Yini i-Talc (Indlela ye-Intrapleural): Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Talc enikezwa ngendlela ye-intrapleural iyinqubo yezokwelapha lapho i-talc powder engcolile yethulwa esikhaleni esiphakathi kwamaphaphu akho nodonga lwesifuba. Lokhu kwelashwa kusiza ekuvikeleni uketshezi ekwakhekeni futhi kuleso sikhala, okwenza kube lula ukuphefumula kubantu ababhekene nezimo ezithile zamaphaphu.

Le nqubo ingase izwakale isabisa, kodwa isetshenziswe ngokuphepha amashumi eminyaka ukusiza abantu baphefumule kangcono futhi bazizwe bekhululekile. Ithimba lakho lezokwelapha lizokuqondisa kuzo zonke izinyathelo, liqinisekisa ukuthi uyaqonda ukuthi kwenzekani nokuthi kungani lokhu kwelashwa kungaba usizo olukhulu esimweni sakho esithile.

Yini i-Talc (Indlela ye-Intrapleural)?

Ukwelashwa nge-talc intrapleural kuhilela ukubeka i-talc powder yezokwelapha esikhaleni se-pleural, okuyisikhala esincane esiphakathi kwamaphaphu akho nodonga lwangaphakathi lwesifuba. Lesi sikhala ngokuvamile siqukethe amanzi amancane nje asiza amaphaphu akho ukuthi ahambe kahle uma uphefumula.

I-talc isebenza ngokudala ukuvuvukala okulawulwayo okubangela ukuthi izendlalelo ezimbili zezicubu zinamathele ndawonye, zivimbele uketshezi ekuqongeleleni futhi. Cabanga ngakho njengokudala uphawu oluvimbela uketshezi olungafuneki ekwakhekeni nokucindezela emaphaphu akho.

Lokhu kwelashwa kwehluke ku-talc powder ejwayelekile ongayithola ezitolo. I-Talc yezokwelapha ilungiswa ngokukhethekile, ihlanzwe futhi ihlolwe ukuze kuqinisekiswe ukuthi iphephile ukusetshenziswa ngaphakathi emzimbeni wakho.

Yini i-Talc (Indlela ye-Intrapleural) Esetshenziselwa Yona?

Lokhu kwelashwa ikakhulukazi kusetshenziselwa ukuvimbela ama-pleural effusions, okwenzeka lapho uketshezi oluningi luqoqana phakathi kwamaphaphu akho nodonga lwesifuba. Uketshezi oluningi lungenza kube nzima ukuphefumula futhi lubangele ubuhlungu besifuba noma ukungakhululeki.

Nawa amakhondishini amakhulu lapho udokotela wakho angase ancome lokhu kwelashwa:

• Ukuvuvukala kwesifuba esibi (ukwakheka kwamanzi okubangelwa umdlavuza)
• Ukuvuvukala kwesifuba okuphindaphindayo okuqhubeka kubuya
• I-Pneumothorax (iphasha eliwile) elenzeka ngokuphindaphindiwe
• Ukuvuvukala kwesifuba okuvela ekuhlulekeni kwenhliziyo okungaphenduli kwezinye izindlela zokwelapha

Umgomo uwukuvimbela lezi zinkinga ukuthi zingenzeki futhi, ukuze ukwazi ukuphefumula kalula futhi uzizwe ukhululekile ekuphileni kwakho kwansuku zonke.

Isebenza Kanjani I-Talc (Indlela Ye-Intrapleural)?

I-Talc isebenza ngokudala inqubo ebizwa ngokuthi i-pleurodesis, lapho izendlalelo ezimbili zezicubu ezizungeze iphasha lakho zibambana unomphela. Lokhu empeleni kuyimpendulo yokuphulukisa elawulwayo futhi enenzuzo evimbela uketshezi ukuthi lungaqongeleli kuleso sikhala futhi.

