Pamwe unoziva kuti kana nhengo iri muchipfuva chako, yakaita semoyo wako kana mapapu, ikarwara, dzimwe nguva unofanira kuvhiyiwa kuti irapwe. Saka, panguva yakadaro, chiremba anofanira kupinda muchipfuva chako otarisa nhengo iyoyo, oiongorora, kana kubvisa chikamu chayo. Imwe yemhando huru dzekuvhiyiwa dzinoitirwa rudzi urwu rwechinhu ndiyo yatiri kutaura nezvayo nhasi, thoracotomy.
Zvichitaurwa zviri nyore, chii chinonzi thoracotomy?
Kuvhiyiwa kwechipfuva (thoracotomy) inzira yekuvhiyiwa apo chiremba anochekwa pakati pembabvu mbiri kuti avhure chipfuva chako. Izvi zvinovhura chipfuva uye zvinoita kuti chiremba akwanise kuona, kubata, kuongorora, uye kurapa nhengo dziri mukati.
Fungidzira uchida kurapa nhengo yakaita semoyo wako, aorta, gumbo, mapapu, kana trachea. Dzimwe nguva kuvhiyiwa uku kunoshandiswawo kusvika pamberi pemusana.
Kuchekwa uku kunowanzoitwa kuruboshwe kana kurudyi kwechipfuva. Izvi zvinoenderana nerutivi rwenhengo inoda kurapwa. Mune zvimwe zviitiko, mbabvu ingangoda kutyorwa kana kutobviswa. Kuchekwa uku kunoitwa kubva pachipfuva kusvika kumashure pasi pehapwa. Kukura nenzvimbo yekucheka kunoenderana nerudzi rwekuvhiyiwa kwauri kuitwa. Izvi zvinonziwo "kuvhiyiwa kwakavhurika."
Sei munhu angada kuvhiyiwa kwakadai?
Pane zvikonzero zvakawanda zvinoita kuti chironda chechipfuva chibviswe. Dzimwe nguva, chinoitwa kubvisa chidimbu chenyama kuti chiongororwe, chinonzi biopsy, kuti chionekwe chikonzero chaicho chechirwere. Chinoitwawo sekurapa chirwere.
Ngatitarisei tafura iri pazasi kuti tione kuti ndezvipi zvikonzero zvikuru zvekuvhiyiwa uku.
| Chikonzero chekuvhiyiwa | Tsananguro iri nyore |
|---|---|
| Biopsy yekuongorora chirwere chemapapu | Kuti uzive kuti dambudziko riri pamapapu chii, tora chidimbu chenyama wochiongorora. |
| Kubviswa kwegomarara remapapu | Bvisa bundu rekenza kana chikamu chemapapu. |
| Zvirwere zvemwoyo | Rapa mamwe matambudziko ari mumoyo kana etsinga huru dzeropa dzine chekuita nawo. |
| Matambudziko eDiaphragm | Rapa mamwe matambudziko ari mu diaphragm inoparadzanisa chipfuva nedumbu. |
| Pneumothorax | Rapai mhepo inobuda mumapapu mobva masvibiswa. |
| Tamponade yemwoyo | Kana mvura ikawanda mubhegi rakatenderedza moyo uye ikamanikidza moyo, ibvise. |
| Zvirwere zvepahuro | Rapa kenza yehuro kana zvimwe zvirwere. |
| Kubuda kwePleural | Kana paine mvura yakaungana mumapapu, kunyanya kana paine hutachiona, bvisa mvura yacho. |
Chii chinoitika kuvhiyiwa kusati kwaitwa?
Uku kuvhiyiwa kukuru uye uchafanirwa kunge uri pasi peanesthesia yakajairika. Saka, unofanira kunge uine hutano hwakanaka kuti ugone kutsungirira rudzi urwu rweanesthesia. Chikwata chevanachiremba chichakupa mazano ekuti ungarega kudya nekunwa riini usati wavhiyiwa.
Zvakakosha kuudza timu yako yehutano nezvemishonga, mavhitamini, kana zvimwe zvinovaka muviri zvauri kutora, kunyangwe izvo zvaunogona kutenga pachitoro chemishonga. Mimwe mishonga, kunyanya mishonga inobvisa ropa mumuviri,Uchakurudzirwa kurega kutora mushonga uyu usati watanga kushandisa mimwe mishonga.
Kana uchisvuta fodya, vanachiremba vanokukurudzira kuti urege kusvuta .
Chii chinoitika panguva yekuvhiyiwa?
