I-pleuroscopy yinkqubo yonyango apho oogqirha banokwenza uhlolisiso lwesigxina , isikhala phakathi kweziqendu ezimbini zesishubhu (i- pleura ) esichaza imiphunga. Le nqubo yenziwa kwi-suite yokusebenza okanye kwigumbi elinesi-aneshesia kwaye yaziwa ngokuba "inkqubo encinci yokungena."
Inkqubo
Ngethuba lobuninzi bombhobho, i-tube ebizwa ngokuba yi-pleuroscope ifakwe kwisigxina somfutho ngesincinci esincinane kwindonga yesifuba.
Ugqirha, phantsi kobuchule obungenabungozi, uya kuqala ukuphazamisa isikhumba apho i-tube iya kufakwa khona. Unokunikwa i-anesthesia yendawo, kodwa ngokuqhelekileyo le nkqubo inokwenziwa ngelixa ulele kwi-suite yokusebenza.
Ngoxa uncedo lwekhamera ekhethekileyo ekupheleni kwebhubhu, ugqirha wakho unokukwazi ukucinga ngeso sakhiwo sokubheka izinto eziphambeneyo. Angakwazi ukuthatha iisampulu (i-biopsies) xa kuyimfuneko, isampuli kunye ne-drain fluid (ukuba kuyimfuneko) kunye nalabo abanomdla wokuphindaphindiweyo, unokufaka ifomethi eyenza ukudibanisa kwemiphunga kubambe ndawonye, inkqubo ebizwa ngokuba yi-pleurodesis.
Iinkcazo
I-pleurocopy yenziwa ngenjongo yokwenza ukuxilongwa okanye ukujongana nokwakhiwa kwe-fluid kwi-space pleural. Ezinye zezizathu ze-pleurocopy ziquka ezi zilandelayo.
Iinkcazo zokuxilonga
- Ukujonga ngeso sizathu sokuba naluphi na ukungaqhelekanga.
- Ukuthabatha isampuli yomswakama kwi-effusion ye-pleural ukukhangela isifo okanye isifo somhlaza. Ukuxhatshazwa kwesilumkiso esinobungozi yinkwenkwe yomsindo equkethe iiseli zomhlaza. Oku kwenziwa ngokufakela i-vacuum ekupheleni kwiphubhu ukuhoxisa umbane.
- Ukuthatha i-biopsy ye-pleura okanye imiphunga.
Iinkcazo zonyango
- Ukucima i-pleural effusion.
- Ukwenza i- pleurodesis - Le yinkqubo apho ikhemikhali ifakwe kwisigxina sokubangela izibini zombini ze-pleura (i-parietal pleura kunye ne-pleceral pleura) ukuba ikhutshwe kwaye ibambelele ndawonye. Xa oku kwenzeka ukuba umbane ungakwazi ukukhumbuza kwisithuba sombono.
Iingxaki
Umngcipheko we-pleuroscopy ulingezantsi, kunye neengxaki ezinokuthi zivele kwiibini ezimbini ukuya kweetesenti zabantu. Ezinye zezi ngxaki zingabandakanya:
- Ukuhlamba kwi-site yokufaka ityhubhu okanye ngaphakathi kwesifuba
- Sulelo
- I-pneumothorax (ukuwa komphunga)
- Ubuhlungu
- Ukulimala kwizitho kwisigodlo sesifuba
Iziphumo
Ugqirha wakho uza kukuxelela emva kwenkqubo ukuba ufumanisa nantoni na ebonakala engavamile. Ukuba unokwakhiwa kwe-fluid, uya kukuxelela ukuba uphumelele kangakanani inkqubo ekukhutsheni lo mkhuhlane. Ukuba isampuli yohluthwa ithathwa ukuba ikhangele iiseli zomhlaza, kufuneka ukulinde de ukuba ugqirha wezilwanyana unethuba lokubheka le lebhu.
Imithombo:
Michaud, G., Berkowitz, D. kunye no-Ernst. I-Pleuroscopy yokuxilongwa kunye neyonyango ngenxa yokunyanzeliswa kwesigxina. Esifubeni . 2010. 138 (5): 1242-6.
USheski, F. Uhlolo lwe-thoracoscopy yonyango. Isemgangathweno. Updated 07/14/15.
Yap, K., Phillips, M, noY. Lee. I-thoracoscopy yonyango: i-thoracoscopy eqinile okanye i-plexi-stycopy? . Iingcamango zangoku kwiMithi yePulmonary . 2014. 20 (4): 358-65.