E aʻo kākou e pili ana i ka pleura e uhi ana i kou mau māmā.

Ua lohe paha ʻoe i ka huaʻōlelo "pleura"? Ua lohe paha ʻoe i kēia huaʻōlelo mai kāu kauka mai, ma ka haukapila, a i ʻole ke kamaʻilio ʻana e pili ana i ke olakino. He ʻāpana koʻikoʻi loa ia o ko mākou kino, ʻoiai ka ʻōnaehana hanu. Akā, ʻaʻole ʻike nui ka poʻe he nui e pili ana i ia mea. No laila, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o kēia pleura, he aha ka lawelawe āna e hāʻawi ai i ko mākou kino, he aha nā maʻi e hiki ai ke hana, a pehea e mālama ai i kona olakino ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo.

He aha maoli ka pleura?

I ka ʻōlelo maʻalahi, ʻo kou pleura he membrane lahilahi i piha i ka wai e uhi ana i kou mau māmā, e like me ka uhi puke. Hoʻopuni ia a puni kou mau māmā a pale iā lākou. Hoʻopili pū ia i loko o ka paia o kou umauma (thorax). He ʻāpana koʻikoʻi ia o kāu ʻōnaehana hanu .

No laila, he aha ka lawelawe a kēia membrane pleural e hāʻawi mai ai no mākou?

ʻO ka hana nui a koʻikoʻi loa o kēia pleura, ʻo ia ke pale ʻana i kou mau māmā. Eia kekahi, ke hanu mākou, hoʻonui a hoʻohaʻahaʻa nā māmā, ʻeā? Ke hana ʻia kēlā, ʻo kēia pleura ka mea e pale ai i nā māmā mai ka hamo ʻana i ka paia o ka umauma. E noʻonoʻo i ka mea e hana ʻia inā ʻaʻole kēia pleura ma laila. Inā hoʻomau nā māmā i ka hamo ʻana i ka paia o ka umauma, hiki iā lākou ke ʻeha a ʻeha. No laila, hana kēia pleura e like me kahi uluna a kōkua i nā māmā e neʻe mālie me ka ʻole o ke keʻakeʻa. ʻO ia ke kumu e hiki ai iā mākou ke hanu maʻalahi me ka ʻole o ka ʻeha.

Ma hea i loko o ke kino e loaʻa ai kēia pleura?

E nānā kākou i kekahi o nā wahi i loaʻa ai kou pleura:

• ʻO ka mea mua, aia kou paia umauma (paia thoracic), ʻo loko ona ua aneane uhi piha ʻia e kēia pleura.
• ʻO ka mea aʻe, hohola kēia pleura a puni kou puʻuwai. A laila, aia ka ʻāpana waena o kou lua umauma, i kapa ʻia ʻo mediastinum, a kōkua pū kēia pleura i ka hana ʻana i nā paia ʻaoʻao.
• ʻO ka mea hope loa, a ʻo ka mea nui loa, ua uhi piha ʻia ka ʻili o kou mau māmā ʻelua e kēia pleura, e like me nā mīkina lima.

He aha nā ʻāpana i loko o ka pleura?

ʻAʻole hoʻokahi membrane ka pleura. He ʻelua papa nui kona. Ma waena o kēia mau papa ʻelua aia kahi hakahaka liʻiliʻi, e like me ka ʻeke. Kāhea mākou i kēia ʻo ka pleural space . ʻAʻole wale kēia pleural space he hakahaka. I loko he papa lahilahi loa o ka wai i kapa ʻia ʻo pleural fluid . He mea nui loa kēia wai. No ka mea, ke hanu ʻoe, ʻo kēia wai pleural ka mea e kōkua ai i nā papa ʻelua o ka pleura e paheʻe kekahi ma luna o kekahi. Ua like kēia me ke kau ʻana i ka ʻaila i loko o kahi mīkini.

