UtyandoJulayi 16, 2026🔄 Updated: Jul 16, 2026⏱ 5 min

Masifunde ngokulula ngonyango lokuqokelelana kolwelo olujikeleze imiphunga (iThoracentesis)

Creator: Dr. Priya Sammani
Published: 2026-07-15T22:50:53.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Ngaba unengxaki yokuphefumla kwaye uziva uxinezelekile esifubeni sakho? Ngamanye amaxesha oku kunokubangelwa kukuqokelelwa kolwelo olungeyomfuneko olujikeleze imiphunga yakho. Ngokwezonyango, le meko siyibiza ngokuba yi-'(pleural effusion)'. Ngoko ke namhlanje siza kuthetha ngonyango olulula, kodwa olubaluleke kakhulu koku.

Yintoni iThoracentesis?

Ngamafutshane, cinga ngale ndlela. Ukuze i-latch yocango isebenze kakuhle kwaye ingabambeki, sifaka ioyile kuyo, akunjalo? Ngokufanayo, xa siphefumla, kukho ulwelo oluncinci kwindawo ephakathi kwemiphunga nodonga lwesifuba, olubizwa ngokuba yi-"pleural space"`, ukuze imiphunga yethu inganamatheli eludongeni lwesifuba kwaye inokukhula kwaye inciphe ngokulula.

Nangona kunjalo, ngenxa yezifo ezithile, olu lwelo lunokuqokelelana ngokugqithisileyo. Emva koko imiphunga ayinayo indawo eyaneleyo yokufutha ngokufanelekileyo kwaye kuba nzima ukuphefumla. Ngelo xesha, kusetyenziswa isixhobo esifana nenaliti, esifakwe esifubeni ukusuka ngasemva kwaye sisuse olu lwelo lugqithisileyo sibizwa ngokuba yi-`(Thoracentesis)`.

Ingaba olu lutyando olukhulu?

Hayi, akunjalo konke konke. Olu asilotyando olukhulu. Olu lutyando "olungena kakhulu", nto leyo ethetha ukuba akukho nxeba likhulu elenziwayo. Kuphela ngumngxuma omncinci owenzeka eluswini. Ke ngoko, ixesha lokuchacha lifutshane kwaye iingozi ziphantsi kakhulu.

Ziziphi izizathu ezenziwa ngayo i-thoracentesis?

Olu nyango lwenziwa ngezizathu ezibini eziphambili: esinye kukufumanisa isifo, esinye kukubonelela ngoncedo kwiimpawu.

Isizathu sonyango	Inkcazo
Ukuxilongwa	Fumana unobangela wokwakheka kolwelo olujikeleze imiphunga. Isampulu yolwelo olususwe ngale ndlela ingathunyelwa kwilabhoratri ukuze kuchongwe ukuba lunentsholongwane, iiseli zomhlaza, okanye enye ingxaki.
Ukunciphisa iimpawu	Ukuba unengxaki yokuphefumla ngenxa yokuqokelelana kolwelo oluninzi okanye uziva ubunzima esifubeni sakho, inxalenye yolu lwelo ingasuswa ukuze kuncitshiswe ukungonwabi. Uya kuziva ukhululekile kakhulu.

Ngamafutshane, oku kunokunceda ekuxilongeni isifo kwaye kunciphise ukungonwabi okubangelwa siso.

Yintoni ebangela ukuba amanzi azalise imiphunga ngolu hlobo?

I-Thoracentesis isetyenziselwa ukunyanga imeko ebizwa ngokuba yi-pleural effusion. Nangona kunjalo, kukho inani leemeko ezingaphantsi ezinokubangela le meko. Ezinye zazo ziquka:

Ukungaphumeleli kwentliziyo okubangelwa kukunganyamezelani
Umhlaza
I-pneumonia okanye ezinye izifo zemiphunga (iintsholongwane, iintsholongwane)
Izifo ezizikhusela ngokwazo ezifana ne-lupus (Lupus/SLE)
Ukuqhekeka kwegazi emiphungeni (i-pulmonary embolism)
Ezinye iimeko zoxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu)
Ukudumba kwepancreas (i-pancreatitis)
Isifo sezintso okanye sesibindi
Isifo sephepha (TB)

Eyona ixhaphakileyo kwezi kukuqokelelana kolwelo olujikeleze imiphunga ngenxa yeengxaki zentliziyo.

