Uhlalutyo lwamanzi amdaka

Umxholo

• Luthini uhlalutyo lwamanzi okusasaza?
• Isetyenziselwa ntoni?
• Kutheni le nto ndifuna uhlalutyo lolwelo lwamanzi?
• Kwenzeka ntoni ngexesha lohlalutyo lwamanzi?
• Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?
• Ngaba bukhona ubungozi kuvavanyo?
• Zithetha ntoni iziphumo?
• Ngaba ikhona enye into endifuna ukuyazi malunga nohlalutyo lwamanzi amdaka?
• Izalathiso

Luthini uhlalutyo lwamanzi okusasaza?

Incindi yolwelo lulwelo olume phakathi kweengqimba ze-pleura. I-pleura lulwelwelwe oluneengqimba ezimbini eligubungela imiphunga kunye nemigca yesifuba. Indawo equlathe ulwelo lwamanzi iyaziwa njengendawo yokubhena. Ngokwesiqhelo, kukho isixa esincinci se-pleural fluid kwindawo yokubhenela. Amanzi agcina i-pleura ifumile kwaye inciphisa ukungqubana phakathi kweembumba xa uphefumla.

Ngamanye amaxesha amanzi amaninzi ayakha kwindawo yokubhenela. Oku kwaziwa njenge-pleural effusion. Ukuchithwa kwe-Pleural kuthintela imiphunga ekungeneni ngokupheleleyo, yenze kube nzima ukuphefumla. Uhlalutyo olunamanzi oluninzi liqela leemvavanyo ezijonga unobangela wokuchithwa kwembambano.

Amanye amagama: ukufunwa kwamanzi okusasazeka

Isetyenziselwa ntoni?

Uhlalutyo lwe-pleural fluid lusetyenziselwa ukufumana unobangela wokuchithwa kwembambano. Zimbini iintlobo eziphambili zokuchithwa kwembambano:

• Ukutshintsha, eyenzekayo xa kukho ukungalingani koxinzelelo kwimithambo ethile yegazi. Oku kubangela ukuba ulwelo olongezelelweyo luvuze kwindawo yokubhenela. Ukuchithwa kwe-pleudate pleural kudla ngokubangelwa kukusilela kwentliziyo okanye i-cirrhosis.
• Ukugqithisa, eyenzekayo xa kukho ukwenzakala okanye ukudumba kwe-pleura. Oku kunokwenza ukuvuza okungaphezulu kwemithambo yegazi. Ukuchithwa kwe-pleural exudate kunezizathu ezininzi. Ezi zibandakanya izifo ezinjenge-pneumonia, umhlaza, isifo sezintso kunye nezifo ezizimele. Ichaphazela kuphela icala elinye lesifuba.

Ukukunceda ukuba ufumanise ukuba loluphi uhlobo lwe-pleural effusion onayo, umboneleli wakho wezempilo unokusebenzisa indlela eyaziwa njengemilinganiselo yokuKhanya. Iikhrayitheriya zokuKhanya kukubala ekuthelekisa ezinye zezinto ezifunyenweyo kuhlalutyo lwakho lwamanzi okusela kunye neziphumo zovavanyo lwegazi olunye okanye nangaphezulu.

Kubalulekile ukuba ufumanise ukuba loluphi uhlobo lwe-pleural effusion onalo, ukuze ufumane unyango olufanelekileyo.

Kutheni le nto ndifuna uhlalutyo lolwelo lwamanzi?

Ungaludinga olu vavanyo ukuba uneempawu zokuchithwa kwencwina. Oku kubandakanya:

• Iintlungu zesifuba
• Okomileyo, ukukhohlela okungavelisi (ukukhwehlela okungazisi incindi)
• Ingxaki yokuphefumla
• Ukudinwa

Abanye abantu abane-pleural effusion abanazo iimpawu kwangoko. Kodwa umboneleli wakho unoku-odola olu vavanyo ukuba ubunesifuba i-x-ray ngesinye isizathu, kwaye sibonisa iimpawu zokuphuma emzimbeni.

Kwenzeka ntoni ngexesha lohlalutyo lwamanzi?

