Kia ako tātou i te tikanga o te whakatakoto ngongo ki roto i te uma (Thoracostomy) i tētahi huarahi māmā.

Kua rongo koe i tētahi tangata kua whakauruhia he ngongo uma i muri i tētahi aituā, nā te mea rānei he uaua ki te manawa? Tērā pea kua kite koe i tēnei i roto i tētahi kiriata. Ko te kupu hauora mō tēnei ko te Thoracostomy. Ahakoa he ahua whakamataku, he tikanga whakaora ora tino nui. Āe, me kōrero tātou mō ēnei mea katoa i roto i ngā kupu māmā i tēnei rā.

He aha te mahi tango i te uma?

He whakarāpopototanga noa iho, he tikanga te thoracostomy e tapahia ana e te tākuta he wahi iti ki te taha o tō uma, i waenganui i ngā rara e rua, kātahi ka whakaurua he ngongo kirihou ki roto. E kiia ana tēnei ngongo he 'ngongo uma'.

Titiro mai, e rua ngā kiriuhi angiangi e karapoti ana i ō tātou pukahukahu, e whakarārangi ana i te taha o roto o te pakitara o tō tātou uma. Ko te wāhi i waenganui i ēnei kiriuhi e rua e kiia ana ko te 'wāhi pleural'. Nā ētahi āhuatanga hauora, ngā aituā rānei , ka taea e te hau, te wai (pēnei i te wai), te toto, te pūkahukahu rānei te kohikohi ki tēnei wāhi. Ina tupu tēnei, kāore e taea e ngā pukahukahu te pupuhi, te whakaheke rānei i te tika, ka uaua ai te manawa me te mamae nui.

I roto i tētahi āhuatanga ohorere, inā koa i roto i tētahi āhuatanga morearea pērā i te 'Tension Pneumothorax', ka taea e koe te manawa ki roto engari kāore e taea te manawa ki waho, ka tere te whakauru a ngā tākuta i tētahi ngira ka tukuna he hau ki waho i mua i te whakauru i tēnei ngongo uma. Ka kiia tēnei ko te 'Needle Thoracostomy'. He tikanga whakaora ora tēnei e mahia ana i roto i te Tari Ohorere (ETU).

He aha ngā āhuatanga e mahia ai te thoracostomy?

He maha ngā take e whakahaerehia ai tēnei maimoatanga e ngā tākuta. Me titiro tātou ki ngā take matua.

Me whakarite ahau mō tēnei maimoatanga i mua?

I te nuinga o te wā, ka mahia tēnei i roto i te wā o tētahi aituā, o tētahi āhuatanga ohorere rānei, nō reira kāore he wā ki te whakarite i mua. I roto i ēnei āhuatanga, ka tere te whakatau a ngā tākuta o te Wāhanga Maimoatanga Ohotata (ETU) ā, ka mahia tēnei.

Heoi, i ētahi wā, nā te mate pūmau pēnei i te wai e mau tonu ana i roto i te uma, ka whakaritea pea tēnei ngongo, ka whakatakotoria hoki. I roto i ēnei āhuatanga, ka hoatu e tō tākuta ētahi tohutohu ki a koe.

• Me mutu pea te tango i ētahi rongoā (ina koa ko ngā rongoā whakaiti toto) i ētahi rā i mua i te maimoatanga.
• Ka tonoa koe kia kaua e kai, e inu rānei i roto i ētahi haora i mua i te maimoatanga.
• Kōrerotia ki tō tākuta mō ētahi atu rongoā, huaora, tāpiringa rānei e tangohia ana e koe.
• Mena he mate pāwera koe ki tētahi rongoā, me whakahua mai.
• Me whakamōhio atu hoki ki tō tākuta mēnā kei te hapu koe, kei te hapu rānei .

He aha tonu te mea ka tupu ina mahia te thoracostomy?

E 30 meneti pea te roa o tēnei tikanga. Kei te ara koe i tēnei tikanga. Kaua e manukanuka, ka mahia e ngā tākuta ngā mea katoa kia kore ai koe e mamae.

1. Tuatahi, ka mahia he hihi-X o te uma hei whakarite kia tika te tūnga o te ngongo.

2. Kātahi ka tonoa koe kia takoto ki runga i te moenga, kia ara ake tō māhunga, ka whakatakoto i te ringa ki te taha ka whakaurua te ngongo ki runga ake i tō māhunga.

