Ese wumva ibihaha byawe byuzuye amazi? Reka tuganire ku kibazo cyo gusohora amaraso mu buryo bwa Pleural hamwe na Nirogi Lanka!

Ese wigeze wumva ufite uburemere buke mu gituza cyawe cyangwa ukabona ikintu kidasanzwe iyo uhumeka? Wenda wigeze wumva umuntu avuga ati “hari amazi mu bihaha.” Muri Nirogi Lanka, turashaka kugufasha gusobanukirwa iyi ndwara, yitwa Pleural Effusion mu buvuzi.

Mu by'ukuri, Effusion ya Pleural ni iki?

Reka tubisobanure mu buryo bworoshye. Ibihaha byawe biba mu gituza cyawe. Bikikije buri gihaha no imbere mu rukuta rw'igituza cyawe hari ibice bibiri byoroheje by'inyama bizwi nka pleura . Tekereza ibi nk'agasanduku k'ibihaha byawe gafite ibice bibiri.

Mu bihe bisanzwe, hari akantu gato k'amazi hagati y'izi ngingo ebyiri z'umuyoboro w'amaraso. Bikora nk'amavuta yo mu mashini, bigatuma ibihaha byawe binyerera, bikura, kandi bigabanuka mu buryo butagoranye mu gihe uhumeka.

Kuzura kw'amazi mu miyoboro y'amaraso (pleural effusion) bibaho iyo habayeho ukwiyongera gukabije kw'aya mazi hagati y'ayo mazi. Ibi akenshi bibaho bitewe nuko umubiri wawe urimo gukora amazi menshi cyangwa kuko udasohora amazi neza. Mu magambo make, ibi bikunze kwitwa "amazi ku bihaha."

Ese hari ubwoko butandukanye bw'imiyoboro y'amaraso mu gice cy'imbere cy'umuyoboro w'amaraso (pleural effusion)?

Yego, abaganga bashyira mu byiciro pleural effusions mu moko abiri y'ingenzi hashingiwe ku miterere y'amazi aturuka mu bihaha.

1. Transudative (Habuze poroteyine, amazi y'umutsi): Ubu bwoko muri rusange buterwa n'umuvuduko mwinshi mu mitsi y'amaraso y'umubiri. Urugero, bushobora kugaragara ku bantu babana na cirrhose (indwara y'umwijima) cyangwa umutima unanirwa . Mu by'ukuri, amazi asohoka mu mitsi y'amaraso bitewe n'umuvuduko utaringaniye.

2. Exudative (Amazi akungahaye kuri poroteyine): Ubu bwoko bukunze guterwa no kubyimba, ubwandu , cyangwa kanseri (nka kanseri y'ibihaha cyangwa iy'ibere). Muri iki gihe, amazi ava kuko imiyoboro y'amaraso "yavuye" bitewe n'indwara, cyangwa sisitemu y'umubiri idashobora gukura amazi neza.

Kumenya ubwoko bw'indwara ufite ni ingenzi, kuko ari byo biyobora inzira yawe yo kuvurwa hano muri Nirogi Lanka.

Iyi ndwara ikunze kugaragara gute?

Kurwara pleural effusion bikunze kugaragara cyane kurusha uko wabitekereza . Urugero, muri Leta Zunze Ubumwe za Amerika honyine, bivugwa ko abantu bagera kuri miliyoni 1.5 barwara buri mwaka. Iyi ndwara tuyibona kenshi no mu buvuzi bwacu hano.

Ni ibihe bimenyetso by'uko umuntu ashobora gusohora amaraso mu gice cy'imbere cy'umuyoboro w'amaraso (pleural effusion)?

Ushobora kugira ibimenyetso bifitanye isano n'uburwayi bw'ibanze bwateye iyi ndwara. Ariko, hari ibimenyetso bike bigaragaza ko iyi ndwara ubwayo itera iyi ndwara:

• Ububabare bwo mu gituza: Ibi bikunze kwiyongera iyo ufashe umwuka mwinshi cyangwa inkorora. Bishobora kumvikana nk'aho urimo gukomeretsa cyane.
• Kubura umwuka (Dyspnea): Ushobora kumva udashobora guhumeka neza, ibyo bikaba bikunze kwiyongera iyo ukoresheje imbaraga nyinshi.
• Orthopnea: Iki ni ikimenyetso cyihariye aho guhumeka bigorana keretse wicaye cyangwa uhagaze neza. Abarwayi benshi birabagora kuryama neza kandi bashobora gukenera gusinzira bahagaze ku misego myinshi kugira ngo bahumeke neza.