Lapho i-talc yethulwa, ibangela ukuvuvukala okuncane okuvuselela izicubu ukuthi zikhule ndawonye. Lokhu kudala uphawu oluqeda isikhala lapho uketshezi lungaqongelela khona, njengokuthi uvala igebe ukuvimbela amanzi ukuthi angaqongeleli lapho.

Lokhu kuthathwa njengokwelashwa okuqinile nokuphumelelayo ngoba ngokuvamile kunikeza isixazululo esihlala njalo. Abantu abaningi bathola ukuthuthuka okukhulu ekuphefumuleni kwabo futhi abadingi izinqubo eziphindaphindiwe zokukhipha uketshezi.

Kufanele Ngiyithathe Kanjani I-Talc (Indlela Ye-Intrapleural)?

Lokhu akuyona into oyithatha ekhaya njengomuthi ojwayelekile. Le nqubo yenziwa esibhedlela ochwepheshe bezokwelapha abaqeqeshiwe, ngokuvamile i-pulmonologist noma udokotela ohlinzayo we-thoracic.

Nakhu okwenzekayo ngokuqhelekile ngesikhathi senqubo:

1. Uzothola i-anesthesia yendawo futhi mhlawumbe nokuthuliswa ukuze uhlale ukhululekile
2. Ipayipi elincane (ipayipi lesifuba) lifakwa phakathi kwamabhantshi akho esikhaleni se-pleural
3. Noma yiluphi uketshezi oluningi luqala ukukhishelwa ngaphandle
4. I-talc engenazinzwa bese yethulwa ngepayipi
5. Ipayipi lingahlala endaweni usuku noma ezimbili ukuze kuqashwe ukukhishelwa

Akudingeki ukuthi ulungiselele ngokudla noma iziphuzo ezikhethekile, kodwa udokotela wakho uzokunika imiyalelo ethile mayelana nokudla nokuphuza ngaphambi kwenqubo. Abantu abaningi bangakwazi ukubuyela emisebenzini ejwayelekile phakathi nezinsuku ezimbalwa kuya evikini.

Kufanele Ngithathe Isikhathi Esingakanani I-Talc (Indlela Ye-Intrapleural)?

Lokhu ngokuvamile kuyinqubo eyodwa kunokuba kube ukwelashwa okuqhubekayo. Lapho i-talc isibekwe futhi i-pleurodesis yenzeka, imiphumela ivame ukuba unomphela.

Inqubo yokuphola ithatha amasonto angaba ngu-2-4 ukuze izicubu zibambane ngokugcwele. Ngesikhathi lesi, ungase uzwe ukungakhululeki esifubeni noma ubuhlungu obuncane, obujwayelekile futhi obukhombisa ukuthi ukwelashwa kuyasebenza.

Udokotela wakho uzoqapha inqubekela phambili yakho ngokuqokwa okulandelayo futhi mhlawumbe ngemisebe ye-X yesifuba ukuqinisekisa ukuthi ukwelashwa kuyaphumelela. Abantu abaningi abadingi ukuthi inqubo iphindwe, nakuba ezimweni ezingavamile, ukwelashwa okwengeziwe kungase kudingeke.

Yiziphi Imiphumela Eceleni Ye-Talc (Indlela Ye-Intrapleural)?

Njenganoma iyiphi inqubo yezokwelapha, i-talc pleurodesis ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Ukuqonda ukuthi yini ongayilindela kungakusiza ukuthi uzizwe ulungiseleleke kakhulu futhi wazi ukuthi ungaxhumana nini nethimba lakho lezempilo.

Imiphumela emibi ejwayelekile ongase uyithole ihlanganisa:

• Ubuhlungu besifuba noma ukungakhululeki izinsuku eziningana ngemva kwenqubo
• Umkhuhlane, ngokuvamile olula futhi wesikhashana
• Ukuphefumula okuncane okuthuthuka kancane kancane
• Ukukhathala njengoba umzimba wakho uphola
• Ukukhwehlela okungase kukhiqize amanzi amancane

Lezi zimpawu ngokuvamile zongululeka ngemithi yobuhlungu nokuphumula. Udokotela wakho uzonikeza imiyalelo ethile yokulawula ukungakhululeki ngesikhathi sokululama.

