Lapho ugayela emgodini we-pleural nge-incision encane, ushubhu olukhethekile lufakiwe. Le nqubo iyadingeka ukulimala kwesifuba.
Izinkomba zokugeleza kwesigxobo se-pleural
Isibonakaliso esiyinhloko sokufakwa kwamanzi kungukuba khona kwe-exudate, igazi noma i-pus emgodini we-pleural. Usizo lungadingeka neziguli ezitholile umoya phakathi kwamagundane we-pleura.
Ukwengeza, izinkomba zokugeleza komgudu wempuphu zingacatshangelwa:
- ukuphrinta ;
- ukukhwabanisa okuphindaphindiwe noma okuphindaphindiwe;
- ama-effusions angalungile.
Cishe ngaso sonke isikhathi umsele we-pleural cavity uwenziwa nge-pneumothorax ne-hydrothorax. Lezi zinkinga, njengomthetho, zingacatshangwa ukuhluleka ukuphefumula noma i-emphysema. Futhi zivela ezinqamukeni zezimbambo, isibonelo.
Kwezinye izimo, ukufakwa kwamanzi kuyadingeka iziguli ezahlinzwa. Ama-tubes ahlala e-sternum kuze kube yilapho ingcindezi ijwayelekile futhi uketshezi lwanyamalala ngokuphelele.
Izindlela zokugeleza kwesigxobo se-pleural
Ngokuvamile, ithubhu ye-drainage efakwe ezingeni leline-axillary line emkhatsini wesihlanu noma kwesithupha phakathi kwembambo. Le ndawo ikhethiwe, okokuqala, ngoba ingaphezu kwe-diaphragm futhi iphephile. Futhi okwesibili, kule ngxenye yodonga lwesifuba yi-musculature ye-thinnest, ngakho-ke ukugeleza kungasetshenziswa ngokushesha futhi kulula.
Ngenqubo, udinga lawa mathuluzi:
- izinto eziyinyumba zokugqoka;
- ukulungiselela i-anesthesia yasendaweni kanye nesirinji;
- i-scalpel;
- intambo yesilikhi;
- isisindo;
- pair of clamps;
- ama-catheters emithonjeni yamanzi.
Isayithi lokukhipha amanzi lisengaphambili futhi liphathwa nge-antiseptic. Ngemuva kokuthi kusetshenziswe i-puncture, i-tube ikhethiwe, ethunyelwa ngepheshana emgodini we-thoracic, ivaliwe ngombono futhi ihlanganisiwe.
Ezimweni ezimbi kakhulu, ngisho nangemva kokufakwa kwamanzi, umoya uyaqhubeka nokuphuma ngenkuthalo, kungacatshangwa
Izinkinga zokugeleza kwamanzi
Uma i-pleura ine-thickenings noma i-splices, ukugeleza kwamanzi akulula. Phakathi kwezinkinga ezinzima kunazo zonke zenqubo yilezi ezilandelayo:
- ukutheleleka;
- ukuhlunga;
- emphysema encane;
- ukuphuma kwegazi;
- i- pneumothorax evamile noma i-hydrothorax.