Pleural fluid kuongorora

Pleural fluid kuongororwa bvunzo inoongorora muyero wemvura yakaunganidzwa munzvimbo yekuteterera. Iyi ndiyo nzvimbo iri pakati pechigadziko chekunze kwemapapu (pleura) uye madziro echipfuva. Kana mvura ikaunganidzwa munzvimbo yekuteterera, mamiriro acho anonzi pleural effusion.

Iyo nzira inonzi thoracentesis inoshandiswa kuwana muyenzaniso we pleural fluid. Anopa hutano anoongorora muyenzaniso wekutsvaga:

• Cancer (yakaipa) masero
• Mamwe marudzi emasero (semuenzaniso masero eropa)
• Matanho eglucose, mapuroteni uye mamwe makemikari
• Hutachiona, fungi, hutachiona, uye mamwe utachiona hunogona kukonzera hutachiona
• Kuzvimba

Hapana gadziriro yakakosha inodikanwa usati waedzwa. Iyo ultrasound, CT scan, kana chipfuva x-ray ichaitwa pamberi uye mushure mekuyedzwa.

USAKONZE kukosora, kufema zvakadzika, kana kufamba mukati mekuyedza kudzivirira kukuvara kumapapu.

Udza mupi wako kana iwe ukatora mishonga kutetepa ropa.

Nezve thoracentesis, iwe unogara pamucheto wechigaro kana mubhedha musoro wako nemaoko zvakazorora patafura. Mupiro anochenesa ganda kutenderedza nzvimbo yekuisa. Unyanzvi hwenhengo (yokutindivadza) inorowa muganda.

Tsono inoiswa kuburikidza neganda uye mhasuru dzechipfuva madziro munzvimbo yekufadza. Sezvo mvura inoyerera ichipinda muhombodo yekuunganidza, unogona kukosora zvishoma. Izvi zvinodaro nekuti mapapu ako anowedzerazve kuzadza nzvimbo pakange paine mvura. Kunzwa uku kunotora kwemaawa mashoma mushure mekuedzwa.

Munguva yekuyedza, udza mupi wako kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchirwadza.

Ultrasound inowanzoshandiswa kusarudza kuti tsono yaiswa kupi uye kuti uwane maonero ari nani emvura iri muchipfuva chako.

Muedzo unoitwa kuti uone chikonzero chekunyengedza kwemufaro. Izvo zvinoitwa zvakare kusunungura kupfupika kwemweya wekufema uyo wakakura wekunyepedzera kunyanyisa ungakonzeresa.

Kazhinji chivimbo chekuchemera chine pasi pemakumi maviri emamirilita (4 mashupuni) emvura yakajeka, yero (serous) fluid.

Mhedzisiro isina kujairika inogona kuratidza zvinogona kukonzeresa kufemedzeka, senge:

• Gomarara
• Cirrhosis
• Kutadza kwemoyo
• Utachiona
• Kushaya kudya kwakakwana
• Kushungurudzika
• Kusabatana kusingaenzanisike pakati penzvimbo yekumeso uye dzimwe nhengo (semuenzaniso, iyo sophagus)

Kana mupi achifungidzira hutachiona, tsika yemvura inoitwa kutarisa mabhakitiriya nezvimwe hutachiona.

Muedzo unogona kuitirwawo hemothorax. Uku ndiko kuunganidzwa kweropa mu pleura.

Ngozi dze thoracentesis ndidzo:

• Yakapunzika mapapu (pneumothorax)
• Kunyanya kurasikirwa kweropa
• Kuyerera kwemvura zvakare
• Utachiona
• Pulmonary edema
• Kufuridzira kutambudzika
• Kukosora uko hakuendi

Zvinetso zvakakomba zvakajairika.

Blok BK. Thoracentesis. Mune: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts & 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 cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 79.