Suʻesuʻega o le Fluid Pleural

Anotusi

• O le a le suʻega suʻega pleura?
• O le a le mea e faʻaaoga ai?
• Aisea ou te manaʻomia ai se suʻega suʻega vai?
• O le a le mea e tupu i le taimi o le suʻega suʻega pleura?
• Mata e tatau ona ou faia se mea e sauniuni ai mo le suʻega?
• E i ai ni lamatiaga i le suʻega?
• O le a le uiga o faʻaiuga?
• E i ai se isi mea ou te manaʻomia e iloa e uiga i se pleural suʻega suʻesuʻega?
• Faʻamatalaga

O le a le suʻega suʻega pleura?

Pleural suavai o se suavai e tu i le va o le faaputuga o le pleura. O le pleura o le lua-layer membrane e ufiufi ai māmā ma faʻapipiʻi le pusa o le pusa. O le vaega o loʻo iai pleural fluid ua taʻua o le pleural space. Masani ai, e i ai se laʻititi aofaʻi o pleura suavai i le pleural avanoa. O le suavai tausia le pleura susu ma faʻaititia le feeseeseaiga i le va o le membrane pe a e manava.

O isi taimi tele tele suavai fausia i luga o le avanoa pleural. Lenei e lauiloa o le pleural effusion. Ole faʻamaliega ole Pleural e puipuia le mama mai le faʻafefeteina, ma faigata ai ona manava. O le suʻesuʻega o le suʻega o le pleural fluid analysis o se vaega o suʻega e suʻea mo le mafuaʻaga o le pleural effusion.

Isi igoa: pleural fluid aspiration

O le a le mea e faʻaaoga ai?

O le suʻega suʻega pleura e faʻaaogaina e saili ai le mafuaʻaga o le pleural effusion. E i ai lua autu ituaiga o pleural effusion:

• Fefaʻasoaaʻi, lea e tupu pe a i ai le le paleni o le mamafa i nisi toto toto. Lenei mafua ai faʻaopopo suavai ona puna i le pleural avanoa. Transudate pleural effusion e masani ona mafua mai i le fatu faʻaletonu po o le cirrhosis.
• Faʻamatalaga, lea e tupu pe a i ai se manua po o le fulafula o le pleura. Ole mea lea e mafai ai ona faʻateleina le suavai paʻu mai nisi o toto. Exudate pleural effusion e tele mafuaʻaga. E aofia ai faʻamaʻi pei o le niumonia, kanesa, faʻamaʻi fatu, ma faʻamaʻi ole autoimmune. E masani ona aʻafia naʻo le tasi itu ole fatafata.

Ina ia fesoasoani e suʻesuʻe poʻo le a le ituaiga o pleura effusion o loʻo ia te oe, e mafai e lau tautua faʻafomaʻi ona faʻaaoga se metotia e taʻua o le Light'siteria. Malamalama o fuafaatatau o se fuafuaina e faʻatusatusa nisi o faʻaiuga o lau suʻega suʻega suauʻu pleural ma iʻuga o le tasi pe sili atu suʻesuʻe toto toto.

E taua le sailia poʻo le a le ituaiga o pleura effusion oe i ai, ina ia mafai ona e maua le saʻo togafitiga.

Aisea ou te manaʻomia ai se suʻega suʻega vai?

Oe ono manaʻomia lenei suʻega pe a fai oe iai faʻailoga o le pleural effusion. E aofia ai:

• Tiga o le fatafata
• Mamu mago, leai se aoga (o le tale e le aumaia i luga mucus)
• Faʻalavelave manava
• Le lavava

Nisi tagata ma pleural effusion e leai ni faʻailoga i le taimi nei. Ae e ono faʻatonuina e lau tautua lenei faʻataʻitaʻiga pe a fai o oe na i ai le pusa x-ray mo se isi mafuaaga, ma e faʻaalia ai faʻailoga o le pleural effusion.

O le a le mea e tupu i le taimi o le suʻega suʻega pleura?

E manaʻomia e lau tausi soifua maloloina ona aveese ni pleural fluid mai lau pleural space. E faia lenei mea e ala ile auala e taʻua ole thoracentesis. E mafai ona fai le faʻataʻitaʻiga ile ofisa ole fomaʻi poʻo le falemaʻi. I le taimi o le taualumaga:

