Anatomy uye Kushanda kwePleural Fluid uye Kusakanganisika
Kana chiremba wako ataura kuti iwe une chivakwa chekuchema kwemuviri kana kuti utachiona hunobatanidza mumiririro wako, zvinorevei?
Chii chinonzi Pleural Fluid?
Pleural fluid ndiyo inoyerera iyo inowanikwa pakati pezvikamu zve pleura , iyo membrane iyo inotenderera mhepo uye inopoteredza mapapu. Nzvimbo iri nemvura inoshandiswa inonzi inonzi pleural cavity or pleural space.
Kazhinji pleural fluid ine huwandu hwesimbi (serous) fluid iyo inoshanda sechinhu chinopisa panguva yekufema.
Kuchinja kwehuwandu hwekuchema kwechirwere kunogona kukonzerwa nehutachiona, tsvina, kana zvimwe zvinokonzera uye zvinogona kutungamirira kune zvinetso zvekupumadza uye zvimwe zvinetso zvakashata. Kuwedzerwa kwekuchema kwemuviri kunotibvumira kuti tiongorore zvikonzero zvekuchinja uku kana kutsvaga nokuda kwezviratidzo zvehutachiona kana zvirwere. Pakawanda runyararo ruchidimbu
Basa rePleural Fluid
Pleural fluid is a thin translucent fluid that fills the cavity between the parietal (outer) ne visceral (mukati) mazamu anoyerera akapoteredza mapapu. Izwi remvura yakasviba shoma, masikati machakita makumi maviri kana makumi mana.
Pleural fluid inoshanda nekugadzirisa nzvimbo pakati pe pleura, ichibvumira muromo kuti ugare zvakanaka panguva yekudzivirira uye kuputika. Nenzira iyi, iyo inobata mapapukisi asina kumira pamapapu ekurwisana kubva kumbabvu uye mudanda.
Mamiriro ezvinhu Anobatanidza Pleural Cavity
Pane mitemo yakawanda iyo inogona kukanganisa cherechedzo yechipupuriro uye, nekusakwanisa, chirevo chemuviri. Pakati peizvi:
- Pleural effusion ndiyo mamiriro ekuti mvura yakawandisa inowedzera munzvimbo yakanyanyisa. Pane zvikonzero zvakawanda zvekuchema kwechishuvo, kusanganisira congestive moyo kusakundikana, kuputika kwemapummine, mafungiro epfungwa, kenza, uye zvirwere zvekudzivirira zvakadai se lupus uye rheumatoid arthritis. Vanhu vanopfuura 200 000 vari muUnited States vanoshungurudzwa nechishuvo chisingaiti gore negore.
- Apo chivako chemvura inosviba ine kenza yemasera, inonzi inonyangadza mutsva . Kunyange zvazvo izvi zvinowanzoitika nepamutambo wepamuti 4 yemapapu, zvinogonawo kuitika pamwe nemamwe makondombera akapararira (mastasized) kubva kune dzimwe nhengo dzomuviri, kusanganisira mazamu uye ovha.
Zviratidzo uye Kuongororwa kwePleural Disorders
Kana mvura inonaya ichivakwa munzvimbo inokumbira, inogona kudzvinyirira mapapu epasi. Izvi, pamwe chete, zvinogona kukonzera kupfupika kwefema, kurwadziwa kwepfupa, uye zvimwe zviratidzo zvekufema kunetseka.
Kuti aongorore, chiremba achabudisa dutu remvura yakashandiswa uchishandisa nzira dzakasiyana-siyana:
- Thoracentesis (inonziwo nenyuchi inoshuva) inotora dutu rinoshandiswa nekunyorera nekusaisa nenyuchi kuburikidza nechimukati chemukati, iyo yamuenzaniso iyo inogona kuongororwa mubasa.
