Kungani i-Tube ye-Chest isetshenziswa
Udokotela wami uthi ngizoba nethubhu yesifuba ngemuva kokuhlinzwa kwami kwenhliziyo evulekile. Ngiyaludideka ngalokhu, akuyona ithubhu yesifuba esetshenziswa lapho umuntu enenkinga yokuphefumula?
Ithuluzi lesifuba liyi-tube enkulu yepulasitiki efakwe esifubeni ngomgodi omncane obekwe phakathi kwezimbambo.
Kungani i-Tube ye-Chest ifakwa
Ithuluzi lesifuba libekwe ngezizathu ezihlukahlukene.
Esinye isizathu, njengoba ushilo, ukusiza amaphaphu abuyele phansi lapho umuntu ephethe iphaphu, eyaziwa nangokuthi i-pneumothorax. Ngaleso simo, ithubhu yesifuba ifakwa eceleni kwembambo ukuze kuvunyelwe amaphaphu. Ukuzibophezela kwenziwa phakathi kwezimbambo kanye ne-tube ithoxiswa esifubeni kuze kube yilapho ihlala emaphashini. Le nqubo ingaba buhlungu kakhulu, ngakho-ke indawo iyafakwa ngaphambi kokufakwa uma kunokwenzeka.
Abantu abano-lung ephukile babezobekwa eyodwa emaphashini, njengoba lokho kuvame ukutholakala ukuze amaphaphu aphinde agcwaliswe.
Ama-tubes esifuba isifuba angakwazi ukukhipha noma yikuphi oketshezi okungase kuqoqwe emaphashini, njengegazi ngemuva kokulimala, i-pus, noma noma yimuphi omunye omswakama ongase awakhe emaphashini. Ithuluzi lesifuba lixhunywe kudivayisi ebizwa nge-pleurovac, eqoqa amanzi okulinganisa futhi ingaxhunyaniswa nokuncelisa kahle, uma kudingekile, ukusiza ukukhipha uketshezi.
Izitsha Zobhudu Ngemva Kokuhlinzwa Kwezinhliziyo Ezivulekile
Lapho isiguli sinesibindi sesifuba ngemuva kokuhlinzwa kwenhliziyo , ithubhu ifakwe eduze kwe-sternum (isifuba) futhi ihloselwe ukukhipha noma yiliphi igazi elibuthelwa endaweni yokuhlinzwa. Lokhu kubaluleke kakhulu ngoba inhliziyo ihaqwe isikhwama somzimba, okuthiwa i-pericardium, engaphazamisa umsebenzi wenhliziyo uma igcwele uketshezi.
Ukufakelwa kwethebhu yesifuba kwenziwa ngesikhathi sokuhlinzwa futhi ngaphansi kwe-anesthesia, ngakho abukho ubuhlungu obuvela enkambisweni.
Ukuphila Nge-Tube Yesikhumba
Nazi izindaba ezinhle: amashubhu esifubeni ajwayelekile ukuhlala endaweni engaphezu kwezinsuku ezimbalwa, yizindaba ezinhle ngoba zingabangela ukungajabuli okuningi.
Ama-tubes esifubeni avame ukuqhutshwa yi- sutures amaningana, futhi ngokuvamile abangela ukungathandeki okukhulu kunokwenziwa kokuhlinzwa ngokwayo, uma kubekwe ngesikhathi sokuhlinzwa. Kuye ngesimo sokuhlinzwa, kungase kube khona amashubhu angu-4 esifubeni, kepha 2 kuya ku-3 kujwayelekile.
Ama-tubes ngokuvamile asuswa emahoreni ama-48 kuya kwangu-72 emva kokuhlinzwa kwenhliziyo evulekile ngaphandle uma kunezimbizo eziningi kunalokho okuvamile, noma udokotela ohlinzayo unquma ukuthi kunesizathu sokuba amashubhu ahlale. Basuswa kalula, njengoba i-suture isusiwe futhi ihanjiswa kahle emzimbeni.
Ama-tubes esifuba afakwa ukukhipha amanzi ahlanganisa i-pus noma igazi ingase ihlale endaweni kuze kube yilapho umfula uyeka, kodwa lokho kungavamile ukuba ngaphezu kwezinsuku ezingu-3-4, futhi amashubhu afakwe ukuphazamisa amaphaphu emva kwe-pneumothorax angasuswa ngosuku noma amabili ngemuva kwamaphaphu ehlanjululwayo.
Imithombo:
> I-Chest Tube Ukufaka. Izikhungo zezempilo zikazwelonke. Kufinyelelwe > Ngo-Ephreli, > 2009. http://www.nlm.nih.gov/medlineplus/ency/article/002947.htm