Chikhalidwe chamadzimadzi

Chikhalidwe cha madzi amadzimadzi ndimayeso omwe amayesa madzi amadzimadzi omwe asonkhana m'malo opembedzera kuti awone ngati muli ndi matenda kapena mukumvetsetsa chomwe chimayambitsa kuchuluka kwa madzi mderali. Malo opembedzera ndi malo omwe ali pakatikati pa mapapo (pleura) ndi khoma lachifuwa. Madzi akamasonkhana m'malo opembedzera, vutoli limatchedwa pleural effusion.

Njira yotchedwa thoracentesis imachitidwa kuti mupeze sampuli yamadzimadzi. Chitsanzocho chimatumizidwa ku labotale ndikuyesedwa pansi pa microscope ngati pali matenda. Chitsanzocho chimayikidwanso mu mbale yapadera (chikhalidwe). Amayang'aniridwa kuti awone ngati mabakiteriya kapena majeremusi ena amakula. Izi zitha kutenga masiku angapo.

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. Wothandizira zaumoyo amatsuka khungu mozungulira malowa. Mankhwala osungira dzanzi (jekeseni) amalowetsedwa pakhungu.

Singano imayikidwa kudzera pakhungu ndi minofu ya chifuwa cha chifuwa m'malo opembedzera. 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.

Mukamayesa, uzani omwe akukuthandizani ngati mukumva kupweteka pachifuwa kapena kupuma pang'ono.

Wopereka chithandizo akhoza kuyitanitsa mayesowa ngati muli ndi zizindikiro za matenda ena kapena chifuwa cha x-ray kapena CT cha pachifuwa chikuwonetsa kuti muli ndi madzi ochulukirapo m'malo ozungulira mapapu.

Zotsatira zabwinobwino sizitanthauza kuti palibe mabakiteriya kapena bowa omwe adawoneka poyesa.

Mtengo wabwinobwino sikukula kwa mabakiteriya aliwonse. Lankhulani ndi dokotala wanu tanthauzo la zotsatira zanu zoyesa.

Zotsatira zachilendo zitha kuwonetsa:

• Empyema (kusonkhanitsa mafinya m'malo opembedzera)
• Kutupa kwamapapo (kusonkhanitsa mafinya m'mapapu)
• Chibayo
• Matenda a chifuwa chachikulu

Zowopsa za thoracentesis ndi izi:

• Mapapu otayika (pneumothorax)
• Kutaya magazi kwambiri
• Kukonzanso kwamadzimadzi
• Matenda
• Edema ya m'mapapo
• Mavuto a kupuma
• Zovuta zazikulu ndizofala

Chikhalidwe - madzimadzi amthupi

• Chikhalidwe cha pleural

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.

Parta M. Pleural effusion ndi empyema. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 68.