Mediastinitis

ʻO ka Mediastinitis ka pehu a me ka ukiuki (ka mumū) o ka umauma ma waena o nā māmā (mediastinum). Aia i loko o kēia wahi ka puʻuwai, nā kīʻaha koko nui, ka peʻapeʻa (trachea), ka pahuʻai meaʻai (esophagus), ka momona o ka thymus, nā pūnana lymph, a me nā mea hoʻopili.

ʻO ka hopena maʻamau ka Mediastinitis mai kahi maʻi. Kū koke paha ia (ʻāpiki), a i ʻole hiki ke ulu lohi a ʻinoʻino i ka manawa. Kū pinepine ia i loko o ke kanaka i loaʻa i kahi endoscopy luna a i ʻole ʻokiʻoki umauma.

He waimaka paha ko kekahi kanaka i loko o kā lākou esophagus e kumu ai i ka mediastinitis. ʻO nā kumu o ka waimaka e:

• ʻO kahi kaʻina hana e like me endoscopy
• Ka ikaika a i ʻole ka luaʻi mau
• Trauma

Nā kumu ʻē aʻe o ka mediastinitis me:

• ʻO kahi maʻi fungal i kapa ʻia ʻo histoplasmosis
• Pāhawewe
• Ka hoʻohaunaele o nā lymph node, nā mumū, ke ake, nā maka, ka ʻili, a i ʻole nā ​​mea ʻē aʻe (sarcoidosis)
• Maʻi puʻu
• Ka hanu ʻana i ka anthrax
• Kanesa

ʻO nā kumu pilikia me:

• Maʻi o ka esophagus
• Diabetes mellitus
• Nā pilikia ma ka gastrointestinal tract i luna
• ʻO ke kaha ʻana o ka umauma a i ʻole endoscopy
• ʻŌnaehana pale nawaliwali

Pākuʻi ʻia paha nā ʻōuli:

• ʻEha ʻeha
• ʻO Chills
• Fiva
• Hōʻoluʻolu nui
• Pokole o ka hanu

ʻO nā hōʻailona o ka mediastinitis i ka poʻe i loaʻa i kahi ʻoki hou me:

• Palupalu pā umauma
• Kahe wai ʻeha
• Pā umauma paʻa ʻole

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i nā ʻōuli a me ka mōʻaukala.

E komo pū paha nā hoʻāʻo:

• Scanner CT pahu a scan MRI paha
• Pākuʻi x-ray
• Kukuna ultrasound

Hiki i ka mea hoʻolako ke hoʻokomo i kahi nila i ka wahi o ka mumū. Loaʻa kēia i kahi laʻana e hoʻouna ai no ka stain gram a me ka moʻomeheu e hoʻoholo ai i ke ʻano o ka maʻi, inā aia.

Loaʻa paha iā ʻoe nā lāʻau ʻalopika inā loaʻa ʻoe i ka maʻi.

Hiki paha iā ʻoe ke ʻoki e wehe i kahi o ka mumū inā i ālai ʻia nā kīʻaha koko, ka makani, a i ʻole ka esophagus

Ma ke ʻano o ka hilinaʻi ʻana o ke kanaka ma muli o ke kumu a me ke koʻikoʻi o ka mediastinitis.

Mediastinitis ma hope o ka ʻoki ʻana o ka umauma he koʻikoʻi loa. Aia ka makaʻu o ka make ʻana mai ke ʻano.

Hoʻopili nā pilikia i kēia mau mea:

• Hoʻolahalaha ka maʻi i ke kahe o ke koko, nā kīʻaha koko, nā iwi, ka puʻuwai, a me nā akemāmā
• Scarring

Hiki ke koʻikoʻi ka scarring, keu hoʻi ke kumu ʻia e ka mediastinitis mau. Hiki i nā scarring ke hoʻopilikia i ka naʻau a i ʻole ka hana māmā.

Kāhea aku i kāu mea hāʻawi inā ua wehe ʻoe i kahi ʻoki o ka umauma a hoʻomohala:

• ʻEha ʻeha
• ʻO Chills
• Kahe mai ka ʻeha
• Fiva
• Pokole o ka hanu

Inā loaʻa ʻoe i ka maʻi maʻi a i ʻole sarcoidosis a hoʻomōhala i kekahi o kēia mau ʻōuli, e ʻike koke i kāu mea hāʻawi.

I mea e hōʻemi ai i ka pilikia o ka hoʻomōhala ʻana i ka mediastinitis e pili ana i ka ʻoki ʻana o ka umauma, pono e mālama ʻia me ka maʻemaʻe a me ka maloʻo ma hope o ke kaha ʻana.

ʻO ka mālama ʻana i ka maʻi kō, sarcoidosis, a i ʻole nā ​​kūlana ʻē aʻe e pili ana i ka mediastinitis hiki ke pale i kēia pilikia.

Maʻi maʻi umauma

• ʻŌnaehana hanu
• Mediastinum

ʻO Cheng G-S, ʻo Varghese TK, ʻo Park DR. ʻO Pneumomediastinum a me mediastinitis. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 84.

ʻO Van Schooneveld TC, Rupp ME. Mediastinitis. I: Bennett JE, Dolin R, Blaser MJ, hua pā. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 85.