Kuyika Pachifuwa Pachifuwa (Thoracostomy)

Zamkati

• Zomwe zimagwiritsidwa ntchito
• Momwe mungakonzekerere
• Ndondomeko
• Zovuta
• Zovuta zazikulu
• Kuchotsa chubu pachifuwa

Kodi kuyika chubu pachifuwa ndi chiyani?

Thumba la chifuwa limathandizira kukhetsa mpweya, magazi, kapena madzi kuchokera pamalo ozungulira mapapu anu, otchedwa pleural space.

Kuyika chubu pachifuwa kumatchedwanso chifuwa cha chifuwa thoracostomy. Zimakhala zochitika mwadzidzidzi. Zitha kuchitidwanso pambuyo pochitidwa opaleshoni ziwalo kapena zotupa m'chifuwa mwanu.

Pakulowetsa chubu pachifuwa, chubu la pulasitiki lopanda kanthu limayikidwa pakati pa nthiti zanu m'malo opembedzera. Chitolirochi chikhoza kulumikizidwa ndi makina kuti athandizire ngalandezo. Chubu chimakhala m'malo mpaka madzi, magazi, kapena mpweya zitatuluka pachifuwa.

Zomwe zimagwiritsidwa ntchito

Mungafunike chubu pachifuwa ngati muli ndi izi:

• mapapo atagwa
• matenda am'mapapo
• Kutuluka magazi m'mapapu anu, makamaka pambuyo povulala (monga ngozi yagalimoto)
• madzi amadzimadzi chifukwa cha matenda ena, monga khansa kapena chibayo
• kupuma movutikira chifukwa cha kuchuluka kwa madzi kapena mpweya
• opaleshoni, makamaka opaleshoni yam'mapapo, yamtima, kapena yam'mimba

Kuyika chubu pachifuwa kungathandizenso dokotala kuzindikira matenda ena, monga kuwonongeka kwa m'mapapo kapena kuvulala kwamkati pambuyo povulala.

Momwe mungakonzekerere

Kuyika chubu pachifuwa kumachitika nthawi zambiri pambuyo pochita opareshoni kapena ngati njira yadzidzidzi, motero nthawi zambiri palibe njira yoti mukonzekere. Dokotala wanu adzapempha chilolezo chanu kuti muchite izi ngati mukuzindikira. Ngati simukudziwa kanthu, akufotokozerani chifukwa chomwe chubu pachifuwa chinali chofunikira mukadzuka.

Zikakhala kuti sizadzidzidzi, adokotala amalamula X-ray pachifuwa musanayike chubu pachifuwa. Izi zachitika kuti zithandizire kutsimikizira ngati madzi kapena maupangiri amlengalenga akuyambitsa vutoli ndikuwona ngati chubu pachifuwa chikufunika. Mayesero ena angapangidwenso kuti ayese kuchuluka kwa madzi, monga chifuwa cha ultrasound kapena chifuwa cha CT scan.

Ndondomeko

Wina yemwe amadziwika bwino ndi matenda am'mapapo amatchedwa katswiri wamapapo. Dokotala wa opaleshoni kapena wamapapu nthawi zambiri amachita chifuwa cha chifuwa. Pakulowetsa chubu pachifuwa, zotsatirazi zimachitika:

Kukonzekera: Dokotala wanu amakonzekeretsa dera lalikulu pambali pa chifuwa chanu, kuyambira kukhwapa kwanu mpaka pamimba panu mpaka pamabele. Kukonzekera kumaphatikizapo kutseketsa malowo ndikumeta ubweya uliwonse kuchokera pakhomopo, ngati kuli kofunikira. Dokotala wanu angagwiritse ntchito ultrasound kuti adziwe malo abwino oikapo chubu.

Ochititsa dzanzi: Dokotala atha kubaya mankhwala oletsa kupweteka pakhungu kapena mumtsempha wanu kuti athane ndi malowo. Mankhwalawa akuthandizani kuti mukhale omasuka mukamayika chubu pachifuwa, zomwe zingakhale zopweteka. Ngati mukuchitidwa opaleshoni yayikulu yamtima kapena yamapapo, mosakayikira mudzalandira mankhwala oletsa ululu ndipo mudzagone thumba la chifuwa lisanalowetsedwe.

