Ngatidzidzei nezvekuisa chubhu muchipfuva (Thoracostomy) nenzira iri nyore.

Wakambonzwa here nezvemunhu akaiswa chubhu yechipfuva mushure metsaona kana kuti nekuti ainetseka kufema? Ungave wakatozviona mufirimu. Izwi rezvekurapa reizvi ndiThoracostomy. Kunyange zvazvo zvinganzwika sekutyisa, inzira inokosha zvikuru yekuponesa hupenyu. Zvakanaka, saka ngatitaurei nezvazvo zvese nemashoko akareruka nhasi.

Chii chinonzi Thoracostomy?

Zvichitaurwa zviri nyore, kuvhiyiwa kwechipfuva inzira iyo chiremba anoita kucheka kudiki padivi pechipfuva chako, pakati pembabvu mbiri, uye anoisa chubhu yepurasitiki mairi. Tinowanzoidaidza chubhu iyi kuti 'chubhu yechipfuva'.

Zvino tarisai, kune matumbu maviri matete akakomberedza mapapu edu uye ari mukati memadziro echipfuva chedu. Nzvimbo iri pakati pematumbu maviri aya inonzi 'pleural space'. Nekuda kwemamwe mamiriro ehutano kana tsaona , mhepo, mvura (senge mvura), ropa, kana urwa zvinogona kuungana munzvimbo iyi. Kana izvi zvikaitika, mapapu haakwanise kufuridza kana kuburitsa mweya zvakanaka, izvo zvinogona kukonzera kufema kwakaoma uye kurwadziwa kwakanyanya.

Mumamiriro enjodzi, kunyanya mumamiriro ezvinhu ane njodzi akadai se `Tension Pneumothorax`, kwaunogona kufema asi usingakwanise kufema, vanachiremba vanokurumidza kuisa tsono voburitsa mweya usati waisa chubhu iyi yechipfuva. Izvi zvinonzi `Needle Thoracostomy`. Iyi inzira inoponesa hupenyu inoitwa muEmergency Department (ETU).

Kuvhiyiwa kwethoracostomy kunoitwa pamamiriro ezvinhu api?

Vanachiremba vanorapa izvi nezvikonzero zvakasiyana-siyana. Ngatitarisei zvikonzero zvikuru.

Ndinofanira kugadzirira kurapwa uku pachine nguva here?

Kazhinji, izvi zvinoitwa kana tsaona ikaitika kana kuti pakaitika emergency, saka hapana nguva yekugadzirira pachine nguva. Muzviitiko zvakadaro, vanachiremba vari muEmergency Treatment Unit (ETU) vanoita sarudzo nekukurumidza uye vanoita izvi.

Zvisinei, dzimwe nguva, nekuda kwechirwere chisingaperi chakadai semvura inogara ichibuda muchipfuva, chubhu iyi inogona kurongwa uye kuiswa. Muzviitiko zvakadaro, chiremba wako achakupa mimwe mirairo.

• Mimwe mishonga (kunyanya mishonga inoderedza ropa) ingangoda kumira mazuva mashoma kurapwa kusati kwaitwa.
• Uchakumbirwa kuti usadye kana kunwa kwemaawa mashoma usati watanga kurapwa.
• Udza chiremba wako nezve mimwe mishonga, mavhitamini, kana zvimwe zvinovaka muviri zvauri kutora.
• Kana uine allergies kune chero mushonga, iva nechokwadi chekuzvitaura.
• Udzawo chiremba wako kana uine pamuviri kana kuti ungangobata pamuviri .

Chii chinoitika kana thoracostomy yaitwa?

Maitiro aya anowanzo tora maminetsi angangoita makumi matatu. Unenge wakamuka panguva iyi. Usazvidya moyo, vanachiremba vachaita zvese zvavanogona kuti uve nechokwadi chekuti haunzwi kurwadziwa.

1. Kutanga, X-ray yechipfuva inoitwa kuti ive nechokwadi chekuti chubhu yacho yaiswa zvakanaka.

2. Zvadaro uchakumbirwa kurara pamubhedha, wosimudza musoro wako zvishoma, woisa ruoko parutivi pachaiswa chubhu pamusoro pemusoro wako.

