Kusanthula Kwamadzi Amadzimadzi

Zamkati

• Kodi kusanthula kwamadzimadzi ndi chiyani?
• Amagwiritsidwa ntchito yanji?
• Chifukwa chiyani ndikufunika kupenda madzi?
• Kodi chimachitika ndi chiyani pofufuza zamadzimadzi?
• Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?
• Kodi pali zoopsa zilizonse pamayeso?
• Kodi zotsatirazi zikutanthauza chiyani?
• Kodi pali china chilichonse chomwe ndiyenera kudziwa chokhudza kupenda kwamadzi?
• Zolemba

Kodi kusanthula kwamadzimadzi ndi chiyani?

Pleural fluid ndi madzi omwe amakhala pakati pa zigawo za pleura. Cholumacho ndi kachilombo kakang'ono kamene kamaphimba mapapo ndi kuyika chifuwa. Dera lomwe lili ndimadzi amadzimadzi limadziwika kuti pleural space. Nthawi zambiri, mumakhala madzi ochepa paphwando. Timadzimadzi timapangitsa kuti pleura ikhale yonyowa komanso amachepetsa mkangano pakati pa nembanemba mukamapuma.

Nthawi zina madzimadzi ochulukirapo amakhala m'malo opembedzera. Izi zimadziwika kuti pleural effusion. Pleural effusion imalepheretsa mapapu kuti azipumira mokwanira, kupangitsa kuti zikhale zovuta kupuma. Kusanthula kwamadzi am'magulu ndi gulu la mayeso omwe amayang'ana chifukwa cha kupumira m'madzi.

Mayina ena: chikhumbo chamadzimadzi

Amagwiritsidwa ntchito yanji?

Kusanthula kwamadzi am'madzi kumagwiritsidwa ntchito kuti mupeze chomwe chimayambitsa kupumira m'madzi. Pali mitundu iwiri ikuluikulu yoponderezedwa:

• Transudate, zomwe zimachitika pakakhala kusalinganika kwa kuthamanga m'mitsempha ina yamagazi. Izi zimapangitsa kuti madzi amadzimadzi alowe m'malo opembedzera. Kutulutsa kwa transudate pleural nthawi zambiri kumachitika chifukwa cha kulephera kwa mtima kapena kuwonongeka kwa chiwindi.
• Kutulutsa, zomwe zimachitika kuvulala kapena kutupa kwa pleura. Izi zitha kupangitsa kuti madzi azituluka kwambiri m'mitsempha ina. Kuphulika kwapadera kumayambitsa zifukwa zambiri. Izi zimaphatikizapo matenda monga chibayo, khansa, matenda a impso, ndi matenda am'thupi. Zimakhudza mbali imodzi yokha ya chifuwa.

Pofuna kuthandizira kudziwa mtundu wamtundu wa pleural effusion womwe muli nawo, wothandizira zaumoyo wanu akhoza kugwiritsa ntchito njira yotchedwa Light's criteria. Kuunika kwa kuunika ndi kuwerengera komwe kumafanizira zina mwazomwe zapezedwa pakusanthula kwanu kwamadzimadzi ndi zotsatira zamayeso amodzi kapena angapo amwazi wamagazi.

Ndikofunika kuti mudziwe mtundu wanji wamankhwala opumira omwe muli nawo, kuti muthe kulandira chithandizo choyenera.

Chifukwa chiyani ndikufunika kupenda madzi?

Mungafunike mayesowa ngati muli ndi zizindikiritso zama pleural effusion. Izi zikuphatikiza:

• Kupweteka pachifuwa
• Chiwume chowuma, chosabereka (chifuwa chomwe sichimabweretsa ntchofu)
• Kuvuta kupuma
• Kutopa

Anthu ena omwe ali ndi vuto lopukusa m'mapemphero alibe zizindikilo nthawi yomweyo. Koma wothandizira wanu akhoza kuyitanitsa mayesowa ngati mwakhala muli ndi x-ray pachifuwa pazifukwa zina, ndipo zikuwonetsa zizindikiritso zamankhwala.

Kodi chimachitika ndi chiyani pofufuza zamadzimadzi?

