{"id":3508,"date":"2020-06-14T16:49:36","date_gmt":"2020-06-14T16:49:36","guid":{"rendered":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/www.icts.com.sg\/?page_id=3508"},"modified":"2023-08-16T09:35:59","modified_gmt":"2023-08-16T09:35:59","slug":"pleural-effusion-2","status":"publish","type":"page","link":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/www.icts.com.sg\/ms\/pleural-effusion\/","title":{"rendered":"Pleural Effusion"},"content":{"rendered":"\n

RINGKASAN<\/h2>\n\n\n\n

APA ITU PLEURAL EFFUSION?<\/h3>\n\n\n\n
\"\"\/<\/figure>\n\n\n\n

Pleural Effusion (Efusi Pleural) diterjemahkan sebagai kumpulan cairan di ruang antara paru-paru dan rongga dada sebagai akibat dari penyakit yang membatasi ekspansi paru-paru. Antara paru-paru dan rongga dada terdapat ruang tipis berisi cairan yang mirip dengan cairan interstisial yang diproduksi oleh kapiler di jaringan sekitarnya. Biasanya rata-rata sekitar 30ml. Ini bertindak sebagai pelumas antara paru-paru dan rongga dada selama proses mekanis seperti pernapasan. Cairan ini biasanya dikeringkan oleh kapiler limfatik untuk memastikan tidak terkumpul dan menekan paru-paru.<\/p>\n\n\n\n

Pada dasarnya ada tiga jenis efusi pleural. Efusi Transudatif dan Eksudatif di mana terlalu banyak cairan diproduksi atau efusi limfatik di mana pembuluh limfatik tidak dapat mengalirkan cairan secara efisien.<\/p>\n\n\n\n

PENYEBAB EFUSI PLEURAL<\/h3>\n\n\n\n

Efusi transudatif terjadi ketika terlalu banyak cairan meninggalkan kapiler karena peningkatan tekanan darah. Kondisi yang menyebabkan peristiwa tersebut adalah:<\/p>\n\n\n\n

    \n
  • Gagal jantung<\/li>\n\n\n\n
  • Emboli paru<\/li>\n\n\n\n
  • Sirosis<\/li>\n\n\n\n
  • Pasca operasi jantung terbuka<\/li>\n<\/ul>\n\n\n\n

    Efusi eksudatif terjadi ketika molekul besar tidak dapat melewati dinding kapiler. Ini menyebabkan molekul air keluar dari kapiler melalui proses yang dikenal sebagai osmosis. Kondisi yang dapat menyebabkan hal tersebut adalah:<\/p>\n\n\n\n

      \n
    • Radang paru-paru<\/li>\n\n\n\n
    • Kanker<\/li>\n\n\n\n
    • Emboli paru<\/li>\n\n\n\n
    • Penyakit ginjal<\/li>\n\n\n\n
    • Penyakit inflamasi<\/li>\n\n\n\n
    • Tuberkulosis<\/li>\n\n\n\n
    • Penyakit autoimun<\/li>\n<\/ul>\n\n\n\n

      Efusi limfatik terjadi ketika pembuluh limfatik tidak dapat mengalirkan cairan dengan baik sehingga menyebabkannya terkumpul di paru-paru. Beberapa penyebab antara lain:<\/p>\n\n\n\n

        \n
      • Kerusakan pada saluran toraks<\/li>\n\n\n\n
      • Tumor yang menekan saluran\u00a0toraks<\/li>\n<\/ul>\n\n\n\n
        \"\"\/<\/figure>\n\n\n\n

        GEJALA EFUSI PLEURAL<\/h3>\n\n\n\n

        Gejala sangat tergantung pada tingkat keparahan efusi. Efusi kecil sebagian besar tidak diketahui sementara efusi yang lebih besar dapat menyebabkan rasa sakit dan ketidaknyamanan yang signifikan. Beberapa gejalanya meliputi:<\/p>\n\n\n\n

          \n
        • Nyeri dada<\/li>\n\n\n\n
        • Batuk kering dan tidak produktif<\/li>\n\n\n\n
        • Dispnea: Sesak napas, atau kesulitan bernapas<\/li>\n\n\n\n
        • Ortopnea: Ketidakmampuan untuk bernapas dengan mudah kecuali orang tersebut duduk tegak atau berdiri tegak<\/li>\n<\/ul>\n\n\n\n

