Ka Ikepili Pleural Fluid

Anter

• He aha ka nānā ʻana i ka wai pleura?
• No ke aha ia e hoʻohana ai?
• No ke aha wau e pono ai i kahi kānana wai pleura?
• He aha ka hana i ka wā o ke aniani wai pleura?
• Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
• Aia kekahi mau pilikia i ka hoʻāʻo?
• He aha ke ʻano o nā hopena?
• Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi anuanu wai pleura?
• Nā kūmole

He aha ka nānā ʻana i ka wai pleura?

ʻO ka wai Pleural kahi wai i waiho ʻia ma waena o nā papa o ka pleura. ʻO ka pleura kahi membrane ʻelua papa e uhi ana i nā akemāmā a kau i ka lua o ka umauma. ʻO ka wahi i loaʻa ka wai pleura i ʻike ʻia ma ke ʻano he pleura. ʻO ka maʻamau, aia kahi liʻiliʻi o ka wai pleura i ka pleural space. Mālama ka wai i ka pleura i pulu a hoʻoliʻiliʻi i ka hakakā ma waena o nā membrane ke hanu ʻoe.

I kekahi manawa kūkulu ka nui o ka wai i ka pleural space. ʻIke ʻia kēia me ka effusion pleural. Paleural effusion ālai i nā akemāmā mai inflating piha, hana ana i ka paʻakikī e hanu. ʻO kahi kānana wai pleural kahi hui o nā hoʻokolohua e nānā i ke kumu o ka pleural effusion.

Nā inoa ʻē aʻe: aspiration fluid pleural

No ke aha ia e hoʻohana ai?

Hoʻohana ʻia kahi kānana wai pleura e ʻike i ke kumu o ka pleural effusion. Aia he ʻano nui ʻelua o ka hoʻopiʻi pleural:

• Hoʻohuli, ka mea e hana ke loaʻa ke kaulike ʻole o ke kaomi i kekahi o nā kīʻaha koko. ʻO kēia ke kumu o ke kahe ʻana o ka wai keu i ka wahi pleura. Hana pinepine ʻia ka transudate pleural effusion e ka puʻuwai puʻuwai a i ʻole cirrhosis.
• ʻUdlelo kūkā, ka mea e hana ʻia inā loaʻa kahi hōʻeha a mumū paha o ka pleura. Hiki i kēia ke hoʻokahe i ka wai i waho o kekahi mau moku koko. Nui nā kumu o ka exudate effusion. Hoʻopili kēia i nā maʻi e like me ka pulumonia, maʻi ʻaʻai, maʻi ʻōpū, a me nā maʻi autoimmune. Hoʻohui pinepine ia i hoʻokahi ʻaoʻao o ka umauma.

I mea e kōkua ai i ke ʻano o ke ʻano o ka pleural effusion i loaʻa iā ʻoe, hiki i kāu kauka olakino ke hoʻohana i kahi hana i ʻike ʻia e like me nā pae o Light. ʻO nā pae hoʻohālikelike Light kahi helu ʻana e hoʻohālikelike i kekahi o nā hopena o kāu hoʻokolohua wai pleura me nā hopena o hoʻokahi a ʻoi paha nā hoʻokolohua koko protein.

He mea nui ia e ʻike i ke ʻano o ka pleural effusion i loaʻa iā ʻoe, no laila hiki iā ʻoe ke kiʻi i ka lāʻau kūpono.

No ke aha wau e pono ai i kahi kānana wai pleura?

Pono ʻoe i kēia hōʻoia inā loaʻa iā ʻoe nā ʻōuli o ka pleural effusion. Pākuʻi ʻia kēia mau mea:

• ʻEha ʻeha
• Pōpō maloʻo, nonproductive (kahi kōkō e hānai ʻole i ka mucus)
• Hī pilikia
• Ka luhi

ʻO kekahi poʻe me ka pleural effusion ʻaʻole i loaʻa koke nā ʻōuli. Akā, e kauoha paha kāu mea hāʻawi i kēia hoʻāʻo inā loaʻa iā ʻoe kahi pahu x-ray no kekahi kumu ʻē aʻe, a hōʻike ia i nā hōʻailona o ka pleural effusion.

He aha ka hana i ka wā o ke aniani wai pleura?

