Empyema

Empyema muunganidzwa wepus munzvimbo iri pakati pepapu uye nechomukati pechidziro chechipfuva (pleural space).

Empyema inowanzo kukonzerwa nehutachiona hunopararira kubva mumapapu. Inotungamira kune inovakwa ye pus munzvimbo yekuteterera.

Panogona kuve nemikombe miviri (1/2 litre) kana yakawanda yehutachiona hutachiona. Mvura iyi inoisa kumanikidza pamapapu.

Njodzi zvinhu zvinosanganisira:

• Hutachiona mabayo
• Tiibhii
• Kuvhiyiwa pachifuva
• Lung abscess
• Kushungurudzika kana kukuvara kuchifuva

Muzviitiko zvisingawanzoitiki, empyema inogona kuitika mushure me thoracentesis. Iyi ndiyo nzira iyo tsono inopindirwa kuburikidza nemadziro echifuva kuti ibvise mvura munzvimbo yekuteterera yekurapwa kana kurapwa.

Zviratidzo zve empyema zvinogona kusanganisira chero cheanotevera:

• Kurwadziwa pachifuva, uko kunowedzera kana iwe uchifema mukati zvakadzika (pleurisy)
• Kuoma kukosora
• Kuwedzera kudikitira, kunyanya kudikitira usiku
• Fivha uye kutonhora
• Kazhinji kusagadzikana, kusagadzikana, kana kurwara (malaise)
• Kufema kwekufema
• Kurera huremu (kusaziva)

Mutapi wezvehutano anogona kucherechedza kuderera kwemhepo yekufema kana ruzha rusina kujairika (kukweshesana rub) paunoteerera chipfuva ne stethoscope (auscultation).

Miedzo inogona kurairwa inosanganisira:

• Chest x-ray
• CT scan yechifuva
• Pleural fluid kuongorora
• Thoracentesis

Chinangwa chekurapa ndechekuporesa hutachiona. Izvi zvinosanganisira zvinotevera:

• Kuisa chubhu muchipfuva chako kubvisa pus
• Kukupa iwe maantibayoti kudzora hutachiona

Kana uine matambudziko ekufema, ungangoda kuvhiyiwa kuti ubatsire mapapu ako kuti akure zvakanaka.

Kana empyema ichiomesa mabayo, njodzi yekukuvara kwemapapu nekusingaperi inokwira. Kurapa-kwenguva refu nemishonga inorwisa mabhakitiriya nemadhiraini zvinodiwa.

Kazhinji, vanhu vazhinji vanopora zvizere kubva kuempyema.

Kuva ne empyema kunogona kutungamira kune anotevera:

• Pleural kuwedzera
• Yakaderedzwa mapapu mashandiro

Fonera mupiki wako kana iwe ukaita zviratidzo zve empyema.

Kukurumidza uye kunoshanda kurapwa kwezvirwere zvemapapu kunogona kudzivirira zvimwe zviitiko zve empyema.

Empyema - chikumbiro; Pyothorax; Pleurisy - purulent

• Mapapu
• Chifuva chubhu kupinza - akateedzana

Broaddus VC, Chiedza RW. Kubwinya kwepleural. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 79.

McCool FD. Zvirwere zve diaphragm, chipfuva rusvingo, pleura, uye mediastinum. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 92.