Kamar yadda muka sani, na'urar thoracentesis da za a iya zubar da ita ita ce mabuɗin kayan aiki don thoracentesis.Menene ya kamata mu sani game da thoracentesis?
Alamomi gaThoracocentesis
1. Binciken huda ciwon kirji da ake zargin hemopneumothorax, wanda ke buƙatar ƙarin bayani;Ba a tantance yanayin zubar da jini ba, kuma akwai bukatar a huda huda domin a duba dakin gwaje-gwaje.
2. Lokacin da aka huda mai yawa na ƙwayar ƙwayar cuta (ko hematocele) ta hanyar warkewa, wanda ke shafar ayyukan numfashi da na jini, kuma bai riga ya cancanci magudanar thoracic ba, ko pneumothorax yana rinjayar aikin numfashi.
Hanyar Thoracocentesis
1. Mara lafiya yana zaune a kan kujera a baya, tare da lafiyayyen hannu a bayan kujera, kai a kan hannu, da kuma abin da ya shafa na sama ya shimfiɗa sama da kai;Ko ɗauki wurin kwance rabin gefe, tare da gefen da abin ya shafa sama da kuma hannun gefen da abin ya shafa ya ɗaga sama da kai, ta yadda tsaka-tsakin suna buɗewa.
2. Yakamata a yi huda da magudanar ruwa a madaidaicin sautin bugun bugun, gabaɗaya a cikin 7th zuwa 8th intercostal sarari na kusurwar subscapular, ko kuma a cikin sarari na intercostal na 5 zuwa 6 na layin midaxillary.Wurin huda na zubar da jini ya kamata a same shi bisa ga X-ray fluoroscopy ko gwajin ultrasonic.
3. Pneumothorax aspirates, gabaɗaya a cikin matsakaicin matsakaicin matsayi, kuma wurin huda zobe yana cikin layin tsakiyar clavicular tsakanin 2nd da 3rd intercostals, ko kuma a gaban hamma tsakanin 4th da 5th intercostals.
4. Mai aiki ya kamata ya yi aikin aseptic sosai, ya sa abin rufe fuska, hula da safar hannu, yana lalata fata a wurin huda tare da tincture na iodine da barasa, sannan ya shimfiɗa tawul ɗin tiyata.Dole ne maganin sa barci ya shiga cikin pleura.
5. Ya kamata a shigar da allurar a hankali tare da gefen babba na haƙarƙari na gaba, kuma a fara manne bututun latex da aka haɗa da allurar da ƙarfin hemostatic da farko.Lokacin wucewa ta cikin parietal pleura kuma shiga cikin rami na thoracic, zaku iya jin "hankalin fadowa" cewa tip ɗin allura yana tsayayya da bacewar kwatsam, sannan ku haɗa sirinji, sakin ƙarfin hemostatic akan bututun latex, sannan zaku iya zubar da ruwa. ko iska (lokacin fitar da iska, zaku iya haɗa na'urar pneumothorax ta wucin gadi lokacin da aka tabbatar da cewa an fitar da pneumothorax, kuma a ci gaba da yin famfo).
6. Bayan hakar ruwa, cire allurar huda, danna 1 ~ 3nin tare da gauze mara kyau a ramin allura, kuma gyara shi da tef ɗin m.Tambayi mara lafiya ya zauna a gado.
7. Lokacin da aka huda majinyata masu tsanani, gabaɗaya suna ɗaukar matsayi a kwance, kuma kada su motsa jikinsu da yawa don huda.
Kariya don Thoracocentesis
1. Adadin ruwan da aka zana ta huda don ganewar asali shine gabaɗaya 50-100ml;Don dalilai na decompression, kada ya wuce 600ml a karon farko da 1000ml na kowane lokaci bayan haka.A lokacin huda hemothorax mai rauni, yana da kyau a saki jinin da aka tara a lokaci guda, a kula da hawan jini a kowane lokaci, a kuma hanzarta karbar jini da jiko don hana tabarbarewar numfashi da bugun jini kwatsam ko girgiza yayin fitar ruwa.
2. A lokacin huda, mai haƙuri ya kamata ya guje wa tari da juyawa matsayi na jiki.Idan ya cancanta, ana iya fara shan codeine.Idan ana ci gaba da tari ko maƙarƙashiyar ƙirji, tashin hankali, gumi mai sanyi da sauran alamun rugujewa yayin aikin, yakamata a daina fitar da ruwa nan da nan, kuma a yi masa allurar adrenaline ta cikin ƙasa idan ya cancanta.
3. Bayan kumburin ruwa da pneumothorax, yakamata a ci gaba da lura da asibiti.Ruwan pleural da iskar gas na iya sake karuwa sa'o'i da yawa ko kwana ɗaya ko biyu, kuma ana iya maimaita huda idan ya cancanta.
Lokacin aikawa: Oktoba-25-2022
