Yu go dɔn yɛri bɔt wan ol pɔsin we dɛn put na ɔspitul wit "fluid in the lungs." Sɔntɛm i dɔn apin to pɔsin na yu yon famili. wetin dis "fluid in di lכng" min εksakכt? Dis na sɔntin we wi fɔ fred? Tide, lɛ wi tɔk bɔt dis kɔndishɔn, we dɛn kɔl ``Pleural Effusion'' insay mɛrɛsin, insay wan rili simpul we we yu kin ɔndastand.
Wetin rili min fɔ ful yu lɔng wit wata?
Imajin se wi lɔng dɛn de na wan say we de protɛkt wi insay di chɛst. rawnd dεn lכng dεm ya, εn bak na di insay pat pan di chεst, tu tכn mεmbran dεm de. I tan lɛk balyɔn we de insay balyɔn. Wi kin kɔl dɛn tu mɛmbran ya di pleura.
Nɔmal wan, pan pɔsin we gɛt wɛlbɔdi, na smɔl wata de bitwin dɛn tu mɛmbran ya. I tan lɛk smɔl gris we de na mashin. Bikɔs ɔf dis kayn wata, we wi de blo, we wi lɔng dɛn kɔntrakt ɛn bɔku, da prɔses de kin apin we nɔ gɛt ɛni prɔblɛm ɔ frikshɔn. Dat na di natura way.
bכt insay wan kכndishכn we dεn kכl ``Pleural effusion'', mכr fכ fכm pas aw i nid de kכmכt na di εmpti spεs bitwin dεn tu mεmbran dεm ya. dis na wetin wi kin kכl "fluid in di lכng." fכ bi prεsis, dis wata nכ de fulכp di lכng dεm sεf, bכt bitwin di tu pleura mεmbran dεm we de rawnd di lכng dεm.
Tu men rizin kin de fɔ mek wata de gɛda dis we:
1. Di bɔdi kin de mek tumɔs pan dis wata.
2. If nɔto dat, di bɔdi nɔ go ebul fɔ tek di nɔmal wata we dɛn de mek bak fayn fayn wan .
Ilɛk aw i bi, di tin we kin apin na dat wata kin gɛda rawnd di lɔng dɛn, we kin mek dɛn prɛshɔ, ɛn i kin bigin fɔ mek i nɔ izi fɔ blo.
Tu kayn wata de we kin kam togɛda.
di dכkta dεm de sheb di pleura efyushכn to tu men tכp dεm bay di nεchכr fכ di wata we de kכmכt. Bikɔs di tin dɛn we de insay di wata kin gi gud aidia bɔt wetin na di kɔz.
| Tayp fɔ Fluid | Diskripshɔn ɛn men rizin dɛn |
|---|---|
| Transudative we de mek pɔsin chenj (I gɛt bɔku likwid, i nɔ gɛt bɔku prɔtin) | Fɔ tɔk am simpul wan, dis na wata we tan lɛk "wata". I nɔ gɛt bɛtɛ prɔtin. Dis kin bi bikɔs di prɛshɔn na di blɔd vesel dɛn na di bɔdi de go ɔp ɔ di prɔtin we de na di blɔd de go dɔŋ. Di wata pat dɛn kin lik kɔmɔt na di blɔd vesel dɛn. Di men tin dɛn we kin mek i apin: At nɔ de wok fayn, Sirosis na di Liva, Nɛfrɔtik Sindrom. |
| Exudative we de mek pɔsin kɔmɔt fayn (High density, ay protin) | Dis wata gɛt bɔku bɔku prɔtin, sɛl dɛn, ɛn ɔda tin dɛn. Dis kin kam bikɔs ɔf infekshɔn, inflamɛns, ɔ kansa na ɔ rawnd di pleura. dis na we wata de lik kכmכt na di bכdi vεsul dεm כ di limfatik sistεm nכ ebul fכ pul di wata. Di men tin dɛn we kin mek i apin: Nyumonia, kansa (especially lung, breast cancer), TB, kidni sik, afta dɛn dɔn ɔpreshɔn di at. |
We yu de trit yu, i impɔtant fɔ no uswan pan dɛn tu kayn ya yu gɛt ɛn wetin de mek yu gɛt am.
Us sayn dɛn yu go gɛt?
Sɔm pipul dɛn kin gɛt pleura effusion bɔt dɛn nɔ kin sho ɛni sayn. Dɛn kin fɛn am bay we dɛn de du ɛkstrem rayt na in chɛst fɔ ɔda rizin. Bɔt bɔku pipul dɛn kin gɛt dis sik, mɔ we di wata de bɔku.
