ʻO Empyema

ʻO Empyema kahi hōʻiliʻili o ka pā i ka hakahaka ma waena o ka māmā a me ka ʻaoʻao o loko o ka paia o ka pahu (space pleural).

Hoʻokumu pinepine ʻia ʻo Empyema e kahi maʻi i palahalaha mai ka akemāmā. Ke alakaʻi nei ia i kahi buildup o ka pā i ka pleural space.

Hiki i 2 mau kīʻaha (1/2 lita) a ʻoi aku paha o ka wai i loaʻa i ka maʻi. Kau ka wai i ke kaomi ma luna o nā akemāmā.

ʻO nā kumu pilikia me:

• Pulumonia koʻohune
• Maʻi puʻu
• ʻOki kino o Chest
• ʻAha maloʻo
• Trauma a ʻeha paha i ka umauma

I nā hihia maʻamau, hiki i ka empyema ke hana ma hope o ka thoracentesis. ʻO kēia kahi hana e hoʻokomo ʻia ai ka nila i loko o ka paia o ka umauma e hoʻoneʻe ai i ka wai i ka wahi pleura no ka hōʻoia lāʻau a me ka lāʻau.

Pākuʻi ʻia paha nā ʻōuli o empyema i kekahi o kēia mau mea:

• ʻEhaʻeha, kahi worsens ke hanu ʻoe i loko (pleurisy)
• Mū maloo
• ʻO ka sweating nui loa, ʻoi aku ka nui o ka hou o ka pō
• Fiva a me nā anuanu
• General discomfort, uneasiness, a maʻi maʻi paha (malaise)
• Pokole o ka hanu
• Ka emi o ke kaupaona (noʻonoʻo ʻole)

Hoʻomaopopo paha ka mea mālama ola i ka hoʻemi ʻana i nā kani o ka hanu a i ʻole ke kani maʻamau (rub rub) ke hoʻolohe nei i ka pahu me kahi stethoscope (auscultation)

ʻO nā hoʻokolohua i kauoha ʻia e komo pū:

• Pākuʻi x-ray
• CT scan o ka umauma
• Nānā wai plleural
• Thoracentesis

ʻO ka pahuhopu o ka mālama ʻana e hōʻola i ka maʻi. Pili kēia i kēia:

• Ke waiho nei i kahi pahu i kou umauma e ninini i ka pā
• Ke hāʻawi nei iā ʻoe i nā lāʻau ʻaloʻalo e kāohi i ka maʻi

Inā loaʻa iā ʻoe nā pilikia e hanu ana, pono ʻoe i ke ʻoki e kōkua i kou māmā e hoʻonui pono.

Ke hoʻopīpī ka empyema i ka niumonia, piʻi ka makaʻu no ka hōʻino mau loa o ka lung a piʻi ka make. Pono ka mālama wā lōʻihi me nā antibiotic a me nā kahe.

Ma ka laulā, ʻo ka hapanui o ka poʻe e hoʻihoʻi hou mai ka empyema.

Loaʻa i ka empyema ke alakaʻi i kēia:

• Pleural mānoanoa
• Hoʻoemi i ka hana māmā

Kāhea i kāu mea hāʻawi inā hoʻomōhala ʻoe i nā ʻōuli o ka empyema.

ʻO ka wikiwiki a me ka mālama pono ʻana i nā maʻi lolo e pale aku paha i kekahi mau hihia o ka empyema.

Empyema - pleura; Pyothorax; Pleurisy - purulent

• Lungs
• Hoʻokomo ʻana o ka pahu umauma - series

Broaddus VC, RW māmā. Hoʻonui effa. 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 79.

ʻO McCool FD. Nā maʻi o ka diaphragm, ka umauma umauma, ka pleura, a me ka mediastinum. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 92.