Pono kāu kauka olakino e lawe i kahi wai pleura mai kou wahi pleura. Hana ʻia kēia ma o ke kaʻina hana i kapa ʻia ʻo thoracentesis. Hiki ke hana i ke kaʻina hana i ke keʻena o ke kauka a i ʻole ka haukapila. Ma ke kaʻina hana:

• Pono ʻoe e hemo i ka hapa nui o kou mau lole a laila kau i kahi pepa a i ʻole kapa komo lole e uhi ai iā ʻoe iho.
• E noho ʻoe ma kahi moe o ka haukapila a i ʻole noho, me kou mau lima e kau ana ma luna o kahi pākaukau padded. Hoʻokomo kēia i kou kino i kahi kūpono no ke kaʻina hana.
• E hoʻomaʻemaʻe kāu mea hāʻawi i kahi ma kou kua me kahi hopena antiseptic.
• E hoʻokomo kāu mea hāʻawi i kahi lāʻau numbing i kou ʻili, no laila ʻaʻole ʻoe e ʻike i kahi ʻeha i ka wā o ke kaʻina hana.
• Ke pau loa ka helu o ka wahi, e hoʻokomo kāu mea hāʻawi i kahi nila i kou kua ma waena o nā iwi ʻaoʻao. E hele ana ka nila i ka wahi pleura. Hiki i kāu mea hāʻawi ke hoʻohana i ke kiʻi ultrasound e kōkua ai e ʻike i kahi kikoʻī e hoʻokomo i ka nila.
• Hoʻomaopopo paha ʻoe i kahi kaomi ke komo ka nila.
• E huki aʻe kāu mea hāʻawi i ka wai i ka nila.
• Noi paha ʻoe e hoʻopaʻa i kou hanu a hanu nui paha i kekahi mau manawa i ke kaʻina hana.
• Ke hoʻoneʻe ʻia ka nui o ka wai, e lawe ʻia ke kui kele a hoʻopaʻa ʻia ka wahi hana.

Hoʻohana ʻia nā hoʻokolohua koko no kekahi mau protein e helu i nā pae o Light. No laila hiki iā ʻoe ke hōʻoia i ke koko.

Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?

ʻAʻole pono ʻoe i kahi hoʻomākaukau kūikawā no ka thoracentesis a i ʻole ka hōʻoia koko. Akā e kauoha paha kāu mea hāʻawi i kahi x-ray umauma ma mua o ke kaʻina hana.

Aia kekahi mau pilikia i ka hoʻāʻo?

ʻO Thoracentesis kahi hana palekana. Heʻuʻuku nā pōpilikia a komo pū paha i ka ʻeha a me ke kahe ʻana ma ke kahua hana.

ʻAʻole ʻike pinepine ʻia nā kūpilikiʻi koʻikoʻi, a komo pū paha me ka hanu hāpau a i ʻole ka edema pulmonary, kahi ʻano e lawe ʻia ai ka wai pleura he nui loa. E kauoha paha kāu mea hāʻawi i kahi x-ray umauma ma hope o ke kaʻina hana e nānā no nā pilikia.

He aha ke ʻano o nā hopena?

Hiki i kāu mau hopena ke hōʻike inā loaʻa iā ʻoe kahi transudate a exudate ʻano o ka pleural effusion. Hoʻokumu pinepine ʻia nā transudate pleural effusions e ka puʻuwai puʻuwai a i ʻole cirrhosis. Hoʻokumu ʻia paha nā effudions exudate e kekahi mau ʻano maʻi like ʻole. Ke hoʻoholo ʻia ke ʻano o ka pleural effusion, e kauoha paha kāu mea hāʻawi i nā hoʻokolohua hou aku e hana i kahi ʻike kikoʻī.

Inā he mau nīnau kāu e pili ana i kāu hopena, e kamaʻilio me kāu kauka olakino.

E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi anuanu wai pleura?

Hoʻohālikelike ʻia kāu hopena hopena pleura me nā hoʻokolohua ʻē aʻe, e like me nā hōʻike no ka glucose a no ka albumin, kahi protein i hana ʻia e ke ake. Hiki ke hoʻohana ʻia nā hoʻohālikelike ma ke ʻano he maʻa o nā pae o Light e kōkua ai e ʻike i ke ʻano o ka pleural effusion i loaʻa iā ʻoe.

