Pamwe wakambonzwa nezvemunhu mukuru ari muchipatara aine "fluid mumapapu." Pamwe zvakaitika kune mumwe munhu wemumhuri mako. "fluid mumapapu" iyi inorevei chaizvo? Izvi zvinorevei? Nhasi, ngatitaurei nezvechirwere ichi, chinonzi "Pleural Effusion" mumashoko ekurapa, nenzira iri nyore kwazvo yaunogona kunzwisisa.
Zvinorevei chaizvo kuzadza mapapu ako nemvura?
Fungidzira kuti mapapu edu ari mukamuri rekudzivirira mukati mechipfuva. Mapapu aya, pamwe nemukati mechipfuva, mune matumbu maviri matete. Zvakafanana nebharumu riri mukati mebharumu. Tinodana matumbu maviri aya kuti pleura.
Kazhinji, mumunhu ane hutano hwakanaka, pane mvura shoma pakati pema membrane maviri aya. Zvakafanana nemafuta mashoma mumuchina. Nekuda kwehuwandu uhwu hwemvura, patinofema, mapapu edu paanobatana uye achikura, maitiro iwayo anoitika pasina dambudziko kana kukweshana. Ndiyo nzira yechisikigo.
Asi kana paine chirwere chinonzi "Pleural effusion", mvura yakawanda kupfuura inodiwa inoungana munzvimbo isina chinhu iri pakati pema membrane maviri aya. Izvi ndizvo zvatinowanzodaidza kuti "mvura mumapapu." Kutaura chokwadi, mvura iyi haizadzi mapapu pachayo, asi pakati pema membrane maviri e pleural akakomberedza mapapu.
Panogona kuva nezvikonzero zviviri zvikuru zvekuungana kwemvura nenzira iyi:
1. Muviri unogona kunge uchiburitsa mvura iyi yakawandisa .
2. Zvikasadaro, muviri ungasakwanisa kunwisa mvura inogadzirwa zvakanaka .
Chero zvazvingava, mhedzisiro yacho ndeyekuti mvura inoungana yakakomberedza mapapu, ichiaisa padzvinyiriro, uye matambudziko ekufema anotanga kuitika.
Kune mhando mbiri dzezvinwiwa zvinosangana.
Vanachiremba vanopatsanura kubuda kweropa muropa kuita mhando mbiri huru zvichienderana nemhando yemvura inoungana. Nekuti zvikamu zvemvura zvinogona kupa pfungwa yakanaka yechikonzero chacho.
| Rudzi rwemvura | Tsananguro nezvikonzero zvikuru |
|---|---|
| Transudative (Yakawanda mumvura, isina mapuroteni) | Zvichitaurwa zviri nyore, iyi imvura inotaridzika se "mvura". Ine mapuroteni mashoma. Izvi zvinokonzerwa nekuwedzera kwekumanikidzwa mutsinga dzeropa dzemuviri kana kudzikira kwehuwandu hwemapuroteni muropa. Zvikamu zvemvura zvinobuda mutsinga dzeropa. Zvikonzero zvikuru: Kukundikana kwemoyo, Cirrhosis yechiropa, Nephrotic Syndrome. |
| Kuwedzeredza (Kuwanda kwehuwandu, mapuroteni akawanda) | Mvura iyi ine mapuroteni akawandisa, masero, nezvimwe zvinhu. Izvi zvinokonzerwa nehutachiona, kuzvimba, kana kenza iri mukati kana pedyo nepleura. Izvi zvinoitika kana mvura ichibuda mutsinga dzeropa kana kuti lymphatic system ikasakwanisa kubvisa mvura yacho. Zvikonzero zvikuru: pneumonia, kenza (kunyanya kenza yemapapu, kenza yemazamu), TB, chirwere cheitsvo, mushure mekuvhiyiwa kwemoyo. |
Pakurapa, zvakakosha kuziva kuti ndeipi mhando mbiri idzi dzaunadzo uye chii chiri kukonzera izvozvo.
Ndezvipi zviratidzo zvaungaona?
Vamwe vanhu vane pleural effusion asi havaratidzi zviratidzo. Izvi zvinoonekwa netsaona panguva yeX-ray yechipfuva nekuda kwechimwe chikonzero. Zvisinei, vanhu vazhinji vanotanga zviratidzo, kunyanya kana mvura yacho yaungana.
- Kuoma kufema: Ichi ndicho chiratidzo chikuru uye chinowanzoonekwa. Kana mvura yazara mumapapu, hapana nzvimbo yakakwana yekuti mapapu azvimbe zvakanaka. Izvi zvinoita kuti zviome kufema uye zvinoita kuti unzwe kudzipwa.
