Kodi puncture pleural?

Pleural puncture zambiri ndi puncture matenda a M'mimbamo pleural. Childs, madzi anadzadza m'menemo matenda osiyanasiyana, mwachitsanzo mu zotupa m'mapapo, mu edema mtima, pleuritis kapena chifuwa chachikulu. Mfundo imeneyi ndiyo maziko puncture pleural. Mlingo madzi M'mimbamo chimafotokozera percussion, pamene radiography kapena ultrasound pleural patsekeke. Empyema, pleural effusion , magazi intrapleural ndi pleural M'mimbamo transudate ndi ndi umboni mwachindunji kwa ndondomeko.

Pleural puncture. njira ya

Matenda pleural puncture ikuchitika mu chipinda kuvala kapena mu chipinda cha mtima. Odwala anakumana m'dera mankhwala ochititsa Novocain pa ndondomeko, wodwalayo amatenga udindo atakhala ndi manja ake kumbuyo yoikidwayo. Aliyense puncture matenda zambiri kutsazikana zikunena umathandizanso, ndicho wathunthu kuchotsa nkhani nthenda ya M'mimbamo ndi kutsuka ndi antiseptic ndi kuyambitsa kuti patsekeke mankhwala antibacterial. Pankhani ya hemothorax anagwira dongosolo ngalande yokolola magazi autologous. Gawo loyamba la zimene zili M'mimbamo pleural ndi ayesedwa zowoneka dokotala, kuti nkhani zonse mfundo mabuku zambiri anatumiza cytological, amuzolengedwa ndi kafukufuku bakiteriya.

Pleural puncture. zosokonezeka zotheka

Pogwira ndondomeko amafuna palibe luso pa dokotala, koma ngakhale ndi njira yoyenera, mtima m'kati mpheto zingaoneke mavuto osiyanasiyana. Izi zikhoza kukhala kosangalatsa chidwi za mediastinum ndi, tachycardia, kugwa. Kupewa ngati zochitika dokotala azitha kuyan'ana mkhalidwe wa mtima ndi nthawi ya puncture pleural kutsina chubu achepetsa.

Kodi cholinga anachita pleural puncture?

Mu aliyense wa M'mimbamo pleural wa munthu wathanzi nthawi zonse pafupifupi 50 ml ya madzi. M'mapapo matenda, ndi pleural zikhoza amene amasonkhana edematous kapena yotupa pleural madzimadzi pakati pa masamba. Chifukwa kwambiri zimakhudza mmene alili, ndi kuchotsedwa pansi puncture pleural. Ngati madzi pang'ono, ndiye wodwalayo zimapangitsa matenda puncture, zimathandiza kudziwa kupezeka kwa maselo nthenda ndi kudziwa chikhalidwe cha madzi anadzadza.

Kukonzekera pleurocentesis

Anasiyira pleurocentesis zikuphatikizapo dvadtsatigrammovy syringe singano 7-10 masentimita yaitali ndi 1 - 1.2 mm m'mimba mwake ndi m'mphepete steeply mumbali, izo zaikidwa syringe ndi chubu mphira. Kuti pa ndondomeko M'mimbamo pleural ndi kugunda mpweya, ndi achepetsa wapadera umagwiritsidwa ntchito izo. Ikani awiri - machubu atatu ayenera anatumiza kuphunzira madzimadzi, kuwonjezera pa iwo, muyenera kukhala thireyi wosabala ndi tweezers, swabs, amakhala ndi nkhosa, komanso mowa, ayodini, collodion ndi amoniya pa nkhani ya mkhalidwe chikomokere wodwalayo.

Pleural puncture pa pneumothorax

Mowiriza pneumothorax alinso umboni mwachindunji kwa puncture pleural. Njira ya mpheto ino si wosiyana alipidwa, koma kuti pneumothorax, pleural puncture wa syringe kapena plevroaspiratorom aspirated mpweya. Ndi chitukuko cha vavu pneumothorax mpweya pa kudzoza nthawi zonse zimalowa M'mimbamo pleural. Popeza n'zosiyana ngalande olumikizidwa ku makina, patapita puncture kwa achepetsa chubu si ntchito, ndi mpweya analola kukhetsa. Musaiwale kuti pambuyo puncture pleural wodwala ayenera yomweyo m'chipatalamo dipatimenti opaleshoni.