3. Ganda riri pachipfuva pachaiswa chubhu rinocheneswa zvakanaka uye rinogezwa nemushonga unouraya utachiona.

4. Chechipiri, chinhu chinonyanya kukosha. Mushonga unobaya ganda (se'Lidocaine') unopinzwa munzvimbo yeganda. Izvi zvichakubatsira kuti usanyanya kurwadziwa nezvaunenge uchiita mushure mezvo.

5. Kana ganda rapera simba, ganda diki rinochekwa pakati pembabvu mbiri.

6. Kuburikidza nekucheka ikoko, chubhu yepurasitiki (chubhu yechipfuva) inopinzwa nokungwarira munzvimbo yakatenderedza mapapu.

7. Mugumo wekunze wechubhu wakabatana nebhodhoro kana bhegi rakakosha (mudziyo wekubvisa mvura) rinounganidza mvura kana mweya unobuda muchipfuva.

8. Pakupedzisira, mafuta anouraya utachiona anoiswa panzvimbo inopinda chubhu paganda uye anofukidzwa nejira rakachena.

Ndezvipi zvakanakira uye njodzi dzekurapa uku?

Sekune chero kurapwa kupi zvako, kune mabhenefiti uye njodzi diki kwazvo.

Zvakanakira zvikuru

• Iyi inzira iri nyore isingade kuchekwa kukuru (kusinganyanyi kukuvadza).
• Zvakakosha kuponesa hupenyu munguva dzenjodzi.
• Izvi hazvidi mushonga wekutindivadza muviri zvachose (kurasikirwa nepfungwa).
• Izvi zvinopa zororo guru kune munhu anonetseka kufema nekuda kwemvura inogara ichibuda muchipfuva chake.

Matambudziko madiki anogona kuitika

Vanachiremba vari kuita zvese zvavanogona kuti vaderedze njodzi idzi.

• Chubhu yacho yakarasika kana kuti yakasununguka.
• Utachiona hwemaronda.
• Mhepo inoungana pasi peganda (`Subcutaneous emphysema`).
• Kubuda ropa.
• Kashoma, kukuvara kwetsinga kana nyama dzakapoteredza.
• Mvura inoungana yakakomberedza mapapu mushure mekunge yadzoserwa mweya (`Re-expansion pulmonary edema`).

Chii chinoitika mushure mekurapwa?

Kana chubhu yaiswa, imwe X-ray ichatorwa kuti ive nechokwadi chekuti yaiswa panzvimbo yayo. Chiremba nevashandi vekuchengeta varwere vachazokupa mirayiridzo yekuti ungachengeta sei chubhu yacho neronda racho paunenge uri muwadhi.

• Ronda rinofanira kuchengetwa rakachena uye rakaoma .
• Chubhu inofanira kuchengetedzwa kuti isakotame kana kunamira .
• Chinonyanya kukosha: Gara uchiisa mudziyo wekubvisa mvura uri pasi pechikamu chechipfuva chako . Zvikasadaro, zviri mumudziyo zvinogona kudonhedza mvura zvakare muchipfuva chako.
• Inwa mishonga inoderedza marwadzo nemimwe mishonga yawakanyorerwa nachiremba wako panguva chaiyo.

Chubhu yechipfuva inofanira kusara kwenguva yakareba sei?

Izvi zvinoenderana nechikonzero chakaiswa chubhu. Kana mvura yese kana mweya uri muchipfuva wabuda, chubhu inowanzo bviswa mukati memazuva mashoma. Zvisinei, kana mvura yacho ikaramba ichiungana nekuda kwechirwere chisingaperi, senge kenza, chubhu yacho ingangoda kusiyiwa kwemavhiki. Bvunza chiremba wako kuti uwane rumwe ruzivo.

Ndinguva ipi yaunofanira kuona chiremba nekukurumidza sezvinobvira?

Kana wakaisa chubhu yechipfuva, chenjerera zviratidzo zvinotevera. Kana uine chimwe cheizvi, taurira chiremba wako kana mukoti wako nekukasika.

Kana ukaona chimwe chinhu chakadai, zivisa chiremba wechipatara kana mukoti nekukasika. Usatya kubvunza nezvazvo.