Chest Tube Kuisa (Thoracostomy)

Zvemukati

• Izvo zvayashandiswa
• Kugadzirira sei
• Maitiro
• Matambudziko
• Zvinetso zvakakomba
• Kubvisa chipfuva chepfuva

Chii chinonzi chest tube kupinza?

Bhokisi repachifuva rinogona kubatsira kubvisa mweya, ropa, kana fluid kubva munzvimbo yakatenderedza mapapu ako, inonzi nzvimbo yemufaro.

Chest tube inoisa inonziwo chest tube thoracostomy. Inowanzoitika nzira yekukurumidzira. Izvo zvinogona zvakare kuitwa mushure mekuvhiyiwa pane nhengo kana zvinyama mubhokisi rako chipfuva.

Munguva yechipfuva chubhu yekuisa, mhango yepurasitiki chubhu inoiswa pakati pembabvu dzako munzvimbo yekukumbira. Iyo chubhu inogona kunge yakabatana nemuchina kuti ubatsire nemadhiraini. Iyo chubhu inogara munzvimbo kusvika mvura, ropa, kana mweya waburitswa kubva muchipfuva chako.

Izvo zvayashandiswa

Iwe unogona kuda chifuva chubhu kana iwe uine chero cheanotevera:

• mapapu akadonha
• chirwere chemapapu
• kubuda ropa kukomberedza mapapu ako, kunyanya mushure mekutambudzika (senge tsaona yemotokari)
• fluid buildup nekuda kweimwe yekurapa mamiriro, senge kenza kana mabayo
• kufema kunetsekana nekuda kwekuwanda kwemvura kana mweya
• kuvhiyiwa, kunyanya mapapu, moyo, kana esophageal kuvhiyiwa

Kuisa chipfuva chubhu kunogona zvakare kubatsira chiremba wako kuongorora mamwe mamiriro, sekukuvara kwemapapu kana kukuvara kwemukati mushure mekutambudzika.

Kugadzirira sei

Chifuva chubhu kupinza inowanzoitwa mushure mekuvhiyiwa kana senzira yekukurumidzira, saka kazhinji hapana nzira yekuti uigadzirire. Chiremba wako anokumbira mvumo yako kuti aite maitiro kana iwe uchiziva. Kana iwe usina chawakaziva, ivo vachatsanangura chikonzero nei chipfuva chubhu chaidikanwa mushure mekumuka kwako.

Mune zviitiko apo isiri emergency, chiremba wako acharaira chest X-ray pamberi pechipfuva chubhu yekuisa. Izvi zvinoitirwa kubatsira kusimbisa kana fluid kana mweya buildup iri kukonzera dambudziko uye kuona kana chipfuva chubhu ichidikanwa. Mimwe mimwe miedzo inogona zvakare kuitwa kuongorora pleural fluid, senge chest ultrasound kana chifuva CT scan.

Maitiro

Mumwe munhu anonyanya kugadzirisa mamiriro emapapu uye zvirwere anonzi pulmonary nyanzvi. Chiremba wezvechiremba kana wemapurmonary anowanzoita chipfuva chubhu kuisa. Munguva yechipfuva chubhu yekuisa, zvinotevera zvinoitika:

Kugadzirira: Chiremba wako achagadzirira nzvimbo yakakura padivi pechipfuva chako, kubva muhapwa kusvika pasi padumbu rako uye kuyambukira kunyini yako. Kugadzirira kunosanganisira kuchenesa nzvimbo uye kuveura chero bvudzi kubva kunzvimbo yekuisa, kana zvichidikanwa. Chiremba wako anogona kushandisa ultrasound kuti aone nzvimbo yakanaka yekuisa iyo tube.

Anesthesia: Chiremba anogona kupinza jekiseni mukati meganda rako kana mutsinga kuti ubate nzvimbo yacho. Iyo mishonga ichabatsira kuti iwe ugare wakasununguka panguva yechipfuva chubhu yekuisa, izvo zvinogona kurwadza. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiita kuvhiya kukuru kwemoyo kana kwemapapu, iwe ungangodaro uchizopihwa general anesthesia uye woiswa kunorara pasati pombi yepfuva yaiswa

Incision: Uchishandisa scalpel, chiremba wako achaita incision (¼- kusvika 1 ½-inch) incision pakati pembabvu dzako, padyo nechepamusoro chikamu chechipfuva chako. Iko kwavanoita incision zvinoenderana nechikonzero chechipfuva chubhu.