- I nɔ kin izi fɔ yu fɔ blo: Dis na di men ɛn kɔmɔn sayn. we wata fulכp rawnd di lכng dεm, i nכ de fכ mek di lכng dεm fכ blo fayn fayn wan. Dis kin mek i nɔ izi fɔ blo ɛn i kin mek yu fil lɛk se yu dɔn swɛla.
- Chɛst pen: Na shap pen we yu kin fil mɔ we yu tek dip briz ɔ kɔf. dis kin apin we di tu pleura mεmbran dεm de rכb tכgeda.
- Dray kɔf: Sɔm pipul dɛn kin gɛt dray kɔf we nɔ de dɔn.
- Ɔtopnia: Dis na sɔm kayn sayn we yu nɔr de si. I kin at fɔ blo we yu ledɔm, bɔt i kin izi fɔ blo we yu sidɔm ɔ tinap.
- Fiva: If di ɔndalayn kɔz na infekshɔn (lɛk nyumonia), sɔm sayn dɛm lɛk fiva ɛn bɔdi pen kin apin bak.
di imכtant tin na dat dεn simptom dεm ya nכto כnli fכ pleura effusion. Dɛn kin si dɛn bak pan ɔda sik dɛm lɛk at sik ɛn asma. So, if yu gɛt dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm fɔ no wetin mek yu gɛt dis sik.
Aw fɔ no dis sik?
We yu go to dɔktɔ, i go aks yu fɔs bɔt yu sik ɛn ɛni ɔda mɛrɛsin we yu go gɛt (lɛk at sik ɔ dayabitis). Dɔn dɛn go put stetɔskɔp na yu chɛst ɛn lisin. If wata de rawnd yu lɔng, di sawnd dɛn we yu kin yɛri we yu de blo kin chenj.
Afta dat, dɛn go ɔda fɔ du bɔku tɛst fɔ no if pɔsin gɛt di sik ɛn fɔ no wetin mek i gɛt am.
- Chɛst ɛkstrem rayt: Dis na di tɛst we impɔtant pas ɔl ɛn we izi fɔ du. di X-ray kin si klia wan if wata de rawnd di lכng dεm εn aw mכch de.
- CT skan: dis kin mek wan klia, tri-dimenshכnal (3D) imej fכ di lכng dεm εn di pleura spεs. dis kin rili εp fכ fכn di kכz fכ di wata we de bכku (lεk tכmכro).
- Ultrasound scan: Dis kin ɛp fɔ no usay di wata de ɛn fɔ no di wata we de insay. Dɛn kin yuz am fɔ ɛp fɔ gayd di nidul fɔ go insay di say, mɔ we dɛn de du sɔntin we gɛt fɔ du wit fɔ pul wata.
- Thoracentesis: Dis na wan pan di impɔtant tɛst dɛm. I min fɔ mek smɔl say na di chɛst, put smɔl nidul bitwin tu rib dɛn, ɛn tek sɔm pan di wata we de rawnd di lɔng dɛn. Dɔn dɛn kin sɛn dis fluid sampul to wan lab fɔ mek dɛn tɛst am.
Wetin yu kin luk fɔ we yu de tɛst wan likwid sɛmpul?
di lab de tεst di wata fכ protin, shuga, di kayn sεl dεm (kansa sεl dεm de?), εn maykro כganism dεm lεk baktri dεm. Dis infɔmeshɔn de ɛp di dɔktɔ fɔ no if na ``Transudative'' ɔ ``Exudative'', ɛn if di kɔz na infɛkshɔn, kansa, ɔ ɔda tin.
Sɔntɛnde, if dɛn tɛst ya nɔ ebul fɔ no wetin mek i apin, dɛn kin du wan tin we dɛn kɔl thoracoscopy ɔ VATS. dis involv fכ put kamera tru wan כ mכr sכm sכm sכm say dεm na di chεst fכ luk di pleura εn di lכng dεm dairekt wan. Dɛn kin tek sɛmpul bak pan di tisu fɔ mek dɛn tek am bayɔpsi.
Wetin na di tritmɛnt dɛn?
Tu men gol dεm de fכ trit pleura effusion:
1. Fɔ pul di wata we pasmak ɛn fɔ pul di prɔblɛm dɛn we pɔsin kin gɛt we i de blo.
2. Fɔ trit di ɔndalayn kɔz fɔ dis wata we de bɔku ɛn fɔ mek di wata nɔ bɔku.
Mɛmba se fɔ jɔs pul di wata we de rawnd di lɔng dɛn nɔ go du fɔ yu. If dɛn nɔ trit di ɔndalayn kɔndishɔn, di wata kin ful-ɔp bak.
1. Fɔ trit di ɔndalayn kɔz
- If wata gɛda bikɔs di at nɔ de wok fayn , dɛn kin gi am mɛrɛsin dɛn we de mek di at wok fayn ɛn diuretics (wata pils) we de pul di wata we pasmak na di bɔdi.
