Kei te ahua kī tonu ō pūkahukahu i te wai? Me kōrero tātou mō te pleural effusion!

Kua rongo koe i tētahi taumaha iti i roto i tō uma, i tētahi āhua rerekē i a koe e manawa ana? Kua rongo rānei koe i tētahi e kī ana, "Kī tonu ngā pukahukahu i te wai"? Koinei tā tātou e kōrero ai i tēnei rā. E mōhiotia ana tēnei i roto i te rongoā ko te pleural effusion.

He aha te tikanga o te pleural effusion?

Āe, kia titiro tātou ki tēnei i roto i ngā kupu māmā. Kei roto i te kōhao o tō uma ōu pūkahukahu. Kei te taha o ēnei pūkahukahu, ā, kei roto hoki i te kōhao o tō uma, e rua ngā kiriuhi angiangi. Ka kiia ēnei kiriuhi ko te pleura . Me te mea kua kapi i ngā taha e rua.

I te nuinga o te wā, he iti noa te wai i waenganui i ēnei kiriuhi pleural e rua. Whakaarohia he rite ki te hinu e whakahinuhinu ana i ngā wāhanga e rua o te mīhini. Mā tēnei wai ka taea e ō pukahukahu te neke, te whānui, me te whakawhāiti ngāwari ina manawa koe.

Heoi, i roto i tēnei āhuatanga e kiia nei ko te pleural effusion , he nui ake te nui o te wai i waenganui i ngā kiriuhi pleural e rua i te mea noa . Ko te tikanga tēnei kei te whakaputa nui rawa tō tinana i tēnei wai, kāore rānei te wai i hangaia e mimiti tika ana ki roto i te tinana. Koinā te wā e kīia ai "kī tonu ngā pukahukahu i te wai."

He momo rerenga wai i roto i te pleural?

Ae, e rua ngā momo matua o te pleural effusion e wehewehea ana e ngā tākuta, i runga i te āhua o te wai e kohia ana i te taha o ngā pukahukahu.

1. Wai wai, he wai toto iti, he wai pūmua rānei: Ka puta tēnei momo wai ina piki te pēhanga o ngā wai i roto i te tinana. Hei tauira, ko te tangata he mate ate cirrhosis (he mate ate) he ngoikore rānei te ngākau , tera pea he momo wai kei a ia. Koinei te wā ka turuturu te wai i roto i ngā oko toto.

2. Wai e puta mai ana i te pūmua, he wai rānei e whai kiko ana: Ko ngā tino take o tēnei momo wai ko te mate pukupuku (hei tauira, te mate pukupuku o te pūkahukahu, te mate pukupuku o te ū) me ētahi atu momo mate rānei. I roto i tēnei, he nui rawa te wai e turuturu ana i roto i ngā oko toto iti rawa, kāore rānei te wai e tangohia tika e te pūnaha lymphatic.

Ka whakatauhia ngā tikanga maimoatanga i runga i tēnei momo. Nō reira he mea tino nui kia mōhio te tākuta ki te āhua o tēnei wai.

He pēhea te noa o tēnei āhuatanga?

Ina hoki, he mate noa ake te pleural effusion i tō whakaaro . Hei tauira, e kīia ana tata ki te 1.5 miriona tāngata i te United States anake ka pāngia e tēnei mate i ia tau. Ka kitea anō hoki tēnei mate i tō tātou whenua.

He aha ngā tohu o te rerenga wai i roto i te pleural?

Tērā pea ka pā mai ētahi atu tohu ki a koe, i runga i te mate i puta ai te toto i roto i te kiri. Heoi, he maha ngā tohu e pā ana ki te toto i roto i te kiri.

• Mamae o te uma: Ka kino ake pea tēnei mamae, ina koa ka manawa hōhonu koe, ka maremare rānei. Tērā pea ka rite ki te mea kei te werohia koe e tetahi mea mai i roto.
• Te mate manawa: Te uaua ki te manawa, te ahua o te hemokai. Tērā pea ka kino ake tēnei ina kaha te mahi.
• Orthopnea: He tohu motuhake tēnei. Ko tōna tikanga he uaua ki te manawa i ngā tūranga ehara i te noho, i te tū tika rānei (hei tauira, te takoto). Ka moe ētahi tāngata me ngā urunga e rua, e toru rānei hei tautoko i a rātou anō nā te mea ka pōuri rātou i te takoto.

