Kuwombera pamoto ndikutuluka kwa khoma la chifuwa ndi nembanemba kumapapo mapapo (pleura), omwe amapangidwa kuti apeze matenda kapena matenda. Izi ndizowonjezera pa chifuwa, zomwe nthawi zina zimapulumutsa moyo wa wodwalayo.
Zisonyezero zowonongeka kwa pempho lopempha
Chisonyezero chachikulu cha kuponyedwa kwachisembwere ndi kukayikira kwa kukhalapo muchisomo cha mpweya kapena madzi (magazi, exudate, transudate). Kukonzekera kumeneku kungafunike muzochitika ndi matenda:
- chisamaliro ;
- mpyema wa pleura;
- hemothorax;
- chithunzi;
- hydrothorax;
- pneumothorax (zokhazikika kapena zoopsa);
- kutupa kwa pleura.
Zomwe zili m'kati mwachitsulo chogwiritsidwa ntchito pozigwiritsa ntchito zimagwiritsidwa ntchito pofufuza za mabakiteriya, cytological and physico-chemical.
Pofuna kuchiritsira, pogwiritsira ntchito phokoso lopemphana, zomwe zili mu pempho lopempherera zimatsitsimuka ndi kuchapa. Komanso phokoso lachangu lingaperekedwe mankhwala osiyanasiyana: antibiotic, antiseptics, mapuloteni a proteolytic, hormonal, antinoplastic agents, ndi zina zotero.
Kukonzekera kutsegulira kwachinyengo
Patsiku la kugwiritsidwa ntchito, njira zina zamankhwala ndi zogonana zimachotsedwa, komanso kumwa mankhwala (kupatulapo zofunika). Komanso katundu wodwalayo ndi wa neuropsychic sayenera kusuta , kusuta ndikoletsedwa. Musanayambe kupuma, chikhodzodzo ndi intestine ziyenera kuchotsedwa.
Njira yothetsera kupembedzera
Pempho lopanda phokoso limagwiritsira ntchito singano lodulidwa bwino, limagwiritsidwa ntchito mozunguliridwa ndi adapotala ya raba ndi dongosolo la kutulutsa madzi.
- Kuponderezedwa kumachitidwa mu malo a wodwala atakhala pa mpando wakuyang'ana kumbuyo. Mutu ndi thunthu ziyenera kuyendetsedwa patsogolo, ndipo dzanja limatengedwa pamutu (kupititsa malo osungirako) kapena kutsamira kumbuyo kwa mpando. Malo otsekemera amatha kumwa mowa ndi mankhwala a ayodini. Kenaka yesani anesthesia wamba - kawirikawiri yankho la novocaine.
- Malo otsekemera amatengera cholinga chake. Ngati kuli kofunika kuchotsa mpweya (phokoso la pentiumothorax), mphepoyo imachitika m'dera lachitatu kapena lachinayi mu mzere wozungulira kapena pakati. Pankhani ya kuchotsa madzi (kutsekedwa kwa phokoso la pleural codity ndi hydrothorax), kupuma kumachitika m'dera lachisanu ndi chimodzi mpaka lachisanu ndi chiwiri kumbali kapena pakati. Nthano imagwirizanitsidwa ndi syringe ndi chubu yampira. Kupukuta kwazomwe zili mkati mwachisembwerezo chachitetezo kumachitika pang'onopang'ono kuchotsa kusuntha kwa mediastinum.
- Malo otsekemera amachitidwa ndi iodonate ndi mowa, kenaka chophimba chopanda kanthu chimagwiritsidwa ntchito ndipo chimakhazikika ndi pulasitiki yomatira. Kenaka, nsalu yotchinga ya chifuwa chapachifuwa imapangidwa. Zomwe zimapezeka pa nthawiyi ziyenera kuperekedwa ku labotale kuti zikapitirire kukayezetsa mosakhalitsa mu ola limodzi.
- Wodwala amaperekedwa ku ward pa gurney pa malo abodza. Patsikuli akuonetsetsa kuti mpumulo wapuma ndipo akuyang'anitsitsa.
Zovuta za kupopera modzichepetsa
Mukamachita ntchito yodandaula, zotsatirazi zingatheke:
- kupuma kwa mapapo, chifuwa, m'mimba, chiwindi, spleen;
- kutuluka mwadzidzidzi;
- mpweya wamakina;
- Kuchokera kumalo otsekemera.
Ngati pali vuto lina lililonse, pamafunika kuchotsa mwamsanga nsaleyo kuchokera pamtanda, ndikuika wodwala kumbuyo ndikumuitana dokotalayo. Ndi mpweya wokhala ndi zotengera za ubongo, katswiri wa matenda a ubongo ndi wochotsa ubongo amafunikira thandizo.