Chii chinonzi thoracentesis, ndeyei uye inoitwa sei?

Zvemukati

• Chii ichochi
• Zvinoitwa sei
• Zvinogona kuitika
• Contraindications

Thoracentesis maitiro anoitwa nachiremba kuti abvise zvinoyerera kubva munzvimbo yekukumbira, inova chikamu chiri pakati peiyo membrane inovhara mapapu nembabvu. Mvura iyi inounganidzwa uye inotumirwa murabhoritari kuti iongorore chero chirwere, asi inoshandawo kugadzirisa zviratidzo, sekushomeka kwekufema uye kurwadziwa pachipfuva, zvinokonzerwa nekuunganidzwa kwemvura munzvimbo yekukumbira

Kazhinji, iyi inokurumidza maitiro uye haidi nguva yakawanda kuti uwanezve, asi mune dzimwe nguva kutsvuka, kurwadziwa uye leakage yemvura zvinogona kuitika kubva munzvimbo yakaiswa tsono, uye zvinodikanwa kuzivisa chiremba.

Chii ichochi

Thoracentesis, iyo inonziwo pleural drainage, inoratidzirwa kugadzirisa zviratidzo zvakaita sekurwadziwa kana uchifema kana kupfupika kwemweya kunokonzerwa nedambudziko remapapu. Nekudaro, maitiro aya anogona zvakare kuratidzirwa kuti aongorore chinokonzera kuunganidzwa kwemvura munzvimbo yekuteterera.

Iko kuunganidzwa kwemvura kunze kwepapu kunonzi pleural effusion uye kunoitika nekuda kwezvimwe zvirwere, zvakaita se:

• Kuvhiringidzika kwemoyo kukundikana;
• Zvirwere nemavhairasi, mabhakitiriya kana fungi;
• Kenza yemapapu;
• Ropa rinovhara mumapapu;
• Systemic lupus erythematosus;
• Tiibhii;
• Pneumonia yakaoma;
• Zviitiko kumishonga.

Chiremba mukuru kana pulmonologist anokwanisa kuona kunyunyuta kuburikidza nemubvunzo senge X-rays, computed tomography kana ultrasound uye inogona kuratidza mashandiro e thoracentesis kune zvimwe zvikonzero, senge biopsy yeiyo pleura.

Zvinoitwa sei

Thoracentesis maitiro anoitwa kuchipatara kana kukiriniki nachiremba mukuru, pulmonologist kana chiremba mukuru. Parizvino, kushandiswa kweiyo ultrasound kunoratidzwa panguva ye thoracentesis, nekuti nenzira iyi chiremba anoziva chaizvo panowanikwa mvura, asi munzvimbo dzisina kushandiswa kwe ultrasound, chiremba anotungamirirwa nemiedzo yemifananidzo yakaitwa pamberi maitiro, akadai seX-ray kana tomography.

Thoracentesis inowanzoitwa mumaminitsi gumi kusvika gumi nemashanu, asi zvinogona kutora nguva yakareba kana paine mvura yakawanda munzvimbo yekukumbira. Aya matanho matanho ndeaya:

1. Bvisa zvishongo uye zvimwe zvinhu uye upfeke hembe dzechipatara dziine buri kumashure;
2. Zvishandiso zvichaiswa kuyera kurova kwemoyo uye kuwedzerwa kweropa, pamwe nevashandi vevanamukoti vachakwanisa kuisa chubhu yemumhino kana chifukidzo kuti vimbise oxygen yakawanda mumapapu;
3. Kugara kana kurara pamupendero weyakatambanudzwa maoko ako akasimudzwa, sezvo chinzvimbo ichi chinobatsira chiremba kuti azive zvirinani nzvimbo dziri pakati pembabvu, ndipo paachaisa tsono;
4. Ganda rinoshambidzwa nechigadzirwa cheantiseptic uye anesthesia inoiswa uko chiremba achaboora netsono;
5. Mushure mokunge anesthesia yatanga kushanda panzvimbo iyi, chiremba anoisa tsono uye obvisa mvura yacho zvishoma nezvishoma;
6. Kana mvura yacho yabviswa, tsono inobviswa uye kupfeka kuchaiswa panzvimbo.

Kana mangoti maitiro apera, sampu yemvura inotumirwa murabhoritari uye X-ray inogona kuitirwa chiremba kuti aone mapapu.

Kuwanda kwemvura yakadonhedzwa panguva yekuita kunoenderana nechirwere uye, mune dzimwe nguva, chiremba anogona kuisa chubhu yekudonha mamwe emvura, anozivikanwa sekudonha. Dzidza zvakawanda nezve chii chinodhonzwa uye iyo inodikanwa kuchengetedza.

Asati apera maitiro, pane zviratidzo zvekubuda ropa kana kubuda kwemvura. Kana pasina chimwe chezviratidzo izvi, chiremba anokuregedza kuti uende kumba, zvisinei hazvo zvakakosha kuyambira kana paine fivha iri pamusoro pe 38 ° C, kutsvuka munzvimbo yakaiswa tsono, kana paine ropa kana mvura irikudonha. mweya kana kurwadziwa mubhokisi.

Kazhinji yenguva, hapana zvirambidzo pakudya kumba uye chiremba anogona kukumbira kuti zvimwe zviitiko zvemuviri zvimiswe.

Zvinogona kuitika

Thoracentesis inzira yakachengeteka, kunyanya kana ichiitwa nerubatsiro rwe ultrasound, asi mamwe matambudziko anogona kuitika uye anosiyana zvichienderana nehutano hwemunhu uye rudzi rwechirwere.

Zvinetso zvakakura zverudzi urwu rwemaitiro zvinogona kuve kubuda ropa, hutachiona, pulmonary edema kana pneumothorax. Izvo zvinogona kuitika kukonzera kumwe kukuvadza kuchiropa kana chirwatata, asi izvi hazviwanzo.

Uye zvakare, mushure mekuita, marwadzo muchipfuva, chikosoro chakaoma uye kupera kwekunzwa kunogona kuoneka, saka zvinogara zvichidikanwa kuti urambe uchitaurirana nachiremba uyo akaita thoracentesis.

Contraindications

Thoracentesis maitiro anogona kuitirwa vanhu vazhinji, asi mune dzimwe nguva anogona kupesana, sekuve nezvinetso zvekuvhara ropa kana kubuda ropa.

Uye zvakare, zvakafanira kuzivisa chiremba kuti iwe uri kuenda kunoedzwa mumamiriro epamuviri, allergies kune latex kana yokutindivadza kana kushandiswa kweropa kutetepa mishonga. Mumwe anofanirwawo kutevedzera kurudziro yakaitwa nachiremba nzira isati yaitwa, sekumira kutora mishonga, kuramba uchitsanya uye kutora bvunzo dzekufungidzira dzakaitwa pamberi pe thoracentesis.