Uyini wokubhoboza pleural?

wokubhoboza Pleural ngokuvamile kuba wokubhoboza zokuxilonga we umgodi pleural. Ngokuvamile, uketshezi zanqwabelana kulo izifo ezihlukahlukene, ngokwesibonelo ephashini izimila, e edema inhliziyo, pleuritis noma isifo sofuba. Leli qiniso luyisisekelo wokubhoboza pleural. Izinga uketshezi kule ingaphakathi kuchazwe eshaywayo, lapho esimweni noma ultrasound ingaphakathi pleural. Empyema, effusion pleural , ukopha intrapleural kanye pleural ingaphakathi transudate futhi kuyinkomba ngqo inqubo.

wokubhoboza Pleural. su

Yokucwaninga wokubhoboza pleural Kwenziwa egumbini sigqoka noma egumbini isiguli. Iziguli kwavele wendawo izinzwa Novocain phakathi naleyo nqubo, isiguli kuthatha isikhundla ehlezi ngezandla zakhe emuva bayiphethe. Noma yimuphi umshini wokubhoboza zokuxilonga ngokuvamile sinqanyuliwe ukungenelela ekwelapheni, ukususwa okungukuthi ephelele lokuqukethwe okungavamile ngalo ingaphakathi, ukugeza nge isinqandakuvunda futhi ethula phakathi komgodi izidakamizwa elwa namagciwane. Endabeni hemothorax eyenziwa amanzi ohlelweni sokuvuna igazi autologous. Ingxenye yokuqala yalesi okuqukethwe ingaphakathi pleural izwakalwa zibukeke udokotela, ukuze uthole okuqukethwe egcwele ulwazi oluningiliziwe uthunyelwa i cytological, kwamakhemikhali nocwaningo virus.

wokubhoboza Pleural. yezinkinga kungenzeka

Kuphethe inqubo kudinga akhethekile ngesikhathi udokotela, kodwa, ngisho nokuba nenqubo eyiyo, isiguli enqubeni zokukhwabanisa kungabonakala nasemkhakheni yezinkinga ezihlukahlukene. Lokhu kungaba shift okumangalisayo kwama-mediastinum, tachycardia, nciphisa. Ukuze ugweme udokotela ezifana izenzakalo kufanele ukuqapha ngokucophelela ngezimo zesiguli futhi ngesikhathi wokubhoboza pleural phusha ngocingo tube.

Lokhu kwakwenziwa ngayiphi injongo wenziwa wokubhoboza pleural?

Noma we umgodi pleural ka Umuntu ophilile udinga njalo mayelana 50 ml ketshezi. Lung isifo, futhi pleural kungadala oluhlala edematous noma ukuvuvukala uketshezi pleural phakathi kwamaqabunga. Ngoba sina kuthinta isimo lesiguli, lisuswe ngaphansi wokubhoboza pleural. Uma uketshezi kancane ke isiguli kwenza wokubhoboza zokuxilonga, kuyasiza ukucacisa khona amaseli angavamile futhi ukucacisa uhlobo ketshezi zanqwabelana.

Ukulungiselela pleurocentesis

Setha i-pleurocentesis kuhlanganisa dvadtsatigrammovy isipetu inaliti 7-10 cm eside 1 - 1.2 mm ububanzi kanye umphetho zisuka emoyeni ziqonde ezitshekile, ke unamathele isipetu ngumuntu tube zenjoloba. Lokho phakathi naleyo nqubo ngalo ingaphakathi pleural akuyona hit emoyeni, a ngocingo ekhethekile sisetshenziswa kuso. Setha amabili - amashubhu ezintathu okudingeka ukuba kuthunyelwe ekutadisheni uketshezi, ngaphezu kwabo, kumele ube ugqoko oyinyumba nge udlawana, swabs, inamathela uvolo, kanye notshwala, i-iodine collodion kanye ammonia esimweni isimo equlekile nesineke.

wokubhoboza Pleural ngesikhathi pneumothorax

pneumothorax okuzenzekelayo futhi kuyinkomba ngqo wokubhoboza pleural. Technique yalesi ukuxhaphaza akuhlukile evamile, ngaphandle ukuthi pneumothorax, wokubhoboza pleural ka isipetu noma plevroaspiratorom aspirated emoyeni. With ukuthuthukiswa valve pneumothorax emoyeni ngesikhathi ugqozi njalo kufakwa ngaphakathi komgodi pleural. Kusukela reverse amanzi ku-intanethi, ngemuva wokubhoboza kuya ngocingo tube azenziwanga, futhi emoyeni avunyelwe sokukhipha. Ungakhohlwa ukuthi ngemva wokubhoboza pleural isiguli kufanele ngokushesha esibhedlela uMnyango kuhlinzwa.