Ukugqithwa kwesigxina se-pleural (thoracocentesis) - ukugqitywa kwindonga yesifuba - kwenziwa ngeenjongo zokwelapha kunye nokuxilonga. Xa kufunyanwe, kuqinisekiswe:
- Ngaba umbane kwisigxina somlenze oguqulwayo (i-edematous fluid collecting in body cavities) okanye i-exudate (ukufihla kwimimandla encinci yegazi eqokelelwa kwisikhala esingenasiphelo).
- Ngaba i-liquide iqukethe i-lymph, ipus okanye igazi.
- I-Chemical, i-bacteriological kunye ne-cytological yokwakhiwa kwe-pleural fluid.
Kuphi na ukugqitywa kwesigxina somlomo?
Iimpawu zokuphulukiswa kwesigxina sesigxina sesigxina:
- ukususa umoya nge-pneumothorax eqinile okanye ivaliwe;
- ukupompoza i-pleural effusion;
- ukuqaliswa kweyeza.
Inkqubo ye-thoracocentesis
Xa ulungiselela ukulungiswa kwesigxina sinokuthi wenze i-radiography esifubeni. Inkqubo ye-thoracocentesis yenziwa ngokusebenzisa i- anesthesia yendawo , apho isisombululo seNovocaine sisetyenziswa. I-Anesthetized with tisses tisses and muscle intercostal. I-Thoracocentesis yenziwa ngale ndlela:
- Isigulana sihlala phantsi ukuze siphumle ngasemva, okanye silale kwicala eliphilileyo. Isandla esivela kwicala apho ukugqitywa kuya kwenziwa khona kufakwe kwicala eliphambene okanye entloko.
- Ukugqithwa kwesigxina se-hemothorax ukususa i-blood okanye i-hydrothorax ukupompoza umbane kuyenziwa kwindawo ye-7-8 ye-intercostal kunye nomgca we-scapular okanye we-posterior axillary.
- Inaliti ayinakungena kwisigxina, kwaye ukuba ivule umbhobho, iphakanyiswa kunye nesikhumba. Uvakalelo lokungaphumeleli kwenaliti lufaka ubungqina bokuthi inaliti ifumaneka apho ilandelayo-kwisigxina.
- Kwisaliti efakwe kwiphubhu yeruba yenguqu.
- Nge-hemothorax kunye ne-hydrothorax, ukufunwa kwezinto ezinomxholo wenziwa. Emva kokuba ityhubhu igcwele, iyanqanyulwa, ikhutshwe ize ifakwe kwakhona kuze kube yilapho yonke into esebenzileyo isuswa. Ukuba kunzima ukukhupha umbane, ke uzama ukufezekisa ukwanda kwezinga lokuphuma. Kule nto, kucetyiswa ukuba utshintshe isikhundla somzimba wesigulane okanye ukudibanisa ukunyamezela okuphantsi kwecatheter.
- Ekupheleni kwenkqubo, i-antibiotics ifakwe kwi-cavity.
- Intshukumo ephilileyo inokususwa.
- Isiza sokunqanda siphathwa ngesisombululo sokubulala i-disinfectant, esigqitywe ngegreyiti engumzimba.
Ekupheleni kwenkqubo, i-x-ray isifuba senziwa ukuze kuqinisekiswe ukuba intambo yesigxina ingcono kwaye akukho zinkathazo ezenzekile.
Nge-pneumothorax, ukugqithwa kwesigxina sokususwa komoya kuqhutyelwa ngendlela efanayo, kodwa kukho ezinye izinto ezikhethekileyo kwindlela yokusebenza:
- Kwi-pneumothorax, ukugqithwa kwenziwa kwithuba lesi-2 ukuya kwe-3 e-intercostal ngaphaya komgca ophezulu kwembambo ngomgca we-incision line.
- Emva kokuba i-trocar (inaliti ene-lumen enkulu) ifinyelele kwisigxina se-pleural, ipenletti isuswe kwaye, ukuvala umgodi kuyo, i-tube drainage igxininiswe yintambo ifakwe kwisithuba se-5-6 cm ngaphakathi.
- I-tube drainage igxininiswe ne-plaster okanye i-seams, i-bandage eyinyumba isetyenziswe kuyo.
- Umsele ufakwa kwisandla somnxeba kunye nenotshi, ukuze umoya udlule kwelinye icala-ukusuka kwintlambo yecala.
Ezi zi gulane ezicetyiswayo zokuxilonga okanye zonyango zinjongo zokuqhawula isigxina sesigxina sithinteka: kubuhlungu bunjani?
Enyanisweni, le nkqubo inokuba yintlungu. Uphando oluqhutywe kwelinye lamasebe akhethekileyo lubonise ukuba, ngokuqhelekileyo, izigulane zivavanya intlungu kwinkqubo ye-8-6 amanqaku kwinqanaba elineshumi, kuxhomekeke kwintlungu yesifo . Ngako oko kubalulekile ukuba ukugqithwa kwenziwe ngugqirha onamava. Kwakhona kuyaziwa ngokuqinisekileyo ukuba incinci indawo yipironti yesirinji, ayibuhlungu kakhulu inkqubo.