Menya ko hari abantu bashobora kugira pleural effusion badafite ibimenyetso na gato. Muri ibi bihe, akenshi iboneka mu buryo bw’impanuka mu gihe cyo gupima X-ray mu gituza bitewe n’indi mpamvu.

Kuki ibi bibaho? Ni izihe mpamvu?

Hari impamvu nyinshi zishobora gutera pleural effusion, kandi rimwe na rimwe hari ibintu birenze kimwe bishobora kuba birimo. Nkuko byavuzwe, abaganga bagena impamvu basesengura niba ayo mazi ari transudative cyangwa exudative . Hari indwara zimwe na zimwe, nko kuvura ibihaha (PE) - amaraso apfundika mu bihaha - rimwe na rimwe ashobora gutera ubwoko ubwo aribwo bwose.

Impamvu zikunze gutera amazi ya Transudative:

• Kunanirwa k'umutima: Iyi ni imwe mu mpamvu zikunze kugaragara, aho kunanirwa k'umutima gusohora neza bituma amazi aguma mu mubiri wose.
• Kurwara indwara y'umwijima: Indwara ikomeye igira ingaruka ku mikorere y'umwijima.
• Indwara ya Nephrotic: Indwara y'impyiko itera gutakaza poroteyine nyinshi mu nkari zawe, bigatuma amazi ahinduka.

Impamvu zikunze gutera amazi yo mu bwoko bwa Exudative:

• Umusonga: Indwara ya bagiteri cyangwa virusi mu bihaha.
• Kanseri: Cyane cyane kanseri y'ibihaha , kanseri y'ibere , cyangwa kanseri ya lymphoma .
• Indwara y'impyiko.
• Indwara zo kubyimba: Indwara zitandukanye zitera kubyimba imbere mu mubiri.
• Nyuma yo kubagwa umutima.

Impamvu zidakunze kugaragara:

• Igituntu: Indwara ishobora gutuma amazi yiyongera mu gituza.
• Indwara zo kwirwanaho mu buryo bwikora: Indwara aho ubudahangarwa bw'umubiri wawe bwibasira uturemangingo tw'umubiri wawe mu buryo butari bwo, bigatera kubyimba.
• Kuva amaraso mu gituza bitewe n'ibyago cyangwa imvune mu gituza.
• Chylothorax: Indwara ibaho iyo 'chyle,' amazi ava muri sisitemu ya lymphatic, yikusanyirije mu gituza, akenshi bigaterwa no gukomereka.
• Indwara zidasanzwe zo mu gituza no mu nda.
• Guhura na Asbestos .
• Guturika k'umuyoboro w'amaso
• Pancreatite
• Indwara ya Meig: Iterwa n'ikibyimba cy'intanga ngore kitarwaye.
• Indwara yo kugabanya imbaraga mu mikurire y'intanga ngore
• Imiti imwe n'imwe.
• Ingorane nyuma yo kubagwa mu nda.
• Ubuvuzi bushingiye ku mirasire

Hari ubwo amazi yakusanyijwe ashobora kuba arimo uturemangingo twa kanseri (kanseri), cyangwa ayo mazi ashobora kuba arimo ingaruka mbi zo kuvurwa hakoreshejwe imiti ya chimiotherapie .

Ni nde uri mu kaga gakomeye ko kugira ibi?

Hari ibintu byinshi bishobora gutera ibyago byo kugabanuka k'amaraso mu gice cy'imbere cy'umutima:

• Indwara nyamukuru: Niba ufite indwara y'umutima, indwara y'umwijima, indwara y'impyiko, cyangwa kanseri, ibyago byawe byo kurwara pleural effusion biba byinshi.
• Kunywa itabi: Kunywa itabi byongera cyane ibyago byo kurwara indwara ziterwa n'ibihaha.
• Guhura n'ibi bintu bya asibesitosi: Guhura n'ibi bikoresho igihe kirekire, byahoze bikunze kugaragara mu bikoresho by'ubwubatsi, bishobora kwangiza ibihaha cyane.

Ni izihe ngorane zishobora guterwa n'iki kibazo?

Iyo itavuwe, pleural effusion ishobora gutera ingorane nyinshi:

• Kwandura cyangwa Guturika: Amazi ashobora kwandura, bikaba byanatuma habaho agafuka kuzuyemo amabyi.
• Inkovu: Udusimba tw’imitsi dushobora kwirema aho amazi aherereye, ibyo bikaba byabangamira imikorere y’ibihaha byawe.
• Kwangirika kw'ibihaha mu buryo butaziguye.

Iyi ndwara ipimwa ite?

