Kusambira kwa pleural cavity

Mukamalowa m'kati mwa phokoso laching'ono, mumapanga tiyi yapadera. Njirayi ndi yofunika kuti kuvulala pachifuwa.

Zisonyezo za kukhetsa kwa pempho lopempha

Chisonyezo chachikulu cha kukhazikitsidwa kwa ngalande ndi kukhalapo kwa exudate, magazi kapena pus mu cemity cavity. Thandizo lingathenso kuthandizidwa kwa odwala omwe ali ndi mpweya pakati pa phala la pleura.

Kuonjezerapo, zizindikiro zowonjezera phokoso lachisankho zingaganizidwe:

• mphunzitsi ;
• chowombera kapena chobwereza;
• malingaliro opweteka oipa.

Pafupipafupi nthawi zonse madzi amadzimadzi amatulutsa pneumothorax ndi hydrothorax. Mavutowa, monga lamulo, akhoza kudziwikiratu ndi kupuma kopuma kapena emphysema. Ndipo amawonekera pamagazi a nthiti, mwachitsanzo.

Nthaŵi zina, kuyimika kwa madzi kumafunika kwa odwala amene anachitidwa opaleshoni. Ma tubes amakhala mu sternum mpaka kupanikizika kumakhala kosavuta ndipo madzi amatha.

Njira zowonjezerapo za pleural cavity

Kawirikawiri, chubu yothira madzi imayikidwa pamtunda wa midzi ya axillary pakati pachisanu kapena chisanu ndi chimodzi pakati pa nthiti. Malo awa amasankhidwa, poyamba, chifukwa ali pamwamba pa chithunzithunzi ndipo ali otetezeka. Ndipo kachiwiri, mbali iyi ya khoma la chifuwa ndi thinnest musculature, kotero madzi akutha kufalitsa mofulumira komanso mosavuta.

Kuti mutenge ndondomekoyi, mukufunikira izi:

• chovala chosakera chovala;
• kukonzekera anesthesia kumidzi ndi sitiroko;
• scalpel;
• ulusi wa silika;
• mkasi;
• ziphwando ziwiri;
• catheters.

Malo osungirako ngalande amayamba kusindikizidwa ndipo amachiritsidwa ndi antiseptic. Pambuyo pake, phukusi limasankhidwa, lomwe limatumizidwa pamapepala a thoracic, litatsekedwa ndi msoko ndipo limapangidwanso.

Pa milandu yovuta kwambiri, ngakhale atatha kuyimika, mpweya ukupitirizabe kugwira ntchito mwakhama, ukhoza kuganiziridwa funso la kukhazikitsa kachiwiri chubu.

Zowopsya za madzi ozizira

Ngati pleura ili ndi thickenings kapena splices, madzi sakuphweka. Zina mwa zovuta kwambiri zomwe zingatheke potsatira ndondomeko izi:

• matenda;
• kupweteka;
• emphatic;
• magazi;
• pneumothorax kapena hydrothorax.