ʻO ka maʻi maʻi o ka pleura he maʻi maʻi maʻi i loko o ka membrane e hoʻopuni ana i ka māmā. ʻO kēia maʻi kanesa ka mea maʻamau ma muli o ka loaʻa ʻana o ka asbestos, kahi mea i hoʻohana nui ʻia ma mua o ka pāpā ʻia ʻana ma Farani i ka makahiki 1997 ma muli o kona mau pōʻino olakino.

Ka wehewehe ʻana o ka maʻi maʻi pleural

Ma ka wehewehe ʻana, ʻo ka maʻi kanesa o ka pleura he maʻi ʻino ma ka pleura. ʻO ka hope i manaʻo ʻia ʻo ia ka envelope o nā māmā. Hana ʻia ʻelua ʻāpana: kahi papa visceral e pili ana i ka māmā a me kahi papa parietal e uhi ana i ka paia o ka umauma. Ma waena o kēia mau ʻāpana ʻelua, ʻike mākou i ka wai pleural e hiki ai ke hoʻopaʻa i ka hakakā ma muli o ka neʻe ʻana o ka hanu.

Nā kumu o ka maʻi ʻaʻai pleural

ʻElua mau hihia:

• ka ma'i 'a'ai mua o ka pleura, a i 'ole ka mesothelioma pleural malignant, kahi e ho'omaka ai ka ma'i 'a'ai ma ka pleura;
• nā maʻi maʻi maʻi lua o ka pleura, a i ʻole nā ​​metastases pleural, ma muli o ka laha ʻana o ka maʻi kanesa i ulu ʻia ma kahi ʻāpana ʻē aʻe o ke kino e like me ka maʻi maʻi bronchopulmonary a i ʻole ka maʻi maʻi umauma.

'O ka ma'i ma'amau, 'o ka ma'i 'a'ai mua o ka pleura ka hopena o ka loa'a 'ana i ka asbestos. I mea e hoʻomanaʻo ai, ʻo ka asbestos kahi mea i pāpā ʻia ka hoʻohana ʻana ma Farani ma muli o kona mau pōʻino olakino. I kēia manawa ua hōʻike nui ʻia ʻo ka inhalation o nā fibers asbestos ke kuleana no nā maʻi hanu koʻikoʻi e like me ke kanesa o ka pleura a me ka pulmonary fibrosis (asbestosis).

Ua pāpā ʻia i kēia lā, ʻo ka asbestos kahi pilikia olakino nui o ka lehulehu. He mea nui e ʻike hiki ke ʻike ʻia nā pilikia o ka ʻike ʻana i ka asbestos ma mua o 20 mau makahiki ma hope. Eia kekahi, aia ka asbestos i nā hale he nui i kūkulu ʻia ma mua o ka pāpā ʻia ʻana i ka makahiki 1997.

Nā kānaka e pili ana

ʻO ka poʻe i ʻike ʻia i ka asbestos ua piʻi aʻe ka pilikia o ka hoʻomohala ʻana i ka maʻi kanesa o ka pleura. Manaʻo ʻia ka mesothelioma pleural malignant he maʻi maʻi kakaʻikahi. Hōʻike ia ma lalo o 1% o nā maʻi maʻi āpau i ʻike ʻia. Eia nō naʻe, ke piʻi nei ka nui o ka mesothelioma pleural malignant mai ka makahiki 1990 ma muli o ka hoʻohana nui ʻana o ka asbestos ma waena o nā 50s a me 80s. Ke hopohopo nei kekahi poʻe loea e pili ana i ka ʻike ʻana i nā huahana asbestos mai nā ʻāina kahi i pāpā ʻole ʻia ai ka asbestos, e like me Russia a me Kina.

Ka hōʻoia o ka maʻi maʻi pleural

He paʻakikī ka ʻike ʻana i ke kanesa o ka pleura no ka mea ua like kona mau hōʻailona me nā maʻi ʻē aʻe. Pono paha kekahi mau hoʻokolohua:

• he hoʻokolohua lapaʻau e ʻike ai i nā hōʻailona e hōʻike ana i ke kanesa o ka pleura;
• nā ho'āʻo hana o ka ʻā'ī e kōkua i ka hoʻonui ʻana i ka ʻike;
• he loiloi o ka moʻolelo o ka ʻike asbestos;
• he x-ray e nānā i ke kūlana o ka pleura;
• he puncture pleural e hōʻiliʻili i kahi laʻana o ka wai pleural a nānā iā ia;
• he puncture-biopsy pleural kahi e wehe ai a me ka nānā ʻana i kahi ʻāpana o kahi lau mai ka pleura;
• he thoracoscopy kahi e hana ʻia ai ka ʻoki ʻana ma waena o nā iwi ʻaoʻao ʻelua i mea e ʻike ai i ka pleura me ka hoʻohana ʻana i kahi endoscope (mea hana lāʻau lapaʻau).