Iyo ugiye kwa muganga, bazabanza kuganira nawe ku mateka y’ubuzima bwawe—harimo indwara zisanzweho n’igihe ibimenyetso byawe byagiye bibera. Hanyuma, hazakorwa isuzuma ry’umubiri , aho muganga azakoresha stethoscope kugira ngo yumve amajwi y’umwuka wawe. Icyo gihe ni bwo bazagutegeka ibizamini bikenewe byo gusuzuma indwara.

Ni ibihe bizamini bikoreshwa?

Abaganga bakoresha ibipimo bikurikira kugira ngo bemeze ko hari pleural effusion no gusobanukirwa imiterere yayo:

• X-ray yo mu gituza: Ikoreshwa mu kumenya niba hari amazi n'ingano yayo.
• Isuzuma rya CT (Computed Tomography): Ritanga amashusho arambuye kandi asobanutse ugereranije na X-ray, ridufasha kubona ibihaha munsi y'amazi no kumenya ibinini bishobora kubaho.
• Ultrasound yo mu gituza: Ifasha kumenya aho amazi ari no kumenya ahantu hizewe kandi nyaho ho gusohora amazi.
• Thoracentesis cyangwa Biopsy: Urushinge ruto rushyirwa hagati y'imbavu zawe kugira ngo urebe amazi yakusanyije. Hari ubwo hashobora gufatwa agace gato k'umuyoboro w'amaraso kugira ngo hakorwe biopsy.
• Isesengura ry'amazi yo mu bwoko bwa Pleural: Amazi yakusanyijwe asuzumwa muri laboratwari kugira ngo harebwe ingano ya poroteyine, ubwoko bw'uturemangingo, ubwandu, cyangwa uturemangingo twa kanseri. Iki kizamini ni ingenzi kugira ngo hamenyekane niba ayo mazi ari 'transudative' cyangwa 'exudative'.

Niba impamvu idasobanutse neza nyuma y'ibi bizamini, ushobora gukenera gukorerwa ikizamini cya thoracoscopy , kizwi kandi nka Video-Assisted Thoracic Surgery (VAT) . Ubu buryo bukorwa hifashishijwe anesthesia rusange. Dukoresha kamera nto n'ibikoresho byinjizwa mu gituza cyawe kugira ngo turebe uko pleura n'ibice biyikikije bimeze. Akenshi, ubuvuzi bushobora gukorwa muri ubu buryo.

Ibi bivurwa bite?

Ubuvuzi bw'indwara yo kubura amaraso mu maraso bufite intego ebyiri z'ingenzi: kugabanya amazi menshi no kuyabuza kugaruka . Muganga wawe wa Nirogi Lanka azagukorera ubuvuzi akurikije impamvu n'uburemere bw'ingorane zo guhumeka.

Imiti

• Niba indwara yawe iterwa no kunanirwa k'umutima , dushobora kukwandikira imiti igabanya ubukana bw'amaraso (ikunze kwitwa "ibinini by'amazi" kugira ngo bifashe umubiri wawe gukura amazi menshi mu nkari) hamwe n'indi miti y'umutima.
• Iyo habayeho ubwandu, hakenewe imiti yica udukoko .
• Iyo utewe na kanseri (kuvura indwara mbi), ushobora guhabwa imiti igabanya ubukana bw'indwara , imiti ikoreshwa mu mirasire , cyangwa se ugahabwa imiti mu gituza.

Inzira

• Niba ufite ikibazo cyo guhumeka, muganga wawe ashobora gukora Theracentesis Therapeutic (nk'uko byagendeweho mu gufata icyitegererezo cy'amazi, ariko aha intego ni ugukuramo amazi menshi ashoboka). Ubundi buryo, ushobora gushyiramo agasanduku k'igituza . Agasanduku gato gashyirwa mu gituza cyawe, bigatuma amazi asohoka buhoro buhoro mu gikoresho cyo hanze gikusanyirizwamo.
• Mu bihe bimwe na bimwe, cyane cyane iyo amazi yikusanyije kubera kanseri, ashobora kongera kugaruka ndetse na nyuma yo gusohora amazi. Muri ibi bihe bigoye kubyitwaramo, muganga ashobora gutera Sclerosing Agent mu mwanya wa pleural anyuze mu muyoboro w'igituza. Uyu muti ukoreshwa ku bushake mu gutera inkovu (fibrosis) hagati y'ibice bibiri bya pleura. Ubu buryo buzwi nka Pleural Sclerosis cyangwa Pleurodesis . Iyo iyi nkovu imaze kuvuka, ibice bibiri bya pleura bifatanya, bikuraho umwanya aho amazi yashoboraga guhurira. Ubu buryo bugira ingaruka nziza ku kigero cya 50% mu gukumira ko amazi yiyongera mu gihe kizaza.

