Pleural madzimadzi kupaka

Pleural fluid smear ndi mayeso a labotale kuti awone ngati mabakiteriya, bowa, kapena maselo achilendo mumayendedwe amadzimadzi omwe asonkhana m'malo opembedzera. Awa ndi malo pakati pakatikati mwa mapapo (pleura) ndi khoma lachifuwa. Madzi akamasonkhana m'malo opembedzera, vutoli limatchedwa pleural effusion.

Njira yotchedwa thoracentesis imagwiritsidwa ntchito kupezera mtundu wa madzi amadzimadzi. Wopereka chithandizo chamankhwala amawunika mtundu wa madzi am'madzi pansi pa microscope. Ngati mabakiteriya kapena bowa apezeka, njira zina zitha kugwiritsidwa ntchito kuti zidziwitsenso zamoyozo.

Palibe kukonzekera kwapadera komwe kumafunikira mayeso asanayesedwe. X-ray ya chifuwa idzachitidwa musanayesedwe komanso pambuyo pake.

Osatsokomola, kupuma movutikira, kapena kusuntha poyesa kuti musavulazidwe m'mapapu.

Kwa thoracentesis, mumakhala pamphepete mwa mpando kapena pabedi mutu wanu ndi manja mutakhala patebulo. Woperekayo amayeretsa khungu mozungulira malowa. Mankhwala osungira dzanzi (jekeseni) amalowetsedwa pakhungu.

Singano imayikidwa kudzera pakhungu ndi minofu ya khoma lachifuwa kumalo ozungulira mapapo, otchedwa pleural space. Pamene madzi amatulutsa mu botolo losonkhanitsira, mutha kutsokomola pang'ono. Izi ndichifukwa choti mapapu anu amakula kuti akwaniritse malo omwe madzimadzi ake anali. Kumverera uku kumatenga maola ochepa pambuyo poyesedwa.

Ultrasound imagwiritsidwa ntchito posankha komwe singano imayikidwapo ndikuwona bwino madzi am'mfuwa mwanu.

Kuyesaku kumachitika ngati muli ndi vuto lopukusa m'mimba mwanu ndipo zomwe zimayambitsa sizikudziwika, makamaka ngati wopemphayo akukayikira kuti ali ndi kachilombo kapena khansa.

Nthawi zambiri, palibe mabakiteriya, bowa, kapena maselo a khansa omwe amapezeka mumtsinje wamagulu.

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Zotsatira zabwino zitha kuwonetsa kuti matenda, kapena maselo a khansa, alipo. Mayesero ena amatha kuthandizira kuzindikira mtundu wa matenda kapena khansa. Nthawi zina, mayeserowa amatha kuwonetsa zovuta (monga mitundu yapadera yama cell) kuchokera kuzinthu monga systemic lupus erythematosus.

Zowopsa za thoracentesis ndi izi:

• Kutha kwa mapapo (pneumothorax)
• Kutaya magazi kwambiri
• Kukonzanso kwamadzimadzi
• Matenda
• Edema ya m'mapapo
• Mavuto a kupuma

• Kupaka kwapopu

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

Broaddus VC, Kuwala RW. Kutulutsa kwa Pleural. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 79.