Inkcubeko enamanzi amdaka

Inkcubeko ye-Pleural fluid luvavanyo oluvavanya isampulu yolwelo oluqokelele kwindawo yokubhenela ukuze ubone ukuba unesifo okanye uyasiqonda isizathu sokwakheka kolwelo kwesi sithuba. Indawo yokuncoma yindawo phakathi komda wangaphandle wemiphunga (pleura) kunye nodonga lwesifuba. Xa ulwelo luqokelela kwindawo yokubhengeza, imeko ibizwa ngokuba yi-pleural effusion.

Inkqubo ebizwa ngokuba yi-thoracentesis yenziwa ukufumana isampulu ye-pleural fluid. Isampulu ithunyelwa elabhoratri kwaye ihlolwe ngemicroscope kwimpawu zosulelo. Isampuli ikwabekwa kwisitya esikhethekileyo (inkcubeko). Kujongwa ke ukujonga ukuba iintsholongwane ziyakhula na. Oku kungathatha iintsuku ezininzi.

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 wezempilo 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 imiphunga yakho iphinda ingene ukuze izalise indawo ebikuyo amanzi. Olu luvo luhlala iiyure ezimbalwa emva kovavanyo.

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

Umboneleli wakho angayalela olu vavanyo ukuba ngaba unempawu zosulelo oluthile okanye ukuba isifuba i-x-ray okanye i-CT scan esifubeni ibonisa ukuba unamanzi amaninzi kwindawo ejikeleze imiphunga.

Iziphumo eziqhelekileyo zithetha ukuba akukho bhaktiriya okanye ifungi ebonwe kwisampulu yovavanyo.

Ixabiso eliqhelekileyo akukho kukhula kwayo nayiphi na intsholongwane. Thetha nogqirha wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Iziphumo ezingaqhelekanga zingabonisa:

• I-Empyema (ingqokelela yobofu kwindawo yokubongoza)
• Ithumba lemiphunga (ukuqokelela ubofu emphungeni)
• Ukukrala kwemiphunga
• Isifo sephepha

Umngcipheko we-thoracentesis zezi:

• Umphunga owileyo (pneumothorax)
• Ukuphulukana kakhulu negazi
• Ukunyuka kolwelo kwakhona
• Usulelo
• Ukudumba kwemiphunga
• Uxinzelelo lokuphefumla
• Iingxaki ezinzulu aziqhelekanga

Inkcubeko - ulwelo olunencasa

• Inkcubeko 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.

Icandelo Part M. Ukuchithwa kwendalo kunye ne-empyema. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahl. 68.