Binciken ruwa mai dadi

Nazarin ruwa mai ƙayatarwa jarabawa ce wacce ke bincika samfurin ruwan da ya tattara a cikin sararin samaniya. Wannan shine tsakanin tsakanin rufin bayan huhun (pleura) da bangon kirji. Lokacin da ruwa ya tattara a cikin sararin samaniya, ana kiran yanayin da ƙoshin ciki.

Hanyar da ake kira thoracentesis ana amfani da ita don samun samfurin ruwa mai ƙwanƙwasa. Mai ba da sabis na kiwon lafiya yayi nazarin samfurin don bincika:

• Kwayoyin Cancerous (mugu)
• Sauran nau'ikan sel (misali kwayoyin jini)
• Matakan glucose, furotin da sauran sunadarai
• Kwayoyin cuta, fungi, ƙwayoyin cuta, da sauran ƙwayoyin cuta waɗanda zasu iya haifar da cututtuka
• Kumburi

Babu wani shiri na musamman da ake buƙata kafin gwajin. Za a yi amfani da duban dan tayi, CT scan, ko kirjin kirji kafin da bayan gwajin.

KADA KA yi tari, numfasawa sosai, ko motsawa yayin gwajin don guje wa rauni ga huhu.

Faɗa wa mai ba ka magani idan ka sha magunguna don rage jini.

Don aikin kirji, kuna zaune a gefen kujera ko gado tare da kanku da hannayenku suna kan tebur. Mai bayarwa yana tsabtace fata a kusa da wurin shigarwar. Ana sanya maganin ƙyamar numba (mai sa maye) a cikin fata.

Ana sanya allura ta fata da tsokoki na bangon kirji zuwa cikin sararin samaniya. Yayinda ruwa ke malala cikin kwalbar tarin, zaku iya yin tari kadan. Wannan saboda huhunku yana sake fadada don cika sararin samaniya inda ruwa yake. Wannan jin dadi yana 'yan awanni kaɗan bayan gwajin.

Yayin gwajin, gaya wa mai ba ka idan kana da ciwon kirji ko gajiyar numfashi.

Sau da yawa ana amfani da duban dan tayi don yanke shawarar inda aka saka allurar kuma don samun kyakkyawan ganin ruwa a kirjin ka.

Gwajin an yi shi ne don tantance dalilin fitar iska. Hakanan ana yin shi don sauƙaƙe ƙarancin numfashi wanda babban ɗigon ruwa zai iya haifarwa.

A yadda aka saba rami mara nauyi ya ƙunshi ƙasa da milliliters 20 (ƙaramin cokali 4) na tsarkakakke, ruwan rawaya (serous).

Sakamako mara kyau na iya nuna abubuwan da ke haifar da ɓarkewar ciki, kamar su:

• Ciwon daji
• Ciwan Cirrhosis
• Ajiyar zuciya
• Kamuwa da cuta
• Tsananin rashin abinci mai gina jiki
• Rauni
• Haɗin mahaɗa tsakanin sararin samaniya da sauran gabobin (misali, esophagus)

Idan mai bayarwa yana zargin kamuwa da cuta, ana yin al'adar ruwan ne don bincika ƙwayoyin cuta da sauran ƙwayoyin cuta.

Hakanan za'a iya yin gwajin don hemothorax. Wannan tarin jini ne a cikin roko.

Risks of thoracentesis sune:

• Huhun da ya tarwatse (pneumothorax)
• Zubar da jini da yawa
• Ruwa sake tarawa
• Kamuwa da cuta
• Ciwan huhu
• Rashin numfashi
• Tari wanda baya tafiya

M rikitarwa ne nadiri.

Blok BK. Thoracentesis. A cikin: Roberts JR, Custalow CB, Thomsen TW, eds. Hanyoyin Clinical na Roberts & Hedges a cikin Magungunan gaggawa da Kulawa Mai Girma. 7th ed. Philadelphia, PA: Elsevier; 2019: sura 9.

Broaddus VC, Haske RW. Yaduwar farin ciki. A cikin: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Littafin rubutu na Murray da Nadel na Magungunan numfashi. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 79.