Ungave wakaona dhoreni diki richiiswa mumuviri wako mushure mekuvhiyiwa, kana kuti ungave wakamboiisa iwe pachako. Inogona kunzwa isina kugadzikana, handiti? Asi usazvidya moyo, ichi chinhu chakakosha zvikuru chinobatsira ronda rako kupora nekukurumidza uye kuderedza matambudziko. Saka nhasi, ngatitaurei zvishoma nezvedhoreni iyi yekuvhiyiwa.
Chii chinonzi nzira yekuvhiya?
Zvichitaurwa zviri nyore, dhiraivha yekuvhiya mudziyo mudiki unoshandiswa kuburitsa mvura kubva panzvimbo yako yekuvhiyiwa, kureva ronda rako. Mushure mekuvhiyiwa, ronda parinopora, mvura dzakadai semarara emasero, ropa, nemvura zvinobuda. Kana izvi zvikaungana mukati meronda, zvinogona kunonoka kupora uye dzimwe nguva zvinotungamira kuzvirwere. Saka dhiraivha iyi inoiswa kuti ibudise mvura iyoyo uye ibatsire ronda kupora nekukurumidza. Kana ikanyatsotarisirwa, inogonawo kuderedza njodzi yehutachiona zvakanyanya.
Paunenge uine chubhu iyi, unofanira kunyora kuti mvura yakawanda sei inobuda zuva rega rega uye kuti ine ruvara rwakadii. Ruzivo urwu ruchabatsira chiremba wako kunzwisisa kuti ronda riri kupora sei uye kuti chubhu yacho inofanira kubviswa riini. Runogonawo kubatsira kuona matambudziko, akadai sehutachiona, nekukurumidza.
Ehe, kuva nechubhu iyi mumuromo mako kuchaita sekunge kusinganzwisisike uye kusingafadzi. Zvinotora nguva kuti ujaire. Asi yeuka, ichi chikamu chakakosha chekupora kwako, uye ndekwenguva pfupi. Kunyangwe zvikasaita sezvazviri izvozvi, chubhu iyi yekuvhiya ichakurumidzisa kupora kwako.
Nzira yekuvhiya inodiwa rini?
Vanachiremba vanoisa machubhu aya mushure mekuvhiyiwa kwakasiyana-siyana. Zvichienderana nekuvhiyiwa kwawakaitwa, chubhu inogona kuiswa nekuda kwezvikonzero izvi:
- Dzivisa mvura kuti isaungane mukati meronda.
- Bvisa hurwa kana mvura ine utachiona.
- Dzivirira ropa kuti risaungane mukati meronda (hematoma).
- Dzivirira kuungana kwemvura yakachena (seroma).
Chiremba anoisa chubhu iyi paunenge usina chaunoziva, kureva kuti, uri pasi peanesthesia. Saka hauinzwi kana yaiswa.
Madhireni aya ekuvhiya anoshanda sei?
Machubhu ese anoburitsa mvura kubva muronda, senge ropa ne lymph, kunze kwemuviri. Zvisinei, nzira inoitwa nayo inosiyana zvichienderana nerudzi rwechubhu.
- Masisitimu ekudhonza mvura akavhurika: Aya ane chubhu yakavhurika kune rumwe rutivi. Kugumira kwechubhu kunoiswa mukati meronda, uye mvura inobva kune rumwe rutivi inounganidzwa muchidimbu chegauze chinoiswa paganda rako. Simba rekukwevera mvura kubva muronda richiiswa mugauze. `Penrose drain` ndeimwe yenzira dzakadaro dzakavhurika.
- Masisitimu ekudhonza/kusveta mvura akavharwa:Kugumira kweizvi kuri mukati meronda, uye kumwe mugumo kwakabatana nemudziyo mudiki wakagadzirirwa kuunganidza mvura. Kumanikidzwa kwemhepo kunokonzerwa nekudzvanya mudziyo uyu kunotora mvura kubva muronda zvishoma nezvishoma woiunganidza mumudziyo. `Jackson-Pratt (JP) drains` uye `Hemovac drains` masisitimu akavharwa akadaro.
Ndedzipi mhando huru dzemadhireni ekuvhiya?
Zvishandiso zvekuvhiya zvinouya mumhando dzakasiyana-siyana, asi vanachiremba vazhinji vanoshandisa mhando nhatu huru:
1. Chubhu yeJackson-Pratt (JP): Iyi chubhu refu, inochinjika. Kune rimwe divi pane mudziyo mudiki une chimiro chebhabhu. Rimwe divi rechubhu rinopinzwa muronda. Rutivi rwebhubhu rwakatarisana nemuviri. Kana bhubhu iri radzvanywa, rinoburitsa mvura kubva muronda. Iyi `JP drain` ndiyo inonyanya kushandiswa yechubhu yekuvhiya.
2. Tubhu rePenrose: Duru rePenrose ichubhu yakapfava, inochinjika ine magumo maviri. Kana mugumo mumwe ukapinzwa muronda, mvura inoyerera mairi. Sezvo mugumo mumwe uchibuda kubva paronda, mvura inoyerera. Mvura iyi inoungana pachidimbu chegauze chakaiswa paganda.
