Ipleural fluid smear

I-Pleural fluid smear luvavanyo lwaselebhu ukujonga intsholongwane, isikhunta, okanye iiseli ezingaqhelekanga kwisampulu yolwelo oluqokelelwe kwindawo yokubongoza. 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 isampuli yolwelo olunciphayo phantsi kwemicroscope. Ukuba ibhaktheriya okanye ifungi zifunyenwe, ezinye iindlela zingasetyenziselwa ukufumanisa ngakumbi ezo zinto ziphilayo.

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

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

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 kwisithuba esijikeleze imiphunga, esibizwa ngokuba sisikhala seplaya. 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.

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

Uvavanyo lwenziwa ukuba une-pleural effusion kwaye isizathu sayo asaziwa, ngakumbi ukuba umboneleli urhanela usulelo okanye umhlaza.

Ngokwesiqhelo, akukho bhaktiriya, isikhunta, okanye iiseli zomhlaza ezikhoyo kulwelo lweplanga.

Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Iziphumo ezilungileyo zingabonisa ukuba usulelo, okanye iiseli zomhlaza, zikhona. Olunye uvavanyo lunokunceda ekuchongeni uhlobo oluthile losulelo okanye umhlaza. Ngamanye amaxesha, uvavanyo lunokubonisa ukungaqheleki (njengeentlobo ezikhethekileyo zeeseli) ezivela kwiimeko ezinje nge-systemic lupus erythematosus.

Umngcipheko we-thoracentesis zezi:

• Ukuwa kwemiphunga (pneumothorax)
• Ukuphulukana kakhulu negazi
• Ukuqokelelwa kolwelo kwakhona
• Usulelo
• Ukudumba kwemiphunga
• Uxinzelelo lokuphefumla

• Ukuthanjiswa kwendalo

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.