Me ako tātou mō te pleura e hipoki ana i ō pukahukahu.

Kua rongo koe i te kupu "pleura"? Tērā pea kua rongo koe i tēnei kupu mai i tō tākuta, i roto i te hōhipera, i te wā rānei e kōrero ana mō te hauora. He wāhanga tino nui o tō tātou tinana, inā koa ko te pūnaha manawa. Engari he tokomaha te hunga kāore i te mōhio nui ki tēnei mea. Nō reira, i tēnei rā ka kōrero tātou mō te aha tēnei pleura, he aha ngā ratonga e tukuna ana e ia ki tō tātou tinana, he aha ngā mate ka pā mai, me pēhea te pupuri i tōna hauora i roto i tētahi huarahi tino māmā ka taea e koe te mārama.

He aha tonu te pleura?

He whakarāpopototanga noa iho, he kiriuhi angiangi, kī tonu i te wai tō pleura e kapi ana i ō pūkahukahu, pērā i te uhi pukapuka. Ka takai i ō pūkahukahu, ka tiaki hoki i a rātou. Ka whakarārangi hoki i te taha o roto o tō uma (thorax). He wāhanga nui o tō pūnaha manawa .

Nā, he aha te ratonga e whakaratohia ana e tēnei kiriuhi pleural mā tātou?

Ko te mahi matua, ko te mahi nui rawa atu o tēnei pleura, ko te tiaki i ō pūkahukahu. Waihoki, ina manawa tātou, ka pupuhi, ka heke ngā pūkahukahu, tika? Ina tupu tēnā, ko tēnei pleura te mea e ārai ana i ngā pūkahukahu kia kaua e mirimiri ki te pakitara o te uma. Whakaarohia te mea ka tupu mēnā kāore tēnei pleura i reira. Mēnā ka mirimiri tonu ngā pūkahukahu ki te pakitara o te uma, ka whara pea, ka mamae hoki. Nō reira, he rite tēnei pleura ki te urunga, ā, ka āwhina i ngā pūkahukahu kia neke pai me te kore he ārai. Koia te take ka taea e tātou te manawa ngāwari me te kore he mamae.

Kei hea i roto i te tinana tēnei pleura?

Me titiro tātou ki ētahi o ngā wāhi kei reira tō pleura:

• Tuatahi, kei a koe te pakitara o tō uma (te pakitara uma), e tata kapi katoa ana te roto i tēnei pleura.
• Muri iho, ka toro atu tēnei pleura huri noa i tō ngākau. Kātahi, ko te wāhanga waenga o te kōhao o tō uma, e kiia nei ko te mediastinum, ā, ka āwhina anō hoki tēnei pleura ki te hanga i ngā pakitara taha.
• Hei whakamutunga, ā, ko te mea tino nui, kua kapi katoa te mata o ō pūkahukahu e rua i tēnei pleura, pērā i te takirua karapu.

He aha ngā wāhanga o te pleura?

Ehara te pleura i te kiriuhi kotahi. E rua ngā paparanga matua. Kei waenganui i ēnei paparanga e rua he wāhi iti takoto kau, pērā i te pōke. Ka kiia tēnei ko te wāhi pleural . Ehara tēnei wāhi pleural i te mea takoto kau noa iho. Kei roto he paparanga wai tino angiangi e kiia nei ko te wai pleural . He mea tino nui tēnei wai. Nā te mea, ina manawa koe, ko tēnei wai pleural te mea e āwhina ana i ngā paparanga e rua o te pleura kia paheke tetahi ki tetahi. He rite tēnei ki te maka hinu ki roto i te mīhini.

Nā, kia tirohia tātou he aha aua paparanga e rua o te pleura:

• Pleura visceral: Koinei te paparanga o roto rawa o te pleura. Ka hipoki tika i ō pūkahukahu, i ngā oko toto e haere ana ki reira, i ngā pūkahukahu, me ngā io. Ko te mea motuhake o tēnei, kāore he io pūoro i roto i te pleura visceral. Ko te tikanga, kāore koe e mamae ina pā tetahi mea ki tēnei paparanga.
• Pleura parietal: Koinei te paparanga o waho o te pleura. E piri ana ki te pakitara o tō uma, ki ngā uaua o te uma, me te diaphragm kei te tihi o tō uma. He rerekē ki te pleura visceral, i kōrerotia i mua ake nei, he tino pāngia te pleura parietal e te mamae. Ko te tikanga, ki te pakaru, ki te pupuhi rānei tēnei paparanga, ka pāngia koe e te mamae nui.

He aha ngā mate noa ka pā ki te pleura?

