Hemoptysis: he aha ia, nā kumu a me nā mea e hana ai

Anter

• Nā kumu nui o Hemoptysis
• Pehea e hana ʻia ai ke kuhi
• Hoʻomaʻo no ka hemoptysis

ʻO Hemoptysis ka inoa ʻepekema i hāʻawi ʻia i ke kahe koko, kahi e pili pinepine ai i nā loli pulmonary, e like me ka maʻi palupalu, bronchitis mau, embolism pulmonary a me ka maʻi ʻaʻa puʻupuʻu, no ka laʻana, hiki ke alakaʻi i ka nui o ke kahe o ke koko ma o ka waha, no laila he mea nui ia e hele koke i ka haukapila i hiki ai ke hoʻomaka i ka lapaʻau a pale ʻia nā pilikia.

Manaʻo ʻia ʻo Hemoptysis ke hoʻomaka ke kahe ʻana mai ka akemā a me ka nalo ʻana o 100 a ʻoi aku ma mua o 500 mL o ke koko i ʻike ʻia i loko o 24 mau hola, akā hiki ke loli kēia waiwai e like me ke kauka kuleana. Manaʻo ʻia ka nui o ke koko i koʻikoʻi ke hiki iā ia ke hoʻoweliweli i ke ola o ke kanaka ma muli o ka ālai ʻia o ke ala ea e ka hōʻiliʻili ʻana o ke koko.

Nā kumu nui o Hemoptysis

Hiki i kahi hemoptysis kahi hōʻailona o nā maʻi he nui, akā pili pinepine ia i nā loli, infectious a malignant paha i ka lung, a i ʻole nā ​​kīʻaha koko e hōʻea i kēia ʻōpala a paipai i kāna wai, ʻo nā mea nui:

• Puʻukū;
• Pulumonia;
• Bronchitis maʻi;
• Embolism pulmonary;
• Ka maʻi ʻaʻai puʻu a me nā metastases māmā;
• Bronchiectasis;
• ʻO ka maʻi o Behçet a me ka granulomatosis a Wegener, ʻo ia nā maʻi i ʻike ʻia e ka mumū o nā kīʻaha koko ma loko o ke kino.

Hiki ke hana i ke koko ma ke ʻano he hopena o ka diagnostic invasive a i ʻole nā ​​hana lapaʻau i hōʻino ʻia i ka hanu hanu o luna, e like me ka waha, ka ihu a me ka ʻāʻī, a hoʻomaka pū ʻia paha i ka gastrointestinal tract, akā ke hiki mai ka hemoptysis i kēia mau mea ʻelua. nā kūlana, kapa ʻia ia he hemoptysis pseudo.

ʻIke i nā kumu ʻē aʻe o ka huehue koko.

Pehea e hana ʻia ai ke kuhi

ʻO ka hōʻailona o ka hemoptysis e hana ʻia e ka loiloi ʻana i nā ʻōuli i hōʻike ʻia a me ka mōʻaukala olakino o kēlā kanaka. No laila, inā he kahe koko ke kanaka ma mua o 1 pule, ka pohō kaumaha no ke kumu kūpono ʻole, ke kunu kiʻekiʻe, hoʻololi i ka hanu ʻana a me / a i ʻole ka ʻeha o ka umauma, ua ʻōlelo ʻia e hele koke i ka haukapila e loaʻa nā hōʻike e hiki ai ke ʻike ke kumu o nā hōʻailona.

Paipai pinepine ke kauka i ka hana o nā hoʻokolohua kiʻi, e like me ka x-ray umauma a me ka tomography i helu ʻia i mea e loiloi ai i nā ake māmā a ʻike i nā hōʻailona e hōʻike ana i ke kahe ʻana e hiki ai ke hoʻohoka i ke ola o kēlā kanaka. Hoʻohui ʻia, noi ʻia nā hoʻokolohua hoʻokolohua, e like me ka coagulation a me ka helu o ke koko e nānā i ka nui a me nā ʻano o ke kaapuni ʻana i nā hunaola koko.

Hana ʻia ke kuhi o ka hemoptysis ma o ka bronchoscopy, kahi hoʻokolokolo kahi i hoʻokomo ʻia ai kahi puʻupuʻu liʻiliʻi me ka microcamera i kona hopena i loko o ka waha a me ka ihu a piʻi i luna i ka māmā, e ʻae ana i ke kauka e nānā i ka hanana pulmonary a me ka hanu. kaʻa a ʻike i ka pūnaewele kahe. Hoʻomaopopo pehea ka hana ʻana o ka bronchoscopy.

Hoʻomaʻo no ka hemoptysis

Hana ʻia ka lapaʻau no hemoptysis e like me ke kumu a me ka nui o ke koko i nalowale, e ʻimi ana e kaohi i ke kahe ʻana a mālama i ka mea maʻi. No laila, paipai ʻia ka bronchoscopy a i ʻole ka arteriography a, ke kaukaʻi ʻia i ke koʻikoʻi, hōʻike ʻia ka transfusion o ka plasma a me nā platelet.

Ke hiki ʻole ke kahe ʻia ke kahe ʻana, ʻoiai ma hope o ka lawe ʻia ʻana o nā ana e kāohi ai, ua hōʻike ʻia kahi kaʻina hana, e like me ka embolization o ke aʻa bronchial, e laʻa me ke kauka, me ke kōkua o kahi paipu liʻiliʻi liʻiliʻi a me kahi kāmele uila i ka piko, hiki ke hoʻomaopopo i kahi a kū i ke kahe.

Wahi a ke kumu o ka hemoptysis, hiki i ke kauka ke koi aku i nā lapaʻau ʻē aʻe, e like me ka hoʻohana ʻana i nā lāʻau ʻaloʻalo, inā pili ke kahe ʻana i nā maʻi, anticoagulants, nā lāʻau anti-inflammatory a i ʻole inā he kumu ia no ka maʻi ʻaʻaʻa maʻi kanesa. e lilo i hōʻailona no ka chemotherapy.