Buildup yemvura kana kuti mhepo munzvimbo yakanyanyisa inonyanya kukanganisa kufema
Chii chinonzi chiremera, uye chinangwa chei? Ndezvipi zvirwere zvingave zvinosanganisira zvinetso nezvikamu izvi zvemuviri?
A pleural effusion ndiyo yakawanda yehuwandu hwemvura inenge yakawanda mumvura yakawanda, nzvimbo inozadza mvura inopoteredza mapapu. Icho chimwe chezvipingamupinyi zvakasiyana-siyana zvinokonzera kuderera kwemukati uye imwe inogona kupindira zvakananga nekuwedzera kwemapapu uye kukwanisa kwemunhu kufema.
Kuunganidzwa kwemvura kunogona kubva pane chimwe chinhu kubva kune mashomanana mashomanana kusvika kune mamwe maita. Utachiona hunokonzerwa nehutachiona uye kushungurudzika kwepfungwa kwemoyo ndiko kune zvimwe zvinokonzera. Mamiriro akafanana akabatana nekuvakwa kwemweya kana ropa mukati mekunyengera kwekugara.
Anatomy yePleural Cavity
Izvo zviputi zvinokonzerwa nepurasitiki , iyo miviri yakaonda iyo inotenderera uye inopoteredza mapapu. Izvo zviputi zvinokonzerwa nemvura yakawanda inozivikanwa semurefu , iyo inopa kugadziriswa sezvo mapapu achiwedzera uye chibvumirano panguva yekufema.
Mutsara unomirira parietal pleura yakanamatirwa kurusvingo rwechifuva uye chirwere chekuvaraidza chakabatanidzwa pamapapu. Pakati pezvinyorwa zvinoputika pane pakati pe15 ne20 ccs ye fluid (inenge inenge matatu kusvika kune ina maspuniji) yakavanzwa ne pleura. (Kusiyana neizvi, nechishuvo chakashata ichi nzvimbo inogona kuwedzerwa kuva nemamiriyoni emamiriyoni emvura, mvura inogona kushanda kuti inomesa mapapu epasi.)
Basa rekunyengeterera ndeyekusimudzira kupararira nekuputika kwemapapu paanovimbisa kuti zvinodaro zvakanyatsobetsera nekubatsirwa kwemvura inopisa. Inoshandawo sevhavha, uye kusiyana kwekumanikidzwa pakati pemapapu uye mumiririri wezvinyengeri zvichigadzira kusvetedza-uye-kukwevera kunoda kubudisa nekudzinga mweya.
Matambudziko Anosanganisira Pleural Cavity
Kuvapo kwemvura yakanyanyisa, mhepo, kana gasi mumumvuri werufu kunogona kukanganisa kukwanisa kwedu kufema. Pakati pemamiriro ezvinhu anokanganisa kuderera kwemukati:
- Kukanganisa mwoyo kukanganisa (CHF) kunogona kukonzera kufungidzira kwepuresi nekuda kwekuwedzera capillary kumani mumapapu.
- Hepatic hydrothorax inoshandiswa kurondedzera kudengenyeka kwemuviri kunokonzerwa nechiropa chinonzi cirrhosis . Inokonzerwa nekufamba kwepamusoro-soro ascites mvura kubva mudumbu remuviri kusvika kune chifukidzo chemuviri.
- Chirevo chinonyadzisa chisingaiti chinhu chinonyanya kuitika mumapfumbamwe makumi matatu evanhu vane chirwere chemapapu. Kuipa kwechiremera kunogonawo kuitika nekenza yemasitamende yepamuviri, leukemia, lymphoma, uye myelodysplastic syndrome (chirwere chemapfupa emasokera).
- Zvirwere zvakadai sepneumonia uye tuberculosis (TB) zvinogonawo kukonzera kuvaka-up of fluid muchitsiko chemukati. Kunyange zvazvo zvisinganyanyozivikanwi muUnited States uye nyika yakagadziridzwa, TB inonzi inonyanya kuita chikonzero chekuchema kwechisimba munyika inosimudzira.
- Pneumothorax (mapapu akaputsika) anoreva kuumbwa kwemhepo munzvimbo inochengetedza zvinogona kukonzera mapapu uye, mumatambudziko akaoma, zvinodzivisa kukwanisa kwemapapu kuwedzera. Kana pneumothorax inowanzoitika, inogona kunge ichinge ichiita zvishoma nezvishoma kana kuti, panzvimbo pacho, inokurumidza kugadzirisa mapapu pasi peganda (a tension pneumothorax.)
- Hemothorax ndiyo kuunganidza ropa mune nzvimbo yekuchema, kazhinji kazhinji nokuda kwechifuva chepachifu kana nekuda kwekuvhiyiwa kwechifuva.
- Mesothelioma ikenza yemukati mutsvuku inowanzobatanidzwa neAsbestos exposure. Kana mesothelioma inoshandiswa, kuvhiyiwa kunosanganisira kubvisa mazamu ezvinyorwa uye chero ipi zvayo inopinda pasi pemapupa emapapu.
Kuongorora uye Kurapa kwePleural Effusions
A pleural effusion inowanzoongororwa ine chirongwa chinonzi thoracentesis umo ine sindete nesironji inoshandiswa kubvisa mvura kubva pamvura yakasimba. Icho chirevo chinoshandiswa zvinoshandiswa patsva microscope kuti ione chikonzero.
Kana kusvibiswa kana mhepo inoramba iri munzvimbo yechipfuva, tube yeputi kana kuti sindano thoracentesis , pamwe chete, inogona kushandiswa decompress mapapu.
Kana zviratidzo zvinodzokorora kana kurwadziwa kunosangana nechirwere chisingagumi (kufanana nemotheliyooma) inowedzera, nzira inonzi pleurodesis inogona kuitwa. Pleurodesis inorapwa chirongwa chinoputika chinosanganisira kuiswa kwekemikari inopesana mukati memhepo inenge iripo. Kuvhiringidza kunokonzera kunokonzera kuti zvidimbu zviviri zvibatanidze pamwe chete, kumanikidzira mhepo uye mvura inenge ichiita kuti munhu awane kufema.
Kana zviratidzo zvichiri kuenderera mberi, vanachiremba vanogona kufunga kuti kubvisa nzvimbo yekuchema uye nzvimbo inonzwika zvachose mune imwe nzira inonzi pleurectomy .
> Sources
- > US National Library of Medicine. "Kutadza Kunetseka." MedlinePlus. Bethesda, Maryland; yakarongwa musi waApril 12, 2017.