Kuisa: Chiremba wako anozovhura zvinyoronyoro nzvimbo muchipfuva chako uye otungamira iyo chubhu muchipfuva chako. Chest machubhu anouya akasiyanasiyana akasiyana siyana mamiriro akasiyana. Chiremba wako anonamatira chipfuva cheputi panzvimbo kuti chidzivirire kubva pakufamba. Bhandi rakashama rinozoiswa pamusoro pekuisa saiti.

Abudise: Iyo chubhu inozonamirwa kune yakakosha nzira-imwe nzira yekudonha iyo inobvumira mweya kana mvura kuyerera kubuda chete. Izvi zvinodzivirira kuyerera kana mweya kubva mukuyerera uchidzokera muchipfuva mhango. Nepo chipfuva chechipfuva chiri mukati, iwe ungangoda kugara muchipatara. Chiremba kana mukoti anoongorora kufema kwako uye otarisa kubuda kwemhepo.

Inguva yakareba sei chipfuva chemubhokisi chakasiiwa chinoenderana nemamiriro akakonzera kuwanda kwemhepo kana mvura. Dzimwe kenza dzemapapu dzinogona kukonzera kuyerera kwemvura. Vanachiremba vanogona kusiya machubhu mukati kwenguva yakareba yenguva mune aya kesi.

Matambudziko

Chifuva chubhu yekuisa inoisa iwe panjodzi yezvinetso zvinoverengeka. Izvi zvinosanganisira:

Marwadzo panguva yekuiswa: Chifuva chubhu yekuisa inowanzo kurwadza kwazvo. Chiremba wako achabatsira kubata marwadzo ako nekubairira jekiseni rinodzvinyirira kuburikidza neIV kana akananga mukati mechipfuva chubhu saiti. Iwe unozopihwa chero yakajairika yokutindivadza, iyo inokuisa iwe kurara, kana yemuno kutindivadza, iyo inovhundutsa nzvimbo.

Utachiona: Sezvo neipi neipi nzira inopinda, pane njodzi yekutapukirwa. Iko kushandiswa kwezvishandiso zvisina kuchena panguva yekuita kunobatsira kudzikisa njodzi iyi.

Kubuda ropa: Kubuda kweropa kushoma kwazvo kunogona kuitika kana tsinga yeropa ikakuvara panowanikwa chipfuva chechipfuva.

Yakashata chubhu yekuiswa: Mune zvimwe zviitiko, chipfuva chechipfuva chinogona kuiswa kure kure mukati kana kusakwana zvakakwana mukati medenga rekuteterera. Iyo chubhu inogona zvakare kudonha.

Zvinetso zvakakomba

Zvinetso zvakakomba hazviwanzo, asi zvinogona kusanganisira:

• kubuda ropa munzvimbo inofadza
• kukuvara kumapapu, diaphragm, kana mudumbu
• mapapu akadonha panguva yekubvisa chubhu

Kubvisa chipfuva chepfuva

Chipfuva chechipfuva chinowanzo gara mukati kwemazuva mashoma. Mushure mekunge chiremba wako ave nechokwadi chekuti hakuna imwe mvura kana mweya inoda kudhonzwa, chipfuva chepfu chinobviswa.

Kubviswa kwebhokisi chipfuva kunowanzoitwa nekukurumidza uye pasina kunyaradza. Chiremba wako achakupa rairo yakatarwa yekuti unga fema sei kana chubhu yabviswa. Muzviitiko zvakawanda, chipfuva chechifu chinobviswa paunenge uchibata mweya wako.Izvi zvinoita kuti mweya wekuwedzera usapinda mumapapu ako.

Mushure mekunge chiremba abvisa chipfuva chepfuva, vanozoisa bhandeji pamusoro penzvimbo yekuisa. Unogona kunge uine vanga diki. Chiremba wako angangoronga X-ray pane imwe nguva inotevera kuti ave nechokwadi chekuti hapana kumwe kuwedzera kwemweya kana fluid mukati mechipfuva chako.