- Di tin we mek i apin: NyumoniaIf na baktri infekshɔn, dɛn kin gi am antibayɔtik.
- If di kɔz na kansa , yu go nid fɔ du kemotɛrapi ɛn redyushɔn tɛrapi.
2. Di we dɛn fɔ pul di wata we dɔn gɛda
- Therapeutic Thoracentesis: Dis na di sem tɛst we wi bin dɔn tɔk bɔt, bɔt instead fɔ tek sampul, dɛn kin pul bɔku pan di wata we dɛn kin yuz wit nidul. Dis kin mek di pɔsin we sik fil fri wantɛm wantɛm.
- di chεst tyub: if di wata tu bכku כ di wata tik (lεk pus), dεn kin put sכm sכm tכb we dεn kכl ``chεst tyub'' na di chεst fכ fכ fכ de. di wata de kכmכt sכmtεm insay wan bכtul tru dis tכb.
- Pleural Sclerosis: Dɛn kin yuz dis prosidur if wata kɔntinyu fɔ gɛda bikɔs ɔf sɔntin lɛk kansa. insay dis prosidכs, dεn de put spεshal mεdisin (lεk talk) tru wan chεst tכb bitwin di tu pleura mεmbran dεm. Dis mɛrɛsin kin mek di tu mɛmbran dɛn inflamɛns, we kin mek dɛn stik togɛda. Dɔn dis kin mek di ples we wata kin gɛda bak nɔ de igen.
- Ɔpreshɔn: If ɔda we dɛn nɔ wok ɔ if tik layt dɔn fɔm rawnd di pleura bikɔs ɔf infɛkshɔn, i kin nid fɔ du ɔpreshɔn.
- VATS (Video-assisted thoracoscopic surgery): Na ɔpreshɔn we dɛn kin du bay we dɛn yuz kamɛra we dɛn kin put tru smɔl smɔl say dɛn we dɛn kɔt.
- Thoracotomy: Na tradishɔnal ɔpreshɔn we dɛn kin opin di chɛst. Dis kin pul di tisu we gɛt di sik kpatakpata.
Kɔmplikɛshɔn dɛm wae kin kam frɔm dis kɔndishɔn
if dεn nכ trit am fayn, di pleura effusion kin mek difrεn kכmplikεshכn dεm.
- Infεkshכn: Jεm kin go insay di wata we de rawnd di lכng dεm εn mek wan abses.
- ska we de rawnd di lכng dεm: we di wata de rεtεn fכ lכng tεm kin mek di pleura mεmbran tik, we de mek di lכng dεm nכ de fכm fayn fayn wan.
- di lכng we kכlaps/Nyumothorax: sכmtεm di lכng dεm kin pwεl we dεn de pul di wata.
So, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt sɔm sayn dɛn.
Yu tink se dɛn go ebul fɔ avɔyd dis tin we de apin?
Bikɔs di pleura effusion na rizin fɔ ɔda sik, wetin wi fɔ du na fɔ tray fɔ mek da sik de we de ɔnda di sik nɔ kam.
- Nɔ smok: Smok na di men tin we kin mek pɔsin gɛt kansa na in lɔng ɛn at sik.
- Nɔ gɛt asbest: Dis kin mek yu gɛt sik dɛn na yu lɔng.
- Fɔ liv fayn layf: Tin dɛn lɛk fɔ it fayn fayn wan, fɔ du ɛksɛsayz, ɛn fɔ nɔ it bɔku sɔl kin ɛp fɔ kɔntrol tin dɛn lɛk at sik ɛn kidni sik.
- If yu dɔn gɛt at ɔ kidni sik, tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu ɛn go na klinik dɛn di rayt tɛm.
Mɛsej we dɛn kin kɛr go na os
- " Pleural effusion " na abnכmal akyumyuleshכn fכ wata bitwin di tu mεmbran dεm we de rawnd di lכng dεm.
- I nɔ izi fɔ blo, yu chɛst kin pen we yu de blo dip, ɛn we yu kɔf we dray na di men sayn dɛm.
- Dis sik nɔto sik, bɔt na sayn fɔ ɔda sik. I kin kam bikɔs ɔf difrɛn rizin dɛn, lɛk at sik, nyumonia, ɛn kansa.
- Di tin we impɔtant pas ɔl na di tritmɛnt na fɔ trit di ɔndalayn kɔz fayn fayn wan, pan ɔl we dɛn fɔ pul di wata.
- If yu ɔ pɔsin we yu sabi gɛt dɛn sik ya, nɔ panik ɔ delay , bɔt go to dɔktɔ wantɛm wantɛm. If yu no di sik kwik kwik wan ɛn trit yu, dat kin mek yu nɔ gɛt prɔblɛm dɛn.
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