          INVESTIGASI<\/h2>\n\n\n\n
          \n
          Thoracentesis<\/span><\/i><\/i><\/span><\/span><\/div>
          \n
          <\/div><\/div><\/div>\n\n\n\n

          Dokter bedah akan dengan hati-hati memasukkan jarum di atas tulang rusuk untuk mengalirkan cairan. Ini akan membantu meringankan gejala dan memberinya pemahaman yang baik tentang penyebab utama efusi pleural.
          \u00a0
          Penampilan dari\u00a0cairan yang berbeda akan membantu ahli bedah mengkategorikan jenis efusi pleura yang diderita pasien.
          \u00a0
          Cairan transudatif: Jernih
          \u00a0
          Cairan Eksudatif: Mengandung sel imun sehingga terlihat keruh.
          \u00a0
          Cairan limfatik berisi lemak dan tampak seperti susu.<\/p><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n

          Pencitraan<\/span><\/i><\/i><\/span><\/span><\/div>
          \n

          Rontgen dada, CT scan dan USG dapat membantu mendukung diagnosis lebih lanjut dan juga memungkinkan dokter untuk mengetahui apakah ada penyakit lain di dalam paru-paru seperti tumor.<\/p><\/div><\/div>\n<\/div><\/div><\/div>\n<\/div><\/section>\n\n\n\n

          PERAWATAN<\/h2>\n\n\n\n

          Metode pengobatan sangat tergantung pada kondisi kesehatan yang mendasari penyebab efusi tersebut, dan jika efusi tersebut menyebabkan gejala pernapasan yang parah seperti sesak napas dan\/atau kesulitan bernapas.<\/p>\n\n\n\n

          Jika kondisi kesehatan yang mendasarinya adalah gagal jantung, diuretik dan gagal jantung lainnya, obat akan digunakan untuk mengatasi gejalanya. Efusi ganas yang disebabkan oleh sel kanker mungkin memerlukan terapi radiasi dan kemoterapi untuk mengatasinya. Jika faktor pencetus adalah karena masalah pernapasan, torakosentesis atau torakostomi yang disebutkan di atas (dengan menggunakan selang dada) dapat digunakan untuk mengalirkan cairan.<\/p>\n\n\n\n

          \n
          Operasi<\/span><\/i><\/i><\/span><\/span><\/div>
          \n

          Ada dua pendekatan untuk operasi.
          \u00a0
          Yang pertama adalah operasi toraks dengan bantuan video. Ini akan terjadi melalui 2-3 sayatan lubang kecil\u00a0di dada diikuti dengan pengeluaran cairan. Dalam beberapa kasus, biopsi atau pleurodesis diperlukan dan dilakukan dengan menggunakan bedak. Terakhir, tabung dada ditempatkan di sayatan untuk mengalirkan cairan.
          \u00a0
          Yang kedua adalah torakotomi tradisional di mana sayatan dibuat di dinding dada. Ini dilakukan dalam kasus infeksi serius atau adhesi pasca radiasi, diikuti dengan pemasangan selang dada untuk memungkinkan drainase cairan.
          \u00a0
          Di ICTS, prosedur invasif minimal lebih disukai. Namun, semua pilihan akan didiskusikan dengan pasien selama konsultasi.<\/p><\/div><\/div>\n<\/div><\/div><\/div>\n<\/div><\/section>\n","protected":false},"excerpt":{"rendered":"

          RINGKASAN APA ITU PLEURAL EFFUSION? Pleural Effusion (Efusi Pleural) diterjemahkan sebagai kumpulan cairan di ruang antara paru-paru dan rongga dada sebagai akibat dari penyakit yang membatasi ekspansi paru-paru. Antara paru-paru dan […]<\/p>\n","protected":false},"author":5,"featured_media":4493,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"class_list":["post-3508","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"\nPleural Effusion - International Centre for Thoracic Surgery in Singapore<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/glutenfreepleasure.com\/__proxy_domain\/www.icts.com.sg\/ms\/pleural-effusion\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pleural Effusion - International Centre for Thoracic Surgery in Singapore\" \/>\n<meta property=\"og:description\" content=\"RINGKASAN APA ITU PLEURAL EFFUSION? 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