Izinkinga ezinzima azivamile kodwa zingabandakanya:

• Ukutheleleka endaweni yenqubo
• Ukuphuma kwegazi ngokweqile
• Umshiso wamaphaphu
• Ukuphefumula okudinga ukunakekelwa kwezokwelapha ngokushesha
• Ngokungavamile kakhulu, i-acute respiratory distress syndrome (ARDS)

Iqembu lakho lezokwelapha lizokuqapha ngokucophelela ngemuva kwenqubo ukuze libambe noma yiziphi izinkinga zisasekuqaleni. Abantu abaningi bayalulama ngaphandle kwezinkinga ezinkulu futhi bazizwa ngcono kakhulu uma ukuphola sekuqediwe.

Ubani Ongafanele Athole I-Talc (Indlela Ye-Intrapleural)?

Ngenkathi lokhu kwelashwa kungasiza kakhulu, akulungile kuwo wonke umuntu. Udokotela wakho uzoqapha ngokucophelela ukuthi ungumuntu ofanelekayo yini ngokusekelwe empilweni yakho yonke kanye nesimo sakho sezokwelapha esithile.

Ngeke ukwazi ukufaneleka kule nqubo uma une:

• Isifo esibi samaphaphu esenza inqubo ibe yingozi kakhulu
• Ukutheleleka okusebenzayo esifubeni sakho noma endaweni ye-pleural
• Ukwehluleka kwenhliziyo okukhulu okungalawulwa kahle
• Izinkinga zokujiya kwegazi ezandisa ingozi yokopha
• Ukuphendula okukhulu komzimba okwedlulele ku-talc
• Impilo embi kakhulu eyenza noma iyiphi inqubo ibe yingozi

Udokotela wakho uzobuye acabange ngokuphila kwakho okulindelekile kanye nemigomo yekhwalithi yempilo lapho enquma ukuthi lokhu kwelashwa kufanelekile yini. Isinqumo senziwa ngaso sonke isikhathi ndawonye, ​​kucatshangelwa okubaluleke kakhulu kuwe nomndeni wakho.

Amagama Omkhiqizo we-Talc

I-Talc yezokwelapha esetshenziselwa izinqubo ze-intrapleural ngokuvamile inikezwa njenge-talc powder enezinambuzane esikhundleni samagama athile omkhiqizo. Amalungiselelo asetshenziswa kakhulu afaka i-talc powder enezinambuzane ehlangabezana nezindinganiso eziqinile zezokwelapha.

Ezinye izibhedlela zingase zisebenzise imikhiqizo ethile ye-talc yezokwelapha efana ne-Steritalc noma amanye amalungiselelo emithi. Kodwa-ke, into ebalulekile akuyona igama lomkhiqizo, kodwa ukuthi i-talc inezinambuzane kahle futhi ihlangabezana nezindinganiso zokuphepha zokusetshenziswa kwezokwelapha.

Iqembu lakho lezempilo lizosebenzisa noma iyiphi i-talc yezokwelapha etholakala esibhedlela sakho, futhi wonke amalungiselelo avunyelwe asebenza ngendlela efanayo ukuze kufezwe i-pleurodesis.

Ezinye Izindlela Zokwelapha I-Talc

Uma i-talc pleurodesis ingakulungele, ezinye izindlela zokwelapha zingasiza ekuphatheni ukuthuthuka kwamanzi emaphashini nezinkinga zokuphefumula ezihlobene. Udokotela wakho uzoxoxa ngalezi zindlela ezingezinye ngokusekelwe esimweni sakho esithile.