3. Ka horoia rawatia te kiri o te uma e whakaurua ai te ngongo, kātahi ka horoia ki te wai patu paturopi.

4. Ko te mea nui rawa atu ko te werohanga o tētahi rongoā whakangā (pērā i te 'Lidocaine') ki te kiri. Mā tēnei ka kore koe e tino mamae i muri i tāu mahi.

5. Kia mārō te kiri, ka tapahia he wahi iti rawa i waenganui i ngā rara e rua.

6. Mā roto i taua tapahi, ka āta whakaurua he ngongo kirihou (ngongo uma) ki roto i te āputa huri noa i ngā pukahukahu.

7. Ka honoa te pito o waho o te ngongo ki tētahi pounamu, ki tētahi putea rānei (ipu waikeri) motuhake e kohi ana i te wai, i te hau rānei e puta mai ana i te uma.

8. Hei whakamutunga, ka pania he hinu paturopi ki te wāhi e uru ana te ngongo ki roto i te kiri, ā, ka hipokina ki tētahi takai ma.

He aha ngā painga me ngā mōrearea o tēnei maimoatanga?

Pērā i ngā maimoatanga katoa, he iti noa ngā painga, ā, he iti anō hoki ngā mōrearea.

Ngā painga matua

• He tikanga māmā noa iho tēnei, kāore e hiahiatia he tapahi nui (he iti noa te urutomo).
• He mea nui te whakaora i ngā oranga i ngā wā ohorere.
• Kāore e hiahiatia he rongoā whakamoe katoa (ngaronga o te māramatanga).
• He tino whakamarie tēnei mō te tangata e uaua ana ki te manawa nā te wai tonu i roto i tōna uma.

Ngā raruraru iti pea

Kei te whakapau kaha ngā tākuta ki te whakaiti i ēnei mōrearea.

• Kua hē te tūnga o te ngongo, kua marere rānei.
• Te mate urutā.
• Te kohikohinga o te hau i raro i te kiri ('Subcutaneous emphysema').
• Te toto.
• He tino onge, ka pā te kino ki ngā io, ki ngā kiko rānei e karapoti ana.
• Ka pupū ake te wai huri noa i ngā pukahukahu i muri i te pupuhi anō ('Re-expansion pulmonary edema').

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

I muri i te whakaurunga o te ngongo, ka tangohia he hihi-X anō hei tirotiro kei te tika. Kātahi ka hoatu e te tākuta me te hunga nēhi he tohutohu mō te tiaki i te ngongo me te patunga i a koe e noho ana i te wāhanga.

• Me pupuri te patunga kia ma, kia maroke hoki .
• Me tiaki te ngongo kei piko, kei mau rānei .
• Ko te mea nui: Me waiho tonu te ipu waikeri ki raro i tō uma . Ki te kore, ka turuturu anō ngā mea o roto i te ipu ki roto i tō uma.
• Tangohia ngā rongoā whakamamae mamae me ētahi atu rongoā i whakaritea e tō tākuta i te wā tika.

Kia pēhea te roa e tika ana kia waiho te ngongo uma ki roto?

Kei te take i whakaurua ai te ngongo tēnei. Kia mimiti katoa te wai, te hau rānei i roto i te uma, ka tangohia te ngongo i roto i ētahi rā. Heoi, ki te haere tonu te kohikohi o te wai nā te mate pūmau, pērā i te mate pukupuku, me waiho pea te ngongo ki roto mō ngā wiki. Pātai atu ki tō tākuta mō ētahi atu kōrero.

Āhea koe me toro atu ki te tākuta i te wā e taea ai?

Ki te whakaurua he ngongo uma ki roto i tō uma, kia tino tupato ki ngā tohu e whai ake nei. Ki te pāngia koe e tētahi o ēnei tohu, whakamōhio atu ki tō tākuta, ki tō nēhi rānei i taua wā tonu.

Ki te kite koe i tētahi mea pēnei, whakamōhio atu ki te tākuta, ki te nēhi rānei o te hōhipera i taua wā tonu. Kaua e wehi ki te pātai atu mō tēnei mea.