Thoracentesis

Anter

• Ke hoʻomākaukau nei no kahi ʻoihana
• He aha nā kaʻina hana no ka thoracentesis?
• He aha nā makaʻina o ke kaʻina hana?
• Ke ukali nei ma hope o ke kaʻina hana

He aha ka thoracentesis?

ʻO Thoracentesis, ka mea i ʻike ʻia ma ke ʻano he ple pleura, kahi hana i hana ʻia ke nui ka wai i ka wahi pleura. ʻAe kēia e hana i kahi kānana wai pleura i loko o ka lab e ʻike i ke kumu o ka hoʻoliʻiliʻi wai a puni hoʻokahi a ʻelua paha o nā māmā. ʻO kahi ākea ka wahi liʻiliʻi ma waena o nā māmā a me ka paia o ka pahu. Loaʻa i kēia wahi ma kahi o 4 teaspoon o ka wai. Hiki i kekahi mau ʻano ke hoʻoulu hou i ka wai i kēia wahi. Loaʻa kēia mau ʻano:

• maʻi ʻaʻai
• pneumonia a i ʻole nā ​​maʻi maʻi ʻē aʻe
• puʻuwai puʻuwai kongestive
• nā maʻi maʻa mau

Kapa ʻia kēia ʻo pleusion effusion. Inā nui ka wai, hiki iā ia ke kaomi i nā akemāmā a hoʻonā i ka paʻakikī i ka hanu ʻana.

ʻO ka pahuhopu o ka thoracentesis e hoʻokahe i ka wai a maʻalahi iā ʻoe e hanu hou. I kekahi mau hihia, kōkua ke kaʻina hana i kāu kauka e ʻike i ke kumu o ka pleural effusion.

Hoʻololi ka nui o ka wai i hoʻokahe ʻia e pili ana i nā kumu o ka hana ʻana i ke kaʻina hana. Lawe pinepine ia i 10 a 15 mau minuke, akā hiki ke lōʻihi inā loaʻa ka nui o ka wai i ka pleural space.

Hiki i kāu kauka ke hana i kahi biopsy pleura i ka manawa like, e kiʻi i kahi ʻāpana o ke kiko mai ka pale o kou paia umauma o loko. Nā hualoaʻa kūpono ʻole ma kahi biopsy pleura hiki ke kuhikuhi i kekahi mau kumu no ka effusion, me:

• ke kū ʻana o nā hunaola maʻi ʻaʻai, e like me ka maʻi ʻaʻa maʻi
• mesothelioma, kahi maʻi ʻaʻai e pili ana i ka asbestos e pili ana i nā aʻa e uhi ana i nā akemāmā
• maʻi maʻi collagen
• nā maʻi viral a fungal paha
• maʻi parasite

Ke hoʻomākaukau nei no kahi ʻoihana

ʻAʻohe hoʻomākaukau kūikawā no ka thoracentesis. Eia nō naʻe, pono ʻoe e kamaʻilio me kāu kauka inā he mau nīnau a hopohopo paha kāu e pili ana i ke kaʻina hana. Pono ʻoe e haʻi i kāu kauka inā ʻoe:

• i kēia manawa ke lawe nei i nā lāʻau, e like me nā mea ʻokiʻoki koko e like me aspirin, clopidogrel (Plavix), a i ʻole warfarin (Coumadin)
• ʻaʻohe maʻi i kekahi lāʻau
• loaʻa nā pilikia kahe
• hāpai paha
• loaʻa i ka scarring lung mai nā kaʻina hana o mua
• i kēia manawa he mau maʻi māmā e like me ka maʻi ʻaʻaʻa a me ka emphysema

He aha nā kaʻina hana no ka thoracentesis?

Hiki ke hana ʻia ʻo Thoracentesis ma ke keʻena o ke kauka a i ʻole kahi haukapila. Hana maʻamau ia ʻoiai ʻoe e ala ana, akā hoʻowalewale ʻia paha ʻoe. Pono ʻoe i kahi mea ʻē aʻe e hoʻokele iā ʻoe i ka home ma hope o ke kaʻina hana inā hoʻowalewale ʻia ʻoe.