Ungazilungiselela njani oku kwangaphambili?

Kulungile, masithi ugqirha ukuxelela ukuba wenze olu nyango. Ngoko ke ufanele wenze ntoni? Ugqirha uza kukunika imiyalelo ethile. Kwaye kufuneka umazise ugqirha ngezi zinto.

Xelela ugqirha wakho ngazo zonke amayeza owasebenzisayo: Oku kubaluleke kakhulu ukuba uthatha amayeza okunciphisa igazi .
Sixelele ukuba unesifo sokopha: Kubaluleke kakhulu ukusazisa ukuba unengxaki ethintela igazi lakho ukuba lingajiyi lula.
Sixelele ukuba ukhulelwe okanye ukrokrela ukuba ukhulelwe.
Sixelele ukuba unayo nayiphi na i-allergies kwimithi, iiplasta, okanye i-latex.
Ungacelwa ukuba uze nomntu oza kukuthatha akuse ekhaya emva konyango.

Kwenzeka ntoni ngexesha le-thoracentesis?

Oku kudla ngokwenziwa esibhedlele, kwaye yonke le nkqubo ithatha malunga nemizuzu eli-15. Uvukile ngeli xesha.

Ngaphambi konyango

Uxinzelelo lwakho lwegazi kunye namanqanaba eoksijini aya kuhlolwa. I-X-ray, i-ultrasound, okanye i-CT scan iya kusetyenziswa ukufumanisa indawo echanekileyo kunye nobungakanani bolwelo. Emva koko uya kucelwa ukuba uhlale etafileni izandla zakho zisetafileni uze ugobe phambili. Le yeyona ndlela ilula. Ukuba awukwazi ukwenza oku, uya kucelwa ukuba ulale ngecala.

Ngexesha lonyango

1. Okokuqala, indawo apho inaliti iza kufakwa khona emqolo wakho iya kucocwa kakuhle ngesisombululo se-antiseptic.

2. Emva koko kufakwa iyeza lokudambisa iintlungu kuloo ndawo. Kuvakala ngathi imbovane encinci iyakuluma, kodwa emva koko loo ndawo iyadambisa iintlungu kwaye awuva ntlungu.

3. Xa indawo ingasasebenzi kakuhle, ugqirha uza kwenza umngxuma omncinci, afake inaliti phakathi kweembambo, aze akhuphe ulwelo olugqithisileyo kwisirinji okanye kwityhubhu ebhotileni. Inaliti ingafakwa kusetyenziswa i-ultrasound scan.

4. Usenokuziva uxinezelekile okanye ungakhululeki xa ulwelo lususiwe, kodwa akufuneki lube buhlungu. Ukuba ufumana iintlungu esifubeni okanye ubunzima bokuphefumla, xelela ugqirha wakho ngoko nangoko.

5. Emva kokuba ulwelo olufunekayo luthathiwe, inaliti iyasuswa kwaye kufakwa ibhendi encinci.

Emva konyango

Emva konyango, ungenza i-X-ray kwakhona ukujonga ukuba imiphunga yakho iphilile na. Ukuba imeko yakho ilungile, ungagoduka kwixesha elifutshane. Usenokuba nokukhwehlela malunga neyure emva konyango. Oku kuqhelekile, ungakhathazeki. Oku kungenxa yokuba imiphunga yakho iya iphucuka ekukhuleni kwakhona.

Zithini iingenelo kunye neengozi zoku?

