Kutheni i-Tube Chest isetyenziswa
Ugqirha wam uthi ndiza kuba netyhubhu yesifuba emva kokuhlinzwa kwam entliziyo evulekile. Ndididekile yilo, akuyiyo ityhubhu yesifuba esetyenziswayo xa umntu enenkinga yokuphefumla?
I-tube yamathumbu yiphubhu enkulu yeplastiki efakwe kwisifuba ngokusebenzisa isikhombiso esincinci esabekwa phakathi kwezimbambo.
Kutheni i-Tube Chest ifakiwe
Ityhubhu yesifuba ifakwa ngezizathu ezahlukeneyo.
Esinye isizathu, njengoko ukhankanyileyo, kukunceda umphunga uphinde uphephe xa umntu ephethe umphunga ophumile, owaziwa ngokuba yi-pneumothorax. Kuloo meko, ityhubhu yesifuba ifakwa ngapha nangapha kwembambo ukuvumela imiphunga ukuba ivuselele. Isicatshulwa senziwa phakathi kwezimbambo kunye netyhubhu ifakwe kwisifuba kuze kube yilapho ihlala kunye nomphunga. Inkqubo ingaba buhlungu kakhulu, ngoko ke ummandla unombolo phambi kokufakwa apho kunokwenzeka.
Abantu abathile abanomphunga owonakele babeza kufakwa enye emaphafini, kuba oko kudla ngokwaneleyo ukufumana imiphunga ukuba iphinde iphethe.
Iibhubhu zesifuba nazo zinokukrazula nayiphi na i-fluid engakwazi ukuqokelela emiphakeni, njengegazi emva kokulimala, ipus, okanye nayiphina imithombo enokwenza umphunga. Ityhubhu yesifuba ixhunywe kwisixhobo esibizwa ngokuba yi-pleurovac, eqokelela umjelo wokulinganisa kwaye sinokuxhunyezwa ngokunyameka, ukuba kuyimfuneko, ukuncedisa ukukhupha umbane.
Iibhubhu zebhokisi emva kokuvuthwa kwenhliziyo evulekileyo
Xa isigulane sinesibhubhe sesifuba emva kokuhlinzwa kwentliziyo , ityhubhu ifakwe kufuphi ne-sternum (isifuba) kwaye ihloselwe ukukrazula nayiphina igazi eliqokelela kude kwindawo yokuhlinzwa. Oku kubaluleke ngakumbi kuba intliziyo ijikelezwe yesikhwama sesisu, esibizwa ngokuba yi-pericardium, esinokuphazamisana nomsebenzi wentliziyo xa ithe yazaliswa.
Ukufakela ityhubhu yesifuba kwenziwa ngexesha lotyando kunye naphantsi kwe-anesthesia, ngoko akukho ntlungu ephuma kwinkqubo.
Ubomi Nge-Tube Chest
Nazi iindaba ezilungileyo: iibhobho zesifuba azihlali zihlala endaweni engaphezu kweentsuku ezimbalwa, ezo ziindaba ezilungileyo kuba zinokubangela ubunzima obukhulu.
Iibhubhu zesifuba zihlala zigcinwe endaweni ethile nge- sutures eziliqela, kwaye ngokuqhelekileyo zibangele ukungathandeki ngakumbi kunokwenziwa kocwangco ngokwayo, ukuba ibekwe ngexesha lotyando. Ngokuxhomekeke kwimeko yokuhlinzwa, kunokubakho ubuninzi beetabha ezine-chest endaweni, kodwa u-2 kuya kwe-3 uqobo.
Ii-tubes zisuswe kwiiyure ezingama-48 ukuya kwii-72 emva kokuvulwa kwentliziyo evulekileyo ngaphandle kokuba kukho umjelo ongaphezulu, okanye ugqirha ugqirha ukuba kukho isizathu sokuba iibhulo zihlale. Ziyakususwa kalula, njengoko i-suture isuswe kwaye iyanconywa ngomzimba emzimbeni.
Iibhubhu zebhokhwe ezibekwe ukucoca amanzi okubandakanya i-pus okanye igazi ihlala isendaweni kude kube yilapho umlambo uyeka, kodwa loo nto inqabile ngaphezu kweentsuku eziyi-3-4, kunye neethubhu ezibekwe ukuphepha umphunga emva kokuba i-pneumothorax ingasuswa ngosuku okanye ezimbini emva komphunga.
Imithombo:
> I-Tube ye-Chest Insertion. AmaZiko eZiko lezeMpilo. Kufumaneka > Epreli, > 2009. http://www.nlm.nih.gov/medlineplus/ency/article/002947.htm