Nazarin Ruwa Mai Fadi

Wadatacce

• Menene bincike akan ruwa?
• Me ake amfani da shi?
• Me yasa nake buƙatar nazarin ruwa?
• Menene ya faru yayin bincike na ruwa?
• Shin zan bukaci yin komai don shirya wa gwajin?
• Shin akwai haɗari ga gwajin?
• Menene sakamakon yake nufi?
• Shin akwai wani abin da nake buƙatar sani game da nazarin ruwa mai ƙwanƙwasa?
• Bayani

Menene bincike akan ruwa?

Ruwan farin ruwa wani ruwa ne wanda yake a tsakanin sifofin pleura. Purara membrane ne mai hawa biyu wanda yake rufe huhu da layin kirji. Yankin da ke dauke da ruwa mai yaduwa an san shi da sararin samaniya. A yadda aka saba, akwai ɗan ƙaramin ruwa a cikin fili. Ruwan yana sanya pleura danshi kuma yana rage gogayya tsakanin membran lokacin numfashi.

Wani lokaci ruwa mai yawa yana tashi a cikin sararin samaniya. Wannan sananne ne kamar ɓacin rai. Yaduwar lumana na hana huhu cikakken kumbura, yana sanya wuya numfashi. Nazarin ruwa mai narkewa rukuni ne na gwaje-gwaje wadanda suke neman dalilin yaduwar fitsari.

Sauran sunaye: muradin ruwa mai narkewa

Me ake amfani da shi?

Ana amfani da binciken ruwa mai yaduwa don gano dalilin kwararar iska. Akwai manyan nau'ikan nau'i biyu na ɓarna:

• Fassara, wanda ke faruwa yayin da rashin daidaituwa na matsi a cikin wasu jijiyoyin jini. Wannan yana haifar da ƙarin ruwa don kutsawa cikin sararin samaniya. Udwayar jujjuyawar juzu'i mafi yawancin lokuta ana haifar dashi ne ta hanyar gazawar zuciya ko kuma cirrhosis.
• Exudate, wanda ke faruwa idan akwai rauni ko kumburi na pleura. Wannan na iya sanya zubar ruwa mai yawa daga wasu jijiyoyin jini. Exudate pleural effusion yana da dalilai da yawa. Wadannan sun hada da cututtuka irin su ciwon huhu, ciwon daji, cututtukan koda, da cututtukan autoimmune. Yana yawan shafar gefe ɗaya na kirji kawai.

Don taimakawa gano wane nau'i na zubar da ƙuƙwalwa da kuke da shi, mai ba da sabis na kiwon lafiya na iya amfani da hanyar da aka sani da ma'aunin Haske. Ka'idojin haske lissafi ne wanda yake kwantanta wasu sakamakon binciken kwayar halittarku da sakamakon gwajin jini daya ko fiye.

Yana da mahimmanci a gano wane nau'in zubar da ƙuƙwalwa kake da shi, don haka zaka iya samun maganin da ya dace.

Me yasa nake buƙatar nazarin ruwa?

Kuna iya buƙatar wannan gwajin idan kuna da alamun bayyanar ƙwayar cuta. Wadannan sun hada da:

• Ciwon kirji
• Dry, tari mara amfani (tari wanda baya kawo gamsai)
• Matsalar numfashi
• Gajiya

Wasu mutanen da ke dauke da iska ba su da alamun cutar nan da nan. Amma mai ba da sabis ɗinku na iya yin odan wannan gwajin idan kuna da x-ray na kirji don wani dalili, kuma yana nuna alamun ƙwanƙwasa ƙugu.

Menene ya faru yayin bincike na ruwa?

Mai ba ku kiwon lafiya zai buƙaci cire wani ruwa mai ɓoyo daga sararin samaniya. Ana yin wannan ta hanyar hanyar da ake kira thoracentesis. Ana iya yin aikin a ofishin likita ko asibiti. Yayin aikin:

• Kuna buƙatar cire yawancin tufafinku sannan kuma sanya takarda ko rigar mayafi don rufe kanku.
• Za ku zauna a kan gadon asibiti ko kujera, tare da ɗora hannayenku a kan tebur mai ɗauka. Wannan yana sanya jikinka a madaidaicin matsayi don aikin.
• Mai ba da sabis ɗinku zai tsabtace yanki a bayanku tare da maganin antiseptic.
• Mai ba da sabis ɗinku zai yi muku allurar magani mai sanya numfashi a cikin fata, don haka ba za ku ji zafi ba yayin aikin.
• Da zarar yankin ya dushe, mai ba da sabis ɗinku zai saka allura a bayanku tsakanin haƙarƙarin. Alurar za ta shiga cikin sararin samaniya. Mai ba da sabis naka na iya amfani da hoto ta duban dan tayi don taimakawa gano wuri mafi kyau don saka allurar.
• Kuna iya jin danniya yayin da allurar ta shiga.
• Mai ba ku sabis zai cire ruwa a cikin allura.
• Za'a iya tambayarka ka rike numfashin ka ko kuma fitar da numfashi a wasu lokuta yayin aikin.
• Lokacin da aka cire isasshen ruwa, za a fitar da allurar kuma za a sa bandejin aikin.