Pamusoro pekunyorwa kwezvinyorwa zvinonzwika, sampuli inogona kuongororwa kuti ione zvikonzero zvekuchinja chero kupi zvako kana kuti kusimbisa kuvapo kwehutachiwana kana zvirwere. Nzira mbiri mbiri dzekuongorora dzinosanganisira:
- Kuchengetedza kushandiswa kwemvura kunoshandisa nzira iyo mvura inowanikwa kuburikidza ne thoracentesis inoongororwa pamwe chete nekushandura kwayo uye zvinhu zvakadai semaprotheni. Iko kune mbiri miviri yepamusoro yekunyengedza kwemvura inowanika muzwi rechiremera. Imwe inonzi transudate, iyo inopenya, inonzwisa mvura yakawanda inowanzoonekwa mu congestive moyo kusakundikana. Imwe yacho inonyanyisa, yakanyanyisa, yakawanda-semvura inowanikwa kakawanda munguva yehutachiona.
- Pleural fluid cytology inzira inoshuva kuona kuvepo kwemamwe masero machena eropa (kuvepo kwavo kunogona kuratidza utachiona), mabhakitiriya (kushandisa girafu yegiramu ), nezvimwe zvinhu zvisingafaniri kuvapo. Kana hutachiona hunofungidzirwa, hutachiona hwaizove hwakakosheswa kuti huzivikanwe hutachiona hunokonzera.
Kurapa kwePleural Fluid Disorders
Kana kuwedzera kwechirwere chemvura kunowedzera munzvimbo yakawanda, zvinogona kukonzera kuwedzera kukurumidza kufema, kurwadziwa kwepfupa (kazhinji kuipa nekufema kwakadzika,) uye kunogona kugadzirisa mwoyo unoita kuti mwoyo usakundikana.
Kuti abvise mvura inoshandiswa, chifuva chebhokisi chinowanzoiswa.
Chest tube placement inosanganisira kuiswa kwehutachiona hunochinja mukati mechiratidzo chekugara. Iyo tube inogona kusara panzvimbo kuti ibvise zvinodhaka zvakanyanya, ropa, kana mweya yakawana. Inogona kuchengetwa panzvimbo yakasiyana-siyana yenguva zvichienderana nemamiriro ezvinhu kana kuti zvinokonzera.
Dzimwe nguva, mvura inonaya inoenderera mberi ichiwedzera, zvichiita kuti zvive nyore kubvisa chifuva chechipfuva. Kune dzimwe nzira shoma dzinogona kuitwa kana izvi zvichiitika. Mune chirurodisisiti , mazamu maviri e pleura anomanikidzwa kubatana kune umwe neumwe kuburikidza nekupinza kemikemikari (yakafanana netarek) munzvimbo yechisimba. Izvi zvinokonzera kuvhiringidza uye pakupedzisira kupera izvo zvinoshanda kusungira zvikamu zviviri zvekukumbira pamwe chete, kuparadza nzvimbo yezvinyorwa.
Imwe nzira ndeyekuisa stent muchivande chinzvimbo chakabatanidzwa kunze kwemuviri. Iyo inonaya inogona kuregererwa nguva nenguva, kunyange mukunyaradzwa kweimba yako. Izvi zvinowanzoitwa kakawanda pamusana pemafungiro anonzwika ane chokuita nekenza yakapfuura.
Pakupedzisira, pleurectomy inogona kuitwa. Mune nzira iyi mutsara unoremekedzwa wakabviswa, nekubvisa zvakanakira nzvimbo yechiratidzo.
> Sources
- > American Society of Clinical Oncology. "Yakasvibira Kumapopu kana kuti Chirwere Chisingaoneki." Alexandria, Virginia; August 2016.
- > Dixon, G .; de Fonseka, D .; uye N. Maskell. "Pleural controversies: > image-guided > biopsy vs. thoracoscopy nokuda kwevasingazivikanwi vanyengeri?" Journal of Thoracic Disease . 2015; 7 (6): 1041-51.
- > US National Library of Medicine. "Pleural Fluid Analysis." MedlinePlus. > Bethesda >, Maryland; Updated 11/19/15.