Zvikonzero zveChifu Tube uye Kubata Paunenge Uine Izvo
Bhuku rebhokisi ipurasitiki yepurasitiki yakaiswa mukati mebhokisi kuti ifukidze mhepo kana mvura. Zvirwere mubhokisi zvinogona kuva ropa (zvakadai sekuvhiya kana kushungurudzika), kana pus (kubva kune utachiona hwakaita sepineumonia).
Inoshandiswa Rini?
Bhuku rebhokisi rinogona kuiswa nokuda kwezvikonzero zvakawanda:
- Kudzorerazve mapapu apo mapapu anowira ( pneumothorax ). Ne pneumothorax, iyo tube inopindirwa mumumvuri werufu , nzvimbo iri pakati pe membrane ( pleura ) iyo inotarisa mapapu.
- Mushure mekuvhiyiwa kwemukenza wemapapu kukwiza mvura inosara munzvimbo yakasikwa mushure mekunge chikamu chemapapu chibviswa. Zvine nzira shomanana dzisingasviki, dzakadai sokuvhiyiwa kwevhidhiyo-yakabatsirwa chirwere chetachipatoscopic (VATS) kuti iite lumpectomy kana imwe nzira, chikwata cheputi hachidi kudiwa. Apo bhokisi rechifuva rinoshandiswa mushure meVATS, rinogona kubviswa zvakare (semuenzaniso, kazhinji maawa 48) kune avo vane thoracotomy yemukenza wemapapu.
- Nokuda kwezvinyorwa zvinotyisa - zvose zvinonyadzisa uye zvinonyangadza zvinokurudzira (ona pasi apa.)
- Pashure pokuvhiyiwa kwomwoyo.
- Kana pane kubuda ropa mubhokisi ( hemothorax ), somuenzaniso, kubva pamatambudziko.
- Kuchengeta pus kubva kune utachiona kana kubvumira ( empyema .)
Placement
Apo bhokisi rechipfuva rinosungirirwa kumapapu akadonha, nzvimbo shoma iri pachifuva inowedzerwa kuburikidza nekushandiswa kwemaitiro emunharaunda. Iyo tube inobva yaiswa ipapo, uye yakabatanidzwa kumushandisi unoshandisa kutsvaga kubvisa mhepo, nokudaro achibvumira mapapu kuti adzorezve.
Iyo tube inogunun'una munzvimbo kuitira kuti irege kubudiswa nekutama.
Apo bhokisi rechipfuva rinoshandiswa mushure mekuvhiyiwa, rinowanikwa pasi peaneshesia rose muimba yekushandisa. Iyo tube inobva yasungirirwa kune imwe mudziyo wakadzika kupfuura chifuva, uchishandisa simba rekubvumira kubvumira kuti mvura yakasvibiswa iwedzere.
Vanotsvaga Nguva Yakare Zvakadini?
Nguva yakawanda chikwata chechipfuva chichagara munzvimbo chinogona kusiyana zvichienderana nechikonzero chakaiswa, uye nguva yakareba sei iyo mweya ichidonha kana kuti mvura inoyerera ichienderera mberi.
Ne pneumothorax, vanachiremba vanotarisa x-ray kuti vaone kuti mhepo yose yakabviswa, uye mapapu akawedzera zvakakwana. Uchitevera kurapwa kwekenza yemapapu, tubhu ichasiiwa munzvimbo kusvikira zvishoma zvidha zvinosara, kazhinji nguva yemazuva matatu kusvika mana.
Kubviswa
Kubviswa kwebhokisi rebhokisi kazhinji kunenge kuri nyore nyore uye kunogona kuitwa zvakanaka mumubhedha wako muchipatara usina chero anesthesia. Iyo sutures inoparadzaniswa uye iyo tube inobva yavharwa. Chiremba wako anokukumbira kuti utore mweya uye uibate, uye bhuti rinobudiswa. Iyo suture inosungirwa kuvhara ronda uye kupfeka kunoshandiswa. Kana iyo tube yakagadzirirwa mapapu akarasika, x-ray ichaitwa kuitira kuti mapapu ako arambe achiwedzerwa pashure pokubviswa.
Matambudziko
Izvo zvinetso zvebhokisi rekuisa chikwata zvakafanana kune zvakawanikwa nemamwe marudzi ekuvhiya uye zvinogona kusanganisira:
- Bleeding.
- Kurwara.
- Marwadzo - Kunyange nzvimbo inogadziridzwa chikwata chechipfuva isinganzwisisiki, zvakaoma kukanganisa zvachose nzvimbo iyo iyo chikwata cheputi chinowanikwa. Mukuwedzera, nharaunda yeanesthetics haigoni kubvisa pfungwa yekudonha sezvo tube iri kuiswa.