Njengalo naluphi na unyango lwezonyango, oku kuneenzuzo kunye neengozi ezincinci kakhulu.

Iingenelo	Iingozi
Indlela ekhuselekileyo yokufumanisa izifo kunye nezinye izifo. Inika isiqabu kwangoko kwingxaki yokuphefumla. Iphola ngokukhawuleza kuba akukho mingxunya mikhulu. Ungaya ekhaya emva konyango ngaphandle kokulala esibhedlele.	Ezi zizinto ezinqabileyo kakhulu: Ukopha: Oku kunokwenzeka ukuba inaliti ibethe umthambo wegazi. Idla ngokuziyekela yodwa. Usulelo: Ingozi encinci nanini na xa kukho umngxuma eluswini. I-Pneumothorax: Ukuba inaliti ibetha emphungeni, umoya usenokuba uphumile. Ukudumba kwemithambo yegazi: Ukuqokelelwa kolwelo emiphungeni ngenxa yokulahleka kolwelo ngokukhawuleza.

Iingenelo

Iingozi

Indlela ekhuselekileyo yokufumanisa izifo kunye nezinye izifo.

Inika isiqabu kwangoko kwingxaki yokuphefumla.

Iphola ngokukhawuleza kuba akukho mingxunya mikhulu.

Ungaya ekhaya emva konyango ngaphandle kokulala esibhedlele.

Ezi zizinto ezinqabileyo kakhulu:

Ukopha: Oku kunokwenzeka ukuba inaliti ibethe umthambo wegazi. Idla ngokuziyekela yodwa.

Usulelo: Ingozi encinci nanini na xa kukho umngxuma eluswini.

I-Pneumothorax: Ukuba inaliti ibetha emphungeni, umoya usenokuba uphumile.

Ukudumba kwemithambo yegazi: Ukuqokelelwa kolwelo emiphungeni ngenxa yokulahleka kolwelo ngokukhawuleza.

Kuthatha ixesha elingakanani ukuphiliswa kwaye kufuneka uye nini kugqirha?

Akuthathi xesha lide ukuphola. Ugqirha wakho uza kukuxelela ukuba uphephe ukwenza umsebenzi onzima kangangeentsuku ezimbini. Ungayisusa ibhandishi emva kweeyure ezingama-24.

Nangona kunjalo, ukuba ufumana naziphi na iimpawu ezingezantsi, musa ukulibazisa kwaye ubone ugqirha wakho ngoko nangoko. Okanye yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.

Ifiva.
Ubomvu, ukudumba, okanye ukopha apho inaliti ifakiwe khona.
Intlungu esifubeni okanye intlungu xa uphefumla nzulu.
Ukukhohlela igazi (i-hemoptysis).
Ubunzima bokuphefumla ngequbuliso.

Umyalezo Wokuya Ekhaya

I-Thoracentesis yinkqubo elula nekhuselekileyo esusa ulwelo olugqithisileyo oluqokelelene emiphungeni.

Olu asilotyando olukhulu, luthatha imizuzu eli-15 kuphela.

Oku kunceda ekufumaneni isiqabu ngokukhawuleza ekuphefumleni okunzima kwaye kunceda ekuchongeni unobangela wokuqokelelwa kolwelo.

Qiniseka ukuba uxelela ugqirha wakho ngamayeza owasebenzisayo kunye neemeko zakho zempilo ngaphambi kokuba unyango luqale.

Ukuba ufumana umkhuhlane, iintlungu esifubeni, okanye ukukhwehlela okuqatha emva konyango, funa ingcebiso kagqirha ngoko nangoko.

i-thoracentesis sinhala, i-penahaluwe watura, amanzi emiphungeni, i-pleural effusion sinhala, amanzi esifubeni, ubunzima bokuphefumla, inkqubo ye-thoracentesis sinhala

Frequently Asked Questions (FAQ)

Ingaba olu lutyando olukhulu?

