Thoracentesis
3. Disinfection
1) Disinfection fata na yau da kullun, 3 iodine 3 barasa, diamita 15cm
2) Sanya safar hannu bakararre,
3) Hole kwanciya tawul
4. Layer by Layer na gida infiltration maganin sa barci
1) Ana iya ba marasa lafiya 0.011mg/kg atropine a cikin jini don hana vasovagal reflex yayin cirewar ruwa.Ba a buƙatar yin amfani da maganin sa barci ko maganin kwantar da hankali.
2) Lokacin huda, mara lafiya ya guji tari da jujjuya yanayin jiki, sannan a fara shan codeine idan ya cancanta.
3) An huda lidocaine 2ml a saman haƙarƙari na gaba don samar da colliculus.
4) Shiga Layer by Layer don hana allura a cikin tasoshin jini, kuma kada ku shiga cikin rami mai zurfi sosai.
5. Huda
Ana gyara fata a wurin huda da hannun hagu, kuma an saka allurar da hannun dama
A gefen sama na haƙarƙari na gaba, a wurin maganin sa barci, yi allurar har sai juriya ta ɓace, sannan a dakatar da allurar.
Kafaffen allurar huda don hana huda gabobin ciki
Hana iska daga shiga cikin rami na pleural.Yi hankali lokacin aiki da silinda na allura da maɓalli uku.Ba a yarda da iska ya shiga cikin kogon kirji.Kada a taba yin famfo ruwan matsi da karfi don gujewa allura ko catheter shiga cikin pleura yana cutar da huhu.
6. Jan allura
1) Bayan cire allurar huda, rufe shi da gauze mara kyau kuma gyara shi a ƙarƙashin matsin lamba
2) Kwance har yanzu bayan aiki don kauce wa tsaftacewa na gida
7. Hattara yayin aiki da bayan aiki
1. Idan akwai girgiza anaphylactic, dakatar da aikin nan da nan kuma a yi allurar 0.1% ----------- 0.3ml-0.5ml adrenaline subcutaneously
Mai haƙuri na iya jin ciwon ƙirji lokacin da aka sake shimfiɗa huhu zuwa bangon ƙirji.Idan akwai ciwon kirji mai tsanani, dyspnea, tachycardia, suma ko wasu cututtuka masu tsanani, ana ba da shawarar cewa majiyyaci yana da rashin lafiyar jiki, kuma ya kamata a dakatar da magudanar ruwa, koda kuwa har yanzu akwai adadi mai yawa a cikin ƙirjin.
2. Yin famfo ruwa lokaci daya kada ya yi yawa, bai wuce 700 a karon farko ba, kuma kada ya wuce 1000 a gaba.Ga marasa lafiya masu yawan ruwa mai yawa, yakamata a shayar da ƙasa da 1500ml na ruwa kowane lokaci don guje wa rashin kwanciyar hankali da / ko edema na huhu bayan ɗaukar huhu.
Idan akwai huda hemothorax mai rauni, yana da kyau a fitar da jini 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.
3. Ciwon ruwan bincike 50-100
4. Idan ciwon sanyi ne, a yi ƙoƙarin tsotse shi a kowane lokaci
5. Binciken cytological yakamata ya zama aƙalla 100 kuma yakamata a gabatar da shi nan da nan don hana ƙwayar ƙwayar cuta
6. A guji huda ƙasa da sarari na intercostal na tara don hana rauni ga gabobi na ciki
7. Bayan thoracocentesis, ya kamata a ci gaba da lura da asibiti.Yana iya zama sa'o'i da yawa ko kwana ɗaya ko biyu bayan haka, ana iya maimaita thoracocentesis idan ya cancanta.
Lokacin aikawa: Juni-08-2022
