Izizathu zeThubhu ye-Chest kunye nokuxhatshazwa ngexesha unayo
I-tube yamathumbu yimboyi yepulasitiki engenamanzi efakwe kwisibindi somfuba ukukhupha umoya okanye utywala. I-Fluid kwisifuba sinokuba negazi (njengokwenza utyando olulandelayo okanye utyhafile), okanye ipus (ukusuka kwintsholongwane enjenge-pneumonia).
Ziyasetyenziswa Njani?
Iibhubhu zesifuba zingeniswa ngezizathu ezininzi:
- Ukuphinda ukwandise imiphunga xa umphunga uphahla ( pneumothorax ). Nge-pneumothorax, ityhubhu ibandakanywa kwisigxina somlenze , isikhala phakathi kweembrane ( pleura ) ehamba emiphakeni.
- Emva kokuhlinzwa komdlavuza wamaphaphu ukucoca amanzi ahlalayo kwisiza esakhiwe emva kokuba inxalenye yomphunga isuswe. Ngeenkqubo ezincinci ezingenayo, ezifana nokuhlinzwa okwenziwe ngevidiyo (VATS) eyenza i-lumpectomy okanye enye inkqubo, ityhubhu yesifuba ayinakufuneka. Xa ityhubhu yesifuba isetyenziswe emva kweVATS, ingasuswa kwakhona kungekudala (umzekelo, rhoqo iiyure ezingama-48) kunabo abanesifo se-thoracotomy yomdlavuza wamaphaphu.
- Ngenxa yokunyanzeliswa kwesigxina - zombini kunye nefuthe elibi eliyingozi (jonga ngezantsi.)
- Emva kokuhlinzwa kwentliziyo.
- Ukuba kukho ukuphuma e-esifubeni (i- hemothorax ), umzekelo, ukusuka kwintlungu.
- Ukukhenkceza umthamo kwisifo okanye isantya ( empyema .)
Ukufakwa
Xa ityhubhu yesifuba ingeniswe kumphunga epholileyo, indawo encinane kwisifuba sinqabile ngokusebenzisa i-anesthetic yendawo. I-tube iyifakwa, kwaye ixhunywe kumatshini osebenzisa ukuswela ukususa umoya, ngaloo ndlela uvumela umphunga ukuba wanda kwakhona.
I-tube ityunjwa endaweni kwaye ayiyi kuphuma kunye nokunyakaza.
Xa ityhubhu yesifuba ingeniswa emva kokuhlinzwa, ifakwe phantsi kwe-anesthesia jikelele kwindawo yokusebenza. Itheyibhu igxininiswa kwisitya esingaphantsi kwesifuba, ukusebenzisa amandla adonsela amandla ukuvumela ukuba amanzi amaninzi afakwe.
Baye Bahlala Kangakanani Kwixesha?
Ubungakanani bexesha ityhubhu yesifuba iya kuhlala kwindawo inokuhluka ngokuxhomekeka kwesizathu sokuba ibekwe, kwaye kudala kangakanani ukuvuza kwamanzi okanye ukuhambisa amanzi.
Nge-pneumothorax, oogqirha baya kukhangela i-x-ray ukuqinisekisa ukuba wonke umoya ususiwe, kwaye imiphunga ikhulise ngokupheleleyo. Ukulandela ukuhlinzwa komdlavuza wamaphaphu, ityhubhu iya kushiyelwa endaweni kude kube yindawo encinane yokuhambisa amanzi, ngokuqhelekileyo ixesha leentsuku ezintathu ukuya kwezine.
Ukususwa
Ukususwa kwebhubhu yesifuba ngokuqhelekileyo kuyinkqubo elula kwaye inokwenziwa ngokufanelekileyo kwisibhedlele sakho esibhedlele ngaphandle kwe-anesthesia. I-sutures iyahlukana kwaye i-tube iyagqitywa. Ugqirha wakho uza kukucela ukuba uthathe umoya kwaye uyibambe, kwaye ityhubhu iyakhutshwa. I-suture ibophelelwe ukuvala isilonda kunye nokugqoka. Ukuba ithebhu yafakwa kumphunga owayo, i-x-ray iya kwenziwa ukuqinisekisa ukuba umphunga wakho uhlala usandiswa emva kokususwa.
Iingxaki
Iingxaki ze-tube placement placement zifana nezo zifumaneka kwezinye iintlobo zokuhlinzwa kwaye zingaquka:
- Ukuhlamba.
- Sulelo.
- Ubunzima - Nangona indawo ekuqhutyelwa ngayo ityhubhu yesifuba i-anesthetized, kunzima ukuphazamisa ngokupheleleyo indawo ekubhekiswe kuyo ityhubhu yesifuba. Ukongeza, i-anesthetics yendawo ayiyi kususa umda wokutsala njengoko ityhulwa ifakwe.
- Ukunyuka kwebhubhu embi (ezinye iinguqulelo zengqungquthela "zenziwe," ngamanye amazwi, zinamaqela amancinci amancinci yamanzi, i-pus, okanye igazi, eyahlukana ngamathambo. indawo apho ityhubhu yesikhumbuzo ifakwa khona.