Munguva yekuvhiyiwa, timu yekuvhiya ichakutendeudza kurutivi rwakakodzera, yoisa ruoko rumwe pamusoro pemusoro wako muchinhu chakakosha, uye yotsigira rumwe ruoko rwako nefudzi negumbeze rakamonerwa.
Chiremba wako weanotindivadza inyanzvi mukuvhiyiwa kwechipfuva. Anogona kuita oparesheni inonzi "single lung ventilation." Zvichitaurwa zviri nyore, izvi zvinosanganisira kuvharira mapapu ari parutivi ari kuvhiyiwa kwenguva pfupi, zvichikubvumira kufema kuburikidza nerimwe mapapu chete. Izvi zvinopa chiremba mukana wakawanda wekuvhiya.
Chiremba anozochekwa pakati pembabvu mbiri. Kana zvichidikanwa, mbabvu inogona kutyoka kana kupatsanurwa. Mudziyo wakakosha unoshandisa kupisa kupinda mumhasuru nedzimwe nyama unogona kushandiswawo. Midziyo yakakosha (retractors uye rib spreaders) inozoiswa kuti pave nenzvimbo mukati mechipfuva yekuona nekurapa nhengo.
Mushure mekunge kuvhiyiwa kwapera uye kucheka kwavharwa, chubhu yechipfuva inoiswa kuti mvura nemhepo zvinoungana mukati zvibude.
Chii chinoitika mushure mekuvhiyiwa?
Mushure mekuvhiyiwa, uchafanira kugara muchipatara kweinenge vhiki. Chubhu yechipfuva icharamba iripo kwemazuva mashoma.
Munguva iyi, timu yako yezvekurapa ichakukurudzira kukosora, kushandisa mudziyo wekufema wakakosha (incentive spirometer), uye kufamba-famba zvishoma uchibatsirwa . Kuita zvinhu izvi kwakakosha zvikuru kuti mapapu ako apore. Zvinobatsirawo kudzora marwadzo ako.
Kana kuvhiyiwa kwako kwakaitwa kuti uongorore chirwere, chiremba achakutsanangurira uye achakupa mazano ezvekuita zvinotevera.
Ndezvipi njodzi nematambudziko ekurapwa uku?
Kufanana nekuvhiyiwa kupi zvako, kune njodzi dzinosanganisirwa ne rhinoplasty. Ngatizvitarisei patafura iri pazasi.
| Njodzi dzine chekuita nekuvhiyiwa | |
|---|---|
| Njodzi dzekuvhiyiwa pakarepo | |
| Matambudziko ane chekuita neanesthesia | Kusagadzikana kwemuviri kune anesthesia. |
| Utachiona | Kutapukirwa kweronda rekuvhiyiwa kana mukati mechipfuva. |
| Kubuda ropa | Kubuda ropa rakawanda panguva yekuvhiyiwa kana mushure mekuvhiyiwa. |
| Marwadzo | Kurwadziwa kwakanyanya pamucheto wepaburi re ... |
| Matambudziko anogona kuitika gare gare | |
| Chirwere chemabayo | Utachiona hwekufema mumapapu (kuwedzera kwechikosoro). |
| Atelectasis | Kudonha kwechikamu chimwe kana kupfuura chemapapu. |
| Chirwere chekurwadziwa mushure mechipfuva | Kurwadziwa kwenguva refu kunoramba kuripo kwemwedzi yakati wandei mushure mekuvhiyiwa. |
Zvinotora nguva yakareba sei kuti upore?
Unogona kudya zvakajairika mushure mekuvhiyiwa. Zvisinei, zvakanaka kudya chikafu chine fiber yakawanda kudzivirira kuvimbiwa. Kunze kwekunge chiremba wako akakuudza kuti uderedze mvura, inwa mvura yakawanda.
Inwa mishonga inoderedza marwadzo sezvawakarairwa. Usarega kufema zvakadzama nekuda kwekurwadziwa. Kuita izvi kunogona kukonzera pneumonia.
Chinhu chakakosha kudzora marwadzo, kufema zvakanaka, uye kukosora. Izvi zvinogona kubatsira zvikuru mukudzivirira matambudziko emapapu.
Uchafanira kugara muchipatara kweinenge vhiki. Zvisinei, zvinogona kutora kusvika mwedzi miviri kuti udzokere kubasa mushure mekuvhiyiwa uku. Bvunza timu yako yekuvhiya kuti ungatangazve riini mabasa akadai sekuita zvepabonde, kusimudza zvinorema, uye kutamba mitambo.
Kunyangwe mushure mekunge maenda kumba, munofanira kuramba muchidzidzira kufema zvakadzika, kukosora, uye kushandisa chinopa simba rekukurudzira. Chiremba wenyu anogonawo kukurudzirai maekisesaizi emaoko nemapfudzi enyu.
