I-Pleural fluid smear

I-Pleural fluid smear ukuhlolwa kwelabhorethri ukubheka amabhaktheriya, isikhunta, noma amaseli angajwayelekile kusampula loketshezi oluqoqwe esikhaleni sobuningi. Lesi yisikhala esiphakathi kolwelwesi lwangaphandle lwamaphaphu (pleura) nodonga lwesifuba. Lapho uketshezi luqoqa esikhaleni sokucela, lesi simo sibizwa ngokuthi yi-pleural effusion.

Inqubo ebizwa nge-thoracentesis isetshenziselwa ukuthola isampula ye-pleural fluid. Umhlinzeki wezokunakekelwa kwempilo uhlola isampula le-pleural fluid ngaphansi kwesibonakhulu. Uma kutholakala amabhaktheriya noma isikhunta, ezinye izindlela zingasetshenziswa ukuqhubeka nokuhlonza lezo zinto eziphilayo.

Akukho ukulungiselela okukhethekile okudingekayo ngaphambi kokuhlolwa. I-x-ray yesifuba izokwenziwa ngaphambi nangemva kokuhlolwa.

UNGAKHOHLISI, phefumulela phezulu, noma unyakaze ngesikhathi sokuhlolwa ukuze ugweme ukulimala emaphashini.

Nge-thoracentesis, uhlala emaphethelweni esihlalo noma embhedeni ikhanda lakho nezingalo kuhleli etafuleni. Umhlinzeki uhlanza isikhumba eduze kwendawo yokufaka. Umuthi we-numbing (i-anesthetic) ufakwa esikhunjeni.

Inaliti ibekwa esikhunjeni nasemisipha yodonga lwesifuba esikhaleni esizungeze amaphaphu, esibizwa ngokuthi isikhala se-pleural. Njengoba uketshezi lungena ebhodleleni leqoqo, ungahle ukhwehle kancane. Lokhu kungenxa yokuthi iphaphu lakho liyanda futhi ukugcwalisa isikhala lapho bekukhona khona uketshezi. Lokhu kuzwa kuhlala amahora ambalwa ngemuva kokuhlolwa.

I-Ultrasound ivame ukusetshenziselwa ukunquma ukuthi inaliti ifakwe kuphi futhi uthole umbono ongcono woketshezi olusesifubeni sakho.

Ukuhlolwa kwenziwa uma une-pleural effusion futhi imbangela yayo ingaziwa, ikakhulukazi uma umhlinzeki esola ukutheleleka noma umdlavuza.

Imvamisa, awekho amagciwane, isikhunta, noma amangqamuzana omdlavuza akhona kuketshezi lwe-pleural.

Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Imiphumela emihle ingakhombisa ukuthi ukutheleleka, noma amangqamuzana omdlavuza, akhona. Ezinye izivivinyo zingasiza ukukhomba uhlobo oluthile lokutheleleka noma umdlavuza. Kwesinye isikhathi, ukuhlolwa kungakhombisa ukungajwayelekile (okufana nezinhlobo ezikhethekile zamaseli) kusuka ezimeni ezinjenge-systemic lupus erythematosus.

Izingozi ze-thoracentesis yilezi:

• Ukuwa kwamaphaphu (pneumothorax)
• Ukwehla ngokweqile kwegazi
• Ukuqoqwa kabusha kwamanzi
• Ukutheleleka
• I-edema yamaphaphu
• Ukucindezeleka kokuphefumula

• I-Pleural smear

Ibhulokhi BK. Thoracentesis. Ku: Roberts JR, Custalow CB, Thomsen TW, ama-eds. Izinqubo Zomtholampilo zikaRoberts & Hedges e-Emergency Medicine kanye ne-Acute Care. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 9.

I-Broaddus VC, i-Light RW. Ukuchithwa kwe-Pleural. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 79.