Ukufakwa kweTyhubhu yesifuba (Thoracostomy)

Umxholo

• Isetyenziselwa ntoni
• Indlela yokulungiselela
• Inkqubo
• Iingxaki
• Iingxaki ezinzima
• Ukususa ityhubhu yesifuba

Yintoni ukufakwa kwetyhubhu yesifuba?

Ityhubhu yesifuba inokukunceda ukukhupha umoya, igazi, okanye ulwelo olusuka kwindawo ejikeleze imiphunga yakho, ebizwa ngokuba yindawo yokubongoza.

Ukufakwa kwetyhubhu yesifuba kukwabizwa ngokuba yityhubhu yesifuba i-thoracostomy. Ngokwesiqhelo yinkqubo engxamisekileyo. Inokwenziwa kwakhona emva kotyando kumalungu okanye izicubu esifubeni sakho.

Ngexesha lokufakwa kwetyhubhu yesifuba, kufakwa ityhubhu yeplastiki engenanto phakathi kweembambo zakho kwindawo yokubongoza. Ityhubhu inokudityaniswa kumatshini ukunceda umsele. Umbhobho uya kuhlala endaweni de ulwelo, igazi, okanye umoya uphume esifubeni sakho.

Isetyenziselwa ntoni

Unokufuna ityhubhu yesifuba ukuba unayo enye yezi zinto zilandelayo:

• umphunga owileyo
• usulelo lwemiphunga
• ukuphuma kwegazi emiphungeni yakho, ngakumbi emva koxinzelelo (olufana nengozi yemoto)
• ulwakhiwo lwamanzi ngenxa yomnye imeko yonyango, njengomhlaza okanye inyumoniya
• ubunzima bokuphefumla ngenxa yokwanda kolwelo okanye umoya
• uqhaqho, ngakumbi umphunga, intliziyo, okanye utyando

Ukufaka ityhubhu yesifuba kunokunceda ugqirha wakho ukuba afumane ezinye iimeko, ezinje ngomonakalo wemiphunga okanye ukwenzakala kwangaphakathi emva koxinzelelo.

Indlela yokulungiselela

Ukufakwa kwetyhubhu yesifuba kuqheleke ukwenziwa emva kotyando okanye njengenkqubo yongxamiseko, ngenxa yoko akukho ndlela yakulungiselela. Ugqirha wakho uya kucela imvume yakho yokwenza inkqubo ukuba uyazi. Ukuba uqulekile, baya kuchaza ukuba kutheni ityhubhu yesifuba yayiyimfuneko emva kokuba uvukile.

Kwiimeko apho ingekho imeko engxamisekileyo, ugqirha wakho uya kuyalela i-X-ray yesifuba ngaphambi kokufakwa kwetyhubhu yesifuba. Oku kwenzelwa ukunceda ukuqinisekisa ukuba ulwelo okanye ukwakhiwa komoya kubangela ingxaki kunye nokuchonga ukuba ityhubhu yesifuba iyafuneka. Olunye uvavanyo lunokwenziwa ukwenziwa kuvavanyo lwe-pleural fluid, njengesifuba se-ultrasound okanye isifuba se-CT scan.

Inkqubo

Umntu ogxile kwimeko yemiphunga kunye nezifo kuthiwa yingcali yemiphunga. Ugqirha wotyando okanye ingcali yemiphunga iya kuhlala ifaka ityhubhu yesifuba. Ngexesha lokufaka ityhubhu yesifuba, kwenzeka oku kulandelayo:

Ukulungiselela: Ugqirha wakho uya kulungiselela indawo enkulu ecaleni kwesifuba sakho, ukusuka ekhwapheni lakho ukuya ezantsi esiswini sakho kunye nokuwela kwingono yakho. Ukulungiselela kubandakanya ukutshabalalisa indawo kunye nokucheba naziphi na iinwele ezivela kwindawo yokufaka, ukuba kukho imfuneko. Ugqirha wakho unokusebenzisa i-ultrasound ukufumanisa indawo elungileyo yokufaka ityhubhu.

Ukubulawa: Ugqirha unokufaka i-anesthetic kulusu lwakho okanye emthanjeni ukuthambisa indawo. Amayeza aya kukunceda ukuba ukhululeke ngakumbi ngexesha lokufakwa kwetyhubhu yesifuba, enokuba buhlungu. Ukuba utyando olukhulu lwentliziyo okanye lwemiphunga, uya kuthi unikwe i-anesthesia ngokubanzi kwaye ulaliswe ngaphambi kokuba kufakwe ityhubhu yesifuba.

