Wehe biopsy pleura

ʻO kahi biopsy ākea ākea kahi hana e wehe a nānā i nā kiko i nā laina o ka umauma i loko. Kapa ʻia kēiaʻiʻo ka pleura.

Hana ʻia kahi biopsy ākea pleura i ka haukapila e hoʻohana ana i ka anesthesia ākea. ʻO kēia ka mea e hiamoe ʻoe a noa ka ʻeha. E hoʻokomo ʻia kahi paipu ma kou waha i lalo o kou ʻāʻī e kōkua iā ʻoe e hanu.

Hana ʻia ke kahakaha i ke ala aʻe:

• Ma hope o ka hoʻomaʻemaʻe i ka ʻili, hana ka mea lapaʻau i kahi ʻoki liʻiliʻi ma ka ʻaoʻao hema a ʻākau paha o ka umauma.
• Hoʻokaʻawale mālie ʻia nā iwi ʻaoʻao.
• E hoʻokomo ʻia paha kahi ākea e ʻike i kahi e biopsi ʻia.
• Lawe ʻia ka kolo mai loko o ka umauma a hoʻouna ʻia i kahi keʻena hoʻokolohua no ka hoʻokolokolo ʻana.
• Ma hope o ke kaha ʻana, pani ʻia ka ʻeha me nā humuhumu.
• Hoʻoholo paha kāu mea kauka e waiho i kahi ʻōmole palika liʻiliʻi i loko o kou umauma e pale ai i ka ea a me ka wai mai ke kūkulu ʻana.

ʻAʻole hiki ke hemo i ka ʻōmole hanu ma hope pono o ke kaha ʻana. No laila, pono ʻoe ma ka mīkini hanu no kekahi manawa.

Pono ʻoe e haʻi i ka mea mālama ola inā hāpai ʻoe, maʻi maʻi i nā lāʻau āpau, a inā he pilikia kahe kou. E pono e haʻi aku i kāu mea hoʻolako e pili ana i nā lāʻau āpau āu e lawe ai, e like me nā mea kanu, nā mea hoʻopiha, a me nā mea i kūʻai ʻia me ka ʻole o ka lāʻau.

E hāhai i nā ʻōlelo aʻoaʻo a kāu kauka no ka ʻai ʻole a me ka inu ʻole ma mua o ke kaʻina hana.

Ke ala ʻoe ma hope o ke kaʻina hana, e hiamoe ʻoe no kekahi mau hola.

E loaʻa ana kekahi palupalu a me ka ʻeha ma kahi o ka ʻoki lāʻau. Hoʻokomo ka hapa nui o nā kauka lapaʻau i kahi anesthetic kūloko hana lōʻihi ma ka pūnaewele ʻokiʻoki i loaʻa iā ʻoe ka ʻeha liʻiliʻi ma hope.

Loaʻa paha ʻoe i kahi ʻāʻī ʻeha mai ka pū hanu hanu. Hiki iā ʻoe ke hoʻomāmā i ka ʻeha ma ka ʻai ʻana i nā ʻāpana hau.

Hiki paha iā ʻoe kahi pahu i kou umauma e hoʻoneʻe i ka ea. E wehe ʻia kēia ma hope.

Hoʻohana ʻia kēia kaʻina hana inā pono ka mea lapaʻau i kahi ʻāpana ʻoi aku ka nui ma mua o ka hiki ke hoʻoneʻe ʻia me kahi biopsy nila kuʻi. Hana pinepine ʻia ka hoʻāʻo e kāpae i ka mesothelioma, kahi ʻano tumo māmā.

Hana ʻia ia ke loaʻa ka wai i loko o ka lua o ka pahu, a i ka wā e pono ai kahi ʻike pololei i ka pleura a me nā akemāmā.

Hiki ke hana ʻia i kēia kaʻina hana e nānā i kahi tumora pleural metastatic. ʻO kēia kahi ʻano maʻi ʻaʻai i pālahalaha aʻe mai nā mea ʻē aʻe a i ka pleura.

E maʻamau ka pleura.

ʻO nā hopena kūpono ʻole ma muli o:

• ʻO ka ulu kino ʻole (neoplasms)
• Maʻi ma muli o ka mea hoʻomaʻi, fungus, a parasite paha
• Mesothelioma
• Maʻi puʻu

Aia kekahi manawa kūpono o:

• Puʻu lewa
• Ka nui o ke kahe o ke koko
• Maʻi kīnā
• Ka hōʻeha i ka māmā
• ʻO Pneumothorax (hāhā hāhā)

Biopsy - hamama pleura

• Lungs
• ʻO ke kuhi no ka biopsy kikoola pleura
• ʻO ka lua Pleural

Chernecky CC, Berger BJ. ʻO Biopsy, kikoʻī pūnaewele - hiʻohiʻona. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 199-202.

Wald O, Izhar U, Sugarbaker DJ. Lū, pā umauma, pleura a me Mediastinum. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 21st ed. St Louis, MO: Elsevier; 2022: chap 58.