Thoracentesis
3. Disinfection
1) Ngwọta anụ ahụ na-emekarị, 3 ayodiin 3 mmanya, dayameta 15cm
2) Yiri gloves na-adịghị mma,
3) oghere ịtọ akwa akwa akwa
4. Layer site oyi akwa mkpuchi infiltration mpaghara
1) Enwere ike inye ndị ọrịa 0.011mg / kg atropine intravenously iji gbochie reflex vasovagal n'oge mmịpụta mmiri.Ọ dịghị mkpa iji ọgwụ anestetiiki ma ọ bụ ihe na-eme ka ahụ́ sie ike.
2) N'oge mgbatị ahụ, onye ọrịa kwesịrị izere ụkwara na ntụgharị ọnọdụ ahụ, buru ụzọ were codeine ma ọ bụrụ na ọ dị mkpa.
3) 2ml lidocaine ka a tụrụ ya n'akụkụ elu nke ọgịrịga na-esote iji mepụta colliculus.
4) Tinye oyi akwa site na oyi akwa iji gbochie ịgba ntụtụ n'ime arịa ọbara, na etinyekwala oghere pleural nke ukwuu.
5. Puncture
A na-eji aka ekpe edozi akpụkpọ ahụ dị na ebe nkwụsịtụ ahụ, a na-etinyekwa agịga ahụ n'aka nri
N'akụkụ elu nke ọgịrịga na-esote, na saịtị anesthesia mpaghara, gbanye agịga ahụ ruo mgbe mgbochi ahụ ga-apụ n'anya, ma kwụsị ịgba ọgwụ ahụ.
agịga a kapịrị ọnụ iji gbochie nsị nke akụkụ ahụ dị n'ime
Gbochie ikuku ịbanye n'ime oghere pleural.Kpachara anya mgbe ị na-arụ ọrụ cylinder agịga na mgba ọkụ ụzọ atọ.A naghị ekwe ka ikuku banye n'ime oghere obi.Akwụsịla mmiri nke pleural ahụ ike iji zere agịga ma ọ bụ catheter na-abanye na pleura na-emerụ ahụ ngụgụ.
6. Ịdọkpụrụ agịga
1) Mgbe ị wepụsịrị agịga mgbapu, kpuchie ya na gauze na-adịghị mma ma dozie ya n'okpuru nrụgide
2) Dina ka arụchara ọrụ iji zere ihicha mpaghara
7. Akpachara anya n'oge na mgbe arụ ọrụ
1. N'ihe gbasara ujo anaphylactic, kwụsị ọrụ ahụ ozugbo wee gbanye 0.1% -----------0.3ml-0.5ml adrenaline subcutaneously
Onye ọrịa ahụ nwere ike ịnwe mgbu obi mgbe a gbatịkwara ngụgụ na mgbidi obi.N'ihe banyere mgbu obi siri ike, dyspnea, tachycardia, ịda mbà n'obi ma ọ bụ mgbaàmà ndị ọzọ siri ike, a na-atụ aro na onye ọrịa ahụ nwere ihe nfụkasị ahụ nke pleural, na ekwesịrị ịkwụsị drainage ahụ, ọ bụrụgodị na a ka nwere nnukwu ọbara ọgbụgba n'ime obi.
2. Otu oge mmiri mmiri na-agbapụta ekwesịghị ịbụ nke ukwuu, ọ bụghị ihe karịrị 700 maka oge mbụ, ma ọ bụghị karịa 1000 n'ọdịnihu.Maka ndị ọrịa nwere oke mmiri nke pleural, ihe na-erughị 1500ml nke mmiri kwesịrị ịwụpụ oge ọ bụla iji zere nsogbu hemodynamic na / ma ọ bụ edema pulmonary mgbe ha nwesịrị ọrụ ngụgụ.
N'ihe banyere mgbawa hemothorax traumatic, ọ bụ ihe amamihe dị na ya ịwepụ ọbara kwakọbara 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 nkwụsịtụ iku ume na iku ume ma ọ bụ ujo n'oge mmịpụta mmiri.
3. Mwepụta mmiri nyocha 50-100
4. Ọ bụrụ na ọ bụ empyema, gbalịa na-aṅụ ya mgbe ọ bụla
5. Nyocha cytological kwesịrị ịbụ opekata mpe 100 ma nyefee ya ozugbo iji gbochie autolysis cell
6. Zere mgbapu n'okpuru oghere intercostal nke itoolu iji gbochie mmerụ ahụ na akụkụ afọ
7. Mgbe thoracocentesis gasịrị, a ga-anọgide na-eleba anya n'ụlọ ọgwụ.Ọ nwere ike ịbụ ọtụtụ awa ma ọ bụ otu ma ọ bụ ụbọchị abụọ ka e mesịrị, a na-emegharị thoracocentesis ma ọ bụrụ na ọ dị mkpa.
Oge nzipu: Jun-08-2022
