Yu lɔng dɛn kin fil lɛk se dɛn ful-ɔp wit wata? Lɛ wi tɔk bɔt pleura effusion!

Yu dɔn ɛva fil se yu chɛst de ebi smɔl, ɛn yu dɔn fil strenj we yu de blo? O yu don yehri sohmbodi se, "Di lungs ful wit wata"? Na dat wi go tok abaut tide. dis na mεdikal dεm we dεn kכl pleural effusion.

Fɔ tɔk am simpul wan, wetin na pleura effusion?

Okay, naw mek wi si wetin dis bi fo simpul wod. Yu lכng dεm de insay yu chεst cavity. rawnd dεn lכng dεm ya, εn insay yu chεst kεviti, tu rili tכn mεmbran dεm de. Wi kin kɔl dɛn mɛmbran ya di pleura . I tan lɛk se dɛn kɔba dɛn na ɔl tu di say dɛn.

nכmal wan, sכm sכm wata de bitwin dεn tu pleura mεmbran dεm ya. Tink bɔt am lɛk di ɔyl we de rɔb di tu pat dɛn na mashin. Dis wata na in de mek yu lכng dεm muv, εkspכnd, εn kכntrakt izi wan we yu de blo.

כltu, insay dis kכndishכn we dεn kכl pleura effusion , di כmכnt fכ fכm bitwin di tu pleura mεmbran dεm de bכku pas nכmal . Dis min se yu bɔdi de mek tumɔs pan dis wata, ɔ di wata we de kɔmɔt nɔ de riabsɔb bak fayn fayn wan bak insay di bɔdi. Na da tɛm de wi kin se "di lɔng dɛn ful-ɔp wit wata."

Yu tink se kayn pleura effusion de?

Yɛs, dɔktɔ dɛn kin sheb di pleura effusion to tu men kayn, i kin dipen pan di kayn wata we kin gɛda rawnd di lɔng dɛn.

1. Transudative כ protin-poor, wata wata: Dis kayn wata kin apin we di prεshכn fכ di wata we de na di bכdi de inkrεs. Fɔ ɛgzampul, pɔrsin wae gɛt sirosis (wan liva sik) ɔr at pwɛl kin gɛt dis kayn wata. Dis na we wata de lik kɔmɔt na di blɔd vesel dɛn.

2. Fluid we de kɔmɔt na di bɔdi ɔ we gɛt bɔku prɔtin: Di men tin dɛn we kin mek pɔsin gɛt dis kayn wata na kansa (fɔ ɛgzampul, lɔng kansa, bɔdi kansa) ɔ sɔm kayn infekshɔn . insay dis, tumכs wata de lik tru di sכm sכm bכdi bכdi dεm כ di wata nכ de pul di limf sistεm fayn fayn wan.

Dɛn kin disayd di we aw dɛn fɔ trit am bay dis kayn we. So i rili impɔtant fɔ mek dɔktɔ no di kayn we aw dis wata de.

Aw dis sik kin kɔmɔn?

Infakt, pleura effusion na wan tin we kin apin pas aw yu kin tink . Fɔ ɛgzampul, dɛn ripɔt se na lɛk 1.5 milyɔn pipul dɛn nɔmɔ na Amɛrika kin gɛt dis sik ɛvri ia. Dɛn kin si dis kɔndishɔn bak na wi kɔntri.

Wetin na di sayn dɛm fɔ pleura effusion?

Yu kin gɛt ɔda sayn dɛm dipen pan di ɔndalayn kɔndishɔn we mek di pleura effusion. כltu, sεvεra simptom dεm de we spεshal fכ pleura effusion.

• Chɛst pen: Dis pen kin wɔs, mɔ we yu de tek dip briz ɔ kɔf. I kin tan lɛk se sɔntin de chuk yu frɔm insay.
• I nɔ izi fɔ blo (Dyspnea): I kin fil se i nɔ izi fɔ blo ɛn i kin mek yu swɛla. Dis kin wɔs we yu de tray tranga wan.
• Ɔtopnia: Dis na sɔm patikyula sayn. I min se i nɔ kin izi fɔ yu fɔ blo na ɔda say dɛn pas fɔ sidɔm ɔ tinap stret (fɔ ɛgzampul, fɔ ledɔm). Sɔm pipul dɛn kin slip wit tu ɔ tri pilo fɔ sɔpɔt dɛnsɛf bikɔs dɛn kin fil se dɛn dɔn swɛla we dɛn de ledɔm.

