Ke paʻakikī nei ʻoe i ka hanu ʻana a ke manaʻo nei i ka ʻūlū ʻana i loko o kou umauma? I kekahi manawa hiki ke hana ʻia kēia e ka hōʻiliʻili pono ʻole ʻana o ka wai a puni kou mau māmā. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻano '(pleural effusion)'. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau maʻalahi akā koʻikoʻi loa no kēia.
He aha ka Thoracentesis?
I ka ʻōlelo maʻalahi, e noʻonoʻo i kēia ʻano. I mea e hana pono ai ka laka puka a ʻaʻole e paʻa, hoʻokomo mākou i kahi ʻaila i loko, ʻeā? Pēlā nō, ke hanu mākou, aia kahi wai liʻiliʻi i loko o ka hakahaka ma waena o nā māmā a me ka paia o ka umauma, i kapa ʻia ʻo "pleural space", i ʻole e pipili ko mākou mau māmā i nā paia o ka umauma a hiki ke hoʻonui a ʻūlū maʻalahi.
Eia nō naʻe, ma muli o kekahi mau maʻi, hiki i kēia wai ke hōʻiliʻili nui. A laila, ʻaʻole lawa ka hakahaka o nā māmā e pehu pono ai a lilo ia i mea paʻakikī ke hanu. I kēlā manawa, ʻo ka hoʻohana ʻana i kahi mea hana e like me ke nila, i hoʻokomo ʻia i loko o ka umauma mai ke kua a wehe i kēia wai keu ua kapa ʻia ʻo `(Thoracentesis)`.
He hana ʻoki kino nui anei kēia?
ʻAʻole, ʻaʻole loa. ʻAʻole kēia he ʻoki kino nui. He hana "minimally invasive" kēia, ʻo ia hoʻi, ʻaʻohe ʻoki nui i hana ʻia. He lua liʻiliʻi wale nō i hana ʻia i loko o ka ʻili. No laila, he pōkole ka manawa hoʻōla a he haʻahaʻa loa nā pilikia.
He aha nā kumu e hana ʻia ai ka thoracentesis?
Hana ʻia kēia lāʻau no ʻelua kumu nui: ʻo kekahi e ʻike i ka maʻi, a ʻo kekahi e hōʻoluʻolu i nā hōʻailona.
| Kumu no ka mālama ʻana | Wehewehena |
|---|---|
| No ka hōʻoia ʻana | E ʻimi i ke kumu o ka hōʻiliʻili ʻana o ka wai a puni nā māmā. Hiki ke hoʻouna ʻia kahi laʻana o ka wai i lawe ʻia ma kēia ʻano i kahi keʻena hoʻokolohua e hoʻoholo ai inā he maʻi, nā hunaola kanesa, a i ʻole kekahi pilikia ʻē aʻe. |
| E hōʻemi i nā hōʻailona | Inā pilikia ʻoe i ka hanu ʻana ma muli o ka nui o ka wai i hōʻiliʻili ʻia a i ʻole ke kaumaha nei i kou umauma, hiki ke wehe ʻia kekahi o kēia wai e hōʻemi i ka ʻeha. E ʻike ʻoe i ka hōʻoluʻolu nui. |
I ka maʻalahi, hiki i kēia ke kōkua i ka ʻike ʻana i ka maʻi a hoʻēmi i ka ʻoluʻolu ʻole i hoʻokumu ʻia e ia.
He aha ke kumu e piha ai ka wai a puni nā māmā e like me kēia?
Hoʻohana ʻia ka Thoracentesis e mālama i kahi maʻi i kapa ʻia ʻo pleural effusion. Eia nō naʻe, aia kekahi mau maʻi kumu e hiki ai ke hoʻoulu i kēia maʻi. ʻO kekahi o lākou:
- Ka hāʻule ʻana o ka puʻuwai paʻa
- Ka maʻi ʻaʻai
- ʻO ka maʻi pneumonia a i ʻole nā maʻi māmā ʻē aʻe (bacterial, viral)
- Nā maʻi autoimmune e like me ka lupus (Lupus/SLE)
- ʻO ke koko i loko o nā māmā (pulmonary embolism)
- ʻO kekahi mau maʻi koko kiʻekiʻe (pulmonary hypertension)
- Ka mumū ʻana o ka pancreas (pancreatitis)
- Maʻi puʻupaʻa a i ʻole ke akepaʻa
- ʻO ka maʻi puʻupuʻu (TB)
ʻO ka mea maʻamau o kēia, ʻo ia ka hōʻiliʻili ʻana o ka wai a puni nā māmā ma muli o nā pilikia puʻuwai.
Pehea e hiki ai iā ʻoe ke hoʻomākaukau no kēia ma mua?
ʻAe, i kēia manawa e ʻōlelo kākou ua haʻi aku ke kauka iā ʻoe e loaʻa i kēia lāʻau lapaʻau. No laila he aha kāu e hana ai? E hāʻawi ke kauka iā ʻoe i kekahi mau kuhikuhi kikoʻī. A pono hoʻi ʻoe e hoʻomaopopo i ke kauka e pili ana i kēia mau mea.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei: He mea nui loa kēia inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko .
- E haʻi mai iā mākou inā he maʻi kahe koko kou: He mea nui loa e hoʻomaopopo mai iā mākou inā he pilikia kou e pale ai i kou koko mai ka maʻalahi o ke kāpili ʻana.
