Thoracentesis

Zamkati

• Kukonzekera thoracentesis
• Kodi njira ya thoracentesis ndi yotani?
• Kodi kuopsa kwa njirayi ndi kotani?
• Kutsatira pambuyo pa ndondomekoyi

Kodi thoracentesis ndi chiyani?

Thoracentesis, yomwe imadziwikanso kuti tap yochonderera, ndi njira yomwe imachitika pakakhala madzi ambiri m'malo opembedzera. Izi zimalola kupenda kwamadzimadzi kochitidwa mu labu kuti mupeze chomwe chimayambitsa kuphulika kwamadzimadzi mozungulira m'mapapu amodzi kapena onse awiri. Malo opembedzera ndi malo ochepa pakati pa mapapo ndi khoma la chifuwa. Danga ili limakhala ndimasupuni 4 amadzimadzi. Zinthu zina zimatha kupangitsa kuti madzi ambiri alowe mu danga lino. Izi ndi monga:

• zotupa za khansa
• chibayo kapena matenda ena am'mapapo
• congestive mtima kulephera
• matenda a m'mapapo

Izi zimatchedwa pleural effusion. Ngati pali madzi owonjezera, amatha kupondereza mapapu ndikupangitsa kupuma movutikira.

Cholinga cha thoracentesis ndikumwetsa madziwo ndikuthandizani kuti muzipumanso. Nthawi zina, njirayi imathandizanso adotolo kuti azindikire chomwe chimayambitsa kupuma.

Kuchuluka kwa madzimadzi otayika kumasiyana kutengera zifukwa zogwirira ntchitoyo. Nthawi zambiri zimatenga mphindi 10 mpaka 15, koma zimatha kutenga nthawi yayitali ngati pali madzi ambiri m'malo opembedzera.

Dokotala wanu amathanso kujambulitsa nthawi yomweyo, kuti atenge chidutswa cha khungu lanu. Zotsatira zosayembekezereka pazopempha kuti ziwonetsedwe zitha kuwonetsa zina mwazosokoneza, kuphatikizapo:

• kupezeka kwa maselo a khansa, monga khansa ya m'mapapo
• mesothelioma, yomwe ndi khansa yokhudzana ndi asbestosi yamatumba omwe amaphimba mapapo
• collagen matenda amitsempha
• tizilombo kapena mafangasi matenda
• matenda opatsirana

Kukonzekera thoracentesis

Palibe kukonzekera kwapadera kwa thoracentesis. Komabe, muyenera kulankhula ndi dokotala wanu ngati muli ndi mafunso kapena nkhawa zokhudzana ndi njirayi. Muyeneranso kuuza dokotala ngati:

• pakali pano akumamwa mankhwala, kuphatikiza oonda magazi monga aspirin, clopidogrel (Plavix), kapena warfarin (Coumadin)
• sagwirizana ndi mankhwala aliwonse
• ali ndi vuto lililonse lotuluka magazi
• atha kukhala ndi pakati
• khalani ndi zipsera m'mapapo pazomwe mudachita kale
• Pakadali pano ali ndi matenda am'mapapo monga khansa yam'mapapo kapena emphysema

Kodi njira ya thoracentesis ndi yotani?

Thoracentesis itha kuchitika kuofesi ya dokotala kapena kuchipatala. Nthawi zambiri zimachitika mukadzuka, koma mutha kukhala pansi. Mufunikira wina kuti akuyendetseni kunyumba mukatha kuchita izi ngati mwakhala pansi.

Mukakhala pampando kapena mutagona patebulo, mudzakhala pamalo omwe amalola adotolo kuti alowe m'malo opembedzera. Ultrasound ingachitike kuti zitsimikizire malo oyenera omwe singano ipite. Dera lomwe lasankhidwa lidzatsukidwa ndikujambulidwa ndi wothandiziratu.

Dokotala wanu amalowetsa singano kapena chubu pansi pa nthiti zanu pamalo opembedzera. Mutha kukhala ndi nkhawa panthawiyi, koma muyenera kukhala chete. Madzi owonjezerawo amatulutsidwa.

Madzi onse akatsanulidwa, bandeji idzaikidwa pamalo olowetsera. Kuti muwonetsetse kuti palibe zovuta, mutha kupemphedwa kuti mugone kuchipatala kuti muziyang'aniridwa. X-ray yotsatira ikhoza kuchitidwa pambuyo pa thoracentesis.

Kodi kuopsa kwa njirayi ndi kotani?

Njira iliyonse yowonongeka ili ndi zoopsa, koma zotsatirapo sizachilendo ndi thoracentesis. Zowopsa zomwe zingachitike ndi izi:

• ululu
• magazi
• kudzikundikira kwa mpweya (pneumothorax) kukankha m'mapapo kumapangitsa mapapo kugwa
• matenda

Dokotala wanu adzayang'ana zoopsa musanachitike.

Thoracentesis si njira yoyenera kwa aliyense. Dokotala wanu adzazindikira ngati ndinu woyenera thoracentesis. Anthu omwe achita opaleshoni yamapapo posachedwa atha kukhala ndi zipsera, zomwe zimatha kupanga njirayi kukhala yovuta.

Anthu omwe sayenera kudwala thoracentesis ndi awa:

• ndikutuluka magazi
• kumwa zopopera magazi
• ndi kulephera kwa mtima kapena kukulitsa kwa mtima ndi mapapu otsekedwa

Kutsatira pambuyo pa ndondomekoyi

Ndondomekoyo ikatha, mphamvu zanu zidzayang'aniridwa, ndipo mutha kukhala ndi X-ray yamapapu anu. Dokotala wanu amakulolani kuti mupite kunyumba ngati kupuma kwanu, kukhathamiritsa kwa okosijeni, kuthamanga kwa magazi, ndi kugunda kwanu kuli bwino. Anthu ambiri omwe ali ndi thoracentesis amatha kupita kwawo tsiku lomwelo.

Mutha kubwereranso kuzinthu zambiri zomwe mumachita mukangomaliza kumene. Komabe, dokotala wanu angakulimbikitseni kuti mupewe kuchita masewera olimbitsa thupi masiku angapo pambuyo poti achite izi.

Dokotala wanu akufotokozera momwe mungasamalire malo opumira. Onetsetsani kuti mwatchula dokotala ngati mutayamba kukhala ndi zizindikiro za matenda. Zizindikiro za matendawa ndi monga:

• kuvuta kupuma
• kutsokomola magazi
• malungo kapena kuzizira
• kupweteka mukamapuma kwambiri
• kufiira, kupweteka, kapena kutuluka magazi mozungulira tsamba la singano