Isiko le-Pleural fluid

Isiko le-Pleural fluid yisivivinyo esihlola isampula loketshezi oluqoqwe esikhaleni sokucela ukubona ukuthi unegciwane noma uqonde imbangela yokwakheka koketshezi kulesi sikhala. Isikhala sobuningi siyindawo ephakathi kwendwangu engaphandle yamaphaphu (i-pleura) nodonga lwesifuba. Lapho uketshezi luqoqa esikhaleni sokucela, lesi simo sibizwa ngokuthi yi-pleural effusion.

Inqubo ebizwa nge-thoracentesis yenziwa ukuthola isampula le-pleural fluid. Isampuli ithunyelwa elabhorethri bese ihlolwa ngaphansi kwesibonakhulu ukuthola izimpawu zokutheleleka. Isampuli nayo ibekwa esitsheni esikhethekile (isiko). Kuyabhekwa-ke ukubona ukuthi amagciwane noma amanye amagciwane ayakhula yini. Lokhu kungathatha izinsuku ezimbalwa.

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 wezokunakekelwa kwezempilo uhlanza isikhumba eduze kwendawo yokufaka. Umuthi we-numbing (i-anesthetic) ufakwa esikhunjeni.

Inaliti ibekwa esikhunjeni nasemisipha yodonga lwesifuba esikhaleni sobuningi. Njengoba uketshezi lungena ebhodleleni leqoqo, ungahle ukhwehle kancane. Lokhu kungenxa yokuthi amaphaphu akho aphinde anabeze ukugcwalisa isikhala lapho bekukhona khona uketshezi. Lokhu kuzwa kuhlala amahora ambalwa ngemuva kokuhlolwa.

Ngesikhathi sokuhlolwa, tshela umhlinzeki wakho uma unobuhlungu besifuba obubukhali noma ukuphefumula okuncane.

Umhlinzeki wakho anga-oda lokhu kuhlolwa uma unezimpawu zokutheleleka okuthile noma uma i-x-ray yesifuba noma i-CT scan esifubeni kukhombisa ukuthi unoketshezi oluningi kakhulu esikhaleni esizungeze amaphaphu.

Umphumela ojwayelekile usho ukuthi awekho amagciwane noma isikhunta esibonwe kusampula yokuhlola.

Inani elijwayelekile akukho ukukhula kwanoma yimaphi amabhaktheriya. Khuluma nodokotela wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Imiphumela engajwayelekile ingakhombisa:

• I-Empyema (ukuqoqwa kobomvu esikhaleni sobuningi)
• Ithumba lamaphaphu (ukuqoqwa kobomvu emaphashini)
• Inyumoniya
• Isifo sofuba

Izingozi ze-thoracentesis yilezi:

• Iphaphu eliwile (pneumothorax)
• Ukwehla ngokweqile kwegazi
• Ukuvuselelwa kabusha kwamanzi
• Ukutheleleka
• I-edema yamaphaphu
• Ukucindezeleka kokuphefumula
• Izinkinga ezinkulu azivamile

Amasiko - uketshezi olunxenxayo

• Isiko lePleural

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.

I-Parta M. Pleural effusion ne-empyema. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 68.