Tiyeni tiphunzire za kuyika chubu pachifuwa (Thoracostomy) m'njira yosavuta.

Kodi mudamvapo za munthu amene anaikidwa chubu cha pachifuwa atachita ngozi kapena chifukwa choti anali ndi vuto lopuma? Mwina mudaziwonapo mufilimu. Mawu azachipatala a izi ndi Thoracostomy. Ngakhale zingamveke zoopsa pang'ono, ndi njira yofunika kwambiri yopulumutsira moyo. Chabwino, tiyeni tikambirane zonsezi mwachidule lero.

Kodi Thoracostomy ndi chiyani?

Mwachidule, opaleshoni ya thoracostomy ndi njira yomwe dokotala amadula pang'ono mbali ya chifuwa chanu, pakati pa nthiti ziwiri, ndikuyika chubu cha pulasitiki kudzera mmenemo. Nthawi zambiri timatcha chubu ichi kuti 'chubu cha pachifuwa'.

Tsopano taonani, pali ma nembanemba awiri opyapyala omwe amazungulira mapapo athu ndipo amazungulira mkati mwa khoma la pachifuwa chathu. Malo pakati pa ma nembanemba awiriwa amatchedwa 'malo olumikizirana mafupa'. Chifukwa cha matenda ena kapena ngozi , mpweya, madzi (monga madzi), magazi, kapena mafinya amatha kusonkhana m'malo awa. Izi zikachitika, mapapo sangathe kudzaza kapena kupumira bwino, zomwe zingayambitse kupuma movutikira komanso kupweteka kwambiri.

Pakagwa ngozi, makamaka pakakhala vuto loopsa monga `Tension Pneumothorax`, komwe mungapume mpweya koma simungathe kutulutsa mpweya, madokotala amaika singano mwachangu ndikutulutsa mpweya musanayike chubu cha pachifuwa ichi. Izi zimatchedwa `Needle Thoracostomy`. Iyi ndi njira yopulumutsa moyo yomwe imachitidwa ku Dipatimenti Yodzidzimutsa (ETU).

Kodi opaleshoni ya thoracostomy imachitidwa pa matenda otani?

Madokotala amachita chithandizochi pazifukwa zosiyanasiyana. Tiyeni tiwone zifukwa zazikulu.

Kodi ndiyenera kukonzekera chithandizochi pasadakhale?

Nthawi zambiri, izi zimachitika pakagwa ngozi kapena mwadzidzidzi, kotero palibe nthawi yokonzekera pasadakhale. Pazochitika zotere, madokotala mu Emergency Treatment Unit (ETU) amapanga zisankho mwachangu ndipo amachita izi.

Komabe, nthawi zina, chifukwa cha matenda osatha monga madzi osatha m'chifuwa, chubu ichi chingakonzedwe ndikuyikidwa. Pazochitika zotere, dokotala wanu adzakupatsani malangizo ena.

• Mankhwala ena (makamaka ochepetsa magazi) angafunike kuyimitsidwa masiku angapo chithandizo chisanachitike.
• Mudzapemphedwa kuti musamadye kapena kumwa kwa maola angapo musanalandire chithandizo.
• Uzani dokotala wanu za mankhwala ena aliwonse, mavitamini, kapena zowonjezera zomwe mukumwa.
• Ngati muli ndi vuto lililonse la mankhwala, onetsetsani kuti mwatchulapo.
• Uzaninso dokotala wanu ngati muli ndi pakati kapena mungakhale ndi pakati .

Kodi chimachitika ndi chiyani makamaka ngati opaleshoni ya thoracostomy yachitika?

Njira imeneyi nthawi zambiri imatenga mphindi 30. Mukakhala maso panthawiyi, musamadandaule, madokotala adzachita zonse zomwe angathe kuti musamve kupweteka kulikonse.

1. Choyamba, X-ray ya pachifuwa imachitidwa kuti zitsimikizire kuti chubucho chili pamalo oyenera.

2. Kenako mudzapemphedwa kugona pabedi, kukweza mutu wanu pang'ono, ndikuyika mkono pambali pomwe chubu chidzayikidwe pamwamba pa mutu wanu.

3. Khungu lomwe lili pachifuwa pomwe chubucho chidzalowetsedwe limatsukidwa bwino ndikutsukidwa ndi yankho la antiseptic.

