Njira za thoracocentesis ndi ngalande nditrocar
1 Zizindikiro
Kubowola madzi otsekeka kumagwiritsidwa ntchito makamaka pazovuta za pneumothorax kapena pleural effusion.
2 Ndondomeko yokhomerera
1. Kwa iwo omwe amatsokomola pafupipafupi, 0.03 ~ 0.06g codeine ayenera kumwedwa pakamwa asanachite opareshoni kuti apewe kutsokomola kwadzidzidzi panthawi ya opareshoni, zomwe zingakhudze opareshoni kapena kubaya nsonga ya singano.
2. Malo okhomerera ndi ofanana ndi khomo la ngalande yotsekedwa ya thoracic.
3. Khungu linali lopangidwa ndi mankhwala ophera tizilombo toyambitsa matenda, matawulo opangira opaleshoni osabala anali opakidwa, ndipo anesthesia wamba wamba ankachitidwa mpaka pleural layer.
4. Pangani kang'ono kakang'ono ka 0.5cm ndi mpeni wakuthwa pakhungu pamalo olowera singano mpaka pansi;The trocar inalowetsedwa pang'onopang'ono kuchokera pakhungu kupita pachifuwa;Kokani pachimake singano, lowetsani porous silika gel chubu kutsogolo, ndi kutuluka m'manja;The chubu la silika gel olumikizidwa ndi botolo lamadzi losindikizidwa;Sekeni singano ndi ulusi wa silika wapakati pa nsonga ya pini, ndipo konzani chubu changa pachifuwa.Ngati kuli koyenera kulemba voliyumu yotulutsa mpweya, gwirizanitsani chubu cha ngalande ku chipangizo chopanga pneumothorax, lembani voliyumu yotulutsa mpweya ndikuwona kusintha kwa kuthamanga kwa thoracic.
3 Kusamala
1. Opaleshoni lonse ayenera mosamalitsa aseptic njira kuteteza yachiwiri matenda, ndi puncture ndi ngalande malo ayenera yokutidwa ndi wosabala yopyapyala.
2. Samalani kuti mugwiritse ntchito mosamalitsa zofunikira za "kukhazikika kawiri" kwa chubu la ngalande, ndikukonza chubu cha rabara cholumikiza botolo lamadzi osindikizira pa bedi ndi tepi yomatira.
3. Njira zina zodzitetezera ndizofanana ndi kutsekedwa kwa thoracic drainage.
Nthawi yotumiza: Jun-13-2022