Kubaga

Niba indwara yawe idashobora kuvurwa neza binyuze mu gusohora amazi cyangwa pleural sclerosis, ushobora gukenera kubagwa. Umuganga wawe azagusuzuma neza kandi akuganirize ibyiza n'ingaruka zishobora guterwa n'ubu buryo.

Hari ubwoko bubiri bw'ibanze bwo kubaga:

1. Kubaga Igituza hakoreshejwe Videwo (VAT): Muri iki gikorwa, hakorwa icyuho kimwe cyangwa bitatu bito cyane (hafi kimwe cya santimetero imwe) mu gituza cyawe, aho kamera n'ibikoresho byo kubaga bishyirwa. Ubu buryo bukoreshwa ku ndwara zikomeye cyangwa kugabanuka k'amaraso mu gice cy'imbere cy'imbere cy'imbere mu gice ... mu gice cy'imbere cy'imbere mu gice cy'imbere cy'imbere mu gice cy'imbere mu gice cy'imbere cy'imbere mu gice cy'imbere mu gice cy'imbere cy'imbere mu gice cy'imbere mu gice cy'imbere cy'imbere mu gice cy'imbere mu gice cy'imbere cy'imbere mu gice cy'imbere mu gice cy'imbere mu gice cy'imbere mu gice cy'imbere mu

2. Kubaga igituza (kubaga igituza mu buryo bwa gakondo, "gufungura"): Muri ubu buryo, umuganga wawe akuramo igituza cya santimetero 1.8 mu gituza cyawe kugira ngo abage. Ibi bikunze gukoreshwa iyo ufite ubwandu. Kubaga igituza byemerera umuganga gukuraho ingirangingo zose z’imitsi no gusukura neza ubwandu mu mwanya w’imitsi. Nyuma yo kubagwa, hazakenerwa umuyoboro w’igituza kugira ngo uvane amazi mu gihe cy’iminsi ibiri kugeza ku byumweru bibiri.

Ese hari ingaruka mbi zishobora guterwa n'ubu buryo bwo kuvura?

Yego, kimwe n'ubundi buryo bwose bwo kuvura, hari ingaruka mbi zishobora guterwa no kuvura pleural effusion.

• Kubyimba kw'ibihaha: Ibi bishobora kubaho, cyane cyane iyo amazi menshi akuweho vuba cyane.
• Amaraso apfutse
• Imivuduko y'umutima idasanzwe
• Pneumothorax: Ibi bivuga igihaha cyaguye bitewe n'umwuka winjira mu gituza. Ibi rimwe na rimwe bishobora kubaho iyo urushinge rw'amazi rutoboye igihaha ku buryo butunguranye.

Gukira bifata igihe kingana iki?

Igihe cyo gukira giterwa n'ubuvuzi wahawe.

• Niba wararwaye Thoracentesis , ushobora gukenera kuruhuka mu gihe cy'iminsi ibiri.
• Niba warabazwe VATS , ushobora gukenera kuguma mu bitaro iminsi mike nyuma yaho.
• Niba warakorewe Thoracotomy (kubagwa ku mugaragaro), ugomba kwitega kumara icyumweru kimwe mu bitaro.

Ni iki twakora kugira ngo tugabanye ibyago?

Nubwo impamvu nyinshi zitera pleural effusion zigoye kwirinda, ushobora kugabanya ibyago byawe ufata ingamba zikurikira:

• Irinde ibikomoka ku itabi byose.
• Irinde ko yandura Asbestos.
• Kurikiza indyo irimo sodi nkeya niba muganga wawe yabigusabye.
• Fata imiti ya Diuretics (ibinini by'amazi) nkuko byategetswe.
• Gabanya kunywa amazi mu gihe abaganga bawe babigusabye.

Ni iki wakwitega mu gihe ugiye gutera imbere?

Nyuma yo kuvurwa, ushobora gukenera gukorerwa X-rays zikurikirana . Muganga wawe azabikoresha kugira ngo asuzume niba uburyo bwo kuvurwa bwagenze neza. Byongeye kandi, uzakomeza kuvurwa indwara y’ubuzima yateye pleural effusion.

Uburemere bw'indwara yawe buterwa n'ibintu byinshi:

• Impamvu y'ingenzi itera pleural effusion.
• Uburyo bigira ingaruka zikomeye ku guhumeka kwawe.
• Uko umubiri wawe wakira neza iyo uvuwe.

Ni iki giteganijwe mu gihe kirekire?