Ndinofanira kuona chiremba zvakare rini?
Chiremba wako achakuudza nguva yaunofanira kuzoonanazve. Asi usati waita izvozvo, kana uine mibvunzo kana zvinokunetsa, taura nachiremba wako. Unofanira kuona chiremba, kunyanya kana uine chimwe chezviratidzo zvinotevera:
- Kana ukanzwa fivha.
- Kana ronda rikatanga kubuda ropa zvakare kana kuti ukakosora ropa.
- Kana uchinetseka kufema.
- Kana ukaona hurwa, kuzvimba, kana kuchinja kweruvara rweganda panzvimbo yakachekwa.
- Kana marwadzo acho akanyanya kurwadza zvekuti haagone kudzora.
Chii chakasiyana pakati peThoracotomy, Sternotomy uye Thoracostomy?
Mazita matatu aya akafanana zvishoma, saka zvinogona kuvhiringidza. Ngationei musiyano uripo.
| Rudzi rwekuvhiyiwa | Nzvimbo yekucheka uye chinangwa |
|---|---|
| Kuvhiyiwa kweChifuva | Kuchekwa kwechipfuva kunoitirwa pakati pembabvu mbiri . Chinangwa ndechekuvhura chipfuva nekurapa nhengo dzemuviri. |
| Kuvhiyiwa kweSternotomy | Kuchekwa uku kunoitwa kuburikidza nepfupa repachipfuva (sternum) riri pakati pechipfuva. Pfupa iri rinochekwa nepakati uye kuvhiyiwa kunoitwa. Nzira iyi inowanzoshandiswa pakuvhiyiwa kwemoyo. |
| Chifuva | Kuchekwa kudiki kwazvo kunogadzirwa mukati maro. Chinangwa ndechekuisa chubhu (chubhu yechipfuva). Kuburikidza nechubhu iyi, mushonga unogona kupihwa kana mvura/mhepo inoungana yakakomberedza mapapu inogona kubviswa. Kuchekwa uku kudiki zvikuru pane kuchekwa kwechipfuva. |
Kuvhiyiwa uku kunorwadza zvikuru here?
Ehe, kuvhiyiwa kwechipfuva kunorwadza. Ichokwadi. Kurwadziwa uku kunogona kukonzera kutadza kufema, izvo zvinogona kukonzera zvirwere zvakaita sepneumonia kana atelectasis.
Asi musazvidya mwoyo. Chikwata chenyu chekurapa chine nzira dzakasiyana-siyana dzekugadzirisa marwadzo aya. Mishonga inouraya marwadzo inonwiwa nemuromo, mishonga inouraya marwadzo inopinzwa mutsinga, kana kuti epidural catheter inoiswa mumusana wako inogona kukubatsira kudzora marwadzo ako.
Dzimwe nguva kurwadziwa uku kunogona kugara kwenguva yakareba. Izvi zvinonzi post-thoracotomy pain syndrome, yatakambotaura nezvayo kare.
Chekupedzisira, kana chiremba wako achikurudzira kuti avhiyiwe chifuva, iva nechokwadi chekuti wakurukura naye zvakanaka nezvechikonzero chekuvhiyiwa uye zvekutarisira. Uku kuvhiyiwa kukuru. Saka, zvakakosha kuti ukurumidze kupora kuti utevedzere mirairo yachiremba, kunyanya nezvekurega kusvuta usati wavhiyiwa, kuita maekisesaizi ekufema, uye kugadzirisa marwadzo mushure mekuvhiyiwa.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwechipfuva (thoracotomy) kuvhiyiwa kukuru, kwakavhurika kunoitwa kuburikidza nekucheka chipfuva pakati pembabvu.
- Izvi zvinoitirwa kurapa nhengo dzakadai semapapu nemoyo kana kuongorora chirwere.
- Tevedzera mirairo yachiremba wako nokungwarira usati wavhiyiwa, kunyanya panyaya yekurega kusvuta.
- Mushure mekuvhiyiwa, kudzora marwadzo, kukosora zvakanaka, uye kufema zvakadzika zvakakosha kudzivirira matambudziko emapapu.
- Nguva yekupora inogona kutora nguva yakareba. Zvinogona kutora mwedzi yakati wandei kuti unyatsopora, saka shivirira.
- Kana ukaona zviratidzo zvekunyevera zvakaita sefivha, kurwadziwa kwakanyanya, kana kuoma kufema, zivisa chiremba wako nekukasika.
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