Thoracentesis
3. jeermiska jeermiska
1) Jeermiska maqaarka caadiga ah, 3 iodine 3 alkohol, dhexroor 15cm
2) Xidho galoofyada nadiifka ah
3) Shukumaan goynta godka
4. Lakab lakabka suuxinta galitaanka gudaha
1) Bukaannada waxaa la siin karaa 0.011mg/kg atropine xididka si looga hortago reflex vasovagal inta lagu jiro soo saarista dareeraha.Daawooyinka suuxinta ama daawada dejiyaha looma baahna in la isticmaalo.
2) Inta daloolintu socoto, bukaanku waa inuu ka fogaadaa qufaca iyo wareegga jidhka, oo uu marka hore qaato codeine haddii loo baahdo.
3) 2ml lidocaine ayaa laga daloolay cidhifka sare ee feeraha soo socda si uu u sameeyo colliculus
4) Lakab lakab u gal si aad uga hortagto cirbadeynta xididdada dhiigga, oo ha gelin si qoto dheer godka xuubka xuubka
5. Daloolin
Maqaarka goobta daloolinta ayaa lagu hagaajiyaa gacanta bidix, cirbaddana waxaa la geliyey gacanta midig
Cidhifka sare ee feeraha soo socda, goobta suuxinta maxalliga ah, ku dur irbadda ilaa ay iska caabbinta ka baaba'do, oo jooji duritaanka
Irbad go'an oo dalool ah si looga hortago daloolinta xubnaha gudaha
Ka ilaali hawada inay gasho daloolka xuubka xuubka.Ka taxaddar marka aad shaqaynayso dhululubada irbadda iyo beddelka saddex-geesoodka ah.Hawada looma ogola inay gasho daloolka laabta.Waligaa si xoog ah ha ugu shubin dareeraha xuubka xuubka si aad uga fogaato irbadda ama kateetarka soo galaya xuubka xuubka sambabada.
6. Cirbad jiidid
1) Ka dib markaad ka saarto irbadda daloolka, ku dabool faashad nadiif ah oo cadaadis ku hagaaji
2) U jiifso qalliinka ka dib si aad uga fogaato nadiifinta deegaanka
7. taxaddarrada inta lagu jiro qalliinka iyo ka dib
1. Haddii ay dhacdo shoog anaphylactic, jooji qaliinka isla markiiba oo ku dur 0.1%------------0.3ml-0.5ml adrenaline subcutaneously
Bukaanku waxa laga yaabaa inuu dareemo xanuun laabta ah marka sambabada dib loogu fidiyo gidaarka laabta.Haddii ay dhacdo xanuun laabta ah oo daran, dyspnea, tachycardia, miyir beelid ama calaamado kale oo halis ah, waxaa la soo jeedinayaa in bukaanku qabo xasaasiyadda xuubka, waana in la joojiyo qulqulka qulqulka, xitaa haddii ay weli jirto xaddi badan oo dheecaan ah oo laabta ah.
2. Hal mar bamgareynta dareeraha waa in aanay noqon mid aad u badan, waa in aanay ka badnayn 700 markii ugu horeysay, oo aanay ka badnayn 1000 mustaqbalka.Bukaannada qaba xaddi badan oo dareere ah, wax ka yar 1500ml oo dareere ah waa in la miiraa mar kasta si looga fogaado xasillooni-darrada hemodynamic iyo / ama bararka sambabada ka dib qoritaanka sambabada.
Haddii ay dhacdo daloolin dhiig-baxa dhiig-baxa, waxaa habboon in la soo saaro dhiig urursan isla mar ahaantaana, fiiro gaar ah u yeelo cadaadiska dhiigga wakhti kasta, iyo in la dedejiyo dhiig- shubista iyo faleebada si looga hortago cillad degdeg ah oo neefsashada iyo wareegga wareegga ama shoogga inta lagu jiro dheecaanka dheecaanka.
3. Soo saarista dareeraha ogaanshaha 50-100
4. Haddi ay Empyema tahay, isku day in aad nuugo nadiif mar kasta
5. Baadhitaanka cytological waa in uu ahaadaa ugu yaraan 100 waana in si degdeg ah loo gudbiyaa si looga hortago is-daaweynta unugyada
6. Iska ilaali dalool ka hooseeya booska sagaalaad ee intercostal si aad uga hortagto dhaawaca xubnaha caloosha
7. Ka dib thoracocentesis, fiirsashada kiliinikada waa in la sii wadaa.Waxay noqon kartaa dhowr saacadood ama hal ama laba maalmood ka dib, thoracocentesis waa lagu soo celin karaa haddii loo baahdo.
Waqtiga boostada: Jun-08-2022
