Dukoresha inshinge zidafite imbaraga kugirango tumenye uruhu, tissue intercostal tissue na parietal pleura mumyanya ndangagitsina, aribyo bitaThoracic.
Kuki ushaka gucumita mu gatuza?Mbere ya byose, dukwiye kumenya uruhare rwo gutobora thoracic mugupima no kuvura indwara za thoracic.Thoracocentesis nuburyo busanzwe, bworoshye kandi bworoshye bwo gusuzuma no kuvura mumirimo yubuvuzi bwishami ryibihaha.Kurugero, dukoresheje isuzuma, twasanze umurwayi afite effusion effusion.Turashobora kuvoma amazi binyuze mu gutobora no gukora ibizamini bitandukanye kugirango tumenye icyateye iyi ndwara.Niba hari amazi menshi mu cyuho, agabanya ibihaha cyangwa akusanya amazi igihe kirekire, fibrine irimo biroroshye gutunganya no gutera ibice bibiri byo kwinezeza, bigira ingaruka kumikorere yubuhumekero yibihaha.Muri iki gihe, dukeneye kandi gutobora kugirango dukureho amazi.Bibaye ngombwa, imiti nayo irashobora guterwa kugirango igere ku ntego yo kuvura.Niba pleural effusion iterwa na kanseri, dutera imiti irwanya kanseri kugirango igire uruhare mu kurwanya kanseri.Niba hari gaze nyinshi mu cyuho cyo mu gatuza, kandi umwobo wa pleural wahindutse uva ku muvuduko mubi uhinduka umuvuduko mwiza, noneho iki gikorwa gishobora no gukoreshwa mu kugabanya umuvuduko no gukuramo gaze.Niba bronchus yumurwayi ifitanye isano nu mwobo wuzuye, dushobora gutera imiti yubururu (yitwa methylene ubururu, itagira ingaruka ku mubiri wumuntu) mu gituza binyuze mu rushinge rwacumita.Noneho umurwayi arashobora gukorora amazi yubururu (harimo na sputum) mugihe akorora, hanyuma dushobora kwemeza ko umurwayi afite fistula ya bronchopleural.Fistula ya Bronchopleural ni inzira y’indwara yashyizweho kubera uruhare rw’ibihaha muri bronchi, alveoli na pleura.Nibice biva mumyanya yo munwa kugera muri trachea kugera kuri bronchi murwego rwose kugera kuri alveoli kugera kuri visceral pleura kugera mumyanya ndangagitsina.
Ni iki gikwiye kwitabwaho mu gutobora thoracic?
Ku bijyanye no gutobora thoracic, abarwayi benshi bahorana ubwoba.Ntibyoroshye kubyakira nkurushinge rukubita ikibuno, ariko rutobora igituza.Hariho imitima n'ibihaha mu gituza, bidashobora kubura ubwoba.Tugomba gukora iki niba urushinge rwacumiswe, bizaba ari akaga, kandi ni iki abaganga bagomba kwitondera?Tugomba kumenya icyo abarwayi bagomba kwitondera nuburyo bwo gufatanya neza.Ukurikije uburyo bwo gukora, ntakibazo gihari.Kubwibyo, twizera ko thoracocentez ifite umutekano nta bwoba.
Ni iki umukoresha agomba kwitondera?Buri muganga wacu agomba kuba asobanukiwe neza ibimenyetso nibikorwa bya ngombwa byo gutobora thoracic.Twabibutsa ko urushinge rugomba kwinjizwa kuruhande rwo hejuru rwurubavu, kandi ntiruzigera rugera kumpera yurubavu, bitabaye ibyo imiyoboro yamaraso n imyakura kumpande yo hepfo yimbavu bizakomereka kubwikosa.Kwanduza bigomba gukorwa neza.Igikorwa kigomba kuba sterile rwose.Ibikorwa byumurwayi bigomba gukorwa neza kugirango wirinde guhangayika no guhagarika umutima.Hagomba kuboneka ubufatanye bwa hafi na muganga.Iyo wakiriye icyo gikorwa, impinduka z'umurwayi zigomba kubahirizwa igihe icyo ari cyo cyose, nk'inkorora, mu maso hijimye, kubira ibyuya, palpitations, syncope, n'ibindi. Nibiba ngombwa, hagarika ibikorwa hanyuma uhite uryama mu buriri kugirango utabare.
Ni iki abarwayi bagomba kwitondera?Mbere na mbere, abarwayi bagomba kwitegura gukorana bya hafi n'abaganga kugira ngo bakureho ubwoba, guhangayika no guhagarika umutima.Icya kabiri, abarwayi ntibagomba gukorora.Bagomba kuguma mu buriri hakiri kare.Niba bumva batameze neza, bagomba gusobanurira muganga kugirango umuganga asuzume icyo ugomba kwitondera cyangwa guhagarika ibikorwa.Icya gatatu, ugomba kuryama mugihe cyamasaha abiri nyuma ya thoracentezi.
Mu kuvura pneumothorax ivugwa mu gice cyihutirwa cy’ishami ry’ibihaha, iyo duhuye n’umurwayi urwaye pneumothorax, kwikuramo ibihaha ntabwo bikomeye kandi guhumeka ntabwo bigoye nyuma yo kubisuzuma.Nyuma yo kwitegereza, ibihaha ntibikomeza kwikanyiza, ni ukuvuga gaze mu gatuza ntiyongera kwiyongera.Bene abo barwayi ntibashobora kuvurwa byanze bikunze, intubation na drainage.Igihe cyose urushinge rufite umubyimba muto rukoreshwa mu gutobora, gukuramo gaze, kandi rimwe na rimwe inshuro nyinshi inshuro nyinshi, ibihaha bizongera kwaguka, nabyo bizagera ku ntego yo kuvura.
Hanyuma, ndashaka kuvuga ibihaha.Mubyukuri, gutobora ibihaha ni ukwinjira mu gutobora thoracic.Urushinge rwacumiswe mu bihaha binyuze mu cyuho cyiza no mu mitsi.Hariho kandi intego ebyiri.Bagomba cyane cyane gukora biopsy ya parenchyma y'ibihaha, bakongera bagasuzuma amazi ari mu kavuyo ka aspiration cavity cyangwa umuyoboro wa bronchial kugirango basuzume neza, hanyuma bakavura indwara zimwe na zimwe binyuze mu gutobora ibihaha, nko kwifuza ibinini mu mwobo umwe. hamwe n'amazi mabi, no gutera imiti mugihe bibaye ngombwa kugirango ugere ku ntego yo kuvura.Nyamara, ibisabwa kugirango ibihaha bitobore ni byinshi.Igikorwa kigomba kurushaho kwitonda, kwitonda no kwihuta.Igihe kigomba kugabanywa uko bishoboka kose.Umurwayi agomba gufatanya cyane.Guhumeka bigomba kuba bihamye, kandi nta nkorora igomba kwemererwa.Mbere yo gucumita, umurwayi agomba gusuzumwa birambuye, kugirango umuganga abashe kumenya neza no kunoza igipimo cyo gutsinda.
Kubwibyo, mugihe cyose abaganga bakurikije intambwe yo kubaga bagakora neza, abarwayi bazakuraho ubwoba kandi bafatanye cyane nabaganga.Gutobora Thoracic bifite umutekano cyane, kandi nta mpamvu yo gutinya.
Igihe cyo kohereza: Ukwakira-18-2022