Bɔt sɔm pipul dɛn kin gɛt pleura effusion we nɔ gɛt ɛni sayn . Dɛn kin jɔs no bɔt am we dɛn du ɛkstrem na dɛn chɛst fɔ ɔda rizin.

Wetin mek dis de apin? Wetin na di rizin dɛn we mek dɛn de du dis?

Bɔku tin dɛn de we kin mek di pleura effusion. Sɔntɛnde, i kin pas wan tin we kin mek i apin. As wi bin dɔn tɔk, dɔktɔ dɛn kin tray fɔ no wetin mek i kam bay we dɛn kin no if di wata we kin gɛda na transudative ( wata) ɔ exudative (protein-rich). Sɔntɛnde, wan sik we dɛn kɔl pulmonary embolism (PE) kin bi ɔl tu kayn.

di men tin dεm we de mek di transudative fluid akyumyuleshכn na:

• Hat Failure: Dis na de tin wae kin mek pɔrsin nɔr de wok fayn. We di at nɔ de wok fayn, di wata we de na di bɔdi kin ambɔg.
• Sirosis: Na siriɔs tin we kin apin na di liva.
• Nephrotic Syndrome: Dis na prɔblɛm wit di kidni. dis kכndyushכn kin apin we di kidni dεm de kכl tu mכch protin.

di men rizin dεm fכ di akyumyuleshכn fכ di εksudativ fכluid na:

• Nyumonia: Na infεkshכn na di lכng.
• Kansa: Ɛspɛshali kansa na di lɔng kansa , bɔdi kansa , ɔ limfoma .
• Kidni Sik we pɔsin kin gɛt
• Inflammatory Disease: Difrεn inflammatory kכndyushכn dεm we de apin na di bכdi.
• Post opin-at ɔpreshɔn

Rizin dɛn de bak we nɔ kin bɔku:

• Tubakulosis sik we dɛn kɔl Tuberculosis
• Awtoimyun Sik: Dis min sik dɛm we di bɔdi in yon imyun sistɛm de atak in yon sɛl dɛm.
• Blɔd we de kɔmɔt bikɔs ɔf injury na in chɛst.
• Chylothorax: dis kin apin we wata we dεn kכl ‘chyle’ frכm di limfatik sistεm de kכlekt insay di chεst kεviti. Bɔku tɛm, na pɔsin we wund am kin mek i apin.
• Infekshɔn dɛn we nɔ kin apin na di chɛst ɛn bɛlɛ.
• We pɔsin de gɛt asbest.
• Di Rupchɔ na di Ɛsophageal
• Pankriaytis we gɛt sik
• Meig’s Syndrome: Na wan benign tumor we de divεlכp na di ovary.
• Ovarian Hyperstimulation Sindrom we gɛt di sik
• Sɔm mɛrɛsin dɛn
• Dɛn kin du ɔpreshɔn pan di bɛlɛ.
• Rɛdieshɔn Tɛrapi

Sɔntɛnde, di wata insɛf kin gɛt bad bad sɛl dɛn , ɔ i kin gɛda as sayd ɛfɛkt we kemotɛrapi kin du .

Udat de pan big risk fɔ gɛt dis?

difrεn risk fכs dεm de we kin kכntribyut to di divεlכpmεnt fכ di pleura efyushכn.

• Fɔ gɛt mɛrɛsin wae kin mek yu gɛt am: Fɔ ɛgzampul, if yu gɛt hat sik, liva sik, kidni sik, ɔr kansa, yu kin gɛt bɔrku risk fɔ gɛt pleura effusion.
• Yuz tin dɛn we dɛn kin yuz fɔ smok: Pipul dɛn we de smok kin gɛt prɔblɛm wit dɛn lɔng.
• We pɔsin gɛt asbest: Dis na tin we dɛn kin yuz fɔ bil. If yu de pan am fɔ lɔng tɛm, dat kin mek yu lɔng pwɛl.

Us prɔblɛm dɛn dis kin mek?

if dεn nכ trit di pleura efyushכn fayn fayn wan, sכm kכmplikεshכn dεm kin apin.

• Infεkshכn we de tכn to absεs: Di wata we de kכlכp kin gεt infεkshכn wit jεm, we kin mek i tכn to absεs.
• Ska we de rawnd di lכng dεm: Ska tisu kin fכm usay di wata bin de, we de ambɔg di lכng fכ wok.
• Damej to yu lɔng dɛn.

Aw yu kin si dis sityueshɔn ɛksaktɔli?