Ana amfani da gwajin jini don wasu sunadarai don lissafin kaidodin Haske. Don haka kuna iya kuma gwada gwajin jini.

Shin zan bukaci yin komai don shirya wa gwajin?

Ba kwa buƙatar kowane shiri na musamman don ƙwanƙwasa ko gwajin jini. Amma mai bayarwa zai iya yin odar x-ray na kirji kafin aikin.

Shin akwai haɗari ga gwajin?

Thoracentesis hanya ce mai aminci gabaɗaya. Hadarin yawanci ƙananan ne kuma yana iya haɗawa da ciwo da zub da jini a wurin aikin.

Mummunan rikitarwa baƙon abu bane, kuma yana iya haɗawa da huhu da ya durƙushe ko edema na huhu, yanayin da ake cire ruwa mai yawa a ciki. Mai ba ku sabis na iya yin odar x-ray na kirji bayan aikin don bincika rikitarwa.

Menene sakamakon yake nufi?

Sakamakonku na iya nuna ko kuna da nau'ikan juzu'i na juzu'i ko juzu'i. Sau da yawa jujjuyawar juzu'i na haifar da gazawar zuciya ko kuma cirrhosis. Exudate malalo zai iya haifar da da dama daban-daban cututtuka da yanayi. Da zarar an ƙayyade nau'in zubar da ƙwanƙwasa, mai ba da sabis ɗinku zai iya yin odar ƙarin gwaje-gwaje don yin takamaiman ganewar asali.

Idan kuna da tambayoyi game da sakamakonku, yi magana da mai ba ku kiwon lafiya.

Learnara koyo game da gwaje-gwajen gwaje-gwaje, jeri na tunani, da fahimtar sakamako.

Shin akwai wani abin da nake buƙatar sani game da nazarin ruwa mai ƙwanƙwasa?

Za'a iya kwatanta sakamakon ruwanka na kwaya da sauran gwaje-gwaje, gami da gwaje-gwajen glucose da na albumin, furotin da hanta ke yi. Ana iya amfani da kwatancen a matsayin wani ɓangare na ƙa'idodin Haske don taimakawa gano wane irin ƙwanƙwasa ƙwanƙwasa kuke da shi.

