Pākuʻi wai wai Pericardial

ʻO ka pericardial fluid Gram stain kahi ʻano o ka pale ʻana i kahi laʻana o ka wai i lawe ʻia mai ka pericardium. ʻO kēia ka ʻeke e hoʻopuni ana i ka puʻuwai e hōʻoia i kahi maʻi bacteria. ʻO ka hana stain Gram kahi ʻano hana i hoʻohana pinepine ʻia e ʻike wikiwiki ai i ke kumu o nā maʻi bacteria.

E lawe ʻia kahi laʻana o ka wai mai ka pericardium. Hana ʻia kēia ma o ke kaʻina hana i kapa ʻia pericardiocentesis. Ma mua o ka pau ʻana o kēia, loaʻa paha iā ʻoe kahi puʻuwai puʻuwai e nānā ai i nā pilikia puʻuwai. Kau ʻia nā pākuʻi i kapa ʻia nā electrodes ma ka umauma, like me ka wā o ka electrocardiogram (ECG). E loaʻa iā ʻoe kahi x-ray umauma a i ʻole ultrasound ma mua o ka hoʻāʻo.

Hoʻomaʻemaʻe ʻia ka ʻili o ka umauma me ke kopa antibacterial. Hoʻokomo ke kauka i kahi nila liʻiliʻi i ka umauma ma waena o nā iwi ʻaoʻao a i loko o ka pericardium. Lawe ʻia kahi wai liʻiliʻi.

Loaʻa iā ʻoe he ECG a me ka x-ray umauma ma hope o ke kaʻina hana. I kekahi manawa, lawe ʻia ka wai pericardial i ka wā o ke kīʻaha puʻuwai hāmama.

Hoʻolahalaha ʻia kahi kulu o ka wai pericardial i kahi ʻāpana lahilahi loa ma ka paheʻe microscope. Kapa ʻia kēia he smear. Hoʻopili ʻia kahi moʻo o nā stains kūikawā i ka laʻana. Kapa ʻia kēia he stain Gram. Nānā kahi loea loea i ka paheʻe i hoʻohuehui ʻia ma lalo o ka microscope, e nānā ana no ka maʻi koʻohune.

Kōkua ke kala, ka nui, a me ke kinona o nā hunaola i ke ʻano o ka bacteria.

E noi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no kekahi mau hola ma mua o ka hoʻāʻo. Hiki ke hana ʻia kahi x-ray umauma a i ʻole ultrasound ma mua o ka hoʻāʻo e ʻike ai i kahi o ka hōʻiliʻili wai.

E ʻike ʻoe i ke kaomi a me kekahi ʻeha ke hoʻokomo ʻia ka nila i loko o ka umauma a ke lawe ʻia ka wai. E hāʻawi paha kāu mea mālama ola iā ʻoe i ka lāʻau ʻeha no laila ʻaʻole hōʻoluʻolu ke ʻano.

Kauoha paha kāu mea hāʻawi i kēia hoʻāʻo inā loaʻa nā hōʻailona o ka maʻi puʻuwai (myocarditis) a i ʻole kahi pericardial effusion (ka hoʻoulu wai o ka pericardium) me kahi kumu ʻike ʻole ʻia.

ʻO kahi hopena maʻamau ʻaʻole ʻike ʻia nā bacteria i loko o ka laʻana wai i poni ʻia.

Inā loaʻa ka bacteria, loaʻa paha ʻoe i ka maʻi o ka pericardium a i ʻole ka puʻuwai. Hiki i nā hoʻāʻo ʻana i ke koko a me ka moʻomeheu bacteria ke kōkua i ka ʻike ʻana i nā meaola kikoʻī e pā ana i ka maʻi.

Kūleʻa ka paʻakikī akā hiki ke hoʻopili ʻia:

• Pā kuʻi puʻuwai a i ʻole lung
• Maʻi kīnā

Pākuʻi Gram o ka wai pericardial

• Pākuʻi wai Pericardial

Chernecky CC, Berger BJ. Pericardiocentesis - hōʻike maʻi. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 864-866.

LeWinter MM, Imazio M. Nā maʻi Pericardial. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 83.