Izizathu zeThubhu ye-Chest nokubhekana nesikhathi usenazo
Ithuluzi lesifuba liyi-tube yangaphakathi epulasitiki efaka emgodini wesifuba ukukhipha umoya noma uketshezi. Isifo esifubeni singase sibe negazi (njengokuhlinzwa okulandelayo noma ukuhlukunyezwa), noma i-pus (kusukela ekutheleleni okufana ne-pneumonia).
Zisetshenziswa Nini?
Ithuluzi lesifuba lingeniswa ngezizathu eziningana:
- Ukwandisa kabusha amaphaphu lapho amaphaphu ewela ( pneumothorax ). Njengoba i-pneumothorax, i-tube ifakwa emgodini wesikhala, isikhala esiphakathi kwamagundane ( pleura ) esho emaphashini.
- Ngemva kokuhlinzwa ngomdlavuza wamaphaphu ukukhipha amanzi asele esikhaleni esakhiwe ngemva kokuba ingxenye yesiphaphu isuswe. Ngenqubo encane engavamile, efana nokuhlinzwa kwe-thoracoscopic (video) eyasiza nge-video (VATS) ukwenza i-lumpectomy noma enye inqubo, ithubhu yesifuba ingase ingadingeki. Uma ithebhu yesifuba isetshenziselwa i-VATS, ingase isuswe ngokushesha (isibonelo, ngokuvamile amahora angu-48) kunelabo abane-thoracotomy yomdlavuza wamaphaphu.
- Ukuze kusetshenziswe izikhalazo ezibuhlungu - zombili izinyathelo ezinobungozi ezinobungozi (bheka ngezansi.)
- Ngemuva kokuhlinzwa kwenhliziyo.
- Uma kuphuma igazi esifubeni (i- hemothorax ), isibonelo, kusuka ekuguleni.
- Ukukhipha ipus kusuka ekutheleleni noma kubomvu ( ukuphazamiseka ).
Ukubekwa
Uma ithubhu yesifuba ingeniswa emaphashini awilekile, indawo encane esesibhedlela ifinyelelwe ngokusebenzisa ukuhlinzekwa komzimba wendawo. Ithebhu iyabekwa, futhi ixhunywe kumshini osebenzisa ukusondeza ukukhipha umoya, ngaleyo ndlela uvumela amaphaphu ukuba awandise kabusha.
I-tube is sutured endaweni ngakho ngeke ukudonsa ngokunyakaza.
Uma ithubhu yesifuba efakwe emva kokuhlinzwa, ifakwa ngaphansi kwe-anesthesia jikelele ekamelweni lokusebenza. Ithebhu isuke ixhunywe kwisitsha esingaphansi kwesifuba, besebenzisa amandla adonsela phansi ukuze kuvunyelwe uketshezi okwedlulele.
Zishiya Kude Kangakanani Indawo?
Isikhathi sokuthi ithini lesifuba lizohlala likhona lingashintsha kuye ngokuthi kungani libekwa, futhi kuqhubeka isikhathi esingakanani ukuvuza kwemoya noma amanzi okugeleza aqhubekayo.
Nge-pneumothorax, odokotela bazobuka i-x-ray ukuqinisekisa ukuthi wonke umoya ususiwe, futhi amaphaphu akwandise ngokuphelele. Ukulandela ukuhlinzwa komdlavuza wamaphaphu, i-tube izoshiywa endaweni kuze kube yilapho kuphela imithombo yamanzi ehlala phansi, ngokuvamile yinkathi kwezinsuku ezintathu kuya kwezine.
Ukususwa
Ukususwa kwe-tube yamathumba ngokuvamile kuyinkqubo elula futhi kungenziwa kahle embhede wakho esibhedlela ngaphandle kwe-anesthesia. I-sutures ihlukaniswa futhi i-tube iyabanjelwa. Udokotela wakho uzokucela ukuba uthathe umoya bese uyibamba, futhi ithubhu ixoshwa. I-suture iboshelwe ukuvala isilonda nokugqoka okusetshenzisiwe. Uma i-tube itholakala ephasini eliqhekekile, kuzokwenziwa i-x-ray ukuqinisekisa ukuthi amaphaphu akho ahlala esandiswa ngemuva kokususwa.
Izinkinga
Izinkinga ze-tube placement placement zifana nalabo abathola ezinye izinhlobo zokuhlinzwa futhi zingafaka:
- Ukuphuza.
- Ukutheleleka.
- Ubuhlungu - Nakuba indawo esetshenziswa ngayo i-tube yamathumba i-anesthetized, kunzima ukuphazamisa ngokuphelele indawo lapho ithebhu yesikhumba ifakwe khona. Ngaphezu kwalokho, izifo zokubulala izinzwa zasendaweni ngeke zisuse umqondo wokudonsa njengoba ithini lifakwa.
- Ukubekwa kwethubhu embi (amanye ama-pleural effusions "ahlolwe," ngamanye amazwi, aneqoqo elincanyana lamanzi, i-pus, noma igazi, elahlukaniswa izicubu. Uma kwenzeka kunjalo, ithubhu lesifuba lingakhula kuphela lelo qoqo le-fluid indawo lapho ithebhu yesikhumba ifakwa khona.
