He aha ina ka loli ma ka pleural lua: mea, lalau mai a me ka iapaau ana

Inā ka pleural wahi hoʻomaka e loaa loli (effusion), a laila, e like me ka nui pathological ana e hōʻike i ke kino e hoʻomōhala ana i kekahi maʻi, a he pilikia loa. Diagnosed pathology ma kela aoao, a laila, i ke kauka prescribes ka iapaau ana kūpono.

Ma kekahi mau hihia, hoʻomāhuahua o ia fluids ke kāhea decompensation naehana hanu ole, pinepine alakaʻi ana i ka make. Eia hou, i kēia maʻi ua pu ma ka mea nui complications. Nolaila, hana maikaʻiʻole o kēia maʻi, e hoʻomaka 'ana e like ka hikiwawe e loaa.

kekahi mau 'ike

Kanaka ia maʻiʻaʻai i hoopuniia e mau membranes, i kapaʻia ka pleura. Pahale mawaho pili ana i ka pahu paia, a me ka Kalaiaina - a hiki i ka ia maʻiʻaʻai a me nā nā'aʻaʻa. A nahā i ua hanaʻia ma waena o ia mau mea, i kapaʻia pleural lua a kaumaha.

Free loli ma ka pleural luaʻoihana'ē aʻe e like me ka lubricating ke keʻena pleural surfaces, hiki i nā papa iloko o ha uku ole ia mai ho one e ku e kekahi i kekahi. Kēia i ka poʻea pau i kaʻilikai hoʻopilikia, e leie aku e malama i ka ili o ke akemāmā pu me ka pa o ka pahu. I ka nui o ka loli ma ka pleural lua pono e 4 teaspoons. Inā ka mea, o ka hopena o ka maʻi hoʻomaka e loaa, kona leo ke hiki 5-6 nā lika.

Ka hoʻonui loli i loko o ka pleural lua hiki ke e lauwili:

• ke koko, pleural ina poino na moku;
• ole-hoʻoʻino ano o ka loli (transudate);
• pus a loli pilikia ma pleural li nui (exudate).

Ke hoʻomāhuahua o ke koko ana ia lŘlŘ like me ka hopena o ke poho i ka moku i ke koko, i ia lŘlŘ i loko o nā palapū. Lymph komo ka pleural lua ka wā poino o ka thoracic leki uea, i mea no ka nui lymph moku.

Transudate i loaa i loko o kekahi lua ina ke kino ua systematically paku ole ia i kekahi kahua kaʻina. No ka laʻana, ua hiki ia i ka ho'ēmiʻana i loko o ke koko, ma muli o ka papakaukau koko poho, a'ā. Nō hoʻi, i ke alo o ka transudate i loko o ka pleural lua ua ike ia ma ka hihia i loko o nā ipu maoli ka hydrostatic puʻe i mea i loko o ka naʻau ole.

Ka loli ma ka pleural lua, pakahi aku la ia exudate accumulates i ka hoʻoʻino kaʻina. Kēia paha e pneumonia, Ka maʻi 'aʻai, pleurisy.

kumu

I ka wai a loaa i loko o ka pleural lua, - he kāna hana i mea kiʻekiʻe. Kēia 'o ia hoʻi i ka ulu ana o ka maʻi ia lŘlŘ ma luna o ke kāʻei kua o kahe ana ma ka kino o kekahi maʻi.

He aha ka mea? He aha ka hewa, ina ka hoʻonui loli i loko o ka pleural lua? Nā kumu i e like penei:

