekuona mhando yehutachiona, kana iripo

Iwe unogona kugamuchira maantibioti kana uine hutachiona.

Ungangoda kuvhiyiwa kuti ubvise nzvimbo yekuzvimba kana tsinga dzeropa, mhepo, kana sophagus yakavharwa.

Kuita zvakanaka kwemunhu kunoenderana nechikonzero uye kuomarara kwemastastinitis.

Mediastinitis mushure mekuvhiyiwa kwechifuva kwakanyanya kwazvo. Iko kune njodzi yekufa kubva pamamiriro acho.

Matambudziko anosanganisira anotevera:

• Kupararira kwehutachiona muropa, mitsipa yeropa, mapfupa, moyo, kana mapapu
• Kupenga

Kupenga kunogona kuve kwakanyanya, kunyanya kana kuchikonzerwa neusingaperi mediastinitis. Kupenga kunogona kukanganisa nemoyo kana mapapu basa.

Bata mupi wako kana iwe wakambovhiyiwa chipfuva chakavhurika uye ukavandudza

• Kurwadziwa pachifuva
• Kutonhora
• Drainage kubva paronda
• Kupindwa nechando
• Kufema kwekufema

Kana iwe uine hutachiona hwemapapu kana sarcoidosis uye uchikura chero cheizvi zviratidzo, ona wako mupi ipapo ipapo.

Kuti kuderedze njodzi yekuvandudza mediastinitis ine chekuita nekuvhiya pachipfuva, maronda ekuvhiya anofanirwa kuchengetwa akachena uye akaoma mushure mekuvhiyiwa.

Kurapa chirwere chetibhii, sarcoidosis, kana zvimwewo zvinoenderana nemastastinitis zvinogona kudzivirira kuomarara uku.

Chipfuva hutachiona

• Kufuridzira system
• Mediastinum

Cheng GS, Varghese TK, Park DR. Pneumomediastinum uye mediastinitis. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 84.

Van Schooneveld TC, Rupp ME. Mediastinitis. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chits. 85.