Hoʻolaha Parapneumonic

Anter

• He aha ka ʻokoʻa ma waena o ka effusion o ka parbonic a me ka empyema?
• Nā ʻano o ka effusion parapneumonic
• Nā ʻōuli
• Nā Kumu
• Nā koho lapaʻau
• Outlook

Hōʻike Overview

ʻO ka parapneumonic effusion (PPE) kahi ʻano o ka pleural effusion. ʻO Pleural effusion kahi kūkulu ʻana o ka wai i ka lua o ka pleura - ka wahi lahilahi ma waena o kou mau māmā a me ka lua o ka umauma. Aia kekahi wahi liʻiliʻi o ka wai i kēia wahi. Eia nō naʻe, ʻo ka loaʻa ʻana o ka wai i loko o ka pleura kahi hiki ke pale i kou mau māmā mai ka hoʻonui piha ʻana a paʻakikī e hanu.

Hoʻokumu ʻia ka wai i loko o ka PPE e ka niumonia.

He aha ka ʻokoʻa ma waena o ka effusion o ka parbonic a me ka empyema?

ʻO ka PPE kahi kūkulu o ka wai i ka lua o ka pleura. He buildup ʻo Empyema o ka pus - kahi wai melemele-keʻokeʻo mānoanoa i hana ʻia me nā bacteria a me nā hunaola keokeo make. Hoʻokumu ʻia hoʻi ia e ka maʻi ʻaʻai.

Hiki iā ʻoe ke hoʻomohala empyema inā ʻaʻole mālama koke ʻia ʻo PPE. Ma waena o 5 a me 10 pakeneka o ka poʻe me PPE loaʻa ka empyema.

Nā ʻano o ka effusion parapneumonic

Hoʻokaʻawale ʻia ʻo PPE i ʻekolu mau ʻano e pili ana i ke ʻano o ka wai i loko o ka wahi pleura a pehea e pono ai e mālama ʻia ai:

• Nā hana kūponoʻole pneumatic. Kūpulu a maʻemaʻe paha ka wai, a ʻaʻohe ona bacteria. E ʻoi aku ka maikaʻi o ka PPE ke lawe ʻoe i nā lāʻau antibiotic e mālama ai i ka niumonia.
• Nā hopena o ka lāʻau pneumatic komplicated. Ua huakaʻi nā koʻohune mai nā akemāmā i kahi ākea, e hoʻoulu ana i nā wai a me nā aʻa koko keʻokeʻo. Kapua ka wai. Pono e ninini ʻia.
• ʻO Empyema thoracis. Kūkulu ka mānoanoa, keʻokeʻo-melemele i ka wahi pleura. Hiki i kēia ke hana inā ʻaʻole mālama koke ʻia ka niumonia.

Nā ʻōuli

Nā ʻōuli o PPE me:

• fiva
• ʻū, kekahi manawa me ka phlegm
• luhi
• pokole o ka hanu
• ʻeha ka umauma

No ka mea he hōʻailona kēia o ka pulumonia, pono paha i ke kauka e hana i kahi X-ray umauma a i ʻole ultrasound e ʻike pono inā he PPE kāu.

Nā Kumu

Hoʻokumu ʻia ʻo PPE e ka maʻi puʻupuʻu, pneumonia. Hiki i nā bacterial a me nā maʻi ākea viral ke kumu iā PPE, akā ʻo ke koʻohune ke kumu pinepine iā ia.

Ke loaʻa ʻoe i kahi maʻi, hoʻokuʻu i kāu ʻōnaehana pale keʻokeʻo i nā hunaola keokeo e hoʻouka i ka virus a i ʻole bacteria. Hiki i nā huna keʻo keokeo ke hoʻopōʻino i nā kīʻaha koko liʻiliʻi i nā akemāmā, e puka ana ka wai mai loko aku o lākou a i kahi ākea. Inā mālama ʻole ʻia ʻo PPE, hiki i nā hunaola keokeo a me nā bacteria ke hōʻiliʻili i ka wai a hana i ka empyema.

Ma waena o 20 a me 57 pākēneka o ka poʻe i hōpila ʻia no ka niumonia i kēlā me kēia makahiki i ka United States e hoʻomohala iā PPE. Loaʻa paha ʻoe iā PPE inā ʻaʻole mālama ʻia kāu pneumonia no kekahi mau lā.

ʻO nā mākua a me nā keiki ʻelemakule loa i ka loaʻa ʻana o ka PPE mai ka niumonia.

Nā koho lapaʻau

ʻO ka mālama ʻana i ka pulumonia bacteria me nā antibiotic i ka wā hiki ke pale aku iā PPE a me ka empyema.

Inā ʻaʻole ʻoe e maikaʻi me nā lāʻau ʻalopika, a i ʻole ua holomua kāu PPE i empyema, a laila pono paha i kāu kauka e hoʻokahe i ka wai mai ka lewa pleura. ʻO kekahi ala e hana ai i kēia me ke kaʻina hana i kapa ʻia ʻo thoracentesis. E hoʻokomo ke kauka i kahi nila ma waena o nā iwi ʻaoʻao ʻelua ma kou ʻaoʻao. A laila, hoʻohana ʻia kahi syringe e hemo i ka wai mai ka pleural space.

ʻO kahi koho ʻē aʻe e waiho i kahi pū puha i kapa ʻia he pahu umauma a i ʻole he catheter i loko o kou umauma e hoʻowai i ka wai.

Inā holo ʻole ka hoʻokahe ʻana i ka wai, pono paha ʻoe i ke ʻoki e wehe iā ia. Nā koho ʻē aʻe:

• Thoracoscopy. Hana ke kauka i kekahi mau ʻoki liʻiliʻi i loko o kou umauma a hoʻokomo i kahi kamele liʻiliʻi a me nā mea kani. Hiki ke hoʻohana i kēia kaʻina hana i ka diagnostical PPE a hemo i ka wai mai ka pleural space.
• ʻO ke kīʻaha ʻoihana kōkua wikiō (VATS). Hoʻokomo ke kaukōpō i kahi kāmela liʻiliʻi a me nā mea kani liʻiliʻi ma o kekahi mau liʻiliʻi liʻiliʻi i loko o ka paia o kou umauma. Hiki i ke kauka ke ʻike i kahi kiʻi o kou mau māmā ma ka pakuhi wikiō e hemo ai ka wai.
• Thoracotomy. Hoʻokomo ka kaukipō i kahi ʻoki o ka paia o ka umauma ma waena o kou mau iwi ʻaoʻao a hemo i ka wai.

Outlook

Pili ka nānā i ka nui o kou ʻano, a me ka wikiwiki o kou mālama ʻia. Lawe i nā antibiotic i ka wā hiki ke pale i ka niumonia mai ka huli ʻana i PPE a me ka empyema. ʻO ka poʻe me ka PPE he ʻoi aku ka nui a koʻikoʻi paha o ka pneumonia, kahi hiki ke koʻikoʻi a hiki i ka hoʻoweliweli ola.

Me ka lapaʻau, maikaʻi ka nānā. Ma hope o kou mālama ʻia ʻana, e ukali aku kāu kauka me nā kukuna X umauma a me nā hoʻokolohua ʻē aʻe e hōʻoia i ka holoi ʻana o ka maʻi a ua hala ka wai.