Ezinye izinto ze-pleurodesis ezisebenza ngendlela efana ne-talc zihlanganisa:

• I-Bleomycin (i-antibiotic ebangela ukunamathela kwezicubu)
• I-Doxycycline (enye inketho ye-antibiotic)
• Izixazululo ezisekelwe ku-Iodine

Ezinye izindlela ezingezona zamakhemikhali zihlanganisa:

• I-Mechanical pleurodesis (ukusebenzisa izindlela zokuhlinza ukunamathisela izicubu ndawonye)
• Ama-catheter e-pleural ahlala ngaphakathi ukuze kuqhubeke ukugeleza kwamanzi
• I-Thoracentesis ephindaphindiwe (ukugeleza kwamanzi) njengoba kudingeka
• Ukuhlinzwa kwe-video-assisted thoracic (VATS) ezimweni eziyinkimbinkimbi kakhulu

Ukukhetha okungcono kuncike ezintweni ezifana nempilo yakho yonke, imbangela eyisisekelo yokuthuthuka kwamanzi emaphashini, nezintandokazi zakho mayelana nezindlela zokwelapha.

Ingabe i-Talc Ingcono Kune-Bleomycin?

Kokubili i-talc ne-bleomycin kuyizindlela zokwelapha ezisebenzayo zokuvimbela ukuthuthuka kwamanzi emaphashini, kodwa ngamunye unamathuba ahlukene. Ukukhetha phakathi kwabo kuncike esimweni sakho esithile sezokwelapha nokuthi udokotela wakho ucabanga ukuthi yini ezosebenza kahle kuwe.

I-Talc ivame ukukhethwa ngoba ivame ukusebenza kahle ekuvikeleni ukuthi uketshezi lungabuyi. Ucwaningo lubonisa ukuthi i-talc pleurodesis inamazinga empumelelo angaba ngu-90-95%, kuyilapho i-bleomycin ngokuvamile ithola amazinga empumelelo angama-80-85%.

Nokho, i-bleomycin ingase ikhethwe uma unezimo ezithile zempilo ezenza i-talc ingafaneleki kangako. I-Bleomycin ingase futhi ingabangeli izinkinga zokuphefumula ezingenzeka kakhulu nge-talc.

Udokotela wakho uzocabangela izinto ezifana neminyaka yakho, ukusebenza kwamaphaphu wonke, imbangela yokuthuthuka kwamanzi emaphashini, nezinye izimo zakho zezokwelapha lapho encoma inketho engcono kakhulu yokwelapha kuwe.

Imibuzo Evame Ukubuzwa Mayelana ne-Talc (Indlela ye-Intrapleural)

Ingabe i-Talc iphephile kubantu abanesifo somdlavuza?

Yebo, i-talc pleurodesis ivame ukusetshenziswa futhi ithathwa njengephephile kubantu abanesifo somdlavuza abathola i-pleural effusions. Eqinisweni, i-malignant pleural effusion ingenye yezizathu ezivamile kakhulu zokuthi le nqubo yenziwe.

Le nqubo ingathuthukisa kakhulu izinga lempilo leziguli ezinomdlavuza ngokuvimbela ukwakheka okuphindaphindiwe koketshezi okwenza ukuphefumula kube nzima. Ithimba lakho le-oncology lizosebenza nodokotela wamaphaphu ukuqinisekisa ukuthi isikhathi silungile nokuthi unamandla ngokwanele ngale nqubo.

Izinzuzo zivame ukwedlula izingozi, ikakhulukazi uma i-pleural effusions ibangela izinkinga ezinkulu zokuphefumula ezithinta imisebenzi yakho yansuku zonke nokunethezeka kwakho.

Kufanele ngenzeni uma ngizwa ubuhlungu obukhulu besifuba ngemva kwale nqubo?

Obunye ubuhlungu besifuba buvamile ngemva kwe-talc pleurodesis, kodwa ubuhlungu obukhulu noma obuqhubekayo kufanele buhlolwe ngokushesha. Xhumana nethimba lakho lezempilo ngokushesha uma uzwa ubuhlungu obukhulu, obuhlabayo besifuba, ubunzima obukhulu bokuphefumula, noma ubuhlungu obungathuthuki ngemithi enqunyiwe.

