Chifuva chubhu kupinza

Chipfuva chechipfuva hombo, inoshanduka chubhu inoiswa mubhokisi. Inoita sedrain.

• Chest machubhu anodurura ropa, fluid, kana mweya kubva kwakatenderedza mapapu ako, moyo, kana sophagus.
• Iyo chubhu yakakomberedza mapapu ako yakaiswa pakati pembabvu dzako uye munzvimbo iyo pakati pemukati mekunze uye nekunze kwekunze kwechipfuva chako. Iyi inonzi pleural space. Izvo zvinoitirwa kubvumira mapapu ako kuti awedzere zvizere.

Kana bhokisi rako rechipfuva raiswa, unozorara parutivi rwako kana kugara padivi wakamira, neruoko rumwe pamusoro wako.

• Dzimwe nguva, iwe unogashira mushonga kuburikidza nemutsinga (intravenous, kana IV) kukuita kuti unzwe wakasununguka uye uve nehope.
• Ganda rako rinoshambidzwa panzvimbo yekuiswa kwakarongwa.
• Bhokisi rechipfuva rinoiswa kuburikidza nechetendimita imwe (2.5 masendimita) yakachekwa muganda rako pakati pembabvu dzako. Ipapo inotungamirirwa kunzvimbo chaiyo.
• Iyo chubhu yakabatana necheni yakakosha. Kubvisa kunowanzo shandiswa kuti ibudise kukweva. Dzimwe nguva, giravhiti yega inobvumira iyo kubuda.
• Musono (suture) uye tepi zvinochengeta chubhu iri munzvimbo.

Mushure mekuisa kwako chipfuva chubhu, iwe unenge uine x-ray yechipfuva kuti uone kuti chubhu iri munzvimbo chaiyo.

Bhokisi rechipfuva rinowanzo gara munzvimbo kusvika ma x-ray aratidze kuti iro rese ropa, furuidhi, kana mweya waburitsa kubva muchipfuva chako uye mapapu ako awedzerazve.

Iyo chubhu iri nyore kubvisa kana isingachadiwe.

Vamwe vanhu vanogona kunge vakaiswa chipfuva cheputi chinotungamirwa ne x-ray, computerized tomography (CT), kana ultrasound. Kana iwe uine chirwere chikuru chemapapu kana chemoyo, chipfuva cheputi chichaiswa iwe uri pasi peanesthesia (wakarara) panguva yekuvhiyiwa kwako.

Chipfuva machubhu anoshandiswa kurapa mamiriro anoita kuti mapapu adonhe. Mimwe yemamiriro aya ndeaya:

• Kuvhiya kana kushungurudzika mubhokisi
• Mhepo inodonha kubva mukati memapapu kupinda muchipfuva (pneumothorax)
• Fluid buildup mubhokisi (inonzi pleural effusion) nekuda kwekubuda ropa muchipfuva, kuwanda kwemafuta emvura, kuputa kana kuputira mukati mepapu kana muchipfuva, kana kukundikana kwemoyo.
• Kubvarura mukati medu (iyo chubhu inobvumidza chikafu kuenda kubva pamuromo kuenda mudumbu)

Dzimwe njodzi kubva pakuisa nzira ndeidzi:

• Kubuda ropa kana hutachiona uko kunoiswa chubhu
• Kuiswa zvisirizvo kweiyo chubhu (mukati memaviri, mudumbu, kana kure kwazvo muchipfuva)
• Kukuvara kumapapu
• Kukuvadza kune nhengo dziri padhuze nechubhu, senge spleen, chiropa, mudumbu, kana diaphragm

Iwe unogonogara muchipatara kudzamara chipfuva chako chechipfuva chabviswa. Mune zvimwe zviitiko, munhu anogona kuenda kumba aine chipfuva chechipfuva.

Ipo chipfuva chemuchipfuva chiripo, wako mupi wezvehutano anonyatso tarisa kubuda kwemhepo, matambudziko ekufema, uye kana uchida oxygen. Vachaitawo chokwadi kuti chubhu inogara munzvimbo. Wako mupi achakutaurira kana zvakanaka kumuka uye kufamba-famba kana kugara pachigaro.

Izvo zvauchazoda kuita:

• Kufema zvakanyanya uye kukosora kazhinji (mukoti wako achakudzidzisa maitiro ekuita izvi). Kufema kwakadzika uye kukosora kunobatsira kuwedzera mapapu ako uye kubatsira nemvura.
• Ive nekuchengera kuti hapana makinki mune yako chubhu. Iyo drainage system inofanirwa kugara yakagara yakatwasuka uye kuiswa pazasi pemapapu ako. Kana zvisiri, mvura inoyerera kana mweya haugone kubuda uye mapapu ako haakwanise kuwedzera zvakare.

Tora rubatsiro ipapo ipapo kana:

• Bhokisi rako rechipfuva rinobuda kana kuchinja.
• Machubhu anozobviswa.
• Iwe unongoerekana wave nenguva yakaoma kufema kana kuva nekurwadziwa kwakawanda.

Iko kutarisisa kunoenderana nechikonzero bhokisi repachifuva rakaiswa. Pneumothorax kazhinji inovandudza, asi dzimwe nguva kuvhiya kunodiwa kugadzirisa dambudziko riri pasi. Izvi zvinogona kuitwa kuburikidza nechiyero kana zvingangoda kuchekwa kukuru zvichienderana nemamiriro ako epasi. Mune zviitiko zvehutachiona, munhu anovandudza apo hutachiona hunorapwa, kunyangwe kuora kwemucheka wemapapu kunogona dzimwe nguva kuitika (fibrothorax). Izvi zvingangoda kuvhiyiwa kugadzirisa dambudziko.

Chest drainage tube kuisa; Kuiswa kwehubhu mubhokisi; Tube thoracostomy; Pericardial kupera

• Chifuva chubhu kupinza
• Chifuva chubhu kupinza - akateedzana

Chiedza RW, Lee YCG. Pneumothorax, chylothorax, hemothorax, uye fibrothorax. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 81.

Margolis AM, Kirsch TD. Tube thoracostomy. Mune: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts uye Hedges 'Clinical Maitiro muEmergency Medicine uye Acute Kuchengeta. 7th ed. Philadelphia, PA: Elsevier; 2019: chits.

Watson GA, Harbrecht BG. Chest chubhu kuiswa, kuchengetedza, uye kubvisa. Mune: Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Chinyorwa cheCritical Care. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko E12.