• Umauma trauma, kūpono i ka hakina moku koko, hoolilo ma waena o na iwi aoao. Ua hiki no hoi ka hopena thoracic leki uea rupture.
• Abdominal maʻi, i ka hoʻoʻino ano o ka hanau ana. Exudate helu kuhi puke i loaa ma ka pane, e ake abscess, pancreatitis, subdiaphragmatic abscess, peritonitis.
• Oncological maʻi lakou aloha ia i ka pleura,ʻaʻole wale nō me ka iniiaiie pulakaumaka, akā, i loko o ke kahua o metastases. N hikoko e ala mai keena o ka mesothelium, a me kanaka e hana ana i loko o ka asbestos poʻe. Prognosis noho lakou malaila hihia. Inā heʻeho mea benign, ka prognosis ana e hooikaika ana.
• Heart ole, i ka poʻea pau i ke koko,.
• Pneumonia. O hoʻoʻino kaʻina ke lawe wahi nā i loko o ka hohonu o ke akemāmā parenchyma a me ka pleura kokoke lawa i ka hoʻonāukiukiʻana mai o hoʻoʻino loli hoʻomāhuahua.
• Infectious a allergic maʻi.
• Tuberculosis.
• Myxedema (mucosal edema) hualoaʻa mai i ka nele o ka thyroid kuleana pili i.
• Pulmonary embolism maʻi pale arteries ka wā ma laila mea i ka ho okumu ana o pulmonary infarction me ka mahope hoʻomāhuahua o ka transudate.
• Uremia, 'ia i loko oʻaʻa puʻuwai ole. Oia ka moku'āina mea ano no mau hui ole, glomerulonephritis, sepsis, papakaukau haemolysis oʻulaʻula koko keena, pāhawewe maʻi.
• Systemic connective'aʻaʻa maʻi: periarteritis nodosa, systemic lupus erythematosus, a nō ka kumu o ka hoʻomāhuahua o exudate.

symptoms

Nānā 'ole o ke kumu ua ka hoʻomāhuahua o ka loli ma ka pleural lua, naehana hanu ole ke kānāwai. Ua Ua hoikeia like penei:

• eha ma kaʻaoʻao hema a me ka pololei;
• dyspnea, pokole o ka hanu;
• maloo cough, a ia lŘlŘ pono i ka mīkini'opihia o ka nui ka leo bronchi o ka wai;
• lala bluish no ka muli o ka oxygen;
• mahuahua ma ke kino ana wela ku i ka hoʻoʻino kaʻina.

E mākou noʻonoʻo i nui au mamuli o ka symptoms e kuhikuhi ana i ka hoʻomāhuahua o ka loli ma ka pleural lua i loko o kekahi mau maʻi.

eha

Umauma trauma a akemāmā hiki aku ai i ka kokololio kūpono 'ana o naehana insufficiency. Pela i hemoptysis, waha foamy sputum ikeia ulaula. Ua pio ka polokalamu he 'aʻe' ana o ike paka, me ka ili i bluish tint, he kanaka ke hāʻule i loko o ka coma.

Ma rupture o ka thoracic aorta koko hoʻomaka e kahe ana i loko o ka pleural lua, e alakai i ka kiʻekiʻe koko poho a me ka hemorrhagic kŰia. Mālama i kekahi kanaka aneane hiki ole i.

Oncological maʻi

Ma ka hanana o ke alo o ke mesothelioma loli i loko o ka pleural lua o ke kahua hope i loko o ka ulu ana o ka hikoko. me ka nui pono mākou ke olelo aku i ka make, e hele mai i loko o 7-10 mahina. Loli no ka mea, he maʻi wehewehe aku ma kahi nihinihi hiki emi i loko o ka nui o ka monakō koko i loko o ka mea, o ka (viscosity) o ka hyaluronicʻakika, a me ka loa pinepine koko.

pneumonia

ʻO kēia symptoms o pneumonia, e hōʻike i ka pathological kaʻina i wahi i loko o ka akemāmā parenchyma:

• kuni;
• pulu cough;
• recurrent eha ma konaʻaoʻao;
• pokole o ka hanu;
• crackles;
• loa intoxication.

naau ole

Ka hoʻonui loli i loko o ka pleural lua i loko o ka naʻau o ka hoʻokō 'ole hoike mai ai ia ia iho, e like me penei:

• nawaliwali;
• luhi;
• ka naau hoʻomaka e hana intermittently;
• ka nele o ka makemake no physical hana;
• umauma eha.

lapaʻau '

Ka loa informative PalekanaEND_LINK iaoia ua noʻonoʻo umauma radiography, e kokua hoʻokūpaʻa i ke alo o ka pathology me maʻi pale loli i loko o ka pleural lua, ai kona wa e kaawale aku. He pili kēia kōkua ai i nā ka hana ana o ke kauka i loko o ka manawa i oleloia ai o kupono lapaau. Radiographs pololei nā pūʻulu i ke kiʻekiʻe o ka wai a me kona He kokekau wale ka leo, imua a me ka wa e kaawale aku o ka lewa.