• E tatau ona e aveʻese ou lavalava ona faʻaeʻe lea i luga o se pepa poʻo ofu e ufiufi ai oe.
• O le ae nofo i luga o le moega falemaʻi poʻo nofoa, ma ou lima faʻalagolago i luga o le padded laulau. Ole mea lea e tuʻu ai lou tino ile tulaga saʻo mo gaioiga.
• E faʻamamaina e lau kamupani se mea i lou tua ma se tali antiseptic.
• O lau kamupani o le a tuiina se vailaʻau numbing i lou paʻu, o lea e te le lagonaina ai se tiga i le taimi o le gaioiga.
• A uma loa ona leai se aoga i le itu, o le a tuʻuina i totonu e lou kamupani se nila i lou tua i le va o ivi asoaso. O le a alu le nila i le avanoa pleura. E ono faʻaaoga e lau tautua le faʻata ata o le ultrasound e fesoasoani ai e suʻe se nofoaga sili ona lelei e tuʻu ai le nila.
• Atonu e te lagonaina se faʻatiga a o alu le nila i totonu.
• O lau 'auʻaunaga o le a toso ese vai i le nila.
• Atonu e talosagaina oe e taofi lau mānava pe manava manava loloto i ni taimi faʻapitoa a o fai le gaioiga.
• A lava le suavai ua aveʻese, o le a aveʻesea le nila ma o le gaioiga o le a fusi.

Toto faʻataʻitaʻiga mo nisi polotini e faʻaogaina e fuafua ai le malamalama 'ai. Ma oe ono ono maua se suʻega toto.

Mata e tatau ona ou faia se mea e sauniuni ai mo le suʻega?

E te le manaʻomia ni sauniuniga faʻapitoa mo se faʻamaʻi poʻo se suʻega ole toto. Ae e ono faʻatonu e lau tautua se pusa x-ray aʻo leʻi faia le taualumaga.

E i ai ni lamatiaga i le suʻega?

Thoracentesis o se masani saogalemu auala. O aʻafiaga e masani lava ona laʻititi ma e ono aofia ai le tiga ma le tafetotoi i le tulaga o mea e fai.

O ni faʻafitauli matuia e le masani ai, ma e ono aofia ai le paʻu o le mama poʻo le pulmonary edema, o se tulaga e aveese ai le tele o le vai o le pleural fluid. E ono faʻatonu e lau kamupani le faʻasologa o le pusa x-ray pe a maeʻa le taualumaga e siaki ai faʻalavelave.

O le a le uiga o faʻaiuga?

O au iʻuga e mafai ona faʻaalia pe o iai sau transudate poʻo se exudate ituaiga o pleural effusion. Transudate pleural effusions e masani ona mafua mai i le fatu faʻaletonu po o cirrhosis. Exudate effusions ono mafua mai i le tele o eseʻese faʻamaʻi ma tulaga. A maeʻa loa ona filifilia le ituaiga faʻamalosi tino, e ono okaina e lau tautua ni suʻega e faia ai se faʻamaoniga maʻoti.

A iai ni au fesili e uiga i au iʻuga, talanoa i lau fomaʻi.

Aʻoaʻo atili e uiga i suʻesuʻega falesuesue, vaitau o faʻasino, ma malamalamaaga i iʻuga

E i ai se isi mea ou te manaʻomia e iloa e uiga i se pleural suʻega suʻesuʻega?

O au suʻega suʻega e mafai ona faʻatusatusa i isi suʻega, e iai ma suʻega mo le kulukose ma le albumin, o le polotini na faia e le ate. O faʻatusatusaga ono mafai ona faʻaaogaina o se vaega o le Malamalama faʻavae e fesoasoani e iloa ai le ituaiga o pleural effusion oe i ai.

