Dị ka anyị niile maara, ngwaọrụ thoracentesis nke a na-atụfu bụ ihe bụ isi maka thoracentesis.Kedu ihe anyị kwesịrị ịma banyere thoracentesis?
Ngosipụta makaThoracocentesis
1. Nchọpụta nchọpụta nke trauma obi a na-enyo enyo na hemopneumothorax, nke chọrọ nkọwa ọzọ;Achọpụtaghị ọdịdị nke mgbawa nke pleural, na ọ dị mkpa ka a kpachie oghere ahụ maka nyocha ụlọ nyocha.
2. Mgbe nnukwu ego nke pleural effusion (ma ọ bụ hematocele) na-agbaji ọgwụgwọ ọgwụgwọ, nke na-emetụta ọrụ iku ume na nke na-ekesa ọbara, ma na-erubeghị eru maka drainage thoracic, ma ọ bụ pneumothorax na-emetụta ọrụ iku ume.
Usoro Thoracocentesis
1. Onye ọrịa ahụ na-anọdụ ala n'oche na ntụgharị ntụgharị, na ogwe aka dị mma n'azụ oche, isi na ogwe aka, na akụkụ ahụ emetụtara gbatịpụrụ n'elu isi;Ma ọ bụ buru ụzọ ịgha ụgha n'akụkụ ọkara, n'akụkụ akụkụ ahụ emetụtara elu na ogwe aka emetụtara n'elu isi, nke mere na intercosts na-emeghe.
2. Ekwesịrị ịme mgbatị ahụ na drainage n'ebe ụda siri ike nke percussion, n'ozuzu na 7th ruo 8th intercostal space nke subscapular angle, ma ọ bụ na 5th ruo 6th intercostal oghere nke midaxillary ahịrị.Ebe mgbapu nke mkpuchi mkpuchi mkpuchi kwesịrị ịdị ka nyocha X-ray fluoroscopy ma ọ bụ nyocha ultrasonic.
3. Pneumothorax aspirates, n'ozuzu na ọkara recumbent ọnọdụ, na mgbanaka ịkpọpu ebe bụ na midclavicular akara n'etiti 2nd na 3rd intercostals, ma ọ bụ n'ihu nke armpit n'etiti 4th na 5th intercostals.
4. Onye na-ahụ maka ọrụ kwesịrị ịrụ ọrụ aseptic nke ọma, yikwasị ihe mkpuchi, okpu na uwe aka, na-eji tincture iodine na mmanya na-egbu anụ ahụ na saịtị ahụ mgbe niile, ma tinye akwa nhicha ahụ.Nkụnwụ mpaghara kwesịrị ịbanye na pleura.
5. Ekwesịrị ịtinye agịga nwayọọ nwayọọ n'akụkụ elu nke ọgịrịga na-esote, na tube latex ejikọrọ na agịga kwesịrị ibu ụzọ kụchie ya na hemostatic forceps.Mgbe ị na-agafe na parietal pleura ma na-abanye n'ime oghere thoracic, ị nwere ike inwe mmetụta nke "echiche nke ịdaba" na n'ọnụ agịga na-eguzogide na mberede na-apụ n'anya, wee jikọọ sirinji, hapụ hemostatic forceps na latex tube, mgbe ahụ ị nwere ike ịgbapụta mmiri mmiri. ma ọ bụ ikuku (mgbe ị na-agbapụta ikuku, ị nwekwara ike jikọọ ngwaọrụ pneumothorax artificial mgbe akwadoro na a na-agbapụta pneumothorax ma na-agbapụta na-aga n'ihu).
6. Mgbe mmịpụta mmiri gasịrị, wepụ agịga ntụpọ ahụ, pịa 1 ~ 3nin na gauze na-adịghị mma na oghere agịga, ma dozie ya na teepu ntanye.Rịọ onye ọrịa ka ọ nọrọ n'ihe ndina.
7. Mgbe a na-adụ ndị ọrịa na-arịa ajọ ọrịa ahụ ọkpọ, ha na-ewerekarị ọnọdụ dị larịị, ha ekwesịghịkwa ibugharị ahụ ha nke ukwuu maka ịkụ ọkpọ.
Akpachara anya maka Thoracocentesis
1. Ọnụ ọgụgụ nke mmiri mmiri na-adọta site na nsị maka nchoputa bụ n'ozuzu 50-100ml;Maka ebumnuche nke decompression, ọ gaghị agafe 600ml maka oge mbụ na 1000ml maka oge ọ bụla mgbe nke ahụ gasịrị.N'oge mgbatị hemothorax traumatic, ọ bụ ihe amamihe dị na ya ịhapụ ọbara gbakọtara n'otu oge, ṅaa ntị na ọbara mgbali elu n'oge ọ bụla, na-eme ka mmịnye ọbara dị ngwa ngwa na infusion iji gbochie nkwụsị iku ume na iku ume na mberede ma ọ bụ ujo n'oge mmịpụta mmiri.
2. N'oge mgbatị ahụ, onye ọrịa kwesịrị izere ụkwara na ntụgharị ọnọdụ ahụ.Ọ bụrụ na ọ dị mkpa, enwere ike ibu ụzọ were codeine.N'ihe banyere ụkwara na-aga n'ihu ma ọ bụ njigide obi, isi ọwụwa, ọsụsọ oyi na mgbaàmà ọdịda ndị ọzọ n'oge a na-arụ ọrụ, a ga-akwụsị mmịpụta mmiri ozugbo, na adrenaline kwesịrị ịgbanye subcutaneously ma ọ bụrụ na ọ dị mkpa.
3. Mgbe oghere oghere nke mmiri na pneumothorax gasịrị, a ga-aga n'ihu nleba anya ụlọ ọgwụ.Mmiri nke pleural na gas nwere ike ịbawanye ọzọ ọtụtụ awa ma ọ bụ otu ụbọchị ma ọ bụ ụbọchị abụọ ka e mesịrị, enwere ike ịmegharị nsị ahụ ma ọ bụrụ na ọ dị mkpa.
Oge nzipu: Ọktoba 25-2022
