Paracentesis ndi chiyani?

Zamkati

• Ndi chiyani
• Momwe zimachitikira
• Zovuta zotheka

Paracentesis ndi njira yachipatala yomwe imakhala ndi kukhetsa kwamadzimadzi mthupi. Nthawi zambiri amachitika pakakhala ma ascites, omwe ndimadzimadzi am'mimba, amayamba chifukwa cha matenda monga chiwindi cha chiwindi, khansa kapena matenda am'mimba, mwachitsanzo. Mvetsetsani zomwe ascites ndi matenda omwe amayambitsa.

Zimachitika ndi zolinga zotsatirazi:

• Kuzindikira paracentesis: wapangidwa kuti atenge pang'ono madzi omwe adzafufuzidwe mu labotoreti kuti adziwe chomwe chimayambitsa ascites kapena kuyang'ana zosintha monga matenda kapena ma cell a khansa, mwachitsanzo;
• Kuchiza paracentesis: amatchedwanso relief paracentesis, chifukwa amachotsa madzi ambiri. Kawirikawiri amawonetsedwa ngati chithandizo cha ascites sichothandiza, kuchititsa kuti madzi amadzimadzi amveke omwe amabweretsa mavuto ndipo, nthawi zina, amalepheretsa kupuma.

Paracentesis nthawi zambiri imachitika mchipatala kapena kuchipatala, ndi dokotala woseketsa kapena gastroenterologist, ndipo kuti achite izi ndikofunikira kuti wodwalayo agone pakama, pomwe kuyeretsa ndi opaleshoni kumachitika pamalo ophulika, ndiye kuti singano yapadera iyenera kulowetsedwa kuti madziwo atuluke.

Ndi chiyani

Paracentesis nthawi zambiri imawonetsedwa pochotsa madzimadzi pamimba. Nthawi zambiri, pamimba pamakhala zochepa zokha zamadzimadzi zaulere, komabe, nthawi zina zimatha kuyambitsa kuchuluka kwakanthawi, pokhala vuto lotchedwa ascites kapena, m'madzi.

Chifukwa chachikulu cha ascites ndi matenda a chiwindi, omwe amayamba chifukwa cha zochitika zingapo, monga matenda a chiwindi, matenda osokoneza bongo, autoimmune kapena matenda amtundu, mwachitsanzo. Onani zomwe zimayambitsa matenda a chiwindi.

Zina zomwe zingayambitsenso ascites ndi zotupa kapena zotupa m'mimba, kupsinjika kwa mtima, kusintha kwa impso, kapena matenda am'mimba, oyambitsidwa ndi chifuwa chachikulu, schistosomiasis, bowa ndi mabakiteriya.

Momwe zimachitikira

Paracentesis imagwiridwa ndi dokotala, ndipo njirayi imakhudza izi:

1. Wodwala ayenera kugona momasuka pabedi;
2. Asepsis ndi antisepsis amachitidwa m'chigawochi chomwe chingaponyedwe, ndipo adotolo ayenera kuvala zovala zofananira kuti zisawonongeke monga magolovesi, thewera, chipewa ndi chigoba;
3. Kuchita ochititsa dzanzi m'deralo momwe singano idzalembedwere, nthawi zambiri kumunsi kumanzere kumanzere, pakati pamiyeso ya mchombo ndi iliac, kapena motsogozedwa ndi mayeso a ultrasound;
4. Kubooleza kunapangidwa mozungulira pakhungu, ndi singano yakuda yokwanira, yodziwika bwino pochita izi;
5. Zamadzimadzi osonkhanitsidwa mu syringe, yomwe imatha kusanthula mu labotale;
6. Ngati kuli kofunika kuchotsa kuchuluka kwa madzimadzi a ascitic, adokotala amatha kulumikiza singanoyo ndi seramu yolumikizidwa ndi botolo lomwe lili pamunsi poyerekeza ndi la wodwalayo, kuti madziwo azitha kutuluka, akuyenda mwachilengedwe.

Kuphatikiza apo, madzi akamataya madzi opitilira 4 malita, tikulimbikitsidwa kugwiritsa ntchito albin ya munthu mumtsinje, munthawiyo kapena posakhalitsa mutatha, muyezo wa magalamu 6 mpaka 10 a albumin pa lita imodzi itachotsedwa. Mankhwalawa ndiofunika kuti madzi owonjezera omwe achotsedwa sayambitsa kusamvana pakati pa madzimadzi am'mimba ndi madzi am'magazi.

Zovuta zotheka

Ngakhale paracentesis nthawi zambiri imakhala njira yotetezeka, zovuta zina zimatha kubwera, monga kuwonongeka kwa chiwalo china cham'mimba, kukha magazi kapena matenda am'madzi am'mimba kapena khoma la m'mimba.