Thoracentesis

Thoracentesis ndi njira yochotsera madzimadzi kuchokera pakatikati pa mapapo akunja (pleura) ndi khoma la chifuwa.

Kuyesaku kwachitika motere:

• Mumakhala pabedi kapena m'mphepete mwa mpando kapena kama. Mutu wanu ndi manja anu zili patebulo.
• Khungu lozungulira malowa limatsukidwa. Mankhwala a dzanzi (dzanzi) amalowetsedwa pakhungu.
• Singano imayikidwa kudzera pakhungu ndi minofu ya khoma lachifuwa kumalo ozungulira mapapo, otchedwa pleural space. Wothandizira zaumoyo atha kugwiritsa ntchito ultrasound kuti apeze malo abwino oyikapo singano.
• Mutha kupemphedwa kuti mupume kapena kupuma panthawiyi.
• Simuyenera kutsokomola, kupuma mwamphamvu, kapena kusunthira poyesa kuti musavulaze mapapo.
• Madzi amatulutsidwa ndi singano.
• Singanoyo imachotsedwa ndipo malowo amangeredwa mabandeji.
• Madzimadzi amatha kutumizidwa ku labotale kukayezetsa (pleural fluid analysis).

Palibe kukonzekera kwapadera komwe kumafunikira mayeso asanayesedwe. X-ray ya m'chifuwa kapena ultrasound idzachitika musanayese komanso pambuyo poyesa.

Mumva zowawa mukadzabayidwa mankhwala oletsa ululu am'deralo. Mutha kumva kupweteka kapena kukakamizidwa singano ikalowetsedwa m'malo opembedzera.

Uzani wothandizira wanu ngati mukumva kupuma pang'ono kapena mukumva kupweteka pachifuwa, munthawiyo kapena pambuyo pake.

Nthawi zambiri, ndimadzimadzi ochepa omwe amakhala m'malo opembedzera. Madzi ochuluka kwambiri pakati pa zigawo za pleura amatchedwa pleural effusion.

Kuyesaku kumachitika kuti mudziwe chomwe chimayambitsa madzimadzi owonjezera, kapena kuti muchepetse zizindikiritso zamagulu amadzimadzi.

Nthawi zambiri m'mimbamo mumakhala madzi ochepa.

Kuyesa zamadzimadzi kumathandizira omwe amakupatsani mwayi wodziwa zomwe zimapangitsa kuti magazi asakanike. Zomwe zingayambitse ndi izi:

• Khansa
• Kulephera kwa chiwindi
• Mtima kulephera
• Mapuloteni ochepa
• Matenda a impso
• Zoopsa kapena pambuyo pa opaleshoni
• Kuphulika kokhudzana ndi asibesitosi
• Collagen vascular disease (gulu la matenda momwe chitetezo chamthupi chimagwirira matupi ake)
• Mankhwala osokoneza bongo
• Kusonkhanitsa magazi m'malo opembedzera (hemothorax)
• Khansa ya m'mapapo
• Kutupa ndi kutupa kwa kapamba (kapamba)
• Chibayo
• Kutsekeka kwamitsempha m'mapapu (pulmonary embolism)
• Kwambiri chithokomiro England

Ngati wothandizira wanu akukayikira kuti muli ndi kachilombo, chikhalidwe cha madziwo chingachitike kuti ayese mabakiteriya.

Zowopsa zingaphatikizepo izi:

• Magazi
• Matenda
• Mapapu otayika (pneumothorax)
• Mavuto a kupuma

X-ray kapena ultrasound ya pachifuwa imachitika pambuyo poti njira izi zidziwike zovuta zomwe zingachitike.

Kukhumba kwamadzimadzi; Pampopi yamtundu

Malo BK. Thoracentesis. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: chaputala 9.

Chernecky CC, Berger BJ. Thoracentesis - matenda. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. St Louis, MO: Elsevier Saunders; 2013: 1068-1070.