Nānā wai Peritoneal

ʻO ka anamanahe wai Peritoneal kahi hōʻike lab. Hana ʻia e nānā i ka wai i kūkulu i ka hakahaka i loko o ka ʻōpū a puni nā mea kūloko. Ua kapa ʻia kēia wahi ke ākea peritoneal. Kapa ʻia ke ʻano he ascites.

ʻIʻike ʻia ka hoʻāʻo he paracentesis a i ʻole ka piʻa ʻōpū.

Lawe ʻia ka laʻana o ka wai mai kahi ākea peritoneal me ka hoʻohana ʻana i ka nila. Hoʻohana pinepine ʻia ʻo Ultrasound e kuhikuhi i ka nila i ka wai.

E hoʻomaʻemaʻe a lawelawe ka mea mālama olakino i kahi wahi liʻiliʻi o kou ʻōpū (ʻōpū). Hoʻokomo ʻia kahi nila i loko o ka ʻili o kou ʻōpū a huki ʻia kahi laʻana wai. Hōʻiliʻili ʻia ka wai i loko o kahi ʻōmole (syringe) i hoʻopili ʻia i ka hopena o ka nila.

Hoʻouna ʻia ka wai i kahi keʻena hoʻokolohua kahi e nānā ʻia ai. E hana ʻia nā hoʻāʻo ma ka wai e ana:

• Albumin
• Pūmua
• Helu ke koko ʻulaʻula a keʻokeʻo

E nānā pū ʻia nā hoʻokolohua no nā koʻohune a me nā ʻano maʻi ʻē aʻe.

E hana ʻia paha nā hōʻike aʻe:

• Alkaline phosphatase
• Amylase
• Cytology (ke ʻano o nā hunaola)
• Glucose
• LDH

E hoʻomaopopo i kāu mea hāʻawi inā ʻoe:

• Ke lawe nei i nā lāʻau (me nā lāʻau lapaʻau)
• Loaʻa i nā maʻi āpau i nā lāʻau a i ʻole ka lāʻau numbing
• Loaʻa nā pilikia kahe
• Hāpai a hāpai paha i ka hāpai ʻana

ʻIke paha ʻoe i kahi ʻano ʻono mai ka lāʻau numbing, a i ʻole ke kaomi ke kau ʻia ka nila.

Inā lawe ʻia kahi nui o ka wai i waho, ʻike paha ʻoe i ka luhi a i ʻole ke kukui. E haʻi i ka mea hāʻawi inā makemake ʻoe i ka luhi.

Hana ʻia ka hōʻike iā:

• Huli i ka peritonitis.
• E ʻike i ke kumu o ka wai i loko o ka ʻōpū.
• Wehe i nā wai nui mai ka wahi peritoneal i ka poʻe i loaʻa i ka maʻi ate. (Hana ʻia kēia e hōʻoluʻolu i ka hanu.)
• E ʻike inā ʻo ka hōʻeha i ka ʻōpū ke kumu o ke kahe ʻana o loko.

Nā hualoaʻa kūpono ʻole paha:

• ʻO ka wai i hoʻohaunaele ʻia i ka bile paha ka manaʻo he gallbladder a pilikia paha kou ake.
• ʻO ka wai kō he hōʻailona o ka tumo a ʻeha paha.
• ʻO nā helu o ke koko kiʻekiʻe keʻokeʻo he hōʻailona ia o ka peritonitis.
• ʻO ka waiū peritoneal waiū-waiū he hōʻailona ia o ka carcinoma, cirrhosis o ke ake, lymphoma, tuberculosis, a i ʻole ka maʻi.

ʻO nā hopena hoʻokolohua ʻē aʻe ma muli o kahi pilikia i loko o nā ʻōpū a i ʻole nā ​​mea o ka ʻōpū. ʻO nā ʻokoʻa nui ma waena o ka nui o albumin i ka wai peritoneal a i loko o kou koko e kuhikuhi i ka puʻuwai, ka ate, a i ʻole ke kōkole ʻole. ʻO nā ʻokoʻa liʻiliʻi he hōʻailona paha ia o ka maʻi ʻaʻai a maʻi paha.

Pākuʻi ʻia paha nā pilikia:

• Hoʻopilikia i ka ʻōpū, ʻōpū, a i ʻole he kīʻaha koko i loko o ka ʻōpū mai kahi kuʻi kui kuʻi
• Kahena
• Maʻi kīnā
• Kaomi haʻahaʻa
• Pāhaʻi

Paracentesis; Piula ʻōpū

• Diagnostic peritoneal lavage - moʻo
• Moʻomeheu Peritoneal

Chernecky CC, Berger BJ. Paracentesis (ka nānā ʻana i ka wai peritoneal) - diagnostic. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2013: 849-851.

Garcia-Tsao G. Cirrhosis a me kona hopena. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 153.

Miller JH, Moake M. Nā Kaʻina Hana. I: Ka Haukapila ʻo Johns Hopkins; Hughes HK, Kahl LK, hoʻoponopono. ʻO ka puke lima Harriet Lane. 21st ed. Piladelapia, PA: Elsevier; 2018: chap 3.

ʻO Runyon BA. Ascites a me ka peritonitis koʻohune spontaneous. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 93.