Empyema

Empyema bụ nchịkọta nke oghere dị n'etiti akpa ume na elu dị n'ime mgbidi obi (oghere pleural).

Empyema na-abụkarị ọrịa na-agbasa site na ngụgụ. Ọ na - eduga na ntinye nke oghere na oghere oghere.

Enwere ike ịnwe iko abụọ (lita ọkara na ọkara) ma ọ bụ karịa nke mmiri na-efe efe. Mmiri a na-eme ka ume na-eme ka ngụgụ.

Ihe egwu nwere:

• Ọrịa na-efe efe
• Ụkwara nta
• Surgerywa ahụ n'obi
• Ugbo etuto
• Nsogbu ma ọ bụ mmerụ obi

N'ọnọdụ ndị na-adịghị adị, empyema nwere ike ịpụta mgbe thoracentesis gasịrị. Nke a bụ usoro nke a na-etinye agịga n'ime mgbidi obi iji wepụ mmiri na oghere oghere maka nyocha ahụike ma ọ bụ ọgwụgwọ.

Mgbaàmà nke empyema nwere ike ịgụnye nke ọ bụla n'ime ihe ndị a:

• Obi mgbu, nke na-aka njọ mgbe ị na-eku ume nke ukwuu (ikike)
• Akọrọ ụkwara
• Oké ọsụsọ, karịsịa ọsụsọ abalị
• Ahụ ọkụ na akpata oyi
• Ahụ erughị ala, ahụ erughị ala, ma ọ bụ ọrịa (malaise)
• Iku ume ọkụ ọkụ
• Ibulata ibu (amaghi ama)

Onye nlekọta ahụike nwere ike rịba ama ụda ụda ume ma ọ bụ ụda na-adịghị mma (esemokwu esemokwu) mgbe ị na-ege ntị na igbe ahụ na stethoscope (auscultation).

Ule ndị a pụrụ inye iwu gụnyere:

• Igbe x-ray
• Nyocha CT nke obi
• Nnyocha mmiri nke mmiri
• Thoracentesis

Ebumnuche nke ọgwụgwọ bụ iji gwọọ ọrịa ahụ. Nke a gụnyere ihe ndị a:

• Tụnye ọkpọkọ n’igbe gị ka ọ kwaba ite
• Inye gị ọgwụ nje iji chịkwaa ọrịa ahụ

Ọ bụrụ na ị nwere nsogbu iku ume, ịnwere ike ịwa ahụ iji nyere ngụgụ gị aka ịgbasa nke ọma.

Mgbe empyema na-eme ka oyi baawanye, ihe egwu na-adịgide adịgide na mmebi ọnwụ na-arịgo. Ogologo oge na ọgwụ nje na drainage dị mkpa.

Na mkpokọta, imirikiti ndị mmadụ na-agbake n'ụzọ zuru oke na empyema.

Inwe empyema nwere ike iduga ihe ndia:

• Ndidi Pleural
• Belata ọrụ ume

Kpọọ onye na-eweta gị ma ọ bụrụ na ị mepee mgbaàmà nke empyema.

Ngwa ngwa ma dị irè ọgwụgwọ nke ọrịa ngụgụ nwere ike igbochi ụfọdụ ọnọdụ nke empyema.

Empyema - pleural; Pyothorax; Pleurisy - purulent

• Nsị
• Ntinye ọkpọkọ akpa - usoro

Broaddus VC, Ìhè RW. Mmetụta obi ụtọ. Na: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Akwụkwọ ọgụgụ Murray na Nadel nke Medicine Respiratory. Nke isii. Philadelphia, PA: Elsevier Saunders; 2016: isi nke 79.

McCool FD. Ọrịa nke diaphragm, mgbidi obi, pleura, na mediastinum. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi nke 92.