Parapneumonic Effusion

Zoo Siab

• Dab tsi yog qhov sib txawv ntawm parapneumonic effusion thiab empyema?
• Cov hom mob ntawm parapneumonic effusion
• Cov tsos mob
• Ua rau
• Cov kev kho mob xaiv
• Outlook

Txheej txheem cej luam

Parapneumonic effusion (PPE) yog ib hom kev ua kom zoo siab. Pleural effusion yog qhov tsim ntawm cov kua hauv pleural kab noj hniav - qhov chaw me me ntawm koj lub ntsws thiab lub hauv siab. Ib txwm muaj me me ntawm cov kua dej ntawm qhov chaw no. Txawm li cas los xij, muaj dej ntau dhau rau hauv qhov chaw zoo nkauj tuaj yeem tiv thaiv koj lub ntsws los ntawm kev nthuav dav thiab ua rau nws ua pa nyuaj.

Cov kua dej ua rau hauv PPE tshwm sim los ntawm kev mob ntsws.

Dab tsi yog qhov sib txawv ntawm parapneumonic effusion thiab empyema?

PPE yog qhov tsim ntawm cov kua dej hauv cov kab noj hniav kom zoo nkauj. Empyema yog qhov ua lub pus - cov kua nqaij daj-dawb ua los ntawm cov kab mob thiab cov qe ntshav dawb tuag. Nws kuj tseem yog mob ntsws.

Koj tuaj yeem tsim kho empyema yog tias PPE tsis tau kho sai txaus. Nruab nrab ntawm 5 thiab 10 feem pua ​​ntawm cov neeg muaj PPE tau txais empyema.

Cov hom mob ntawm parapneumonic effusion

PPE tau muab faib ua peb yam raws li yam kua dej uas nyob hauv qhov chaw kaj siab thiab nws xav tau kev kho li cas:

• Uncomplicated parapneumonic effusions. Cov kua yuav muaj huab lossis ntshiab, thiab nws tsis muaj kab mob. PPE yuav zoo dua qub thaum koj siv tshuaj tua kab mob los kho mob ntsws.
• Teeb meem parapneumonic effusions. Cov kab mob tau taug kev los ntawm lub ntsws mus rau qhov chaw zoo nkauj, ua rau muaj kev tsim cov kua qog thiab ntshav dawb. Cov kua nruab nrog yog huab. Nws yuav xav tau kom qaug dej ntau.
• Empyema thoracis. Thick, whitish-daj pus tsim nyob rau hauv qhov chaw pleural. Qhov no tuaj yeem tshwm sim yog mob ntsws tsis kho sai.

Cov tsos mob

Cov tsos mob ntawm PPE suav nrog:

• ua npaws
• hnoos, qee zaum nrog hnoos qeev
• nkees
• txog siav
• mob hauv siab

Vim tias cov no kuj yog tsos mob ntsws, tus kws kho mob tej zaum yuav tsum tau xoo hluav taws xob los ntawm xoo fais fab (X-ray) kom pom tseeb tias koj puas muaj PPE.

Ua rau

PPE tshwm sim los ntawm lub ntsws, kev mob ntsws. Ob leeg kab mob thiab kab mob ua rau lub ntsws ua rau PPE, tab sis cov kab mob feem ntau ua rau nws.

Thaum koj kis tau kab mob lawm, koj lub cev tiv thaiv kab mob tso tawm cov qe ntshav dawb los tua tus kab mob lossis cov kab mob. Cov qe ntshav dawb tuaj yeem ua rau cov ntshav me me hauv lub ntsws, ua rau cov kua dej tawm ntawm lawv mus rau hauv qhov chaw zoo nkauj. Yog tias PPE tsis kho kom zoo, cov qe ntshav dawb thiab cov kab mob tuaj yeem sau ua kua thiab ua rau mob empyema.

Nyob nruab nrab ntawm 20 thiab 57 feem pua ​​ntawm cov neeg uas tau pw hauv tsev kho mob ntsws mob ntsws txhua xyoo hauv tebchaws Asmeskas tsim muaj PPE. Koj feem ntau yuav tau txais PPE yog tias koj qhov mob ntsws tsis kho li ob peb hnub.

Cov neeg laus thiab menyuam yaus yog cov neeg feem ntau ntsib kev tiv thaiv PPE los ntawm mob ntsws.

Cov kev kho mob xaiv

Kho cov kab mob ntsws mob ntsws nrog tshuaj tua kab mob kom sai li sai tau tuaj yeem tiv thaiv PPE thiab empyema.

Yog tias koj tsis ua kom zoo dua nrog cov tshuaj tua kab mob, lossis koj li PPE tau nce mus rau empyema, ces koj tus kws kho mob yuav xav tso dej tawm ntawm qhov chaw pleural. Ib txoj hauv kev ua qhov no yog nrog cov txheej txheem hu ua thoracentesis. Tus kws kho mob yuav ntxig rab koob ntawm ob tug tav ntawm koj sab. Tom qab ntawd, cov koob txhaj tshuaj yog siv rau kev tshem tawm cov kua dej los ntawm thaj chaw pleural.

Lwm qhov kev xaiv yog tso lub tshuab hollow hu ua lub raj hauv siab lossis lub raj hauv koj lub siab kom nqus dej tawm.

Yog tias cov kua dej tsis ua haujlwm, koj yuav tsum tau phais kom tshem tawm. Cov kev xaiv muaj:

• Thoracoscopy. Tus kws phais mob ua ob peb txoj kev phais me me hauv koj lub hauv siab thiab sau lub koob thaij me me thiab cov twj. Tus txheej txheem no tuaj yeem siv rau ob qho tib si kuaj PPE thiab tshem tawm cov kua dej ntawm qhov chaw pleural.
• Video-pab thoracic phais (VATS). Tus kws phais mob ntxig cov koob yees duab me me thiab cov twj me los ntawm ob peb txoj kev phais me me hauv koj lub hauv siab phab ntsa. Tus kws phais yuav tuaj yeem pom tus duab ntawm koj lub ntsws hauv lub vijtsam video kom tshem tawm cov kua dej.
• Thoracotomy. Tus kws phais yuav txiav phais hauv lub hauv siab phab ntsa nruab nrab ntawm koj tus tav thiab tshem tawm cov kua dej.

Outlook

Qhov kev txheeb xyuas yog nyob ntawm koj tus mob hnyav npaum li cas, thiab koj tau kho sai npaum li cas. Kev noj tshuaj tua kab mob kom sai li sai tau tuaj yeem tiv thaiv kom tus mob ntsws ntsws tsis txhob tig mus ua PPE thiab empyema. Cov neeg uas muaj PPE feem ntau yuav muaj hlab ntsws ntau dua lossis tshaj lij, uas tuaj yeem ua mob hnyav thiab ua rau tuag taus.

Nrog kev kho mob, qhov kev pom pom yog qhov zoo. Tom qab koj tau txais kev kho mob, koj tus kws kho mob yuav soj qab nrog xoo hluav taws xob hauv siab thiab lwm yam kev kuaj mob kom paub tseeb tias tus mob tau tshem mus thiab cov kua dej ploj mus.