Ukuhlaziywa Kwe-Fluid Fluid

-Delile

• Kuyini ukuhlaziywa kwe-pleural fluid?
• Kusetshenziselwa ini?
• Kungani ngidinga ukuhlaziywa kwe-pleural fluid?
• Kwenzekani ngesikhathi sokuhlaziywa kwe-pleural fluid?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlaziywa koketshezi lwe-pleural?
• Izinkomba

Kuyini ukuhlaziywa kwe-pleural fluid?

I-Pleural fluid iwuketshezi olutholakala phakathi kwezingqimba ze-pleura. I-pleura ulwelwesi olunezingqimba ezimbili olumboza amaphaphu bese lufaka umgodi wesifuba. Indawo equkethe i-pleural fluid yaziwa njengesikhala se-pleural. Imvamisa, kunenani elincane loketshezi lwe-pleural esikhaleni sokuncenga. Uketshezi kugcina i-pleura imanzi futhi kunciphisa ukungqubuzana phakathi kolwelwesi lapho uphefumula.

Kwesinye isikhathi uketshezi oluningi luyakha esikhaleni sobuningi. Lokhu kwaziwa ngokuthi yi-pleural effusion. I-Pleural effusion ivimbela amaphaphu ekugcwaliseni ngokugcwele, okwenza kube nzima ukuphefumula. Ukuhlaziywa kwe-pleural fluid yiqembu lezivivinyo ezibheka imbangela ye-pleural effusion.

Amanye amagama: i-pleural fluid aspiration

Kusetshenziselwa ini?

Ukuhlaziywa kwe-pleural fluid kusetshenziselwa ukuthola imbangela ye-pleural effusion. Kunezinhlobo ezimbili eziyinhloko ze-pleural effusion:

• Shintsha, okwenzeka lapho kunokungalingani kwengcindezi emithanjeni ethile yegazi. Lokhu kubangela uketshezi olwengeziwe ukuvuza esikhaleni sobuningi. I-Transudate pleural effusion ivame ukubangelwa ukwehluleka kwenhliziyo noma i-cirrhosis.
• Exudate, okwenzeka lapho kukhona ukulimala noma ukuvuvukala kwe-pleura. Lokhu kungenza ukuvuza okweqile kwemithambo yegazi ethile. Ukukhishwa kwe-pleudate exudate kunezimbangela eziningi. Lokhu kufaka izifo ezifana ne-pneumonia, umdlavuza, isifo sezinso, nezifo ezizimele. Imvamisa kuthinta uhlangothi olulodwa kuphela lwesifuba.

Ukusiza ukuthola ukuthi yiluphi uhlobo lwe-pleural effusion onalo, umhlinzeki wakho wezokunakekelwa kwempilo angasebenzisa indlela eyaziwa ngokuthi i-Light's criteria. Indlela yokukhanya isibalo esiqhathanisa okunye okutholakele ekuhlaziyweni kwakho kuketshezi lwe-pleural nemiphumela yokuhlolwa kwegazi okukodwa noma amaningi.

Kubalulekile ukuthola ukuthi yiluphi uhlobo lwe-pleural effusion onalo, ukuze uthole ukwelashwa okufanele.

Kungani ngidinga ukuhlaziywa kwe-pleural fluid?

Ungadinga lolu vivinyo uma unezimpawu zokuchithwa kwe-pleural. Lokhu kufaka phakathi:

• Ubuhlungu besifuba
• Ukukhwehlela okomile, okungakhiqizi (ukukhwehlela okungalethi amafinyila)
• Ukuphefumula kanzima
• Ukukhathala

Abanye abantu abane-pleural effusion abanazo izimpawu ngokushesha. Kepha umhlinzeki wakho anga-oda lokhu kuhlolwa uma ngabe uke waba ne-x-ray yesifuba ngesinye isizathu, futhi kukhombisa izimpawu zokuchithwa kwe-pleural.