Heoi, tera pea ētahi tāngata ka pāngia e te wai rere i roto i te kiri , kāore he tohu . Ka kitea noa iho ina tangohia he hihi-X o te uma mō tētahi atu take.

He aha tēnei e tupu nei? He aha ngā take mō tēnei?

He maha ngā take o te rere o te toto i roto i te kiri. I ētahi wā, neke atu i te kotahi te take. E ai ki tā mātou i kōrero ai i mua ake nei, ka ngana ngā tākuta ki te whakatau i te take mā te whakatau mēnā he wai te wai e kohia ana , he nui rānei te pūmua. I ētahi wā, ko te āhua e kiia nei ko te pulmonary embolism (PE) ka rua ngā momo.

Ko ngā tino take o te kohikohinga o te wai whakawhiti ko:

• Te ngoikore o te ngākau: Koinei te tino take. Ina kore te ngākau e mahi tika, ka raruraru te whakahaere wai o te tinana.
• Te mate ate: He mate kino e pā ana ki te ate.
• Te Mate Pūkahukahu: He raruraru tākihi tēnei. Ka puta pea tēnei āhuatanga ina nui rawa te pūmua e tukuna ana e ngā tākihi.

Ko ngā take matua mō te kohikohinga o te wai exudative ko:

• Pneumonia: He mate pāwera o ngā pukahukahu.
• Matepukupuku: Ina koa ko te matepukupuku pūkahukahu , te matepukupuku ū , te lymphoma rānei.
• Mate whatukuhu
• Ngā Mate Mumura: Ngā momo mate mumura e puta ana i roto i te tinana.
• I muri i te pokanga ngākau tuwhera

He iti ake te rongonui o ngā take:

• Te mate kohi
• Mate Pūnaha Ārai Mate: Ko te tikanga tēnei he mate e whakaekea ai e te pūnaha ārai mate o te tinana ōna ake pūtau.
• Te toto e puta mai ana i ngā whara o te uma.
• Chylothorax: Ka puta tēnei ina kohia te wai e kīia nei ko te 'chyle' mai i te pūnaha lymphatic ki roto i te kōhao o te uma. He maha ngā wā ka puta mai i te whara.
• Ngā mate urutā o te uma me te puku.
• Te pānga ki te asbestos.
• Pakaru o te korokoro
• Te mate pāwera
• Te Mate Meig: I puta mai i tētahi pukupuku pai e whanake ana i roto i te ovary.
• Te Mate Whakaohooho Ovarian
• Ētahi rongoā
• Ngā pokanga puku.
• Te Whakaora Irahiko

I ētahi wā, tera pea kei roto i te wai ngā pūtau kino , ka kohia rānei hei pānga taha o te chemotherapy .

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei?

He maha ngā āhuatanga mōrearea ka whai wāhi ki te whanaketanga o te pleural effusion.

• Kei a koe ngā āhuatanga hauora e pā ana ki tēnei mate: Hei tauira, ki te mea he mate manawa tōu, he mate ate, he mate tākihi, he mate pukupuku rānei, he nui ake tō tūponotanga ki te whakawhanake i te pleural effusion.
• Te whakamahinga o ngā hua tupeka: Ko te hunga e momi hikareti ana ka nui ake te tūponotanga ka pāngia rātou e ngā raruraru pūkahukahu.
• Te pānga ki te asbestos: He rauemi hanga noa tēnei. Mēnā ka roa te pānga ki tēnei, ka kino pea ngā pukahukahu.

He aha ngā raruraru ka pā mai i tēnei?

Mena kāore e tika te rongoā mō te toto e puta mai ana i te pleural effusion, ka puta pea ētahi raruraru.

• Ka taea e te mate te huri hei whewhe: Ka taea e te wai e kohia ana te pangia e ngā iroriki, ka huri hei whewhe.
• Te whara i te taha o ngā pukahukahu: Ka puta pea he kiko whara i te wāhi i puta ai te wai, ka whakararuraru i te mahi a ngā pukahukahu.
• Te kino ki ō pukahukahu.

Me pēhea te tino kitea e koe tēnei āhuatanga?