- Kurwadziwa pachipfuva: Kurwadziwa kwakanyanya kunonzwa kunyanya kana uchifema mweya wakadzika kana kukosora. Izvi zvinoitika kana ma pleural membranes maviri achikweshana.
- Kukosora kwakaoma: Vamwe vanhu vanogona kuramba vachikosora kwakaoma.
- Orthopnea: Ichi chiratidzo chakasiyana. Kufema kunowedzera kuoma kana wakarara pasi, asi kufema kunowedzera nyore kana wakagara kana wakamira.
- Fivha: Kana chikonzero chikuru chiri hutachiona (senge pneumonia), zviratidzo zvakaita sefivha nekurwadziwa kwemuviri zvinogonawo kuitika.
Chinhu chakakosha ndechekuti zviratidzo izvi hazvisi zvekubuda kweropa muropa chete. Zvinogona kuonekwawo mune zvimwe zvirwere zvakaita sechirwere chemwoyo neasthma. Saka, kana uine zviratidzo izvi, zvakakosha kuona chiremba nekukasika kuti uwane chikonzero.
Ungaziva sei chirwere ichi?
Paunoenda kunoona chiremba, iye achatanga nekukubvunza nezvezviratidzo zvako nezvimwe zvirwere zvaungave nazvo (sechirwere chemwoyo kana chirwere cheshuga). Zvadaro vachaisa stethoscope pachipfuva chako voteerera. Kana paine mvura yakakomberedza mapapu ako, ruzha rwaunonzwa paunofema runogona kuchinja.
Mushure meizvozvo, bvunzo dzinoverengeka dzicharairwa kuti dzisimbise chirwere uye kuwana chikonzero.
- X-ray yechipfuva: Iyi ndiyo bvunzo iri nyore uye iri nyore. X-ray inogona kuona zvakajeka kana paine mvura yakakomberedza mapapu uye kuti yakawanda sei.
- Kuongororwa kweCT: Izvi zvinogona kuburitsa mufananidzo wakajeka, une mativi matatu (3D) emapapu nenzvimbo yepleural. Izvi zvinogona kubatsira zvikuru pakutsvaga chikonzero chekuungana kwemvura (senge bundu).
- Kuongororwa kweUltrasound: Izvi zvinogona kubatsira kuona nzvimbo yemvura uye kuyera huwandu hwemvura. Inoshandiswa kubatsira kutungamira tsono munzvimbo yacho, kunyanya pakuita nzira inosanganisira kubvisa mvura.
- Thoracentesis: Iyi ndeimwe yemiedzo yakakosha. Inosanganisira kugadzira chidimbu chidiki muchipfuva, kuisa tsono diki pakati pembabvu mbiri, uye kutora sampuli yemvura yakatenderedza mapapu. Muenzaniso wemvura iyi unozotumirwa kurabhoritari kuti uongororwe.
Chii chaunotsvaga paunenge uchiyedza sampuro yemvura?
Rabhoritari inoongorora mvura yacho kuti ione kana paine mapuroteni, shuga, marudzi emasero (kune masero ekenza here?), uye tupukanana twakaita semabhakitiriya. Ruzivo urwu runobatsira chiremba kuona kana iri ``Transudative'' kana ``Exudative'', uye kana chikonzero chiri hutachiona, kenza, kana chimwe chinhu.
Mune zvimwe zviitiko, kana bvunzo idzi dzisingakwanisi kuona chikonzero, nzira inonzi thoracoscopy kana VATS inogona kuitwa. Izvi zvinosanganisira kuisa kamera kuburikidza nekucheka kudiki kana kupfuura muchipfuva kuti utarise zvakananga pleura nemapapu. Sampuro yenyama inogonawo kutorwa kuti iopiopiwe.
Ndezvipi zviri kurapwa?
Pane zvinangwa zvikuru zviviri mukurapa pleural effusion:
1. Kubvisa mvura yakawandisa uye kuderedza matambudziko ekufema.
2. Kurapa chikonzero chikuru chekuungana kwemvura uku uye kudzivirira kuwedzera kwemvura.
Yeukai, kungobvisa mvura iri mumapapu hazvina kukwana. Kana dambudziko riripo rikasarapwa, mvura yacho inogona kuzara zvakare.
1. Kurapa chikonzero chiripo
- Kana mvura ikawanda nekuda kwekushaya simba kwemoyo , mishonga inovandudza mashandiro emoyo uye mapiritsi emvura anobvisa mvura yakawandisa mumuviri anopiwa.
- Chikonzero: ManyokaKana chiri chirwere chebhakitiriya, mushonga unorwisa mabhakitiriya unopihwa.
