Faɗar ɓangaren ƙwararre

Tsuntsar ƙananan ƙwararre (thoracocentesis) - fashewa na bangon kirji - an yi shi ne don dalilai na asibiti da kuma bincike. Lokacin da aka bincikar da shi, an ƙaddara:

1. Shin ruwa a cikin ɓangaren ƙwararren yana da ruwa mai zurfi (ƙuƙwalwar ruwa a cikin ƙuƙwalwar jiki) ko exudate (ɓoye daga ƙananan ƙwayoyin jini da ke tattare da sararin samaniya).
2. Shin ruwa yana dauke da lymph, tura ko jini.
3. Chemical, bacteriological da kuma cytological abun da ke ciki na ruwa mai zurfi.

Yaushe ne faɗar ɓangaren ɓangaren da aka ba da umarni?

Sharuɗɗa don fashewa na asibiti na ɓangaren sarari shine:

• kau da iska tare da rufewa ko rufe pneumothorax;
• yin famfo daga tsauri;
• gabatar da magunguna.

Hanyar thoracocentesis

Yayin da ake shirya wa ɗakin ɗakun hanyoyi dole ne ya yi tasirin rediyo. Anyi amfani da hanyar ƙwayar ƙwayar ƙwayar ta hanyar amfani da maganin rigakafi na gida , wanda aka yi amfani da maganin Novocaine. Anesthetized tare da laushi da taushi taushi da kuma tsokoki intercostal. An yi Thoracocentesis kamar haka:

1. Mai haƙuri yana zaune don ya huta bayansa, ko ya kwanta a gefen lafiya. Hannun daga gefen inda za'a yi fashewa ana sanya shi a kan kishiyar baya ko a kai.
2. An yi amfani da gado mai zurfi tare da hemothorax don cire jini ko hydrothorax don yin famfo ruwa a cikin sararin intercostal na 7th - 8 tare da ma'auni ko layin axillary.
3. Abun magunguna bazai iya shiga cikin ɓangaren wuri ba, kuma idan ya kasance akan hasara, an tashe shi tare da fata. Sakamakon rashin cin zarafin allura ya tabbatar da cewa allurar ta samo inda ya biyo - a cikin rami.
4. A kan allurar ta sanya kyamarar roba.
5. Tare da hemothorax da hydrothorax, an yi ƙoƙari na abubuwan da ke ciki. Bayan tube ya cika, an kulle shi, a kwashe shi kuma a sake masa allura har sai an cire duk abinda ke ciki na ɗakun sashin jiki. Idan ruwa yana da wuya a kwashe, to, gwada ƙoƙari don haɓaka a cikin fitowar. A karshen wannan, an bada shawara don canja matsayi na mai hawan jiki ko don haɗuwa da ƙananan matsa lamba ga catheter.
6. A ƙarshen hanya, an yi amfani da kwayoyin kwayar cutar a cikin rami.
7. An kawar da motsi mai mahimmanci.
8. An yi amfani da shafin fashewa tare da maganin cututtuka, wanda aka rufe da gauze.

A ƙarshen hanya, an yi wa x-ray kirji don tantance idan ɗakin ɗakunan ya fi kyau kuma babu matsala.

Tare da pneumothorax, fashewa na kogin gwadawa don cirewar iska an yi shi a irin wannan hanya, amma akwai wasu abubuwan da suka dace a cikin hanyar da ake gudanarwa:

1. A cikin pneumothorax, an yi fashewa a cikin sarari na tsakiya na 2 - 3 tare da gefen gefen hagu ta hanyar tsaka-tsaki na tsakiya.
2. Bayan trocar (allura tare da babban lumen) ya shiga cikin ɓangaren kwakwalwa, an cire sashin launi kuma, yana rufe rami a ciki, an saka shinge mai tsabta ta hanyar motsi, don 5-6 cm cikin ciki.
3. Ana gyara suturar ruwa tare da filasta ko sutura, ana amfani da bandeji na bakararre a kusa da shi.
4. Ana saka magudanin a yatsan hannu tare da ƙira, don haka iska ta wuce a daya jagora - daga sashin gwadawa.

Wadanda marasa lafiya wadanda aka ba da shawarar don ganewa ko magungunan maganin wariyar hanzari suna da damuwa: nawa ne ya cutar?

Kuma a gaskiya, hanya ita ce maimakon jin zafi. Wani binciken da aka gudanar a ɗaya daga cikin sassan na musamman ya nuna cewa, a matsakaici, marasa lafiya suna kwatanta ciwo a hanya na maki 8-6 a kan sikelin goma, dangane da jinƙan bakin ƙofar . Sabili da haka yana da muhimmanci cewa kwararrun likita ne ya yi fashewa. Har ila yau, ana iya gane cewa ƙananan shinge na shinge, mafi ƙanƙantar da hanya.