Mhlawumbi ukhe weva ugqirha esithi, "Une-fluid ejikeleze imiphunga yakho" xa unengxaki yokuphefumla. Kuqhelekile ukuba uzive usoyika kancinci xa usiva oku. Kodwa ungakhathazeki, kukho inkqubo yezonyango elula kakhulu nekhuselekileyo enokwenziwa ukunyanga le meko nokufumanisa unobangela. Yiloo nto siyibiza ngokuba yi-thoracentesis. Namhlanje, siza kuthetha ngayo ngendlela elula kakhulu neqondakala lula.
Yintoni iThoracentesis?
Ngamafutshane, i-thoracentesis yinkqubo yokususa ulwelo olugqithisileyo (amanzi) olujikeleze imiphunga yakho usebenzisa isixhobo esifana nesirinji.
Khawuthelekelele ukuba imiphunga yethu ingaphakathi esifubeni sethu. Kukho indawo encinci kakhulu phakathi kwale miphunga nodonga lwesifuba. Le ndawo siyibiza ngokuba yindawo ye-pleural. Kukho ii-membrane ezimbini ezincinci kakhulu kule ndawo. Xa siphefumla, imiphunga yethu iyakhula kwaye inciphe. Ukuze le nkqubo yenzeke kakuhle, ngaphandle kokungqubana, kufuneka kubekho ulwelo oluncinci kakhulu phakathi kwezo membrane zimbini. Njengokuba ukufaka ioyile encinci kwi-hinge yomnyango kwenza kube lula ukuyivula nokuyivala, olu lwelo lunceda imiphunga yethu isebenze lula.
Kodwa ngenxa yezifo ezithile, ulwelo oluninzi luqala ukuqokelelana kule ndawo kunokuba kuyimfuneko. Ngokwezonyango, silubiza ngokuba yi- pleural effusion . Xa olu lwelo luzaliswa, akukho ndawo yaneleyo yokuba imiphunga ikhule ngokukhululekileyo, nto leyo ebangela iimpawu ezinjengobunzima bokuphefumla kunye nokuziva unzima esifubeni.
Ngoko ke, into eyenziwayo kunyango lwe-thoracentesis kukususa olu lwelo lugqithisileyo.
Umahluko phakathi kweThoracentesis kunye neParacentesis
Zombini ezi ziindlela zonyango ezisusa ulwelo olugqithisileyo emzimbeni. Nangona kunjalo, i-thoracentesis isusa ulwelo esifubeni, oko kukuthi, olujikeleze imiphunga. I-Paracentesis isusa ulwelo oluqokelelene esiswini (esiswini).
Ngaba i-thoracentesis lutyando olukhulu?
Akunjalo konke konke. I-Thoracentesis ayilotyando olukhulu. Ibizwa ngokuba yinkqubo 'engena kakhulu', oko kuthetha ukuba lunyango olubangela umonakalo omncinci emzimbeni. Akukho nxeba okanye inxeba elikhulu. Ke ngoko, ixesha lokuchacha lifutshane kakhulu, kwaye iingozi ziphantsi kakhulu.
Kutheni le nto siludinga olu nyango?
Kukho izizathu ezibini eziphambili zokwenza i-thoracentesis.
1. Ukuxilongwa: Ukufumanisa ukuba kutheni kukho ulwelo olujikeleze imiphunga. Isampulu yolwelo iyasuswa ize ithunyelwe kwilabhoratri ukuze kuhlolwe usulelo, iiseli zomhlaza, okanye ezinye iimpawu zesifo.
2. Ukunciphisa iimpawu (Unyango): Ukuba kukho ulwelo oluninzi oluqokelelene emiphungeni kwaye lukwenza kube nzima kakhulu ukuba uphefumle, olu nyango lwenzelwe ukususa olo lwelo kwaye lukunike isiqabu.
Makhe sijonge le theyibhile ingezantsi ukuze sibone ukuba zeziphi izizathu eziphambili zokuphuma kwe-pleural effusion.
| Izizathu ezinokubakho zokukhupha ulwelo olujikeleze imiphunga (pleural effusion) | |
|---|---|
| Ukungaphumeleli kwentliziyo okubangelwa kukunganyamezelani | Esi sisizathu esiqhelekileyo. |
| Umhlaza | Oku kunokubangelwa ngumhlaza wemiphunga okanye eminye imiphunga. |
| I-pneumonia kunye nosulelo lwemiphunga | Ingabangelwa zizifo zebhaktiriya, iintsholongwane, okanye iifungus. |
| Isifo sephepha (TB) | Isizathu esixhaphakileyo naseSri Lanka. |
| Ukuqhekeka kwegazi emiphungeni (i-Pulmonary embolism) | Ihlwili legazi emthanjeni wegazi. |
| Isifo sezintso okanye sesibindi | Ngenxa yotshintsho kwibhalansi yolwelo lomzimba. |
| Izifo ezizikhusela ngokwazo ezifana ne-lupus/SLE | Inkqubo yomzimba yokuzikhusela ihlasela iiseli zayo. |
Lusebenza njani olu nyango? Ngaba yinto ekufuneka uyoyike?
Akukho mfuneko yokoyika olu nyango konke konke. Masibone ukuba kwenzeka ntoni inyathelo ngenyathelo.
Ukulungiselela ngaphambi konyango
Ugqirha wakho uza kukunika imiyalelo ethile ngaphambi kolu nyango. Kukwakho nezinto ezimbalwa ekufuneka uzazise ugqirha wakho ngazo.
- WenaUkuba uthatha amayeza okunciphisa igazi okanye amayeza afana ne-aspirin, qiniseka ukuba uyawakhankanya.
- Ukuba unayo nayiphi na imeko yokujiya kwegazi , nceda usazise.