Bayani

1. Cleveland Clinic [Intanet]. Cleveland (OH): Cleveland Clinic; c2019. Abubuwan da ke haifar da jin Dadin Dadi, Alamu da Jiyya [wanda aka ambata a cikin 2019 Aug 2]; [game da fuska 3]. Akwai daga: https://my.clevelandclinic.org/health/diseases/17373-pleural-effusion-causes-signs--treatment
2. Hinkle J, Cheever K. Brunner & Suddarth's Littafin Jagora na Laboratory da Gwajin Bincike. 2nd Ed, Kindle. Philadelphia: Wolters Kluwer Kiwon Lafiya, Lippincott Williams & Wilkins; c2014. Aunar luaramar Fida; shafi na. 420.
3. Karkhanis VS, Joshi JM. Yanayin farin ciki: ganewar asali, jiyya, da gudanarwa. Bude Samun Emerg Med. [Intanet]. 2012 Jun 22 [wanda aka ambata 2019 Aug 2]; 4: 31-52. Akwai daga: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4753987
4. Gwaje-gwajen Lab a kan layi [Intanet]. Washington D.C; Americanungiyar (asar Amirka don Kimiyyar Clinical; c2001–2019. Albumin [sabunta 2019 Apr 29; da aka ambata 2019 Aug 2]; [game da fuska 3]. Akwai daga: https://labtestsonline.org/tests/albumin
5. Gwaje-gwajen Lab a kan layi [Intanet]. Washington D.C; Americanungiyar (asar Amirka don Kimiyyar Clinical; c2001–2019. Pleural Fluid Analysis [sabunta 2019 Mayu 13; da aka ambata 2019 Aug 2]; [game da fuska 3]. Akwai daga: https://labtestsonline.org/tests/pleural-fluid-analysis
6. Haske RW. Ka'idodin Haske. Clin Chest Med [Intanet]. 2013 Mar [wanda aka ambata 2019 Aug 2]; 34 (1): 21–26. Akwai daga: https://www.chestmed.theclinics.com/article/S0272-5231(12)00124-4/fulltext
7. Zuciyar Kasa, Huhu, da Cibiyar Jini [Intanet]. Bethesda (MD): Ma'aikatar Kiwon Lafiya ta Amurka da Ayyukan Dan Adam; Gwajin Jini [wanda aka ambata a cikin 2019 Aug 2]; [game da fuska 3]. Akwai daga: https://www.nhlbi.nih.gov/health-topics/blood-tests
8. Zuciyar Kasa, Huhu, da Cibiyar Jini [Intanet]. Bethesda (MD): Ma'aikatar Kiwon Lafiya ta Amurka da Ayyukan Dan Adam; Yanci da Sauran Yanayin Lafiya [wanda aka ambata a cikin 2019 Aug 2]; [game da fuska 3]. Akwai daga: https://www.nhlbi.nih.gov/health-topics/pleurisy-and-other-pleural-disorders
9. Porcel JM, Haske RW. Hanyar Bincike don Bayyanarwar Maɗaukaki a cikin Manya. Am Fam Likita [Intanet]. 2006 Apr 1 [wanda aka ambata a cikin 2019 Aug1]; 73 (7): 1211-1220. Akwai daga: https://www.aafp.org/afp/2006/0401/p1211.html
10. Yankin Perez JM. ABC na pleural ruwa. Taron karawa juna sani na Gidauniyar Rheumatology ta Spain [Intanet]. 2010 Apr-Jun [wanda aka ambata a 2019 Aug1]; 11 (2): 77-82. Akwai daga: https://www.sciencedirect.com/science/article/abs/pii/S1577356610000199?via%3Dihub
11. Kiwan lafiya na UF: Kiwon Lafiya na Jami'ar Florida [Intanet]. Gainesville (FL): Jami'ar Florida Lafiya; c2019. Binciken ruwa mai gamsarwa: Bayani [sabunta 2019 Aug 2; da aka ambata 2019 Aug 2]; [game da allo 2]. Akwai daga: https://ufhealth.org/pleural-fluid-analysis
12. Kiwan lafiya na UF: Kiwon Lafiya na Jami'ar Florida [Intanet]. Gainesville (FL): Jami'ar Florida Lafiya; c2019. Thoracentesis: Bayani [sabunta 2019 Aug 2; da aka ambata 2019 Aug 2]; [game da allo 2]. Akwai daga: https://ufhealth.org/thoracentesis
13. Jami'ar Rochester Medical Center [Intanet]. Rochester (NY): Jami'ar Rochester Medical Center; c2019. Encyclopedia na Lafiya: Thoracentesis [wanda aka ambata a cikin 2019 Aug 2]; [game da allo 2]. Akwai daga: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=92&contentid=P07761
14. Kiwon Lafiya UW [Intanet]. Madison (WI): Jami'ar Wisconsin Asibitoci da Hukumomin Kula da Lafiya; c2019. Thoracentesis: Yadda Ake Yin sa [updated 2018 Sep 5; da aka ambata 2019 Aug 2]; [game da fuska 5]. Akwai daga: https://www.uwhealth.org/health/topic/medicaltest/thoracentesis/hw233202.html#aa21788
15. Kiwon Lafiya UW [Intanet]. Madison (WI): Jami'ar Wisconsin Asibitoci da Hukumomin Kula da Lafiya; c2019. Thoracentesis: Sakamako [sabunta 2018 Sep 5; da aka ambata 2019 Aug 2]; [game da fuska 8]. Akwai daga: https://www.uwhealth.org/health/topic/medicaltest/thoracentesis/hw233202.html#aa21807
16. Kiwon Lafiya UW [Intanet]. Madison (WI): Jami'ar Wisconsin Asibitoci da Hukumomin Kula da Lafiya; c2019. Thoracentesis: Hadarin [sabunta 2018 Sep 5; da aka ambata 2019 Aug 2]; [game da fuska 7]. Akwai daga: https://www.uwhealth.org/health/topic/medicaltest/thoracentesis/hw233202.html#aa21799
17. Kiwon Lafiya UW [Intanet]. Madison (WI): Jami'ar Wisconsin Asibitoci da Hukumomin Kula da Lafiya; c2019. Thoracentesis: Bayanin Gwaji [sabunta 2018 Sep 5; da aka ambata 2019 Aug 2]; [game da allo 2]. Akwai daga: https://www.uwhealth.org/health/topic/medicaltest/thoracentesis/hw233202.html

Ba za a yi amfani da bayanan da ke wannan rukunin yanar gizon a madadin madadin ƙwararrun likitocin ko shawara ba. Tuntuɓi mai ba da kiwon lafiya idan kuna da tambayoyi game da lafiyarku.