- Kana chikonzero chiri kenza , unofanira kupiwa chemotherapy uye radiation therapy.
2. Nzira dzekubvisa mvura yakaungana
- Kurapa Thoracentesis: Iyi ndiyo bvunzo yatakakurukura kare, asi pachinzvimbo chekutora sampuli, mvura yakawanda inobviswa netsono. Izvi zvinopa zororo nekukurumidza kumurwere.
- Tubhu reChipfuva: Kana huwandu hwemvura hwakawandisa kana kuti mvura yacho yakakora (semapundu), tubhu diki rinonzi "tubhu reChipfuva" rinogona kuiswa muchipfuva kwemazuva mashoma. Mvura yacho inodururwa zvishoma nezvishoma mubhodhoro kuburikidza netubhu iyi.
- Pleural Sclerosis: Nzira iyi inoshandiswa kana mvura ikaramba ichiungana nekuda kwechikonzero chakadai sekenza. Munzira iyi, mushonga wakakosha (wakaita setalc) unoiswa nepachubhu yechipfuva pakati pema pleural membrane maviri. Mushonga uyu unokonzera kuzvimba pakati pema membrane maviri, zvichiita kuti anamatire pamwe chete. Izvi zvinobvisa nzvimbo iyo mvura inogona kuungana zvakare.
- Kuvhiyiwa: Kana dzimwe nzira dzikasabudirira kana kuti paine gobvu rakakomberedza pleura nekuda kwehutachiona, kuvhiyiwa kunogona kudiwa.
- VATS (Video-assisted thoracoscopic surgery): Kuvhiyiwa kunoitwa uchishandisa kamera yakaiswa kuburikidza nemachekwa madiki.
- Kuvhiyiwa kwechivanhu kunosanganisira kuvhura chipfuva. Izvi zvinogona kubvisa zvachose nyama ine utachiona.
Matambudziko anogona kukonzerwa nemamiriro aya
Kana ikasarapwa zvakanaka, pleural effusion inogona kukonzera matambudziko akasiyana-siyana.
- Utachiona: Utachiona hunogona kupinda mumvura yakatenderedza mapapu hwoita dumbu.
- Mavanga akakomberedza mapapu: Kugara kwenguva refu kwemvura kunogona kukonzera kuti pleural membrane ikobvu, zvichidzivirira mapapu kuti asaputike zvakanaka.
- Mapapu/Pneumothorax yakadonha: Dzimwe nguva mapapu anogona kukuvara panguva yekubviswa kwemvura.
Saka, zvakakosha zvikuru kutsvaga rubatsiro rwechiremba nekukasika kana uine zviratidzo.
Mamiriro ezvinhu aya anogona kudzivirirwa here?
Sezvo kubuda kweropa muropa kuchikonzerwa nechimwe chirwere, chatinofanira kuita kuedza kudzivirira kukura kwechirwere ichocho.
- Dzivisa kusvuta: Kusvuta ndicho chikonzero chikuru chekenza yemapapu nechirwere chemwoyo.
- Dzivisa kusangana neasbestos: Izvi zvinogona kukonzera zvirwere zvemapapu.
- Mararamiro ane hutano: Zvinhu zvakaita sekudya zvine mwero, kurovedza muviri, uye kuderedza kudya munyu wakawandisa zvinogona kubatsira kudzora zvirwere zvakaita sechirwere chemwoyo nechirwere cheitsvo.
- Kana uchitova nechirwere chemwoyo kana cheitsvo, tora mushonga wacho sezvawakarairwa nachiremba wako uye enda kukiriniki nenguva.
Mharidzo Yekuenda Nayo Kumba
- " Pleural effusion " kuungana kwemvura zvisina kujairika pakati pema membrane maviri akakomberedza mapapu.
- Kuoma kufema, kurwadziwa pachipfuva kana uchifema zvakadzama, uye kukosora kwakaoma ndizvo zviratidzo zvikuru.
- Dambudziko iri harisi chirwere, asi chiratidzo chechimwe chirwere. Rinogona kukonzerwa nezvikonzero zvakasiyana-siyana, zvakaita sechirwere chemwoyo, pneumonia, uye kenza.
- Chinhu chinonyanya kukosha pakurapa kurapa chikonzero chacho nemazvo, pamusoro pekubvisa mvura yacho.
- Kana iwe kana mumwe munhu waunoziva aine zviratidzo izvi, musavhunduka kana kunonoka , asi kurumidzai kuonana nachiremba. Kuongororwa nekukurumidza uye kurapwa kunogona kudzivirira matambudziko.
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