Ukufakwa kwesifuba se-Chest (Thoracostomy)

-Delile

• Kusetshenziselwani
• Ukulungiselela kanjani
• Inqubo
• Izinkinga
• Izinkinga ezinkulu
• Ukususa ishubhu lesifuba

Kuyini ukufakwa kweshubhu yesifuba?

Ishubhu lesifuba lingasiza ukukhipha umoya, igazi, noma uketshezi kusuka esikhaleni esizungeze amaphaphu akho, esibizwa ngokuthi isikhala se-pleural.

Ukufakwa kweshubhu esifubeni kubizwa nangokuthi isifuba sesifuba i-thoracostomy. Ngokuvamile inqubo ephuthumayo. Kungenziwa futhi ngemuva kokuhlinzwa ezithweni noma kwizicubu esifubeni sakho.

Ngesikhathi sokufakwa kweshubhu yesifuba, kufakwa ithubhu lepulasitiki elingenalutho phakathi kwezimbambo zakho esikhaleni sokuvuma. Ishubhu lingaxhunywa emshinini ukuze lisize ngokukhipha amanzi. Ishubhu lizohlala endaweni kuze kukhishwe uketshezi, igazi, noma umoya esifubeni sakho.

Kusetshenziselwani

Ungadinga ishubhu lesifuba uma unokunye kwalokhu okulandelayo:

• iphaphu eliwile
• ukutheleleka kwamaphaphu
• ukopha ezungeze iphaphu lakho, ikakhulukazi ngemuva kokuhlukumezeka (okufana nengozi yemoto)
• i-fluid buildup ngenxa yesinye isimo sezokwelapha, njengomdlavuza noma i-pneumonia
• ubunzima bokuphefumula ngenxa yokwanda koketshezi noma komoya
• ukuhlinzwa, ikakhulukazi ukuhlinzwa kwamaphaphu, kwenhliziyo, noma kokuqunjelwa phansi kokuhlinzwa

Ukufaka ishubhu lesifuba kungasiza nodokotela wakho ukuxilonga ezinye izimo, njengokulimala kwamaphaphu noma ukulimala kwangaphakathi ngemuva kokuhlukumezeka.

Ukulungiselela kanjani

Ukufakwa kweshubhu esifubeni kuvame ukwenziwa ngemuva kokuhlinzwa noma njengenqubo ephuthumayo, ngakho-ke imvamisa ayikho indlela yokuthi uyilungiselele. Udokotela wakho uzokucela imvume yakho yokwenza inqubo uma wazi. Uma uqulekile, bazochaza ukuthi kungani ishubhu lesifuba belidingeka ngemuva kokuvuka kwakho.

Ezimweni lapho kungesona isimo esiphuthumayo, udokotela wakho uzoku-oda i-X-ray yesifuba ngaphambi kokufakwa kweshubhu yesifuba. Lokhu kwenzelwa ukusiza ukuqinisekisa ukuthi uketshezi noma ukwanda komoya kuyayidala yini inkinga nokuthola ukuthi ishubhu lesifuba liyadingeka yini. Olunye uvivinyo lungenziwa futhi ukuze kuhlolwe i-pleural fluid, njenge-ultrasound yesifuba noma isifuba se-CT scan.

Inqubo

Umuntu onguchwepheshe wezimo zamaphaphu nezifo ubizwa ngokuthi uchwepheshe wamaphaphu. Udokotela ohlinzayo noma uchwepheshe wamaphaphu uvame ukwenza ukufakwa kweshubhu lesifuba. Ngesikhathi sokufakwa kweshubhu yesifuba, okulandelayo kuyenzeka:

Ukulungiselela: Udokotela wakho uzolungisa indawo enkulu ohlangothini lwesifuba sakho, kusukela ekhwapheni lakho kuye phansi esiswini sakho kuya ngaphesheya kwengono yakho. Ukulungiselela kubandakanya ukufaka inzalo endaweni nokugunda noma yiziphi izinwele ezivela endaweni yokufaka, uma kunesidingo. Udokotela wakho angasebenzisa i-ultrasound ukukhomba indawo enhle yokufaka ithubhu.

I-Anesthesia: Udokotela angajova i-anesthetic esikhumbeni sakho noma emthanjeni ukuze indikishe indawo. Imithi izokusiza ukwenze ukhululeke ngesikhathi sokufakwa kweshubhu yesifuba, okungaba buhlungu. Uma uhlinzwa kakhulu enhliziyweni noma emaphashini, cishe uzonikezwa i-anesthesia ejwayelekile futhi ulaliswe ngaphambi kokuba kufakwe ishubhu lesifuba.