- I-Pneumothorax - Ityhubhu yesifuba isoloko ifakwe ukukhulula umoya ukusuka kumaphaphu owayo, kodwa ingaphinde iphule umphunga ngenxa ye-pneumothorax. Umphunga oye wawa unakho kwakhona ukuwa kwakhona xa ityhubhu isuswe.
- Ezinye izakhiwo ezikufuphi kwiphubhu yesifuba inokulimala, njenge-esophagus, isisu, imiphunga, okanye isithotho.
Ukunyamezeka kwezinto ezibangelwa ngabantu abaneCarcer
Imiphumo ye-Pleural ixhaphake kakhulu kubantu abanomdlavuza wamaphaphu kwaye ngokuqhelekileyo kubakho nomhlaza wesifo se-metastatic. Ngomonakalo okhulayo, utywala luyakhiwa kwindawo yokukhalaza, indawo phakathi kwezimbilini ezinamabini ezinqamlezileyo ezihamba kumaphaphu. Esi sithuba sinezinto ezintathu kuphela ezine ezinezipuni zamanzi, kodwa ngomdlavuza wamaphaphu, iithayitha ezininzi zamanzi ziza kuhlanganiswa, okanye ukuqokelela kwakhona, ngokukhawuleza.
Xa iiseli zomhlaza zikhoyo kwi-effusion ecutshungulwayo, kuthiwa yi- effusion engalunganga . Ukuba i-effusion ephikisayo yomsindo ikhoyo, ikwahlula umhlaza wemiphunga njengesigaba 4.
Abantu abaninzi abanomdlavuza wamaphaphu baphela ukuba babe neempembelelo eziphindaphindiweyo-kwaye nangona ezi zinto zihlala ziphazamisekile, uxinzelelo kwimiphunga emzimbeni ogqithiseleyo lubangela ubuhlungu nokuphefumula. T
Kukho iindlela ezininzi zokunyanga ukuxhatshazwa kwexesha eliphindaphindiweyo, ingaba ukuchithwa kuyingozi kakhulu. Ngamanye amaxesha i-shunt isetyenziswe kwisithuba sombindi kwisisu ukuze i-fluid ikwazi ukuqhubeka ikhupha. Le khetho ingaba ngcono kunokuba i-thoracentesis ephindaphindiweyo (xa inaliti ibekwe kule ndawo) ukukhupha umkhuhlane. I-shunt ingafakwa kwakhona ngaphandle komzimba wakho. Oku kuvumela abantu ukuba banqamle ukuhamba kwamanzi ngexesha elide ngaphandle kokuba babuyele esibhedini rhoqo xa umbane uqokelela. Ixesha eliqhelekileyo ukukhutshwa kombane kuxhomekeke kwiimeko ezinzima ngayo iimpawu zakho (ukutshatyalaliswa ngokuqhelekileyo kuthungelwano lwakho kwaye kungengenxa yokuba kuyimfuneko yokwenyuka ukukhupha zonke izifo.)
Enye inketho yeempembelelo eziphindaphindiweyo zenzelwa ukusilahla isikhala phakathi kwezimbilini zomlomo. Le nqubo ibizwa ngokuba yi-pleurodesis kwaye yenziwa kwigumbi lokusebenza phantsi kwe-anesthetics jikelele. Xa iziqendu ze-pleura zidibanisa kunye, ziqhekeza isikhala sokukhalaza ukuze kungabikho sithuba esilufumanayo ukuze amanzi aqokelele.
Ukujamelana neThusi ye-Chest
Ukuba netyhubhu yesifuba esendaweni nantoni na isizathu sibuhlungu kakhulu. Kungakhathaliseki isizathu sokuba umoya okanye umbane uqokelele kwisikhalazo, ixesha elinde ukuba lixazulule kwaye kungabi nolwazi kunzima kwizigulane kunye nabathandekayo babo. Thetha ugqirha wakho malunga neemvakalelo zakho, kwaye ucele uqikelelo ngexesha eliya kushiywa kuyo. Yiba ngummeli wakho kwaye ubuze imibuzo . Ugqirha luguqula kwaye izigulane kunye noogqirha basebenza ngokubanzi ngokubambisana kunokuba kudlulileyo xa kuziwa ekwenzeni izigqibo malunga nokunyulwa kwezempilo.
Umthombo:
Deng, B., Qian, K., Zhou, J., Tan, Q., no R. Wang. Ukuphuculwa koLawulo lwe-Tube ye-Chest kwi-Expedite Rehabilitation yezigulane ze-Lung Cancer Emva kokuViliswa kwevidiyo-Kuncedwa ukuPhepha kweTrracic: Ukuhlaziywa kwe-Meta-Analysis kunye nokuHlola okuHlolo. Ingxelo Yomhlaba Yophando . Ngo-2017 ngoMatshi 13. (Epub ngaphambi kokuprinta).
Isizwe seZiko lezeMpilo. Medline Plus. Ukufakwa kwetyhubhu yebhondi. Updated 04/13/15. https://medlineplus.gov/ency/article/002947.htm