Ukuvala isikhala somlomo (thoracocentesis) - ukukhishwa kwendonga yesifuba - kwenziwa ngezinhloso zokwelapha nokuxilonga. Uma kutholakala, kunqunywa:
- Ingabe uketshezi emgodini we-pleural u-transudate (i-edematous fluid eqoqa emithanjeni yomzimba) noma i-exudate (ukufihla emifuleni encane yegazi eqoqa isikhala esingenasisindo).
- Ingabe i-liquid iqukethe i-lymph, ipus noma igazi.
- I-Chemical, i-bacteriological kanye ne-cytological ukwakheka kwe-pleural fluid.
Nini lapho kukhishwa khona isigxobo somlomo?
Izinkomba zokwelashwa kwezigxobo zesigxobo se-pleural ziyi:
- ukususwa kwe-air nge-pneumothorax eqinile noma evaliwe;
- ukuxosha ukuxoshwa kwezwi;
- ukwethulwa kwemithi.
Inqubo ye-thoracocentesis
Lapho ulungiselela ukuvala isikhala somswakama ngempela ukwenza i-radiography esifubeni. Inqubo ye-thoracocentesis yenziwa ngokusebenzisa i- anesthesia yendawo , lapho isisombululo seNovocaine esetshenziswa khona. I-Anesthetized with tissue tissues et muscle intercostal. I-Thoracocentesis yenziwa kanje:
- Isiguli sihlala phansi ukuphumula emuva, noma silale eceleni. Isandla esivela eceleni lapho i-puncture izokwenziwa khona ifakwe ehlombe eliphambene noma ekhanda.
- Ukumiswa kwesigxobo se-pleural ne-hemothorax ukususa i-blood noma i-hydrothorax ukupompa uketshezi kuyenzeka endaweni ye-7th-8 e-intercostal emgqeni we-axlary noma ohamba phambili.
- Inaliti ingeke ingene emgodini we-pleural, futhi uma iphikisana nombambo, iphakanyiswa kanye nesikhumba. Umzwelo wokuhluleka kwenaliti ufakazela ukuthi inaliti ifinyelele lapho kulandela khona - emgodini.
- On the needle ubeke ithubhu yempuphu yesikhashana.
- Nge-hemothorax kanye ne-hydrothorax, ukufisa kokuqukethwe okunamandla kwenziwa. Ngemuva kokuba ibhuloho igcwele, ihlungwa, ichithe futhi ijowe futhi kuze kube yilapho konke okuqukethwe kwesikhala se-pleural kususwa. Uma uketshezi kunzima ukuphuma, zama ukufezekisa ukwanda kwezinga lokuphuma. Kuze kube sekugcineni, kunconywa ukuthi ushintshe isimo somzimba wesiguli noma ukuxhuma ukucindezela okuphansi kokucindezela kumcathisi.
- Ekupheleni kwenkambiso, i-antibiotic ifakwe emgodini.
- Ukunyakaza kwe-needle ebukhali kususiwe.
- Isayithi lokuqothula liphathwa ngesisombululo se-disinfectant, ehlanganiswe ne-gauze oyinyumba.
Ekupheleni kwenkambiso, i-x-ray isifuba senziwa ukuze kutholakale ukuthi isilwane se-pleural singcono futhi akukho zinkinga ezenzekile.
Nge-pneumothorax, ukukhishwa kwesigxobo se-pleural for the removal of air kwenziwa ngendlela efanayo, kodwa kukhona okunye okuphawulekayo enkambisweni yenqubo:
- Ku-pneumothorax, ukukhishwa kwenziwa endaweni yesi-2-3 ye-intercostal emkhawulweni ophezulu wembambo ngomugqa wokulinganisa phakathi.
- Ngemuva kokuthi i-trocar (inaliti ene-lumen enkulu) ingena emgodini we-pleural, i-stylet isusiwe futhi ivala umgodi, ishubhu yokudonsa igxilwe yi-clamp efakwe, ibe yi-5-6 cm ngaphakathi.
- Ibhuloho lemanzi libhekene ne-plaster noma i-seams, i-bandage oyinyumba isetshenziswa nxazonke.
- I-drainage ifakwa kwi-fingertip ne-notch, ukuze umoya udlule ngakwesinye isiqondiso - kusuka emgodini we-pleural.
Lezo ziguli eziphakanyiswayo ngezinhloso zokuxilonga noma zokwelapha ukugubha isigxobo se-pleural sithinteka: kungakanani okulimazayo?
Futhi eqinisweni, le nqubo ingcono kakhulu. Ucwaningo olwenziwe kwelinye lweminyango ekhethekile lubonisa ukuthi, ngokwesilinganiso, iziguli zihlola ubuhlungu enkambisweni yamaphuzu angu-8-6 ezingeni eliyishumi lamaphuzu, kuye ngesibalo esibuhlungu . Ngakho-ke kubalulekile ukuthi i-puncture yenziwe udokotela onolwazi. Futhi kuyaziwa ngokwethembeka ukuthi incane yendawo ye-piston yensiza, inqubo encane kakhulu ebuhlungu.