Kuphulika: Pogwiritsa ntchito scalpel, dokotala wanu amatenga kamphindi kakang'ono (¼- mpaka 1 ½-inchi) pakati pa nthiti zanu, pafupi ndi kumtunda kwa chifuwa chanu. Komwe amapanga cheke chimadalira chifukwa cha chubu pachifuwa.

Kuika: Dokotala wanu amatsegula danga lanu modekha ndikuwongolera chubu m'chifuwa. Machubu pachifuwa amabwera mosiyanasiyana mosiyanasiyana. Dokotala wanu adzalumikiza chubu pachifuwa kuti asasunthire. Bandage wosabala adzagwiritsidwa ntchito pamalo olowera.

Ngalande: Tepali limalumikizidwa ndi ngalande yapadera yolowera njira imodzi yomwe imalola mpweya kapena madzimadzi kutuluka okha. Izi zimalepheretsa madzimadzi kapena mpweya kuti ubwererenso m'chifuwa. Pamene chubu pachifuwa chili mkati, mungafunikire kukhala m'chipatala. Dokotala kapena namwino amayang'anira kupuma kwanu ndikuwunika ngati kutuluka kwa mpweya kuli kotheka.

Kutalika kwa chubu pachifuwa kumadalira momwe zimapangidwira mpweya kapena madzimadzi. Khansa zina zam'mapapo zimatha kuyambitsa madzi. Madokotala amatha kusiya machubu kwa nthawi yayitali pazochitikazi.

Zovuta

Kuyika chubu pachifuwa kumayika pachiwopsezo cha zovuta zingapo. Izi zikuphatikiza:

Ululu panthawi yobwezera: Kuyika chubu pachifuwa kumakhala kopweteka kwambiri. Dokotala wanu adzakuthandizani kuthana ndi ululu wanu pobayira jekeseni kudzera mu IV kapena kulowa patsamba lachifuwa. Mudzapatsidwa mankhwala ochititsa dzanzi, omwe amakugonetsani, kapena anesthesia yakomweko, yomwe imapangitsa dzikolo kukhala lopanda pake.

Matenda Mofanana ndi njira iliyonse yowononga, pali chiopsezo chotenga kachilombo. Kugwiritsa ntchito zida zosabereka pochita izi kumathandizira kuchepetsa izi.

Magazi: Kutaya magazi kocheperako kumatha kuchitika ngati mtsempha wamagazi wawonongeka pomwe chubu pachifuwa chayikidwa.

Kuyika chubu koyipa: Nthawi zina, chubu pachifuwa chitha kuikidwa patali mkati kapena osakwanira mkati mwa malo opembedzera. Chubu amathanso kugwa.

Zovuta zazikulu

Zovuta zazikulu ndizochepa, koma zimatha kuphatikiza:

• Kutuluka magazi m'malo opembedzera
• kuvulaza mapapu, chifundiro, kapena m'mimba
• mapapo anakomoka panthawi yochotsa chubu

Kuchotsa chubu pachifuwa

Chifuwa cha pachifuwa chimakhala masiku angapo. Dokotala wanu akatsimikiza kuti sipadzakhalanso madzi kapena mpweya, chubu pachifuwa chidzachotsedwa.

Kuchotsa chubu pachifuwa nthawi zambiri kumachitidwa mwachangu komanso mosakhazikika. Dokotala wanu adzakupatsani malangizo apadera okhudza kupuma pamene chubu chitachotsedwa. Nthaŵi zambiri, chubu cha chifuwa chidzachotsedwa pamene mukupuma.Izi zimatsimikizira kuti mpweya wowonjezera sulowa m'mapapu anu.

Dokotala atachotsa chubu pachifuwa, amadzipaka bandeji pamalo olowera. Mutha kukhala ndi bala laling'ono. Dokotala wanu adzakonzekeretsa X-ray tsiku lina mtsogolo kuti awonetsetse kuti palibe mpweya wina kapena madzi mkati mwanu.