Ese hari amazi akikije ibihaha? Reka twige ku kuvura Thoracentesis mu buryo bworoshye.

Ushobora kuba warumvise umuganga avuga ati: "Ufite amazi mu bihaha byawe" iyo ufite ikibazo cyo guhumeka. Ni ibisanzwe kumva ufite ubwoba gato iyo ubyumvise. Ariko ntugahangayike, hari uburyo bworoshye kandi bwizewe bwo kwa muganga bushobora gukorwa kugira ngo havurwe iyi ndwara kandi hamenyekane impamvu. Ibyo ni byo twita thoracentesis. Uyu munsi, tuzabivugaho mu buryo bworoshye kandi bworoshye kumva.

Thoracentesis ni iki?

Muri make, thoracentesis ni igikorwa cyo gukura amazi arenze urugero (amazi) mu bihaha byawe ukoresheje igikoresho kimeze nk'urushinge.

Tekereza ko ibihaha byacu biri mu gituza cyacu. Hari umwanya muto cyane hagati y’ibi bihaha n’urukuta rw’igituza. Uyu mwanya tuwita umwanya w’imitsi. Muri uyu mwanya hari uturemangingo tubiri duto cyane. Iyo duhumeka, ibihaha byacu birakura kandi bikanagabanuka. Kugira ngo iki gikorwa kigende neza cyane, tudahuye, hagomba kubaho amazi make cyane hagati y’utwo dutsi. Nk’uko gushyira amavuta make ku gipfundikizo cy’urugi bituma byoroha gufungura no gufunga, uyu mubare w’amazi ufasha ibihaha byacu gukora neza.

Ariko bitewe n'indwara zimwe na zimwe, amazi menshi atangira kwirundanya muri aka gace kuruta uko bikenewe. Mu buvuzi, ibi tubyita pleural effusion . Iyo aya mazi yuzuye, nta mwanya uhagije w'ibihaha wo kwaguka neza, ibyo bigatera ibimenyetso nko kugorwa no guhumeka no kumva uburemere mu gituza.

Rero, icyo gikorwa mu kuvura uruhu rwo mu nda ni ukuvanaho ayo mazi arenze urugero.

Itandukaniro riri hagati ya Thoracentesis na Paracentesis

Ibi byombi ni uburyo bwo kuvura bukuraho amazi menshi mu mubiri. Ariko, thoracentesis ikuraho amazi mu gituza, ni ukuvuga hafi y'ibihaha. Paracentesis ikuraho amazi yakusanyije mu nda (inda).

Ese thoracentesis ni ukubagwa gukomeye?

Oya rwose. Thoracentesis si ukubaga gukomeye. Byitwa uburyo bwo 'kubaga mu buryo buciriritse', bivuze ko ari uburyo bwo kuvura budatera kwangirika gukomeye ku mubiri. Nta gukomereka gukomeye cyangwa igikomere. Kubwibyo, igihe cyo gukira ni gito cyane, kandi ingaruka ni nke cyane.

Kuki dukeneye ubu buvuzi?

Hari impamvu ebyiri z'ingenzi zo gukora thoracentesis.

1. Gusuzuma indwara: Kugira ngo umenye impamvu hari amazi akikije ibihaha. Urugero rw'amazi rukurwamo rukoherezwa muri laboratwari kugira ngo harebwe ubwandu, uturemangingo twa kanseri, cyangwa ibindi bimenyetso by'indwara.

2. Kugabanya ibimenyetso (Ubuvuzi): Niba hari amazi menshi yakusanyije hirya no hino mu bihaha bigatuma bigorana cyane guhumeka, ubu buryo bwo kuvura bukorwa kugira ngo ayo mazi akureho kandi bugufashe kuruhuka.

Reka turebe imbonerahamwe iri hepfo kugira ngo turebe impamvu nyamukuru zitera pleural effusion.

Ubu buryo bwo kuvura bukora bute? Ese ni ikintu cyo gutinya?

Nta mpamvu yo gutinya ubu buryo na gato. Reka turebe uko bigenda intambwe ku yindi.

Kwitegura mbere yo kuvurwa

Muganga wawe azaguha amabwiriza mbere y'uko ubu buvuzi butangira. Hari kandi ibintu bike ugomba kumenyesha muganga wawe.

