Parapneumonic pleural effusion

Pleural effusion yog buildup kua hauv qhov chaw pleural. Qhov chaw pleural yog thaj chaw nruab nrab ntawm cov khaubncaws sab nraud povtseg ntawm cov ntaub so ntswg lub ntsws thiab lub hauv siab hauv siab.

Tus neeg mob parapneumonic pleural effusion, cov kua dej ua kom muaj dej yog mob los ntawm kev mob ntsws.

Kev mob ntsws, feem ntau tshwm sim los ntawm cov kab mob, ua rau parapneumonic pleural effusion.

Cov tsos mob tuaj yeem suav nrog ib qho hauv qab no:

• Kev mob hauv siab, feem ntau yog mob hnyav dua qhov yuav mob heev dua qhov hnoos lossis nqus pa
• Hnoos mob hnoos qeev
• Ua npaws
• Ua pa ceev
• Ua tsis taus pa

Tus kws kho mob yuav kuaj xyuas koj thiab nug koj cov tsos mob. Tus kws kho mob tseem yuav mloog koj ob lub ntsws nrog lub taub hau thiab chwv (percuss) koj lub hauv siab thiab sab nraub qaum.

Cov kev sim mob hauv qab no tuaj yeem pab ua pov thawj rau kev kuaj mob:

• Ua kom tiav cov ntshav suav (CBC) kev kuaj ntshav
• Hauv siab CT scan
• Kev ntsuas hluav taws xob xoo
• Thoracentesis (piv txwv ntawm cov kua dej raug tshem tawm nrog rab koob ntxig ntawm cov tav)
• Ultrasound hauv siab thiab lub siab

Cov tshuaj tua kab mob yog kho los kho tus mob ntsws.

Yog tias tus neeg muaj kev ua pa luv, thoracentesis yuav siv los hno cov kua dej. Yog tias cov kua dej zoo dua rau qhov xav tau vim tias muaj cov mob hnyav dua, cov raj xa dej tuaj yeem raug tso.

Tus mob no txhim kho ntxiv thaum mob ntsws txhaws kho.

Teeb meem yuav suav nrog:

• Lub ntsws ua kev puas tsuaj
• Kev kis mob uas tau hloov mus rau qhov qog, uas hu ua empyema, uas yuav xav kom hnoos nrog lub hauv siab
• Lub ntsws muag (pneumothorax) tom qab thoracentesis
• Scarring ntawm pleural chaw (meem hauv lub ntsws)

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm pleural effusion.

Hu rau koj tus kws khomob lossis mus rau chav khomob xwmtxheej ceev yog tias txog siav lossis ua pa nyuaj tshwm sim tomqab mob thoracentesis.

Pleural effusion - mob ntsws

• Kev ua pa system

Blok BK. Thoracentesis. Hauv: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts thiab Hedges 'Cov Txheej Txheem Chaw Kho Mob hauv Xwm Ceev Kho Mob thiab Mob Zoo MobCov. 7 tus ed. Philadelphia, PA: Elsevier; 2019: chap 9.

Broaddus VC, Lub Teeb RW. Lub ntsej muag zoo nkauj effusion. Hauv: Broaddus VC, Mason RJ, Ernst JD, li al, eds. Murray thiab Nadel Cov Ntawv Phau Ntawv Qhia Txog Cov PaCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 79.

Reed JC. Lub ntsej muag zoo nkauj effusions. Hauv: Reed JC, ed. Kev Ntsuas Hluav Taws Xob: Tus Qauv thiab Qhov Ntsuas Txawv Tag NrhoCov. 7 tus ed. Philadelphia, PA: Elsevier; 2018: chap 4.