Kupisa kwemafuro ndiko kuputika kwerusvingo rwechifuva uye membrane inoputika mapapu (pleura), anogadzirwa nokuda kwekuongorora kana kurapa. Iyi inopindira nyore mubhokisi, iyo mune dzimwe nguva inobvumira kuchengetedza hupenyu hwomurwere.
Zviratidzo zvekuvharwa kwechikumbiro chemukati
Icho chinonyanya kuratidza kuti chirema chinonyanyisa ndechokufungira kwehupo muhuturo hwemhepo yakachena kana mvura (ropa, exudate, transudate). Izvi zvinogona kudiwa mumamiriro ezvinhu aya uye zvirwere:
- exudative pleurisy ;
- empyema we pleura;
- hemothorax;
- chylothorax;
- hydrothorax;
- pneumothorax (zvinokanganisa kana zvinotambudza);
- kunyunyuta kwekuchema.
Zvinyorwa zveshoko rakasvibiswa zvakagadzirwa nekunyoreswa zvinoshandiswa pakuongorora zvirongwa zvebhakitiriya, cytological uye physico-chemicals dzinoongorora.
Nokuda kwehutano, kushandiswa kwechimbidziro chemafuro, izvo zviri mukati mechifuro chemuviri zvinoshuva uye zvakashambidzwa. Uyewo munharaunda yakawanda inogona kupiwa mishonga yakasiyana-siyana: antibiotics, antiseptics, proteolytic enzymes, hormonal, antineoplastic agents, nezvimwewo.
Kugadzirira kubvunzurudza
Pazuva rekugadzirisa, mamwe maitiro ezvokurapa uye ekuongororwa anoregererwa, uyewo kutora mishonga (kunze kweiyo inokosha). Uyewo mitoro yemuviri uye neuropsychic inofanira kubviswa, kusvuta kunorambidzwa. Pamberi peputi, chirwere nemukumbo chinofanira kubviswa.
Nzira yekuteterera kwekuchema
Nokuda kwekuteterera kunobvisa tsono ine tsvina yakashandiswa inoshandiswa, yakasanganiswa yakabatana ne-raber adapter ine chirongwa chekuputira mvura.
- Kushandiswa kunoitwa munzvimbo yechiremba agere pachigaro chinotarisana kumashure. Musoro uye trunk inofanira kusungirirwa mberi, uye ruoko rwunotorwa pamusoro pemusoro (kuwedzera nzvimbo dze intercostal) kana kusendamira shure kwechigaro. Nzvimbo yepacture inobatwa nedoro uye iodine solution. Itai zvekare anesthesia - kazhinji sarudzo ye novocaine.
- Nzvimbo yechando inobva kune chinangwa chayo. Kana zvakakosha kubvisa mweya (muromo wechipupuriro unoputika ne pneumothorax), kuvhara kunoitwa mukati mechitatu kusvika kunechina nzvimbo inoshandiswa mukati mutsara wepakati wepakati. Muchiitiko chekusvibiswa kwemvura (kuputika kwemuviri wepuremu ne hydrothorax), kuvhara kunowanikwa munzvimbo yechitanhatu kusvika kune yechinomwe iri pakati pepakati nepakati kana mushure mutsara wemadhora. Nyoyo yakabatanidzwa nesirati ine rubber tube. Kuputika kwezviri mukati mechiringiro ichi kunowedzerwa zvishoma nezvishoma kuti usabvisa kushanduka kwemuviri wepakati.
- Nzvimbo iyo inoputika inobatwa ne iodonate uye doro, mushure mokunge chidimbu chisina kushandiswa chinoshandiswa uye chakasimbiswa nekunamatira pasi. Zvadaro, bhanhire rakasimba rebhokisi rinogadzirwa. Zvinhu zvakagadziriswa pakuronga zvinofanira kuendeswa kub laboratory kuti zviongororwe pashure kweawa.
- Murwere anopiwa kudiwadi pane gurney munzvimbo yakarara. Pazuva iro anotsigira kurara uye anoongororwa nokuda kwehutano.
Zvinetso zvekukumbira kupemha
Paunenge uchiita basa rekuchema, zvinetso zvinotevera zvinobvira:
- kupisa kwemapapu, diaphragm, mimba, chiropa, spleen;
- kubuda ropa zvisina kufanira;
- mhepo embolism yemidziyo yemakumbo;
- kubuda ropa kubva panzvimbo yekunyura.
Kana pane chero dambudziko, rinodiwa kuti ubvise pakarepo nheyo kubva pachigunun'una chemukati, isa murwere kumushure uye utumidze chiremba. Nemhepo inobatanidzwa yemidziyo yebhedha, neuropathologist uye resuscitator vanoda rubatsiro.