Ina haere koe ki te tākuta, ka pātai tuatahi ia ki a koe mō tō hītori hauora . He aha atu ō mate, ā, nōnahea i tīmata ai ēnei tohu? Kātahi ka tirotirohia e rātou te tinana . Ka whakarongo rātou ki ō pukahukahu i a koe e manawa ana (me te stethoscope). Kātahi anō ka whakaritea e rātou ngā whakamātautau e tika ana.

He aha ngā whakamātautau e mahia ana mō tēnei?

Ka whakamahia e ngā tākuta ēnei whakamātautau hei tātaritanga me te mārama ki te āhua o te rerenga toto pleural:

• X-ray o te uma: Mā tēnei ka āwhina ki te whakatau mēnā kua kohia te wai me te nui.
• Matawai CT o te uma (Tomography Rorohiko - matawai CT): Ka taea te whakaputa whakaahua mārama ake, taipitopito ake i ngā hihi-X. Ka taea hoki e ia te tirotiro i te āhua o ngā pukahukahu i raro i te wai, me ētahi atu mea pēnei i ngā pukupuku.
• Te tirotiro i te uma mā te whakamahi i te ultrasound:Ka āwhina hoki tēnei ki te kimi i te wāhi me te nui o te wai, tae atu ki te wāhi tika hei wero i te ngira angiangi hei tango i te wai.
• Te Tirotiro i te Tora, te Koiora rānei: Ko te whakauru i tētahi ngira angiangi rawa ki roto i te kōhao o tō uma i waenganui i ō rara e rua hei tango tauira o te wai kua kohia. I ētahi wā ka tangohia pea he wāhanga iti o te kiriuhi pleural (koiora).
• Tātaritanga Wai o te Pēra: Ka tukuna te tauira wai ki te taiwhanga hei whakamātautau. Mā tēnei ka taea te whakatau i te nui o te pūmua, ngā momo pūtau, mēnā he iroriki, he pūtau matepukupuku rānei. Mā tēnei ka taea te kī tika mēnā he wai whakawhiti, he wai whakaputa rānei.

Ki te kore e kitea te pūtake i roto i ēnei whakamātautau māmā, me whai pea koe i tētahi tikanga e kiia nei ko te thoracoscopy . Ka kiia hoki tēnei ko te pokanga uma āwhina-ataata (VATS) . Ka mahia tēnei i a koe e noho ana i raro i te mate whakamoe whānui. Ko te whakauru i tētahi kāmera iti me ngā taputapu ki roto i tō uma kia pai ake ai te tirotiro i te pleura me ngā wāhi e karapoti ana. He maha ngā wā ka mahia te maimoatanga i te wā kotahi me tēnei tikanga.

Me pēhea te rongoā mō tēnei?

E rua ngā whāinga matua mō te rongoā i te rerenga wai i roto i te pleural: Ko tētahi he tango i te wai nui . Ko tētahi he aukati i te hanga anō o te wai . Ka whiriwhiria e ngā tākuta te rongoā i runga i te take me te uaua o te manawa nā te wai.

Ngā rongoā

• Mena kei te pupuri wai koe i te mea he āhuatanga pēnei i te ngoikore o te ngakau , ka tohua e ngā tākuta ngā rongoā diuretic (e mōhiotia ana ko ngā "pire wai" nā te mea ka āwhina i te tinana ki te whakakore i te wai nui mā te mimi) me ētahi atu rongoā mō te ngoikore o te ngakau.
• Mena he mate pāwera te take, me tango e koe he rongoā paturopi .
• Mena nā te mate pukupuku (malignant effusion) te mate i puta ai, ka whiwhi pea koe i te chemotherapy , te radiation therapy , te werohanga rānei o tētahi rongoā wai ki roto i te uma.

Ngā tikanga maimoatanga (Ngā Tukanga)

• Mena he uaua ki te manawa, ka mahi pea tō tākuta i tētahi thoracentesis rongoā (he rite tēnei ki te tango tauira wai, engari ka tangohia te nui o te wai e taea ana). Tērā pea ka whakaurua e rātou he ngongo uma . Ko te whakauru i tētahi ngongo iti ki roto i tō uma, ka tukuna te wai kia rere ki roto i tētahi pounamu.
• I ētahi wā, ina koa ka nui haere te wai nā te mate pukupuku, ka nui haere anō te wai ahakoa kua tangohia. I roto i ēnei āhuatanga uaua ki te whakahaere, ka whakamahia pea e te tākuta he ngongo uma hei tango i te wai.Ka werohia ki roto i te kōhao pleural tētahi momo rongoā e kiia nei ko te sclerosing agent. Ka puta he koha (fibrosis) i waenganui i ngā kiriuhi pleural e rua i tēnei rongoā. Ka kiia hoki tēnei ko te pleural sclerosis , ko te pleurodesis rānei. Ina hangaia tēnei koha, ka piri ngā kiriuhi pleural e rua, ka ārai i te kohikohinga anō o te wai. Tata ki te 50% noa iho te whai huatanga o tēnei tikanga ki te aukati i te kohikohinga anō o te wai.

