I-pleuroscopy iyinkqubo yezokwelapha lapho odokotela bengakwazi ukuhlola khona umgudu wesikhala, isikhala phakathi kwezigaba ezimbili zezicubu (i- pleura ) ebeka amaphaphu. Le nqubo yenziwa ku-suite yokusebenza noma ekamelweni elinesifo sokubulala i-anesthesia futhi yaziwa ngokuthi "inqubo encane yokuhlasela."
Inqubo
Phakathi ne-pleuroscopy, ithubhu ebizwa ngokuthi i-pleuroscope ifakwa emgodini wesikhala ngokunciphisa okuncane emdongeni wesifuba.
Udokotela, ngaphansi kwezinqubo eziyinyumba, uzoqala ukubopha isikhumba lapho i-tube izofakwa khona. Unganikezwa i-anesthesia yendawo, kodwa iningi le nqubo yenziwa ngenkathi ulele ku-suite yokusebenza.
Ngosizo lwekhamera ekhethekile ekupheleni kwebhulethi, udokotela wakho angase abone ngeso lengqondo isikhala sokufuna ukubuka noma yikuphi okungajwayelekile. Angathatha amasampuli (i-biopsies) uma kudingeka, isampuli futhi idonsa amanzi (uma kudingekile) nalabo abanemizamo ephindaphindiwe ye-pleural, bangafaka imakhemikhali eyenza ukuthi izingxube zamaphaphu zibambe ndawonye, inqubo ebizwa nge-pleurodesis.
Izinkomba
I-pleuroscopy ingenziwa uma i-diagnostic noma ukubhekana nokwakhiwa kwe-fluid endaweni yokukhala. Ezinye zezizathu ze-pleuroscopy zihlanganisa okulandelayo.
Izinkomba zokuxilonga
- Ukubona ngeso lengqondo ukukhala kwezinto ezingavamile.
- Ukuthatha isampula ketshezi kusuka ku-pleural effusion ukuze ubheke ukutheleleka noma amangqamuzana anomdlavuza emthonjeni. Ukuxoshwa okubi okungamanga kuyisisindo esinomlomo oqukethe amangqamuzana anomdlavuza. Lokhu kwenziwa ngokuhlanganisa i-vacuum ekupheleni kwebhulethi ukuhoxisa uketshezi.
- Ukuthatha i-biopsy ye-pleura noma yamaphaphu.
Izinkomba zokwelapha
- Ukukhipha umfutho we-pleural.
- Ukwenza i- pleurodesis - Lena yinkqubo lapho imakhemikhali ifakwa khona emgodini we-pleural okwenza ukuba izingxenye ezimbili ze-pleura (i-parietal pleura kanye ne-visceral pleura) zivutha futhi zihlangane ndawonye. Uma lokhu kwenzeka oketshezi akakwazi ukukhumbula isikhala esiphezulu.
Izinkinga
Ingozi ye-pleuroscopy iphansi kakhulu, kanti izinkinga zenzeka ngamaphesenti amabili kuya kwabahlanu kuphela abantu. Ezinye zalezi zinkinga zingase zifake:
- Ukuhlwitha kusuka ebhukwini le-tube endaweni noma ngaphakathi kwesifuba
- Ukutheleleka
- I-pneumothorax (ukuwa kwamaphaphu)
- Ubuhlungu
- Ukulimala ezithombeni emgodini wesifuba
Imiphumela
Udokotela wakho ohlinzayo uzokwazisa ngemuva kwenqubo uma ethola noma yini ebonakala engavamile. Uma une-build-up of fluid, uzokutshela indlela okuphumelele ngayo inqubo ekususeni lokhu ketshezi. Uma isampula ye-effusion sithathwa ukuyofuna amangqamuzana anomdlavuza, kungase kudingeke ulinde kuze kube yilapho umhlengikazi unethuba lokubuka lokhu ebhokisini.
Imithombo:
Michaud, G., Berkowitz, D., no-A. Ernst. I-Pleuroscopy yokuxilongwa kanye nokwelashwa kokusebenza kwamaphutha. Isifuba . 2010. 138 (5): 1242-6.
USheski, F. Ukuhlolisisa kwe-thoracoscopy yezokwelapha. Kusesikhathini. Kubuyekezwe 07/14/15.
Yap, K., Phillips, M., noY. Lee. I-thoracoscopy yezokwelapha: i-thoracoscopy eqinile noma i-volrocopycopy e-flexi -copy? . Ama-Opinions amanje ku-Pulmonary Medicine . 2014. 20 (4): 358-65.