Parapneumonic Kubudirira

Zvemukati

• Ndeupi musiyano uripo pakati peparapneumonic effusion uye empyema?
• Mhando dzeparapneumonic effusion
• Zviratidzo
• Zvinokonzera
• Kurapa nzira
• Outlook

Mhedziso

Parapneumonic effusion (PPE) rudzi rwekupemha kwekubwinya. Pleural effusion ndeyekuwedzera kwemvura mune iyo pleural mhango - iyo nhete nzvimbo pakati pemapapu ako uye chipfuva mhango. Panogara paine hushoma hwemvura munzvimbo ino. Zvisinei, kuva nemvura yakawandisa munzvimbo yekuteterera kunogona kudzivirira mapapu ako kubva pakuzara zvizere uye kuita kuti zvive zvakaoma kufema.

Iyo yemvura inovaka muPPE inokonzerwa nemabayo.

Ndeupi musiyano uripo pakati peparapneumonic effusion uye empyema?

PPE ndeyekuwedzera kwemvura mune iyo pleural mhango. Empyema chivakwa che pus - gobvu jena-chena mvura inoumbwa nebhakitiriya uye masero machena akafa. Inokonzerwawo nemabayo.

Unogona kuvandudza empyema kana PPE ikasarapwa nekukasira. Pakati pe5 ne10 muzana yevanhu vane PPE vanowana empyema.

Mhando dzeparapneumonic effusion

PPE yakakamurwa kuita matatu marudzi anoenderana nerudzi rwemvura iri munzvimbo yekuteterera uye kuti inoda kurapwa sei:

• Izvo zvisina kuomarara parapneumonic effusions. Mvura inogona kunge ine makore kana yakajeka, uye haina mabhakitiriya. PPE inozoita zvirinani paunotora mishonga inorwisa mabhakitiriya kurapa mabayo.
• Zvakaomarara parapneumonic effusions. Mabhakitiriya akafamba kubva mumapapu achienda munzvimbo yekuteterera, zvichikonzera kuwanda kwemvura uye chena masero eropa. Mvura inenge iine makore. Ichada kudururwa.
• Empyema thoracis. Yakakora, chena-yero pus inovaka munzvimbo yekuteterera. Izvi zvinogona kuitika kana mabayo asina kurapwa nekukasira zvakakwana.

Zviratidzo

Zviratidzo zvePPE zvinosanganisira:

• kupindwa nechando
• kukosora, dzimwe nguva nephlegm
• kuneta
• mweya wekufema
• kurwadziwa pachipfuva

Nekuti izvi zvakare zviratidzo zvemabayo, chiremba angangoda kuita chipfuva X-ray kana ultrasound kuti uwane chokwadi kana iwe uine PPE.

Zvinokonzera

PPE inokonzerwa nehutachiona hutachiona, mabayo. Ose mabhakitiriya uye hutachiona pneumonia inogona kukonzera PPE, asi mabhakitiriya anowanzo kukonzera.

Paunenge uine hutachiona, immune system yako inoburitsa machena masero eropa kurwisa hutachiona kana hutachiona. Masero machena eropa anogona kukuvadza midziyo midiki yeropa mumapapu, zvichikonzeresa kuti mvura irasike ichibva mukati mayo uye ichipinda munzvimbo yemafaro. Kana PPE ikasarapwa, masero machena eropa uye mabhakitiriya anogona kuunganidza mukati memvura uye kukonzera empyema.

Pakati pe20 uye 57 muzana yevanhu vari muchipatara nekuda kwemabayo gore rega rega muUnited States vanogadzira PPE. Iwe uri mukana wekuwana PPE kana mabayo ako asina kurapwa kwemazuva akati wandei.

Vakwegura vakuru uye vana ndivo vari panjodzi yekuwana PPE kubva pamabayo.

Kurapa nzira

Kurapa hutachiona pneumonia nemishonga inorwisa mabhakitiriya nekukurumidza sezvinobvira kunogona kudzivirira PPE uye empyema.

Kana iwe ukasava nani nemishonga inorwisa mabhakitiriya, kana PPE yako yakafambira mberi kuita empyema, ipapo chiremba wako angangoda kudurura furuidhi kubva munzvimbo yekukumbira. Imwe nzira yekuita izvi ndeye nzira inonzi thoracentesis. Chiremba anoisa tsono pakati pembabvu mbiri padivi pako. Ipapo, sirinji inoshandiswa kubvisa zvinoyerera kubva panzvimbo yemufaro.

Imwe nzira ndeyekuisa chubhu ine mhango inonzi chest tube kana catheter mubhokisi rako kuti ubudise mvura yacho.

Kana kukweva mvura yacho kusinga shande, ungangoda kuvhiyiwa kuti ubvise. Sarudzo dzinosanganisira:

• Thoracoscopy. Chiremba anovhiya anoita mashoma mashoma muchifuva chako uye anoisa kamera diki uye zviridzwa. Maitiro aya anogona kushandiswa kune zvese kuongorora PPE uye kubvisa fluid kubva kune pleural nzvimbo.
• Vhidhiyo-yakabatsirwa kuvhiya thoracic (VATS). Chiremba anovhiya kamera diki uye zviridzwa zvidiki kuburikidza nemaitiro mashoma mudiki muchipfuva chako. Chiremba anovhiya anokwanisa kuona mufananidzo wemapapu ako pachiratidziro chevhidhiyo kuti abvise chinoyerera.
• Thoracotomy. Chiremba anovhiya anogadzira pachipfuva pamadziro pakati pembabvu dzako uye achibvisa chinoyerera.

Outlook

Maonero anoenderana nekuti mamiriro ako akakomba sei, uye nekukurumidza kuti unorapwa sei Kutora mishonga inorwisa mabhakitiriya nekukurumidza sezvinobvira kunogona kudzivirira mabayo kubva pakuva PPE uye empyema. Vanhu vane PPE vanowanzo kuve neakanyanya kana epamberi pneumonia, inogona kuve yakakomba uye kunyange kutyisidzira hupenyu.

Nokurapwa, maonero akanaka. Mushure mekunge warapwa, chiremba wako anozotevera nechipfuva maX-ray uye kumwe kuyedzwa kuti ave nechokwadi chekuti hutachiona hwabviswa uye kuyerera kwaenda.