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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UtyandoJulayi 16, 2026
Masifunde ngokulula ngonyango lokuqokelelana kolwelo olujikeleze imiphunga (iThoracentesis)
Dr. Priya SammaniMedical Verification
⏱ 5 min read
📋Table of Contents
1. Yintoni iThoracentesis?
2. Ingaba olu lutyando olukhulu?
3. Ziziphi izizathu ezenziwa ngayo i-thoracentesis?
4. Yintoni ebangela ukuba amanzi azalise imiphunga ngolu hlobo?
5. Ungazilungiselela njani oku kwangaphambili?
6. Kwenzeka ntoni ngexesha le-thoracentesis?
7. Zithini iingenelo kunye neengozi zoku?
8. Kuthatha ixesha elingakanani ukuphiliswa kwaye kufuneka uye nini kugqirha?
9. Umyalezo Wokuya Ekhaya
Ngaba unengxaki yokuphefumla kwaye uziva uxinezelekile esifubeni sakho? Ngamanye amaxesha oku kunokubangelwa kukuqokelelwa kolwelo olungeyomfuneko olujikeleze imiphunga yakho. Ngokwezonyango, le meko siyibiza ngokuba yi-'(pleural effusion)'. Ngoko ke namhlanje siza kuthetha ngonyango olulula, kodwa olubaluleke kakhulu koku.
Yintoni iThoracentesis?
Ngamafutshane, cinga ngale ndlela. Ukuze i-latch yocango isebenze kakuhle kwaye ingabambeki, sifaka ioyile kuyo, akunjalo? Ngokufanayo, xa siphefumla, kukho ulwelo oluncinci kwindawo ephakathi kwemiphunga nodonga lwesifuba, olubizwa ngokuba yi-"pleural space"`, ukuze imiphunga yethu inganamatheli eludongeni lwesifuba kwaye inokukhula kwaye inciphe ngokulula.

