Kei te wehi koe kei whakauruhia he ngongo uma (Thoracostomy)? Kia ako tātou mō tēnei mea!

Kua kite koe i tētahi tangata he ngongo e mau ana ki roto i tōna uma? I runga i te pouaka whakaata pea, i roto i te kiriata, i roto rānei i te hōhipera tūturu. He tirohanga whakamataku, he tirohanga whakamā hoki tēnei ki te kite. "He aha rātou i pēnei ai? Me tino mamae tēnei, tika?" Tērā pea koe e whakaaro. Engari i mōhio koe he tikanga hauora tino nui te whakauru i te ngongo ki roto i tō uma, e mahia ana hei whakaora i te ora o tētahi? I tēnei rā, ka kōrero tātou mō tēnei tikanga, e kiia nei ko te thoracostomy i roto i te rongoā, i roto i tētahi huarahi tino māmā ka taea e koe te mārama.

He aha te tikanga o te Thoracostomy?

He tikanga te thoracostomy e tapahia ana e te taote pokanga he wahi iti ki te taha o tō uma, kātahi ka whakaurua he ngongo ki roto i tō uma. E kiia ana tēnei ngongo he ngongo uma . Ko te take matua mō tēnei mahi he tango i te hau nui, te wai, te toto, te pūkahukahu rānei kua kohia ki te wāhi huri noa i ō pukahukahu (e kiia nei e mātou i roto i te rongoā ko te wāhi pleural).

Whakaarohia ō tātou pūkahukahu he rite ki ngā poihau e rua. Kei roto i te kōhao o te uma ēnei poihau e rua. He iti noa te āputa i waenganui i ngā pūkahukahu me te pakitara o roto o te kōhao o te uma. I te nuinga o te wā, kāore he mea i roto i tēnei āputa. Engari nā ētahi mate, nā te aituā rānei, ka kī tonu tēnei āputa i ngā mea pēnei i te hau me te wai. Kātahi ka pēhia ngā pūkahukahu, ā, kāore e taea te pupuhi tika. Ka uaua te manawa, ā, ka mamae te uma. Ko te wā tēnā ka whakauruhia e ngā tākuta he ngongo uma hei tango i ēnei mea kua kohia.

I ētahi āhuatanga ohorere, inā koa ko te tension pneumothorax, ka mahia he ngira thoracostomy hei whakamama i te pēhanga mā te tuku i te hau kua mau i mua i te whakauru i te ngongo uma. Ka mahia tēnei i roto i te āhuatanga ohorere, pērā i te Tari Ohorere (ETU), hei whakaora i te ora o te tūroro.

He aha ngā āhuatanga e whakamahia ai tēnei maimoatanga?

He maha ngā take e taea ai te mahi i te thoracostomy. Ka whakamahia whānuitia tēnei i ngā wā e kohia ana ngā rauemi kāore e hiahiatia i te taha o ngā pukahukahu. Me titiro tātou ki ētahi o ēnei āhuatanga.

Me pēhea te whakarite mō tēnei?

He pātai tino nui tēnei. Engari he ahua uaua te whakautu. Nā te mea i te nuinga o te wā, ka mahia tēnei tikanga e kiia nei ko te Thoracostomy i roto i te āhuatanga ohorere. Whakaarohia kua pāngia tētahi e tētahi aituā motuka i runga i te rori, ā, ka haria wawetia ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera. Mena kua pakaru ōna pukahukahu, ā, kua pupuhi tōna manawa, me tere te whakauru a ngā tākuta i tētahi ngongo uma hei whakaora i tōna ora. I roto i tēnei āhuatanga, kāore he wā hei whakarite.

