{"id":9492,"date":"2024-06-18T19:07:41","date_gmt":"2024-06-18T16:07:41","guid":{"rendered":"https:\/\/ozgurkilickesmez.com\/?p=9492"},"modified":"2025-09-04T20:55:52","modified_gmt":"2025-09-04T17:55:52","slug":"toracenteza-drenajul-lichidului-toracic","status":"publish","type":"post","link":"https:\/\/ozgurkilickesmez.com\/ro\/toracenteza-drenajul-lichidului-toracic\/","title":{"rendered":"Toracenteza (Drenajul lichidului toracic)"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Toracenteza este procedura prin care se evacueaz\u0103 lichidul acumulat \u00een cavitatea pleural\u0103 pentru ameliorarea respira\u021biei \u0219i reducerea disconfortului. Aceasta se realizeaz\u0103 cu un ac fin introdus sub ghidaj imagistic.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Drenajul pleural este indicat \u00een cazurile de rev\u0103rsat pleural cauzat de infec\u021bii, insuficien\u021b\u0103 cardiac\u0103 sau neoplazii. Interven\u021bia aduce o ameliorare rapid\u0103 a simptomelor respiratorii.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Procedura este minim invaziv\u0103, necesit\u00e2nd doar anestezie local\u0103. Riscurile sunt reduse, iar pacientul beneficiaz\u0103 de o recuperare scurt\u0103 \u0219i reintegrare rapid\u0103 \u00een activit\u0103\u021bile cotidiene.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Toracenteza are \u0219i rol diagnostic, lichidul extras fiind analizat pentru stabilirea cauzei. Aceasta permite personalizarea tratamentului ulterior \u0219i monitorizarea evolu\u021biei bolii.<\/span><\/p>\n<table dir=\"ltr\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\" data-sheets-root=\"1\">\n<colgroup>\n<col width=\"179\" \/>\n<col width=\"337\" \/><\/colgroup>\n<tbody>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Tan\u0131m&quot;}\">Defini\u021bie<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;G\u00f6\u011f\u00fcs bo\u015flu\u011funda biriken s\u0131v\u0131n\u0131n (plevral ef\u00fczyon) tan\u0131 veya tedavi amac\u0131yla i\u011fne ile bo\u015falt\u0131lmas\u0131 i\u015flemi.&quot;}\">Procedura de drenaj a lichidului acumulat \u00een cavitatea toracic\u0103 (efuziune pleural\u0103) cu ac, \u00een scop de diagnostic sau tratament.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Endikasyonlar&quot;}\">Indica\u021bii<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Plevral ef\u00fczyon, akci\u011fer enfeksiyonlar\u0131, malignite, kalp yetmezli\u011fi, travma sonras\u0131 s\u0131v\u0131 birikimi.&quot;}\">Efuziune pleural\u0103, infec\u021bii pulmonare, malignitate, insuficien\u021b\u0103 cardiac\u0103, acumulare de lichid post-traumatic.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Kontrendikasyonlar&quot;}\">Contraindica\u021bii<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Ciddi koagulopati, enfekte cilt alan\u0131, k\u00fc\u00e7\u00fck ve lokalize ef\u00fczyon, solunum s\u0131k\u0131nt\u0131s\u0131 riski.&quot;}\">Coagulopatie sever\u0103, zon\u0103 cutanat\u0103 infectat\u0103, ef\u00fcziune mic\u0103 \u0219i localizat\u0103, risc de dificult\u0103\u021bi respiratorii.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Prosed\u00fcr \u00d6ncesi Haz\u0131rl\u0131k&quot;}\">Preg\u0103tiri \u00eenainte de procedur\u0103<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Kan testleri (\u00f6zellikle p\u0131ht\u0131la\u015fma profili), g\u00f6r\u00fcnt\u00fcleme \u00e7al\u0131\u015fmalar\u0131 (ultrason, r\u00f6ntgen), hasta bilgilendirmesi ve onam, i\u015flem \u00f6ncesi a\u00e7 kalma gereksinimi.&quot;}\">Teste de s\u00e2nge (\u00een special profil de coagulare), studii imagistice (ultrasunete, radiografie), informarea \u0219i consim\u021b\u0103m\u00e2ntul pacientului, necesitatea postului preprocedural.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Prosed\u00fcr S\u00fcresi&quot;}\">Durata procedurii<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Genellikle 15-30 dakika.&quot;}\">De obicei, 15-30 de minute.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Anestezi T\u00fcr\u00fc&quot;}\">Tipul de anestezie<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Lokal anestezi.&quot;}\">Anestezie local\u0103.