I kēia manawa, e nānā kākou i kēlā mau papa ʻelua o ka pleura:

• ʻO ka pleura Visceral: ʻO kēia ka papa o loko loa o ka pleura. Uhi pololei ia i kou mau māmā, nā kīʻaha koko e hele ana iā lākou, ka bronchi, a me nā aʻalolo. ʻO ka mea kūikawā e pili ana i kēia, ʻaʻohe aʻalolo sensory i loko o ka pleura visceral. ʻO ia hoʻi, ʻaʻole ʻoe e ʻeha i ka wā e hana ʻia ai kekahi mea i kēia papa.
• ʻO ka pleura parietal: ʻO kēia ka papa ʻē aʻe o ka pleura, ka mea o waho. Hoʻopili ʻia ia i kou paia umauma, nā ʻiʻo umauma, a me ka diaphragm ma luna o kou umauma. ʻAʻole e like me ka pleura visceral, i ʻōlelo ʻia ma mua, he ʻeha loa ka pleura parietal i ka ʻeha. ʻO ia hoʻi, inā ua hōʻino ʻia a pehu paha kēia papa, hiki iā ʻoe ke ʻike i ka ʻeha nui.

He aha nā maʻi maʻamau e hiki ke hoʻopilikia i ka pleura?

ʻO ka mea pōʻino, hiki ke hoʻopilikia ʻia kēia pleura e nā maʻi like ʻole a me nā maʻi. E nānā kākou i kekahi o lākou:

• Pleurisy: Ua lohe paha ʻoe i kēia. I ka ʻōlelo maʻalahi, he mumū ia o kou pleura. E like me ka wā e loaʻa ai iā mākou kahi ʻeha ma kekahi wahi o ko mākou kino, hiki i ka pleura ke pehu i kēia ʻano. A laila, i ka wā e hanu ai mākou a i ʻole ke kuni ʻana, hiki iā mākou ke manaʻo i ka ʻeha nui ma ko mākou umauma.
• ʻO ka effusion pleural: ʻO kēia ka wā e nui loa ai ka wai pleural i ka hakahaka pleural a mākou i kamaʻilio ai ma mua, ʻo ia hoʻi, ua hōʻiliʻili ʻia ma mua o ka mea e pono ai. Ke hana ʻia kēia, ʻaʻole lawa ka lumi o nā māmā e pehu pono ai, hiki ke pilikia i ka hanu ʻana.
• Hemothorax: ʻO ke ʻano o "Hemo" ke koko. ʻO kēia ka wā e hōʻiliʻili ai ke koko i loko o ka hakahaka pleural. Hana pinepine ʻia kēia ma hope o kahi ʻeha koʻikoʻi i ka umauma. No ka laʻana, kahi ulia kaʻa, ka hāʻule ʻana mai kahi kiʻekiʻe, a i ʻole kahi ʻeha hou. Ke hōʻiliʻili kēia koko, kau ia i ka nui o ke kaomi ma luna o nā māmā, e paʻakikī loa ai ka hanu ʻana.
• Pneumothorax: ʻO "Pneumo" ke ʻano o ka ea. ʻO kēia ka manawa e komo ai ka ea i loko o ka pleural space a kau i ke kaomi ma luna o nā māmā. Hiki nō hoʻi kēia ke hana ma hope o kahi ulia. Eia nō naʻe, hiki ke hana ʻia i kekahi manawa me ke kumu ʻole, ʻoiai inā he puhipaka ʻoe. He mea weliweli nō hoʻi ia no ka poʻe e hele pinepine ana ma nā mokulele a i ʻole ka poʻe i ʻike ʻia i nā loli nui o ke kaomi ea, e like me ka luʻu scuba.
• Hemopneumothorax: He hui pū ʻana kēia o ka hemothorax a me ka pneumothorax i ʻōlelo ʻia ma mua. ʻO ke ʻano kēia, komo ke koko a me ka ea i ka hakahaka pleural i ka manawa like . Hana pinepine ʻia kēia ma hope o kekahi ulia koʻikoʻi.
• ʻO ka mesothelioma pleural:He kūlana koʻikoʻi kēia. He ʻano maʻi ʻaʻai ia e hoʻomaka ana i loko o nā pūnaewele o ka pleura. Hoʻopili pinepine ʻia ia me ka ʻike ʻana i nā mea e like me ka asbestos.

He aha ka mea e hana inā ua hōʻino ʻia ka pleura?

