Nguva yechipupuriro cavity

Kuvhara kwemuviri wepuremu (thoracocentesis) - kuputika kwerusvingo rwechifuva - kunoitwa pakurapa uye kuongororwa zvinangwa. Paanoongororwa, inogadzirirwa:

1. Inoshandiswa mumvura yakawanda mumhepo yakawanda inonzi transudate (inonzi fluematous fluid inounganidza mumumvuri wemuviri) kana kuti exudate (kuchengetedzwa kubva mumidziyo midzi yeropa iri kuwedzera munzvimbo inoshandiswa zvishoma).
2. Ko mvura yacho ine lymph, pus kana ropa.
3. Kemikari, mabhakitiriya uye cytological yakagadzirwa ne pleural fluid.

Ndeipi nguva yekuvharwa kwechivimbiso chinonzi chakasarudzwa?

Zviratidzo zvekurapwa kwechirwere chemuviri wezvinyorwa ndezvi:

• kubviswa kwemweya ne pneumothorax yakasimba kana yakavharwa;
• kupopota pleural effusion;
• kuiswa kwemishonga.

Nzira ye thoracocentesis

Paunenge uchigadzirira kuvhara mutsara mutsara kunowanzoita chest radiography. Nzira ye thoracocentesis inoshandiswa uchishandisa anesthesia yemo , iyo iyo yaNovocaine solution inoshandiswa. Anesthetized with puncture soft tissues and intercostal muscles. Thoracocentesis inoitwa sezvinotevera:

1. Murwere anogara pasi kuti agare kumusana wake, kana kuti akarara kune rumwe rutivi. Ruoko kubva kune rumwe rutivi apo ruvara ruchaitwa runoiswa kune rumwe rutivi rwepafudzi kana pamusoro.
2. Kuvhara kwemafuro emvura nehemothorax kubvisa ropa kana hydrothorax kupomesa kushandiswa kwemvura kunowanikwa munzvimbo yechinomwe yechitanhatu iri mumuganhu wakasvibiswa kana uri shure.
3. Nyorera ingasapinda mumumvuri wechipfu, uye kana ikasimudzira nharo, inosimudzwa pamwe chete neganda. Manzwiro ekukundikana kwetsono inopupurira kuti tsono inobata pane inotevera - mune imwe nzvimbo.
4. Pano nenyuchi akaisa rubber tube yemazuva ano.
5. Ne hemothorax nehydrothorax, chido chezvinyorwa zvinodavirwa chinoitwa. Mushure mokunge tube inenge yakazara, inonyoreswa, inodururwa uye inodzwa zvakare kusvikira zvose zviri mukati mechipuriro chemberi zvichibviswa. Kana iyo yakasviba yakaoma kubuda, edza kuedza kuwedzerwa kuwedzera kwezinga rekubuda. Kusvika kune izvi, zvinokurudzirwa kushandura chinzvimbo chemuviri wemurwere kana kuti kubatanidza kushandiswa kwepasi-pasi kumakati.
6. Pakuguma kwegadziriro, mushonga unorwisa mabhakitiriya unoshandiswa mukati meganda.
7. Nhamba yakasimba inobviswa inobviswa.
8. Nzvimbo yepacture inobatwa neine disinfectant solution, yakafukidzwa isina kuchena.

Pakuguma kwegadziriro, chifu che x-ray chinoitwa kuti chigone kana chidimbu chemuviri chiri nani uye hapana matambudziko akaitika.

Ne pneumothorax, kuputika kwechifukidzo chemukati chekudzingwa kwemhepo kunoitwa nenzira imwecheteyo, asi kune zvimwe zvinyanzwisisiro mune nzira yekuita:

1. Mu pneumothorax, kuputika kunoitwa munzvimbo yechipiri yechitatu-yechitatu mukati memucheto wepamusoro webhandi nepakati pekutsvaira mutsara.
2. Mushure mekutengesa (nheyo ine lumeni yakakura) inopinda mukati mumiririri wechipupuriro, iyo ipfisi inobviswa uye, nekuvhara gomba mukati mayo, chirongo chemvura chinogadziriswa nechokunamatira chinoiswa, kwema 5-6 cm mukati.
3. Iyo inoshandiswa mumvura yakasungirirwa yakagadziriswa nedanda kana seams, bhanhire risina kumira rinoshandiswa pairi.
4. Mvura yacho inoshandiswa pamunwe wako necheki, kuitira kuti mhepo ipfuure mune rumwe rutivi-kubva kune rurefu cavity.

Varwere ivavo avo vanokurudzirwa kuti vaongorore kana kuti zvinorapa zvirongwa zvekugadzirisa mhemberero yezvinyorwa zvinoshushikana: inorema zvakadini?

Uyezve, iyo nzira inoshungurudza. Chidzidzo chakaitwa mune rimwe remasangano chaiwo chakaratidza kuti, pavhareji, varwere vanoongorora marwadzo munzira ye 8-6 mapeji pamatanho ane gumi, zvichienderana nemarwadzo ekurwadziwa . Saka zvakakosha kuti chivharo chinoitwa nechiremba ane ruzivo. Uyezve zvinonyatsozivikaniswa kuti maduku madzimai epiron piston, inorwadza zvakanyanya nzira yacho.