Thoracentesis

Zoo Siab

• Npaj sab rau ntawm thoracentesis
• Cov txheej txheem rau thoracentesis yog dab tsi?
• Dab tsi yog cov kev pheej hmoo ntawm cov txheej txheem?
• Ua raws li cov txheej txheem tom qab

Dab tsi yog qhov thoracentesis?

Thoracentesis, tseem hu ua pleural kais, yog tus txheej txheem ua tiav thaum muaj dej ntau dhau hauv qhov chaw pleural. Qhov no tso cai rau kev soj ntsuam cov kua dej pleural ua hauv qhov chaw kuaj ntshav kom paub tias qhov twg ua kom muaj kua ntau ntau nyob ib ncig ntawm ob lossis ob lub ntsws. Lub chaw pleural yog qhov chaw me me ntawm lub ntsws thiab phab ntsa hauv siab. Qhov chaw no feem ntau muaj kwv yees li 4 diav kua dej. Qee qhov xwm txheej tuaj yeem ua rau lub cev dej ntau dua nkag mus rau qhov chaw no. Cov mob no suav nrog:

• mob hlav
• mob ntsws los yog lwm yam kab mob ntsws
• congestive plawv tsis ua haujlwm
• cov kab mob ntsws

Qhov no hu ua pleural effusion. Yog tias muaj dej ntau dhau, nws tuaj yeem nyem lub ntsws thiab ua rau ua pa nyuaj.

Lub hom phiaj ntawm thoracentesis yog tso cov kua dej thiab ua kom yooj yim rau koj ua pa. Qee qhov xwm txheej, cov txheej txheem kuj tseem yuav pab koj tus kws kho mob tshawb pom qhov ua rau ntawm pleural effusion.

Tus nqi ntawm cov kua dej ua kua sib txawv raws li cov laj thawj rau kev ua cov txheej txheem. Nws feem ntau siv sijhawm li 10 mus rau 15 feeb, tab sis nws tuaj yeem siv sijhawm ntev dua yog tias muaj kua ntau hauv cov chaw pleural.

Koj tus kws kho mob kuj tseem tuaj yeem ua qhov nqaij hlaus pleural tib lub sijhawm, kom tau txais ib daim ntaub los ntawm daim ntaub hauv koj lub hauv siab sab hauv. Qhov txawv txav ntawm lub ntsej muag pleural tuaj yeem qhia qee yam ua rau mob effusion, suav nrog:

• muaj cov kab mob cancer, xws li mob ntsws
• mesothelioma, uas yog kev tiv thaiv kab mob cancer rau cov nqaij mos uas npog lub ntsws
• collagen leeg tshav mob
• kis mob lossis kab mob fungal
• parasitic kab mob

Npaj sab rau ntawm thoracentesis

Muaj tsis muaj kev npaj tshwj xeeb rau lub thoracentesis. Txawm li cas los xij, koj yuav tsum tham nrog koj tus kws kho mob yog tias koj muaj lus nug lossis txhawj xeeb txog tus txheej txheem. Koj yuav tsum qhia koj tus kws kho mob yog tias koj:

• tam sim no siv tshuaj noj, suav nrog cov roj ntshav zoo ib yam li tshuaj aspirin, clopidogrel (Plavix), lossis warfarin (Coumadin)
• yog ua xua rau txhua yam tshuaj
• muaj teeb meem los ntshav
• tej zaum cev xeeb tub
• muaj mob ntsws caws pliav los ntawm cov txheej txheem yav dhau los
• tam sim no muaj mob ntsws zoo li mob ntsws mob ntsws lossis mob ntsws

Cov txheej txheem rau thoracentesis yog dab tsi?

Thoracentesis tuaj yeem ua rau hauv chaw kho mob lossis chaw kho mob. Nws ib txwm ua thaum koj tsis tsaug zog, tab sis koj yuav tsaug zog. Koj yuav xav tau ib tus neeg thauj koj mus tsev tom qab kev ua tiav yog tias koj ua pa tshuaj tuag.