We yu go to dɔktɔ, i go aks yu fɔs bɔt yu mɛdikal istri . Us ɔda sik yu gɛt ɛn ustɛm dɛn sayn ya bigin? Dɔn dɛn go du wan ɛgzam fɔ dɛn bɔdi . Dɛn go lisin to yu lɔng dɛn we yu de blo (wit stetɔskɔp). Na da tɛm de nɔmɔ dɛn go ɔda di tɛst dɛn we dɛn nid.

Us tɛst dɛn de du fɔ dis?

Dɔktɔ dɛn kin yuz dɛn tɛst ya fɔ no ɛn ɔndastand aw di pleura effusion tan:

• Chɛst X-ray: Dis kin ɛp fɔ no if wata dɔn gɛda ɛn ɔmɔs.
• Chεst CT skan (Computed Tomography - CT scan): I kin mek klia, mכr ditayl imej pas εks-ray. i kin chεk bak fכ di kכndishכn fכ di lכng dεm כnda di wata εn fכ כda tin dεm lεk tכmכro.
• Ɔltrasɔund na di chɛst:Dis kin ɛp bak fɔ no usay ɛn di wata we de insay, ɛn bak di rayt say fɔ put fayn nidul fɔ pul di wata.
• Thoracentesis ɔ Biopsy: Dis min se yu fɔ put wan nidul we rili tan insay yu chɛst we de bitwin tu pan yu rib dɛn fɔ tek wan sɛmpul pan di wata we dɔn gɛda. sכmtεm dεn kin tek sכm sכm pat pan di pleura mεmbran (bayopsi) bak.
• Pleural Fluid Analysis: Dɛn kin sɛn di fluid sampul to di lab fɔ tɛst. Dis kin mek wi no ɔmɔs prɔtin de, di kayn sɛl dɛn, if jem dɛn de, ɔ kansa sɛl dɛn. Dis na wetin kin tɛl yu ɛksaktɔli if di wata na transudative ɔ exudative.

If dɛn simpul tɛst ya nɔ fɛn di rizin, yu kin nid fɔ du wan tin we dɛn kɔl thoracoscopy . Dɛn kin kɔl dis bak vidio-assisted thoracic surgery (VATS) . Dɛn kin du dis we yu de ɔnda jenɛral anestezi. dis involv fכ put sכmכl kεmεra εn instrכmεnt dεm na yu chεst fכ gεt bεtε luk pan di pleura εn di εria dεm we de rawnd am. Bɔku tɛm dɛn kin du di tritmɛnt di sem tɛm we dɛn kin du dis.

Aw dɛn kin trit dis?

Tu men gol dɛn de we dɛn de trit di pleura effusion: Wan na fɔ pul di wata we pasmak . Di ɔda wan na fɔ stɔp di wata fɔ mek i nɔ bɔku bak . Dɔktɔ dɛn kin pik tritmɛnt bay di ɔndalayn kɔz ɛn aw i nɔ kin izi fɔ yu fɔ blo bikɔs ɔf di wata.

Mɛrɛsin dɛn we dɛn kin yuz

• If yu gɛt wata we de kɔntinyu fɔ de bikɔs ɔf wan kɔndishɔn lɛk congestive heart failure , dɔktɔ dɛn go gi yu diuretics (we dɛn kin kɔl bak "water pills" bikɔs dɛn kin ɛp di bɔdi fɔ pul di wata we pasmak tru urine) ɛn ɔda mɛrɛsin fɔ at failure.
• If na bikɔs ɔf infekshɔn, yu go nid fɔ tek antibayɔtik .
• If di sik na kansa (malignant effusion), yu kin gɛt kemotɛrapi , redyushɔn tɛrapi , ɔ dɛn kin put wata we gɛt wata na di chɛst.

Di we aw dɛn kin trit (Procedures) .

• If yu gɛt prɔblɛm fɔ blo, yu dɔktɔ kin du tritmɛnt thoracentesis (dis tan lɛk fɔ tek wata sɛmpul, bɔt dɛn kin pul bɔku wata as i pɔsibul). Ɔ dɛn kin put wan chɛst tyub insay . Dis min se yu fɔ put smɔl tiub insay yu chɛst ɛn alaw wata fɔ kɔmɔt insay bɔtul.
• Sɔntɛnde, mɔ we wata kin bɔku bikɔs ɔf kansa, di wata kin gɛda bak ivin afta dɛn dɔn pul am. Insay dɛn kayn tin ya we at fɔ kɔntrol, dɔktɔ kin yuz chɛst tyub fɔ pul di wata.wan kayn mεdikeshכn we dεn kכl sklεrosing ejen dεn injεkt insay di pleura cavity. dis mεdikesh כn de mek ska (fibrosis) bitwin di tu pleura mεmbran dεm bay wilful . Dɛn kin kɔl dis bak pleura sklɛrosis ɔ pleurodesis . we dis ska de fכm, di tu pleura mεmbran dεm de stik tכgeda, we de mek di wata nכ de kכmכt bak. dis mεtכd de כnli bכt 50% ifektiv fכ stכp di fכs fכ kכlכm bak.