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Prosed\u00fcr Ad\u0131mlar\u0131&quot;}\">Pa\u0219ii procedurii<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;1. Hasta pozisyonunun ayarlanmas\u0131 (genellikle oturur pozisyonda)\\n2. Hedef alan\u0131n antiseptik ile temizlenmesi\\n3. Lokal anestezi uygulanmas\u0131\\n4. \u0130\u011fne veya kateterin plevral bo\u015flu\u011fa yerle\u015ftirilmesi\\n5. S\u0131v\u0131n\u0131n drenaj\u0131 ve laboratuvara g\u00f6nderilmesi\\n6. \u0130\u011fne veya kateterin \u00e7\u0131kar\u0131lmas\u0131 ve alan\u0131n kapat\u0131lmas\u0131&quot;}\">1. Ajustarea pozi\u021biei pacientului (de obicei \u00een pozi\u021bie a\u0219ezat\u0103)<br \/>\n2. Cur\u0103\u021barea zonei \u021bint\u0103 cu antiseptic<br \/>\n3. Aplicarea anesteziei locale<br \/>\n4. Introducerea acului sau a cateterului \u00een cavitatea pleural\u0103<br \/>\n5. Drenajul lichidului \u0219i trimiterea acestuia la laborator<br \/>\n6. \u00cendep\u0103rtarea acului sau a cateterului \u0219i \u00eenchiderea zonei<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Komplikasyonlar&quot;}\">Complica\u021bii<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Pn\u00f6motoraks, kanama, enfeksiyon, karaci\u011fer veya dalak yaralanmas\u0131, pulmoner \u00f6dem.&quot;}\">Pneumotorax, s\u00e2ngerare, infec\u021bie, leziuni ale ficatului sau splinei, edem pulmonar.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;\u0130yile\u015fme S\u00fcresi&quot;}\">Timpul de recuperare<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Genellikle birka\u00e7 saat; i\u015flem sonras\u0131 g\u00f6zlem gereklidir.&quot;}\">De obicei, c\u00e2teva ore; este necesar\u0103 monitorizarea post-procedural\u0103.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Ba\u015far\u0131 Oran\u0131&quot;}\">Rata de succes<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Y\u00fcksek; tan\u0131sal ve semptomatik rahatlama a\u00e7\u0131s\u0131ndan etkili.&quot;}\">Ridicat\u0103; eficient\u0103 \u00een diagnostic \u0219i \u00een ameliorarea simptomelor.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Alternatif Tedaviler&quot;}\">Tratament alternativ<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Plevral kateter yerle\u015ftirilmesi, cerrahi drenaj, medikal tedavi (di\u00fcretikler), g\u00f6\u011f\u00fcs t\u00fcp\u00fc yerle\u015ftirilmesi.&quot;}\">Inser\u021bia cateterului pleural, drenaj chirurgical, tratament medicamentos (diuretice), inser\u021bia tubului toracic.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span data-sheets-root=\"1\">\n\t<section class=\"section\" id=\"section_2105044917\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-476037572\">\n\n\n\t<div id=\"col-676013624\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\" style=\"background-color:#1c58ef;\" >\n\t\t\t\n\t\t\t\n\n<div class=\"row\"  id=\"row-699974192\">\n\n\n\t<div id=\"col-316100156\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\t<div class=\"img has-hover border-gorsel x md-x lg-x y md-y lg-y\" id=\"image_1163569600\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"1020\" height=\"1020\" src=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2025\/08\/Medic-specialist-in-Radiologie-Interventionala-si-Neuroradiologie-1024x1024.webp\" class=\"attachment-large size-large\" alt=\"Medic specialist \u00een Radiologie Interven\u021bional\u0103 \u0219i Neuroradiologie\" 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class=\"col-inner dark\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-2103851358\" class=\"text\">\n\t\t\n\n<p><strong>Prof. Dr. \u00d6zg\u00fcr KILI\u00c7KESMEZ<br \/><\/strong><span style=\"font-size: 65%;\"><em>Radiologie Interven\u021bional\u0103 \/ Neuroradiologie Interven\u021bional\u0103<\/em><\/span><\/p>\n\t\t\n<style>\n#text-2103851358 {\n  font-size: 1.25rem;\n}\n@media (min-width:550px) {\n  #text-2103851358 {\n    font-size: 2rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n<p>Prof. Dr. K\u0131l\u0131\u00e7kesmez de\u021bine Certificatul de Competen\u021b\u0103 \u00een Radiologie din Turcia, Certificatul de Competen\u021b\u0103 \u00een Radiologie Interven\u021bional\u0103 din Turcia, Certificarea pentru tratamentul accidentului vascular cerebral \u0219i Certificatul European de Radiologie Interven\u021bional\u0103 (EBIR). \u00cen cariera sa academic\u0103, a c\u00e2\u0219tigat Premiul I Siemens pentru Radiologie \u00een 2008.<\/p>\n\n<a href=\"https:\/\/ozgurkilickesmez.com\/kimdir\/\" 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class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/toracenteza-drenajul-lichidului-toracic\/#Ce_este_torasenteza\" >Ce este torasenteza?