ʻO ka hoʻopili ʻana i ka pleural

Hiki ke ʻike ʻole ʻia nā ʻōpū o ka pleura i ka wā mua o ko lākou ulu ʻana. ʻO ka hōʻailona mua o ka maʻi kanesa o ka pleura he pleural effusion, ʻo ia ka hōʻiliʻili ʻana o ka wai i loko o ka lua pleural (ka hakahaka ma waena o nā papa ʻelua o ka pleura). Hōʻike ia iā ia iho e:

• ʻo dyspnea, ʻo ia ka pōkole o ka hanu a i ʻole ka uē;
• ʻeha o ka umauma i kekahi mau hihia.

Nā hōʻailona hōʻailona

Hiki i ke kanesa o ka pleura ke hopena i:

• he ma'i e 'oi a'e ana paha;
• he leo haʻahaʻa ;
• ka pilikia eʻeli.

Nā hōʻailona kikoʻī ʻole

Hiki i ke kanesa o ka pleura ke kumu:

• sweats po;
• lilo kaumaha maopopo ʻole.

ʻO ka mālama ʻana i ka maʻi kanesa o ka pleura e pili ana i ka pae o ka hoʻomohala ʻana a me ke kūlana o ka mea pili. ʻO ke koho o ka lāʻau lapaʻau e pili ana i nā loea like ʻole.

Chemotherapy

ʻO ka lāʻau lapaʻau maʻamau no ka maʻi kanesa o ka pleura ʻo ia ka chemotherapy, ʻo ia ka hoʻohana ʻana i nā lāʻau lapaʻau ma ka waha a i ʻole ma ke inikia e pepehi ai i nā maʻi maʻi.

ʻO ke kelepona

Hoʻohana ʻia ka lāʻau lapaʻau i kekahi manawa e mālama i ka maʻi maʻi maʻi mua a / a i ʻole ka maʻi maʻi o ka pleura. Hoʻokomo ʻia kēia ʻenehana i ka wehe ʻana i ka wahi tumo i nā kukuna ikaika a i ʻole nā ​​​​particle.

ʻO nā ʻokiʻoki hoʻōla

ʻO ka hoʻomaʻamaʻa ʻana no ka maʻi kanesa o ka pleura e pili ana i ka wehe ʻana i nā ʻāpana o ke kino. Noʻonoʻo ʻia ka ʻoki ʻana ma lalo o kekahi mau kūlana.

Hiki ke noʻonoʻo ʻia nā ʻenehana ʻelua:

• pleurectomy, a i ʻole pleurectomy-decortication, ʻo ia ka wehe ʻana i kahi ʻāpana nui a i ʻole ka nui o ka pleura;
• extrapleural pneumonectomy, a extra-pleural pleuro-pneumonectomy, e pili ana i ka wehe ʻana i ka pleura, ke akemāmā i uhi ʻia, kahi hapa o ka diaphragm, nā lymph nodes i loko o ka ʻoki, a i kekahi manawa ka pericardium.

Nā lāʻau lapaʻau ma lalo o ke aʻo ʻana

Ke hoʻomau nei ka noiʻi ʻana i ka mālama ʻana i ka maʻi kanesa o ka pleura me nā ala hoʻohiki e like me ka immunotherapy. ʻO kāna pahuhopu ka hoʻihoʻi ʻana i ka mana o ka ʻōnaehana pale e kūʻē i nā maʻi maʻi maʻi.

ʻO ka pale ʻana i ka maʻi kanesa o ka pleura ʻo ia ka hoʻopaʻa ʻana i ka ʻike ʻana i ka asbestos, ʻo ia hoʻi ma ka lawe ʻana i nā hana wehe asbestos a me ka hoʻohana ʻana i nā mea pale no nā limahana i ʻike ʻia i ka asbestos.