Uhlalutyo lwamanzi amdaka

Uhlalutyo lwamanzi amdaka luvavanyo oluvavanya isampulu yolwelo oluqokelelwe kwindawo yokubhengeza. Esi sithuba phakathi komngxunya ongaphandle wemiphunga (pleura) kunye nodonga lwesifuba. Xa ulwelo luqokelela kwindawo yokubhengeza, imeko ibizwa ngokuba yi-pleural effusion.

Inkqubo ebizwa ngokuba yi-thoracentesis isetyenziselwa ukufumana isampuli ye-pleural fluid. Umboneleli wezempilo uvavanya isampulu anokujonga kuyo:

• Iiseli ezinomhlaza (ezimbi)
• Ezinye iintlobo zeeseli (umzekelo iiseli zegazi)
• Amanqanaba eswekile, iiprotein kunye nezinye iikhemikhali
• Ibhakteria, ifungi, intsholongwane kunye nezinye iintsholongwane ezinokubangela usulelo
• Ukudumba

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

SUKUKHOhlele, phefumla nzulu, okanye ushukume ngexesha lovavanyo ukunqanda ukwenzakala emphefumlweni.

Xelela umboneleli wakho ukuba uthatha amayeza ukunciphisa igazi.

Kwi-thoracentesis, uhlala emaphethelweni esihlalo okanye ebhedini intloko kunye neengalo zihleli etafileni. Umboneleli ucoca ulusu olujikeleze indawo yokufaka. Iyeza lokuthambisa (iyeza) lifakwe kulusu.

Inaliti ibekwa kulusu kunye nezihlunu zodonga lwesifuba kwindawo yokubongoza. Njengoko amanzi egalela kwibhotile yokuqokelela, unokukhohlela kancinci. Kungenxa yokuba umphunga wakho uphinde wande ukuzalisa indawo apho bekukho ulwelo. Olu luvo luhlala iiyure ezimbalwa emva kovavanyo.

Ngexesha lovavanyo, xelela umboneleli wakho ukuba unentlungu ebukhali esifubeni okanye uphefumla kancinci.

I-Ultrasound ihlala isetyenziselwa ukugqiba apho inaliti ifakwe khona kunye nokufumana umbono ongcono kulwelo olusesifubeni sakho.

Uvavanyo lwenziwa ukumisela unobangela wokuchaphazeleka kwembambano. Kuyenziwa kwakhona ukunciphisa ukuphefumla okufutshane okunokubangelwa kukungxengxeka okukhulu kwembambano.

Ngokwesiqhelo umngxunya wokubumba unezinto ezingaphantsi kweemililitha ezingama-20 (iitisipuni ezi-4) zencindi ecacileyo, emthubi (serous).

Iziphumo ezingaqhelekanga zingabonisa izizathu ezinokubangela ukuxutywa komzimba, njenge:

• Umhlaza
• Isibindi
• Ukumelwa yintliziyo
• Usulelo
• Ukungondleki kakhulu
• Umonzakalo
• Unxibelelwano olungaqhelekanga phakathi kwendawo yokubongoza kunye namanye amalungu (umzekelo, umqala)

Ukuba umboneleli ukrokrela usulelo, inkcubeko yencindi yenziwa ukujonga ibacteria kunye nezinye iintsholongwane.

Uvavanyo luyakwenziwa kwakhona kwi-hemothorax. Le yingqokelela yegazi kwi-pleura.

Umngcipheko we-thoracentesis zezi:

• Umphunga owileyo (pneumothorax)
• Ukuphulukana kakhulu negazi
• Ukuqokelelwa kolwelo kwakhona
• Usulelo
• Ukudumba kwemiphunga
• Uxinzelelo lokuphefumla
• Ukukhwehlela okungahambiyo

Iingxaki ezinzulu aziqhelekanga.

Ibhlokhi BK. Thoracentesis. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeklinikhi zaseRoberts naseHedges kunyango olukhawulezileyo kunye noKhathalelo oluQatha. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 9.

I-Broaddus VC, ukuKhanya kweRW. Ukuchithwa kwendalo. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 79.