Engari i ētahi wā, nā te mea kua pāngia koe e tētahi mate hauora o mua (hei tauira, he wai tonu kei roto i te pūkahukahu o tētahi tangata), ka taea te whakarite i mua i tēnei. I roto i ēnei āhuatanga, ka hoatu e tō tākuta he tohutohu mō te whakarite. Kei roto pea i ēnei tohutohu:

• Mai i ētahi rā i mua i te maimoatangaTērā pea ka tonoa koe kia mutu te tango i ētahi rongoā (ina koa ko ngā rongoā whakaiti toto).
• Tērā pea ka tonoa koe kia whakarerekē i te wā e horomia ai tō rongoā.
• Ka tonoa koe kia kaua e kai, e inu rānei mō ētahi haora i mua i te maimoatanga.
• Tērā pea ka tonoa koe kia mau i ngā kākahu whakamarie, ngāwari hoki.

He aha te mea e tupu ana i te wā e rongoatia ana?

Āe, kia kite tātou me pēhea te mahi i tēnei. Kaua e wehi ki te pānui i tēnei. Ka mahia tēnei me te kore mamae, me te haumaru hoki.

Tuatahi, ka mahia e te tākuta he hihi-X o te uma, he matawai rānei hei kimi i te wāhi tika me whakauru te ngongo. Kātahi ka tīmata te maimoatanga.

1. Te Tūnga: Ka tonoa koe kia takoto ki runga i te moenga, me tō māhunga kia paku teitei ake, ā, ko te ringa i te taha e whakaurua ai te ngongo ka whakatakotoria ki runga ake i tō māhunga. Mā tēnei ka huaki te āputa i waenganui i ō rara, kia māmā ake ai te whakauru i te ngongo.

2. Te Horoi: Muri iho, ka horoia pai te wāhi o te uma i whiriwhiria mō te ngongo ki te wai patu paturopi. Ka mahia tēnei hei ārai i ngā huakita kei uru ki te tinana.

3. Te ngoikore: Koinei te wāhanga tino nui. Hei ārai i a koe kei pāngia e te mamae, ka werohia he rongoā whakamoe ā-rohe , pērā i te Lidocaine , ki te wāhi. Tērā pea ka pāngia koe e te ngau kino ina werohia, engari i roto i ētahi meneti ka ngoikore katoa te wāhi. Nō reira, kāore koe e pāngia e te mamae i muri i tērā.

4. Te tapahi: Nā te mea kua ngoikore koe, ka tapahia e te tākuta he tapahi iti rawa i waenganui i ō rara e rua. Ehara tēnei i te tapahi nui, he nui noa iho hei whakauru i te ngongo.

5. Te whakaurunga o te ngongo: Muri iho, ka ata whakauruhia te ngongo uma mā te tapahi ki roto i te wāhi huri noa i ngā pukahukahu. Ko tetahi atu pito o tēnei ngongo ka honoa ki tētahi mea pērā i te pounamu wai (ipu waikeri). Ka rere te hau me te wai i roto i te uma mā roto i tēnei ngongo ka kohia ki roto i taua pounamu.

6. Tiaki: Hei whakamutunga, ka whakatakotoria he takai parakore ki te wāhi i werohia ai, ka hipokina. I ētahi wā, ka whakatakotoria he tuitui iti ki te kiri hei whakau i te ngongo ki te kiri kia kore ai e neke haere.

E 30 meneti te roa o tēnei tukanga katoa.

He aha te mea ka tupu i muri i te maimoatanga?

Kia whakauruhia te ngongo, ka tirohia anō tō uma mā te hihi-X hei tirotiro kei te tika tōna wāhi, ā, kua pupuhi pai ō pukahukahu. Kātahi ka hoatu e te tākuta me ngā nēhi he tohutohu mō te tiaki i te ngongo.

• Me pupuri kia ma, kia maroke hoki te wāhi i tapahia .
• Kei roto ngā tohutohu mō te tiaki i te ngongo me te pounamu e hono ana ki a ia (ipu waikeri). Ko te mea nui kia kaua e piko, kia mau rānei te ngongo ki hea . Me waiho tonu te pounamu ki raro i te taumata o te uma . Pērā ai, ka rere ngāwari ngā mea o roto o te pouaka ki roto i te pounamu i runga i te kaha o te whenua.
• Me tango e koe ngā rongoā kua tohua i te wā tika .

