Uvavanyo lweCytology yolwelo olunencasa

Uvavanyo lwe-cytology yolwelo lwamanzi luvavanyo lwaselebhu ukufumanisa iiseli zomhlaza kunye nezinye iiseli kwindawo ejikeleze imiphunga. Lo mmandla ubizwa ngokuba yindawo yeplural. ICytology ithetha ukufundwa kweeseli.

Isampulu yolwelo olusuka kwindawo yokubongoza iyafuneka. Isampuli ithathwa kusetyenziswa inkqubo ebizwa ngokuba yi-thoracentesis.

Inkqubo yenziwa ngale ndlela ilandelayo:

• Uhlala ebhedini okanye emaphethelweni esihlalo okanye ebhedini. Intloko kunye neengalo zakho zihlala etafileni.
• Indawo encinci yolusu emqolo icociwe. Iyeza lokuthambisa (i-anesthetic yendawo) itofelwe kule ndawo.
• Ugqirha ufaka inaliti kulusu kunye nezihlunu zodonga lwesifuba kwindawo yokubongoza.
• Ulwelo luqokelelwa.
• Inaliti iyasuswa. Ibandage ibekwe eluswini.

Isampuli yolwelo ithunyelwa elebhu. Kulapho, kuvavanywa khona ngemicroscope ukumisela ukuba iiseli zijongeka kanjani nokuba aziqhelekanga.

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

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

Uyaziva uluma xa kubulawa i-anesthetic yendawo. Unokuziva ubuhlungu okanye uxinzelelo xa inaliti ifakwa kwindawo yokubongoza.

Xelela umboneleli wakho wezempilo ukuba uziva uphefumla kancinci okanye unentlungu esifubeni.

Uvavanyo lwecytology lusetyenziselwa ukukhangela umhlaza kunye neeseli ezinomdla. Inokwenziwa kwakhona kwezinye iimeko, njengokuchonga iiseli ze-lupus erythematosus systemic.

Ugqirha wakho unokuyalela olu vavanyo ukuba uneempawu zokwakha ulwelo kwindawo yokubongoza. Le meko ibizwa ngokuba yi-pleural effusion. Uvavanyo luyakwenziwa kwakhona ukuba unempawu zomhlaza wemiphunga.

Iiseli eziqhelekileyo ziyabonakala.

Kwisiphumo esingaqhelekanga, kukho iiseli ezinomhlaza (ezimbi). Oku kunokuthetha ukuba kukho ithumba elinomhlaza. Olu vavanyo luhlala lubona:

• Umhlaza webele
• KwiLymphoma
• Umhlaza wemiphunga
• Umhlaza we-Ovarian
• Umhlaza wesisu

Iingozi zihambelana ne-thoracentesis kwaye zingabandakanya:

• Ukopha
• Usulelo
• Ukuwa kwemiphunga (pneumothorax)
• Kunzima ukuphefumla

Cytology ulwelo fluid; Umhlaza wemiphunga - ulwelo lomlomo

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.

IiCibas ES. I-Pleural, pericardial, kunye ne-peritoneal fluid. Ku: I-Cibas ES, i-Ducatman BS, ii-eds. ICytology. Umhla we-5. IPhiladelphia, PA: Elsevier; 2021: isahluko 4.

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: 1052-1135.