I-Anatomy neSebenzi ye-Pleural Fluid kunye nokungaqhelekanga
Ukuba ugqirha wakho ukhankanywe ukuba unokwakhiwa kwesilumko okanye isifo esichaphazelayo, isithini loo nto?
Yintoni i-Pleural Fluid?
I-Pleural fluid yinto ekhoyo ekhoyo phakathi kweengqimba ze- pleura , iimbumba ezidibanisa umgca kwaye zijikeleze imiphunga. Isikhundla esine-fluid sibhekwa njengendawo yesikhalazo okanye indawo yesikhalazo.
I-pleural fluid ejwayelekile iqukethe umlinganiselo omncinci (umsila) omanzi osebenza njengento yokucoca ngexesha lokuphefumla.
Utshintsho kwimiqulu yesilonda esiswini lunokubangelwa usulelo, ukuxhwaleka, okanye ezinye izizathu kwaye kunokukhokelela kwiingxaki zokuphefumula kunye nezinye izimo ezimbi. Ukukhutshwa kwesiqhelo samanzi kusivumela ukuba sifunde izizathu zolu tshintsho okanye ukuphanda ngemiqondiso yesifo okanye isifo. Xa isixa esikhulu senqabileyo
Umsebenzi we-Pleural Fluid
I-Pleural fluid iyinxalenye yamanzi engcolileyo egcwala umgca phakathi kweparietal (yangaphandle) kunye ne-visceral (yangaphakathi) izalathisi ezizungeze imiphunga. Umthamo we-fluid uncinci, ama-ccs angama-20 okanye iispuni ezi-4.
Imisebenzi ebonakalayo yamanzi ngokucoca indawo phakathi kwe-pleura, ukuvumela i-pleura ukuba ihambe ngokukhawuleza ngexesha lokuvuthwa nokuphuphuma. Ngale ndlela, ithambela izicubu ezinomphunga zomphunga ngokuchasana kwiimbambo kunye nodonga lwebhokisi.
Iimeko ezibandakanya iSakhiwo esiPhakathi
Kukho imiqathango emininzi enokuthi ithintele umgudu wesikhalazo kwaye, ngokungafihliyo, i-pleural fluid. Phakathi kwezi zinto:
- Ukunyuswa kwe-Pleural kuyinto imeko apho umbane ogqithiseleyo uqokelela kwisikhalazo. Kukho izimbangela ezininzi zokwenza umfutho wenyameko, kubandakanywa ukungaphumeleli kwentliziyo, ukuxhamla kwe-pulmonary, izimo zengqondo, umhlaza, kunye nezifo ezizimelayo ezifana ne-lupus ne-rheumatoid arthritis. Abantu abangaphezu kwama-200,000 ase-US bachaphazeleka ngokunyanzeliswa komlomo ngamnye ngonyaka.
- Xa i-buildup ye-fluid iqulethe iiseli zesifo somhlaza, kuthiwa yi- effusion ephilileyo . Nangona oku kudla ngokuqhelekileyo kwimeko yesigaba somhlaza wesi-4 somdlavuza, kunokuthi kwenzeke kunye nezinye i-kansa eziye zasasaza (ezenziwe ngamanzi) zivela kwezinye iindawo zomzimba, kubandakanya ibele kunye nama-ovari.
Iimpawu kunye nokuxilongwa kweengxaki zePleural Disorders
Xa uketshezi ukwakhiwa kwisithuba sendawo, sinokunyanzelisa umphunga ophantsi. Oku, kunokubangela ukuphefumula, intlungu yesifuba kunye nezinye iimpawu zokuphefumula okuphefumulayo.
Ukuphanda, ugqirha uzakukhupha i-pleural fluid usebenzisa inombolo yeenkqubo eziqhelekileyo:
- I-Thoracentesis (ebizwa nangokuthi inaliti yenyango) ichonga i-pleural fluid ngokufaka inaliti kwisithuba sombongo, isampuli yayo ingahlaziywa kwilebhu.
