UToracentesis

Umxholo

• Ukulungiselela i-thoracentesis
• Yintoni inkqubo ye-thoracentesis?
• Zithini iingozi zenkqubo?
• Ukulandela emva kwenkqubo

Yintoni i-thoracentesis?

I-Thoracentesis, ekwabizwa ngokuba yimpompo yokuvuma, yinkqubo eyenziwayo xa kukho ulwelo oluninzi kwindawo yokubongoza. Oku kuvumela uhlalutyo lolwelo olunokwenziwa ukuba lwenziwe kwilebhu ukufumanisa unobangela wokuqokelelana kolwelo macala omabini okanye emiphungeni. Indawo yokuncoma yindawo encinci phakathi kwemiphunga kunye nodonga lwesifuba. Esi sithuba siqulathe malunga neetispuni ezine zamanzi. Ezinye iimeko zinokubangela ukuba ulwelo oluninzi lungene kule ndawo. Ezi meko zibandakanya:

• amathumba omhlaza
• inyumoniya okanye olunye usulelo lwemiphunga
• ukusilela kwentliziyo
• izifo ezingapheliyo zemiphunga

Oku kubizwa ngokuba yi-pleural effusion. Ukuba kukho ulwelo olugqithisileyo, lunokucinezela imiphunga kwaye lubangele ubunzima bokuphefumla.

Injongo ye-thoracentesis kukukhupha ulwelo kwaye wenze kube lula kuwe ukuba uphinde uphefumle. Kwezinye iimeko, le nkqubo iya kunceda ugqirha wakho afumane unobangela wokuchazwa kwempendulo.

Isixa samanzi esipompoweyo siyahluka ngokuxhomekeke kwizizathu zokwenza inkqubo. Ngokwesiqhelo ithatha i-10 ukuya kwi-15 yemizuzu, kodwa inokuthatha ixesha elide ukuba kukho into eninzi yolwelo kwindawo yokubongoza.

Ugqirha wakho unokwenza i-biopsy ye-pleural ngaxeshanye, ukufumana isiqwenga sezicubu kuludonga lwesifuba sakho sangaphakathi. Iziphumo ezingaqhelekanga kwi-biopsy ye-pleural zingabonisa izizathu ezithile zokuchithwa, kuquka:

• ubukho beeseli zomhlaza, ezinje ngomhlaza wemiphunga
• mesothelioma, ongumhlaza onxulumene ne-asbestos kwizicubu ezigubungele imiphunga
• collagen isifo semithambo
• izifo zentsholongwane okanye ukungunda
• isifo sisifunxi-gazi

Ukulungiselela i-thoracentesis

Akukho lungiselelo lukhethekileyo lwe-thoracentesis. Nangona kunjalo, kuya kufuneka uthethe nogqirha wakho ukuba unemibuzo okanye inkxalabo malunga nenkqubo. Kuya kufuneka uxelele ugqirha wakho ukuba:

• ngoku bathatha amayeza, kubandakanya abacoci gazi abanjenge-aspirin, i-clopidogrel (i-Plavix), okanye i-warfarin (i-Coumadin)
• azidibani namayeza
• unazo naziphi na iingxaki zokopha
• unokukhulelwa
• banesilonda semiphunga kwiinkqubo zangaphambili
• Okwangoku zikhona naziphi na izifo zemiphunga ezinje ngomhlaza wemiphunga okanye i-emphysema

Yintoni inkqubo ye-thoracentesis?

I-Thoracentesis inokwenziwa kwiofisi kagqirha okanye esibhedlele. Yenziwa ngesiqhelo xa uvukile, kodwa unokuhlala phantsi. Uzakufuna omnye umntu akuqhubele ekhaya emva kwenkqubo ukuba uhleli.

Emva kokuhlala esihlalweni okanye elele phezu kwetafile, uya kubekwa ngendlela evumela ugqirha ukuba afikelele kwindawo yokubongoza. I-ultrasound ingenziwa ukuqinisekisa indawo echanekileyo apho inaliti iya kuhamba khona. Indawo ekhethiweyo iya kucocwa kwaye itofwe ngearhente ebindayo.

Ugqirha wakho uya kufaka inaliti okanye ityhubhu engezantsi kweembambo zakho kwindawo yokubongoza. Unokuziva uxinzelelo olungonwabisiyo ngexesha lale nkqubo, kodwa kuya kufuneka uhlale uzolile. Ulwelo olugqithisileyo luya kuthi luphume.

Nje ukuba onke amanzi apheliswe, ibhandeji iya kufakwa kwindawo yokufaka. Ukuqinisekisa ukuba akukho zingxaki, unokucelwa ukuba ulale esibhedlele ukuze ubekwe esweni. Ukulandelwa kwe-X-ray kunokwenziwa kanye emva kwe-thoracentesis.

Zithini iingozi zenkqubo?

Yonke inkqubo engenayo inobungozi, kodwa iziphumo ebezingalindelekanga aziqhelekanga nge-thoracentesis. Imingcipheko enokubakho ibandakanya:

• intlungu
• ukopha
• ukuqokelelwa komoya (pneumothorax) ukutyhala kumphunga kubangele umphunga owileyo
• usulelo

Ugqirha wakho uya kuhamba phezu komngcipheko ngaphambi kwenkqubo.

I-Thoracentesis ayikho inkqubo efanelekileyo kuwo wonke umntu. Ugqirha wakho uya kugqiba ukuba ngaba ungumgqatswa ofanelekileyo we-thoracentesis. Abantu abaye benza utyando lomphunga kutshanje banokuba nesiva, esinokuthi senze inkqubo ibe nzima.

Abantu okungafanelekanga ukuba benze i-thoracentesis babandakanya abantu:

• ngengxaki yokopha
• ukuthatha abacoci gazi
• ukusilela kwentliziyo okanye ukwandiswa kwentliziyo ngemiphunga ebanjiweyo

Ukulandela emva kwenkqubo

Emva kokuba inkqubo iphelile, izibilini zakho ziya kujongwa, kwaye unokufumana i-X-ray yemiphunga yakho. Ugqirha wakho uyakukuvumela ukuba uye ekhaya ukuba inqanaba lokuphefumla kwakho, ukugcwala kweoksijini, uxinzelelo lwegazi kunye nokubetha konke kulungile. Uninzi lwabantu abane-thoracentesis banokugoduka kwangolo suku lunye.

Uya kuba nakho ukubuyela kuninzi lwemisebenzi yakho yesiqhelo kungekudala emva kwenkqubo. Nangona kunjalo, ugqirha wakho unokucebisa ukuba uphephe ukwenza imisebenzi yomzimba kangangeentsuku ezininzi emva kwenkqubo.

Ugqirha wakho uza kukuchaza ngendlela yokunyamekela indawo yokuhlatywa. Qiniseka ukuba ubiza ugqirha wakho ukuba uqala ukuba nayo nayiphi na imiqondiso yosulelo. Iimpawu zosulelo zibandakanya:

• ingxaki yokuphefumla
• ukhohlela igazi
• umkhuhlane okanye ukubanda
• intlungu xa uthatha umoya
• ubomvu, iintlungu, okanye ukopha malunga nendawo yenaliti