Tom qab zaum hauv lub rooj zaum lossis dag ntawm lub rooj, koj yuav tau nyob rau hauv txoj kev uas tso cai rau tus kws kho mob kom nkag mus rau hauv qhov chaw pleural. Yuav siv hluav taws xob xob (ultrasound) los txheeb xyuas qhov tseeb thaj chaw uas rab koob yuav mus. Thaj chaw uas raug xaiv yuav raug muab ntxuav kom huv thiab txhaj tshuaj nrog cov tub ceev xwm tus naj npawb.

Koj tus kws kho mob yuav ntxig rab koob lossis lub raj hauv qab koj tus tav mus rau hauv qhov chaw zoo nkauj. Koj yuav hnov ​​muaj kev ntxhov siab nyob rau hauv cov txheej txheem no, tab sis koj yuav tsum khaws cia heev. Cov kua ntau dhau ces yuav tau nchuav tawm.

Thaum txhua qhov dej ntws tas, cov ntaub qhwv yuav tso rau ntawm qhov chaw nkag. Yuav kom ntseeg tau tias tsis muaj kev cuam tshuam dab tsi, koj yuav tau pw hauv tsev kho mob thaum hmo ntuj. Kev kuaj mob xoo hluav taws xob kuj yuav ua tau tiav tom qab thoracentesis.

Dab tsi yog cov kev pheej hmoo ntawm cov txheej txheem?

Txhua tus txheej txheem ua rau muaj kev pheej hmoo, tab sis kev phiv tsis zoo rau thoracentesis. Cov kev pheej hmoo txaus ntshai muaj xws li:

• kev mob
• los ntshav
• cua nkag mus (pneumothorax) thawb lub ntsws ua rau lub ntsws xau tag
• kis tau tus mob

Koj tus kws kho mob yuav hla cov kev pheej hmoo ua ntej ntawm txoj kev.

Thoracentesis tsis yog txheej txheem tsim nyog rau txhua tus. Koj tus kws kho mob yuav txiav txim siab yog tias koj yog tus neeg zoo rau thoracentesis. Cov neeg uas tau mus phais lub ntsws tshiab yuav muaj caws pliav, uas tuaj yeem ua tus txheej txheem nyuaj.

Cov tib neeg uas yuav tsum tsis txhob yauv thoracentesis muaj cov tib neeg:

• muaj ntshav ntws tsis zoo
• noj ntshav thinners
• nrog rau lub plawv tsis ua haujlwm lossis ua kom loj dua ntawm lub siab nrog rau lub ntsws

Ua raws li cov txheej txheem tom qab

Tom qab cov txheej txheem tiav lawm, koj li keeb kwm yuav raug saib xyuas, thiab koj yuav xoo hluav taws xob los ntawm koj lub ntsws. Koj tus kws kho mob yuav cia koj mus tsev yog tias koj lub pa ua pa, kev ua pa oxygen, ua kom ntshav siab, thiab cov mem tes puav leej zoo. Feem ntau cov neeg uas mob thoracentesis tuaj yeem mus nyob hauv tsev tib hnub.

Koj yuav tuaj yeem rov qab mus rau koj feem ntau cov kev ua ub ua no tsis ntev tom qab tau ua tiav sai. Txawm li cas los xij, koj tus kws kho mob tuaj yeem pom zoo kom koj zam kev tawm dag zog rau ob peb hnub tom qab kev ua haujlwm.

Koj tus kws kho mob yuav piav qhia txog yuav ua li cas saib xyuas thaj chaw puncture. Nco ntsoov hu mus rau koj tus kws kho mob yog tias koj pib muaj cov tsos mob ntawm tus mob. Cov tsos mob ntawm kev kis mob suav nrog:

• teeb meem ua pa
• hnoos tau ntshav
• ua npaws lossis ua daus no
• mob thaum koj sib sib zog nqus pa
• liab, mob, lossis los ntshav ncig thaj ua rab koob