Xeerarka Light
Kala Soocidda Exudate iyo Transudate
Natiijada
Qiimaha la xisaabiyay:
Ku Saabsan Xeerarka Light
Dareeraha pleural waxaa loo qeexaa EXUDATE haddii ugu yaraan hal xeer ka mid ah kuwan hoos ku qoran la buuxiyo:
- Isu-tagga borotiinka dareeraha pleural / borotiinka seerumka > 0.5
- Isu-tagga LDH-ga dareeraha pleural / LDH-ga seerumka > 0.6
- LDH-ga dareeraha pleural > 2/3 ee xadka sare ee caadiga ah ee LDH-ga seerumka
Xeerarkani waxay leeyihiin sax sare oo lagu ogaanayo exudate (ku dhawaad %98), oo leh saxnaan (specificity) u dhexeeya %75–83 iyadoo ku xiran dadka la baaray (Heffner et al., Chest 1997). Saxnaanta yaraatay macnaheedu waa in transudate qaarkood si khaldan loogu qeexi karo exudate.
Sababaha caadiga ah ee Exudate
- • Pneumonia / dareeraha ka dhasha pneumonia
- • Qaaxo (Tuberculosis)
- • Kansar
- • Xanjoodka sambabada (Pulmonary embolism) *
- • Cudurada xubnaha isku-xirka jidhka
- • Pancreatitis
* Dareeraha pleural ee ka dhasha PE waxaa lagu qeexi karaa exudate ama transudate marka la adeegsanayo Xeerarka Light
Sababaha caadiga ah ee Transudate
- • Fashilka wadnaha *
- • Xanuunka beerka (Cirrhosis)
- • Nephrotic syndrome
- • Dialysis-ka caloosha
- • Yaraanta albumin (Hypoalbuminaemia)
- • Atelectasis
* Isticmaalka daawooyinka kaadida wuxuu horseedi karaa qeexid khaldan oo exudate ah — eeg fiiro caafimaad hoose
Fiiro caafimaad: Bukaanada leh fashilka wadnaha ee qaadanaya daawooyinka kaadida, Xeerarka Light waxay khalad ahaan ugu qeexi karaan transudate inuu yahay exudate sababtoo ah kuurbaxa borotiinka pleural. Xaaladahan, farqiga albumin-ka seerumka iyo albumin-ka pleural (albumin seerumka − albumin pleural > 1.2 g/dL wuxuu muujinayaa transudate) ayaa gacan ka geysan kara kala soocidda.
Tixraacyada
- 1. Light RW, Macgregor MI, Luchsinger PC, Ball WC Jr. Pleural effusions: the diagnostic separation of transudates and exudates. Ann Intern Med. 1972;77(4):507–513. PubMed ↗
- 2. Heffner JE, Brown LK, Barbieri CA. Diagnostic value of tests that discriminate between exudative and transudative pleural effusions. Chest. 1997;111(4):970–980. PubMed ↗
- 3. Chauhan A, et al. Comparison of the Efficacy of Light's Criteria With Serum-Effusion Albumin Gradient and Pleural Effusion Glucose. Cureus. 2023;15(7):e42008. PubMed ↗