Thoracentesis

Thoracentesis inzira yekubvisa mvura kubva munzvimbo iri pakati pechigadziko chekunze kwemapapu (pleura) uye madziro echipfuva.

Muedzo unoitwa nenzira inotevera:

• Unogara pamubhedha kana pamucheto wechigaro kana mubhedha. Musoro wako nemaoko zvinogara patafura.
• Ganda rakatenderedza saiti yemaitiro rinoshambidzwa. Mushonga wekunoita chiveve (anesthetic) unoiswa mukati meganda.
• Tsono inoiswa kuburikidza neganda uye mhasuru dzechidziro chechipfuva munzvimbo yakatenderedza mapapu, inonzi nzvimbo yemufaro. Anopa hutano anogona kushandisa ultrasound kuti awane nzvimbo yakanaka yekuisa tsono.
• Iwe unogona kukumbirwa kubata mweya wako kana kufema kunze panguva yekuita.
• Iwe haufanire kukosora, kufema zvakadzama, kana kufamba mukati mekuyedza kudzivirira kukuvara kumapapu.
• Fluid inodhonzwa neiyo tsono.
• Tsono inobviswa uye nzvimbo yacho yakasungwa.
• Mvura yacho inogona kutumirwa ku laboratori kunoongororwa (pleural fluid analysis).

Hapana gadziriro yakakosha inodikanwa usati waedzwa. Bhokisi x-ray kana ultrasound ichaitwa pamberi uye mushure mekuedzwa.

Iwe unonzwa kunzwa kunorwadza kana iyo yemuno anesthetic yakajowa. Iwe unogona kunzwa kurwadziwa kana kumanikidzwa apo tsono inopindirwa munzvimbo yekukumbira.

Udza mupi wako kana iwe uchinzwa kushaya mweya wekufema kana uine kurwadziwa kwepfupa, panguva kana mushure mekuita.

Kazhinji, zvishoma kwazvo mvura iri munzvimbo yekuteterera. Kuvaka kwemvura yakawandisa pakati pezvikamu zveiyo pleura inonzi pleural effusion.

Muedzo unoitwa kuti uone chinokonzera kuwedzera kwemvura, kana kuti kubvisa zviratidzo kubva pakuvaka kwemvura.

Kazhinji chivimbo chekucheresa chine hushoma chete hushoma hwemvura.

Kuedza iyo fluid kunobatsira mupi wako kuona chikonzero chekupembera kwemvura. Zvimwe zvikonzero zvinogona kusanganisira:

• Gomarara
• Chiropa kutadza
• Kutadza kwemoyo
• Mapuroteni epasi mashoma
• Chirwere cheitsvo
• Trauma kana post-kuvhiyiwa
• Asbestos-inofambidzana nemufaro wekubuda
• Collagen vascular chirwere (kirasi yezvirwere umo immune system inorwisa ayo matukisi)
• Kuita zvinodhaka
• Kuunganidzwa kweropa munzvimbo yekuteterera (hemothorax)
• Kenza yemapapu
• Kuzvimba uye kuzvimba kwepancreas (pancreatitis)
• Chirwere chemabayo
• Kuvharika kwetsinga mumapapu (pulmonary embolism)
• Yakanyanya kusashanda kwetachiona gland

Kana mupi wako achifungidzira kuti une hutachiona, tsika yemvura inogona kuitwa kuyedza hutachiona.

Njodzi dzinogona kusanganisira chero yeanotevera:

• Kubuda ropa
• Utachiona
• Yakapunzika mapapu (pneumothorax)
• Kufuridzira kutambudzika

Bhokisi x-ray kana ultrasound inowanzoitwa mushure mekuita maitiro kuti aone zvinogona kuitika.

Pleural fluid aspiration; Pleural pombi

Blok BK. Thoracentesis. Mune: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts uye Hedges 'Clinical Maitiro muEmergency Medicine uye Acute Kuchengeta. 7th ed. Philadelphia, PA: Elsevier; 2019: chits. 9.

Chernecky CC, Berger BJ. Thoracentesis - kuongorora chirwere. Mune: Chernecky CC, Berger BJ, eds. Rabhoritari Kuyedza uye Maitiro Ekuongorora. 6th ed. St Louis, MO: Elsevier Saunders; 2013: 1068-1070.