Nangona kunjalo, ngenxa yezifo ezithile, olu lwelo lunokuqokelelana ngokugqithisileyo. Emva koko imiphunga ayinayo indawo eyaneleyo yokufutha ngokufanelekileyo kwaye kuba nzima ukuphefumla. Ngelo xesha, kusetyenziswa isixhobo esifana nenaliti, esifakwe esifubeni ukusuka ngasemva kwaye sisuse olu lwelo lugqithisileyo sibizwa ngokuba yi-`(Thoracentesis)`.
Ingaba olu lutyando olukhulu?
Hayi, akunjalo konke konke. Olu asilotyando olukhulu. Olu lutyando "olungena kakhulu", nto leyo ethetha ukuba akukho nxeba likhulu elenziwayo. Kuphela ngumngxuma omncinci owenzeka eluswini. Ke ngoko, ixesha lokuchacha lifutshane kwaye iingozi ziphantsi kakhulu.
Ziziphi izizathu ezenziwa ngayo i-thoracentesis?
Olu nyango lwenziwa ngezizathu ezibini eziphambili: esinye kukufumanisa isifo, esinye kukubonelela ngoncedo kwiimpawu.
Isizathu sonyango Inkcazo
Ukuxilongwa Fumana unobangela wokwakheka kolwelo olujikeleze imiphunga. Isampulu yolwelo olususwe ngale ndlela ingathunyelwa kwilabhoratri ukuze kuchongwe ukuba lunentsholongwane, iiseli zomhlaza, okanye enye ingxaki.
Ukunciphisa iimpawu Ukuba unengxaki yokuphefumla ngenxa yokuqokelelana kolwelo oluninzi okanye uziva ubunzima esifubeni sakho, inxalenye yolu lwelo ingasuswa ukuze kuncitshiswe ukungonwabi. Uya kuziva ukhululekile kakhulu.
Ngamafutshane, oku kunokunceda ekuxilongeni isifo kwaye kunciphise ukungonwabi okubangelwa siso.
Yintoni ebangela ukuba amanzi azalise imiphunga ngolu hlobo?
I-Thoracentesis isetyenziselwa ukunyanga imeko ebizwa ngokuba yi-pleural effusion. Nangona kunjalo, kukho inani leemeko ezingaphantsi ezinokubangela le meko. Ezinye zazo ziquka:
Ukungaphumeleli kwentliziyo okubangelwa kukunganyamezelani
Umhlaza
I-pneumonia okanye ezinye izifo zemiphunga (iintsholongwane, iintsholongwane)
Izifo ezizikhusela ngokwazo ezifana ne-lupus (Lupus/SLE)
Ukuqhekeka kwegazi emiphungeni (i-pulmonary embolism)
Ezinye iimeko zoxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu)
Ukudumba kwepancreas (i-pancreatitis)
Isifo sezintso okanye sesibindi
Isifo sephepha (TB)
Eyona ixhaphakileyo kwezi kukuqokelelana kolwelo olujikeleze imiphunga ngenxa yeengxaki zentliziyo.
Ungazilungiselela njani oku kwangaphambili?
Kulungile, masithi ugqirha ukuxelela ukuba wenze olu nyango. Ngoko ke ufanele wenze ntoni? Ugqirha uza kukunika imiyalelo ethile. Kwaye kufuneka umazise ugqirha ngezi zinto.
Xelela ugqirha wakho ngazo zonke amayeza owasebenzisayo: Oku kubaluleke kakhulu ukuba uthatha amayeza okunciphisa igazi .
Sixelele ukuba unesifo sokopha: Kubaluleke kakhulu ukusazisa ukuba unengxaki ethintela igazi lakho ukuba lingajiyi lula.
Sixelele ukuba ukhulelwe okanye ukrokrela ukuba ukhulelwe.
Sixelele ukuba unayo nayiphi na i-allergies kwimithi, iiplasta, okanye i-latex.
Ungacelwa ukuba uze nomntu oza kukuthatha akuse ekhaya emva konyango.
Kwenzeka ntoni ngexesha le-thoracentesis?
Oku kudla ngokwenziwa esibhedlele, kwaye yonke le nkqubo ithatha malunga nemizuzu eli-15. Uvukile ngeli xesha.
Ngaphambi konyango
Uxinzelelo lwakho lwegazi kunye namanqanaba eoksijini aya kuhlolwa. I-X-ray, i-ultrasound, okanye i-CT scan iya kusetyenziswa ukufumanisa indawo echanekileyo kunye nobungakanani bolwelo. Emva koko uya kucelwa ukuba uhlale etafileni izandla zakho zisetafileni uze ugobe phambili. Le yeyona ndlela ilula. Ukuba awukwazi ukwenza oku, uya kucelwa ukuba ulale ngecala.
Ngexesha lonyango
1. Okokuqala, indawo apho inaliti iza kufakwa khona emqolo wakho iya kucocwa kakuhle ngesisombululo se-antiseptic.
