ʻO ka hoʻokolohua Cytology o ka wai pleura

ʻO kahi hoʻokolohua cytology o ka pleura fluid kahi hōʻike laboratory e ʻike i nā hunaola maʻi ʻaʻai a me kekahi mau huna ʻē aʻe i kahi e hoʻopuni ana i nā akemāmā. Kapa ʻia kēia wahi ʻo ka pleura space. Cytology ke ʻano o ke aʻo ʻana i nā hunaola.

Pono kahi laʻana o ka wai mai ka pleural space e pono ai. Lawe ʻia ka laʻana me ka hoʻohana ʻana i kahi hana i kapa ʻia ʻo thoracentesis.

Hana ʻia ke kaʻina hana i ke ala aʻe:

• Noho ʻoe ma luna o kahi moe a ma ke kaʻe o kahi noho a moe paha. Kau kou poʻo a me kou mau lima i ka papa.
• Hoʻomaʻemaʻe ʻia kahi wahi ʻili o kou ʻili. Hoʻokomo ʻia ka lāʻau numbing (anesthetic kūloko) i kēia wahi.
• Hoʻokomo ke kauka i kahi nila ma o ka ʻili a me nā mākala o ka paia o ka pahu i loko o ka pleura.
• Hōʻiliʻili ʻia ka wai.
• Wehe ʻia ka nila. Kau ʻia ka bandage ma ka ʻili.

Hoʻouna ʻia ka laʻana wai i kahi keʻena hoʻokolohua. Ma laila, nānā ʻia ma lalo o ka microscope e hoʻoholo ai i ke ʻano o nā hunaola a me ke ʻano ʻokoʻa ʻole.

ʻAʻole pono kahi hoʻomākaukau kūikawā ma mua o ka hoʻāʻo. E hana ʻia kahi kukui x ma mua a ma hope o ka hoʻāʻo.

Mai moe me ka hanu ʻole, hanu hohonu, a neʻe i ka wā o ka hoʻāʻo ʻana e hōʻalo ai i ka ʻeha o ka hū.

E huhū ʻoe i ka wā e injected ai ka anesthetic kūloko. ʻIke paha ʻoe i ka ʻeha a i ʻole kaomi ke hoʻokomo ʻia ka nila i loko o ka pleural space.

E haʻi i kāu mea mālama ola inā ʻeha ʻoe i ka hanu a i ʻole ʻeha ka umauma.

Hoʻohana ʻia kahi hoʻokolohua cytology e nānā no ka maʻi ʻaʻai a me nā pūnaewele precancerous. Hana ʻia paha ia no nā kūlana ʻē aʻe, e like me ka ʻike ʻana i nā pūnaewele lupus erythematosus pūnaewele.

Hiki i kāu kauka ke kauoha i kēia hoʻokolohua inā he mau hōʻailona kāu o ka wai i loko o ka pleura. Kapa ʻia kēia ʻano he pleural effusion. E hana ʻia paha ka hōʻoia inā loaʻa iā ʻoe nā hōʻailona o ka maʻi ʻaʻai māmā.

ʻIke ʻia nā hunaola maʻamau.

I kahi hopena maikaʻi ʻole, aia nā maʻi ʻino (malignant). ʻO kēia paha he tumo maʻi ʻaʻai. ʻIke pinepine kēia hōʻike:

• Maʻi ʻaʻai umauma
• Lymphoma
• Kanesa maʻi ʻaʻai
• Maʻi ʻaʻai Ovarian
• Maʻi ʻaʻai ʻōpū

Pili nā pōpilikia i ka thoracentesis a hiki ke hoʻopili ʻia:

• Kahena
• Maʻi kīnā
• Ka hāʻule o ka hū (pneumothorax)
• Hanu paʻakikī

Pleural wai cytology; Ka maʻi ʻaʻai puʻu - wai pleura

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

ʻO Cibas ES. Pleural, pericardial, a me nā wai peritoneal. I: Cibas ES, Ducatman BS, hua. Cytology. 5th lā. Piladelapia, PA: Elsevier; 2021: chap 4.

Chernecky CC, Berger BJ. Thoracentesis - 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: 1052-1135.