Ɔpreshɔn

If drenaj ɔ pleura sclerosis nɔr inof fɔ kɔntrol yu kɔndishɔn, yu kin nid fɔ ɔpreshɔn. Yu dɔktɔ go tek tɛm chɛk yu ɛn tɔk to yu bɔt di gud ɛn bad tin dɛn we pɔsin kin du we i du ɔpreshɔn.

Tu men kayn ɔpreshɔn dɛn de:

1. Video-Assisted Thoracoscopic Surgery (VATS): Dis kin min fɔ mek wan to tri rili smɔl smɔl say dɛn (lɛk af inch) na di chɛst ɛn put kamɛra ɛn ɔspitul inschrumɛnt dɛn tru dɛn fɔ du di ɔpreshɔn. dis mכt dεn de yuz fכ pleura effushכn dεm we at fכ kכntrכl כ we de kam bak bikoz fכ kεnsar. We dɛn de du di ɔpreshɔn, dɛn kin put sɔntin lɛk talk ɔ antibayɔtik na di pleura cavity fɔ tray fɔ stɔp di wata fɔ gɛda bak.

2. Thoracotomy (tradishכnal, "open" chεst כpεrayshכn): insay dis prosidכs, di sכjaman de mek 6-8 inch insayshכn na di chεst. Dis na di tin wae yu kin yuse pasmak if yu gɛt infekshɔn. tכrakotomi de pul כl di fayv tisu dεm εn i de εp fכ klin di infεkshכn gud gud wan na di pleura cavity. Yu kin nid fɔ put yu chɛst tiub fɔ pul di wata fɔ tu dez to tu wiks afta dɛn dɔn du di ɔpreshɔn.

Ɛni sayd ɛfɛkt de we pɔsin kin gɛt frɔm di tritmɛnt?

Yɛs, lɛk ɛni mɛrɛsin, tritmɛnt fɔ pleura effusion kin mek sɔm sayd ɛfɛkt dɛn.

• Pulmonary Edema: Dis kin apin, mɔ if dɛn pul bɔku bɔku wata wan tɛm.
• Blɔd we De Klɔt
• Di Ritm dɛn we Nɔmal fɔ di At
• Nyumothorax: Dis na we di lכng dεm de kolכp bikoz fכ di briz we de fulכp di lכng dεm. Sɔntɛnde dis kin apin we dɛn hit di nidul we dɛn kin yuz fɔ pul wata.

Aw lɔng i kin tek fɔ mek i wɛl?

Dis kin difrɛn difrɛn wan bay di tritmɛnt we dɛn kin du.

• If yu bin gɛt thoracentesis , yu go nid fɔ tek tɛm smɔl fɔ lɛk tu dez so.
• If yu bin gɛt VATS ɔpreshɔn, yu kin nid fɔ de na ɔspitul fɔ sɔm dez afta dat.
• If dɛn bin dɔn du toracotomy (open surgery), yu go nid fɔ de na ɔspitul fɔ lɛk wan wik so.

Wetin wi go du fɔ ridyus dis prɔblɛm?

I at fɔ mek yu nɔ gɛt bɔku pan di tin dɛm we de mek di pleura effusion. Bɔt yu kin ridyus yu risk smɔl bay we yu:

• Stay away frɔm tin dɛn we dɛn kin mek wit tabak.
• Nɔ put yusɛf pan asbest.
• If yu dɔktɔ dɔn advays yu, tek it we nɔ gɛt bɔku sɔl.
• Tek di diuretics (wata pills) we dɛn gi yu di rayt tɛm.
• If yu dɔktɔ tɛl yu fɔ du dat, nɔ tek bɔku wata we yu de it.

Wetin wi fɔ ɛkspɛkt wit dis sityueshɔn?

Afta yu dɔn gɛt tritmɛnt, yu go nid fɔ tek ɛkstrem rayt bak . Di dɔktɔ go want fɔ no if di tritmɛnt bin wok fayn. Yu go nid bak fɔ kɔntinyu fɔ gɛt tritmɛnt fɔ di kɔndishɔn we mek di pleura effusion.

