Nānā wai plleural

ʻO ka loiloi loli o Pleural kahi hōʻike e nānā i kahi laʻana o ka wai i hōʻiliʻili ʻia i ka wahi pleura. ʻO kēia kahi ma waena o ka uhi o ka waho o nā māmā (pleura) a me ka paia o ka umauma. Ke hōʻiliʻili ka wai i ka wahi pleura, ua kapa ʻia ke ʻano he pleural effusion.

Hoʻohana ʻia kahi hana i kapa ʻia ʻo thoracentesis e kiʻi i kahi laʻana o ka wai pleura. Nānā ka mea mālama ola i kahi laʻana e nānā ai:

• Nā hunaola maʻi ʻino (malignant)
• Nā ʻano ʻē aʻe o nā hunaola (e laʻa me nā huna koko)
• Nā pae o ke kō, a me nā polokina ʻē aʻe
• ʻO ke koʻohune, fungi, nā mea hoʻomaʻi, a me nā g germ i hiki ke hōʻeha i nā maʻi
• Hoʻonā

ʻAʻole pono kahi hoʻomākaukau kūikawā ma mua o ka hoʻāʻo. E hana ʻia kahi ultrasound, CT scan, a i ʻole x-ray umauma ma mua a ma hope o ka hoʻāʻo.

MAI kī, hanu hohonu, a neʻe i ka wā o ka hoʻāʻo ʻana e hōʻalo ai i ka hōʻeha ʻana i ka hū.

E haʻi i kāu mea hāʻawi inā lawe ʻoe i nā lāʻau e lahilahi ai ke koko.

No ka thoracentesis, noho ʻoe ma ka lihi o kahi noho a wahi moe paha me kou poʻo a me nā lima e kau ana ma ka papa. Hoʻomaʻemaʻe ka mea hoʻolako i ka ʻili a puni ka pūnaewele hoʻokomo. Hoʻokomo ʻia ka lāʻau numbing (anesthetic) i loko o ka ʻili.

Hoʻokomo ʻia kahi nila i loko o ka ʻili a me nā mākala o ka paia o ka pahu i loko o ka pleura. Ke holo a kahe i loko o kahi ʻōmole hōʻiliʻili, hiki paha iā ʻoe ke ʻū iki. ʻO kēia no ka mea ua hoʻonui hou kou māmā e hoʻopiha i ka hakahaka kahi o ka wai i hala. Kū mau kēia manaʻo no kekahi mau hola ma hope o ka hoʻāʻo.

I ka wā o ka hoʻāʻo, e haʻi i kāu mea hāʻawi inā ʻeha ka ʻeha o ka umauma a i ʻole ka liʻiliʻi o ka hanu.

Hoʻohana pinepine ʻia ʻo Ultrasound e hoʻoholo i kahi e hoʻokomo ʻia ai ka nila a no ka ʻike maikaʻi ʻana i ka wai i kou umauma.

Hana ʻia ka hoʻāʻo e hoʻoholo ai i ke kumu o kahi pleural effusion. Hana ʻia ia e hōʻoluʻolu i ka pōkole o ka hanu i hiki i kahi hoʻopiʻi pleural nui ke kumu.

ʻO ka maʻamau ʻo ka lua pleura he 20 mau mililiter (4 teaspoons) o ka wai hoʻomaʻemaʻe, melemele (serous).

Hōʻike nā hopena maʻamau i nā kumu kūpono o ka effusion pleural, e like me:

• Kanesa
• Cirrhosis
• Hewa puʻuwai
• Maʻi kīnā
• Kaʻai maikaʻi ʻole
• Trauma
• Nā pilina maʻamau ma waena o ka pleura a me nā meaola ʻē aʻe (e laʻa me ka esophagus)

Inā manaʻo ka mea hāʻawi i kahi maʻi, hana ʻia kahi moʻomeheu o ka wai e nānā i nā bacteria a me nā microbes ʻē aʻe.

Hana ʻia paha ka hōʻike no ka hemothorax. ʻO kēia kahi hōʻiliʻili o ke koko i ka pleura.

Nā pilikia o ka thoracentesis:

• ʻO ka hāhā naha (pneumothorax)
• Ka lilo nui ʻana o ke koko
• Hoʻoulu hou o ka wai
• Maʻi kīnā
• Edema pulmonary
• Hoʻopilikia hanu
• Mele hele ʻole

Kūpono ʻole nā ​​pilikia koʻikoʻi.

ʻO Blok BK. Thoracentesis. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts & Hedges 'Nā Kauka Lapaʻau i ka Lapaʻau Pilikia a me ka mālama koʻikoʻi. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 9.

Broaddus VC, RW māmā. Hoʻonui effa. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 79.