Thoracentesis

I-Thoracentesis yinkqubo yokususa ulwelo kwisithuba esiphakathi kwempahla engaphandle kwemiphunga (pleura) kunye nodonga lwesifuba.

Uvavanyo lwenziwa ngale ndlela ilandelayo:

• Uhlala ebhedini okanye emaphethelweni esihlalo okanye ebhedini. Intloko kunye neengalo zakho zihlala etafileni.
• Ulusu olujikeleze indawo yenkqubo luyacocwa. Iyeza lendawo elibindayo (i-anesthetic) litofwe kulusu.
• Inaliti ibekwa kulusu kunye nezihlunu zodonga lwesifuba kwisithuba esijikeleze imiphunga, esibizwa ngokuba sisikhala seplaya. Umboneleli wezempilo unokusebenzisa i-ultrasound ukufumana eyona ndawo ifanelekileyo yokufaka inaliti.
• Unokucelwa ukuba ubambe umphefumlo wakho okanye uphefumle ngaphandle kwenkqubo.
• Akufanele ukhohlele, uphefumle nzulu, okanye ushukume ngexesha lovavanyo ukunqanda ukwenzakala emphefumlweni.
• Ulwelo lutsalwa ngenaliti.
• Inaliti iyasuswa kwaye indawo ibotshiwe.
• Ulwelo lunokuthunyelwa kwilabhoratri kuvavanyo (uhlalutyo lwamanzi olusu).

Akukho lungiselelo lukhethekileyo luyafuneka ngaphambi kovavanyo. I-x-ray yesifuba okanye i-ultrasound iya kwenziwa ngaphambi nasemva kovavanyo.

Uyakuva ulwamvila xa i-anesthetic yendawo itofwa. Unokuziva ubuhlungu okanye uxinzelelo xa inaliti ifakwa kwindawo yokubongoza.

Xelela umboneleli wakho ukuba uziva uphefumla kancinci okanye unentlungu esifubeni, ngexesha okanye emva kwenkqubo.

Ngokwesiqhelo, ulwelo oluncinci lusendaweni yokuncoma. Ukwakhiwa kolwelo oluninzi phakathi kwamanqanaba e-pleura kubizwa ngokuba yi-pleural effusion.

Uvavanyo lwenziwa ukumisela unobangela wolwelo olongezelelekileyo, okanye ukukhupha iimpawu kulwandiso lolwelo.

Ngokwesiqhelo umngxunya wokubumba unamanzi amancinci kuphela.

Ukuvavanya umbane kuya kunceda umboneleli wakho anqume isizathu sokuchithwa kwe-pleural. Izizathu ezinokubakho zibandakanya:

• Umhlaza
• Ukungaphumeleli kwesibindi
• Ukumelwa yintliziyo
• Amanqanaba aphantsi eprotheni
• Isifo sezintso
• Umothuko okanye emva kotyando
• Ukuchithwa okunxibelelene ne-Asbestos
• Isifo se-Collagen vascular (udidi lwezifo apho amajoni omzimba ahlasela izihlunu zawo)
• Impendulo yeziyobisi
• Ukuqokelelwa kwegazi kwindawo yokubongoza (hemothorax)
• Umhlaza wemiphunga
• Ukudumba nokudumba kwepancreas (pancreatitis)
• Ukukrala kwemiphunga
• Ukuvaleka komthambo emiphungeni (pulmonary embolism)
• Ingasebenzi kakuhle idlala lengqula

Ukuba umboneleli wakho ukrokrela ukuba unosulelo, inkcubeko yencindi inokwenziwa ukuvavanya ibacteria.

Iingozi zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Ukopha
• Usulelo
• Umphunga owileyo (pneumothorax)
• Uxinzelelo lokuphefumla

I-x-ray yesifuba okanye i-ultrasound iqhele ukwenziwa emva kwenkqubo yokufumana iingxaki ezinokubakho.

Umnqweno wamanzi wamanzi; Impompo yePleural

Ibhlokhi BK. Thoracentesis. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka kunye noKhathalelo oluQhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 9.

IChernecky CC, iBerger BJ. I-Thoracentesis-isifo. Ku: IChernecky CC, iBerger BJ, ii-eds. Iimvavanyo zaselebhu kunye neenkqubo zokuqonda isifo. Umhla wesi-6. ISt Louis, MO: Elsevier Saunders; Ngo-2013: 1068-1070.