He aha ngā painga o tēnei maimoatanga?

Ahakoa he āhua whakamataku tēnei, he maha ngā painga.

• Ehara tēnei i te pokanga nui (iti noa te whakaekenga): Nā te mea ka mahia mā te tapahi iti, kaua mā te tapahi nui, he iti ake te kino ki te tinana, ā, he tere ake te tukanga whakaora.
• Ka taea te whakaora i ngā oranga i ngā wā ohorere: Ka taea e tēnei te whakaora wawe i te oranga mēnā ka pā mai he aituā, he hinga rānei o te pukahukahu. Ka taea hoki e ia te whakaora i ngā āhuatanga mō te wā roa.
• Kāore he take e whakamoea rawatia ai te tūroro: He maha ngā wā ka mahia tēnei i raro i te mate whakamoe, nō reira kāore he mōrearea o te mate whakamoe nui.
• He whakaora tere mō te poto o te manawa: Ko te tangata e uaua ana ki te manawa nā te wai e whakakī ana i ōna pukahukahu ka tino marino tonu i muri i te mahi i tēnei.

He pānga taha, he mōrearea rānei kei reira?

Pērā i ngā maimoatanga hauora katoa, he iti noa iho ngā mōrearea kei roto, engari ka whakapau kaha ngā tākuta ki te whakaiti i ēnei mōrearea.

• Kua whakaurua te ngongo ki te wāhi hē, kua neke rānei mai i tōna tūranga taketake.
• Te mate i te wāhi i tapahia.
• Te emphysema o raro i te kiri (te kohikohinga o te hau i raro i te kiri).
• Te pupuhi anō o te pūkahukahu (te whakakīnga o te wai i te taha o te pūkahukahu kua memeha i muri i te pupuhi anō o te pūkahukahu).
• Te toto.
• He kino iti ki ngā io, ki ngā kiko rānei e karapoti ana.

He iti rawa te tūponotanga o ēnei mea. Engari he mea pai kia mōhio koe ki ēnei mea. Mena he pātai āu, pātai atu ki tō tākuta.

Kia pēhea te roa e waiho ai te ngongo ki roto? Kia pēhea te roa e ora ai?

Ko te roa o te wā e mau ana te ngongo uma, ka whakawhirinaki ki te take i whakatakotoranga ai.

• Mena i tangohia he iti te toto, te hau rānei i muri i tētahi aituā, ka taea te tango i te ngongo i roto i ētahi rā i muri i te mimiti katoa.
• Heoi, ki te mea ka tonu te whakakī o te wai nā te mea he mate roa, me mau tonu pea te ngongo mō ētahi wiki . Mā tō tākuta tēnei e whakamārama ki a koe.

I muri i te tango i te ngongo, e toru ki te whā wiki pea ka ora katoa te motu. I taua wā, ka tohutohu tō tākuta i a koe me pēhea te tiaki i te patunga, me te karo hoki i ngā mahi uaua.

Ki te kite koe i tētahi mea pēnei, me kōrero tonu atu ki tō tākuta.

Mena he ngongo uma tōu, kia tūpato ki ngā tohu e whai ake nei. Mena kei a koe tētahi o ēnei, me kōrero tonu atu ki tō tākuta .

He aha te rerekētanga i waenga i te Thoracostomy, te Thoracentesis, me te Thoracotomy?

He rite te tangi o ēnei kupu e toru, engari he rerekē ngā tikanga e toru. He maha ngā tāngata e pōhēhē ana i waenganui i a rātou. Kia kite tātou he aha te rerekētanga.

He kupu ngāwari, he mahi nui te pokanga thoracotomy. Whai muri i taua pokanga, ka whakatakotoria pea he thoracostomy (ngoipo uma) hei tango i te wai e kohia ana i roto i te uma.