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/toracenteza-drenajul-lichidului-toracic\/#Dinamicile_cavitatii_toracice_in_cadrul_anatomiei_si_fiziologiei\" >Dinamicile cavit\u0103\u021bii toracice \u00een cadrul anatomiei \u0219i fiziologiei<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/toracenteza-drenajul-lichidului-toracic\/#Aplicatiile_torasentezei\" >Aplica\u021biile torasentezei<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/toracenteza-drenajul-lichidului-toracic\/#Contraindicatii_pentru_torasenteza\" >Contraindica\u021bii pentru torasentez\u0103<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/toracenteza-drenajul-lichidului-toracic\/#Pregatiri_inainte_de_torasenteza\" >Preg\u0103tiri \u00eenainte de torasentez\u0103<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/toracenteza-drenajul-lichidului-toracic\/#Tehnica_torasentezei_si_pasii_de_aplicare\" >Tehnica torasentezei \u0219i pa\u0219ii de aplicare<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/toracenteza-drenajul-lichidului-toracic\/#Complicatii_posibile_in_timpul_torasentezei\" >Complica\u021bii posibile \u00een timpul torasentezei<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/toracenteza-drenajul-lichidului-toracic\/#Importanta_clinica_a_tratamentului_prin_torasenteza\" >Importan\u021ba clinic\u0103 a tratamentului prin torasentez\u0103<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/toracenteza-drenajul-lichidului-toracic\/#Abordarile_echipei_medicale_in_procedura_de_torasenteza\" >Abord\u0103rile echipei medicale \u00een procedura de torasentez\u0103<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/toracenteza-drenajul-lichidului-toracic\/#Intrebari_frecvente\" >\u00centreb\u0103ri frecvente<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Ce_este_torasenteza\"><\/span>Ce este torasenteza?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Torasenteza este procedura de eliminare a lichidului sau aerului acumulat \u00een cavitatea toracic\u0103. Aceast\u0103 interven\u021bie se efectueaz\u0103 sub anestezie local\u0103. \u00cen timpul procedurii, se introduce o canul\u0103 sau un ac gol \u00een peretele toracic. Aceast\u0103 metod\u0103 este deosebit de important\u0103 \u00een urm\u0103toarele situa\u021bii:<\/p>\n<ul>\n<li aria-level=\"1\">\u00cen caz de acumulare anormal\u0103 de lichid \u00een cavitatea toracic\u0103,<\/li>\n<li aria-level=\"1\">\u00cen cazurile de acumulare de aer,<\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK441866\/\" target=\"_blank\" rel=\"noopener\">Torasenteza este denumit\u0103 \u0219i sub alte nume, cum ar fi muslukul pleural sau toracostomia cu ac.<\/a> Procedura este utilizat\u0103 at\u00e2t pentru diagnostic, c\u00e2t \u0219i pentru tratament. Aplicarea procedurii este planificat\u0103 cu grij\u0103 de medic, \u00een func\u021bie de starea pacientului. Aceasta este o metod\u0103 folosit\u0103 \u00een gestionarea patologiilor interne ale toracelui.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Dinamicile_cavitatii_toracice_in_cadrul_anatomiei_si_fiziologiei\"><\/span>Dinamicile cavit\u0103\u021bii toracice \u00een cadrul anatomiei \u0219i fiziologiei<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u00cen cavitatea toracic\u0103 exist\u0103 un spa\u021biu \u00eentre peretele toracic intern \u0219i pl\u0103m\u00e2ni, situat \u00eentre partea dreapt\u0103 \u0219i st\u00e2ng\u0103. Acest spa\u021biu joac\u0103 un rol important \u00een activit\u0103\u021bile respiratorii normale. \u00cen timpul respira\u021biei, acest spa\u021biu poten\u021bial ofer\u0103 o suprafa\u021b\u0103 alunecoas\u0103 necesar\u0103 pentru expansiunea \u0219i contrac\u021bia u\u0219oar\u0103 a \u021besutului pulmonar. Con\u021bin\u00e2nd o cantitate minimal\u0103 de lichid, acest spa\u021biu serve\u0219te, de asemenea, ca sistem de drenaj limfatic. Func\u021bional:<\/p>\n<ul>\n<li aria-level=\"1\">\u00cen timpul inhal\u0103rii, acest lichid ajut\u0103 la expansiunea pl\u0103m\u00e2nilor.<\/li>\n<li aria-level=\"1\">\u00cen timpul expira\u021biei, faciliteaz\u0103 contrac\u021bia pl\u0103m\u00e2nilor.<\/li>\n<\/ul>\n<p>Prezen\u021ba acestui lichid nu doar c\u0103 asigur\u0103 un mediu cu frecare redus\u0103 \u00eentre structurile musculo-scheletice \u0219i \u021besutul pulmonar, dar contribuie \u0219i la drenajul limfatic. Totu\u0219i, o cre\u0219tere a cantit\u0103\u021bii acestui lichid poate indica diverse probleme de s\u0103n\u0103tate. \u00cen mod normal, cantitatea de lichid este echilibrat\u0103, \u00eens\u0103 o acumulare patologic\u0103 poate semnala o afec\u021biune, fiind esen\u021bial\u0103 pentru diagnosticarea \u0219i tratamentul bolilor. Din aceast\u0103 cauz\u0103, volumul, rata de acumulare \u0219i compozi\u021bia chimic\u0103 a lichidului sunt parametri fundamentali \u00een evaluarea clinic\u0103.