Pokanga

Mena kāore e ranea te rerenga wai, te sclerosis pleural rānei hei whakahaere i tō āhua, me mahi pokanga pea koe. Ka tirotirohia koe e tō taote pokanga, ā, ka kōrero tahi me koe mō ngā painga me ngā huakore o te pokanga.

E rua ngā momo pokanga matua:

1. Pokanga Ataata-Āwhina-Tāra (VATS): Ko te tikanga o tēnei ko te hanga i tētahi ki te toru ngā tapahi iti rawa (tata ki te hawhe inihi) ki roto i te uma, me te whakauru i tētahi kāmera me ngā taputapu pokanga mā roto i aua tapahi hei mahi i te pokanga. Ka whakamahia tēnei tikanga mō ngā rerenga wai i roto i te puku e uaua ana ki te whakahaere, e hoki mai ana rānei nā te mate pukupuku. I te wā o te pokanga, ka whakanohoia he mea pērā i te talc , i te paturopi rānei ki roto i te kōhao puku hei ngana ki te aukati i te kohi anō o te wai.

2. Te pokanga uma (te pokanga tuku iho, "tuwhera"): I roto i tēnei tikanga, ka tapahia e te taote pokanga he 6-8 inihi te roa ki roto i te uma. Koinei te tikanga e whakamahia whānuitia ana mēnā he mate pāwera tōu. Ka tangohia e te pokanga uma ngā kiko muka katoa, ā, ka āwhina ki te horoi pai i te mate i roto i te kōhao pleural. Me whakauru pea he ngongo uma hei tango i te wai mō ngā rā e rua ki ngā wiki e rua i muri i te pokanga.

He pānga taha pea kei te puta mai i te maimoatanga?

Ae, pērā i ngā maimoatanga hauora katoa, ka pā mai ētahi pānga taha i ngā maimoatanga mō te pleural effusion.

• Te Pupuhi Pūkahukahu: Ka puta pea tēnei, ina koa mēnā ka tangohia he nui o te wai i te wā kotahi.
• Ngā Putunga Toto
• Ngā Auahatanga o te Ngākau Rerekē
• Pneumothorax: He hinganga tēnei o ngā pukahukahu nā te hau e whakakī ana i ngā pukahukahu. I ētahi wā ka puta tēnei ina pāngia te ngira e whakamahia ana hei tango wai.

Kia pēhea te roa o te wā e ora ai?

Ka rerekē tēnei i runga i te maimoatanga i mahia.

• Mena i mahia he thoracentesis ki a koe, me āta tupato koe mō ngā rā e rua.
• Mena i pokangahia koe e te VATS , me noho pea koe ki te hōhipera mō ētahi rā i muri mai.
• Mena i pokanga tuwhera ( thoracotomy ) koe, me noho koe ki te hōhipera mō te wiki pea.

He aha tā tātou e taea ai te whakaiti i tēnei mōrearea?

He uaua ki te ārai i te nuinga o ngā mea e puta ai te toto i roto i te kiriuhi. Heoi, ka taea e koe te whakaiti i tō tupono mā te:

• Me noho tawhiti atu i ngā hua tupeka.
• Āta karohia te pānga ki te asbestos.
• Ki te mea kua tohutohuhia koe e tō tākuta, me kai koe i te kai iti te tote.
• Inumia ō pire wai (ngā rongoā whakaheke toto) kua tohua e koe i te wā tika.
• Ki te kī atu tō tākuta kia pērā, me whakawhāiti te nui o te wai e inumia ana e koe.

He aha tā tātou e tumanako ai mō tēnei āhuatanga?

I muri i te whiwhinga o te maimoatanga, me whiwhi anō koe i ngā hihi-X . Ka hiahia te tākuta ki te mōhio mēnā i angitu te maimoatanga. Me haere tonu hoki te whiwhinga o te maimoatanga mō te mate i puta ai te pleural effusion.

