Chest Seals

Nzira uye Nzira Yekushandisa Kwazvo

Muchigadzirwa chemazuva ano chekubatsira , kunyanya avo vakavakirwa kuti vashandiswe munzvimbo dzinogona kuva zvinoshandiswa pakutsvaga, pane chimwe chinhu chinonzi chest seal. Inogona kunge ine simba kana zvingasava. Zvichida zvakaputirwa mune imwe nhepfenyuro, yakanyatsogadzirwa uye iwe unogona kunge uchishamisika kuti chii chaicho, kwete kureva kuti chii chinoratidzika.

Kunyatsoziva zvinhu zviri mubato rekutanga rekubatsira zvinokosha usati watoda kushandisa kititi. Kunyange kana usina kutora kambani yekubatsira- chimwe chinhu chandinokurudzira zvikuru kune wese-iwe unofanirwa kutora maminetsi mashomanana kuti utarise pamusoro pezvinhu zviri mutikiti uye dzidza kushandisa nzira dzausingazivi.

Chivharo chechifu chinhu chakanyatsoshandiswa chinoshandisa imwe chete: kubata chirwere chechipfuva . Zvifukidzo zvepachifu zvaiva zvinyorwa zveesoteric kune zvikamu zvakanyanya zvakanyanya zvekubatsira kwekutanga kutanga kwema2000. Sezvo kudhevedzera kushingaira uye zvingangoita mhirizhonga mumamiriro ezvinhu akawedzera zvakanyanya, iwe unogona kuvaona kwose kwose kubva kuchikoro kusvika kumatambo.

Bofu Anatomy

Bhokisi revanhu rakashanduka kuti riite zvinhu zvitatu zvinokosha:

1. Chengetedza mwoyo, mapapu, mhepo huru yemhepo, uye midzi midzi yeropa.
2. Batsira kutama mhepo mukati uye kunze kwemapapu (iyi ndiyo mhomwe-mubhadhare zvakanyanya pasi apa).
3. Batsira kudhonza ropa mumoyo. (Izvo izvi zvakaoma uye ini handizopedza nguva iri pano.Verenga zvakananga maitiro ekugadzirisa kwechifuva kushanda zvakajeka.)

Kudzivirirwa ndiyo yakajeka kukuona: mbabvu yacho inoshanda secheji rakapoteredza nzvimbo yakadzika yebhokisi kudzivirira kubva mukukuvara kwechisimba. Iko inoshanda zvikuru, kunyange kana mbabvu dzichivhunika . Zvisinei, hazviiti here kuti zvive zvinonzwisisika kana rusvingo rwechifuva rwakasimba, sehenya? Wati wambozvibvunza here kuti sei tine marubvu pane nzvimbo dzakasimba masvingo masimba?

Mhepo inofamba ndiyo chikonzero chekuti tive nemabvu panzvimbo peplate sezvakaita muhenya. Kuti uratidze mhepo mumapapu uye ibudise kunze zvakare, nzvimbo mukati memapfupa echifuva inogona kukwanisa kuwedzera uye chibvumirano. Ribs dzinoita izvozvo. Misungo inotambanudzika uye pakati pembabvu inovabatanidza kuti iwedzere chifukidzo chepfuva kana kuti ivanze pamwe chete kuti iite chibvumirano. Apo bhokisi rebhokisi rinowedzera, mhepo inomhanya ichizadza iyo. Kana zvibvumirano, mhepo inofamba kunze.

Chifuva Mavanga Suck (paDzimwe Vamwe Vanoita)

Chero bedzi mhepo inenge iine nzira imwe chete kana iri kunze ( trachea ), mapapu anozadza uye asina chinhu sezvaanofanirwa kuita.

Asi kana paine huni itsva, mhepo inokweverwa mukati imomo uye mumutambo. Uye apo mhepo inoyamwa mukati megomba mubhokisi, inonzi chirwere chekuyamwa .

Nzira chete yekugadzirisa nayo ndeyekusimbisa muhombe-nechisimbiso chechifu. Zvinobatsirawo kuti uve nemhepo yekuputika mubhokisi kutiza, zvisinei kana kurapa kwechifuva chechipfuva-kukumisa kufamba kwemweya-kunotungamirira kumhepo yakabatwa ichiisa kumapapu, izvo zvinonzi pneumothorax . Kugadzirisa dambudziko iroro, zvimwe zviratidzo zvechifukidzo zvinowanikwa mune zvebhizimisi zvinouya nemhepo kuitira kuti mweya uende.

Izvi zvinotevera zvipfeko zvechifukidzo zvinowanzoshandiswa iwe unogona kutenga kana, pane dzimwe nguva, zviite iwe.

Halo Chest Seal

Chisimbiso cheHalo Chest chaiva chimwe chezvisimbiso zvepfupa zvekutanga zvakagadzirwa zvekutengeserana. Haisi-frills uye inoshanda zvakanyanyisa. Icho chiri chidimbu chiduku chepurasitiki nekunamatira kusungirira. Kuti uishandise, "uchenese" ronda (zvinongonongedza ropa neropa chero ripi zvaro kuti uone kuti musungo wacho unonamatira) uye kushandisa chest seal.

Kushandisa chisimbiso chisingatauri chinoreva kuti unofanira kuterera. Kana murwere ane chirwere chakanyanya kufema kana kuti anonoka, zvingave nokuti chifukidzo chechifu chiri kutora mhepo inopukunyuka kubva mumapapu uye ichiita kuti pneumothorax ikure. Mimwe mishonga inokwanisa kukwira mhepo yakabatanidzwa netsanga kuburikidza nechidzitiro chechifuva. Usaedza izvozvo pasina kudzidziswa kwakakodzera.