Ua mea i pono e hooholo i ke ano o ka effusion, a hiki i keia hopena, ua hana i ka puncture. No keia mea, ke kinowai maʻiʻo ia, mai ka pleural lua ma ka mea e kuhikuhi i ka lākiō o ke dala o ke kumuʻiʻo, kekahi ke kaupaonaʻana, i ka ha awina o lactate dehydrogenase. E lawe mai kekahi mea kanu ma fungi, koʻohune,ʻakika-hoʻokēʻai koʻohune. Ke loli ke e ke koko, pus, serosa. Hoʻomāhuahua o ka loli i loko o ke koko, ua malamaia ma ka trauma, myocardial akemāmā Ka maʻi 'aʻai nā mea maʻi me ka pleural komo. Purulent exudate accumulates i loko o ka naʻau o ka hoʻokō 'ole, a me ka serous - ma hope o infectious maʻi.

Ua mea no hoi i ka aoao maikai e visualize na maʻiʻaʻai a me ka pahu HI scan NineManga.com ua noʻonoʻo pono. Kona pono ke moe i loko o ka mea ana i ke kaʻina hana e leie aku oe i ka pololei hooholo i ka nui o ka wai a kuu mai a me ke kumu o keia kulana. Pulmonologists paipai aku e pana aku au i kekahi HI scan o kela mea keia eono mahina. Ua apono 'i ka' ike o ka loli hoʻomāhuahua i loko o ka pleural lua maʻi pale.

lapaʻau

Me ka hōʻemi iki hoʻomāhuahua o ka loli i ka hana wale hp'pnphp maʻi. A nui helu o ka effusion, o ka oi aku ina mea hoʻonāukiukiʻana mai o maʻi e kauoha nōkahea e hoʻopau i kēia maʻi. Pinepine i ka wai a ka auoiaea Via ka puncture, i ka wa a ka pleural lua catheter a he uuku kuikele. IeAUPIIe, IAa IO, needling ua lawe mai no ka lapaʻau 'ana hana, akā, iloko o ia ke kaʻina hana i hiki ke EII ni i i 1.5 nā lika effusion. More ka hiʻona ua i pono, e like me ka pilikia o pulmonary edema ana.

E wehe i loaa i loko o ka nui nui o ka loli i loko o ka pahu pā ma kona Tube ua hoʻolauna. Kēia ke kaʻina hana no ua lawe mai ia penei: ma hope o anesthesia kauka hanaʻia he incision a inserts ka ea Tube ma waena o nā kihiʻelua o ka pahu. Ma hope iho o ia, oia hoʻohuiʻia ia i ka nōkahea'ōnaehana, i Aʻole 'ae' ea, e komo i loko o ka pleural lua. E ho ohana X-Ray hooponopono akamai hoʻomōakaaka pololei mea hoʻonoho şarkı, no ka nōkahea mea i hiki ole ia.

Inā ka loli ma ka pleural lua loaa ma muli o ka tuberculosis paha coccidioidomycosis, ma keia hihia, ka mea pono loa-makahiki lapaau me antibiotics. Nōkahea lawe mai eiiieaena ma lalo nui h ÷ pus, a me ka wā e mea i loko o fibrous "eke", no laila, i ke kulana hiki ke? Ee wale ma ka wehe 'ana i kekahi hapa o ka iwiʻaoʻao no ka hoʻokomo' ia 'ana o ka nui nōkahea catheter. Kākaʻikahi ka hana ua koi 'ia e wehe i ka pā, ahu iho o ka pleura.

