Pleuroscopy kwa Kuzindikira ndi Chithandizo cha Pleural Effusions

Pulogalamu yamakono ndi njira yachipatala imene madokotala angayang'ane phokoso lopempherera , mlengalenga pakati pa zigawo ziwiri ( pleura ) zomwe zimayambira mapapu. Ndondomekoyi imachitika mu chipinda chogwiritsira ntchito kapena chipinda chokhala ndi anesthesia ndipo chimadziwika kuti "njira yowonongeka."

Ndondomeko

Pogwiritsa ntchito pulogalamu yamakono, chubu yomwe imatchedwa pleuroscope imalowetsedwa m'kati mwa khoma lachifuwa.

Dokotala, pansi pa njira yopanda kanthu, amathyola khungu koyamba kumene chubu chidzalowetsedwa. Mungapatsidwe anesthesia kumidzi, koma kawirikawiri njirayi imachitika mukakhala mukugona muchithunzi chogwira ntchito.

Mothandizidwa ndi kamera yapadera pamapeto pa chubu, dokotala wanu akhoza kuona momwe chilakolako chofunira chikuyendera. Amatha kutenga zitsanzo (biopsies) ngati pakufunika, sampuli ndi kukhetsa madzi (ngati kuli kofunikira) komanso kwa iwo omwe ali ndi chithandizo chamtunduwu, akhoza kuyika mankhwala omwe amachititsa kuti mapaipi azigwirizana pamodzi, njira yotchedwa pleurodesis.

Zisonyezo

Pulogalamu yachulukomiyo ikhoza kuchitidwa poyambitsa matenda kapena kugwirizanitsa kukonza kwa madzi mu malo opempherera. Zina mwa zifukwa zogwiritsira ntchito mankhwalawa ndizo zotsatirazi.

Zizindikiro za Kuzindikira

• Kuti tiwonekere pempho la zovuta zilizonse.
• Kutenga nyemba ya madzi kuchokera ku chifuwa chachikulu kuti ayang'ane matenda kapena maselo a khansa mu madzi. Kuipa kwachondereko kumaphatikizapo kupweteka kwakukulu komwe kumakhala ndi maselo a khansa. Izi zimachitika mwa kuika chotupa kumapeto kwa chubu kuchotsa madzi.

• Kutenga biopsy ya pleura kapena mapapo.

Zizindikiro Zothandizira

• Kuthetsa kukhudzidwa kwakukulu.
• Kuchita pleurodesis - Iyi ndiyo njira yomwe mankhwala amalowetsedwera mu pempho la cavity lomwe limayambitsa magawo awiri a pleura (parietal pleura ndi visceral pleura) kuti awotchedwe ndikugwirana pamodzi. Izi zikachitika zimakhala zosakwanira kuti zisakumbukire pakamwa.

Mavuto

Kuopsa kwa pulogalamu yachulukiti ndi yochepa, ndipo zovuta zimachitika pakati pa awiri kapena asanu peresenti ya anthu. Ena mwa mavutowa angaphatikizepo:

• Kutsekemera kuchokera mu chubu lolowera chubu kapena mkati mwa chifuwa
• Kutenga
• Pneumothorax (kugwa kwa mapapo)
• Ululu
• Kuvulaza ziwalo mu chifuwa

Zotsatira

Dokotala wanu akudziwitsani pambuyo pa ndondomekoyo ngati apeza chirichonse chomwe chikuwoneka chachilendo. Ngati muli ndi makina othandizira, akudziwitsani kuti ndondomekoyi inali yotani pochotsa madziwa. Ngati chithunzi cha kuwonongeka chinatengedwa kukayang'ana maselo a khansa, muyenera kuyembekezera kuti wodwalayo ali ndi mwayi woyang'ana izi mububu.

_Zotsatira:

_{Michaud, G., Berkowitz, D., ndi A. Ernst. Pleuroscopy ya matenda ndi chithandizo cha pleural effusions. Chifuwa . 2010. 138 (5): 1242-6.}

_{Sheski, F. Chidule cha mankhwala opatsirana pogonana. Zaposachedwa. Kusinthidwa 07/14/15.}

_{Yap, K., Phillips, M., ndi Y. Lee. Katswiri wa zamankhwala wotchedwa thoracoscopy: wolimba kwambiri wotchedwa thoracoscopy kapena wojambulira makina opanga mphamvu? . Malingaliro enieni mu Pulmonary Medicine . 2014. 20 (4): 358-65.}