<br \/>\n<span data-sheets-root=\"1\">\n\t<section class=\"section\" id=\"section_2143774102\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-734844959\">\n\n\n\t<div id=\"col-1811716311\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner box-shadow-2\"  >\n\t\t\t\n\t\t\t\n\n<div class=\"row\"  id=\"row-1847184977\">\n\n\n\t<div id=\"col-1786698738\" class=\"col whatsapp-alani hide-for-small medium-3 small-12 large-3\"  >\n\t\t\t\t<div class=\"col-inner box-shadow-2\" style=\"background-color:rgb(37, 211, 102);\" >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-3406406726\" class=\"text\">\n\t\t\n\n<p><a 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0px 0px;margin:0px 0px 0px 0px;\">\n\t<\/div>\n\t\t\t\n\n<div class=\"row\"  id=\"row-841555418\">\n\n\n\t<div id=\"col-1237569712\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f8836-o1\" lang=\"tr-TR\" dir=\"ltr\" data-wpcf7-id=\"8836\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/ro\/wp-json\/wp\/v2\/posts\/9492#wpcf7-f8836-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"8836\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.2.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"tr_TR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f8836-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"sp-form\">\n\t<div class=\"col-row\">\n\t\t<div class=\"col-quarter\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-340\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nume\" value=\"\" type=\"text\" name=\"text-340\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-quarter\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tel-10\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Telefon\" value=\"\" type=\"tel\" name=\"tel-10\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-quarter\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email-563\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"E-mail\" value=\"\" type=\"email\" name=\"email-563\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-quarter\">\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"TRIMITE\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"108\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1237569712 > .col-inner {\n  margin: 0px 0px -60px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-1612018994\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-2393015401\" class=\"text\">\n\t\t\n\n<p>*V\u0103 recomand\u0103m s\u0103 completa\u021bi toate c\u00e2mpurile pentru a primi cel mai bun r\u0103spuns posibil.<\/p>\n\t\t\n<style>\n#text-2393015401 {\n  font-size: 0.85rem;\n  line-height: 1.5;\n}\n@media (min-width:550px) {\n  #text-2393015401 {\n    line-height: 0.75;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1612018994 > .col-inner {\n  margin: 0px 0px -40px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1230872839 > .col-inner {\n  padding: 0px 0px 0px 0px;\n  margin: 0px 0px -20px 0px;\n}\n@media (min-width:550px) {\n  #col-1230872839 > .col-inner {\n    padding: 20px 0px 0px 0px;\n    margin: 0px 0px -66px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1811716311 > .col-inner {\n  padding: 30px 10px 0px 10px;\n  border-radius: 30px;\n}\n@media (min-width:550px) {\n  #col-1811716311 > .col-inner {\n    padding: 0px 20px 0px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_2143774102 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Aplicatiile_torasentezei\"><\/span>Aplica\u021biile torasentezei<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Torasenteza are un spectru larg de indica\u021bii \u0219i este utilizat\u0103 at\u00e2t \u00een scop diagnostic, c\u00e2t \u0219i terapeutic. Aceast\u0103 procedur\u0103 se efectueaz\u0103 atunci c\u00e2nd cauza acumul\u0103rii excesive de lichid nu este clar\u0103, pentru a stabili un diagnostic. C\u00e2nd volumul de lichid cauzeaz\u0103 simptome clinice semnificative, se aplic\u0103 \u00een scop terapeutic. Natura diagnostic\u0103 sau terapeutic\u0103 a procedurii determin\u0103 volumul de lichid care va fi extras \u0219i m\u0103surile de precau\u021bie care vor fi luate \u00een timpul interven\u021biei.<br \/>\nTan\u0131sal Torasentez:<\/p>\n<ul>\n<li aria-level=\"1\">De obicei, are un volum mic.<\/li>\n<li aria-level=\"1\">Se utilizeaz\u0103 o sering\u0103 de 20cc p\u00e2n\u0103 la 30cc.<\/li>\n<li aria-level=\"1\">La prima interven\u021bie se preleveaz\u0103 un e\u0219antion din lichid pentru analize de laborator \u0219i patologie.<\/li>\n<\/ul>\n<p>Torasenteza terapeutic\u0103:<\/p>\n<ul>\n<li aria-level=\"1\">Se efectueaz\u0103 drenajul lichidului de volum mare.<\/li>\n<li aria-level=\"1\">Pot fi extrase mai multe litri de lichid.