Ukuhlolwa kweCytology koketshezi lwe-pleural

Ukuhlolwa kwe-cytology ye-pleural fluid ukuhlolwa kwelabhoratri ukuthola amangqamuzana omdlavuza namanye amangqamuzana asendaweni ezungeze amaphaphu. Le ndawo ibizwa ngokuthi indawo yesikhala. I-Cytology isho ukutadisha amaseli.

Isampula loketshezi oluvela esikhaleni sokucela luyadingeka. Isampula ithathwa kusetshenziswa inqubo ebizwa nge-thoracentesis.

Inqubo yenziwa ngale ndlela elandelayo:

• Uhlala embhedeni noma onqenqemeni lwesihlalo noma lombhede. Ikhanda nezingalo zakho zihlala etafuleni.
• Indawo encane yesikhumba emhlane wakho iyahlanzwa. Umuthi we-numbing (i-anesthetic yendawo) ujojowe kule ndawo.
• Udokotela ufaka inaliti esikhunjeni nasemisipha yodonga lwesifuba esikhaleni sokuncenga.
• Uketshezi luqoqiwe.
• Inaliti iyasuswa. Kubekwa ibhandishi esikhunjeni.

Isampula loketshezi lithunyelwa elabhorethri. Lapho, ihlolwa ngaphansi kwesibonakhulu ukuthola ukuthi amangqamuzana abukeka kanjani nokuthi awajwayelekile yini.

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

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

Uzozizwa uluma lapho kufakwa i-anesthetic yendawo. Ungase uzwe ubuhlungu noma ingcindezi lapho inaliti ifakwa esikhaleni sokuncenga.

Tshela umhlinzeki wakho wezokunakekelwa kwempilo uma uzizwa uphelelwa umoya noma unezinhlungu esifubeni.

Ukuhlolwa kwe-cytology kusetshenziselwa ukubheka umdlavuza namaseli angaphambi kwesikhathi. Kungenzeka futhi kwenziwe nakwezinye izimo, njengokukhomba amaseli we-systemic lupus erythematosus.

Udokotela wakho angalalela lokhu kuhlolwa uma unezimpawu zokwakhiwa koketshezi esikhaleni sokucela. Lesi simo sibizwa ngokuthi yi-pleural effusion. Ukuhlolwa kungenziwa futhi uma unezimpawu zomdlavuza wamaphaphu.

Amaseli ajwayelekile ayabonakala.

Umphumela ongajwayelekile, kunamaseli anomdlavuza (amabi). Lokhu kungasho ukuthi kukhona isimila somdlavuza. Lokhu kuhlolwa kuvame ukuthola:

• Umdlavuza webele
• I-Lymphoma
• Umdlavuza wamaphaphu
• Umdlavuza we-Ovarian
• Umdlavuza wesisu

Izingozi zihlobene ne-thoracentesis futhi zingafaka:

• Ukopha
• Ukutheleleka
• Ukuwa kwamaphaphu (pneumothorax)
• Kunzima ukuphefumula

I-Pleural fluid cytology; Umdlavuza wamaphaphu - uketshezi lwe-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.

I-Cibas ES. Uketshezi lwe-Pleural, pericardial, ne-peritoneal. Ku: Cibas ES, Ducatman BS, ama-eds. I-Cytology. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2021: isahluko 4.

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: 1052-1135.