- I-Pneumothorax - I-tube yomkhumbi ivame ukufakwa ukuze ikhulule umoya emaphashini aphelile, kodwa ingase ibuye iphaphule amaphaphu okuholela ku-pneumothorax. Iphunga eliye lahleka lingase liphinde liwe futhi lapho ishubhu isusiwe.
- Ezinye izakhiwo eduze kwebhuba lesifuba zingalimala, njenge-esophagus, isisu, i-lung, noma i-diaphragm.
Ukusebenza Kwemvelo Kubantu abane-Cancer
Ukusebenza kwamapulangwe kujwayelekile kakhulu kubantu abanomdlavuza wamaphaphu futhi ngokuvamile kwenzeka nomdlavuza webele we-metastatic. Ngokweqhwa kwamanzi, uketshezi kwakha isikhala esivumelwaneni, indawo ephakathi kwezimbungulu ezimbili ezibhekene namaphaphu. Lesi sikhala ngokuvamile sinezikhisipuni zamanzi ezinamanzi amathathu kuphela, kepha ngomdlavuza wamaphaphu, amalitha amaningana amanzi angase aqoqe, noma ukuqoqa kabusha, ngokushesha kakhulu.
Lapho amangqamuzana omdlavuza ekhona emfucumfuceni we-pleural, kuthiwa yi- effusion engalungile yesikhalazo . Uma kunomthelela omubi we-pleural, uhlukanisa umdlavuza wamaphaphu njengesigaba sesine.
Abantu abaningi abanomdlavuza wamaphaphu baphela ngokuba nokuphindaphindiwe kwe-pleural effusions-kanti nakuba lezi zivame ukuhlambalaza, ukucindezela emaphashini avela ngokweqile kudala ubuhlungu nokuphefumula. T
Kunezinketho eziningi zokwelapha i-pleural effusion ephindaphindiwe, kungakhathaliseki ukuthi i-effusion iyingozi kakhulu. Ngesinye isikhathi i-shunt ibanjwe isikhala somlomo ngaphakathi kwesisu ukuze umkhuhlane ukwazi ukuqhuma njalo. Le ndlela ingase ibe ngcono kunokuthi ube ne-thoracentesis ephindaphindiwe (lapho inaliti ibekwa kule ndawo) ukuze igcwalise uketshezi. I-shunt ingabuye ibekwe ngaphandle komzimba wakho. Lokhu kuvumela abantu ukuba basule amanzi abo ngezikhathi ezithile ekhaya ngaphandle kokubuyela esibhedlela isikhathi ngasinye uma amanzi eqoqa. Ukuvame uketshezi kancani kuncike ekutheni izimpawu zakho ziba nzima kanjani (i-effusion ivame ukuthungwa ukuze uthole induduzo yakho hhayi ngoba kuyadingeka ngokwemithi ukususa konke oketshezi.)
Enye indlela yokwenza izinyathelo eziphindaphindiwe ze-pleural ukususa isikhala phakathi kwezibilini zombili zomlomo.Le nqubo ibizwa ngokuthi i-pleurodesis futhi yenziwa ekamelweni lokusebenza ngaphansi kwe-anesthetic jikelele. Lapho izingqimba ze-pleura zishaya ndawonye, ziqeda isikhala sokukhala ukuze kungabi khona isikhala esitholakalayo lapho kusetshenzwa khona amanzi.
Ukubhekana Ne-Tube Yesikhumba
Ukuba nethubhu yesifuba endaweni ngaphandle kokuthi isizathu sibangele kakhulu. Kungakhathaliseki ukuthi kungani umoya noma uketshezi kuqoqwe isikhala somlomo, isikhathi esilindele ukuxazulula nokungazi kunzima kokubili iziguli nabathandekayo babo. Khuluma nodokotela wakho mayelana nemizwa yakho, bese ucela ukulinganisela ngesikhathi esizoshiya endaweni. Yiba ummeli wakho bese ubuza imibuzo . Imithi iyashintsha futhi iziguli nodokotela basebenza ngokubambisana kakhulu kunesikhathi esedlule uma kuziwa ekwenzeni izinqumo mayelana nezinketho zokunakekelwa kwezempilo.
Umthombo:
Deng, B., Qian, K., Zhou, J., Tan, Q., no R. Wang. Ukuthuthukiswa kweThuthi yokuLawula i-Chest ku-Expedite Rehabilitation yeziguli ze-Lung Cancer Emva kokuhlinzwa kokuhlinzwa kwe-Thoracic: I-Meta-Analysis nokubuyekeza okuhlelekile. I-World Journal of Surgery . 2017 Mashi 13. (Epub ngaphambi kokuphrinta).
I-National Institute of Health. I-Medline Plus. Ukufakelwa kwethebhu ye-Chest. Kubuyekezwa 04/13/15. https://medlineplus.gov/ency/article/002947.htm