He aha ka Paracentesis a he aha ia

Anter

• No ke aha ia
• Pehea e hana ai
• Nā pilikia i hiki

ʻO Paracentesis kahi hana olakino i loko o ka ninini ʻana i ka wai mai ka lua o ke kino. Hana pinepine ʻia ia ke loaʻa nā ascites, ʻo ia ka hōʻiliʻili o ka wai i loko o ka ʻōpū, i kumu ʻia e nā maʻi e like me ka cirrhosis o ke ake, ka maʻi ʻaʻai a i ʻole nā ​​maʻi ʻōpū. Hoʻomaopopo i ka ascites a me nā maʻi e hoʻokumu ʻia.

Hana ʻia me nā pahuhopu aʻe:

• Palekana diagnostic: hana ʻia e hōʻiliʻili i kahi wai liʻiliʻi e kālailai ʻia i loko o ke keʻena hoʻokolohua e ʻike ai i ke kumu o ka ascites a i ʻole e nānā i nā hoʻololi e like me nā maʻi a i ʻole nā ​​maʻi ʻaʻai maʻi, no ka laʻana;
• Pākuʻi lāʻau lapaʻau: kapa ʻia ia he paracentesis kōkua, no ka mea, hemo ia i kahi nui o ka wai. Hōʻike pinepine ʻia ia inā ʻaʻole maikaʻi ka hoʻomaʻamaʻa ʻana no ka ascites, e hoʻouluulu ana i ka wai nui e hōʻehaʻeha a, i kekahi mau hihia, hiki ke pale i ka hanu.

Hana pinepine ʻia ka paracentesis i kahi haukapila a i ʻole kahi hoʻonohonoho waho, e ke kauka cynical a i ʻole gastroenterologist, a no ke kaʻina hana he mea pono e moe ana ka mea maʻi ma kahi moe, kahi e hana ai ka hoʻomaʻemaʻe a me ka anesthesia ma ka puncture pūnaewele, a laila pono kahi nila kuikawa kūikawā e hoʻokomo ʻia i mea e pakele ai ka wai.

No ke aha ia

Hōʻike pinepine ʻia ka paracentesis no ka hemo ʻana o ka wai mai ka ʻōpū o ka ʻōpū. ʻO ka maʻamau, loaʻa i ka ʻōpū kahi wai liʻiliʻi manuahi wale nō, akā naʻe, hiki i kekahi mau hanana ke hoʻonui i ka nui ʻole o kēia nui, kahi ʻano i kapa ʻia ʻo ascites a, makemake nui ʻia, ma lalo o ka wai.

ʻO ke kumu nui o ka ascites ka cirrhosis o ke ake, i hoʻokumu ʻia e nā hanana he nui, e like me ka maʻi hepatitis viral mau loa, ka wai ʻona, autoimmune a i ʻole nā ​​maʻi genetics, no ka laʻana. E nānā i nā kumu nui o ka cirrhosis.

ʻO nā kūlana ʻē aʻe i hiki ke kumu i ka ascites nā tumors a i ʻole nā ​​metastases ʻōpū, kū ʻole o ka puʻuwai congestive, nā loli i nā puʻupaʻa, a i ʻole nā ​​maʻi ʻōpū, i hoʻokumu ʻia e ka tuberculosis, schistosomiasis, fungi a me bacteria.

Pehea e hana ai

Hana ʻia ka paracentesis e ke kauka, a ʻo ke kaʻina hana e pili ana i kēia mau hana:

1. Pono ka mea hoʻomanawanui e moe hōʻoluʻolu i kahi kau;
2. Hana ʻia ʻo Asepsis a me antisepsis ma ka ʻāina e ʻoki ʻia, a pono ke kauka e ʻaʻa like i nā mea like e pale ai i nā mea haumia e like me nā mīkina lima, ka pale, ka pāpale a me ka pale maka;
3. Ke hana nei i ka anesthesia kūloko kahi e hoʻokomo ʻia ai ka nila, ʻo ka maʻa mau ma ka ʻaoʻao hema hema, ma waena o ka piko a me ka iliac crest, a i alakaʻi ʻia e ka hōʻike ultrasound;
4. Hana ʻia ka puncture i pili pono i ka ʻili, me ka nila kuʻi manoanoa, kikoʻī no ke kaʻina hana;
5. ʻOhi ka wai i hōʻiliʻili ʻia no ka syringe, i hiki ke kālailai ʻia i ka hale hana;
6. Inā pono e hemo i ka nui o ka wai ascitus, hiki i ke kauka ke hoʻopili i ka nila i kahi kīʻaha i hoʻopaʻa ʻia i kahi pae haʻahaʻa ma mua o ka mea maʻi, i hiki ai ke ninini ʻia ka wai, e kahe maʻamau.

Eia hou, ke ʻoi aku ka nui o ka wai i hoʻokahe ʻia ma mua o 4 liters, koi ʻia e hoʻohana i ka albumin kanaka i ka aa, i ka manawa a ma hope koke paha o ke kaʻina hana, i ka mahele lāʻau o 6 a 10 gram o albumin i kēlā me kēia lita i lawe ʻia. He mea nui kēia lāʻau i mea e hoʻoneʻe ʻole ai ka wai kahe i ke kaulike ʻole ma waena o ka wai o ka ʻōpū a me ke kahe o ke koko.

Nā pilikia i hiki

ʻOiai he palekana ke kaʻina paracentesis, hiki i kekahi mau pilikia ke ala aʻe, e like me ka perforation o kekahi lālā o ka digestive tract, hemorrhage a i ʻole nā ​​maʻi o ka wai ascitus a i ʻole ka paia o ka ʻōpū.