Kemgbe afọ 1998

Onye na-enye ọrụ nkwụsịtụ maka akụrụngwa ịwa ahụ izugbe
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Ihe ị ga-amarịrị gbasara trocar thoracoscopic a na-atụfu

Ihe ị ga-amarịrị gbasara trocar thoracoscopic a na-atụfu

Ngwaahịa ndị emetụtara

A na-eji ngwa puncture pleural nke a na-atụfu ihe na-ejikọta ya na endoscope iji guzobe ọwa nke ngwa ahụ site na nsị na ịwa ahụ endoscopic pleural.

Thoracoscopic trocar's e ji mara

1. Ọrụ dị mfe, dị mfe iji.

2. Mgbapu na-adịghị mma, obere mmebi akpụkpọ anụ na anụ ahụ.

3. Mbipu nke ịwa ahụ dị ntakịrị, karịa n'echiche nke obere mkpasu iwe.

4. A na-edozi cannula ntụpọ ahụ nke ọma, a pụkwara idobe ngwa ahụ n'ime ma pụta.

Otu-eji-thoracentesis-ọnụahịa-Smail (1)

Iji Thoracoscopic trocar eme ihe

1. Debe onye ọrịa ahụ n'ọnọdụ nwere ike ime enyi maka ịwa ahụ, chere ihu n'azụ oche, ma tinye aka ya n'azụ oche.ọkpọiso na ọkpọiso.Enweghị ike ibili, na-achọsi ike ọkara-anọdụ ala oche, emetụta akụkụ nke forearm enịm ke occipital.

2. Ntupu na mmịpụta ikuku:

(1) The chest puncture pumping liquid, undertake chest percussion, mbụ nhọrọ ezigbo akụkụ maka ịkpọpu ụda doro anya, ọ bụ ihe kwesịrị ịrịba ama na ntụpọ ntụpọ nwere ike iji gentian violet, na ntupu, n'ozuzu e nwere anọ, karị bụ: ubu Angle na ụkwụ nke ahịrị n'etiti 7-9 ribs, axillary ahịrị mgbe 7-8 intercostals, axillary midline n'etiti 6-7 ọgịrịga, axillary n'etiti n'ihu 5 a 6 ọgịrịga.

(2) Pneumothorax suction decompression: Ebe ntupu bụkarị oghere ọnụ ahịa nke abụọ nke ahịrị midclavicular akụkụ emetụtara ma ọ bụ oghere 4-5 nke ahịrị midaxillary.

3. Sterilize akpụkpọ ahụ n'ebe mgbapu ka a ga-eji ayodiin na mmanya tụọ ya, ebe nkwụsị ahụ dị ihe dịka 15cm.Mgbe ị na-emepe akpa mgbapu, ṅaa ntị na ngwa ahụike dị na akpa ahụ wee lelee ma agịga ntụpọ ọ dị ire.

4. A na-eme ihe mgbakasị mpaghara site na iwepụta 2% procaine 2cm na sirinji 2cm site na nsọtụ elu nke ọgịrịga ahụ na ebe mgbaba maka mgbakasị mpaghara site na akpụkpọ ahụ ruo na parial pleura.Tupu ịgba ọgwụ mgbochi ahụ, a ga-awụghachi ọgwụ nrịanrịa ahụ azụ, ọ dịghịkwa gas, ọbara ma ọ bụ mmiri pleural ka a ga-ahụ tupu ịgba ahụ.

5. Mmalite ntupu: Nke mbụ, jigide eriri rọba n'azụ agịga ahụ na ike hemostatic, jiri aka ekpe dozie akpụkpọ ahụ dị n'ógbè ahụ na saịtị ntụpọ ahụ, jide agịga ntụpọ (nke ejiri gauze na-adịghị mma) jide aka nri, na Pierce. ọ kwụ ọtọ na nwayọ n'akụkụ ebe anestetiiki site na nsọtụ elu nke ọgịrịga ahụ.Mgbe nkwụsị nke n'ọnụ agịga na-apụ na mberede, ọ na-egosi na ọnụ ahụ abanyela n'ime oghere pleural, ma tinye sirinji 50M1.Onye inyeaka ahụ na-ahapụ ike hemostatic ma na-enyere aka n'iji ike hemostatic dozie agịga ahụ.Mgbe ejuchara sirinji ahụ, onye inyeaka ahụ ji ike hemostatic jigide eriri ahụ wee wepụ sirinji ahụ.Wunye mmiri mmiri n'ime akpa ahụ, tụọ ya ma ziga ya maka nyocha ụlọ nyocha.

Ngwaahịa ndị emetụtara
Oge nzipu: Ọktoba 11-2022