Dab tsi yog Paracentesis thiab dab tsi yog nws rau

Zoo Siab

• Dab tsi yog nws rau
• Yuav ua li cas nws ua tiav
• Muaj teeb meem tshwm sim

Paracentesis yog kev kho mob uas muaj dej ntws los ntawm lub cev kab noj hniav. Piv txwv li feem ntau ua thaum muaj ascites, uas yog cov khoom sib ntxiv ntawm cov kua hauv plab, tshwm sim los ntawm cov kab mob xws li mob siab hauv lub siab, mob cancer lossis mob plab, piv txwv. Nkag siab txog dab tsi ascites yog thiab cov kab mob nws ua.

Nws yog ua tiav nrog cov hom phiaj hauv qab no:

• Kev kuaj mob paracentesis: ua rau txhawm rau khaws cov kua dej me me uas yuav raug tshuaj ntsuam hauv qhov chaw kuaj kom paub tias yog vim li cas ntawm ascites lossis saib rau kev hloov pauv xws li kis mob lossis mob hlwb, piv txwv;
• Kev Kho Mob paracentesis: nws tseem hu ua nyem paracentesis, raws li nws tshem tawm ntau ntawm cov kua. Nws feem ntau qhia tau thaum kev kho mob rau ascites tsis ua haujlwm, ua rau muaj kev tso zis ntau ntawm cov dej uas ua rau tsis xis nyob thiab, hauv qee kis, yuav cuam tshuam kev ua pa.

Paracentesis feem ntau ua rau hauv tsev kho mob lossis chaw kho mob sab nraud, los ntawm tus kws kho mob cynical lossis tus kws kho mob plab, thiab rau cov txheej txheem nws yog qhov tsim nyog tias tus neeg mob pw ntawm lub ncab, qhov chaw tu thiab tshuaj loog ua rau ntawm qhov chaw hno, ces ib rab koob tshwj xeeb yuav tsum raug tso rau hauv kom tso cai rau cov kua kom dim.

Dab tsi yog nws rau

Paracentesis feem ntau yog qhia rau kev tshem tawm ntawm cov kua dej hauv plab plab. Nquag, lub plab zom mov tsuas muaj cov kua dawb me me, txawm li cas los xij, qee qhov xwm txheej yuav ua rau muaj qhov qoos qeev ntxiv hauv qhov no, yog qhov xwm txheej hu ua ascites lossis, nrov, hauv qab dej.

Cov laj thawj tseem ceeb ntawm ascites yog kab mob siab hauv lub siab, tshwm sim los ntawm ntau qhov xwm txheej, xws li kab mob siab ntev dhau los, kev haus cawv, mob autoimmune lossis kab mob caj, piv txwv. Tshawb xyuas seb dab tsi yog qhov tseem ceeb tshaj plaws ua rau mob ntshav liab.

Lwm yam mob uas tseem tuaj yeem ua rau ascites yog qog lossis mob plab, ua kom lub plawv tsis zoo, hloov hauv lub raum, lossis tseem mob plab, ua rau mob ntsws, mob schistosomiasis, hu ua fungi thiab kab mob.

Yuav ua li cas nws ua tiav

Paracentesis yog ua los ntawm tus kws kho mob, thiab cov txheej txheem koom nrog cov kauj ruam hauv qab no:

1. Tus neeg mob yuav tsum tau pw ib qho yooj yim ntawm lub ncab mus;
2. Asepsis thiab antisepsis tau ua rau thaj chaw uas yuav ua rau tawg, thiab tus kws kho mob yuav tsum hnav cov khoom zoo sib xws kom tsis txhob muaj paug xws li hnab looj tes, sev, kaus mom thiab npog ntsej muag;
3. Ua cov tshuaj loog hauv zos qhov chaw uas rab koob yuav raug tso, feem ntau hauv thaj chaw qis dua, thaj tsam ntawm lub pij ntaws ntaws thiab iliac crest, lossis raws li kev taw qhia los ntawm kev kuaj mob ultrasound;
4. Qhov xuas nrig tau ua rau daim tawv nqaij txiav tawm, nrog cov koob tuab lub plhaw, tshwj xeeb rau qhov txheej txheem;
5. Cov kua sau ua kua rau cov koob txhaj tshuaj, uas tuaj yeem txheeb xyuas hauv qhov chaw kuaj;
6. Yog tias nws yuav tsum tau tshem tawm ntau dua ntawm cov tshuaj ascitic, tus kws kho mob tuaj yeem txuas rab koob rau hauv qhov dej uas txuas nrog lub thawb uas nyob rau ntawm qhov qis dua li tus neeg mob, kom cov kua tuaj yeem nqus tau, ntws ib txwm.

Tsis tas li ntawd, thaum tus nqi ntawm cov kua ua kua yog ntau dua 4 litres, nws raug nquahu kom siv tib neeg cov leeg ntshav hauv cov leeg ntshav, thaum lub sijhawm lossis tom qab ua tiav sai, nyob rau hauv koob tshuaj 6 mus rau 10 gram ntawm albumin ib liter raug tshem tawm. Cov tshuaj no tseem ceeb kom cov dej ntws tawm ntau dhau los tsis ua rau lub cev ntog mus rau hauv lub cev thiab cov ntshav ntim dej.

Muaj teeb meem tshwm sim

Txawm hais tias paracentesis feem ntau yog cov txheej txheem muaj kev nyab xeeb, qee qhov teeb meem yuav tshwm sim, xws li perforation ntawm qee qhov khoom hauv lub plab zom mov, hemorrhage los yog kis ntawm cov dej ascitic lossis lub plab phab ntsa.