Ka whakamahia nga taputapu pupuhi pleural me te endoscope ki te whakarite i te huarahi uru o te taputapu ma te werohanga i roto i te pokanga endoscopic pleural.
Torotika toroanga ahuatanga
1. Mahi ngawari, ngawari ki te whakamahi.
2. Ko te werohanga puhuki, he kino iti ki te kiri me te kiko uaua.
3. He iti ake te werohanga pokanga, he pai ake ki te kaupapa o te whakaekenga iti.
4. Ka mau tonu te puncture cannula, ka taea te pupuri i te taputapu ki roto, ki waho.
Te whakamahi a Thoracoscopic trocar
1. Kia noho pai te manawanui mo te pokanga, ka anga ki muri o te tuuru, ka tuu ona ringa ki runga i te tuara o te tuuru.Rae i runga i te rae.Kaore e taea te ara ake, he pai te tuunga noho-a-waa, ko te taha kua pangia o te ringa ka tuu ki roto i te occipital.
2. Te werohanga me te tangohanga hau whakahekenga:
(1) Ko te piro o te uma e pupuhi ana i te wai, ka mahi i te percussion o te uma, ko nga waahanga tuatahi mo te werohanga oro tino kitea, he mea tika kia mohiohia ka taea e te waahi wero te whakamahi i te puru gentian, te wero, te tikanga e wha, ko ia: koki pokohiwi i te waewae o te raina i waenganui i te 7-9 rara, te axillary raina i muri i te 7-8 intercostals, axillary waenganui i waenganui i 6-7 rara, axillary i waenganui i te mua 5 a 6 rara.
(2) Pneumothorax suction decompression: Ko te waahi werohanga ko te waahi utu tuarua o te raina midclavicular taha e pa ana, ko te waahi utu 4-5 ranei o te raina midaxillary.
3. Whakakorikorihia te kiri i te waahi wero kia werohia ki te iodine me te waipiro, me te 15cm te awhe whakakino mate.I te whakatuwheratanga o te putea pupuhi, kia tupato ki nga taputapu hauora i roto i te putea me te tirotiro mehemea he maeneene te ngira pupuhi.
4. I mahia te mate whakamohoatanga o te rohe ma te tango i te 2% procaine 2cm me te syringe 2cm mai i te pito o runga o nga rara i te waahi wero mo te rewharewha o te rohe mai i te kiri ki te parial pleura.I mua i te werohanga, me whakahoki ano te rewharewha, kia kaua e tirohia te hau, te toto, te wai pleural ranei i mua i te werohanga.
5. Te timatanga o te werohanga: Tuatahi, rawhi i te ngongo rapa i muri i te ngira wero ki te maru hemostatic, whakatikahia te kiri o te rohe ki te waahi werohanga me te ringa maui, mau ki te ngira wero (he mea takai ki te kawau parakore) me te ringa matau, me Pierce he poutū me te ata haere i te taha o te waahi rongoa ma te taha o runga o nga rara.Ka ngaro ohorere te parenga o te pito ngira, e tohu ana kua uru te pito ki roto i te kohao pleural, me te whakapiri i te syringe 50M1.Ka tukuna e te kaiawhina nga mahanga hemostatic me te awhina ki te whakatika i te ngira werohanga ma te maapiri hemostatic.Whai muri i te whakakii i te syringe, ka mauhia e te kaiawhina te ngongo ngongo ki te maru hemostatic me te tango i te syringe.Ringihia te wai ki roto i te ipu, ine ka tukuna kia tirotirohia e te taiwhanga.
Wā tuku: Oketopa-11-2022
