Anatomy ndi Ntchito ya Pleural Fluid ndi Zosavomerezeka
Ngati dokotala wanu wanena kuti muli ndi kumangirira kwa chifuwa kapena matenda omwe mumakhala nawo, kodi izi zikutanthauza chiyani?
Kodi Pleural Fluid ndi chiyani?
Madzi amadzimadzi ndi amchere omwe amapezeka pakati pa zigawo za pleura , zomwe zimagwiritsidwa ntchito pozungulira mapapu. Danga lokhala ndi madziwa limatchulidwa kuti chumity kapena pleural space.
Mankhwala ovomerezeka amadzimadzi amakhala ndi madzi ochepa thupi omwe amakhala ngati mafuta panthawi yopuma.
Kusintha kwa mphamvu ya pempho lamadzimadzi kungayambitsidwe ndi matenda, matenda, kapena zifukwa zina ndipo zingayambitse mavuto opuma ndi zina zovuta. Kuchotsa mchere kumatithandiza kuti tizindikire zifukwa za kusintha kumeneku kapena kufufuza za zizindikiro za matenda kapena matenda. Pamene kuchuluka kwa pempho lamadzi
Ntchito Yophuka
Madzi amadzimadzi ndi ochepa thupi omwe amadzaza pakati pa parietal (kunja) ndi mazenera a mkati (visceral (plea). Mtundu wa madzi ndi ochepa, pafupifupi masentimita 20 kapena masipuniketi 4.
Madzi amadzimadzi amachititsa kuti pakhale chinyezi pakati pa pleura, kulola kuti phokoso likhale lofufuzira panthawi yopuma komanso kutuluka. Mwanjira iyi, imapangitsa kuti mapapu amatha kusemphana ndi nthiti komanso khoma palokha.
Zomwe Zimakhudza Pleural Cavity
Pali zinthu zingapo zomwe zingakhudze chumity, ndipo mwachisawawa, phokoso lamadzi. Zina mwa izi:
- Pleural effusion ndi chikhalidwe chomwe madzi ochulukirapo amadziwika mu malo osungira. Pali zifukwa zambiri zomwe zimayambitsa kupweteka kwa mtima, kuphatikizapo congestive mtima failure, pulmonary embolism, matenda a impso, khansara, ndi matenda omwe amadzimva ngati lupus ndi nyamakazi. Anthu oposa 200,000 ku US akukhudzidwa ndi kukhumudwa kwachisoni chaka chilichonse.
- Pamene chimbudzi chimakhala ndi maselo a khansa, chimatchedwa chisokonezo chopweteka . Ngakhale izi zimachitika panthawi ya khansa ya mapapo 4, ikhoza kuchitika ndi khansa zina zomwe zafalitsidwa (zochotsedwa) kuchokera kumbali zina za thupi, kuphatikizapo mawere ndi mazira.
Zizindikiro ndi Kuzindikiritsa Matenda Osavuta
Pamene madzimadzi amamanga m'malo opempherera, amatha kupondereza mapapu apansi. Izi zimathandizanso kupuma, kupweteka pachifuwa, ndi zizindikiro zina za kupuma.
Kuti afufuze, dokotala amachotsa madzi achitsulo pogwiritsa ntchito njira zingapo:
- Thoracentesis (yomwe imatchedwanso singano yakufuna) imatulutsa madzi achitsulo mwa kuika singano kupyola mu malo opempherera, zomwe zingapangidwe kafukufuku.
Powonjezeredwa ndi zida zamadzimadzi, zitsanzo zimatha kuyesedwa kuti adziwe zomwe zimayambitsa kusintha kulikonse kapena kutsimikizira kupezeka kwa matenda kapena matenda. Njira ziwiri zazikuluzikulu ndizo:
- Kufufuza kwa madzi ndi njira yomwe madzi omwe amapezeka kupyolera mwa thoracentesis amafufuzidwa mofanana ndi mapuloteni. Pali mitundu iwiri yoyamba yodandaulira madzi yomwe imapezeka mu pleural effusions. Imodzi ndi transudate, yomwe ndi yopyapyala, yamadzimadzi omveka omwe amawonekera mu mtima wosagwirizana ndi mtima. Zina ndi zowonongeka, zowonongeka, zowonongeka monga madzi omwe amapezeka nthawi zambiri pa matenda.
- Pulosiyumu cytology ndi ndondomeko yomwe imayesa kuzindikira kukhalapo kwa maselo ena oyera a magazi (kukhalapo kwawo komwe kungasonyeze matenda), mabakiteriya (pogwiritsa ntchito galamala ), ndi zinthu zina zomwe siziyenera kukhalapo. Ngati matendawa akukayikira, mcherewu ukanamera kuti uzindikire wodwalayo.
Kuchiza kwa Matenda Osautsa Amadzimadzi
Ngati phokoso lamadzimadzi limaphatikizapo phokoso lambiri, limatha kuwonjezereka mpweya, kupweteka pachifuwa (nthawi zambiri kuwonjezereka ndi mpweya wozama,) ndipo pamapeto pake zingathetsere mtima wopita ku mtima wosalimba.
Pochotsa madzi, chifuwa cha chifuwa chimayikidwa.
Chikhomo chopangira thumba chimaphatikizapo kulowetsa chubu yothamanga mu malo osungirako. Thumba ikhoza kumasiyidwa kuti ikhetse madzi owonjezera, magazi, kapena mpweya umene wasonkhanitsa. Ikhoza kukhala m'malo mwa nthawi yosiyana malinga ndi chikhalidwe kapena chifukwa.
Nthawi zina, madzi amadzimadzimadzika, ndipo zimakhala zovuta kuchotsa chifuwachi. Pali njira zingapo zomwe zingatheke ngati izi zikuchitika. Pulosedesis , zidutswa ziwiri za pleura zimakakamizika kutsatirana wina ndi mzake poyesa mankhwala (monga talc) mu malo okhutira. Izi zimapangitsa kutupa ndipo pamapeto pake kumawombera komwe kumatumikiza zigawo ziwiri za phokoso palimodzi, kuthetsa malo okhudzidwa.
Njira ina ndiyo kuika mbola mu malo osungira omwe akugwirizana ndi kunja kwa thupi. Madzi oterewa amatha kutuluka nthawi zonse, ngakhale pakhomo panu. Izi zimachitidwa kawirikawiri kawiri kawiri kawiri kokhudzana ndi khansa yapamwamba.
Potsirizira pake, pleurectomy ikhoza kuchitidwa. Mwa njirayi, ziwalo zofufuzira zimachotsedweratu, kuchotsa mosamalitsa malo opempherera.
> Zosowa
- > American Society of Clinical Oncology. "Zamadzimadzi Pakati M'mapula kapena Zoopsa Zopweteka." Alexandria, Virginia; August 2016.
- > Dixon, G ;; de Fonseka, D .; ndi N. Maskell. "Pleural controversies: > chithunzi-chotsogoleredwa> chithunzithunzi chotsutsana ndi thoracoscopy chifukwa cha zovuta zodziwika bwino?" Journal of Thoracic Disease . 2015; 7 (6): 1041-51.
- > National Library of Medicine. "Kufufuza Kwambiri Zamadzimadzi." MedlinePlus. > Bethesda >, Maryland; Kusinthidwa 11/19/15.