Chii chinonzi Paracentesis uye ndechei

Zvemukati

• Chii ichochi
• Zvinoitwa sei
• Zvinogona kuitika

Paracentesis inzira yekurapa iyo inosanganisira kudhonza mvura kubva padumbu remuviri. Inowanzoitwa kana paine ascites, kunova kuunganidzwa kwemvura mudumbu, inokonzerwa nezvirwere senge cirrhosis yechiropa, gomarara kana hutachiona hwemudumbu, semuenzaniso. Nzwisisa kuti chii chinonzi ascites uye nezvirwere zvinokonzeresa.

Izvo zvinoitwa nezvinangwa zvinotevera:

• Kuongorora paracentesis: yakagadzirirwa kuunganidza mashoma emvura anozoongororwa murabhoritari kuti aone chinokonzera ascites kana kutsvaga shanduko senge hutachiona kana maseru ekenza, semuenzaniso;
• Kurapa paracentesis: inonzi zvakare zororo paracentesis, sezvo ichibvisa yakawanda mvura. Iyo inowanzo kuratidzirwa apo kurapwa kwe ascites kusiri kushanda, kuchikonzera kuunganidzwa kwemvura yakawanda iyo inokonzeresa kusagadzikana uye, mune dzimwe nguva, inogona kutadzisa kufema.

Paracentesis inowanzoitwa muchipatara kana kurapa kwekurwara, nachiremba anotsoropodza kana gastroenterologist, uye nenzira yacho zvinodikanwa kuti murwere avete pakamubhedha, kunoitwa kuchenesa uye kutindivadza panzvimbo yekubaya. kuiswa kuti mvura irambe.

Chii ichochi

Paracentesis inowanzo kuratidzirwa kubviswa kwemvura kubva mudumbu mhango. Kazhinji, dumbu racho rinongova neashoma chete emvura yemahara, zvisinei, mamwe mamiriro anogona kukonzera kuwedzera kusingaenzanisike muchiyero ichi, kuve mamiriro anonzi ascites kana, zvine mukurumbira, pasi pemvura.

Chikonzero chikuru che ascites ndiko cirrhosis yechiropa, inokonzereswa nemamiriro akati wandei, senge chisingaperi hutachiona hepatitis, kudhakwa, autoimmune kana hutachiona hutachiona, semuenzaniso. Tarisa uone ndezvipi zvinonyanya kukonzera cirrhosis.

Mimwe mamiriro anogona kukonzeresa ascites mamota kana mudumbu metastase, congestive moyo kutadza, shanduko muitsvo, kana kunyangwe hutumbu hutachiona, hunokonzerwa netibhii, schistosomiasis, fungi uye mabhakitiriya.

Zvinoitwa sei

Paracentesis inoitwa nachiremba, uye maitiro acho anosanganisira anotevera matanho:

1. Murwere anofanirwa kunge akarara zvakanaka pamubhedha;
2. Asepsis uye antisepsis inoitwa mudunhu rinozobayiwa, uye chiremba anofanira kupfeka zvakafanana zvinhu kudzivirira kusvibiswa senge magurovhosi, apuroni, ngowani uye chifukidzo;
3. Kuita anesthesia yemuno uko tsono ichaiswa, kazhinji munzvimbo yezasi kuruboshwe, pakati penzvimbo yeguvhu neiyoac crest, kana sekutungamirirwa neiyo ultrasound bvunzo.
4. Kubaya kwacho kwakagadzirwa zvakaringana kune ganda, iine tsono yakakora yegeji, yakanangana nemaitiro acho.
5. Liquid yakaunganidzwa nesirinji, iyo inogona kuongororwa murabhoritari;
6. Kana zvichidikanwa kuti ubvise huwandu hwakawanda hwemvura inokwenenzverwa, chiremba anogona kubatisa tsono kune serum yakanamirwa kune vial iri pazasi pane yemurwere, kuitira kuti mvura igone kudururwa, ichiyerera zvakasununguka.

Uye zvakare, kana huwandu hwemvura yakadururwa hwakakura kupfuura marita mana, zvinokurudzirwa kushandisa albinamu yemunhu mutsinga, panguva kana nguva pfupi yapfuura maitiro, mune muyero we6 kusvika ku10 magiramu ealbumin pa litre yakabviswa. Mushonga uyu wakakosha kuitira kuti iro rakanyanyisa kubviswa risakonzere kusaenzana pakati peguvhu remudumbu neropa reropa.

Zvinogona kuitika

Kunyangwe paracentesis inowanzo kuve nzira yakachengeteka, mamwe matambudziko anogona kumuka, sekuzungunuka kwechimwe chikamu chedumbu, kubuda ropa kana hutachiona hweiyo ascitic fluid kana mudumbu madziro.