- Murombo hutachiona humwe humwe humwe huripo hune huwandu hwemvura, pus, kana ropa, iyo inoparadzaniswa nemhando. Kana izvi zvikaitika chikwata chemapfupa chinogona kukonzera kukanganiswa kwemvura iyo nzvimbo iyo tube yepfupa yakaiswa.
- Pneumothorax - Chipfupa cheputi chinowanzoiswa kuti isunungure mweya kubva pamapapu akadonha, asi inogona kuvhara mapapu zvichikonzera pneumothorax. Papu inenge yanyangarika inogonawo kudonha zvakare kana bhuti richibviswa.
- Zvimwe zvivako munzvimbo iri pedyo nebhokisi tube zvinogona kukuvadzwa, zvakadai sopopu, mudumbu, mapapu, kana mutsvuku.
Pleural Effusions In People With Cancer
Pleural effusions inowanzoonekwa nevanhu vane chirwere chemapapu uye zvinowanzoitika nekenza yepamusasa yemasitima zvakare. Muchidimbu chinyararire, mvura inoshandiswa inowedzera munzvimbo inochengetedza nzvimbo, nzvimbo iri pakati pemakumbo maviri echifukidzo anotarisa mapapu.Zvino nzvimbo inowanzo inongodarika mashupiti matatu kana mana emvura, asi nekenza yemapapu, mitero yakawandisa yemvura inogona kuwedzera, kana kuti dzoka kuunganidza, zvakakurumidza.
Apo kenza yemasere aripo muchishuvo chekuchema, inonzi inonyangadza mutsindo unonyadzisa . Kana chirwere chisina kunaka chichiripo, chinoronga kanzera yemapapu sechikamu chechina.
Vanhu vazhinji vane chirwere chemapapu vanopedzisira vaine ruzha rwekunyengedzera-uye kunyange zvazvo izvi zvinowanzova zvakaipa, kumanikidzwa kwemapapu kubva mumvura yakanyanyisa kunokonzera marwadzo nekupererwa kwemhepo. T
Pane zvakawanda zvingasarudzwa zvekurapa kudzokorora kwechirwere ichi, kunyangwe kushandiswa kunobata zvakaipa. Dzimwe nguva kuvhara kunoiswa kubva munzvimbo inenge ichida kusvika mudumbu kuitira kuti fluid inokwanisa kuramba ichidonha. Iyi sarudzo inogona kuva nani pane kuva ne thoracentesis yakadzoka (apo nhare inowanikwa munzvimbo ino) kubvisa mvura. A shunt inogonawo kuiswa kunze kwemuviri wako. Izvi zvinobvumira vanhu kuti vade mvura yavo nguva nenguva kumba vasingadzoki kuchipatara nguva imwe neimwe mvura inowedzera. Nenguva yakawanda mvura inoshandiswa inobva pane kuti zviratidzo zvako zvinowanzove sei (iyo inowanzosvibiswa kuti unyaradze uye kwete nokuti inoda kudikanwa kuti ibvise zvose zvese.)
Imwe nzira yekuti nguva dzose inzwi ruremekedzo ndedze kuvhara pasi nzvimbo pakati pemakumbo maviri echiremba.Nzira iyi inonzi pleurodesis uye inoitwa mukamuri yekushandira pasi pehutano hwehutano hwehutano. Apo nhete dze pleura dzinopera pamwe chete, dzinoparadza nzvimbo yezvinyorwa kuitira kuti pave kusisina ganda rinowanikwa iro rinoshandiswa mvura.
Kutsungirira Chest Tube
Kuva nechikwama chebhokisi panzvimbo iyo zvisinei nokuti chikonzero chinogumbura zvikuru. Chero chikonzero chipi nechipi mhepo kana mvura inonaya yakawana munzvimbo yakanyarara, nguva yakamirira kuti igadzirise uye kusaziva inonetsa kune varwere nevanodiwa vavo. Taura nachiremba wako pamusoro pemanzwiro ako, uye kumbira kuenzanisa panguva iyo ichasara panzvimbo. Iva iwe pachako mutongi uye mubvunze mibvunzo . Mishonga iri kuchinja uye varwere uye vanachiremba vari kushanda zvakanyanya pamwe chete kupfuura munguva yakapfuura kana zvasvika pakuita zvisarudzo pamusoro pehutano hwezvoutano.
Kunobva:
Deng, B., Qian, K., Zhou, J., Tan, Q., naRay Wang. Kugadzirwa kweChest Tube Management kuExppedite Rehabilitation yeMakondombera Anorwara neLung Mushure mekunge mavhidhiyo anotsigirwa neTV-Assisted Kucherechedza: Meta-Kuongorora uye Kugadzirisa Kugadziriswa. World Journal of Surgery . 2017 Mar 13. (Epub mberi kwekudhinda).
National Institute of Health. Medline Plus. Chest tube insertion. Kushandurwa 04/13/15. https://medlineplus.gov/ency/article/002947.htm