Ma hope o ka noho ʻana i ka noho a i ʻole ke moe ʻana i ka papaʻaina, e hoʻonohonoho ʻia ʻoe i kahi ala e hiki ai i ke kauka ke komo i ka wahi pleura. Hana ʻia paha kahi ultrasound e ʻike i ka wahi kūpono e hele ai ka nila. E hoʻomaʻemaʻe ʻia ka ʻāpana i koho ʻia a injected me kahi agena numbing.

E hoʻokomo kāu kauka i ke kui kele a i ʻole ka paipu ma lalo o kou mau iwi ʻaoʻao i ka wahi pleura. ʻIke paha ʻoe i kahi kaomi hōʻoluʻolu ʻole i kēia kaʻina hana, akā e hāmau mau ʻoe. E hoʻopau ʻia ka wai kahe.

Ke hoʻokahe ʻia ka wai a pau, e hoʻokomo ʻia kahi kaula ma ka pūnaewele hoʻokomo. I mea e hōʻoia ʻole ai nā pilikia, noi ʻia ʻoe e noho pō i ka haukapila e nānā ʻia. Hiki ke hana ʻia kahi X-ray ukali ma hope pono o ka thoracentesis.

He aha nā makaʻina o ke kaʻina hana?

Loaʻa nā pilikia i kēlā me kēia kaʻina invasive, akā ʻaʻole ʻike pinepine ʻia nā hopena ʻaoʻao me ka thacententesis. Nā pilikia e pili pū ana me:

• ʻeha
• kahe ana ke koko
• hōʻiliʻili lewa (pneumothorax) kaomi ʻana i ka akemāmā e hoʻoulu ai i kahi māmā i hāʻule
• maʻi maʻi

E hele ana kāu kauka i nā pilikia ma mua o ke kaʻina hana.

ʻAʻole kūpono ka Thoracentesis i nā kaʻina hana āpau. E hoʻoholo kāu kauka inā he moho maikaʻi ʻoe no ka thoracentesis. Loaʻa ka scarring i ka poʻe i loaʻa i ka ʻoki ʻana o ka hanu hou, i hiki ke paʻakikī i ke kaʻina hana.

ʻO ka poʻe ʻaʻole e komo i ka thoracentesis e komo pū me nā poʻe:

• me kahi maʻi koko
• lawe lahilahi ʻana i ke koko
• me ka puʻuwai puʻuwai a hoʻonui paha o ka puʻuwai me ka māmā i paʻa

Ke ukali nei ma hope o ke kaʻina hana

Ma hope o ka pau ʻana o ke kaʻina hana, e nānā ʻia kāu mau vitals, a loaʻa paha iā ʻoe kahi X-ray o kou mau māmā i lawe ʻia. E ʻae kāu kauka iā ʻoe e hoʻi i ka home inā maikaʻi kāu hanu, oxygen saturation, kaomi koko, a me ka pulse. Hiki i ka hapanui o ka poʻe i loaʻa i ka thoracentesis ke hoʻi i ka home i ka lā like.

Hiki iā ʻoe ke hoʻi i ka hapa nui o kāu mau hana maʻamau ma hope koke o ke kaʻina hana. Eia naʻe, hiki i kāu kauka ke koi aku iā ʻoe e hōʻalo i ka hana kino no kekahi mau lā ma hope o ke kaʻina hana.

E wehewehe kāu kauka pehea e mālama ai i ka pūnaewele puncture. E hōʻoia e kāhea i kāu kauka inā hoʻomaka ʻoe i nā hōʻailona o ka maʻi. Nā ʻōuli o ka maʻi pū kekahi:

• pilikia hanu
• e kahe ana ke koko
• ke kunu a i ʻole ke anuanu
• ʻeha ke hanu nui ʻoe
• ʻulaʻula, ʻeha, a hoʻokahe koko paha a puni ka pūnaewele nila