Serositis

Anter

• He aha nā hōʻailona?
• Pericarditis
• Pleuritis
• Peritonitis
• Hoʻohui me ka ʻōnaehana lupus ʻōnaehana
• He aha nā kumu ʻē aʻe?
• Nā kūlana ʻōnaehana pale ʻē aʻe
• Nā kūlana ʻē aʻe
• Pehea ia ʻike?
• Pehea e mālama ʻia ai?
• Ke laina lalo

He aha ka serositis?

Hoʻopili ʻia nā ʻāpana o kou umauma a me kou ʻōpū me nā ʻāpana lahilahi o nā mea i kapa ʻia he mau membrane serous. ʻElua a lākou mau papa: pili kekahi i ka meaola a ʻo kekahi e pili ana i loko o kou lua o kou kino.

Ma waena o nā papa ʻelua, aia kahi kiʻi lahilahi o ka wai serous e hiki ai i kāu mau mea ke neʻe me ka ʻoluʻolu i loko o kou kino. ʻO kahi laʻana, hiki i kou mau ake māmā ke hoʻonui ke lawe ʻoe i kahi hanu hohonu me ka ʻole e hōʻino ʻia e ka hakakā.

Hana ʻia ʻo Serositis ke hoʻā ʻia kāu mau membrane serous. He mea paʻakikī kēia no kāu mau mea e holo mālie i loko o kou kino, e hōʻeha i ka ʻeha a me nā hōʻailona ʻē aʻe.

He aha nā hōʻailona?

ʻEkolu ʻano o ka serositis, kaukaʻi ʻia i ka membrane serous e pili ana.

Pericarditis

Hoʻopuni ʻia kou puʻuwai e kahi membrane serous i kapa ʻia he pericardium. Kapa ʻia ka hōʻeha o kēia membrane pericarditis. Hoʻokumu pinepine ia i ka ʻeha o ka umauma ʻoiʻoi e hele i kou poʻohiwi a hoʻololi ke hoʻololi ʻoe i nā kūlana.

Ma muli o ke kumu, hiki i nā ʻōuli ʻē aʻe ke:

• pōkole o ka hanu e lilo i ka maikaʻi ke moe ʻoe i lalo
• wela wela
• ʻūhā
• palpitations puʻuwai
• luhi
• pehu i kou mau wāwae a i ʻole kou ʻōpū

Pleuritis

ʻO Pleuritis, i kapa ʻia hoʻi ka pleurisy, ka mumū o ka pleura, ka membrane e hoʻopuni ana i kou mau ake māmā. Aia kekahi membrane serous a puni kēlā me kēia māmā, no laila hiki ke loaʻa ka pleuritis i loko o hoʻokahi māmā akā ʻaʻole kekahi.

ʻO nā hōʻailona Pleuritis pū kekahi:

• kahi ʻeha ʻoi i kou umauma ke hemo a hanu paha ʻoe
• pokole o ka hanu
• paʻakikī i ka hanu ʻana
• ʻūhā
• wela wela

Peritonitis

Hoʻopuni puni ʻia kou mau ʻōpū e ka membrane serous i kapa ʻia ʻo peritoneum. Kapa ʻia ka hōʻeha o kēia membrane peritonitis. ʻO ka hōʻailona nui o ka peritonitis ka ʻeha o ka ʻōpū nui.

ʻO nā hōʻailona kūpono ʻē aʻe e like me:

• ʻōpū ʻōpū
• fiva
• nausea a me ka luaʻi
• ʻiʻo haʻahaʻa
• pāhoehoe a i ʻole ka paʻa paʻa
• palena mimi
• make wai loa

Hoʻohui me ka ʻōnaehana lupus ʻōnaehana

ʻO ka systemic lupus erythematosus (SLE) kahi maʻi autoimmune, e pili ana i kēlā me kēia ʻano e hoʻopili hewa ana i kāu ʻōnaehana pale i kou kino ma kahi o ka pale ʻana iā ia. ʻO ia ka ʻano maʻamau o ka lupus, a me ke ʻano e kuhikuhi nei ka hapa nui o ka poʻe ke kamaʻilio lākou e pili ana i ka lupus.

I ka hihia o SLE, hoʻouka kāu ʻōnaehana pale i nā kino olakino i kou kino. I kekahi manawa, pili pū kēia i nā kiko o kāu mau membrane serous, ʻoi aku hoʻi i kāu pericardium a me kāu pleura. ʻO kahi laʻana, kahi noiʻi 2017 o ka poʻe 2,390 me SLE i ʻike he 22 pākēneka he pericarditis a he 43 pākēneka i loaʻa i ka pleuritis. ʻOiai ʻoi aku ka liʻiliʻi, hiki i ka peritonitis ke kumu o ka ʻeha o ka ʻōpū i nā poʻe me SLE.