Umboneleli wakho wokhathalelo lwempilo uyakufuna ukususa ulwelo olunencasa kwindawo yakho yokubhena. Oku kwenziwa ngenkqubo ebizwa ngokuba yi-thoracentesis. Inkqubo inokwenziwa kwi-ofisi kagqirha okanye esibhedlele. Ngexesha lenkqubo:

• Uya kudinga ukukhulula uninzi lwempahla yakho emva koko unxibe iphepha okanye ilokhwe yelaphu ukuzikhusela.
• Uya kuhlala ebhedini okanye esihlalweni esibhedlele, iingalo zakho ziphumle phezu kwetafile enephedi. Oku kubeka umzimba wakho kwindawo efanelekileyo yenkqubo.
• Umboneleli wakho uya kucoca indawo ngasemva kwakho ngesisombululo se-antiseptic.
• Umboneleli wakho uya kungenisa iyeza elirhabaxa kulusu lwakho, ngenxa yoko awuzukuva zintlungu ngexesha lenkqubo.
• Nje ukuba loo ndawo ibe ndindisholo ngokupheleleyo, umboneleli wakho uya kufaka inaliti ngasemva kwakho phakathi kweembambo. Inaliti iya kungena kwindawo yokubongoza. Umboneleli wakho unokusebenzisa imaging ye-ultrasound ukunceda ufumane eyona ndawo ifanelekileyo yokufaka inaliti.
• Unokuziva uxinzelelo njengoko inaliti ingena.
• Umboneleli wakho uya kurhoxisa ulwelo kwinaliti.
• Unokucelwa ukuba ubambe umphefumlo wakho okanye uphefumle ngokunzulu ngamaxesha athile ngexesha lenkqubo.
• Xa kususwe ulwelo olwaneleyo, inaliti iya kukhutshwa kwaye indawo yenkqubo iya kubotshwa.

Uvavanyo lwegazi lweeproteni ezithile zisetyenziselwa ukubala iikhrayitheriya zokuKhanya. Unokufumana uvavanyo lwegazi.

Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?

Awudingi naluphi na ulungiselelo olukhethekileyo lwe-thoracentesis okanye uvavanyo lwegazi. Kodwa umboneleli wakho unoku-odola i-x-ray yesifuba ngaphambi kwenkqubo.

Ngaba bukhona ubungozi kuvavanyo?

I-Thoracentesis yinkqubo ekhuselekileyo ngokubanzi. Iingozi zihlala zincinci kwaye zinokubandakanya iintlungu kunye nokopha kwindawo yenkqubo.

Iingxaki ezinzima aziqhelekanga, kwaye zingabandakanya ukuwa kwemiphunga okanye i-edema ye-pulmonary, imeko apho kususwa khona amanzi amaninzi. Umboneleli wakho unoku-odola i-x-ray yesifuba emva kwenkqubo yokujonga iingxaki.

Zithetha ntoni iziphumo?

Iziphumo zakho zingabonisa ukuba ngaba unohlobo lwe-transudate okanye lwe-exudate lwe-pleural effusion. Ukuchithwa kwe-pleudate ye-pleudate ihlala ibangelwa kukusilela kwentliziyo okanye i-cirrhosis. Iziphumo zokuphuma emzimbeni zinokubangelwa linani lezifo neemeko ezahlukeneyo. Emva kokuba uhlobo lwe-pleural effusion luye lwagqitywa, umboneleli wakho uya kulandelela iimvavanyo ezininzi ukuze enze ukuxilongwa okuthile.

Ukuba unemibuzo malunga neziphumo zakho, thetha nomboneleli wakho wezempilo.

Funda ngakumbi malunga novavanyo lwelabhoratri, uluhlu lweereferensi, kunye neziphumo zokuqonda.

Ngaba ikhona enye into endifuna ukuyazi malunga nohlalutyo lwamanzi amdaka?

Iziphumo zolwelo lwakho zinokuthelekiswa nolunye uvavanyo, kubandakanya uvavanyo lweglucose kunye nealbumin, iprotein eyenziwe sisibindi. Ukuthelekisa kunokusetyenziswa njengenxalenye yeekhrayitheriya zokuKhanya ukunceda ukufumanisa ukuba luhlobo luni lwe-pleural effusion onayo.

Izalathiso

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Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.