Yini iParacentesis nokuthi yenzelwe ini

-Delile

• Yenzelwe ini
• Kwenziwa kanjani
• Izinkinga ezingenzeka

I-Paracentesis inqubo yezokwelapha equkethe ukukhipha uketshezi emzimbeni womzimba. Kuvame ukwenziwa uma kune-ascites, okuwukuqoqwa koketshezi esiswini, okubangelwa izifo ezinjenge-cirrhosis yesibindi, umdlavuza noma izifo zesisu, ngokwesibonelo. Qonda ukuthi yini i-ascites nezifo eziyibangelayo.

Kwenziwa ngezinhloso ezilandelayo:

• I-paracentesis yokuxilonga: kwenziwe ukuqoqa inani elincane loketshezi elizohlaziywa elabhoratri ukuthola imbangela yama-ascites noma ukubheka ushintsho olufana nokutheleleka noma amangqamuzana omdlavuza, isibonelo;
• I-paracentesis yokwelapha: ibizwa nangokuthi i-relief paracentesis, njengoba isusa inani elikhulu loketshezi. Kuvame ukukhonjiswa lapho ukwelashwa kwama-ascites kungasebenzi, kubangele ukuqoqwa koketshezi olunamandla oludala ukungakhululeki futhi, kwezinye izimo, kungavimbela ukuphefumula.

I-Paracentesis ivame ukwenziwa esibhedlela noma kulungiselelwa abagulayo, ngudokotela ongakholwayo noma i-gastroenterologist, futhi ngenqubo kuyadingeka ukuthi isiguli silele ohlakeni, lapho kuhlanzwa khona futhi kubulawa izinzwa endaweni yokubhoboza, lapho-ke inaliti ekhethekile kumele ufakwe ukuvumela ukuthi uketshezi luphume.

Yenzelwe ini

I-Paracentesis ivame ukukhonjiswa ekususeni uketshezi oluvela esiswini sesisu. Imvamisa, isisu siqukethe inani elincane kuphela loketshezi lwamahhala, noma kunjalo, ezinye izimo zingadala ukwanda okungajwayelekile kule mali, kube yisimo esibizwa ngama-ascites noma, ngokudumile, ngaphansi kwamanzi.

Imbangela enkulu ye-ascites yi-cirrhosis yesibindi, ebangelwa yizimo eziningana, njenge-hepatitis engapheli yegciwane lesandulela ngculaza, ukuphuza ngokweqile, izifo ezizimele noma izifo zofuzo, ngokwesibonelo. Bheka ukuthi yiziphi izimbangela eziyinhloko zokuqina kwesibindi.

Ezinye izimo ezingadala i-ascites yizicubu noma imethastase yesisu, isiminyaminya sokuhluleka kwenhliziyo, ushintsho ezinso, noma ukutheleleka kwesisu, okubangelwa isifo sofuba, i-schistosomiasis, isikhunta kanye namagciwane.

Kwenziwa kanjani

I-Paracentesis yenziwa ngudokotela, futhi inqubo ihilela lezi zinyathelo ezilandelayo:

1. Isiguli kufanele ukuthi silele kamnandi ohlakeni;
2. I-Asepsis ne-antisepsis yenziwa esifundeni esizobhobozwa, kanti udokotela kufanele afake izinto ezifanayo ukugwema ukungcoliswa okufana namagilavu, iphinifa, isigqoko nesifihla-buso;
3. Ukwenza i-anesthesia yendawo lapho kuzofakwa khona inaliti, imvamisa esifundeni esingezansi kwesobunxele, phakathi kwendawo yenkaba ne-iliac crest, noma njengokuholwa ukuhlolwa kwe-ultrasound;
4. Ukubhoboza kwenziwa ngokungafani nesikhumba, ngenaliti yejiyinti ejiyile, eqondene nenqubo;
5. Uketshezi oluqoqelwe isirinji, elingahlaziywa elabhoratri;
6. Uma kunesidingo sokukhipha inani elikhulu le-ascitic fluid, udokotela angafaka inaliti kuserum enamathiselwe esitsheni esisezingeni eliphansi kunelesi lesiguli, ukuze uketshezi lukwazi ukugeleza, lugeleza ngokwemvelo.

Ngaphezu kwalokho, lapho inani loketshezi elikhanyisiwe lingaphezu kwamalitha ama-4, kunconywa ukuthi kusetshenziswe i-albhamuin yomuntu emthanjeni, ngesikhathi noma ngemuva nje kwenqubo, ngomthamo wamagremu ayisithupha kuya kwayishumi e-albumin ilitha ngalinye lisusiwe. Lo muthi ubalulekile ukuze uketshezi oludlulele olususwe kungadala ukungalingani phakathi koketshezi lwesisu kanye noketshezi lwegazi.

Izinkinga ezingenzeka

Yize i-paracentesis imvamisa kuyindlela ephephile, kungavela ezinye izinkinga, njengokugcotshwa kwesitho somgudu wokugaya ukudla, ukopha noma ukutheleleka kodonga lwe-ascitic noma udonga lwesisu.