Ake sifunde nje ngokwelashwa kokuqongelela koketshezi emaphashini (i-Thoracentesis)

Ingabe unenkinga yokuphefumula futhi uzizwa uqinile esifubeni sakho? Ngezinye izikhathi lokhu kungabangelwa ukunqwabelana okungadingekile koketshezi oluzungeze amaphaphu akho. Ngokwezokwelapha, lesi simo sibizwa ngokuthi `(pleural effusion)`. Ngakho-ke namuhla sizokhuluma ngokwelashwa okulula, kodwa okubaluleke kakhulu kwalokhu.

Kuyini i-Thoracentesis?

Kalula nje, cabanga ngale ndlela. Ukuze isivalo somnyango sisebenze kahle futhi singabambeki, sifaka uwoyela kuso, akunjalo? Ngokufanayo, uma siphefumula, kukhona inani elincane loketshezi esikhaleni esiphakathi kwamaphaphu nodonga lwesifuba, esibizwa ngokuthi "isikhala se-pleural"`, ukuze amaphaphu ethu anganamatheli odongeni lwesifuba futhi akwazi ukwanda nokufinyela kalula.

Kodwa-ke, ngenxa yezifo ezithile, lolu ketshezi lunganqwabelana ngokweqile. Khona-ke amaphaphu awabi nendawo eyanele yokufutha kahle futhi kuba nzima ukuphefumula. Ngaleso sikhathi, ukusebenzisa ithuluzi elifana nenaliti, elifakwa esifubeni kusukela ngemuva bese kususwa lolu ketshezi oluningi kubizwa ngokuthi `(Thoracentesis)`.

Ingabe lokhu ukuhlinzwa okukhulu?

Cha, akunjalo nhlobo. Lokhu akuyona inqubo enkulu yokuhlinzwa. Lena inqubo "engenasidingo kangako", okusho ukuthi akukho ukusikwa okukhulu okwenziwayo. Kuphela imbobo encane esikhumbeni. Ngakho-ke, isikhathi sokululama sifushane futhi izingozi ziphansi kakhulu.

Yiziphi izizathu ezenziwa ngazo i-thoracentesis?

Lokhu kwelashwa kwenziwa ngezizathu ezimbili eziyinhloko: esinye ukuhlonza lesi sifo, kanti esinye ukuhlinzeka impumuzo ezimpawini.

Yini ebangela ukuthi amanzi agcwale amaphaphu kanje?

I-Thoracentesis isetshenziselwa ukwelapha isimo esibizwa ngokuthi i-pleural effusion. Kodwa-ke, kunezimo eziningana eziyisisekelo ezingabangela lesi simo. Ezinye zazo zifaka:

• Ukwehluleka kwenhliziyo okubangelwa ukuminyana
• Umdlavuza
• I-pneumonia noma ezinye izifo zamaphaphu (amagciwane, amagciwane)
• Izifo ezizenzakalelayo ezifana ne-lupus (Lupus/SLE)
• Ukugoba kwegazi emaphashini (i-pulmonary embolism)
• Ezinye izimo zomfutho wegazi ophakeme (umfutho wegazi ophakeme wamaphaphu)
• Ukuvuvukala kwe-pancreas (i-pancreatitis)
• Isifo sezinso noma sesibindi
• Isifo Sofuba (i-TB)

Okuvame kakhulu kulokhu ukunqwabelana koketshezi emaphashini ngenxa yezimo zenhliziyo.

Ungakulungiselela kanjani lokhu kusenesikhathi?

Kulungile, ake sithi udokotela ukutshela ukuthi wenze lokhu kwelashwa. Ngakho-ke kufanele wenzeni? Udokotela uzokunikeza imiyalelo ethile. Futhi kufanele wazise udokotela ngalezi zinto.

