Thaum tso rau hauv qhov kab noj hniav pleural los ntawm qhov chaw me me, muab ib lub raj tso rau tshwj xeeb. Tus txheej txheem no yog tsim nyog rau mob hauv siab.
Cov kev qhia rau cov kua qaub ntawm qhov pleural pleural
Lub ntsiab lus tseem ceeb rau lub installation ntawm cov kua yog qhov kuaj pom ntawm cov ntshav, cov ntshav los yog cov kua paug hauv cov kab noj hniav pleural. Kev pab kuj yuav raug tseev kom muaj rau cov neeg mob uas muaj huab cua nyob nruab nrab ntawm cov nplaim ntawm lub pleura.
Tsis tas li ntawd, qhov qhia tau tias cov kua qaub ntawm qhov pleev qhov yuav tuaj yeem xam tau tias:
- Txhim Kho ;
- copious los yog rov ua kom zoo dua cov hlab ntsha;
- Malignant pleural effusions.
Yuav luag txhua zaus cov kua dej ntawm qhov pleev plab yog nqa nrog pneumothorax thiab hydrothorax. Cov teeb meem, raws li txoj cai, yuav twv tau los ntawm kev ua pa tsis ua hauj lwm los yog mob ntsws. Thiab lawv tshwm sim rau ntawm pob txha ntawm tav, piv txwv.
Nyob hauv qee zaus, qhov kev txhuam cov dej yuav tsum tau txhaj rau cov neeg mob uas raug phais. Cov hlab plawv nyob hauv qhov qaub ncaug kom txog thaum lub siab raug li qub thiab cov kua ua kom ploj tag.
Cov hau kev ntawm qhov dej ntawm qhov pleural cavity
Feem ntau, cov raj fais fab ntsia nruab nrab ntawm theem nruab nrab ntawm txoj kab axillary nyob rau tsib los sis rau lub caij nruab nrab ntawm cov tav. Qhov chaw no yog xaiv, ua ntej, vim hais tias nws yog siab tshaj qhov diaphragm thiab muaj kev ruaj ntseg. Thiab ob zaug, nyob rau sab no ntawm lub hauv siab phab ntsa yog thinnest musculature, yog li cov kua dej yuav nkag tau yooj yim dua thiab yooj yim dua.
Rau txoj kev, koj xav tau cov cuab yeej no:
- sterile khoom rau hnav khaub ncaws;
- ib qho kev npaj rau hauv zos anesthesia thiab ib tug koob txhaj tshuaj;
- scalpel;
- kab xev xov;
- txiab;
- khub ntawm clamps;
- thoracic drainage catheters.
Cov kua dej yog cov cim uas muaj kab mob thiab kho nrog tshuaj antiseptic. Tom qab lub sijhawm ua tiav, lub raj raug xaiv, uas raug xa tawm los ntawm cov kab xau mus rau hauv cov kab noj hniav, nrog rau ib qho chaw thiab kaw ntxiv.
Nyob rau hauv feem ntau heev cov mob, txawm tias tom qab lub installation ntawm kua, cua tseem mus tawm heev, heev yuav suav hais tias
Cov teeb meem ntawm cov pleev qhov ncauj tawm
Yog hais tias tus pleura muaj thickenings los yog splices, kua yog tsis yooj yim. Cov teeb meem loj tshaj plaws ntawm cov txheej txheem yog cov hauv qab no:
- tus kab mob;
- mob mob;
- subcutaneous emphysema;
- los ntshav;
- rov qab pneumothorax los yog hydrothorax.