Engari, ka pāngia pea tēnei pleura e ngā mate me ngā āhuatanga rerekē. Me titiro tātou ki ētahi o aua mate:

• Te Mauiui o te Ururua: Kua rongo pea koe i tēnei. He kupu ngāwari, he mumura tēnei o tō ururua. Pērā i te wā e whara ana tētahi wāhi o tō tātou tinana, ka pupuhi te ururua pēnei. Kātahi, ina manawa tātou, ina maremare rānei, ka rongo tātou i te mamae nui i roto i tō tātou uma.
• Te rerenga wai i roto i te pleural: Koinei te wā e nui rawa ai te wai i roto i te pleural i kōrerotia e tātou i mua ake nei, arā, ka nui atu i te mea e tika ana. Ina tupu tēnei, kāore he wāhi nui o ngā pukahukahu hei pupuhi tika, ka uaua ai te manawa.
• Hemothorax: Ko te tikanga o te kupu "Hemo" he toto. Koinei te wā e kohia ai te toto ki te wāhi pleural. Ka puta tēnei i muri i te whara kino o te uma. Hei tauira, he aituā motuka, he hinganga mai i te teitei, he patunga wero rānei. Ina kohia ēnei toto, ka nui te pēhanga ki runga i ngā pukahukahu, ka tino uaua te manawa.
• Pneumothorax: Ko te tikanga o te kupu "Pneumo" ko te hau. Koinei te wā e tomo ai te hau ki te wāhi pleural ka pēhi i ngā pukahukahu. Ka taea hoki tēnei te tupu i muri i tētahi aituā. Heoi, i ētahi wā ka tupu noa iho, inā koa he kaipaipa koe. He mōrearea anō hoki mō te hunga e haereere pinepine ana i runga waka rererangi, e pāngia ana rānei e ngā huringa nui o te pēhanga hau, pērā i te ruku wai.
• Hemopneumothorax: He huinga tēnei o te hemothorax me te pneumothorax kua whakahuatia ake nei. Ko te tikanga ka uru te toto me te hau ki te wāhi pleural i te wā kotahi . Ka puta anō hoki tēnei i muri i tētahi aituā nui.
• Te mesothelioma o te puku:He mate kino rawa tēnei. He momo mate pukupuku e tīmata ana i roto i ngā pūtau o te pleura. He maha ngā wā e hono ana ki te pānga ki ngā mea pēnei i te asbestos.

Ka aha mēnā ka pakaru te pleura?

Mena he kino kei te pleura, ka rerekē pea te āhua o te mamae. I te nuinga o te wā, ka mamae tō uma i te mamae koi, i te mamae werowero . Ka kino ake pea tēnei mamae ina manawa noa koe, ina manawa hōhonu, ina maremare, ina kata rānei. Ka pēnei pea koe me te mea kāore e taea e koe te manawa tika, ka poto rānei te manawa (he āhuatanga e kiia nei ko te dyspnea) .

Ko te tino take o tēnei momo whara ko te whara o tō uma. Hei tauira, ka puta pea i te hinganga, i te tukinga i te wā e takaro ana i ngā hākinakina, i te aituā motuka, i te whara poka rānei o te uma, pērā i te whara wero, i te whara pū rānei.

He mea tino nui tēnei: ​​Ki te pāngia koe e ngā tohu o te toto nui o te pleural effusion, arā, he mamae nui o te uma me te uaua ki te manawa, me waea atu tonu koe ki te 1990 (ambulance) ki tō nama urupare ā-rohe, ki te haere tonu ki te hōhipera.

He aha ngā whakamātautau e mahia ana hei whakatau tika i te hauora o te pleura?

Ki te whakaaro te tākuta he raruraru pleural tōu, ka whakahaerehia pea e rātou ētahi whakamātautau hei tautuhi i tēnei raruraru:

• Ngā whakamātautau whakaahua: Koinei ngā whakamātautau tuatahi ka mahia. Kei roto pea i ēnei he hihi-X o te uma, he matawai CT, he ultrasound rānei . Ka taea e ēnei te rapu i ngā mea pēnei i te wai, te hau rānei i roto i ngā pukahukahu, te pleura, me te wāhi pleural.
• Te tango i te toto i roto i te puku: He pokanga iti tēnei. I roto i tēnei tikanga, ka werohia e te tākuta he ngira angiangi rawa ki roto i te wāhi pleural i waenganui i ō rara e rua, ka tangohia he tauira o te wai pleural. Kātahi ka tukuna te tauira ki te taiwhanga hei whakamātautau mō te mate me ngā pūtau matepukupuku.
• Te tirotiro i te uma: He whakamātautau motuhake anō tēnei. I roto i tēnei whakamātautau, ka whakaurua e te tākuta he ngongo angiangi, ngāwari me te rama iti me te kāmera i tetahi pito mā roto i tētahi tapahi iti i te uma hei tirotiro tika i te wāhi pleural me te mata o te pukahukahu. Mena e tika ana, ka taea te tango i tētahi tauira kiko (biopsy) i tēnei wā.