<\/li>\n<li aria-level=\"1\">Dac\u0103 cauza lichidului este incert\u0103 sau se suspecteaz\u0103 modific\u0103ri, se preleveaz\u0103 un mic e\u0219antion pentru analiz\u0103.<\/li>\n<\/ul>\n<p>\u00cen situa\u021biile \u00een care lichidul se poate acumula rapid din nou, de obicei se instaleaz\u0103 un sistem de drenaj. Aceast\u0103 situa\u021bie poate ap\u0103rea \u00een diverse scenarii clinice:<\/p>\n<ul>\n<li aria-level=\"1\">Hemotorax post-traumatic,<\/li>\n<li aria-level=\"1\">Efuziune malign\u0103 \u00een cazurile de cancer,<\/li>\n<li aria-level=\"1\">Recuperare post-operatorie cardiotoracic\u0103 \u0219i situa\u021bii inflamatorii,<\/li>\n<li aria-level=\"1\">Afectiuni metabolice, cum ar fi ciroza sau sindroamele de malabsorb\u021bie.<\/li>\n<\/ul>\n<p>De asemenea, acumul\u0103rile de lichid suspectate a fi infectate trebuie evacuate pentru a elimina sursa \u0219i rezervorul infec\u021biei. Aceast\u0103 procedur\u0103 este esen\u021bial\u0103 pentru prevenirea r\u0103sp\u00e2ndirii infec\u021biei \u0219i pentru \u00eembun\u0103t\u0103\u021birea st\u0103rii pacientului.<br \/>\n<span data-sheets-root=\"1\">\n\t<section class=\"section dark\" id=\"section_480623666\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n\t<div id=\"gap-2053035936\" class=\"gap-element clearfix hide-for-medium\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-2053035936 {\n  padding-top: 10px;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-205459826\">\r\n\r\n\n\t<div id=\"col-2050429607\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-891062814\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Contacteaz\u0103-l acum pe Prof. Dr. \u00d6zg\u00fcr K\u0131l\u0131\u00e7kesmez pentru informa\u021bii detaliate \u0219i pentru a programa o consulta\u021bie!<\/strong><\/div>\r\n\t\t\n<style>\n#text-891062814 {\n  font-size: 1.25rem;\n  text-align: center;\n}\n@media (min-width:550px) {\n  #text-891062814 {\n    font-size: 1.15rem;\n  }\n}\n@media (min-width:850px) {\n  #text-891062814 {\n    font-size: 1.5rem;\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-2050429607 > .col-inner {\n  padding: 20px 0px 0px 0px;\n  margin: 0px 0px -10px 0px;\n}\n@media (min-width:550px) {\n  #col-2050429607 > .col-inner {\n    padding: 0px 0px 0px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1263055752\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner text-center\"  >\n\t\t\t\n\t\t\t\r\n\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905405032303&#038;text=Bun\u0103%2C+v\u0103+contactez+de+pe+https%3A%2F%2Fozgurkilickesmez.com%2F&#038;type=phone_number&#038;app_absent=0\" target=\"_blank\" class=\"button alert is-small box-shadow-5\" rel=\"noopener\" style=\"border-radius:10px;padding:5px 20px 5px 20px;\">\n\t\t<span>Contact prin Whatsapp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1263055752 > .col-inner {\n  padding: 20px 0px 0px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_480623666 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n  background-color: #396cf0;\n}\n<\/style>\n\t<\/section>\n\t\r\n\t<div id=\"gap-833155052\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-833155052 {\n  padding-top: 20px;\n}\n<\/style>\n\t<\/div>\n\t\r\n<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Contraindicatii_pentru_torasenteza\"><\/span>Contraindica\u021bii pentru torasentez\u0103<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Torasenteza este o procedur\u0103 medical\u0103 care nu trebuie aplicat\u0103 \u00een anumite situa\u021bii. De\u0219i nu exist\u0103 contraindica\u021bii absolute, exist\u0103 contraindica\u021bii relative. Acestea includ condi\u021biile care \u00eempiedic\u0103 pacientul s\u0103 adopte o pozi\u021bie sigur\u0103 pentru procedur\u0103. De asemenea, anumite tulbur\u0103ri de coagulare care nu pot fi controlate sunt considerate contraindica\u021bii relative. Contraindica\u021biile sunt urm\u0103toarele:<\/p>\n<ul>\n<li aria-level=\"1\">Condi\u021bii care \u00eempiedic\u0103 pacientul s\u0103 adopte o pozi\u021bie adecvat\u0103 pentru procedur\u0103<\/li>\n<li aria-level=\"1\">Tulbur\u0103ri de coagulare necontrolabile, care pot include:\n<ul>\n<li aria-level=\"2\">Tulbur\u0103ri induse de medicamente sau efecte iatrogene<\/li>\n<li aria-level=\"2\">Cauze intrinseci care nu pot fi controlate<\/li>\n<\/ul>\n<\/li>\n<li aria-level=\"1\">Dac\u0103 riscurile poten\u021biale ale procedurii dep\u0103\u0219esc beneficiile ob\u021binute<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Pregatiri_inainte_de_torasenteza\"><\/span>Preg\u0103tiri \u00eenainte de torasentez\u0103<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u00cenainte de a \u00eencepe procedura de torasentez\u0103, trebuie ob\u021binut\u0103 o istorie medical\u0103 detaliat\u0103 a pacientului. Aceste informa\u021bii permit desf\u0103\u0219urarea \u00een siguran\u021b\u0103 a interven\u021biei. Urmeaz\u0103 o examinare fizic\u0103 atent\u0103, care ajut\u0103 la determinarea corect\u0103 a zonei \u00een care se va efectua procedura. De asemenea, este obligatorie ob\u021binerea consim\u021b\u0103m\u00e2ntului informat, \u00eendeplinind astfel cerin\u021bele legale ale procedurii.