Kuyika chubu pachifuwa

Thumba lachifuwa ndi chubu lopanda pake, losasunthika lomwe limayikidwa pachifuwa. Imakhala ngati kukhetsa madzi.

• Machubu pachifuwa amatulutsa magazi, madzimadzi, kapena mpweya m'mapapu anu, pamtima kapena pammero.
• Chubu chozungulira mapapu anu chimayikidwa pakati pa nthiti zanu ndikudutsa pakati pakatikati ndi mbali yakunja ya chifuwa chanu. Awa amatchedwa malo opembedzera. Zachitika kuti mulole mapapu anu akule bwino.

Bokosi lanu lachifuwa likalowetsedwa, mudzagona chammbali kapena kukhala mozungulira pang'ono, ndi dzanja limodzi pamutu panu.

• Nthawi zina, mumalandira mankhwala kudzera mumitsempha (intravenous, kapena IV) kuti mukhale omasuka komanso ogona.
• Khungu lanu lidzatsukidwa pamalo omwe mwayika nawo.
• Thumba la chifuwa limalowetsedwa kudzera pakadulidwe 1-inchi (2.5 sentimita) pakhungu lanu pakati pa nthiti zanu. Kenako imatsogozedwa kumalo oyenera.
• Chitolirochi chimalumikizidwa ndi chidebe chapadera. Nthawi zambiri amagwiritsidwa ntchito kuti athandize kukhetsa. Nthawi zina, mphamvu yokoka yokha imalola kuti iwonongeke.
• Ulusi (suture) ndi tepi zimasunga chubu.

Mukayika chubu pachifuwa, mudzakhala ndi x-ray pachifuwa kuti muwonetsetse kuti chubu chili pamalo oyenera.

Chifuwa cha chifuwa nthawi zambiri chimakhala m'malo mpaka ma x-ray akuwonetsa kuti magazi, madzimadzi, kapena mpweya wonse watuluka m'chifuwa chanu ndipo mapapo anu akula mokwanira.

Chitoliro ndi chosavuta kuchotsa ngati sichikufunikanso.

Anthu ena atha kuyikapo chubu pachifuwa chomwe chimayendetsedwa ndi x-ray, kompyuta ya tomography (CT), kapena ultrasound. Ngati mwachitidwa opareshoni yayikulu yam'mapapu kapena yamtima, chubu pachifuwa chidzaikidwa mukakhala pansi pa anesthesia (mukugona) mukamachitidwa opaleshoni.

Machubu pachifuwa amagwiritsidwa ntchito pochiza zinthu zomwe zimapangitsa kuti mapapo agwe. Zina mwa izi ndi izi:

• Opaleshoni kapena zoopsa m'chifuwa
• Kutuluka kwa mpweya kuchokera mkati mwa mapapo kulowa pachifuwa (pneumothorax)
• Madzi amadzimadzi pachifuwa (otchedwa pleural effusion) chifukwa chamagazi m'magazi, kuchuluka kwa mafuta amadzimadzi, abscess kapena mafinya mummapapu kapena pachifuwa, kapena mtima kulephera
• Misozi m'mimba (chubu chomwe chimalola kuti chakudya chiziyenda kuchokera mkamwa kupita m'mimba)

Zowopsa zina pazomwe mungayikemo ndi izi:

• Kutuluka magazi kapena matenda komwe chubu chimalowetsedwa
• Kuyika chubu molakwika (m'matumba, pamimba, kapena patali kwambiri pachifuwa)
• Kuvulala kwamapapu
• Kuvulaza ziwalo zomwe zili pafupi ndi chubu, monga ndulu, chiwindi, m'mimba, kapena zakulera

Mosakayikira mudzakhala mchipatala mpaka chubu lanu lachifuwa litachotsedwa. Nthawi zina, munthu amatha kupita kunyumba ali ndi chubu pachifuwa.

P chubu pachifuwa chilipo, wothandizira zaumoyo wanu amayang'anitsitsa mosamala kutuluka kwa mpweya, mavuto ampweya, komanso ngati mukufuna mpweya. Awonetsetsanso kuti chubu chimakhala m'malo mwake. Wothandizira anu adzakuuzani ngati zili bwino kudzuka ndikuyenda mozungulira kapena kukhala pampando.

Zomwe muyenera kuchita:

• Pumirani kwambiri ndi kutsokomola nthawi zambiri (namwino wanu akuphunzitsani momwe mungachitire izi). Kupuma kwambiri ndi kutsokomola kumathandizira kukulitsa mapapu anu ndikuthandizani ngalande.
• Samalani kuti mulibe kinks mu chubu chanu. Makina oyendetsa ngalande nthawi zonse ayenera kukhala owongoka ndikuyikidwa pansi pamapapu anu. Ngati sichoncho, madzi kapena mpweya sukhetsa ndipo mapapu anu sangakule.

Pezani thandizo nthawi yomweyo ngati:

• Bokosi lanu lachifuwa limatuluka kapena kusintha.
• Machubu amalumikizidwa.
• Mwadzidzidzi mumavutika kupuma kapena kupweteka kwambiri.

Malingaliro amatengera chifukwa chomwe chubu pachifuwa chayikidwa. Pneumothorax nthawi zambiri imayenda bwino, koma nthawi zina kumafunika opaleshoni kuti athane ndi vutoli. Izi zitha kuchitidwa mopyola muyeso kapena zingafune kutumbulidwa kwakukulu kutengera vuto lanu. Mukakhala ndi kachilombo, munthuyo amachira pamene matendawa amachiritsidwa, ngakhale kuti nthawi zina pamakhala ziboda zam'mapapo (fibrothorax). Izi zitha kufuna opaleshoni kuti athetse vutoli.

Kuyika chubu pachifuwa; Kuyika chubu m'chifuwa; Chubu thoracostomy; Kukhetsa kwapericardial

• Kuyika chubu pachifuwa
• Kuyika chubu pachifuwa - mndandanda

Kuwala RW, Lee YCG. Pneumothorax, chylothorax, hemothorax, ndi fibrothorax. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 81.

Margolis AM, Kirsch TD. Chubu thoracostomy. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: mutu 10.

[Adasankhidwa] Watson GA, Harbrecht BG. Kuyika chubu pachifuwa, chisamaliro, ndi kuchotsa. Mu: Vincent JL, Abraham E, Moore FA, Prime Minister wa Kochanek, MP wa Fink, eds. Buku Lopereka Chithandizo Chachikulu. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu E12.