Mukusakwanisa kwekushandisa sora-through-the-chest runyengeri, nzira yakanakisisa yekudzivirira mhepo yakabatwa ndiyo kubvisa chest seal. Ndinoziva zvaunofunga: nei chisimbise chironda kana icho chikaita dambudziko rinongogadziriswa nekusazarura ronda?

Nokuti kazhinji nguva iyo haisi kuzoitika. Mukuru weuto akashora mafungiro echisimbiso chisina kuvharwa chechifu chechikonzero chakafanana. Kuti uedze kurapwa, uto rakagadzira kuenzanisa kwemhepo kunokwira kubva kumapapu. Muchidzidzo ichocho, mavanga akaiswa chisimbiso akaiswa mumapineumothoraces kashoma pane maronda asina kuvharwa emapfupa, kunyange dai mhepo ichibva kumapapu.

Asherman Chest Seal

Saka kudzivirira nyaya iyi yose, zvivharo zvechifuva zvakagadzirwa. Imwe yekare uye yakakosha zvikuru ndiyo Asherman chest seal. Iine dutu rinotaridzika sechimbuzi.

Kuti ushandise chisimbiso cheAsherman, unofanirwa kuenderera mberi uchikwira zvakanaka zvakananga nehomwe mubhokisi. Mukurwisana nemamiriro ezvinhu-kureva kuti pane mumwe munhu achiri kupfura iwe-kutora nguva kuti urere mhepo inonzwa sekutambudzwa. Kana zvangoitika, zvakadaro, inoshanda zvakanaka chaizvo.

Iyo yevheti inzira yemagetsi imwechete. Inobvumira mweya kutiza, asi kwete kupinda mubhokisi. Izvi zvinogadzirisa chinetso nechisimbiso chisimbiso. Kunyange kana pane hovha mumapapu, mhepo inenge iine nzira yekubuda kunze apo chest seal iri munzvimbo.

Hyfin Vent Chest Seal

Nokuti vamwe vanhu vaisafarira pfungwa yekuputira chimiro panguva yehondo yepfuti, zviputi zvakasiyana-siyana zvechifukidzo zvakagadzirwa. Izvi zvisimbiso hazvifanirwi kuve zvakanyatsokonzerwa kuti mavheti ashande.

Iyo Hyfin chest seal channels mumhepo nenzira dzakasiyana-siyana kuitira kuti vanga ringave rakakonzerwa zvakanyanya pane chero pasi pechisimbiso. Ichisimbiso ichi chinoshanda se-one-way valve.

Dzimwe nguva nezvisimbiso zvinotenderera, ropa rinogona kupinda mumhepo uye rinobatanidza, kuvhara mhepo. Mitemo yakafanana inoshandiswa seyezvisimbiso zvisiri izvo: tarisa murwere wako. Kana murwere achiwedzeredza kana kutseuka, chiratidzo chakanaka iye ari kuumba pneumothorax.

Iwe Watova Nayo Imwe

Kune zvimwe zviputi zvechifukidzo uye zvimwe zviri kuumbwa gore negore. Sezvatakadzidza, zvakadaro, mhepo inenge isingadi nguva dzose. Uye kana zvasvika kune chisina kuvharwa chechifu chisimbiso, iwe unogona kunge uine imwe mumutsetse wako.

Tarisa pane kitambo chako chekutanga chekubatsira. Iwe une hupfeko husina kuchena hwakakonzerwa mupurasitiki here? Mune maBhaibheri akawanda, kuvhara kune purasitiki yakajeka kune rumwe rutivi uye pepa pane imwe. Mhedziso ndeyokuti iwe unokwanisa kubvisa rumwe rutivi rwehuturu uye huisa huthena hupfeke pahuta usina kuhupodza.

Icho chinoreva kuti mukati memapurasitiki hainawo maturo, izvo zvinoreva kuti une ganda rakagadzirirwa rakagadzirwa ipapo. Vhura bhokisi racho uye udzikande kunze kwekupfekedza, uye chengeta ruvara rwepfupa nemapurasitiki (isina rutivi rwunobata ronda racho) uye tape pasi.

Vamwe vanhu vanoti kana iwe ukanyora ipurasitiki kumativi matatu, chisimbiso chichangoti "burp" air (kana murwere achizununguka, mhepo ichapukunyuka uye apo murwere achanyura, plastiki ichayamwa uye inomisa mweya kupinda). Ichi ndicho chakaoma. Zvinonyatsoita kuti ropa riite seglue uye rinokonzera kuti chinhu chose chishande sechisimbiso chisina kuvharwa chechifu chero zvakadaro. Ndinokurudzira kudonha fanciness mitatu uye kungotora chinhu ichocho zvakanaka.

> Kwakabva:

> Butler FK, Dubose JJ, Otten EJ, Bennett DR, Gerhardt RT, Kheirabadi BS, Gross KR, Cap AP, Littlejohn LF, Edgar EP, Shackelford SA, Blackbourne LH, Kotwal RS, Holcomb JB, Bailey JA. Kutungamirirwa kweWorld Pneumothorax muHondo Yokurwisana Nesimba: Kuchengetedzwa kweTCCC 13-02. J Spec Oper Oper Med. 2013 Kuwa; 13 (3): 81-6.