Buildup wa madzi kapena mpweya mu malo ozizira kwambiri amalepheretsa kupuma
Kodi pempho lachifundo ndi lotani, ndipo cholinga chake ndi chiyani? Kodi ndi zochitika ziti zamankhwala zomwe zingayambitse mavuto ndi gawo ili la thupi?
Kuthamangitsidwa kwachinyengo ndikumanga madzi ochulukirapo m'kati mwake, malo odzazidwa ndi madzi ozungulira mapapu. Ndi chimodzi mwa mavuto ambiri omwe amachititsa kuti phokoso likhale losavuta komanso lingathe kulepheretsa kuti mapapu azikula komanso kuti munthu apume.
Kusungunuka kwa madzi kumachokera ku chirichonse kuchokera pa ounces pang'ono mpaka angapo malita. Matenda a chiwindi ndi kusweka mtima kwa mtima ndi chimodzi mwa zifukwa zambiri. Mkhalidwe wofananamo umaphatikizapo kutulutsa mpweya kapena magazi mu malo opempherera.
Anatomy of Pleural Cavity
Mphepete mwachindunji ndi malo omwe ali pakati pa pleura , ziwiri zomwe zimakhala ndi mzere komanso kuzungulira mapapu. Phokoso lamakono limakhala ndi madzi ochepa omwe amadziwika ngati phokoso lamadzimadzi , omwe amapereka mafuta ngati mapapu akufutukula ndi mgwirizano panthawi yopuma.
Phokoso lopempherera limaphatikizapo phokoso la patale lomwe limagwirizanitsidwa ndi khoma la chifuwa ndi phokoso la visceral lomwe limapezeka pamapapu. Pakati pa malo okhutira ali pakati pa 15 ndi 20 ma ccs a madzi (mapiritsi pafupifupi atatu kapena anayi) omwe amavomerezedwa ndi pleura. (Mosiyanako, ndi kupempha kwachinyengo malowa kungapitirize kukhala ndi malita ambiri a madzi, madzi omwe angagwiritse ntchito kupondereza mapapu apansi.)
Udindo wa pempho ndikuteteza kukula ndi kupumphuka kwa mapapo pomwe ndikuonetsetsa kuti zimakhala bwino bwino mothandizidwa ndi madzi odzola. Amakhalanso ndi mpweya wabwino, komanso kusiyana pakati pa mapapu ndi mapepala omwe amachititsa kuti phokoso likhale lopangitsa kuti phokoso ndi kukoka likhale lofunika kuti likhale ndi kutulutsa mpweya.
Kusokonezeka Kuphatikiza Pleural Cavity
Kukhalapo kwa madzi owonjezera, mpweya, kapena mpweya wochuluka m'kati mwachinyontho kungathe kusokoneza mphamvu zathu zopuma. Pakati pa zikhalidwe zomwe zimakhudza kwambiri chithunzithunzi cha pempho:
- Kulephera kwa mtima waumtima (CHF) kungachititse kuti phokoso likhale lopweteka chifukwa cha kuchulukitsidwa kwa m'mapapo.
- Mankhwala otchedwa hepatic hydrothorax amagwiritsidwa ntchito polongosola kupatsirana kwachisembwere chifukwa cha chiwindi cha chiwindi . Zimachokera ku kayendetsedwe kowonjezera zakumwa zakumwa kuchokera m'mimba pamimba mpaka pamtima.
- Kupweteketsa mtima kwachinyengo ndi vuto lomwe limapezeka pafupifupi pafupifupi 30 peresenti ya anthu omwe ali ndi kansa ya m'mapapo. Kuwonongeka koopsa kumakhalanso ndi kansa ya m'mawere, khansa ya m'magazi, lymphoma, ndi myelodysplastic syndrome (matenda a mafupa a mafupa).
- Matenda ngati chibayo ndi chifuwa chachikulu (TB) chingayambitsenso kumanga madzi muchisomo. Ngakhale kuti sizodziwika kwambiri ku US ndi dziko lotukuka, TB imaonedwa kuti ndiyo chifukwa chachikulu chachisokonezo chachisokonezo m'mayiko akutukuka.
- Pneumothorax (mapapu otumphuka) amatanthawuza kumangirira kwa mphepo mu malo oponderezedwa amatha kuchepetsa mapapu ndipo, pozunzika kwambiri, amalepheretsa mapapu kukwera. Ngati pneumothorax imachitika, ikhoza kukhala pang'onopang'ono kapena, mofulumira, njira yofulumira yomwe imaphatikiza mapapo m'munsi mwake (vuto la pneumothorax.)
- Hemothorax ndikumangirira magazi mu malo osungira, nthawi zambiri chifukwa cha chifuwa chachikulu kapena chifukwa cha opaleshoni ya chifuwa.
- Mesothelioma ndi khansara ya membrane yomwe imagwiritsidwa ntchito kwambiri pophatikizidwa ndi chiwonetsero cha asibesitosi. Ngati mesothelioma imagwiritsidwa ntchito, opaleshoni imaphatikizapo kuchotsa mitsempha yothandizira ndi mapepala omwe amapezeka m'mapapo.
Kuzindikira ndi Chithandizo cha Pleural Effusions
Kuwombera modzidzimutsa kumawoneka ndi ndondomeko yotchedwa thoracentesis imene singano ndi syringe zimachotsamo madzi kuchokera ku chinyontho chofufuzira. Madzi otetezedwa ndiyeno amafufuzidwa pansi pa microscope kuti adziwe chifukwa chake.
Ngati madzi kapena mpweya umakhalabe m'malo opuma, chikhomo cha chifuwa kapena singano thoracentesis , chingagwiritsidwe ntchito pochotsa mapapu.
Ngati zizindikiro zimabwereranso kapena kupweteka kumene kumayambitsidwa ndi matenda aakulu (monga mesothelioma) amakhala aakulu, njira yotchedwa pleurodesis ikhoza kuchitidwa. Pleurodesis ndi njira yothandizira opaleshoni yomwe imaphatikizapo kuyambitsidwa kwa mankhwala osokoneza bongo m'malo opempha. Kutupa komweku kumapangitsa kuti zigawo ziwirizi ziphatikizidwe palimodzi, kukakamiza mpweya ndi madzi pochepetsa mphamvu ya munthu kupuma.
Ngati zizindikiro zikupitirirabe, madokotala opaleshoni angaganize kuchotsa mpata wodandaulira ndi wothandizira palimodzi mwa njira yotchedwa pleurectomy .
> Zosowa
- > National Library of Medicine. "Kusokonezeka Kwambiri." MedlinePlus. Bethesda, Maryland; zasinthidwa pa April 12, 2017.