Kwenzekani ngesikhathi sokuhlaziywa kwe-pleural fluid?

Umhlinzeki wakho wezokunakekelwa kwempilo uzodinga ukususa uketshezi oluthile lwe-pleural esikhaleni sakho sokuncenga. Lokhu kwenziwa ngenqubo ebizwa nge-thoracentesis. Inqubo ingenziwa ehhovisi likadokotela noma esibhedlela. Ngesikhathi senqubo:

• Uzodinga ukukhumula izingubo zakho eziningi bese ufaka iphepha noma ingubo yendwangu ukuze uzimboze.
• Uzohlala embhedeni noma esihlalweni esibhedlela, izingalo zakho zihleli etafuleni eligwedwe. Lokhu kubeka umzimba wakho endaweni efanelekile yenqubo.
• Umhlinzeki wakho uzohlanza indawo emhlane wakho ngesixazululo sesinqandakuvunda.
• Umhlinzeki wakho uzofaka umuthi oyindikimba esikhunjeni sakho, ngakho ngeke ubuzwe ubuhlungu ngesikhathi senqubo.
• Lapho indawo isikindiki ngokuphelele, umhlinzeki wakho uzofaka inaliti emhlane wakho phakathi kwezimbambo. Inaliti izongena esikhaleni sokuncenga. Umhlinzeki wakho angasebenzisa i-ultrasound imaging ukusiza ukuthola indawo engcono kakhulu yokufaka inaliti.
• Ungase uzwe ukucindezela okuthile njengoba inaliti ingena.
• Umhlinzeki wakho uzokhipha uketshezi enalithini.
• Ungacelwa ukuthi ubambe umoya wakho noma uphefumulele phezulu ngezikhathi ezithile ngesikhathi senqubo.
• Lapho sekukhishwe uketshezi olwanele, inaliti izokhishwa futhi indawo yenqubo izobhandishwa.

Ukuhlolwa kwegazi kwamaprotheni athile kusetshenziselwa ukubala imibandela ye-Light. Ngakho-ke futhi ungahlolwa igazi.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Awudingi noma yimaphi amalungiselelo akhethekile we-thoracentesis noma ukuhlolwa kwegazi. Kepha umhlinzeki wakho anga-oda i-x-ray yesifuba ngaphambi kwenqubo.

Ingabe zikhona izingozi esivivinyweni?

I-Thoracentesis inqubo evame ukuphepha. Izingozi zivame ukuba zincane futhi zingafaka ubuhlungu nokopha endaweni yenqubo.

Izinkinga ezinkulu azivamile, futhi zingabandakanya i-edema yamaphaphu noma i-edema yamaphaphu, isimo lapho kukhishwa khona uketshezi oluningi kakhulu. Umhlinzeki wakho anga-oda i-x-ray yesifuba ngemuva kwenqubo yokubheka izinkinga.

Isho ukuthini imiphumela?

Imiphumela yakho ingakhombisa ukuthi ngabe unohlobo lwe-pleud effusion noma lwe-exudate. Ukuchithwa kwe-transudate pleural kuvame ukubangelwa ukwehluleka kwenhliziyo noma i-cirrhosis. Ukuqhuma kwe-exudate kungadalwa izifo nezifo ezahlukahlukene. Lapho nje uhlobo lwe-pleural effusion selunqunyiwe, umhlinzeki wakho kungenzeka a-oda ezinye izivivinyo ukwenza ukuxilongwa okuthile.

Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlaziywa koketshezi lwe-pleural?

Imiphumela yakho ye-pleural fluid ingaqhathaniswa nezinye izivivinyo, kufaka phakathi ukuhlolwa kwe-glucose ne-albumin, iphrotheni elenziwe isibindi. Ukuqhathanisa kungasetshenziswa njengengxenye yenkambiso yokuKhanya ukusiza ukuthola ukuthi unhloboni ye-pleural effusion onayo.

Izinkomba

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