Icyerekezo cy'igihe kirekire, cyangwa ubuhanuzi , gitandukana cyane bitewe n'impamvu nyamukuru itera pleural effusion yawe n'izindi ndwara zawe. Ku barwayi benshi, ubuvuzi bwo pleural effusion buragenda neza, nubwo bishoboka ko iyo ndwara yongera kugaruka.

Iyo amazi aturuka mu maraso atewe na kanseri, muri rusange ibizamini biba birinzwe cyane. Byongeye kandi, kwirengagiza kuvurwa indwara yo mu maraso ishobora gutera ingorane zikomeye ku buzima.

Ni gute wakwiyitaho?

Hari indwara zimwe na zimwe zitera pleural effusion zisaba ubuvuzi bw'igihe kirekire . Ganira n'umuganga wawe wa Nirogi Lanka ku ngamba nziza zo kuvura indwara yawe idakira. Ni ngombwa gukurikiza gahunda yawe yo kuvura.: fata imiti yose ku gihe kandi ukurikize inama za muganga wawe ku bijyanye no guhindura imibereho yawe.

Ni ryari ukwiye kujya kwa muganga?

Ni ngombwa kwitabira gahunda yose yo gukurikirana indwara yawe idakira muganga wawe yateganyije kugira ngo agufashe kuyivura. Niba ugize ikibazo cyo guhumeka cyangwa kubura umwuka, nyamuneka shakisha ubufasha bwihutirwa bwa muganga vuba uhamagara 911 cyangwa usure icyumba cy’indembe kiri hafi yawe. Ntutinde.

Ibibazo by'ingenzi ugomba kubaza muganga wawe

Kugira ngo usobanukirwe neza ubuzima bwawe, tekereza kubaza muganga wawe ibibazo bikurikira:

• Ni iyihe mpamvu nyamukuru ituma pleural effusion yanjye ikwirakwira?
• Ni kangahe nkwiye kugaruka mu gihe cyo gukurikirana?
• Ni iki gishobora gutuma iyi ndwara isubira?
• Ni izihe ngaruka zishobora kubaho mu gihe kirekire z'iyi pleural effusion ku buzima bwanjye?

Kubaho ufite ikibazo cyo kubura amaraso mu ruhu bishobora gutera impungenge, nubwo waba utagaragaza ibimenyetso ubu. Kumenya impamvu nyamukuru ni yo ntambwe y'ingenzi cyane. Muganga wawe namara kumenya impamvu, azashyiraho gahunda y'ubuvuzi yihariye. Kuba umuntu usobanutse neza mu gusubiza ibibazo bya muganga wawe bifasha mu kugabanya ikibazo. Ni ibisanzwe kumva uhangayitse iyo guhumeka bigoye, bityo ntutindiganye kubaza ikibazo icyo ari cyo cyose ufite. Muri Nirogi Lanka, kuba usobanutse neza no kwihumuriza ni byo dushyira imbere.

Ibintu by'ingenzi byakunzwe

Kuzura kw'amazi mu bihaha ni ijambo ry'ubuvuzi risobanura ubwiyongere bw'amazi arenze urugero mu mwanya uri hagati y'ibice bya pleura, igice gito gikikije ibihaha byawe. Ibi bikunze kwitwa "amazi akikije ibihaha."

• Hari impamvu nyinshi zishobora gutera, harimo kunanirwa k'umutima, umusonga, ndetse n'indwara za kanseri.
• Ibimenyetso bisanzwe birimo kubabara mu gituza no kubura umwuka, nubwo hari abantu bashobora kuba badafite ibimenyetso.
• Abaganga bapima iyi ndwara bakoresheje ibikoresho nka X-ray zo mu gituza, CT scans, na thoracentesis yo gusuzuma (isesengura ry'amazi).
• Ubuvuzi bwibanda ku gukemura impamvu nyamukuru no gukuraho amazi binyuze mu miti, inzira zo gusohora amazi, cyangwa, byaba ngombwa, kubagwa.
• Icy'ingenzi kurushaho: niba ugize ikibazo mu gituza cyangwa ukumva bigoye guhumeka, shaka ubufasha bwa muganga vuba. Kubimenya hakiri kare bituma ubuvuzi burushaho kuba bwiza kandi bigabanya ibyago byo guhura n'ibibazo.

Niba ufite ibindi bibazo, nyamuneka hamagara muganga wawe. Komeza ugire ubuzima bwiza!

Tags: Kurekura kw'imitsi, Ibihaha, Amazi akikije ibihaha, Kubura umwuka, Kubabara mu gituza, Indwara z'ibihaha, Ubuvuzi