<\/p>\n<ul>\n<li aria-level=\"1\">Marcarea: Zona \u0219i partea unde se va efectua interven\u021bia trebuie marcate conform politicilor spitalului pentru proceduri invazive.<\/li>\n<li aria-level=\"1\">Colectarea echipamentelor: Toate instrumentele medicale necesare trebuie preg\u0103tite \u00eenainte de \u00eenceperea procedurii.<\/li>\n<li aria-level=\"1\">Monitorizarea pacientului:\n<ul>\n<li aria-level=\"2\">Se ata\u0219eaz\u0103 un puls-oximetru pacientului.<\/li>\n<li aria-level=\"2\">Tensiunea arterial\u0103 \u0219i ritmul cardiac trebuie monitorizate continuu pe durata procedurii.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Tehnica_torasentezei_si_pasii_de_aplicare\"><\/span>Tehnica torasentezei \u0219i pa\u0219ii de aplicare<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u00cen timpul torasentezei, pacientul este preg\u0103tit de obicei \u00een pozi\u021bie decubit dorsal sau a\u0219ezat. Pozi\u021bia este determinat\u0103 \u00een func\u021bie de zona \u00een care se va efectua interven\u021bia. Partea afectat\u0103 este aleas\u0103, de obicei, din zona midaxilar\u0103 sau posterolateral\u0103 scapular\u0103. Localizarea lichidului este clarificat\u0103 cu ajutorul unui aparat de ultrasunete la pat, o etap\u0103 esen\u021bial\u0103 \u00een special la pacien\u021bii cu volum redus de lichid.<br \/>\nSterilizarea zonei de interven\u021bie se realizeaz\u0103 dup\u0103 urm\u0103torii pa\u0219i:<\/p>\n<ul>\n<li aria-level=\"1\">Pacientul este preg\u0103tit \u00een condi\u021bii sterile.<\/li>\n<li aria-level=\"1\">Pielea este cur\u0103\u021bat\u0103 cu o solu\u021bie antiseptic\u0103.<\/li>\n<li aria-level=\"1\">Se folose\u0219te un ac de 25 gauge pentru a crea o mic\u0103 umfl\u0103tur\u0103 pe suprafa\u021ba pielii, pentru anestezie local\u0103.<\/li>\n<\/ul>\n<p>Dup\u0103 anestezia local\u0103, se administreaz\u0103 anestezie \u00een \u021besuturile profunde folosind un ac de 20 sau 22 gauge. Acest ac este plasat imediat deasupra marginii coastelor. Se aplic\u0103 presiune negativ\u0103 p\u00e2n\u0103 c\u00e2nd lichidul \u00eencepe s\u0103 ias\u0103 atunci c\u00e2nd se introduce acul sau <a href=\"https:\/\/ozgurkilickesmez.com\/ro\/ce-este-cateterul-si-la-ce-foloseste\/\">cateterul<\/a>.<br \/>\nMaterialele utilizate \u00een timpul procedurii:<\/p>\n<ul>\n<li aria-level=\"1\">Un ac mai mare sau un cateter ambalat,<\/li>\n<li aria-level=\"1\">Dac\u0103 se folose\u0219te un kit de cateter, se face o mic\u0103 incizie pe piele cu un bisturiu de m\u0103rimea 11.<\/li>\n<\/ul>\n<p>Cateterul este introdus \u00een cavitatea toracic\u0103. C\u00e2nd se colecteaz\u0103 volumul necesar de lichid, acul este \u00eendep\u0103rtat sau se ata\u0219eaz\u0103 sistemul de drenaj. Pentru drenajul lichidului de volum mare se utilizeaz\u0103:<\/p>\n<ul>\n<li aria-level=\"1\">Alimentare prin gravita\u021bie,<\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\">Metoda de aspirare serial\u0103 cu un robinet cu trei c\u0103i.<\/li>\n<\/ul>\n<p>Dup\u0103 \u00eendep\u0103rtarea cateterului, se aplic\u0103 presiune la punctul de inser\u021bie pentru a minimiza riscul de s\u00e2ngerare.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Complicatii_posibile_in_timpul_torasentezei\"><\/span>Complica\u021bii posibile \u00een timpul torasentezei<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u00cen timpul procedurii de torasentez\u0103 pot ap\u0103rea diverse complica\u021bii. S\u00e2ngerarea, durerea \u0219i infec\u021bia sunt cele mai frecvente probleme \u00een zona de interven\u021bie. Introducerea acului dintr-un punct prea \u00eenalt \u00eentre coaste poate cauza leziuni ale vaselor costale \u0219i nervilor. De asemenea, dac\u0103 lichidul este extras prea rapid sau \u00een cantitate excesiv\u0103, riscul de edem pulmonar cre\u0219te, afect\u00e2nd grav func\u021bia normal\u0103 a pl\u0103m\u00e2nilor.<\/p>\n<ul>\n<li aria-level=\"1\">Pneumotorax: Aceasta este cea mai frecvent\u0103 complica\u021bie a procedurii \u0219i apare \u00een 12-30% din cazuri.