3. Chubhu yeHemovac: `Hemovac drain` inoshanda nenzira yakafanana ne`JP drain`. Zvisinei, pachinzvimbo chegirobhu riri mumudziyo umo mvura inoungana, ichubhu inochinjika-chinjika. Inodhonza mvura kana yadzvanywa. Inogona kuunganidza mvura yakawanda kupfuura `JP drain`.
Matambudziko api anogona kumuka kubva mumadhireni ekuvhiya?
Mabhenefiti ekuisa catheter yekuvhiyiwa anopfuura matambudziko angangoitika. Zvisinei, pane zvinhu zvishoma zvaunofanira kuziva:
- Pane njodzi yekutapukirwa.
- Nzvimbo inopinda nechubhu iyi inogona kunge ichikwenya uye yakatsvuka .
- Chubhu inogona kubuda netsaona, kubuda mvura, kana kuvharika .
Asi musazvidya mwoyo! Matambudziko mazhinji aya anogona kudzivirirwa nekuchengeta ronda rakachena uye kutevedzera mirairo yachiremba wenyu nokungwarira. Kana muine mibvunzo pamusoro pekuti mungachengetedza sei chubhu yenyu, iva nechokwadi chekubvunza chiremba wenyu kana nesi.
Ndingachengetedza sei dhiraini rangu?
Chikwata chenyu chezvekurapa chichakupai mirairo yekuti mungachengetedza sei ronda renyu nemachubhu amakaisa. Mirairo iyi inogona kusiyana zvichienderana nerudzi rwekuvhiyiwa kwamakaitwa uye rudzi rwemachubhu amakaisa. Munofanira kutevedzera mirairo iyi nokungwarira.
Kazhinji, kutarisira ronda zvinoreva kurichengeta rakachena uye risina hutachiona. Uchafanira kuchinja jira nguva dzose, kubvisa chero mvura inoungana mumadhireni akavharwa, uye kunyora chero mvura inobuda.
Maitiro ekuchinja bhandeji muhurongwa hwemvura hwakavhurika
Chiremba wako achakuudza kuti unofanira kuchinja bhandiji kangani (kazhinji chidimbu chegauze) uye kana ronda racho rofanira kuchenesa. Zvakanaka kutarisira ronda riri pedyo nesinki kwaunogona kugeza maoko ako. Gara uchigeza maoko ako zvakanaka uye uachenese usati wabata bhandiji uye usati wabata ronda racho.
1. Geza maoko ako zvakanaka nesipo nemvura (kana kushandisa mushonga wekuchenesa une doro). Shandisa tauro kudzima pombi.
2. Bvisa bhandeji rekare worirasa.
3. Geza maoko ako zvakare wopfeka magirovhosi akachena (asina utachiona).
4. Geza ronda nguva nenguva nesipo nemvura kana mushonga wekuchenesa ronda.
5. Pukuta ganda netauro rakachena.
6. Isa bhandiji idzva pamusoro peronda. Maitiro aunoita izvi anogona kusiyana zvishoma zvichienderana nerudzi rwechubhu yaunayo.
Maitiro ekubvisa mvura kubva mumadhireni epurasitiki akavharwa
Munzvimbo dzakavharwa, sezvo mudziyo unochengeta mvura uchizara, huwandu hwemvura hwaunogona kuburitsa kubva mauri hunoderera. Ndosaka uchifanira kubvisa mvura kubva mauri nguva dzose. Dururira mudziyo kana wazara hafu.
1. Geza maoko ako zvakanaka.
2. Neruoko rwako rusingakudzvinyiriri, bata chubhu yacho nehurefu hwemunwe kubva painopinda muronda. Ibate zvakasimba. Izvi zvichadzivirira chubhu kuti isakweve ronda panguva inotevera zvichikonzera kurwadziwa.
3. Neruoko rwako rune simba, bata chubhu iri pasi penzvimbo yauri kuibata, wobva wasundira mvura iri mukati mechubhu mumudziyo.
4. Bvisa chivharo kubva mumudziyo wekuunganidza wodurura mvura yacho mukapu yekuyeresa.
5. Kana mvura yapera, svina chirongo uchidzosera chivharo. Danho rekupedzisira iri ndiro rinoita kuti mhepo ipinde mukati mechubhu uye rinoburitsa mvura yacho.
Kuchengeta zvinyorwa nezvezvinwiwa (ruvara nehuwandu)
Unofanirawo kutarisisa mvura inobuda, kureva kuti inotaridzika sei. Ronda parinopora, mvura inochinja ruvara. Inogona kuva neruvara rweropa (yakasviba), mvura yeropa neyakajeka (serosanguineous), uye pakupedzisira yakajeka (serous - kazhinji yero). Kuchinja kweruvara uku chiratidzo chekuti uri kupora:
- Tsvuku yakasviba (ropa rakawanda)
- Dzvuku rakachenuruka kana kuti pingi (rakasanganiswa neropa nemvura yakachena)
- Yero yakajeka (yakaita sehuswa) kana yakajeka (mvura yakajeka kwazvo)
Unofanirawo kuona kuti unorasikirwa nemvura yakawanda sei. Kuderera kwekurasikirwa nemvura zuva nezuva chiratidzo chekuti uri kunzwa zviri nani.