Nā kūmole

1. Ke Kalinika ʻo Cleveland [Pūnaewele]. Cleveland (OH): Ke Kula Nui ʻo Cleveland; c2019. Nā Pleural Effusion Kumu, Nā Hoa a me ka Hoʻōla [i ʻōlelo ʻia 2019 Aug 2]; [ma kahi o 3 pale]. Loaʻa mai: https://my.clevelandclinic.org/health/diseases/17373-pleural-effusion-causes-signs--treatment
2. ʻO Hinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Tests. ʻO Ed Ed, Kindle. Piladelapia: Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. ʻO Pleural Fluid Aspiration; p. 420.
3. ʻO Karkhanis VS, ʻo Joshi JM. Hoʻoponopono Pleural: ʻike, mālama, a me ka hoʻokele. E wehe i ke komo ʻana ʻo Med Med. [Pūnaewele]. 2012 Jun 22 [helu ʻia 2019 ʻAuk 2]; 4: 31-52. Loaʻa mai: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4753987
4. Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. Wakinekona D.C.; ʻAhahui ʻAmelika no ka Chemical Clinical; c2001–2019. Albumin [hoʻohou 2019 Apr 29; i helu ʻia ʻo ʻAukake 2]; [ma kahi o 3 pale]. Loaʻa mai: https://labtestsonline.org/tests/albumin
5. Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. Wakinekona D.C.; ʻAhahui ʻAmelika no ka Chemical Clinical; c2001–2019. ʻImi Pleural Fluid Analysis [hōʻano ʻia 2019 Mei 13; i helu ʻia ʻo ʻAukake 2]; [ma kahi o 3 pale]. Loaʻa mai: https://labtestsonline.org/tests/pleural-fluid-analysis
6. RW māmā. Nā Kūʻai Malamalama. Clin Chest Med [Pūnaewele]. 2013 Mar [helu ʻia 2019 ʻAuk 2]; 34 (1): 21-26. Loaʻa mai: https://www.chestmed.theclinics.com/article/S0272-5231(12)00124-4/fulltext
7. National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā ho'āʻo koko [i helu ʻia 2019 Aug 2]; [ma kahi o 3 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/blood-tests
8. National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā Pleurisy a me nā maʻi Pleural ʻē aʻe [i helu ʻia 2019 Aug 2]; [ma kahi o 3 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/pleurisy-and-other-pleural-disorder
9. ʻO Porcel JM, RW māmā. Kuhi Diagnostic i ka Pleural Effusion i nā mākua. Am Kauka Lapaʻau [Pūnaewele]. 2006 Apr 1 [helu ʻia 2019 Aug1]; 73 (7): 1211–1220. Loaʻa mai: https://www.aafp.org/afp/2006/0401/p1211.html
10. ʻO Porcel Perez JM. ʻO ka ABC o ka wai pleura. Nā Seminars o ka Spanish Rheumatology Foundation [Pūnaewele]. 2010 Apr-Jun [helu ʻia 2019 Aug1]; 11 (2): 77-82. Loaʻa mai: https://www.sciencingirect.com/science/article/abs/pii/S1577356610000199?via%3Dihub
11. UF Health: Ke Kulanui o Florida Health [Pūnaewele]. Gainesville (FL): Ke Kula Nui o Florida; c2019. Nānā wai plleural: Nānā Hou [hōʻano hou ʻia 2019 Aug 2; i helu ʻia ʻo ʻAukake 2]; [ma kahi o 2 pale]. Loaʻa mai: https://ufhealth.org/pleural-fluid-analysis
12. UF Health: Ke Kulanui o Florida Health [Pūnaewele]. Gainesville (FL): Ke Kula Nui o Florida; c2019. Thoracentesis: Overview [hōʻano hou 2019 Aug 2; i helu ʻia ʻo ʻAukake 2]; [ma kahi o 2 pale]. Loaʻa mai: https://ufhealth.org/thoracentesis
13. Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2019. ʻO Encyclopedia Health: Thoracentesis [helu ʻia 2019 Aug 2]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=92&contentid=P07761
14. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. Thoracentesis: Pehea e hana ai [i hōʻano hou ʻia 2018 Sep 5; i helu ʻia ʻo ʻAukake 2]; [ma kahi o 5 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/thoracentesis/hw233202.html#aa21788
15. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. Thoracentesis: Nā hopena [hoʻohou ʻia 2018 Sep 5; i helu ʻia ʻo ʻAukake 2]; [ma kahi o 8 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/thoracentesis/hw233202.html#aa21807
16. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. Thoracentesis: Nā Pilikia [hōʻano hou 2018 Sep 5; i helu ʻia ʻo ʻAukake 2]; [ma kahi o 7 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/thoracentesis/hw233202.html#aa21799
17. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. Thoracentesis: Nānā Hōʻike Hou [hōʻano hou ʻia 2018 Sep 5; i helu ʻia ʻo ʻAukake 2]; [ma kahi o 2 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/thoracentesis/hw233202.html

ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.