Inā he pōʻino i ka pleura, hiki iā ʻoe ke manaʻo ma nā ʻano like ʻole. ʻO ka mea maʻamau, hiki iā ʻoe ke manaʻo i kahi ʻeha ʻoi a ʻoi i loko o kou umauma . Hiki ke ʻoi aku ka ʻino o kēia ʻeha ke hanu maʻamau ʻoe, lawe i ka hanu hohonu, a i ʻole ke kuʻi a ʻakaʻaka paha. Hiki iā ʻoe ke manaʻo e like me ʻaʻole hiki iā ʻoe ke hanu pono, a i ʻole ʻoe e manaʻo i ka pōkole o ka hanu (kahi ʻano i kapa ʻia ʻo dyspnea) .

ʻO ke kumu nui o kēia ʻano hōʻino, ʻo ia ka ʻeha i kou umauma. No ka laʻana, hiki ke hana ʻia e ka hāʻule ʻana, kahi ulia pōpilikia i ka wā e pāʻani ana i nā haʻuki, kahi ulia kaʻa, a i ʻole kahi ʻeha i puka i ka umauma, e like me ka ʻeha hou a i ʻole ka ʻeha pū.

He mea nui loa kēia: Inā loaʻa iā ʻoe nā hōʻailona o ka pleural effusion koʻikoʻi, ʻo ia hoʻi, ka ʻeha nui o ka umauma me ka paʻakikī nui o ka hanu ʻana, pono ʻoe e kelepona koke i ka 1990 (ambulance) a i ʻole kāu helu ulia pōpilikia kūloko a hele i ka haukapila me ka hoʻokaʻulua ʻole.

He aha nā hoʻokolohua i hana ʻia e hoʻoholo pololei ai i ke kūlana olakino o ka pleura?

Inā manaʻo ke kauka he pilikia pleural kou, hiki iā lākou ke hana i kekahi mau hoʻokolohua e ʻike ai:

• Nā hoʻāʻo kiʻi: ʻO kēia nā hoʻāʻo mua i hana ʻia. Hiki i kēia ke komo pū me kahi X-ray umauma, CT scan, a i ʻole ultrasound . Hiki i kēia ke nānā i nā mea e like me ke wai a i ʻole ka ea i loko o nā māmā, pleura, a me ka hakahaka pleural.
• Thoracentesis: He hana ʻoki liʻiliʻi kēia. Ma kēia kaʻina hana, hoʻokomo ke kauka i kahi nila lahilahi loa i loko o ka hakahaka pleural ma waena o ʻelua o kou mau iwi ʻaoʻao a lawe i kahi laʻana o ka wai pleural. A laila hoʻouna ʻia ka laʻana i kahi lab e hoʻāʻo ʻia no ka maʻi a me nā cell cancer.
• Thoracoscopy: He hoʻāʻo kūikawā ʻē aʻe kēia. Ma kēia hoʻāʻo, hoʻokomo ke kauka i kahi ʻōmole lahilahi a palupalu me kahi kukui liʻiliʻi a me ke kāmela ma kekahi ʻaoʻao ma o kahi ʻoki liʻiliʻi ma ka umauma e nānā pololei i ka hakahaka pleural a me ka ʻili o ka māmā. Inā pono, hiki ke lawe ʻia kahi hāpana ʻiʻo (biopsy) i kēia manawa.

Pehea ʻoe e mālama ai i ka pleural effusion?

ʻO ka lāʻau lapaʻau no ka pleurisy e pili maoli ana i ke ʻano o kou maʻi a me kona koʻikoʻi. ʻAʻohe lāʻau lapaʻau hoʻokahi e kūpono i nā mea āpau. ʻO nā lāʻau lapaʻau maʻamau:

• Inā pili ka pleura i kahi maʻi , hiki ke kuhikuhi ʻia nā antibiotics a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe .Hāʻawi. Hāʻawi pū ʻia nā lāʻau lapaʻau e hōʻoluʻolu i nā hōʻailona e like me ka ʻeha a me ka paʻakikī o ka hanu ʻana.
• Inā pilikia ka hanu ʻana , hāʻawi ʻia ka oxygen therapy .
• Inā ua hōʻiliʻili ʻia ka nui o ka wai a i ʻole ka ea i loko o ka hakahaka pleural, hiki ke wehe ʻia me kahi ʻōmole (chest tube drainage).
• I kekahi mau hihia koʻikoʻi, ʻoiai hoʻi i nā hihia o ke kahe ʻana o ke koko, ka hōʻiliʻili pinepine ʻana o ka ea, a i ʻole ke kanesa , pono paha ke ʻoki kino .
• ʻO ka poʻe i nāwaliwali loa ka hanu ʻana, hiki ke hoʻopili ʻia i ka mechanical ventilation , kahi mīkini e kōkua iā lākou e hanu.
• No ka mālama ʻana i kahi kūlana e like me ka pleural mesothelioma, pono nā lāʻau lapaʻau maʻi kanesa e like me ka radiation therapy, chemotherapy, a i ʻole immunotherapy .