2. Emva koko kufakwa iyeza lokudambisa iintlungu kuloo ndawo. Kuvakala ngathi imbovane encinci iyakuluma, kodwa emva koko loo ndawo iyadambisa iintlungu kwaye awuva ntlungu.
3. Xa indawo ingasasebenzi kakuhle, ugqirha uza kwenza umngxuma omncinci, afake inaliti phakathi kweembambo, aze akhuphe ulwelo olugqithisileyo kwisirinji okanye kwityhubhu ebhotileni. Inaliti ingafakwa kusetyenziswa i-ultrasound scan.
4. Usenokuziva uxinezelekile okanye ungakhululeki xa ulwelo lususiwe, kodwa akufuneki lube buhlungu. Ukuba ufumana iintlungu esifubeni okanye ubunzima bokuphefumla, xelela ugqirha wakho ngoko nangoko.
5. Emva kokuba ulwelo olufunekayo luthathiwe, inaliti iyasuswa kwaye kufakwa ibhendi encinci.
Emva konyango
Emva konyango, ungenza i-X-ray kwakhona ukujonga ukuba imiphunga yakho iphilile na. Ukuba imeko yakho ilungile, ungagoduka kwixesha elifutshane. Usenokuba nokukhwehlela malunga neyure emva konyango. Oku kuqhelekile, ungakhathazeki. Oku kungenxa yokuba imiphunga yakho iya iphucuka ekukhuleni kwakhona.
Zithini iingenelo kunye neengozi zoku?
Njengalo naluphi na unyango lwezonyango, oku kuneenzuzo kunye neengozi ezincinci kakhulu.
Iingenelo Iingozi
Indlela ekhuselekileyo yokufumanisa izifo kunye nezinye izifo.
Inika isiqabu kwangoko kwingxaki yokuphefumla.
Iphola ngokukhawuleza kuba akukho mingxunya mikhulu.
Ungaya ekhaya emva konyango ngaphandle kokulala esibhedlele.
Ezi zizinto ezinqabileyo kakhulu:
Ukopha: Oku kunokwenzeka ukuba inaliti ibethe umthambo wegazi. Idla ngokuziyekela yodwa.
Usulelo: Ingozi encinci nanini na xa kukho umngxuma eluswini.
I-Pneumothorax: Ukuba inaliti ibetha emphungeni, umoya usenokuba uphumile.
Ukudumba kwemithambo yegazi: Ukuqokelelwa kolwelo emiphungeni ngenxa yokulahleka kolwelo ngokukhawuleza.
Kuthatha ixesha elingakanani ukuphiliswa kwaye kufuneka uye nini kugqirha?
Akuthathi xesha lide ukuphola. Ugqirha wakho uza kukuxelela ukuba uphephe ukwenza umsebenzi onzima kangangeentsuku ezimbini. Ungayisusa ibhandishi emva kweeyure ezingama-24.
Nangona kunjalo, ukuba ufumana naziphi na iimpawu ezingezantsi, musa ukulibazisa kwaye ubone ugqirha wakho ngoko nangoko. Okanye yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Ifiva.
Ubomvu, ukudumba, okanye ukopha apho inaliti ifakiwe khona.
Intlungu esifubeni okanye intlungu xa uphefumla nzulu.
Ukukhohlela igazi (i-hemoptysis).
Ubunzima bokuphefumla ngequbuliso.
Umyalezo Wokuya Ekhaya
I-Thoracentesis yinkqubo elula nekhuselekileyo esusa ulwelo olugqithisileyo oluqokelelene emiphungeni.
Olu asilotyando olukhulu, luthatha imizuzu eli-15 kuphela.
Oku kunceda ekufumaneni isiqabu ngokukhawuleza ekuphefumleni okunzima kwaye kunceda ekuchongeni unobangela wokuqokelelwa kolwelo.
Qiniseka ukuba uxelela ugqirha wakho ngamayeza owasebenzisayo kunye neemeko zakho zempilo ngaphambi kokuba unyango luqale.
Ukuba ufumana umkhuhlane, iintlungu esifubeni, okanye ukukhwehlela okuqatha emva konyango, funa ingcebiso kagqirha ngoko nangoko.
i-thoracentesis sinhala, i-penahaluwe watura, amanzi emiphungeni, i-pleural effusion sinhala, amanzi esifubeni, ubunzima bokuphefumla, inkqubo ye-thoracentesis sinhala
Frequently Asked Questions (FAQ)
Ingaba olu lutyando olukhulu?
Hayi, akunjalo konke konke. Olu asilotyando olukhulu. Olu lutyando "olungena kakhulu", nto leyo ethetha ukuba akukho nxeba likhulu elenziwayo. Kuphela ngumngxuma omncinci owenzeka eluswini. Ke ngoko, ixesha lokuchacha lifutshane kwaye iingozi ziphantsi kakhulu.
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.
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