Chifukwa chiyani Tube yogwiritsira ntchito imagwiritsidwa ntchito
Dokotala wanga akuti ndidzakhala ndi chikwama cha chifuwa pambuyo pa opaleshoni yanga yotseguka. Ndasokonezeka ndi izi, si chifuwa cha chifuwa chomwe chimagwiritsidwa ntchito ngati wina ali ndi vuto lopuma?
Chikwama cha chifuwa ndi chubu lalikulu la pulasitiki lomwe limalowetsedwa m'chifuwa kudzera mu dzenje lomwe laikidwa pakati pa nthiti.
Chifukwa Chakudya Chophimba Chimaikidwa
Chikwama cha chifuwa chimayikidwa pa zifukwa zosiyanasiyana.
Chifukwa chimodzi, monga mudatchulira, ndiko kuthandiza mapapu kubwezeretsanso pamene wina ali ndi mapapo akugwa, omwe amadziwika kuti pneumothorax. Pachifukwa chimenecho, chifuwa chapachifuwa chimayikidwa pambali pa nthitizi kuti mapulosi asinthe. Kuwombera kumapangidwa pakati pa nthiti ndi chubu imakankhidwira mu chifuwa mpaka ikakhala pamapapo. Ntchitoyi ikhoza kukhala yopweteka kwambiri, choncho dera lonselo ndilosawerengeka pokhapokha ngati kuli kotheka.
Anthu omwe ali ndi mapapu otumphuka amatha kukhala nawo m'mapapu, chifukwa nthawi zambiri amakhala okwanira kuti mapapo asinthe.
Mabotolo a chifuwa amatha kutulutsa madzi ena omwe angapangidwe m'mapapu, monga magazi pambuyo povulazidwa, pus, kapena madzi ena omwe amatha kumapapu. Chifuwa cha chifuwa chimagwirizanitsidwa ndi chipangizo chotchedwa pleurovac, chomwe chimagwiritsa ntchito ngalande kuti chiyeze ndipo chikhoza kugwirizanitsidwa ndi kuyamwa bwino, ngati kuli kofunika, kuti zithandizire kukhetsa madzi.
Nsalu Zachifuwa Pambuyo Opanga Opaleshoni Yoyamba
Pamene wodwala ali ndi chifuwa cha chifuwa pambuyo pochita opaleshoni ya mtima , chubu imayikidwa pafupi ndi sternum (breastbone) ndipo cholinga chake ndi kukhetsa magazi alionse omwe amachokera ku malo opaleshoni. Izi ndizofunikira makamaka chifukwa mtima uli wozungulira thupi, wotchedwa pericardium, yomwe ingasokoneze ntchito ya mtima ngati ikhala yodzaza ndi madzi.
Chifuwa cha chifuwa cha chifuwa chimachitika panthawi ya opaleshoni komanso pansi pa anesthesia, choncho palibe ululu umene umachokera.
Moyo Ndi Chifuwa Tube
Pano pali uthenga wabwino: mababu a chifuwa samakhala m'malo osachepera masiku ochepa chabe, omwe ndi uthenga wabwino chifukwa akhoza kusokoneza kwambiri.
Miphika ya chifuwa nthawi zambiri imagwiritsidwa ntchito ndi ma sutures angapo, ndipo nthawi zambiri zimakhala zovuta kwambiri kusiyana ndi kudzipangira opaleshoniyo, ngati idaikidwa pa opaleshoni. Malinga ndi chikhalidwe cha opaleshoniyi, pangakhale mipata 4 yamphongo m'malo mwake, koma 2 mpaka 3 ndizofanana.
Ma tubes amachotsedwa mkati mwa maola 48 mpaka 72 mutatha opaleshoni yamtima pokhapokha ngati pali madzi ochulukirapo kuposa momwe amachitira, kapena dokotalayo akuganiza kuti pali chifukwa choti ma tubes akhale. Amachotsedwa mosavuta, pamene suture imachotsedwa ndipo iwo amachotsedwa mthupi.
Miphika ya chifuwa yomwe imayikidwa kukhetsa madzi, kuphatikizapo pus kapena magazi ikhoza kukhalapo mpaka mpweya utatha, koma masikuwo sakhala masiku 3-4, komanso ma tubes omwe amapatsidwa mapapu pambuyo pa pneumothorax akhoza kuchotsedwa tsiku kapena awiri pambuyo pa mapapu atengeka.
Zotsatira:
> Chifuwa Thandizani Kuika. National Institutes of Health. Zomwe zinapezeka > April, > 2009. http://www.nlm.nih.gov/medlineplus/ency/article/002947.htm