Ko te kaha o tō āhua ka whakawhirinaki ki ēnei āhuatanga:

• He aha te tino take o te putanga mai o te wai i roto i te pleural?
• He pānga ki tō manawa?
• Ko te mea nui, mēnā ka pai te urupare ki te maimoatanga.

He aha te tirohanga mō tēnei āhuatanga?

He rerekē te tirohanga, te matapae rānei, i runga i te take i puta ai tō pleural effusion me ētahi atu mate hauora kei a koe. Mō ētahi tāngata, he angitu te maimoatanga pleural effusion. Heoi, ka taea e te pleural effusion te hoki mai anō .

Kāore i te tino pai te tirohanga mō te rerenga wai i puta mai i te mate pukupuku. Ā, ki te kore koe e rongoā tika i te rerenga wai, kāore hoki i te pai.

Me pēhea koe e tiaki ai i a koe anō?

Ko ētahi āhuatanga e puta ai te toto totoka me rongoā mō te wā roa . Kōrero ki tō tākuta mō te rongoā pai mō te wā roa mō tō āhuatanga. Kātahi, whai i tō mahere maimoatanga kia tika . Tangohia ō rongoā i te wā tika, me te pupuri i ngā huringa āhua noho e taunaki ana tō tākuta.

Āhea te wā pai ki te toro atu ki te tākuta?

Haere ki ngā wā tirotiro katoa kua whakaritea e tō tākuta hei whakahaere i tō mate pūmau. Mēnā ka uaua te manawa , rapua tonutia he awhina hauora . Kaua e whakaroa.

He aha ngā pātai nui hei pātai atu ki tō tākuta?

Ka taea e koe te pātai atu ki te tākuta i ngā pātai pēnei:

• He aha i puta ai tēnei rerenga wai i roto i te pleural effusion ki ahau?
• Kia pēhea te auau o taku haerenga atu ki te kite i a koe (ngā wā whakarite whai muri mai)?
• He aha ngā tūponotanga ka pā mai anō te toto ki roto i ahau?
• He aha ngā pānga roa o taku pleural effusion?

Nā, he totohu tō te kiri, kāore pea he tohu i pā mai. Ko te mea nui ko te kimi i te pūtake.Kia mōhio te tākuta ki te take, ka mahi ia i ngā mahi hei rongoā. Mā te whakautu tika i ngā pātai a te tākuta ka āwhina i te whakakore i ētahi o ngā take. He mea noa te mataku ina uaua te manawa, nō reira kaua e wehi ki te pātai mō ngā mea katoa e hiahia ana koe kia mārama.

Nā, he aha ngā mea hei maumahara mā tātou i ēnei mea katoa?

Ko te wai e puta mai ana i te pleura te kohikohinga o te wai i waenganui i te pleura, arā, ngā kiriuhi e karapoti ana i ngā pūkahukahu. E kīia ana hoki tēnei e ētahi he "wai i roto i ngā pūkahukahu".

• He maha ngā take mō tēnei. Ko ngā mea pēnei i te mate manawa, te niumōnia, me te mate pukupuku ngā mea matua.
• Ko ētahi o ngā tohu ko te mamae o te uma me te uaua ki te manawa . Tērā pea kāore he tohu o ētahi tāngata.
• Ka taea e te tākuta te tautuhi i tēnei mā te whakamahi i ngā hihi-X, ngā karapa CT, me te tango tauira wai (thoracentesis) .
• Ko te maimoatanga e aro ana ki te pūtake me te tango i te wai . Tērā pea ka hiahiatia he rongoā, he tikanga tango wai, ā, i ētahi wā ka hiahiatia he pokanga.
• Ko te mea nui ko te toro atu ki te tākuta i te wā e taea ai mēnā he uaua ki te manawa, he puku rānei kei roto i tō uma. Mā te kitenga wawe ka māmā ake te maimoatanga, ā, ka whakaitihia te tūponotanga o ngā raruraru.

Mena he pātai anō āu mō tēnei, kaua e mangere ki te kōrero ki tō tākuta. Kia ora tonu koe!

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` Te rerenga wai i roto i te uma, ngā pukahukahu, te wai i roto i te uma, te uaua ki te manawa, te mamae o te uma, te mate pukahukahu, te maimoatanga hauora