• Tshela udokotela wakho ngayo yonke imithi oyithathayo: Lokhu kubaluleke kakhulu uma uthatha imithi yokunciphisa igazi .
• Sitshele uma unesifo sokopha: Kubaluleke kakhulu ukusazisa uma unenkinga evimbela igazi lakho ukuthi lijiye kalula.
• Sitshele uma ukhulelwe noma usola ukuthi ukhulelwe.
• Sitshele uma une-allergies kunoma yimiphi imithi, ama-plaster, noma i-latex.
• Ungase futhi ucelwe ukuthi ulethe othile ozokuthatha akuyise ekhaya ngemva kokwelashwa.

Kwenzekani ngesikhathi se-thoracentesis?

Lokhu kuvame ukwenziwa esibhedlela, futhi yonke inqubo ithatha cishe imizuzu eyi-15. Usuke uvukile phakathi nalesi sikhathi.

Ngaphambi kokwelashwa

Umfutho wegazi lakho kanye namazinga omoya-mpilo kuzohlolwa. Kuzosetshenziswa i-X-ray, i-ultrasound, noma i-CT scan ukuthola indawo eqondile kanye nenani loketshezi. Uzobe usucelwa ukuthi uhlale etafuleni izandla zakho zisetafuleni bese ugoba phambili. Lena yindlela elula kakhulu. Uma ungakwazi ukwenza lokhu, uzocelwa ukuthi ulale ngohlangothi.

Ngesikhathi sokwelashwa

1. Okokuqala, indawo lapho inaliti izofakwa khona emhlane wakho izohlanzwa kahle ngesisombululo se-antiseptic.

2. Bese kufakwa umuthi wokubulala izinzwa endaweni. Kuzwakala sengathi intuthwane encane iyakuluma, kodwa indawo iba ndikindiki futhi awuzwa buhlungu.

3. Uma indawo isiphelelwe amandla, udokotela uzokwenza ukusika okuncane, afake inaliti phakathi kwezimbambo, bese ekhipha uketshezi oluningi ebhodleleni noma epayipini. Inaliti ingafakwa kusetshenziswa i-ultrasound scan.

4. Ungase uzizwe ucindezelekile noma ungakhululekile lapho uketshezi lususwa, kodwa akufanele kube buhlungu. Uma uzwa ubuhlungu esifubeni noma ubunzima bokuphefumula, tshela udokotela wakho ngokushesha.

5. Ngemva kokuthathwa kwenani elidingekayo loketshezi, inaliti iyasuswa bese kufakwa ibhande elincane.

Ngemva kokwelashwa

Ngemva kokwelashwa, ungase uphinde wenze i-X-ray ukuhlola ukuthi amaphaphu akho aphilile yini. Uma isimo sakho sihle, ungaya ekhaya ngesikhathi esifushane. Ungase ube nokukhwehlela cishe ihora elilodwa ngemva kokwelashwa. Lokhu kuvamile, ungakhathazeki. Lokhu kungenxa yokuthi amaphaphu akho ayathuthuka ekukhuleni futhi.

Yiziphi izinzuzo nezingozi zalokhu?

Njenganoma yiluphi uhlobo lokwelashwa, lokhu kunezinzuzo kanye nezingozi ezincane kakhulu.

Kuthatha isikhathi esingakanani ukuphulukiswa futhi kufanele ubonane nodokotela nini?

Akuthathi isikhathi eside ukuphulukiswa. Udokotela wakho uzokutshela ukuthi ugweme ukwenza umsebenzi onzima cishe izinsuku ezimbili. Ungalisusa ibhandishi ngemva kwamahora angu-24.

Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezingezansi, ungalibali bese ubona udokotela wakho ngokushesha. Noma iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.

• Imfiva.
• Ubomvu, ukuvuvukala, noma ukopha lapho inaliti ifakiwe khona.
• Ubuhlungu esifubeni noma ubuhlungu lapho uphefumula kakhulu.
• Ukukhwehlela igazi (i-hemoptysis).
• Ubunzima bokuphefumula ngokuzumayo.