Kubwinya kwepleural

Kuburitswa kwemufaro ndeyekuwedzera kwemvura pakati pezvikamu zvechunhu zvinoisa mapapu uye chipfuva mhango.

Muviri unoburitsa mvura yemumvura mune zvidiki kuti uzorodze maficha eiyo pleura. Iyi ndiyo nhete nhete inoisa mitsipa muchipfuva uye inotenderedza mapapu. Pleural effusion yakasarudzika, yakanyanyisa kuunganidzwa kweiyi fluid.

Kune mhando mbiri dzekunyunyuta kwekunyepedzera:

• Transudative pleural effusion inokonzerwa nekuyerera kunodonhedza munzvimbo yemafaro. Izvi zvinobva mukuwedzera kumanikidza mumidziyo yeropa kana yakaderera mapuroteni kuverenga. Kukundikana kwemoyo ndicho chikonzero chinowanzoitika.
• Exudative effusion inokonzerwa nemidziyo yeropa yakavharika kana lymph lymph, kuzvimba, hutachiona, kukuvara kwemapapu, uye mamota.

Njodzi zvinhu zvekunyepedzera kusanganisa zvinogona kusanganisira:

• Kusvuta uye kunwa doro, sezvo izvi zvichikonzera chirwere chemwoyo, chemapapu uye chechiropa, izvo zvinogona kutungamira mukufemedzeka kwemweya
• Nhoroondo yechero kusangana neasbestos

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kurwadziwa pachifuva, kazhinji kurwadziwa kunopinza kwakanyanya nekukosora kana kufema kwakadzika
• Kukosora
• Fivha uye kutonhora
• Hiccups
• Kukurumidza kufema
• Kufema kwekufema

Dzimwe nguva hapana zviratidzo.

Anokupa hutano anozokuongorora obvunza nezvezviratidzo zvako. Iye mupi anoteererawo kumapapu ako ne stethoscope uye pombi (percuss) chipfuva chako nechekumusoro kumashure.

Chest CT scan kana chipfuva x-ray inogona kukwana kuti mupi wako asarudze nezvekurapa.

Wako mupi angangoda kuita bvunzo pane inoyerera. Kana zvirizvo, sampuro yemvura inobviswa netsono yakaiswa pakati pembabvu. Miedzo pane inoyerera ichaitwa kutsvaga:

• Utachiona
• Cancer masero
• Mapuroteni mazinga
• Cell kuverenga
• Acidity yemvura (dzimwe nguva)

Kuongororwa kweropa kunogona kuitwa kunosanganisira:

• Yakazara kuverenga ropa (CBC), kutarisa zviratidzo zvehutachiona kana kupererwa neropa
• Itsvo uye chiropa zvinoshanda kuongororwa ropa

Kana zvichidikanwa, iyi mimwe bvunzo inogona kuitwa:

• Ultrasound yemoyo (echocardiogram) kutsvaga kukundikana kwemoyo
• Ultrasound yedumbu uye chiropa
• Weti protein yekuyedza
• Lung biopsy kutsvaga cancer
• Kupfuura chubhu kuburikidza nemhepo yekumhepo kuti utarise mafambiro emhepo kumatambudziko kana gomarara (bronchoscopy)

Chinangwa chekurapa ndechekuti:

• Bvisa mvura yacho
• Dzivirira mvura kubva pakuvaka zvakare
• Sarudza uye ubate chinokonzera iyo fluid buildup

Kubvisa iyo fluid (thoracentesis) inogona kuitwa kana paine yakawanda mvura uye iri kukonzera chipfuva kumanikidza, kupfupika kwemweya, kana yakaderera oxygen mwero. Kubvisa mvura inoyerera kunoita kuti mapapu awedzere, zvichiita kuti kufema kuve nyore.

Icho chinokonzera iyo fluid buildup inofanirawo kurapwa:

• Kana iri nekuda kwekutadza kwemoyo, unogona kugamuchira diuretics (mapiritsi emvura) uye mimwe mishonga yekurapa kutadza kwemoyo.
• Kana iri nekuda kwehutachiona, mishonga inorwisa mabhakitiriya ichapihwa.
• Kana iri ichibva kune cancer, chirwere chechiropa, kana chirwere cheitsvo, kurapwa kunofanirwa kunangiswa pane aya mamiriro.
  

Mune vanhu vane gomarara kana hutachiona, iyo yekudzoresa inowanzo kurapwa nekushandisa chipfuva chubhu kubvisa mvura uye kurapa chikonzero chayo.

Mune zvimwe zviitiko, chero eanotevera marapirwo anoitwa:

• Chemotherapy
• Kuisa mushonga mubhokisi unodzivirira mvura kubva pakuvaka zvakare mushure mekudonhwa
• Radiation kurapa
• Kuvhiya

Mhedzisiro yacho inoenderana nechirwere chiri pasi.

Matambudziko ekunyunyuta kwemukati anogona kusanganisira:

• Kukanganiswa kwemapapu
• Utachiona hunoshanduka huchiita sethumba, hunonzi empyema
• Mhepo mubhokisi chipfuva (pneumothorax) mushure mekudonha kwemvura
• Pleural thickening (kucheka kwemukati wemapapu)

Fonera mupiki wako kana enda kuimba yekukurumidzira kana uine:

• Zviratidzo zvekupemha kwekubuda
• Kupfupika kwekufema kana kunetseka kufema chaipo mushure me thoracentesis

Fluid mubhokisi; Fluid pamapapu; Pleural fluid

• Mapapu
• Kufuridzira system
• Pleural mhango

Blok BK. Thoracentesis. Mune: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts uye Hedges 'Clinical Maitiro muEmergency Medicine uye Acute Kuchengeta. 7th ed. Philadelphia, PA: Elsevier; 2019: chits. 9.

Broaddus VC, Chiedza RW. Kubwinya kwepleural. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheRefiratory Medicine. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 79.

McCool FD. Zvirwere zve diaphragm, chest wall, pleura uye mediastinum. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 92.