Empyema or pyothorax is a situation where the presence of purulent exudate or pus (pus) in the pleural cavity which are caused by some sort or certain types of diseases. The cause of pyothorax or empyema can be caused by several factors, among others, as follows:
- Expansion or deployment of pneumonia
- The expansion of tuberculosis or TB
- Lung abscess or swelling that broke into the pleural cavity.
- bronchus cancer
- infection bronchiectasis
Symptoms and signs of empyema / pyothorax
To diagnose that someone is suffering from pyothorax, then some signs, and symptoms that appear in patients as follows:
- Because empyema is a complication that arises due to the expansion of other diseases that may arise signs and symptoms of primary disease that causes pyothorax
- The presence of pain in the pleural (lung). It is caused due to friction between the fluid exudates to the organ pleura.
- The pain may be reduced if the fluid exudates multiply (because of reduced friction)
- Patients will feel comfortable when sleeping on the affected part. When empyema or pleural pyothorax is on the right then the patient will feel comfortable sleeping on his side to the right.
- Feeling breathless. Shortness of breath gets worse with increasing fluid exudates pyothorax.
- Body heat or body temperature rises above normal
- Coughs
- Mucus or phlegm
- Sweating can lead to dehydration or lack of fluids.
- On auscultation, or listening through a stethoscope, there is the sound cardigan chest.
- The presence of purulent exudate fluid. This can be seen through the results of x-rays of the thorax.
- In laboratory tests, the blood of patients: an increase in leukocytes, LED or increased erythrocyte sedimentation rate, decreased hemoglobin
- Laboratories examination of sputum through tissue culture.
- Radiological examination through x-rays or chest x-ray to determine how big and spacious and the large exudative pleural cavity filled.
- Another inspection is to do pleural puncture o Thora Kosi son tests to determine the type of exudate from pyothorax by taking a sample or samples of exudate for culture.
Pyothorax to treat you or the patient can do to cooperate with the doctor or go to a hospital or other health services. In general, to treat empyema doctor will prescribe the form of specific antibiotics to treat infections, drugs that are symptomatic for reducing signs and symptoms and pain that arise and roborant drugs to improve patient endurance.
Treatment at pyothorax
If you or your family suffer and diagnosed by a doctor with a diagnosis of empyema, you can perform maintenance on yourself or your family sick. The principle of patient care pyothorax are as follows:
- Get enough rest to maintain stamina and body tranquility.
- Try to always be in a room or area that is fresh, clean.
- Try to keep warm
- Reduce pain or pain in the chest. This can be done by providing a warm compress on the chest, the pain is very severe If possible you can consult with a doctor to be given anti-pain.
- If the body temperature is high and exceeds the normal limit of more than 38 degrees centigrade, immediately cut un ran your body temperature. This can be done by way of a cold compress on the forehead of the head, armpit. Antipyretics or anti-heat also can provide a solution to lower the body temperature quickly.
- Treatment of shortness of breath. Can be done by adjusting the sleeping position the patient with a half-sitting position.
- Reduces a cough and phlegm. Usually, the doctor will prescribe to reduce a cough and phlegm.
- Diet or a diet with a diet high in calories and high in protein
- Take medications as prescribed and rules of doctors
- If you've done action pleural puncture or surgery or other types of surgery to remove fluid, then you should do a post-surgical care at the hospital on a regular basis in accordance with the doctor's orders.

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