4. Chotsatira, chofunika kwambiri. Mankhwala ochepetsa ululu (monga `Lidocaine`) amalowetsedwa m'dera la khungu. Izi zikuthandizani kuti musamve kupweteka kwambiri chifukwa cha zomwe mukuchita pambuyo pake.

5. Khungu likatha dzanzi, kudula pang'ono kwambiri kumapangidwa pakati pa nthiti ziwiri.

6. Kudzera mu mng'alu umenewo, chubu cha pulasitiki (chubu cha pachifuwa) chimayikidwa mosamala m'malo ozungulira mapapo.

7. Malekezero akunja a chubucho amalumikizidwa ku botolo kapena thumba lapadera (chidebe chotulutsira madzi) chomwe chimasonkhanitsa madzi kapena mpweya wochokera pachifuwa.

8. Pomaliza, mafuta ophera tizilombo amapakidwa pamalo omwe chubucho chimalowa pakhungu ndipo amaphimbidwa ndi kuvala koyera.

Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?

Monga momwe zilili ndi chithandizo chilichonse, pali ubwino ndi zoopsa zazing'ono kwambiri.

Ubwino waukulu

• Iyi ndi njira yosavuta yomwe siifuna kudula kwakukulu (komwe sikuvulaza kwenikweni).
• Ndikofunikira kupulumutsa miyoyo pa nthawi yadzidzidzi.
• Izi sizifuna mankhwala oletsa ululu (kutaya chidziwitso).
• Izi zimapatsa mpumulo waukulu kwa munthu amene akuvutika kupuma chifukwa cha madzi osalekeza m'chifuwa mwake.

Zovuta zazing'ono zomwe zingatheke

Madokotala akuchita zonse zomwe angathe kuti achepetse zoopsazi.

• Chubucho chatayika kapena chamasuka.
• Matenda a bala.
• Kuchulukana kwa mpweya pansi pa khungu (`Subcutaneous emphysema`).
• Kutuluka magazi.
• Kawirikawiri, kuwonongeka kwa mitsempha kapena minofu yozungulira.
• Madzimadzi amasonkhana mozungulira mapapo akangowonjezeredwa mpweya (`Re-expansion pulmonary edema`).

Kodi chimachitika ndi chiyani mukalandira chithandizo?

Pambuyo poti chubucho chaikidwa, X-ray ina idzatengedwa kuti iwonetsetse kuti chilipo. Dokotala ndi ogwira ntchito yosamalira anamwino adzakupatsani malangizo a momwe mungasamalire chubucho ndi bala pamene muli m'chipinda chochezera.

• Chilondacho chiyenera kusungidwa choyera komanso chouma .
• Chubucho chiyenera kutetezedwa kuti chisapindike kapena kumatirira .
• Chofunika kwambiri: Nthawi zonse sungani chidebe chotulutsira madzi pansi pa mulingo wa chifuwa chanu . Kupanda kutero, zomwe zili mu chidebecho zitha kutayikiranso m'chifuwa mwanu.
• Imwani mankhwala ochepetsa ululu ndi mankhwala ena omwe dokotala wanu wakupatsani panthawi yake.

Kodi chubu cha pachifuwa chiyenera kukhala nthawi yayitali bwanji?

Izi zimadalira chifukwa chomwe chubucho chinalowetsedwa. Madzi onse kapena mpweya wonse pachifuwa ukatuluka, chubucho nthawi zambiri chimachotsedwa pasanathe masiku angapo. Komabe, ngati madziwo akupitirizabe kusonkhana chifukwa cha matenda osatha, monga khansa, chubucho chingafunike kusungidwa kwa milungu ingapo. Funsani dokotala wanu kuti mudziwe zambiri.

Kodi ndi liti pamene muyenera kupita kwa dokotala mwamsanga?

Ngati mwaika chubu cha pachifuwa, samalani kwambiri ndi zizindikiro zotsatirazi. Ngati muli ndi chimodzi mwa izi, uzani dokotala kapena namwino wanu nthawi yomweyo.

Ngati muwona chinthu chonga ichi, dziwitsani dokotala kapena namwino wa chipatala nthawi yomweyo. Musamaope kufunsa za icho.