Me pēhea te rongoā i te rerenga toto pleural?

Ko te maimoatanga mō te pleurisy e whakawhirinaki ana ki te āhua o tō mate me tōna kaha. Kāore he maimoatanga kotahi e pai ana mō te katoa. Ko ngā maimoatanga noa ko:

• Mena kei te pāngia te pleura e te mate urutā , ka tohua pea he paturopi, he rongoā rānei .Te hoatu. Ka hoatu hoki ngā rongoā hei whakamamae i ngā tohu pēnei i te mamae me te uaua ki te manawa.
• Mena he uaua ki te manawa , ka whakaratohia te rongoā hāora .
• Mena he nui te wai, te hau rānei kua kohia ki te wāhi pleural, ka taea te tango mā te whakamahi i te ngongo (te tango wai i te uma).
• I ētahi wā tino kino, inā koa mēnā he toto, he nui te hau e kohia ana, he mate pukupuku rānei , ka hiahiatia pea te pokanga .
• Ko te hunga e ngoikore ana te manawa, tera pea ka honoa ki te mīhini whakaea manawa , he mīhini hei āwhina i a rātou ki te manawa.
• Hei rongoā i tētahi mate pēnei i te pleural mesothelioma, me whakamahi ngā maimoatanga matepukupuku motuhake pēnei i te radiation therapy, te chemotherapy, te immunotherapy rānei .

Me pēhea te pupuri i te hauora me te pakari o taku pleura?

E mea ana tētahi whakataukī, "He pai ake te ārai i te mate i te pāngia e te mate i muri mai." Nō reira, anei ētahi mea ngāwari ka taea e koe te mahi hei whakaiti i te tūponotanga o te kino ki tō pleura:

• Kati rawa te whakamahi i ngā hua tupeka. Arā, me karo rawa i te momi hikareti me te vaping. He tino kino te momi hikareti ki ngā pukahukahu me te pleura.
• Kia tika te mau i tō whitiki nohoanga i ngā wā katoa e noho ana koe i roto i te waka, ahakoa he poto noa te tawhiti. Mā tēnei ka āwhina i te whakaiti i te tūponotanga o ngā whara o te uma i roto i tētahi aituā motuka.
• Ki te tākaro koe i ngā hākinakina pā atu ki ō waewae pērā i te whutupōro, te mekemeke rānei, mauria ngā whakapuru tiaki e tika ana.
• Whakawhāitihia ngā mahi e nui ai ngā panonitanga o te pēhanga hau, pērā i te rere auau me te ruku wai, ki te taea. Ki te kore, me whai i ngā tikanga haumaru mō aua mahi.
• Ka taea hoki e ngā mate kitakita me ngā mate huaketo te whakararu i te kiri o te puku. Nō reira, horoia rawatia ō ringaringa ki te hopi me te wai, inā koa i mua i te kai me muri i te whakamahi i te wharepaku.
• Āta karohia te pānga o te asbestos . Ka kitea pea i roto i ngā whare tawhito me ētahi tuanui. He tino take tēnei o te pleural mesothelioma, he mate pukupuku.

Ko tāku tumanako kua mārama kē koe mō te pleura. Ko tō pleura te kaimahi puku o tō pūnaha manawa. Mā tēnei ka ārai i ō pūkahukahu kia kaua e mirimiri ki te pakitara o tō uma, kia māmā ake ai, kia whakamarie ake ai hoki tō manawa. Mena he mate tōu e pā ana ki tō pleura, ka tino pāngia koe e te mate - tera pea ka poto te manawa, ā, ka mamae pea tō uma ina manawa koe. Mena kei te takaro koe i tētahi hākinakina kaha, ki te whakaaro rānei koe kei te mōrearea koe ki ngā whara o te pleura, kia mōhio koe ki te kōrero ki tō tākuta mō te pupuri i te hauora o tō pleura me te ārai i ngā whara.

Nā, he aha te mea tino nui ka taea e tātou te ako mai i tēnei pūrākau?

He māmā noa iho, he rite tō pleura ki te kaitiaki me te hoa pai o ō pūkahukahu. He mea nui tana mahi hei āwhina i ō pūkahukahu kia pai te mahi, kia kore hoki e mamae. Nō reira, ko tō kawenga kia mau tonu te hauora o tēnei pleura utu nui.

Ko ngā mea pai rawa atu ka taea e koe te mahi mō tō pleura ko te karo rawa i te momi hikareti, te mahi i ngā mahi ārai hei tiaki i a koe mai i ngā tūponotanga, me te rapu tohutohu hauora i te wā tonu mēnā ka pāngia koe e te uaua ki te manawa, te mamae rānei o te uma.

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tonu!

` Pūkahukahu, pūkahukahu, pūnaha manawa, wai pūkahukahu, pneumothorax, pleurisy, mamae uma