- Kana iri drain yePenrose, nyora pasi kuti bhandiji rakachinjwa riini uye kuti jira racho rakanyorova sei.
- Kana iri `JP drain` kana `Hemovac`, nyora pasi nguva yakadururwa chubhu uye kuti mvura yakawanda sei yaiva mumudziyo wekuunganidzira. Tarisa huwandu huri mukapu yekuyera wonyora pasi huwandu hwayo.
Nzira dzekuvhiya dzinofanira kuchengetwa kwenguva yakareba sei?
Zvinoenderana nerudzi rwekuvhiyiwa kwawakaitwa, huwandu hwemvura yauri kubuda, nezvimwe zvinhu zvishoma. Vamwe vanhu vangangoda kugara muchubhu kwemaawa makumi maviri nemana kana pasi, nepo vamwe vangangoda kugara muchubhu kusvika mavhiki mashanu.
Ronda parinopora, huwandu hwemvura inobuda hunofanira kudzikira zvishoma nezvishoma. Kuramba uchicherechedza kuti uri kurasikirwa nemvura yakawanda sei kuchabatsira chiremba wako kuziva nguva yakanakisisa yekubvisa chubhu.
Usati wabuda muchipatara, bvunza chiremba wako kuti uchafanira kugara kwenguva yakareba sei uri muchubhu.
Maitiro ekubvisa drain yekuvhiya
Unganzwa kusagadzikana kana kunzwa kudhonzwa kana chiremba achibvisa chubhu yekuvhiya. Inowanzo bviswa seizvi:
1. Chiremba anochenesa nzvimbo yacho nemushonga unouraya utachiona.
2. Cheka suture yakabatana neronda.
3. Mupristi achaburitsa chubhu. Panguva iyi, unogona kunzwa kudhonzwa kana kudzvanywa.
4. Pakupedzisira, kana paine kubuda ropa, rivhare nebhandeji kuti rirege kubuda.
Pachava neburi diki paganda rako paiva nechubhu. Zvinogona kutora mavhiki akati wandei kuti ripore zvakakwana, uye ungatova nevanga diki paiva nechubhu.
Ndinofanira kuona chiremba wangu rini?
Kana ukaona zviratidzo izvi zvehutachiona, enda kuna chiremba wako nekukasika:
- Kana fivha iri 100.4 degrees Fahrenheit (38 Celsius) kana kupfuura.
- Kana nzvimbo yeronda yakatsvuka, yakazvimba, ichidziya, kana kuti ichirwadza .
- Kana ukaona mitsetse mitsvuku panzvimbo yeronda.
- Kana mvura inobva paronda ichinhuwa zvakaipa, iri girini, kana kuti gobvu .
Uyewo, kana chubhu isiri kushanda, kana ukaona zviratidzo zvemamwe matambudziko, fonera nekukurumidza:
- Kana matinji ako asina kusimba.
- Kana chubhu ichibuda muronda.
- Kana huwandu hwemvura inobuda hukaramba huchiwedzera kwemazuva maviri (hunofanira kuderera).
- Kana mvura yacho yave yepingi, yero yakachenuruka, kana kuti yakajeka, yobva yatsvuka zvakare (ichi chiratidzo chekubuda ropa).
- Kana paine nzira yekubvisa tsvina yakavharwa, mvura inenge yatanga kubuda muronda rakachekwa.
- Munzira yakavharwa, kana mvura yacho ikangoerekana yamira kudhonzwa kubva papombi.
Kana muine kusava nechokwadi nezvekuti muri kutarisira ronda renyu kana chubhu yenyu zvakanaka here, iva nechokwadi chekubvunza chiremba wenyu. Nguva dzose zviri nani kuva akachengeteka pane kuzvidemba uye kudzivirira kuwana hutachiona.
Pakupedzisira, yeuka (Mharidzo Yekuenda Kumba)
Kunyangwe dzimwe nguva zvinganzwa zvisina kunaka uye zvisina kunaka, nzira yekuvhiya inongova danho rimwe chete kuti upore zvakakwana. Usati wabuda muchipatara, timu yako yezvekurapa ichakutsanangurira maitiro ekutarisira nzira yekubuda nayo. Kana vabuda, usazeza kubvunza mibvunzo. Kana wangosvika kumba, ita kuti kugadzirisa nzira yekubuda nayo neronda zvive chikamu chehupenyu hwako hwezuva nezuva. Ipe chiremba wako, uye chengeta chinyorwa chakanyatsonaka chemvura inobuda. Tinokushuvira kuti upore nekukurumidza!
` ` drain yekuvhiya, drain yekuvhiya, kupora kwemaronda, kutarisirwa mushure mekuvhiyiwa, drain yeJP, drain yePenrose, drain yeHemovac











💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga