He aha kēia 'pleura' e hoʻopuni ana i nā māmā? E ʻike pono anei kākou?

Hanu mau kākou a pau, ʻeā? Akā, ua noʻonoʻo anei kākou i ke ʻano o ka hana mālie a me ka palekana o ko kākou mau māmā i loko o ko kākou umauma? I kēlā me kēia manawa a kākou e hanu ai, hoʻopū a hoʻohaʻahaʻa ko kākou mau māmā e like me ka pōpō. Ke hana ʻia kēia, loaʻa i kēia mau māmā kahi uhi pale kūikawā e kōkua iā lākou e neʻe mālie a maʻalahi me ka ʻole o ka hamo ʻana i nā paia o loko o ka umauma. ʻO ia ka mea a kākou e kapa nei he 'pleura' i ka lāʻau lapaʻau. I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia pleura, kāna hana, a me nā pilikia olakino e hiki ai ke hana.

I ka ʻōlelo maʻalahi, he aha ka pleura?

E noʻonoʻo ʻoe e pelu ana i kahi ʻeke polythene i ka hapalua. I kēia manawa, ʻo ka mea e hana nei ma ʻaneʻi ua like ia me ke kau ʻana i kahi pōpō ʻē aʻe i loko. He membrane lahilahi loa ka pleura, e like me ke wai . He ʻelua papa kona.

1. Papa o loko (Visceral Pleura): ʻO kēia ka ʻāpana e hoʻopuni pono ana i ko kākou mau māmā, nā kīʻaha koko e hele ana iā lākou, a me nā aʻalolo. Ua like ia me ka mīkina lima e pipili ana i kou lima. ʻO ka mea nui loa, ʻaʻohe aʻalolo ʻike ʻeha o kēia papa.

2. Papa waho (Parietal Pleura): ʻO kēia ka ʻāpana i hoʻopili ʻia i ka paia o loko o ka umauma, ʻo ia hoʻi, nā iwi ʻaoʻao a me ko lākou mau ʻiʻo pili. Akā he nui nā aʻalolo ʻike ʻeha . ʻO ia ke kumu i ka wā e pilikia ai me ka pleura, manaʻo mākou i ka ʻeha nui o ka umauma, no ka mea, ua pehu kēia papa waho.

Aia kahi hakahaka liʻiliʻi ma waena o kēia mau papa ʻelua. Kapa mākou ia he wahi pleural . Aia i loko o kēia hakahaka kahi papa lahilahi loa o ka wai (wai pleural) e hana ana e like me ka lubricant. Ma muli o kēia wai i ka wā e hanu ai mākou a hoʻopiha i nā māmā, e paheʻe mālie kēia mau papa ʻelua me ka ʻole o ke kuʻi ʻana kekahi i kekahi. Ua like kēia me ke kau ʻana i kahi wai liʻiliʻi ma waena o nā kīʻaha ʻelua a paheʻe maʻalahi lākou.

He aha nā kūlana maʻamau e hoʻopilikia ai i ka pleura?

ʻO ka mea pōʻino, hiki ke hoʻopilikia ʻia kēia membrane palupalu e nā ʻano maʻi like ʻole, hiki ke hoʻoulu i nā pilikia hanu a me ka ʻeha nui. E nānā kākou i kekahi o nā maʻi maʻamau.

He aha nā hōʻailona o ka hōʻino ʻia ʻana o ka pleural?

E noʻonoʻo ua pā ʻia ʻoe ma ka umauma e kahi pōpō wikiwiki i ka wā e pāʻani ana i ka cricket, a i ʻole ua hāʻule ʻoe mai kahi paikikala. Hiki i kēia ke hōʻino i ka pleura. Aia kekahi mau hōʻailona nui āu e ʻike ai:

• ʻEha nui o ka umauma:ʻO kēia ka hōʻailona nui. ʻOi aku ka ʻeha o kēia ʻeha i ka wā e hanu hohonu ai, e ʻū ana, a e ʻūhā ana paha . Ua wehewehe ka poʻe he nui me he mea lā e hou ana kekahi iā lākou i ka umauma me ka pahi.
• ʻO Dyspnea: ʻO ka paʻakikī o ka hanu ʻana, kahi manaʻo o ka ʻūlū ʻana, ke hiki mai ka wā hiki ʻole i nā māmā ke hoʻonui pono.
• Ka hanu wikiwiki a pōkole: ʻOiai ʻaʻole hiki iā ʻoe ke hanu hohonu ma muli o ka ʻeha, piʻi aʻe kou wikiwiki hanu a ke ʻano nei ʻoe e hanu pōkole.
• Kuke: Hiki i kekahi poʻe ke loaʻa i ka kuke maloʻo.

Āhea ʻoe e ʻike koke ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, pono ʻoe e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa .

• Ka ʻeha umauma ʻoi a koke ʻole hoʻi i hiki ʻole ke hoʻomanawanui.
• He mea paʻakikī loa ka hanu ʻana.
• Nā lehelehe polū a ʻili paha (ʻo ia hoʻi, ʻaʻole lawa ka oxygen i ke kino).
• Ka hou nui ʻana a me ka nāwaliwali.

Pehea e ʻike ai nā kauka i kēia mau kūlana?

Ke hele ʻoe i ke kauka, e nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a e hoʻolohe i kou umauma me ka stethoscope. Inā he pilikia me ka pleura, lohe paha ʻoe i kahi ʻūlū pleural. Eia kekahi, hiki iā ia ke hana i kekahi mau hoʻokolohua e hōʻoia i ke kūlana pololei.

• X-ray o ka umauma: Hiki i kēia ke nānā no ka hōʻiliʻili ʻana o ka wai a i ʻole ka ea i loko o ka hakahaka pleural, a no ka hiolo ʻana o ka māmā.
• ʻO CT Scan a me Ultrasound Scan: Hāʻawi kēia i nā kiʻi ʻoi aku ka maopopo a me ka kikoʻī ma mua o nā kukuna X. Kōkua lākou i ke kuhikuhi ʻana i kahi kikoʻī o ka pilikia.
• Thoracentesis: Pili kēia i ka hoʻohana ʻana i kahi nila lahilahi loa e wehe i kahi hāpana liʻiliʻi o ka wai mai ka hakahaka pleural a hoʻouna iā ia i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. Hiki i kēia ke kōkua i ka ʻike ʻana i nā mea e like me ka maʻi a me ke alo o nā hunaola kanesa.
• Thoracoscopy: Pili kēia i ka hoʻokomo ʻana i kahi ʻōmole liʻiliʻi i lako me ke kāmela i loko o ka umauma e nānā i ka pleura a me nā māmā mai loko mai. Hoʻohana ʻia kēia kaʻina hana e lawe i kahi hāpana ʻiʻo (biopsy) inā pono.

He aha nā lāʻau lapaʻau no kēia?

Aia ka lāʻau lapaʻau i kou kūlana a me kona koʻikoʻi.

• Nā ʻano lāʻau lapaʻau:Inā he maʻi, e hāʻawi ʻia nā antibiotic a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe e mālama ai. E hāʻawi ʻia nā lāʻau hoʻopau ʻeha e kāohi i ka ʻeha.
• Ke lawelawe ʻana i ka oxygen: Inā pilikia ka hanu ʻana, hoʻolako ʻia ka oxygen.
• Ka wehe ʻana i ka wai a i ʻole ka ea: Inā ua hōʻiliʻili ʻia ka nui o ka wai a i ʻole ka ea i loko o ka hakahaka pleural, hoʻokomo ʻia kahi nila a i ʻole kahi ʻōmole liʻiliʻi (ʻōmole umauma) e wehe ai.
• ʻOki kino: I kekahi mau hihia, pono paha ke ʻoki kino, ʻoiai inā piha pinepine ka ea a i ʻole he mau pilikia ʻē aʻe.
• Lāʻau lapaʻau no ke kanesa: Inā he maʻi kanesa ke ʻano, ua ʻōlelo ʻia nā lāʻau lapaʻau kūikawā e like me ka radiation therapy a me ka chemotherapy.

He aha kā mākou e hana ai e mālama i ke olakino o ko mākou pleura?

ʻOiai ʻaʻole hiki iā mākou ke pale iā mākou iho mai nā maʻi āpau, nui nā mea hiki iā mākou ke hana e hōʻemi i ko mākou pilikia.

• E pale loa i ka puhipaka: ʻO ka puhipaka kahi ʻenemi nui o nā māmā a me ka pleura. ʻO ka puhipaka kahi kumu pilikia nui no nā maʻi e like me ka pneumothorax.
• E pale iā ʻoe iho mai nā ulia: E kau i ke kāʻei noho i kēlā me kēia manawa āu e noho ai i loko o ke kaʻa. E hoʻohana i nā lole pale a me nā lako e pono ai i ka wā e pāʻani ana i nā haʻuki (ʻoi aku ka rugby a me ka pôpeku).
• E pale i nā maʻi: E holoi pono i kou mau lima me ke kopa a me ka wai i nā manawa a pau. Hiki i kēia ke kōkua i ka pale ʻana iā ʻoe mai nā maʻi hanu he nui.
• E noho mamao aku mai ka asbestos: Hiki ke loaʻa i nā hale kahiko e wāwahi ʻia ana a ma kekahi mau hale hana. E pale i ka pili ʻana i ia mau mea.

Ua like kou pleura me ke koa hāmau o ka ʻōnaehana hanu. ʻIke wale mākou i kona waiwai ke loaʻa kahi pilikia me ia. No laila he mea nui loa ka mālama ʻana iā ia.