Ukufakwa kwetyhubhu yesifuba

Ityhubhu yesifuba ityhubhu engenanto, eguqukayo ibekwe esifubeni. Isebenza njengombhobho.

• Iityhubhu zesifuba zikhupha igazi, ulwelo, okanye umoya ojikeleze imiphunga yakho, intliziyo, okanye isopha.
• Ityhubhu ejikeleze imiphunga ibekwe phakathi kweembambo zakho nakwisithuba esiphakathi kwebala langaphakathi kunye nomngxunya ongaphandle wesifuba sakho. Oku kubizwa ngokuba yindawo yesicelo. Yenziwe ukuvumela imiphunga yakho ukuba ikhule ngokupheleleyo.

Xa kufakwe ityhubhu yakho yesifuba, uya kulala ngecala okanye uhlale ngokuthe nkqo, ngengalo enye phezu kwentloko yakho.

• Ngamanye amaxesha, uyakufumana amayeza ngomthambo (ngaphakathi, okanye IV) ukukwenza ukhululeke kwaye ulale.
• Ulusu lwakho luya kucocwa kwindawo yofakelo olucwangcisiweyo.
• Ityhubhu yesifuba ifakwe nge-intshi enye (2.5 iisentimitha) ezisikiweyo kulusu lwakho phakathi kweembambo zakho. Emva koko ikhokelwa kwindawo echanekileyo.
• Umbhobho uqhagamshelwe kwisitya esikhethekileyo. Ukutsala kudla ngokusetyenziselwa ukukunceda ukukhupha amanzi. Ngamanye amaxesha, amandla omxhuzulane kuphela aya kuvumela ukuba kuphume amanzi.
• Ukuthungwa (i-suture) kunye ne-tape zigcina ityhubhu kwindawo.

Emva kokufakwa kwetyhubhu yesifuba sakho, uya kuba ne-x-ray yesifuba ukuqinisekisa ukuba ityhubhu ikwindawo elungileyo.

Ityhubhu yesifuba ihlala ihleli de i-x-reyi ibonise ukuba lonke igazi, ulwelo, okanye umoya uphume esifubeni sakho kwaye nomphunga wakho uphinde wanda ngokupheleleyo.

Umbhobho kulula ukuwususa xa ungasafuneki.

Abanye abantu banokufakwa ityhubhu yesifuba ekhokelwa yi-x-reyi, ikhompyuter ye-tomography (CT), okanye i-ultrasound. Ukuba unesifo esikhulu semiphunga okanye sentliziyo, ityhubhu yesifuba iya kubekwa ngelixa uphantsi kweanesthesia (ilele) ngexesha lotyando.

Iityhubhu zesifuba zisetyenziselwa ukunyanga iimeko ezibangela ukuwa kwemiphunga. Ezinye zeemeko zezi:

• Utyando okanye umothuko esifubeni
• Ukuvuza komoya ngaphakathi komphunga ungene esifubeni (pneumothorax)
• I-fluid yokwakha esifubeni (ebizwa ngokuba yi-pleural effusion) ngenxa yokuphuma kwegazi esifubeni, i-buildup ye-fatty fluid, i-abscess okanye i-pus buildup kumphunga okanye esifubeni, okanye ukungaphumeleli kwentliziyo
• Ukulila kwi-esophagus (ityhubhu evumela ukutya ukuba kuphume emlonyeni kuye esiswini)

Eminye imingcipheko evela kwinkqubo yokufaka yile:

• Ukopha okanye usulelo apho kufakwe khona ityhubhu
• Ukubekwa ngokungafanelekanga kwetyhubhu (kwizicubu, isisu, okanye kude kakhulu esifubeni)
• Ukwenzakala emiphungeni
• Ukonzakala kumalungu akufutshane netyhubhu, njengodakada, isibindi, isisu, okanye uvalo

Uya kuhlala esibhedlele de ityhubhu yakho yesifuba isuswe. Ngamanye amaxesha, umntu angaya ekhaya ephethe ityhubhu yesifuba.

Ngelixa ityhubhu yesifuba ikhona, umboneleli wakho wezempilo uya kujonga ngononophelo ukuvuza komoya, iingxaki zokuphefumla, kunye nokuba ufuna ioksijini. Kananjalo baya kuqinisekisa ukuba ityhubhu ihlala ihleli. Umboneleli wakho uya kukuxelela ukuba kulungile ukuvuka uhambe ujikeleze okanye uhlale esitulweni.

Into ekufuneka uyenzile:

• Phefumla ngokunzulu kwaye ukhohlele rhoqo (umongikazi wakho uya kukufundisa ukuba ungayenza njani le nto). Ukuphefumla nzulu kunye nokukhohlela kuya kunceda ukwandisa imiphunga yakho kunye noncedo lokuhambisa amanzi.
• Lumka akukho ziikinks kwityhubhu yakho. Inkqubo yokuhambisa amanzi kufuneka ihlale ihleli nkqo kwaye ibekwe ngaphantsi kwemiphunga yakho. Ukuba akunjalo, ulwelo okanye umoya awuyi kuphuma kwaye imiphunga yakho ayinako ukuphinda yande.

Fumana uncedo kwangoko ukuba:

• Ityhubhu yakho yesifuba iyaphuma okanye iyatshintsha.
• Iityhubhu ziyacinywa.
• Ngequbuliso unengxaki yokuphefumla okanye uneentlungu ezingakumbi.

Imbonakalo ixhomekeke kwisizathu sokuba kufakwe ityhubhu yesifuba. I-Pneumothorax ihlala iphucula, kodwa ngamanye amaxesha utyando luyafuneka ukulungisa ingxaki esisiseko. Oku kunokwenziwa ngomhlaba okanye kunokufuna ukusikwa okukhulu kuxhomekeke kwimeko yakho. Kwiimeko zosulelo, umntu uyaphucuka xa usulelo lunyangwa, nangona ukonakala kwebala lomphunga kunokuthi kwenzeke ngamanye amaxesha (fibrothorax). Oku kunokufuna utyando ukulungisa ingxaki.

Ukufakwa kwetyhubhu yesifuba; Ukufakwa kwetyhubhu esifubeni; Ityhubhu thoracostomy; Idreyini yasemva kwexesha

• Ukufakwa kwetyhubhu yesifuba
• Ukufakwa kwetyhubhu yesifuba-uthotho

UkuKhanya kweRW, uLee YCG. Pneumothorax, chylothorax, hemothorax, kunye ne-fibrothorax. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahl 81.

UMargolis AM, uKirsch TD. Ityhubhu thoracostomy. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka kunye noKhathalelo oluQhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 10.

UWatson GA, uHarbrecht BG. Ukubekwa kwetyhubhu yesifuba, ukhathalelo, kunye nokususwa. Ku: Vincent JL, Abraham E, Moore FA, PM Kochanek, Fink MP, ii-eds. Incwadi yesikhokelo soKhathalelo oluBalulekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko E12.