ʻO Serositis kekahi o nā mea nui a nā kauka e nānā ai i ka hōʻoia ʻana i kekahi me SLE.

He aha nā kumu ʻē aʻe?

Nā kūlana ʻōnaehana pale ʻē aʻe

ʻElua ʻāpana o kāu ʻōnaehana pale, i ʻike ʻia ma ke ʻano o kāu ʻōnaehana pale a loaʻa a me ka ʻōnaehana paleʻea infate.

Kūkulu kāu ʻōnaehana pale pale i ka wā e hōʻike ʻia i nā maʻi ʻino a me nā bacteria i loko o nā makahiki. Hana ia i nā antibodies kikoʻī i kēlā me kēia agena infectious āu e hōʻike ai. Hoʻoulu hou ʻia kēia mau mea ʻino inā hālāwai hou ʻoe me ka ʻākena.

Hoʻohana kāu ʻōnaehana ʻōnaehana ʻōlohelohe i kou mau keʻokeʻo koko e hoʻouka aku i nā virus a me nā bacteria. Hoʻopili koke ia i kahi maʻi, akā ʻaʻole hana ia i nā pūnaewele e hoʻomanaʻo inā ʻike ʻia ʻoe i ka maʻi like i ka wā e hiki mai ana.

Hoʻopili nā kūlana Autoimmune i kāu ʻōnaehana pale i hōʻewa hewa i kou kino. ʻO nā laʻana o nā kūlana autoimmune i hiki ke kumu i ka serositis me:

• ʻōpio ʻōiwi idiopathic
• rumatika
• maʻi maʻi ʻōpū

ʻO nā kūlana Autoinflam inflammatory, ma ka ʻaoʻao ʻē aʻe, e hoʻopili i kāu ʻōnaehana ʻōnaehana hewa e hōʻewa hewa nei i kou kino.

ʻO kekahi mau ʻano autoinflam inflammatory i hiki ke hoʻopili i ka serositis me:

• maʻi kuni ʻAilana
• Maʻi nō naʻe

Nā kūlana ʻē aʻe

Ma waho aʻe o ke kūlana autoimmune a me autinflam inflammatory, hiki i nā ʻano kumu ʻē aʻe ke kumu i ka serositis, i hoʻokahi a i ʻole i kāu mau membrane serous āpau.

Aia kekahi mau laʻana:

• hakuʻala ʻole
• AIDS
• maʻi puʻu
• maʻi ʻaʻai
• hōʻeha puʻuwai
• maʻi maʻi viral, bacterial, a fungal paha
• hōʻeha a i ʻole ʻeha i ka umauma
• kekahi mau lāʻau
• kekahi o nā maʻi i hoʻoili ʻia, e like me ka maʻi cell sickle

Pehea ia ʻike?

E hana paha kāu kauka i kahi hoʻokolohua kino a kauoha i nā hoʻokolohua koko a me / a i ʻole scans e kōkua me kahi hōʻailona. Kōkua nā hoʻokolohua koko e nānā i nā hōʻailona o ka maʻi a i ʻole nā ​​māka o nā maʻi pale. Nā Scans e like me ka umauma X-ray, CT scan, ultrasound, a i ʻole electrocardiogram (ECG a i ʻole EKG) hiki ke kōkua e ʻike i ke kumu o nā hōʻailona.

Inā loaʻa ka nui o ka wai keu ma waena o kāu membrane serous, hiki i kāu kauka ke hemo i kekahi o ia mea me ka nila a kālailai iā ia e kōkua i ka hoʻoholo ʻana i nā mea e kumu ʻia ana. Hiki ke hana maʻalahi kēia no ka peritonitis a me ka pleuritis.

No ka pericarditis, e hoʻohana maʻamau kāu kauka i kahi ultrasound e kōkua i ke alakaʻi ʻana i ka nila a ʻaʻole ia e hou i kou puʻuwai.

Pehea e mālama ʻia ai?

Pili ka mālama ʻana i ka serositis i ke kumu kumu, a me nā membrane serous i pili. I ka hoʻomaka ʻana, kuhi paha kāu kauka e lawe i nā lāʻau anti-inflammatory nonsteroidal, e like me ibuprofen (Advil, Motrin), e hoʻemi i ka puhū.

Ke hoʻoholo ʻia ke kumu kumu, hiki i kekahi o nā koho lapaʻau kūpono ke hoʻopili ʻia.

• antibiotic
• lāʻau hoʻomalu pale pale
• nā lāʻau antiviral
• Corticosteroids

Ke laina lalo

Kuhikuhi ʻo Serositis i ka mumū o hoʻokahi a ʻoi paha o kāu membrane serous. Hiki i nā mea he nui ke kumu iā ia, mai nā maʻi bacteria i nā kūlana autoimmune. Inā manaʻo ʻoe he serositis paha kāu, he mea nui e ukali pū me kāu kauka e hoʻoholo ai i ke kumu.