Pehea e mālama ai i koʻu pleura i ke olakino a me ke olakino?

Aia kekahi ʻōlelo e ʻōlelo nei, "ʻOi aku ka maikaʻi o ka pale ʻana i kahi maʻi ma mua o ka ʻeha ʻana ma hope." No laila, eia kekahi mau mea maʻalahi hiki iā ʻoe ke hana e hōʻemi i ka pilikia o ka hōʻino ʻana i kāu pleura:

• E hoʻōki loa i ka hoʻohana ʻana i nā huahana paka. ʻO ia hoʻi, e pale loa i ka puhipaka a me ka vaping. He mea ʻino loa ka puhipaka i nā māmā a me ka pleura.
• E kau pono i kou kāʻei noho i kēlā me kēia manawa āu e noho ai i loko o ke kaʻa, ʻoiai no kahi mamao pōkole. E kōkua kēia i ka hōʻemi ʻana i ka pilikia o nā ʻeha umauma i kahi ulia kaʻa.
• Inā ʻoe e pāʻani i nā haʻuki pili e like me ka rugby a i ʻole ka mokomoko, e ʻaʻahu i nā pale palekana kūpono.
• E kaupalena i nā hana e pili ana i nā loli nui i ke kaomi ea, e like me ka lele pinepine ʻana a me ka luʻu ʻana i ka scuba, i ka hiki. A i ʻole, e hahai i nā kaʻina hana palekana no kēlā mau hana.
• Hiki i nā maʻi bacteria a me nā viral ke hana i nā pilikia pleural. No laila, e holoi mau i kou mau lima me ke kopa a me ka wai, ʻoi aku hoʻi ma mua o ka ʻai ʻana a ma hope o ka hoʻohana ʻana i ka lua.
• E pale i ka pili ʻana i ka asbestos . Hiki ke loaʻa i nā hale kahiko a me kekahi mau hale. He kumu nui ia o ka pleural mesothelioma, kahi maʻi ʻaʻai.

Ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi manaʻo maikaʻi e pili ana i ka pleura. ʻO kou pleura ka mea hana leo ʻole o kāu ʻōnaehana hanu. Mālama ia i kou mau māmā mai ka hamo ʻana i ka paia o kou umauma, e maʻalahi ai a ʻoluʻolu hoʻi iā ʻoe ke hanu. Inā loaʻa iā ʻoe kahi maʻi e hoʻopilikia ai i kou pleura, e ʻike maoli ʻoe - e manaʻo paha ʻoe i ka hanu pōkole, a e ʻeha paha kou umauma i kou hanu ʻana. Inā ʻoe e pāʻani i kahi haʻuki hopena kiʻekiʻe, a inā manaʻo ʻoe ua pilikia ʻoe i nā ʻeha pleura, e kamaʻilio me kāu kauka e pili ana i ke ʻano o ka mālama ʻana i kou pleura olakino a pale i nā ʻeha.

No laila, he aha ka mea nui loa e hiki iā kākou ke aʻo mai kēia moʻolelo?

I ka ʻōlelo maʻalahi, ua like kou pleura me ka mea pale a me ka hoaaloha maikaʻi loa o kou mau māmā. He kuleana koʻikoʻi kona i ke kōkua ʻana i kou mau māmā e hana maʻalahi a me ka ʻeha ʻole. No laila, ʻo kou kuleana ke mālama i kēia pleura makamae i ke olakino.

ʻO nā mea maikaʻi loa hiki iā ʻoe ke hana no kou pleura, ʻo ia ke pale loa i ka puhipaka, e hana i nā hana palekana e pale aku iā ʻoe iho mai nā pōʻino, a e ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi pilikia hanu a i ʻole ka ʻeha umauma maʻamau ʻole.

Manaʻolana wau he mea pono kēia ʻike iā ʻoe. E ola kino!

ʻO Pleura, māmā, ʻōnaehana hanu, wai pleural, pneumothorax, pleurisy, ʻeha umauma