- E haʻi mai iā mākou inā ua hāpai ʻoe a manaʻo paha ʻoe ua hāpai.
- E haʻi mai iā mākou inā he mau maʻi ʻaleka kou i kekahi mau lāʻau lapaʻau, nā plasters, a i ʻole ka latex.
- Hiki ke noi ʻia paha ʻoe e lawe mai i kekahi e lawe iā ʻoe i ka home ma hope o ka mālama ʻana.
He aha ka mea e hana ʻia i ka wā o ka thoracentesis?
Hana pinepine ʻia kēia ma ka haukapila, a ʻo ke kaʻina hana holoʻokoʻa he 15 mau minuke ka lōʻihi. Ua ala ʻoe i kēia manawa.
Ma mua o ka mālama ʻana
E nānā ʻia kou koko a me nā pae oxygen. E hoʻohana ʻia kahi X-ray, ultrasound, a i ʻole CT scan e hoʻoholo ai i kahi kikoʻī a me ka nui o ka wai. A laila e noi ʻia ʻoe e noho ma luna o kahi papaʻaina me kou mau lima ma luna o ka papaʻaina a kūlou i mua. ʻO kēia ke kūlana maʻalahi loa. Inā ʻaʻole hiki iā ʻoe ke hana i kēia, e noi ʻia ʻoe e moe ma kou ʻaoʻao.
I ka wā o ka mālama ʻana
1. ʻO ka mea mua, e hoʻomaʻemaʻe pono ʻia ka wahi e hoʻokomo ʻia ai ka nila ma kou kua me kahi wai antiseptic.
2. A laila , hoʻokomo ʻia kahi lāʻau hoʻomālielie i loko o ka wahi. Me he mea lā e nahu ana kahi ʻanuʻu liʻiliʻi iā ʻoe, akā a laila e mae wale ka wahi a ʻaʻole ʻoe e ʻeha.
3. Ke mae ka ʻāpana, e hana ke kauka i kahi ʻoki liʻiliʻi, e hoʻokomo i kahi nila ma waena o nā iwi ʻaoʻao, a e wehe i ke kahe keu i loko o kahi syringe a i ʻole kahi paipu i loko o kahi ʻōmole. Hiki ke hoʻokomo ʻia ka nila me ka hoʻohana ʻana i kahi scan ultrasound.
4. Hiki paha iā ʻoe ke manaʻo i kahi kaomi iki a i ʻole ka ʻoluʻolu ʻole ke wehe ʻia ke wai, akā ʻaʻole pono e ʻeha. Inā ʻeha kou umauma a paʻakikī paha ka hanu ʻana, e haʻi koke i kāu kauka.
5. Ma hope o ka lawe ʻia ʻana o ka nui o ka wai e pono ai, e wehe ʻia ke kui a hoʻopili ʻia kahi band-aid liʻiliʻi.
Ma hope o ka mālama ʻana
Ma hope o ka lāʻau lapaʻau, loaʻa paha iā ʻoe kekahi X-ray ʻē aʻe e nānā inā olakino kou mau māmā. Inā maikaʻi kou kūlana, hiki iā ʻoe ke hoʻi i ka home i ka manawa pōkole. Loaʻa paha iā ʻoe ka ʻū no hoʻokahi hola ma hope o ka lāʻau lapaʻau. He mea maʻamau kēia, mai hopohopo. ʻO kēia no ka mea ke hoʻomaikaʻi hou nei kou mau māmā i ka hoʻonui ʻana.
He aha nā pōmaikaʻi a me nā pilikia o kēia?
E like me nā lāʻau lapaʻau āpau, he mau pono kēia a he liʻiliʻi loa nā pilikia.
| Nā Pōmaikaʻi | Nā Pōʻino |
|---|---|
| He mau mea kākaʻikahi loa kēia:
|
ʻEhia ka lōʻihi e ho'ōla ai a āhea ʻoe e ʻike ai i ke kauka?
ʻAʻole lōʻihi ka manawa e ho'ōla ai. E haʻi aku kāu kauka iā ʻoe e pale i ka hana ikaika no ʻelua lā. Hiki iā ʻoe ke wehe i ke kāʻei ma hope o 24 mau hola.
Eia nō naʻe, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, mai hoʻokaʻulua a e ʻike koke i kāu kauka. A i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- Kuni.
- ʻUlaʻula, pehu, a kahe paha ke koko ma kahi i hoʻokomo ʻia ai ke nila.
- ʻEha ka umauma a i ʻole ka ʻeha i ka wā e hanu hohonu ai.
- Ke ʻū ʻana i ke koko (hemoptysis).
- Ka paʻakikī koke o ka hanu ʻana.
Leka Lawe-Home
- He hana maʻalahi a palekana ka Thoracentesis e wehe ai i ke kahe keu e hōʻiliʻili ana a puni nā māmā.
- ʻAʻole kēia he hana ʻoki kino nui, he 15 mau minuke wale nō ka lōʻihi.
- Hāʻawi koke kēia i ka hōʻoluʻolu mai ka hanu pōkole a kōkua i ka ʻike ʻana i ke kumu o ka hōʻiliʻili ʻana o ka wai.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei a me kou mau kūlana olakino ma mua o ka mālama ʻana.
- Inā loaʻa iā ʻoe ke kuni, ka ʻeha o ka umauma, a i ʻole ke kuni nui ma hope o ka lāʻau lapaʻau, e ʻimi koke i ke kōkua lapaʻau.
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