Gwaran labaran shine lalata murfin kirji da kuma jikin mutum wanda yake rufe kwayoyin cutar, wanda aka samo don dalilai na bincike ko magunguna. Wannan shi ne mai sauki a kan kirji, wanda a wasu lokuta ya ba da damar ceton rayukan mai haƙuri.
Bayani ga ƙaddamar da ɓangaren ɓoye
Babban nuni ga ƙaddarar fata shine tsammanin kasancewarsa a cikin ɓangaren sarari na iska ko ruwa (jini, exudate, transudate). Ana iya buƙatar wannan magudi a irin waɗannan yanayi da cututtuka:
- exudative pleurisy ;
- Karfin da ya yi;
- hemothorax;
- chylothorax;
- hydrothorax;
- pneumothorax (maras wata-wata ko burbushi);
- busa da kuka.
Abubuwan da ke cikin ɓangaren ɓoyayyen da aka samo ta hanyar fashewa ana amfani da su don dalilai na bincike don nazarin bacteriological, cytological da physico-chemical.
Don dalilai na wariyar launin fata, ta yin amfani da launi na ƙwararre, abin da ke ciki na ɗakun gaɓoɓin yana buƙata kuma wanke. Har ila yau, a cikin ɓangaren ɓangaren sarari za a iya sarrafa wasu magunguna: maganin rigakafi, antiseptics, proteolytic enzymes, hormonal, antineoplastic agents, da dai sauransu.
Ana shirya don fashewa
A ranar da aka yi amfani da su, an soke wasu matakan kiwon lafiya da kuma bincike, da kuma shan magunguna (sai dai masu muhimmanci). Har ila yau an cire nauyin jiki da na neuropsychic, an haramta shan taba . Kafin fitinar, dole ne a zubar da mafitsara da hanji.
Hanyar ƙaddamar da ƙwararre
Don ƙuƙwarar ƙwararren ƙwaƙwalwa mai amfani da ƙananan cututtuka, ana amfani da ita ta hanyar adaftar haɗi tare da tsarin don fitar da ruwa.
- An yi amfani da maniyyi a matsayin wanda yake zaune a kan kujera yana fuskantar baya. Dole ne a karkatar da kai da akwati a gaba, kuma an dauki hannun a kan kai (don fadada intercostal sarari) ko kuma durƙusa a baya na kujera. An shafe shafin yanar gizon tare da barasa da kuma maganin guinin. Sa'an nan kuma gudanar da maganin rigakafi na gida - yawanci wani bayani na novocaine.
- Cibiyar fashewa ta dogara da manufarta. Idan akwai wajibi don cire iska (farfaɗɗen shinge tare da pneumothorax), ana yin fashewa a matsayi na uku da na huɗu na intercostal sarari a cikin na baya ko na tsakiya. A cikin yanayin da aka kawar da ruwa (farfaɗɗen ɓangaren sararin samaniya tare da hydrothorax), fashewa yana faruwa a cikin shida zuwa bakwai na sararin intercostal tare da tsakiyar tsakiya ko na karshe axillary. An haɗa maciji tare da sirinji tare da bututun roba. Ana yin sutura da abinda ke ciki na ɗakun gaɓoɓin sannu a hankali don ƙyale fitarwa daga cikin kafofin watsa labaru.
- An shafe shafin yanar gizon tare da sinadarai da barasa, bayan haka an yi amfani da toshe ma'aunin sutura da gyare-gyare tare da fenti. Bayan haka, an sanya jingina mai nauyin takardar kirji. Matsalar da aka samo a fitilar ya kamata a kai shi ga dakin gwaje-gwaje don bincika baya bayan sa'a daya.
- Ana ba da haƙuri zuwa ga unguwa a matsayin gurbi a matsayin kwance. A ranar da aka tabbatar da shi gado yana kwance kuma ana kula da shi don yanayin da ya dace.
Nuna matsalolin ƙaddamarwa
Yayin yin aikin gwadawa, matsalolin da ake biyowa sun yiwu:
- Tsuntsu na huhu, diaphragm, ciki, hanta, yalwa;
- zubar da jini na intrapleural;
- embolism na iska na cerebral tasoshin;
- zub da jini daga shafin yanar gizo.
Idan akwai wani damuwa, ana buƙatar cire da allurar daga cikin sashin ƙwararru, nan da nan ya sa mai haƙuri a baya kuma ya kira likita. Tare da amintattun iska na kwakwalwan ƙwayoyi, likitan ne da mai bada taimako na bukatar taimako.