Chikonzero nei Tube yeBate inoshandiswa
Chiremba wangu anoti Ini ndichava nechifuva chechifu mushure mokuvhiyiwa kwangu kwepfungwa yakazaruka. Ndiri kuvhiringidzika neizvi, haisi bhokisi rebhokisi rinoshandiswa apo mumwe munhu ane dambudziko rokufema?
Bhuku rebhokisi ipurasitiki yakawanda iyo inowanikwa mubhokisi kuburikidza nehomwe duku inowanikwa pakati pembabvu.
Chikonzero nei Tube yeBate inotorwa
Bhuku rebhokisi rinogadzirirwa zvikonzero zvakasiyana-siyana.
Chimwe chikonzero, sezvamakataura, ndechokubatsira mapapu zvakare-apo apo mumwe munhu ane mapapu akadonha, anozivikanwawo se pneumothorax. Muchiitiko ichocho, chikwama chechifu chinosungirirwa parutivi rwembambo kuitira kuti mapapu agadziridzwe. Iko kusanganisa kunoitwa pakati pembabvu uye iyo tube inosundirwa muchipfuva kusvikira ichizorora pamapapu. Iyo nzira inogona kuva inorwadza zvikuru, saka nzvimbo yacho inowedzerwa vasati vamboiswa pose pazvinenge zvichikwanisika.
Vanhu avo vane mapapu akadonha aiwanzoita imwe yakaiswa pamapapu, sezvo izvozvo zvinowanzokwanisa kuwana mapapu kuti aitezve.
Chest tubes inogonawo kukonzera chero mvura inogona kuwedzera mumapapu, akadai seropa mushure mekukuvadzwa, pus, kana chero imwe mvura inogona kuwedzera mumapapu. Bhuku rebhokisi rinobatanidzwa kune chinhu chinonzi pleurovac, icho chinounganidza mvura yekuyerera kuti ienzane uye inogona kubatana nekunyorovedza, kana zvichidiwa, kubatsira kubvisa mvura.
Chifuva Tubhu Pashure Kokuzarura Mwoyo Mwoyo
Apo murwere ane chifuva chechipfuva mushure mekuvhiyiwa kwemoyo , iyo tube inowanikwa pedyo ne sternum (breastbone) uye inotarisirwa kubvisa chero ropa chero ripi zvaro rinowedzera kubva panzvimbo yekuvhiya. Izvi zvinonyanya kukosha nokuti moyo wakakomberedzwa nechikwama chemavara, chinonzi peicardium, chinogona kupindira nebasa remoyo kana rikazara kuzere.
Bhuku rekuisa chifu chepuchi rinoitwa panguva yekuvhiyiwa uye pasi peanesthesia, saka hapana marwadzo kubva muhutano.
Upenyu Hwechifu Tube
Heano mashoko akanaka: mafupa emapfupa haawanzogara munzvimbo dzakapfuura mazuva mashomanana, iyo inhau dzakanaka nokuti dzinogona kukonzera kusanyanya kunaka.
Chep tubes inowanzobatwa munzvimbo nenhamba dzakasiyana-siyana, uye kazhinji zvinokonzera kusagadzikana kudarika kushandiswa kwekuvhiya pachako, kana yakaiswa panguva yekuvhiyiwa. Zvichienderana nehutano hwekuvhiyiwa, kunogona kuva nehuwandu hwemapapiro mana emakumbo panzvimbo, asi 2 kusvika ku3 inofanirwa.
Iyo michina inowanzobviswa mumaawa makumi maviri nemaawa makumi mana nemasere mushure mekuvhiyiwa kwemoyo yakazarurwa kunze kwekunge kune zvimwe zvinodhaka kupfuura zvinowanzoitika, kana chiremba anovhiya anoratidza kuti pane chikonzero chokuti tubhu idzi dzirambe dzichigara. Zvinosunungurwa nyore nyore, sezvo suture ichibviswa uye inonyatsobudiswa kubva mumuviri.
Chep tubes iyo inoshandiswa kukonzera mvura inosanganisira pus kana ropa inogona kuramba iripo kusvikira mvura isati yamira, asi iyo ishoma kudarika mazuva 3-4, uye ma tubes akaiswa kuvhara mapapu mushure mekunge pneumothorax inogona kubviswa zuva kana kuti maviri mushure mepapu inogamuchirwa.
Sources:
> Chest Tube Insertion. National Institutes of Health. Yakasvika > April, > 2009. http://www.nlm.nih.gov/medlineplus/ency/article/002947.htm