Tiyeni tiphunzire mwachidule za chithandizo cha madzi ozungulira mapapo (Thoracentesis)

Kodi mukuvutika kupuma ndipo mukumva kupsinjika pachifuwa panu? Nthawi zina izi zingachitike chifukwa cha kuchuluka kwa madzi m'mapapo mwanu. M'mawu azachipatala, timatcha vutoli `(pleural effusion)`. Chifukwa chake lero tikambirana za chithandizo chosavuta, koma chofunikira kwambiri pa izi.

Kodi Thoracentesis ndi chiyani?

Mwachidule, ganizirani motere. Kuti chitseko chigwire ntchito bwino osati kutsekeka, timathira mafuta, sichoncho? Mofananamo, tikamapuma, pamakhala madzi pang'ono pakati pa mapapu ndi khoma la pachifuwa, otchedwa ``pleural space``, kotero kuti mapapu athu asamamatire ku makoma a pachifuwa ndipo amatha kukula ndikuchepa mosavuta.

Komabe, chifukwa cha matenda ena, madzi awa amatha kusonkhana mopitirira muyeso. Kenako mapapu sakhala ndi malo okwanira oti atulutse mpweya bwino ndipo zimakhala zovuta kupuma. Panthawiyo, pogwiritsa ntchito chida chonga singano, chomwe chimayikidwa pachifuwa kuchokera kumbuyo ndikuchotsa madzi ochulukirapowa chimatchedwa `(Thoracentesis)`.

Kodi iyi ndi opaleshoni yaikulu?

Ayi, ayi konse. Iyi si opaleshoni yaikulu. Iyi ndi njira "yosavulaza kwambiri", zomwe zikutanthauza kuti palibe kudula kwakukulu komwe kumachitika. Pakhungu pali dzenje laling'ono lokha. Chifukwa chake, nthawi yochira ndi yochepa ndipo zoopsa zake ndizochepa kwambiri.

Kodi thoracentesis imachitidwa pazifukwa ziti?

Chithandizochi chimachitika pazifukwa ziwiri zazikulu: choyamba ndi kupeza matenda, ndipo china ndi kupereka mpumulo ku zizindikiro.

Kodi n’chiyani chimachititsa kuti madzi adzaze m’mapapo motere?

Thoracentesis imagwiritsidwa ntchito pochiza matenda otchedwa pleural effusion. Komabe, pali matenda angapo omwe angayambitse vutoli. Ena mwa iwo ndi awa:

• Kulephera kwa mtima kotsekeka
• Khansa
• Chibayo kapena matenda ena a m'mapapo (mabakiteriya, mavairasi)
• Matenda a autoimmune monga lupus (Lupus/SLE)
• Kuundana kwa magazi m'mapapo (pulmonary embolism)
• Matenda ena othamanga magazi (kuthamanga kwa magazi m'mapapo)
• Kutupa kwa kapamba (pancreatitis)
• Matenda a impso kapena chiwindi
• Chifuwa chachikulu (TB)

Chofala kwambiri mwa izi ndi kuchulukana kwa madzi m'mapapo chifukwa cha matenda a mtima.

Kodi mungakonzekere bwanji izi pasadakhale?

Chabwino, tiyeni tinene kuti dokotala wakuuzani kuti mulandire chithandizochi. Ndiye muyenera kuchita chiyani? Dokotalayo adzakupatsani malangizo enaake. Ndipo muyeneranso kudziwitsa dokotalayo za zinthu izi.

• Uzani dokotala wanu za mankhwala onse omwe mukumwa: Izi ndizofunikira makamaka ngati mukumwa mankhwala ochepetsa magazi .
• Tiuzeni ngati muli ndi vuto la kutuluka magazi: Ndikofunikira kwambiri kutidziwitsa ngati muli ndi vuto lomwe limalepheretsa magazi anu kuundana mosavuta.
• Tiuzeni ngati muli ndi pakati kapena mukukayikira kuti muli ndi pakati.
• Tiuzeni ngati muli ndi vuto lililonse la mankhwala, ma plaster, kapena latex.
• Mungapemphedwenso kuti mubweretse munthu wina kuti akutengereni kunyumba mukalandira chithandizo.

Kodi chimachitika ndi chiyani pa nthawi ya thoracentesis?

Izi nthawi zambiri zimachitika kuchipatala, ndipo njira yonseyi imatenga pafupifupi mphindi 15. Mumakhala maso panthawiyi.

Musanalandire chithandizo

Kuthamanga kwa magazi ndi kuchuluka kwa mpweya m'magazi kudzayesedwa. Kujambula kwa X-ray, ultrasound, kapena CT kudzagwiritsidwa ntchito kuti mudziwe malo enieni ndi kuchuluka kwa madzi. Kenako mudzapemphedwa kuti mukhale patebulo ndi manja anu patebulo ndikuwerama patsogolo. Iyi ndi malo osavuta. Ngati simungathe kuchita izi, mudzapemphedwa kuti mugone chammbali.

Pa nthawi ya chithandizo

1. Choyamba, malo omwe singano idzayikidwe kumbuyo kwanu adzatsukidwa bwino ndi mankhwala opha tizilombo toyambitsa matenda.

2. Kenako mankhwala oletsa kumva kupweteka amabayidwa m'derali. Zimakhala ngati nyerere yaying'ono ikukulumani, koma kenako deralo limasanduka dzanzi ndipo simukumva kupweteka kulikonse.

3. Malo akayamba kuzizira, dokotalayo adzadula pang'ono, kuyika singano pakati pa nthiti, ndikuchotsa madzi ochulukirapo mu sirinji kapena chubu mu botolo. Singanoyo ikhoza kuyikidwa pogwiritsa ntchito ultrasound scan.

4. Mungamve kupanikizika pang'ono kapena kusasangalala madzi akachotsedwa, koma sayenera kukhala opweteka. Ngati mukumva kupweteka pachifuwa kapena kupuma movutikira, uzani dokotala wanu nthawi yomweyo.

5. Madzi ofunikira akatengedwa, singano imachotsedwa ndipo bandeji yaying'ono imayikidwa.

Pambuyo pa chithandizo

Mukamaliza kulandira chithandizo, mungafunikenso kuonedwa ngati mapapu anu ali bwino. Ngati muli bwino, mutha kupita kunyumba posachedwa. Mungakhale ndi chifuwa kwa ola limodzi mutatha kulandira chithandizo. Izi sizachilendo, musadandaule. Izi zili choncho chifukwa mapapu anu akuchira bwino poyambiranso kukula.

Kodi ubwino ndi zoopsa zake ndi ziti?

Monga chithandizo chilichonse chamankhwala, izi zili ndi ubwino ndi zoopsa zazing'ono kwambiri.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire ndipo muyenera kupita kwa dokotala liti?

Sizitenga nthawi yayitali kuti munthu achire. Dokotala wanu adzakuuzani kuti musamachite zinthu zolemetsa kwa masiku awiri. Mutha kuchotsa bandejiyo patatha maola 24.

Komabe, ngati mukukumana ndi zizindikiro zilizonse zomwe zili pansipa, musachedwe ndipo pitani kwa dokotala nthawi yomweyo. Kapena pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.

• Malungo.
• Kufiira, kutupa, kapena kutuluka magazi kumene singano inalowetsedwa.
• Kupweteka pachifuwa kapena kupweteka mukapuma mpweya wambiri.
• Kutsokomola magazi (hemoptysis).
• Kuvuta kupuma mwadzidzidzi.