Muna amfani da allura da aka haifuwa don huda fata, nama na intercostal da parietal pleura zuwa cikin kogon ma'auni, wanda ake kira.huda thoracic.
Me yasa kuke son huda kirji?Da farko, ya kamata mu san rawar da huda thoracic a cikin ganewar asali da kuma kula da cututtuka na thoracic.Thoracocentesis hanya ce ta kowa, dacewa kuma mai sauƙi don ganewar asali da magani a cikin aikin asibiti na sashen huhu.Misali, ta hanyar bincike, mun gano cewa majiyyaci yana da kumburin pleural.Za mu iya zana ruwan ta hanyar huda huhu da kuma gudanar da gwaje-gwaje daban-daban don gano musabbabin cutar.Idan akwai ruwa mai yawa a cikin rami, wanda ke danne huhu ko kuma ya tara ruwa na dogon lokaci, fibrin da ke cikinsa yana da sauƙi don tsarawa kuma yana haifar da nau'i biyu na mannewar huhu, wanda ke shafar aikin numfashi na huhu.A wannan lokacin, muna kuma buƙatar huda don cire ruwan.Idan ya cancanta, ana kuma iya allurar magunguna don cimma manufar jiyya.Idan cutar sankara ce ke haifar da zub da jini, muna allurar maganin cutar kansa don yin aikin rigakafin cutar kansa.Idan akwai iskar gas da yawa a cikin rami na kirji, kuma rami na pleural ya canza daga matsi mara kyau zuwa matsi mai kyau, to ana iya amfani da wannan aikin don rage karfin da fitar da iskar gas.Idan bronchus na majiyyaci yana da alaƙa da rami mai zurfi, za mu iya yin allurar shuɗi (wanda ake kira methylene blue, wanda ba shi da lahani ga jikin mutum) a cikin kirji ta hanyar allurar huda.Sannan majiyyaci na iya tari ruwa mai shudi (ciki har da sputum) lokacin tari, sannan zamu iya tabbatar da cewa majiyyacin yana da yoyon fitsari.Bronchopleural fistula wani nau'i ne na pathological da aka kafa saboda shiga cikin raunuka na huhu a cikin bronchi, alveoli da pleura.Yana da wani nassi daga kogon baka zuwa trachea zuwa bronchi a kowane mataki zuwa alveoli zuwa visceral pleura zuwa rami na pleural.
Menene ya kamata a ba da hankali ga huda thoracic?
Lokacin da yazo da huda thoracic, yawancin marasa lafiya suna jin tsoro koyaushe.Ba abu ne mai sauƙi ba kamar yadda allura ke bugun gindi, amma tana huda ƙirji.Akwai zukata da huhu a cikin ƙirji, waɗanda ba za su iya ba sai tsoro.Menene ya kamata mu yi idan aka huda allurar, shin zai kasance da haɗari, kuma menene ya kamata likitoci su mai da hankali a kai?Ya kamata mu san abin da ya kamata marasa lafiya su kula da kuma yadda za mu hada kai da kyau.Dangane da hanyoyin aiki, kusan babu haɗari.Saboda haka, mun yi imanin cewa thoracocentesis yana da lafiya ba tare da tsoro ba.
Menene ma'aikaci ya kamata ya kula?Ya kamata kowane likitan mu ya fahimci alamun da kuma abubuwan da ake amfani da su na huda thoracic.Ya kamata a lura cewa dole ne a sanya allurar a gefen haƙarƙari na sama, kuma ba a gefen haƙarƙari ba, in ba haka ba za a ji rauni ta hanyar kuskuren jijiyoyin jini da jijiyoyi a gefen ƙananan haƙarƙarin.Dole ne a yi maganin kashe kwayoyin cuta a hankali.Dole ne aikin ya zama bakararre.Dole ne a yi aikin mai haƙuri da kyau don kauce wa damuwa da yanayin damuwa.Dole ne a sami haɗin gwiwa tare da likita.Lokacin karbar aikin, dole ne a lura da canje-canje na majiyyaci a kowane lokaci, kamar tari, kodadde fuska, gumi, bugun zuciya, syncope, da sauransu. Idan ya cancanta, dakatar da aiki kuma nan da nan ya kwanta a gado don ceto.
Menene ya kamata marasa lafiya su kula?Da farko, ya kamata marasa lafiya su kasance a shirye su yi aiki tare da likitoci don kawar da tsoro, damuwa da tashin hankali.Na biyu, marasa lafiya kada tari.Su zauna a gado da kyau a gaba.Idan ba su da lafiya su bayyana wa likita domin likitan ya duba abin da zai kula ko kuma ya dakatar da aikin.Na uku, ya kamata ku kwanta na kimanin sa'o'i biyu bayan thoracentesis.
A cikin maganin pneumothorax da aka ambata a cikin sashin gaggawa na sashen huhu, idan muka haɗu da mara lafiya tare da pneumothorax, ƙwayar huhu ba ta da tsanani kuma numfashi ba shi da wahala bayan dubawa.Bayan dubawa, huhu baya ci gaba da matsawa, wato, iskar gas a cikin kirji ba ya kara karuwa.Irin waɗannan majiyyatan ƙila ba lallai ba ne a yi musu magani ta huda, intubation da magudanar ruwa.Matukar aka yi amfani da allura mai kauri dan kadan don huda, cire iskar gas, wani lokacin kuma akai-akai sau da yawa, huhu zai sake fadada, wanda kuma zai cimma manufar magani.
A ƙarshe, Ina so in ambaci huda huhu.A haƙiƙa, huda huhun shine shigar huhun thoracic.Ana huda allurar a cikin huhu ta cikin kogon pleural da kuma ta visceral pleura.Akwai kuma dalilai guda biyu.Suna gudanar da binciken kwayar halitta na huhu parenchyma, su kara yin nazarin ruwan da ke cikin kogon kogon burowa ko bututun burowa don tantance ganewar asali, sannan a yi maganin wasu cututtuka ta hanyar huda huhu, kamar sha'awar tururuwa a wasu kogon. tare da rashin magudanar ruwa, da kuma allurar magunguna idan ya cancanta don cimma manufar magani.Koyaya, abubuwan da ake buƙata don huda huhu suna da yawa.Ya kamata aikin ya kasance mai hankali, hankali da sauri.Ya kamata a rage lokacin gwargwadon iyawa.Ya kamata majiyyaci ya ba da haɗin kai sosai.Numfashin ya kamata ya tsaya, kuma kada a bari tari.Kafin huda, majiyyaci ya kamata ya sami cikakken jarrabawa, domin likita ya iya gano daidai kuma ya inganta yawan nasarar huda.
Don haka, muddin likitocin suka bi matakan tiyata kuma suka yi aiki a hankali, marasa lafiya za su kawar da fargabar su kuma su hada kai da likitocin.Huda thoracic yana da aminci sosai, kuma babu buƙatar jin tsoro.
Lokacin aikawa: Oktoba-18-2022
