Nga tikanga o te thoracocentesis me te whakaheke wai metaratara
1 Tohutohu
Ko te puna wai katia he mea e tika ana ki te pneumothorax maataki, ki te mahanga pleural ranei.
2 Te mahi werohanga
1. Mo te hunga e maremare auau ana, me tango waha te 0.03 ~ 0.06g codeine i mua i te mahi kia kore ai e maremare ohorere i te wa e mahi ana, ka pa ki te mahi, ki te werohanga ranei o te ngutu ngira.
2. Ko te waahi werohanga he rite tonu ki te tomokanga o te puna wai thoracic kati.
3. Ko te kiri ka whakakorehia i te mate, ka wharikihia nga tauera pokai parakore, ka mahia nga mate whakamohoatanga o te rohe tae noa ki te paparanga pleura.
4. Hangaia he tapahi iti o te 0.5cm me te maripi koi ki roto i te kiri i te pito o te urunga o te ngira tae noa ki te kiri;He ata whakaurua te trocar mai i te wero kiri ki te uma;Unuhia te uho o te ngira, tere te kuhu i te ngongo kirikiri kirikiri porous ki te pito o mua, ka puta atu i te ringaringa;Ko te ngongo silica gel e hono ana ki te pounamu hiri wai;Tuia he ngira ki te miro hiraka reo-rahi ki te kohao, ka whakatika i te ngongo wai ki te pakitara o te uma.Mena e tika ana ki te tuhi i te rōrahi tangohanga hau, honoa te ngongo wairere ki te taputapu pneumothorax artificial, tuhia te rōrahi tangohanga hau me te mataki i te huringa o te pehanga thoracic.
3 Whakatupato
1. Ko te mahi katoa me tino mahi nga tikanga aseptiki hei aukati i te mate tuarua, me te wahi werohanga me te waahi whakaheke wai kia hipokina ki te karaehe horomata.
2. Kia whai whakaaro ki te tino whakatinana i nga whakaritenga o te "whakatika rua" o te ngongo wairere, me te whakatika i te ngongo rapa e hono ana i te pounamu hiri wai i runga i te mata o te moenga me te riipene piri.
3. He rite tonu etahi atu whakatupato ki te wai rere katia.
Wā tuku: Hune-13-2022