Thoracentesis
I-Thoracentesis inqubo yokususa uketshezi esikhaleni esiphakathi kolwelwesi lwangaphandle lwamaphaphu (pleura) nodonga lwesifuba.
Ukuhlolwa kwenziwa ngale ndlela elandelayo:
- Uhlala embhedeni noma onqenqemeni lwesihlalo noma lombhede. Ikhanda nezingalo zakho zihlala etafuleni.
- Isikhumba esizungeze indawo yenqubo siyahlanzwa. Umuthi endikindiki wendawo (i-anesthetic) ufakwa esikhunjeni.
- Inaliti ibekwa esikhunjeni nasemisipha yodonga lwesifuba esikhaleni esizungeze amaphaphu, esibizwa ngokuthi isikhala se-pleural. Umhlinzeki wezokunakekelwa kwempilo angasebenzisa i-ultrasound ukuthola indawo engcono yokufaka inaliti.
- Ungacelwa ukuthi ubambe umoya noma uphefumule ngesikhathi senqubo.
- Akufanele ukhwehlele, uphefumule kakhulu, noma unyakaze ngesikhathi sokuhlolwa ukuze ugweme ukulimala emaphashini.
- Uketshezi lukhishwa ngenaliti.
- Inaliti iyasuswa nendawo ibhandishiwe.
- Uketshezi kungathunyelwa elabhorethri ukuze ihlolwe (ukuhlaziywa kwe-pleural fluid).
Akukho ukulungiselela okukhethekile okudingekayo ngaphambi kokuhlolwa. I-x-ray yesifuba noma i-ultrasound izokwenziwa ngaphambi nangemva kokuhlolwa.
Uzozwa ukuzwa okuhlabayo lapho kufakwa i-anesthetic yendawo. Ungase uzwe ubuhlungu noma ingcindezi lapho inaliti ifakwa esikhaleni sokuncenga.
Tshela umhlinzeki wakho uma uzizwa uphefumula kanzima noma unezinhlungu esifubeni, ngesikhathi noma ngemuva kwenqubo.
Imvamisa, kuncane kakhulu uketshezi olusendaweni yesikhala. Ukwakhiwa koketshezi oluningi kakhulu phakathi kwezingqimba ze-pleura kubizwa ngokuthi yi-pleural effusion.
Ukuhlolwa kwenzelwa ukuthola imbangela yoketshezi olungeziwe, noma ukukhulula izimpawu ezakhiweni zoketshezi.
Imvamisa imbobo yomlomo iqukethe inani elincane kakhulu loketshezi.
Ukuhlola uketshezi kuzosiza umhlinzeki wakho anqume imbangela ye-pleural effusion. Izimbangela ezingaba khona zifaka:
- Umdlavuza
- Ukuhluleka kwesibindi
- Ukwehluleka kwenhliziyo
- Amazinga aphansi wamaprotheni
- Isifo sezinso
- Ukuhlukumezeka noma ukuhlinzwa ngemuva kokuhlinzwa
- Ukuchithwa kwe-plebus okuhlobene ne-Asbestos
- Collagen vascular disease (isigaba sezifo lapho amasosha omzimba ahlasela izicubu zawo)
- Ukusabela kwezidakamizwa
- Ukuqoqwa kwegazi esikhaleni sokuncenga (hemothorax)
- Umdlavuza wamaphaphu
- Ukuvuvukala nokuvuvukala kwamanyikwe (i-pancreatitis)
- Inyumoniya
- Ukuvinjelwa komthambo emaphashini (embolism pulmonary)
- Indlala yegilo engasebenzi kahle
Uma umhlinzeki wakho esola ukuthi unesifo, kungenziwa isiko loketshezi ukuhlola amabhaktheriya.
Izingozi zingafaka noma yikuphi okulandelayo:
- Ukopha
- Ukutheleleka
- Iphaphu eliwile (pneumothorax)
- Ukucindezeleka kokuphefumula
I-x-ray yesifuba noma i-ultrasound ivame ukwenziwa ngemuva kwenqubo ukuthola izinkinga ezingaba khona.
I-Pleural fluid aspiration; Umpompi we-Pleural
Ibhulokhi BK. Thoracentesis. Ku: Roberts JR, Custalow CB, Thomsen TW, ama-eds. Izinqubo Zomtholampilo zikaRoberts noHedges ku-Emergency Medicine kanye ne-Acute Care. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 9.
IChernecky CC, iBerger BJ. I-Thoracentesis - ukuxilonga. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. ISt Louis, MO: Elsevier Saunders; 2013: 1068-1070.