ʻeho Pleural i hiki aku ai i ka mea i ka wai a hoʻomaka e loaa i loko o ka pleural lua. Lapaʻau ma keia hihia Ua lōʻihi, e like me ka mea hiki e paakiki, e hoʻopau i ka exudate ma muli i kona kokololio hoʻomāhuahua. Comes i ke kōkua nōkahea a me ka loaa ana anticancer ai '. Eia naʻe, ina ia ano, aole ia e hana, a me ka wai mau e loaa, no ka hoʻokaʻawale ua lawe mai pleural lua. Ka holoʻokoʻa ka leo o ka exudate ua wehe 'ia ma ka Tube, a laila, i loko o ka pleural lua therethrough lawelawe irritant, e like me talc a doxycycline pāʻoihana. Me ia i ka stimulus ia lŘlŘ kila mau pleural mau papa, a meʻaʻohe noa ka lewa no ka wai a hoʻomāhuahua.

Inā ua piha i ka pleural lua me ke koko, a kahe ana ke koko papani iho, ua lawe mai ma ka nōkahea şarkı i ua i hoʻohana no ka hooponopono o ka ai 'e hoohiolo no ia i ke koko clots. Mākau kahe ana ke koko a me ka hikiʻole, e wehe i loli ma ka catheter - nāʻikepili noʻoki lāʻau lapaʻau 'uao.

complications

Loaa ma ka pleural lua o ka loli, o ka oi aku ma ka nui dala, ke alakai i ka nui loa o nā complications. Ua hiki e ka huʻi pulmonary insufficiency, li nui a me ka maʻiʻaʻai o ke akemāmā ho omaka, pilikia me ka ake hana, naau, a me na nā loko.

Mai ka wai a me ka pus i ke kiʻekiʻe pahiki o ke kūkākūkā i loko o ka abdominal lua, ka mea e manao ia o complications mai ka gastrointestinal'āpana. Kēiaʻano o ka exudate loaa i loko o ka pleural wahi mea he ololi, pinepine e alakai ana ia i ka make a me ke kīnā loaa kanaka. Kēia pili ana i ka pono no ka resection o ka pancreas a spleen.

Oia complications ke hana i loko o nā kānaka a me nā wāhine o nā makahiki, no laila lapaʻau e e hoʻomaka 'ana i kakahiaka nui i hiki, a no ka hoʻohana kāohi ana.

Kāohi

E pale i ka hanana o ka maʻi i hiki i hoʻomāhuahua o loli i loko o ka pleural lua, ka mea pono e kokeʻia. Inā antibiotic Inc aʻoki kino ua holomua, neʻe i aiiieieoaeuiuo iiauo hana. Kēia paha e ka rejection o ka inoinoʻano, ola Aloha Hawaii, e lawe ana wikamina pono a me ka waiwai maikaʻi kēia eiiiiiaiou o ka ai '.

Kāohi ana Pono e komo i ka mahalo no ka physical hana, a me ka kuikawāʻai. E e hoʻopau i kekahi i kela la 'aelike like ka nui me hiki, naciiiuo hua a me ka lau, maoli nā polokina, carbohydrates, bipi kūpaluʻia, ai. Kauka paipai aku i ka hana e hoohana i kēlā lā, pio, a hele i ka hailona ma ka wawae. Kēia kokoke i ka Kāohiʻana o ka maʻi i loko o 100% ka hoʻokō.

ka hopena

No laila mea ina i ka wai ua 'akomi i loko o ka pleural lua? Ke kumu no ia i pathological ana o ke kūpono 'ana o ka maʻi, pinepine he kaumaha. Ma kekahi mau hihia, i ka maʻi i waho hiki alakai i ka make. Mai poina e nīnau aku i ka hoʻomalu, ka mea ma hope o ka PalekanaEND_LINK ana e hoonoho i ka lapaau kūpono a me ke akamai. I mea e pale aku i ke kūpono 'ana o ka maʻi Kāohi E e hahai.