Xa kufakwa izilwanyana zamanzi, iisampuli ziya kuvavanywa ukuze ziqinisekise izizathu zaluphi na utshintsho okanye ukuqinisekisa ubungqina besifo okanye isifo. Iinkqubo ezimbini ezibalulekileyo zokuhlalutya ziquka:
- Uhlalutyo lwamanzi olululo luyinkqubo apho i-fluid etholakala nge-thoracentesis ihlolwe ngokubambisana kwayo kunye nezinto ezifana neprotheni. Kukho iintlobo ezimbini eziphambili zesikhalazo esiluncedo esifumene nentshukumo yokunyanzela. Enye i-transudate, eyona yincinci, ecacileyo i-fluid ebonakala ngokugqithiseleyo kwintliziyo ye-congestive failure. Enye i-exudate, eyimbi, i-pus-like fluid efumaneka rhoqo ngexesha losulelo.
- I-pleural fluid cytology yinkqubo ejolise ekuboneni ubukho bamaseli amhlophe egazi abamhlophe (ubukho babo obuya kubonisa intsholongwane), iintsholongwane (ukusebenzisa i- scam stain ) kunye nezinye izinto ezingafaneleki. Ukuba isifo sityholwe, umbane uya kuhlonywa ukuze uchonge i-agent agent.
Ukunyangwa kwama-Pleural Fluid Disorders
Ukuba i-pleural fluid exceeds in space space, ingabangela ukunyuka kokuphefumula, intlungu yesifuba (ngokuhlala ibuhlungu ngokuphefumula,) kwaye ekugqibeleni ingagxininisa intliziyo ebangela ukuhluleka kwentliziyo.
Ukususa umkhuhlane, ityhubhu yesifuba isoloko ifakwe.
Ukubeka ityhubhu yombhobho kubandakanya ukufakwa kwetyhubhu ye-flexible ibe yindawo yezikhalazo. Ityhubhu ingashiyelwa endaweni yokucima ukwanda kwamanzi, igazi, okanye umoya oqokelelweyo. Iyakwazi ukugcinwa endaweni eyahlukileyo ixesha elixhomekeke kwimeko okanye kubangele.
Ngamanye amaxesha, i-fluid iyaqhubeka iqokelela, yenza kube nzima ukususa ityhubhu yesifuba. Kukho iinkqubo ezimbalwa ezingenziwa xa kwenzeka. Kwi- pleurodesis , iimbumba zombini ze-pleura zinyanzeliswa ukuba zihambelane nomnye ngokufaka injini yeekhemikhali (njenge talc) kwisithuba sombongo. Oku kwenza ukuvuvukala kwaye ekugqibeleni ukukhwabanisa okusebenzayo ukumbumba iindawo ezimbini ze-pleura kunye, ukuphelisa isikhala sendawo.
Enye inketho kukubeka indawo egciniweyo kwisikhala sokuxhamla esixhunyiwe ngaphandle komzimba. Umkhuhlane unako ukurhoxiswa ngezikhathi ezithile, kwimeko yokuthuthuzela ekhaya lakho. Oku kuyenzeka ngokuqhelekileyo ngenxa yeempembelelo zomsindo ezinxulumene nomhlaza ophezulu.
Ekugqibeleni, i- pleurectomy ingenziwa. Kule nqubo iimbumba zetyala zisuswe, zisuse ngokufanelekileyo isikhala sendawo.
> Imithombo
- > I-American Society of Clinic Oncology. "I-Fluid Around the Lungs okanye i-Malignant Pleural Effusion." I-Alexandria, eVirginia; Agasti 2016.
- > Dixon, G .; de Fonseka, D .; kunye N. Maskell. "Iingxabano eziphambili: > ukhokelo lwezithombe > i- biopsy vs. thoracoscopy ngenxa yefuthe elingenakucatshulwa?" Umbhalo Wezifo ZamaTriracic . 2015; 7 (6): 1041-51.
- > Ilayibrari yeSizwe ka-US yamayeza. "Ukuhlalutya kwe-Fluid Analysis." I- MedlinePlus. > Bethesda >, Maryland; Updated 11/19/15.