Thoracentezi
3. Kwanduza
1) Kwanduza uruhu rusanzwe, 3 iyode 3 inzoga, diameter 15cm
2) Kwambara uturindantoki twa sterile,
3) Gutobora igitambaro
4. Anesthesia kumurongo
1) Abarwayi barashobora guhabwa 0.011mg / kg atropine imitsi kugirango birinde refleks ya vasovagal mugihe cyo gukuramo amazi.Anesthetike cyangwa imiti igabanya ubukana ntibikenewe gukoreshwa.
2) Mugihe cyo gutobora, umurwayi agomba kwirinda gukorora no guhinduranya umubiri, hanyuma akabanza gufata codeine nibiba ngombwa.
3) 2ml lidocaine yacumiswe kuruhande rwo hejuru rwimbavu ikurikira kugirango ikore colliculus
4) Injira kumurongo kugirango wirinde guterwa mumitsi yamaraso, kandi ntukinjire mumyanya ndangagitsina cyane
5. Gutobora
Uruhu kurubuga rwaciwe rushyizweho ukuboko kwi bumoso, urushinge rwinjizwamo ukuboko kwi buryo
Kuruhande rwo hejuru rwurubavu rukurikira, ahakorerwa anesthesi yaho, shyiramo urushinge kugeza igihe ibitero bizimira, hanyuma uhagarike inshinge
Urushinge ruhamye rwo gukumira ibice byimbere
Irinde umwuka kwinjira mu cyuho cyiza.Witondere mugihe ukoresha silinderi y'urushinge hamwe ninzira eshatu.Umwuka ntiwemerewe kwinjira mu cyuho cy'igituza.Ntuzigere uvoma amazi meza kugirango wirinde urushinge cyangwa catheter yinjira muri pleura ibabaza ibihaha.
6. Gukurura inshinge
1) Nyuma yo gukuraho urushinge rwacumise, ubitwikire na sterile ya sterile hanyuma ubikosore mukibazo
2) Kubeshya nyuma yo kubagwa kugirango wirinde isuku ryaho
7. Kwirinda mugihe na nyuma yo gukora
1. Mugihe habaye anaphylactique, hagarika ibikorwa ako kanya hanyuma utere 0.1% ------------ 0.3ml-0.5ml adrenaline munsi yubutaka
Umurwayi arashobora kumva ububabare bwo mu gatuza mugihe ibihaha byongeye kuramburwa kurukuta rwigituza.Mugihe habaye ububabare bukabije bwo mu gatuza, dyspnea, tachycardia, gucika intege cyangwa ibindi bimenyetso bikomeye, birasabwa ko umurwayi afite allergie ya pleural, kandi amazi agomba guhagarara, kabone niyo haba hakiri byinshi byo kwinezeza mu gituza.
2. Igihe kimwe kuvoma amazi ntibigomba kuba byinshi, ntibirenza 700 kunshuro yambere, kandi ntibirenza 1000 mugihe kizaza.Ku barwayi bafite amazi menshi yuzuye, munsi ya 1500ml y'amazi agomba kuvomerwa buri gihe kugirango birinde ihungabana rya hemodinamike hamwe na / cyangwa ibihaha nyuma yo kwinjiza ibihaha.
Mugihe habaye ihahamuka rya hemothorax, ni byiza gusohora icyarimwe icyarimwe, kwitondera umuvuduko wamaraso umwanya uwariwo wose, no kwihutisha guterwa amaraso no guterwa kugirango wirinde guhumeka gutunguranye no gutembera gutunguranye cyangwa guhungabana mugihe cyo gukuramo amazi.
3. Gukuramo amazi yo kwisuzumisha 50-100
4. Niba ari empyema, gerageza kuyinyunyuza isuku buri gihe
5. Ikizamini cya cytologiya kigomba kuba nibura 100 kandi kigomba gutangwa ako kanya kugirango wirinde autolysis
6. Irinde gutobora munsi yumwanya wa cyenda intercostal kugirango wirinde gukomeretsa ingingo zo munda
7. Nyuma ya thoracocentez, kwitegereza kwa muganga bigomba gukomeza.Birashobora kuba amasaha menshi cyangwa umunsi umwe cyangwa ibiri nyuma, thoracocentezi irashobora gusubirwamo nibiba ngombwa.
Igihe cyo kohereza: Jun-08-2022
