I-Mediastinoscopy ene-biopsy

I-Mediastinoscopy ene-biopsy inqubo lapho kufakwa khona ithuluzi elikhanyisiwe (i-mediastinoscope) esikhaleni esifubeni phakathi kwamaphaphu (i-mediastinum). Izicubu zithathwa (i-biopsy) kusuka kunoma yikuphi ukukhula okungavamile noma ama-lymph node.

Le nqubo yenziwa esibhedlela. Uzonikezwa i-anesthesia ejwayelekile ukuze ulale futhi ungabuzwa ubuhlungu. Ishubhu (endotracheal tube) ibekwa emakhaleni akho noma emlonyeni ukuze ikusize uphefumule.

Ukusikwa okuncane kokuhlinzwa kwenziwa ngenhla nje kwesifuba sesifuba. Umshini obizwa ngokuthi yi-mediastinoscope ufakwa ngalokhu kusika bese udluliswa ngobumnene maphakathi nengxenye yesifuba.

Amasampula amathishu athathwa ama-lymph node azungeze imigwaqo yomoya. Ububanzi buyasuswa bese ukusika kokuhlinzwa kuvaliwe ngemithungo.

Kuvamise ukuthathwa i-x-ray yesifuba ekugcineni kwenqubo.

Inqubo ithatha cishe imizuzu engama-60 kuya kwengu-90.

Kufanele usayine ifomu lokuvuma unolwazi. Ngeke ukwazi ukuthola ukudla noma uketshezi amahora ayi-8 ngaphambi kokuhlolwa.

Uzobe ulele ngesikhathi senqubo. Kuzoba nobumnene esizeni senqubo ngemuva kwalokho. Ungaba nomphimbo obuhlungu.

Iningi labantu lingaphuma esibhedlela ngakusasa ekuseni.

Ezimweni eziningi, umphumela we-biopsy usulungile ezinsukwini ezinhlanu kuya kwezi-7.

Le nqubo yenziwa ukubheka bese kuthi i-biopsy lymph node noma okunye ukukhula okungavamile engxenyeni engaphambili ye-mediastinum, eduze kodonga lwesifuba sakho.

• Isizathu esivame kakhulu ukubona ukuthi umdlavuza wamaphaphu (noma omunye umdlavuza) ususabalele kula ma-lymph node. Lokhu kubizwa ngokuthi isiteji.
• Le nqubo yenziwa futhi ngezifo ezithile (isifo sofuba, i-sarcoidosis) kanye nokuphazamiseka komzimba.

Ama-biopsies wezicubu ze-lymph node ajwayelekile futhi awakhombisi izimpawu zomdlavuza noma ukutheleleka.

Ukutholwa okungavamile kungakhombisa:

• Isifo se-Hodgkin
• Umdlavuza wamaphaphu
• I-Lymphoma noma ezinye izicubu
• I-Sarcoidosis
• Ukusabalala kwezifo zisuka kolunye uhlangothi lomzimba ziye kolunye
• Isifo sofuba

Kukhona ingozi yokubhoboza i-esophagus, trachea, noma imithambo yegazi. Kwezinye izimo, lokhu kungaholela ekopheni okungasongela impilo. Ukulungisa ukulimala, ithambo lesifuba lizodinga ukuhlukaniswa bese kuvulwa isifuba.

• I-Mediastinum

UCheng GS, uVarghese TK. Izimila zangaphakathi kanye nama-cysts. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 83.

UPutnam JB. Amaphaphu, udonga lwesifuba, i-pleura, ne-mediastinum. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 57.