Wothandizira zaumoyo wanu ayenera kuchotsa madzi am'madzi m'malo mwanu. Izi zimachitika kudzera mu njira yotchedwa thoracentesis. Njirayi imatha kuchitika ku ofesi ya dokotala kapena kuchipatala. Pa ndondomekoyi:

• Muyenera kuvula zovala zanu zambiri ndikuvala pepala kapena chovala chovala kuti mudziphimbe.
• Mukhala pabedi kapena pampando wachipatala, manja anu atakhala patebulo lokutidwa. Izi zimayika thupi lanu panjira yoyenera.
• Wothandizira anu amayeretsa malo kumbuyo kwanu ndi mankhwala ophera tizilombo.
• Wothandizira anu adzakulowetsani mankhwala otsekemera pakhungu lanu, kuti musamve kuwawa kulikonse mukamachita izi.
• Dera likangokhala dzanzi, wothandizira wanu adzaika singano kumbuyo kwanu pakati pa nthiti. Singano ilowa m'malo opembedzera. Wopereka wanu atha kugwiritsa ntchito kujambula kwa ultrasound kuti athandizire kupeza malo abwino oyikapo singano.
• Mutha kumva kupanikizika pamene singano imalowa.
• Wopereka wanu amatulutsa madzi mu singano.
• Mutha kupemphedwa kuti musunge mpweya wanu kapena kupuma mwamphamvu nthawi zina munthawi imeneyi.
• Akachotsa madzi okwanira, singanoyo imachotsedwa ndipo malowa azimangidwapo.

Kuyesa magazi kwa mapuloteni ena amagwiritsidwa ntchito kuwerengera muyeso wa Kuwala. Chifukwa chake amathanso kukayezetsa magazi.

Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?

Simukusowa kukonzekera kulikonse kwapadera kwa thoracentesis kapena kuyesa magazi. Koma wothandizira wanu amatha kuyitanitsa x-ray pachifuwa asanagwiritse ntchito.

Kodi pali zoopsa zilizonse pamayeso?

Thoracentesis ndi njira yotetezeka kwambiri. Zowopsa nthawi zambiri zimakhala zazing'ono ndipo zimatha kuphatikizira kupweteka komanso kutuluka magazi pamalo omwe amachitiramo.

Zovuta zazikulu sizachilendo, ndipo zimatha kuphatikizira mapapo kapena mapapu, zomwe zimachotsa madzimadzi ochulukirapo. Wopereka wanu atha kuyitanitsa chifuwa cha x-ray pambuyo poti achitepo kanthu kuti awone zovuta.

Kodi zotsatirazi zikutanthauza chiyani?

Zotsatira zanu zitha kuwonetsa ngati muli ndi mtundu wa transudate kapena exudate wa pleural effusion. Zoyeserera zama transudate nthawi zambiri zimayamba chifukwa cha kulephera kwa mtima kapena kuwonongeka kwa chiwindi. Zoyeserera zakuthupi zimatha chifukwa cha matenda osiyanasiyana. Pomwe mtundu wa pleural effusion watsimikiziridwa, wothandizira anu amatha kuyitanitsa mayeso ambiri kuti adziwe matenda ake.

Ngati muli ndi mafunso pazotsatira zanu, lankhulani ndi omwe amakuthandizani.

Dziwani zambiri zamayeso a labotale, magawo owerengera, ndi zotsatira zakumvetsetsa.

Kodi pali china chilichonse chomwe ndiyenera kudziwa chokhudza kupenda kwamadzi?

Zotsatira zamadzimadzi anu zimatha kuyerekezedwa ndi mayeso ena, kuphatikiza kuyesa shuga ndi albumin, puloteni wopangidwa ndi chiwindi. Zofananitsa zitha kugwiritsidwa ntchito ngati gawo lazowunikira za Light kuti zithandizire kudziwa mtundu wamavuto omwe muli nawo.

Zolemba

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Zomwe zili patsamba lino siziyenera kugwiritsidwa ntchito m'malo mwa chithandizo chamankhwala kapena upangiri. Lumikizanani ndi othandizira azaumoyo ngati muli ndi mafunso okhudzana ndi thanzi lanu.