- Sixelele ngamanye amayeza, iivithamini, okanye izongezo ozisebenzisayo.
- Sixelele ukuba unayo nayiphi na i-allergies kwimithi ethile (ingakumbi amayeza okunciphisa iintlungu), i-latex, okanye i-tape .
- Kufuneka usixelele nokuba ukhulelwe okanye ungakhulelwa.
Kwenzeka ntoni ngexesha lonyango?
Olu nyango ludla ngokwenziwa esibhedlele. Lonke olu nyango luthatha malunga nemizuzu eli-15 .
1. Indawo yokuhlala: Uza kucelwa ukuba uhlale esitulweni, ungqiyame etafileni ephambi kwakho, uze ubeke izandla zakho esinqeni sakho. Le ndawo iveza umqolo wakho. Ukuba unengxaki yokuhlala, ungakwenza oku ngokungqiyama ngecala lakho.
2. Ukulungiselela: Indawo emqolo wakho apho ufuna ukususa khona ulwelo iya kucocwa kakuhle ngesisombululo se-antiseptic kwaye igqunywe ngelaphu.
3. Ukufaka iintlungu: Okulandelayo, kusetyenziswa inaliti encinci kakhulu ukufaka iyeza lokufaka iintlungu kwindawo leyo. Kule ndawo, kuvakala ngathi imbovane encinci iyakuluma, kodwa emva koko indawo leyo iyaphela.
4. Ukususa ulwelo: Ngoku ugqirha uza kufaka enye inaliti kwindawo ephakathi kweembambo zakho, phantsi nje kwesikhumba, apho kukho ulwelo. Ngamanye amaxesha, kusetyenziswa i-ultrasound scan ukunceda ukukhokela indawo. Ulwelo olongezelelweyo luya kutsalwa ngetyhubhu enamathele kwinaliti.
5. Isiphelo: Emva kokuba ulwelo olufunekayo lususiwe, inaliti iyasuswa kwaye kufakwa ibhandishi encinci kuloo ndawo.
Eyona nto ibalulekileyo kukuba uhlale usezingqondweni ngokupheleleyo kulo lonke olu nyango. Awuyi kuva ntlungu. Ungaziva uxinzelelo okanye ukungakhululeki kancinci xa ulwelo lususiwe, kodwa alubuhlungu.
Emva konyango
Emva konyango, ungenza olunye uvavanyo lwe-X-ray okanye iskeni ukuze ujonge imeko yemiphunga yakho. Ukubetha kwentliziyo yakho kunye noxinzelelo lwegazi kuya kuhlolwa iiyure ezimbalwa ngaphambi kokuba uthunyelwe ekhaya.
Kuqhelekile ukukhohlela kancinci kangangeyure emva konyango. Oku kungenxa yokuba imiphunga iyakhula kwakhona emva kokuba ulwelo luphelile.
Umngcipheko kunye nexesha lokubuyisela kwimeko yesiqhelo
I-Thoracentesis yinkqubo ekhuselekileyo kakhulu. Umngcipheko weengxaki uphantsi kakhulu. Nazi ezinye zeengozi ezinokubakho:
- Ukopha: Ukuba inaliti ibetha umthambo wegazi omncinci, kunokubakho ukopha okuncinci. Oku kudla ngokuziphelela.
- Usulelo:Njengakwezinye iindawo ezisikekileyo eluswini, amathuba okuba iintsholongwane zingene zibangele usulelo ancipha kakhulu.
- I-Pneumothorax: Kunqabile kakhulu ukuba inaliti igqobhoze imiphunga ize yenze umngxuma omncinci, ivumele umoya ukuba uphume. Oku kunokubangela ukuba imiphunga iwe.
- Ukudumba kwemithambo yegazi: Ukuba ulwelo oluninzi lususwa ngokukhawuleza, imiphunga ingazaliswa lulwelo.
Akuthathi xesha lide ukuphola. Ugqirha uza kukuxelela ukuba ungenzi msebenzi unzima kangangeentsuku ezimbini . Ibhandeji ingasuswa kwiiyure ezingama-24.
Ukuba unale mpawu emva konyango, bonana nogqirha ngokukhawuleza.
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokuba ubuyele ekhaya uvela kunyango, fowunela ugqirha wakho ngoko nangoko.
- Ifiva
- Ubomvu, ukudumba, okanye ukopha/olunye ulwelo apho inaliti ifakwe khona
- Intlungu yesifuba okanye intlungu xa uphefumla nzulu
- Ukukhwehlela igazi (iHemoptysis)
- Ubunzima obukhulu ngequbuliso bokuphefumla
Ukuba ngequbuliso ufumana ubunzima obukhulu bokuphefumla, kubaluleke kakhulu ukuya kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane.
Umyalezo Wokuya Ekhaya
- I-Thoracentesis yindlela yonyango ekhuselekileyo nelula esusa ulwelo olugqithisileyo oluqokelelene emiphungeni.
- Oku kwenzelwa ukufumana unobangela wokwakheka kolwelo (ukuxilongwa) okanye ukunciphisa ubunzima bokuphefumla (ukukhululeka).
- Olu asilotyando olukhulu. Luthatha malunga nemizuzu eli-15, kunye namayeza okunciphisa ukuvuvukala, kwaye uvukile.
- Umngcipheko uphantsi kakhulu, kodwa kubalulekile ukuqaphela iimpawu ezilumkisayo ezinokwenzeka emva konyango.
- Ukugcinwa kolwelo kunokubangelwa yimeko yempilo engabonakaliyo. Thetha nogqirha wakho ngale nto.
- Ukuba unemibuzo okanye iinkxalabo malunga noku, xoxa ngayo nogqirha wakho.
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