Faʻamatalaga

1. Cleveland Clinic [Initaneti]. Cleveland (OH): Cleveland Clinic; c2019. Pleural Effusion Mafuaʻaga, Faʻailoga ma Togafitiga [taʻua 2019 Aug 2]; [pe tusa ma le 3 pupuni] Avanoa mai: https://my.clevelandclinic.org/health/diseases/17373-pleural-effusion-causes-signs--treatment
2. Hinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Tests. 2nd Ed, faamumū. Filatelefaia: Wolters Kluwer Soifua Maloloina, Lippincott Williams & Wilkins; c2014. Pleural Fafid Aspiration; i. 420.
3. Karkhanis VS, Joshi JM. Faʻamalosia o le Pleural: faʻamaoniga, togafitiga, ma le faʻatautaia. Tatala Avanoa Emergency Med. [Initaneti]. 2012 Jun 22 [taʻua 2019 Aug 2]; 4: 31–52. Avanoa mai: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4753987
4. Lab Tofotofoga lugalaina [Initaneti]. Uosigitone D.C. American Association mo vailaʻau Togafitiga; c2001–2019. Albumin [faʻafouina 2019 Apr 29; taʻua 2019 Aug 2]; [pe tusa ma le 3 pupuni] Avanoa mai: https://labtestsonline.org/tests/albumin
5. Lab Tofotofoga lugalaina [Initaneti]. Uosigitone D.C. American Association mo vailaʻau Togafitiga; c2001–2019. Pleural Fluid Analysis [toe faʻafouina le 2019 Me 13; taʻua 2019 Aug 2]; [pe tusa ma le 3 pupuni] Avanoa mai: https://labtestsonline.org/tests/pleural-fluid-analysis
6. Malamalama RW. Le Malamalama Taʻiala. Clin Chest Med [Initaneti]. 2013 Mar [taʻua 2019 Aug 2]; 34 (1): 21–26. Avanoa mai: https://www.chestmed.theclinics.com/article/S0272-5231(12)00124-4/fulltext
7. National Heart, Lung, and Blood Institute [Initaneti]. Bethesda (MD): U.S. Matagaluega o le Soifua Maloloina ma Tagata Auaunaga; Tofotofoga Toto [taʻua 2019 Aug 2]; [pe tusa ma le 3 pupuni] Avanoa mai: https://www.nhlbi.nih.gov/health-topics/blood-tests
8. National Heart, Lung, and Blood Institute [Initaneti]. Bethesda (MD): U.S. Matagaluega o le Soifua Maloloina ma Tagata Auaunaga; Pleurisy ma Isi Pleural Faʻaletonu [taʻua 2019 Aug 2]; [pe tusa ma le 3 pupuni] Avanoa mai: https://www.nhlbi.nih.gov/health-topics/pleurisy-and-other-pleural-disorder
9. Porcel JM, Malamalama RW. Suʻesuʻega Faʻapitoa i le Pleural Effusion i Tagata Matutua. Am Fam Doctor [Initaneti]. 2006 Aperila 1 [taʻua 2019 Aug1]; 73 (7): 1211–1220. Avanoa mai: https://www.aafp.org/afp/2006/0401/p1211.html
10. Porcel Perez JM. Le ABC o pleura suavai. Semina a le Sipaniolo Rheumatology Foundation [Initaneti]. 2010 Apr-Jun [taʻua le 2019 Aug1]; 11 (2): 77–82. Avanoa mai: https://www.sciencingirect.com/science/article/abs/pii/S1577356610000199?via%3Dihub
11. UF Soifua Maloloina: Iunivesite o Florida Soifua Maloloina [Initaneti]. Gainesville (FL): Iunivesite o Florida Soifua Maloloina; c2019. Suʻesuʻega o le suavai malie: Vaaiga aoao [faʻafouina 2019 Aukuso 2; taʻua 2019 Aug 2]; [pe a ma le 2 pupuni] Avanoa mai: https://ufhealth.org/pleural-fluid-analysis
12. UF Soifua Maloloina: Iunivesite o Florida Soifua Maloloina [Initaneti]. Gainesville (FL): Iunivesite o Florida Soifua Maloloina; c2019. Thoracentesis: Vaaiga aoao [toe faafou 2019 Aug 2; taʻua 2019 Aug 2]; [pe a ma le 2 pupuni] Avanoa mai: https://ufhealth.org/thoracentesis
13. Iunivesite o Rochester Medical Center [Initaneti]. Rochester (NY): Iunivesite o Rochester Medical Center; c2019. Health Encyclopedia: Thoracentesis [taʻua le 2019 Aug 2]; [pe a ma le 2 pupuni] Avanoa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=92&contentid=P07761
14. UW Soifua Maloloina [Initaneti]. Madison (WI): Iunivesite o Wisconsin Falemai ma Falemai Pulega; c2019. Thoracentesis: Faʻafefea Ona Faia [toefaʻaleleia 2018 Sep 5; taʻua 2019 Aug 2]; [pe a ma le 5 pupuni] Avanoa mai: https://www.uwhealth.org/health/topic/medicaltest/thoracentesis/hw233202.html#aa21788
15. UW Soifua Maloloina [Initaneti]. Madison (WI): Iunivesite o Wisconsin Falemai ma Falemai Pulega; c2019. Thoracentesis: Iʻuga [toe faʻaleleia 2018 Sep 5; taʻua 2019 Aug 2]; [pe a ma le 8 pupuni] Avanoa mai: https://www.uwhealth.org/health/topic/medicaltest/thoracentesis/hw233202.html#aa21807
16. UW Soifua Maloloina [Initaneti]. Madison (WI): Iunivesite o Wisconsin Falemai ma Falemai Pulega; c2019. Thoracentesis: Lamatiaga [toe faafou 2018 Sep 5; taʻua 2019 Aug 2]; [pe a ma le 7 pupuni] Avanoa mai: https://www.uwhealth.org/health/topic/medicaltest/thoracentesis/hw233202.html#aa21799
17. UW Soifua Maloloina [Initaneti]. Madison (WI): Iunivesite o Wisconsin Falemai ma Falemai Pulega; c2019. Thoracentesis: Suʻesuʻega o Vaaiga Aoao [toefaʻaleleia 2018 Sep 5; taʻua 2019 Aug 2]; [pe a ma le 2 pupuni] Avanoa mai: https://www.uwhealth.org/health/topic/medicaltest/thoracentesis/hw233202.html

O faʻamatalaga i luga o lenei 'upega tafaʻilagi e le tatau ona faʻaaogaina e fai ma sui o fomaʻi faʻapitoa togafitiga poʻo fautuaga. Faʻafesoʻotaʻi le au tausi soifua pe a iai ni au fesili e uiga i lou soifua maloloina.