<\/li>\n<li aria-level=\"1\">Abcese \u0219i alte infec\u021bii: Dac\u0103 acul trece prin \u021besut infectat, se poate forma un abces sau o amigdom (ampiyem) \u00een cavitatea toracic\u0103.<\/li>\n<li aria-level=\"1\">Leziuni ale organelor interne: Dac\u0103 punctul de inser\u021bie este ales prea jos, splina sau ficatul pot fi r\u0103nite.<\/li>\n<\/ul>\n<p>Dup\u0103 procedur\u0103, inser\u021bia unui tub toracic este necesar\u0103 \u00een cazurile de pneumotorax sever \u0219i progresiv, situa\u021bie care trebuie luat\u0103 \u00een considerare \u00een special la pacien\u021bii supu\u0219i ventila\u021biei mecanice. G\u0103sirile ecografice, cum ar fi alunecarea pl\u0103m\u00e2nilor \u0219i dispari\u021bia liniilor B, sunt esen\u021biale pentru diagnosticul precoce al pneumotoraxului. O evaluare de acest tip trebuie efectuat\u0103 \u00eenainte de \u00eenceperea procedurii.<br \/>\nDe\u0219i s-a raportat rar ca fragmente mici s\u0103 r\u0103m\u00e2n\u0103 \u00een cavitatea toracic\u0103, aceast\u0103 situa\u021bie apare de obicei la cateterele introduse retrograd pe trocar. Este necesar\u0103 o metod\u0103 atent\u0103 pentru a asigura integritatea cateterului.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Importanta_clinica_a_tratamentului_prin_torasenteza\"><\/span>Importan\u021ba clinic\u0103 a tratamentului prin torasentez\u0103<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Procedura de torasentez\u0103 amelioreaz\u0103 simptomele prin eliminarea excesului de lichid acumulat \u00een cavitatea pleural\u0103 care \u00eenconjoar\u0103 pl\u0103m\u00e2nii. Aceast\u0103 metod\u0103 este deosebit de eficient\u0103 \u00een controlul simptomelor care afecteaz\u0103 negativ func\u021bia pulmonar\u0103, cum ar fi durerea \u0219i dificult\u0103\u021bile de respira\u021bie. Lichidul extras \u00een timpul procedurii este supus unei analize biochimice \u0219i microscopice detaliate. Prin aceast\u0103 analiz\u0103 se poate:<\/p>\n<ul>\n<li aria-level=\"1\">Determina caracteristicile lichidului pleural.<\/li>\n<li aria-level=\"1\">Analiza structurii celulare \u0219i compozi\u021biei chimice a lichidului.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Abordarile_echipei_medicale_in_procedura_de_torasenteza\"><\/span>Abord\u0103rile echipei medicale \u00een procedura de torasentez\u0103<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Torasenteza este efectuat\u0103 de o echip\u0103 medical\u0103 multidisciplinar\u0103. \u00cen acest proces, medicul este responsabil de aplicarea procedurii \u0219i se str\u0103duie\u0219te s\u0103 \u00eembun\u0103t\u0103\u021beasc\u0103 starea pacientului utiliz\u00e2nd cele mai adecvate tehnici. \u00cenainte de procedur\u0103, pacientul este informat \u00een detaliu despre posibilele complica\u021bii \u0219i beneficiile interven\u021biei. Mediul \u00een care se desf\u0103\u0219oar\u0103 procedura este preg\u0103tit cu aten\u021bie pentru siguran\u021ba pacientului, iar o anestezie adecvat\u0103 este asigurat\u0103 pentru a-l relaxa. \u00cen perioada post-procedural\u0103, asistentele joac\u0103 un rol activ, responsabiliz\u00e2ndu-se de:<\/p>\n<ul>\n<li aria-level=\"1\">Monitorizarea st\u0103rii generale a pacientului dup\u0103 procedur\u0103,<\/li>\n<li aria-level=\"1\">\u00cencurajarea activit\u0103\u021bilor fizice u\u0219oare, cum ar fi mersul pe jos,<\/li>\n<li aria-level=\"1\">Informarea pacientului cu privire la schimb\u0103rile \u00een pansament.<\/li>\n<\/ul>\n<p>Dup\u0103 procedur\u0103, se efectueaz\u0103 o radiografie toracic\u0103 pentru a evalua dac\u0103 exist\u0103 complica\u021bii. Pe parcursul \u00eentregului proces, pacientul este informat constant \u0219i \u00eendrumat c\u00e2nd ar trebui s\u0103 consulte un specialist. Aceast\u0103 abordare cuprinz\u0103toare accelereaz\u0103 procesul de recuperare al pacientului \u0219i minimizeaz\u0103 riscurile posibile.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Intrebari_frecvente\"><\/span>\u00centreb\u0103ri frecvente<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-5990\" src=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/02\/sikca-sorulan-sorular.jpg\" alt=\"\" width=\"1600\" height=\"400\" title=\"\" srcset=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/02\/sikca-sorulan-sorular.jpg 1600w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/02\/sikca-sorulan-sorular-300x75.jpg 300w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/02\/sikca-sorulan-sorular-1024x256.jpg 1024w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/02\/sikca-sorulan-sorular-1536x384.jpg 1536w\" sizes=\"(max-width: 1600px) 100vw, 1600px\" \/><\/p>\n<p><strong>Cine efectueaz\u0103 torasenteza?