UMnyango thoracic: okuyinto imisebenzi eyenziwa lapho?

Abantu abaningi bayazibuza ukuthi uMnyango thoracic. Eqinisweni, yonke into ilula. Lo mnyango usebenzelana esifubeni. Kulesi sisekelo, kuyacaca ukuthi benzani ukuhlinzwa thoracic. Baphatha izifo emizimbeni, okuyinto zitholakala esifubeni. Njengoba yaziwa, izinguquko eziningi ngokuhamba kwesikhathi. Ngaphambili, odokotela owasebenza ngayo zonke izitho etholakala esifubeni, kodwa kamuva kule okukhethekile ezibanzi inqanyuliwe inhliziyo ukuhlinzwa, ngomphimbo, imithambo yegazi, webele. Lokhu kunjalo, futhi namuhla. Akumangalisi, kwakukhona lesi ngokuhlukana, ngoba izinqubo ngaphambi zonke kuhlinzwa Kwakuseshwa by indlela evulekile, futhi ngokuqinisekile nzima imisebenzi endoscopic. Odokotela kwakunzima kakhulu ukwenza manipulations kunesidingo. Kodwa uMnyango thoracic Ukuhlinzwa iziguli ezintsha wathola usuku ngalunye. Kulesi simo, lunye kakhudlwana futhi ukusebenza okuqhubekayo ku umzimba owodwa ivumela udokotela ukuba ube uchwepheshe wazo emkhakheni wabo. Okwamanje, uma ukuhlinzwa is kabanzi thoracoscopy, ukungenelela kakhulu umphakathi Ngishoné ishabalale. Manje ekhiqizwa ukuhlinzwa endoscopic. Technique wabo sekulula kakhulu, ukuxakeka ezigulini ezingajwayelekile, ngakhoke izimfanelo ukutjhugulula amakhono nokubuyisana.

Nemisebenzi iphaphu

Ukuhlinzwa uMnyango thoracic neze awunalutho. Iziguli zihlala eziningi. Esikhathini isikhundla okuholela ku ukuvama ukuhlinzwa thoracic kukhona imisebenzi emaphashini. Okuvame kakhulu izinqubo isifo okuyiwona kokungenela kuyadingeka - ke sofuba (cishe 80-85% of amacala), umdlavuza wamaphaphu izifo suppurative (bronchiectasis, abscesses, njll ...) Futhi simila.

Isixazululo yezinkinga emphinjeni

ukuhlinzwa ngomphimbo - uhlobo ejwayeleke kakhulu kokungenela. Operations adingekayo contracture cicatricial, ukusha, izinhlumba, ukuphatheka kabi kakhulu izimila ingozi zomzimba. Futhi, kokungenela kuhlinzwa kuyadingeka, uma izitho zokuphefumula of into angaphandle lajwayeleka. Ngaphezu kwalokho, imisebenzi olwenziwa e-fistula ngomphimbo-tracheal, carcinoma we thoracic sitho, achalasia, diverticula, varicose emithanjeni.

Mediastinum - endaweni eziyinkinga kakhulu

Abaningi, ngeshwa, namanje abazi ukuthi yini ukuhlinzwa thoracic. Kodwa kubalulekile ukwazi. Lokhu izitho ukuhlinzwa etholakala esifubeni. izifo Mediastinal okuyiwona usizo oludingekayo udokotela ohlinzayo thoracic - kuyinto neoplasm, chylothorax, stenosis we bronchus kanye kuqhoqhoqho, chronic mediastinitis oyingozi. Lezi zifo kufanele aphathwe sina. Akuyona imfihlo ukuthi ukuhlinzwa phezu mediastinum zinzima kakhulu. Iziguli futhi kunzima ukuba baphathe imisebenzi enjalo. Ngemva kokuhlinzwa abanjalo eziningi izinkinga. Ngakho-ke, kukhona ezinye Izimo imisebenzi enjalo: abangaphezu kweminyaka engu-eminyakeni 60-65, decompensation inhliziyo, isifo sofuba, izimila metastatic, umfutho wegazi ophakeme, emphysema , njll ...

Ukukhululeka isifo esifubeni

Njengoba for ezinye izinqubo sokugembula kule ndawo, udokotela is babhekana ukulimala bemvelo ezahlukene, neoplasms, perihondritami, ukuvuvukala kanye ubovu izilonda kwezicubu. Hhayi njalo kakhulu futhi uphondo keeled esifubeni, osteomyelitis, ithambo (isib, izindwani izimbambo). Iziguli izifo faka legatsha thoracic kuyinto abavamile.

Pathology we pericardium futhi pleura

kokungenela Steel phezu pleura futhi pericardium zokwelapha ziqhutshwa kanengi ukudlula e-mediastinum nasesifubeni udonga. Uma kudingeka ahlinzwe? Ngo chronic acute empyema pleural, ukuhlukumezeka, izimila kungavamile ukuba ingozi, diverticula futhi izinhlumba pericardium.

izifo Imbobo ezidinga kokungenela kuhlinzwa

Ukuhlinzwa ku diaphragm kungavamile. Ukugula edinga ukusebenza, - kuyinto isimila, ukuphatheka kabi kakhulu beso ukuphumula izinhlumba futhi hernia lineages ezahlukene. Ephambi kwezinduna lezi zifo kufanele sibhekiswe uMnyango thoracic ngokushesha. Ukusebenza oyokwenziwa ngokushesha, ngcono. Abaningi besaba ukuhlinzwa futhi bayihlehlise unomphela, njengoba isifo siqhubeka. Ngenxa yalokho, umuntu Ubangwa, ubuhlungu nexhala ngezithunywa, futhi empeleni kuyoba isikhathi esingcono kakhulu ukubona udokotela. Kulesi simo, kumelwe sizame ukuba banqobe uvalo kodwa ukuya udokotela ohlinzayo. Kufanele kuqondwe ukuthi ezinye indlela yokuphuma yalesi simo, umane ungapheli. Akufanele sizikhohlise, futhi ukuhlehlisa isinqumo kuze kube nini.