Pleural fluid smear
Pleural fluid smear bvunzo ye laboratory kuongorora mabhakitiriya, fungi, kana masero asina kujairika mune imwe sampu yemvura yakaunganidzwa munzvimbo yekuteterera. Iyi ndiyo nzvimbo iri pakati pechigadziko chekunze kwemapapu (pleura) uye madziro echipfuva. Kana mvura ikaunganidzwa munzvimbo yekuteterera, mamiriro acho anonzi pleural effusion.
Iyo nzira inonzi thoracentesis inoshandiswa kuwana muyenzaniso we pleural fluid. Mutapi wezvehutano anoongorora muyero we pleural fluid pasi pe microscope. Kana mabhakitiriya kana fungi akawanikwa, dzimwe nzira dzinogona kushandiswa kuzivisa zvimwe zvipenyu.
Hapana gadziriro yakakosha inodikanwa usati waedzwa. Chifuva x-ray chichaitwa usati uye mushure mekuyedzwa.
USAKONZE kukosora, kufema zvakadzika, kana kufamba mukati mekuyedza kudzivirira kukuvara kumapapu.
Nezve thoracentesis, iwe unogara pamucheto wechigaro kana mubhedha musoro wako nemaoko zvakazorora patafura. Mupiro anochenesa ganda kutenderedza nzvimbo yekuisa. Unyanzvi hwenhengo (yokutindivadza) inorowa muganda.
Tsono inoiswa kuburikidza neganda uye mhasuru dzechidziro chechipfuva munzvimbo yakatenderedza mapapu, inonzi nzvimbo yemufaro. Sezvo mvura inoyerera ichipinda muhombodo yekuunganidza, unogona kukosora zvishoma. Izvi zvinodaro nekuti mapapu ako anowedzerazve kuzadza nzvimbo pakange paine mvura. Kunzwa uku kunotora kwemaawa mashoma mushure mekuedzwa.
Ultrasound inowanzoshandiswa kusarudza kuti tsono yaiswa kupi uye kuti uwane maonero ari nani emvura iri muchipfuva chako.
Muedzo unoitwa kana iwe uine pleural effusion uye chikonzero chayo hachizivikanwe, kunyanya kana mupi achifungidzira hutachiona kana gomarara.
Kazhinji, hapana mabhakitiriya, fungi, kana maseru emukenza aripo mune inoyerera mvura.
Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Taura nemupi wako nezve zvinorehwa nemimwe miedzo yako.
Mhedzisiro mhedzisiro inogona kuratidza kuti hutachiona, kana kenza maseru, aripo. Mimwe bvunzo inogona kubatsira kuziva iyo chaiyo mhando yehutachiona kana gomarara. Dzimwe nguva, iyo bvunzo inogona kuratidza kusanzwisisika (senge akasarudzika mhando dzemasero) kubva kumamiriro ezvinhu senge systemic lupus erythematosus.
Ngozi dze thoracentesis ndidzo:
- Kupunzika kwemapapu (pneumothorax)
- Kunyanya kurasikirwa kweropa
- Kuyerera kwemvura zvakare
- Utachiona
- Pulmonary edema
- Kufuridzira kutambudzika
- Pleural smear
Blok BK. Thoracentesis. Mune: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts & Hedges 'Clinical Maitiro muEmergency Medicine uye Acute Kuchengeta. 7th ed. Philadelphia, PA: Elsevier; 2019: chits. 9.
Broaddus VC, Chiedza RW. Kubwinya kwepleural. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 79.