• WoweNiba ufata imiti igabanya amaraso cyangwa imiti nka aspirine, menya neza ko uyivuze.
• Niba ufite ikibazo cyo kuvura amaraso , tubwire.
• Tubwire indi miti, vitamine, cyangwa inyongeramusaruro ufata.
• Tubwire niba ufite ubwivumbure ku miti iyo ari yo yose (cyane cyane imiti igabanya ububabare), latex, cyangwa kaseti .
• Ugomba kandi kutubwira niba utwite cyangwa ushobora gutwita.

Ni iki kibaho mu gihe cyo kuvurwa?

Ubu buvuzi busanzwe bukorerwa mu bitaro. Igikorwa cyose kimara iminota 15 .

1. Uburyo bwo kwicara: Uzasabwa kwicara ku ntebe, kwishingikiriza ku meza ari imbere yawe, no gushyira amaboko yawe ku kibuno cyawe. Ubu buryo bugaragaza inyuma yawe. Niba bigoye kwicara, ushobora no kubikora wishingikirije ku ruhande rwawe.

2. Gutegura: Agace kari ku mugongo wawe aho ushaka gukuramo amazi kazasukurwa neza n'umuti wica udukoko hanyuma gapfukwe n'igitambaro.

3. Gutera ibisebe: Hanyuma, urushinge ruto cyane rukoreshwa mu gutera umuti utera ibisebe muri ako gace. Muri iki gihe, wumva nk'aho agakoko gato kari kukuruma, ariko hanyuma agace kagashira burundu.

4. Gukuraho amazi: Ubu muganga azashyira urundi rushinge mu mwanya uri hagati y'imbavu zawe, munsi y'uruhu, aho amazi ari. Hari igihe, hakoreshejwe ultrasound scan kugira ngo ifashe kuyobora agace. Amazi y'inyongera azavanwa mu muyoboro ufatanye n'urushinge.

5. Iherezo: Nyuma yo gukuraho ingano y'amazi akenewe, urushinge rurakurwaho hanyuma agapfundikizo gato gashyirwa aho hantu.

Nyuma yo kuvurwa

Nyuma yo kuvurwa, ushobora kongera gupimwa X-ray cyangwa gupimwa kugira ngo urebe uko ibihaha byawe bihagaze. Amashanyarazi n'umuvuduko w'amaraso bizakurikiranwa amasaha make mbere yuko woherezwa mu rugo.

Ni ibisanzwe gukorora gato mu gihe cy'isaha imwe nyuma yo kuvurwa. Ibi biterwa nuko ibihaha byongera kwaguka nyuma y'uko amazi ashize.

Igihe cy'ibyago n'igihe cyo gukira

Thoracentesis ni uburyo bwizewe cyane. Ingaruka z'ibibazo ni nke cyane. Dore zimwe mu ngaruka zishobora kubaho:

• Kuva amaraso: Iyo urushinge rugeze ku mutsi muto w'amaraso, hashobora kuva amaraso make. Ibi akenshi bihagarara ubwabyo.
• Kwandura:Nkuko bigenda ku ruhu, hari amahirwe make cyane ko mikorobe zinjira zigatera indwara.
• Pneumothorax: Ni gake cyane, urushinge rushobora gutobora ibihaha no gukora umwobo muto, bigatuma umwuka usohoka. Ibi bishobora gutuma ibihaha bigwa.
• Kubyimba kw'ibihaha: Iyo amazi menshi akuweho vuba cyane, ibihaha bishobora kuzura amazi.

Ntibitinda gukira. Muganga azakubwira kudakora akazi katoroshye mu gihe cy'iminsi ibiri . Igitambaro gishobora gukurwaho mu masaha 24.

Niba ufite ibi bimenyetso nyuma yo kuvurwa, hita ubonana na muganga.

Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo kuva kuvurwa, hamagara muganga wawe ako kanya.

• Umuriro
• Gutukura, kubyimba, cyangwa kuva amaraso/andi mazi aho urushinge rwashyizwe
• Kubabara mu gituza cyangwa kubabara iyo ufashe umwuka mwinshi
• Gukorora amaraso (Hemoptysis)
• Guhumeka bigoranye cyane mu buryo butunguranye