<\/strong><\/p>\n<p>Torasenteza este efectuat\u0103 de un specialist \u00een boli pulmonare. De asemenea, \u00een func\u021bie de situa\u021bie, se poate solicita sprijinul unui specialist \u00een anestezie. \u00cen cazuri complexe, se implic\u0103 \u0219i <a href=\"https:\/\/ozgurkilickesmez.com\/ro\/ce-este-radiologia-interventionala-ce-boli-acopera\/\">radiologii interven\u021bionali<\/a>. \u00cen situa\u021bii de urgen\u021b\u0103, medicii de la serviciul de urgen\u021b\u0103 pot ini\u021bia procedura rapid, iar, dac\u0103 este necesar, se poate apela \u0219i la un chirurg toracic pentru consultare.<br \/>\n<strong>Se observ\u0103 acumularea de lichid \u00een pl\u0103m\u00e2ni la radiografie?<\/strong><\/p>\n<p>Acumularea de lichid \u00een pl\u0103m\u00e2ni poate fi vizibil\u0103 la radiografie. Totu\u0219i, de obicei sunt necesare metode imagistice mai detaliate pentru confirmare. Radiografia poate indica prezen\u021ba general\u0103 a lichidului, \u00eens\u0103 pentru rezultate mai precise se apeleaz\u0103 la tehnici imagistice avansate, cum ar fi tomografia computerizat\u0103, care ofer\u0103 informa\u021bii suplimentare despre volumul \u0219i localizarea lichidului. Prin urmare, de\u0219i prezen\u021ba lichidului \u00een pl\u0103m\u00e2ni poate fi identificat\u0103 prin radiografie, teste suplimentare sunt recomandate pentru un diagnostic complet.<br \/>\n<strong>C\u00e2t timp dureaz\u0103 torasenteza?<\/strong><\/p>\n<p>Procedura de torasentez\u0103 dureaz\u0103, de obicei, \u00eentre 15 \u0219i 30 de minute. Totu\u0219i, dac\u0103 se efectueaz\u0103 cu scop de drenaj, poate dura mai mult. \u00cen timpul procedurii, pacientul trebuie s\u0103 r\u0103m\u00e2n\u0103 nemi\u0219cat.<br \/>\n<strong>Din ce spa\u021biu intercostal se efectueaz\u0103 torasenteza?<\/strong><\/p>\n<p>\u00cen timpul procedurii de torasentez\u0103, nivelul ales se afl\u0103, de obicei, \u00eentr-un spa\u021biu intercostal. Interven\u021bia se efectueaz\u0103 la 5\u201310 cm lateral de linia vertebral\u0103, imediat deasupra marginii superioare a coastei respective. Dac\u0103 la prima \u00eencercare nu se extrage lichid, procedura poate fi repetat\u0103 dintr-un alt spa\u021biu intercostal, cresc\u00e2nd astfel probabilitatea unui rezultat de succes. Fiecare spa\u021biu intercostal poate fi considerat un poten\u021bial punct de aplicare a procedurii.<br \/>\n<strong>\u00cen ce pozi\u021bie se efectueaz\u0103 torasenteza?<\/strong><\/p>\n<p>\u00cen timpul torasentezei, pacientul este preg\u0103tit de obicei \u00een pozi\u021bie decubit dorsal sau a\u0219ezat. \u00cen pozi\u021bia a\u0219ezat\u0103, pacientul este sus\u021binut cu bra\u021bele sprijinite. Pentru pacien\u021bii care nu pot sta a\u0219eza\u021bi, se prefer\u0103 pozi\u021bia lateral\u0103 astfel \u00eenc\u00e2t ef\u00fcziunea s\u0103 se acumuleze \u00een partea inferioar\u0103. Aceste pozi\u021bii sunt esen\u021biale pentru a asigura o procedur\u0103 eficient\u0103 \u0219i sigur\u0103. \u00cen ambele cazuri, interven\u021bia se efectueaz\u0103 deasupra marginii superioare a coastei.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Toracenteza este procedura prin care se evacueaz\u0103 lichidul acumulat \u00een cavitatea pleural\u0103 pentru ameliorarea respira\u021biei \u0219i reducerea disconfortului. Aceasta se realizeaz\u0103 cu un ac fin introdus sub ghidaj imagistic. Drenajul pleural este indicat \u00een cazurile de rev\u0103rsat pleural cauzat de infec\u021bii, insuficien\u021b\u0103 cardiac\u0103 sau neoplazii. Interven\u021bia aduce o ameliorare rapid\u0103 a simptomelor respiratorii. Procedura este [&#8230;]\n","protected":false},"author":2,"featured_media":9510,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[321],"tags":[],"class_list":["post-9492","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tratamente"],"_links":{"self":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts\/9492","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/comments?post=9492"}],"version-history":[{"count":2,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts\/9492\/revisions"}],"predecessor-version":[{"id":12070,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts\/9492\/revisions\/12070"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/media\/9510"}],"wp:attachment":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/media?parent=9492"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/categories?post=9492"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/tags?post=9492"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}