Aw yu sik kin tranga kin dipen pan dɛn tin ya:

• Wetin na di men tin we kin mek di pleura effusion?
• I kin afɛkt di we aw yu de blo?
• Na bɔt if i de ansa fayn to tritmɛnt.

Wetin na di lukin-grɔn fɔ dis sityueshɔn?

De luk, ɔr prognosis , kin difrɛn bad bad wan dipen pan wetin mek yu pleura effusion ɛn us ɔda mɛdikal kɔndishɔn yu gɛt. Fɔ sɔm pipul dɛm, di tritmɛnt fɔ pleura effusion kin wok fayn. Bɔt di pleura effusion kin kam bak .

Di luk fɔ pleura effusion we kansa kin mek nɔ kin rili fayn. Ɛn if yu nɔ trit pleura effusion fayn, i nɔ fayn bak.

Aw yu de kia fɔ yusɛf?

Sɔm tin dɛn we kin mek di pleura effusion kin nid fɔ gɛt tritmɛnt fɔ lɔng tɛm . Tɔk to yu dɔktɔ bɔt di bɛst tritmɛnt fɔ yu sik fɔ lɔng tɛm. Dɔn, fala yu tritmɛnt plan di rayt we . Tek yu mɛrɛsin dɛn di rayt tɛm ɛn kɔntinyu fɔ chenj di we aw yu de liv yu layf we yu dɔktɔ se.

Ustɛm i bɛtɛ fɔ go to dɔktɔ?

Go to ɔl di fɔlɔp apɔntinmɛnt dɛm we yu dɔktɔ dɔn ɔda fɔ manej yu krɛse sik. If yu gɛt prɔblɛm fɔ blo , go to dɔktɔ wantɛm wantɛm . Nɔ delay.

Wetin na di impɔtant kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ?

Yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk:

• Wetin mek a bin gɛt dis pleura effusion?
• Aw ɔltɛm a nid fɔ kam si yu (fɔl-ap apɔntinmɛnt)?
• Wetin na di chans fɔ mek a gɛt pleura effusion bak?
• Wetin na di lɔng tɛm ifɛkt dɛm we mi pleura effusion kin gɛt?

So, yu gɛt pleural effusion, maybe yu nɔ bin gɛt ɛni simptom. Di men tin na fɔ fɛn di rizin.. We di dɔktɔ no di tin we kin mek i apin, i go du tin fɔ trit am. If yu ansa di dɔktɔ in kwɛstyɔn dɛn kɔrɛkt wan, dat kin ɛp fɔ pul sɔm pan di tin dɛn we kin mek yu aks am. Na nɔmal tin fɔ mek yu fil fred we yu gɛt prɔblɛm fɔ blo, so nɔ fred fɔ aks kwɛstyɔn bɔt ɛnitin we yu want fɔ ɔndastand.

So, wetin na di tin dɛn we wi nid fɔ mɛmba frɔm ɔl dɛn tin ya?

di pleura effusion na di akyumuleshכn fכ wata bitwin di pleura, di mεmbran dεm we de rawnd di lכng dεm. Sɔm pipul dɛn kin kɔl dis bak "wata na di lɔng."

• Bɔku rizin dɛn kin de fɔ dis. Tin dɛn lɛk at sik, nyumonia, ɛn kansa na dɛn men wan.
• Di sayn dɛm kin bi we yu de fil pen na yu chɛst ɛn i nɔ kin izi fɔ blo . Sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl.
• Dɔktɔ kin no dis bay we i de tek ɛkstrem rayt, CT skan, ɔ tɛst fɔ no if i gɛt wata (thoracentesis) .
• Di tritmɛnt de fɔ di ɔndalayn kɔz ɛn fɔ pul di wata . Dɛn kin nid fɔ tek mɛrɛsin, di we aw dɛn kin pul wata, ɛn sɔntɛnde ivin ɔpreshɔn.
• Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ kwik kwik wan if i nɔ izi fɔ yu fɔ blo ɔ yu fil se yu chɛst gɛt wan bɔtul. If yu no di tritmɛnt kwik kwik wan, dat kin mek i izi fɔ tek di tritmɛnt ɛn i kin mek yu nɔ gɛt prɔblɛm dɛn.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu dɔktɔ. Stay wit wɛlbɔdi!

` Pleural effusion, lכng, wata na di chεst, i at fכ brith, chεst pen, lכng sik, mεdikal tritmεnt