Uqhawulo-mfanekiso: Usebenzisa isikhumba, ugqirha wakho uya kwenza incindi encinci (small- ukuya ku-1 1-intshi) phakathi kweembambo zakho, kufutshane nenxalenye ephezulu yesifuba sakho. Apho benza ukusikwa kuxhomekeke kwisizathu setyhubhu yesifuba.

Ukufaka: Ugqirha wakho uya kuthi ngokuvulekileyo avule indawo esifubeni sakho kwaye akhokele ityhubhu esifubeni sakho. Iityhubhu zesifuba ziza ngobukhulu obahlukeneyo ngeemeko ezahlukeneyo. Ugqirha wakho uyakubamba ityhubhu yesifuba endaweni yayo ukuyikhusela ekuhambeni. Ibhandeji engenazintsholongwane iyakusetyenziswa kwindawo yokufaka.

Umjelo: Umbhobho emva koko uqhotyoshelwe kwinkqubo eyodwa yokuhambisa amanzi evumela umoya okanye ulwelo ukuba luphume kuphela. Oku kuthintela ukuba ulwelo okanye umoya ungabuyi ubuyele kwisifuba. Ngelixa ityhubhu yesifuba ikhona, kuya kufuneka uhlale esibhedlele. Ugqirha okanye umongikazi uya kubeka esweni ukuphefumla kwakho kwaye ajonge ukuvuza komoya okunokwenzeka.

Ixesha elingakanani ityhubhu yesifuba ishiywe kuxhomekeke kwimeko ebangele ukwakheka komoya okanye ulwelo. Eminye imihlaza yomhlaza yemiphunga inokubangela ukuba ulwelo luphinde luphindaphinde. Oogqirha banokushiya iityhubhu ixesha elide kwezi meko.

Iingxaki

Ukufakwa kwetyhubhu yesifuba kukubeka emngciphekweni weengxaki ezininzi. Oku kubandakanya:

Ubuhlungu ngexesha lokubekwa: Ukufakwa kwetyhubhu yesifuba kuhlala kubuhlungu kakhulu. Ugqirha wakho uya kukunceda ulawule iintlungu zakho ngokujova i-anesthetic ngokusebenzisa i-IV okanye ngqo kwisiza setyhubhu yesifuba. Uya kunikwa i-anesthesia ngokubanzi, ekubeka ebuthongweni, okanye kwi-anesthesia yendawo, ethambisa indawo leyo.

Usulelo: Njengayo nayiphi na inkqubo ehlaselayo, kukho umngcipheko wosulelo. Ukusetyenziswa kwezixhobo ezingenazintsholongwane ngexesha lenkqubo kunceda ukunciphisa umngcipheko.

Ukopha: Inani elincinci kakhulu lokuphuma kwegazi linokwenzeka ukuba isitya segazi sonakele xa kufakwa ityhubhu yesifuba.

Ukubekwa kwetyhubhu engeyiyo: Kwezinye iimeko, ityhubhu yesifuba ingabekwa kude kakhulu ngaphakathi okanye ingabi kude ngokwaneleyo ngaphakathi kwendawo yokubongoza. Umbhobho usenokuwa kwakhona.

Iingxaki ezinzima

Iingxaki ezinzima zinqabile, kodwa zinokubandakanya:

• ukopha kwindawo yeplaya
• ukwenzakala emiphungeni, uvalo, okanye isisu
• ukuwa kwemiphunga ngexesha lokususa ityhubhu

Ukususa ityhubhu yesifuba

Ityhubhu yesifuba ihlala ihlala iintsuku ezimbalwa. Emva kokuba ugqirha wakho eqinisekile ukuba akusekho manzi okanye umoya ofuna ukukhutshwa, ityhubhu yesifuba iya kususwa.

Ukususwa kwetyhubhu yesifuba kuhlala kwenziwa ngokukhawuleza kwaye ngaphandle kokuthomalalisa. Ugqirha wakho uya kukunika imiyalelo ethile malunga nendlela yokuphefumla xa ityhubhu isuswe. Kwiimeko ezininzi, ityhubhu yesifuba iya kususwa njengoko ubambe umphefumlo wakho.Oku kuqinisekisa ukuba umoya owongezelelweyo awungeni kwimiphunga yakho.

Emva kokuba ugqirha esusa ityhubhu yesifuba, baya kufaka i-bandage ngaphezulu kwendawo yokufaka. Unokuba nesiva esincinci. Ugqirha wakho uya kuthi acwangcise i-X-ray kamva ukuba aqiniseke ukuba ayikho enye into eyakha umoya okanye ulwelo ngaphakathi kwesifuba sakho.