Ukuqhekeka: Usebenzisa isikhafu, udokotela wakho uzokwenza imbobo encane (¼- kuya ku-1 ½-intshi) phakathi kwezimbambo zakho, eduze kwengxenye engenhla yesifuba sakho. Lapho benza khona ukusikwa kuya ngesizathu seshubhu lesifuba.

Ukufaka: Udokotela wakho uzobe esevula kahle isikhala esifubeni sakho bese eqondisa ithubhu esifubeni sakho. Amashubhu wesifuba eza ngobukhulu obuhlukahlukene bezimo ezahlukahlukene. Udokotela wakho uzokhipha ishubhu lesifuba endaweni ukuyivimbela ekuhambeni. Kuzosetshenziswa ibhandishi eliyinyumba endaweni yokufaka.

Amanzi: Ishubhu libe selinanyathiselwa ohlelweni olukhethekile lokuhambisa amanzi oluvumela umoya noma uketshezi ukuphuma kuphela. Lokhu kuvimbela ukuthi uketshezi noma umoya ungagobhozi ubuyele emgodini wesifuba. Ngenkathi ishubhu lesifuba likhona, mhlawumbe kuzodingeka uhlale esibhedlela. Udokotela noma umhlengikazi uzobheka ukuphefumula kwakho futhi ahlole ukuthi kungenzeka yini ukuvuza komoya.

Ukuthi ishubhu yesifuba ishiywe isikhathi esingakanani kuncike esimeni esidale ukuthi kwakhele umoya noma uketshezi. Amanye umdlavuza wamaphaphu ungadala ukuthi uketshezi luphinde lubuye. Odokotela bangashiya amashubhu angene isikhathi eside kulezi zimo.

Izinkinga

Ukufakwa kweshubhu esifubeni kukubeka engcupheni yezinkinga eziningana. Lokhu kufaka phakathi:

Ubuhlungu ngesikhathi sokubekwa: Ukufaka ishubhu esifubeni kuvame ukuba buhlungu kakhulu. Udokotela wakho uzokusiza ukuphatha ubuhlungu bakho ngokujova i-anesthetic nge-IV noma ngqo esizeni sesifuba sesifuba. Uzonikezwa noma i-anesthesia ejwayelekile, ekubeka ebuthongweni, noma i-anesthesia yendawo, eyenza indawo ibe ndikindiki.

Ukutheleleka: Njenganoma iyiphi inqubo ehlaselayo, kunengozi yokutheleleka. Ukusetshenziswa kwamathuluzi oyinyumba ngesikhathi senqubo kusiza ukunciphisa le ngozi.

Ukopha: Ukuphuma kwegazi okuncane kakhulu kungenzeka uma umthambo wegazi ulimele lapho kufakwa ishubhu lesifuba.

Ukubekwa kweshubhu okungalungile: Kwezinye izimo, ithubhu yesifuba ingafakwa kude kakhulu ngaphakathi noma ingabi kude ngokwanele ngaphakathi kwesikhala sokuncenga. Ishubhu nalo lingase liwe.

Izinkinga ezinkulu

Izinkinga ezinkulu azivamile, kepha zingabandakanya:

• ukopha esikhaleni sobuningi
• ukulimala emaphashini, diaphragm, noma esiswini
• ukuwa kwamaphaphu ngesikhathi kususwa ithubhu

Ukususa ishubhu lesifuba

Ishubhu lesifuba livame ukuhlala izinsuku ezimbalwa. Ngemuva kokuthi udokotela wakho aqiniseke ukuthi akusekho uketshezi noma umoya odinga ukukhishwa, ithubhu yesifuba izosuswa.

Ukususwa kweshubhu lesifuba kuvame ukwenziwa ngokushesha futhi ngaphandle kokuthambisa. Udokotela wakho uzokunikeza imiyalo ethile yokuthi ungaphefumula kanjani lapho kususwa ishubhu. Ezimweni eziningi, ishubhu lesifuba lizosuswa njengoba ubambe umoya wakho. Lokhu kuqinisekisa ukuthi umoya owengeziwe awungeni emaphashini akho.

Ngemuva kokuthi udokotela esuse ishubhu sesifuba, bazofaka ibhandishi endaweni yokufaka. Ungaba nesibazi esincane. Udokotela wakho kungenzeka ahlele i-X-ray esikhathini esizayo ukuze aqiniseke ukuthi ayikho enye inqwaba yomoya noma uketshezi ngaphakathi kwesifuba sakho.