Udokotela wakho uzobe ekunikeze imiyalelo ethile mayelana nokuthi yiluphi izinga lobuhlungu okufanele ulilindele nokuthi ungabiza nini usizo. Unganqikazi ukuxhumana uma ukhathazekile nganoma yiziphi izimpawu.

Izimpawu eziphuthumayo ezidinga ukunakekelwa kwezempilo ngokushesha zihlanganisa ukuphefumula okuncane okukhulu, ubuhlungu besifuba obunezizungu, noma yiziphi izimpawu ezibonakala ziba zimbi kunokuba ngcono.

Kufanele ngenzeni uma ngithola umkhuhlane ngemva kokwelashwa?

Umkhuhlane olula (ufika ku-101°F noma 38.3°C) uvamile ezinsukwini ezimbalwa zokuqala ngemva kwe-talc pleurodesis njengoba umzimba wakho usabela kule nqubo. Lokhu kuvamile futhi kubonisa ukuthi inqubo yokuphulukisa iyasebenza.

Nokho, xhumana nodokotela wakho uma umkhuhlane wakho ungaphezu kuka-101°F, uhlala izinsuku ezingaphezu kwezingu-3-4, noma uhambisana nokubanda, ukukhathala okukhulu, noma izinkinga zokuphefumula eziqhubekayo. Lezi kungaba izimpawu zokutheleleka okudinga ukwelashwa.

Iqembu lakho lezempilo lizokunikeza imihlahlandlela ethile mayelana nokuthi yiluphi izinga lokushisa okufanele uliqaphele nokuthi kufanele ubalekele nini. Gcina umkhondo wezinga lokushisa lakho nanoma yiziphi ezinye izimpawu okufanele uzibike ngesikhathi socingo lokulandela.

Ngingabuyela nini emisebenzini ejwayelekile?

Abantu abaningi bangabuyela kancane kancane emisebenzini elula phakathi nezinsuku ezimbalwa kuya evikini elilodwa ngemuva kwe-talc pleurodesis. Kodwa-ke, ukululama okuphelele nokubuyela kuyo yonke imisebenzi ejwayelekile kuvame ukuthatha amasonto angu-2-4.

Qala ngemisebenzi emnene efana nokuhamba okufushane nemisebenzi yasekhaya elula. Gwema ukuphakamisa izinto ezisindayo, ukuzivocavoca okunzima, noma imisebenzi ebangela ukuphatheka kabi okukhulu esifubeni okungenani amasonto angu-2-3 noma kuze kube yilapho udokotela wakho ekuhlanza.

Isikhathi sakho sokululama singahluka ngokuya ngempilo yakho yonke, isimo esingaphansi eselashwayo, nokuthi ululama kahle kangakanani. Udokotela wakho uzohlinzeka ngesiqondiso esithile esuselwe esimweni sakho somuntu ngamunye.

Ngizodinga yini ama-X-ray esifuba okulandelayo?

Yebo, udokotela wakho ngokuvamile uzo-oda ama-X-ray esifuba ngezikhathi ezithile ukuze aqaphele impumelelo yenqubo futhi aqinisekise ukuthi azikho izinkinga ezivelayo. I-X-ray yokuqala ivame ukwenziwa phakathi nezinsuku ezimbalwa zenqubo.

Ukucabanga okulandelayo kusiza ukuqinisekisa ukuthi i-pleurodesis iyasebenza nokuthi uketshezi alwakhi ngokusha. Ama-X-ray angeziwe angahlelwa emasontweni angu-1-2, inyanga engu-1, bese kuthi ngezikhathi ezithile njengoba kudingeka.

Lawa ma-aphoyintimenti okulandelayo abalulekile ekuqinisekiseni umphumela ongcono kakhulu nokubamba noma yiziphi izinkinga ekuqaleni uma zenzeka. Udokotela wakho uzochaza uhlelo lokulandela nokuthi yini ongayilindela ekuvakasheni ngakunye.