Thoracal Department: izvo akavhiyiwa yaitwa imomo?

Vanhu vazhinji vanoshamisika zvakataurwa thoracal Department. Kutaura zvazviri, zvose zviri nyore. Dhipatimendi iri inotaura zviri mubhokisi. On hwaro ichi, zvinova pachena kuti zvavanoita thoracal kuvhiyiwa. Vanobatana zvirwere miviri, izvo riri pachipfuva. Sezvo chikazozikamwa, yakawanda kuchinja nokufamba kwenguva. Kare, vanachiremba kuvhiyiwa ose nhengo iri mubhokisi, asi gare gare ichi wakafara dzakagadzirirwa akochonorwa cardiac kuvhiyiwa, esophageal, vascular, zamu. Izvi ndozvazvakaita, uye nhasi. Hazvishamisi, paiva kuparadzana ichi, nekuti pamberi zvose maoparesheni rwaiitwa nenzira akazaruka, uye zviri zvechokwadi kwakaoma zvikuru endoscopic kushandiswa. Vanachiremba vakanga zvikuru zvakaoma kuti zvakakodzera manipulations. Asi weDhipatimendi thoracal Surgery varwere vatsva vakapiwa rimwe zuva. In izvi, zvikuru specialization uye kuramba kushanda ari muviri chete kunoita chiremba kuva nyanzvi mumunda mavo. Pari, kana kuvhiya zvinowanzodavirwa kushandiswa thoracoscopy, vakawanda paruzhinji kupindira yakanyura kupinda yokukanganwa. Now yakabereka endoscopic kuvhiyiwa. Chidobi rawo rava nyore zvikuru, zvakaoma kunzwisisa Varwere vari mashoma, saka prerequisites kuderedza kuyanana unyanzvi.

Operations ari bapu

Surgery thoracal Department haana maturo. Varwere vari nguva dzose yakawanda. In aitungamirira nzvimbo iri kakawanda thoracal Kuvhiya vari amabasa pamusoro mumapapu. The inonyanya chirwere pezvakaitwa iyo kupindira kunodiwa - nayo tibhii (anenge 80-85% nyaya), kenza yemapapu, suppurative zvirwere (bronchiectasis, abscesses, etc ...) Uye chikofu.

The Kugadzirisa matambudziko pamwe yegurokuro

esophageal Kuvhiya - nevakawanda mhando kupindira. Operations hunodiwa cicatricial contracture, kutsva, cysts, kunotevera uye benign mapundu muviri. Uyewo, kuvhiya kupindira zvakakodzera, kana kufema nhengo imwe yokumwe chinhu akanamatirana. Mukuwedzera, akavhiyiwa zvinoitiswa panguva esophageal-tracheal fistula, carcinoma pamusoro thoracal nhengo, achalasia, diverticula, varicose mutsinga.

Mediastinum - munhu matambudziko chaizvo nharaunda

Vazhinji, zvinosuwisa, vachiri havazivi thoracal kuvhiyiwa. Asi zvakafanira kuziva. Izvi Kuvhiya nhengo iri pachipfuva. Mediastinal zvirwere nokuti icho rubatsiro runodiwa thoracal chiremba - iri neoplasm, chylothorax, stenosis pamusoro bronchus uye trachea, chirwere uye rikwanise mediastinitis. zvirwere izvi zvinofanira kubatwa yakakomba. Hazvina chakavanzika kuti kuvhiyiwa pamusoro mediastinum vanonetsa chaizvo. Varwere kwakaomawo kutakura kwacho. Pashure pokuvhiyiwa vakadaro vane zvakawanda yematambudziko. Naizvozvo, pane dzimwe contraindications nokuda kwacho: pamusoro makore 60-65, cardiac decompensation, tibhii, metastatic namamota, BP, emphysema , etc ...

Freedom kubva bhokisi chirwere

Kana mamwe pathological pezvakaitwa munharaunda iyi, chiremba zvinowanzooneka atarisana kukuvara akasiyana hunhu, neoplasms, perihondritami, anogumbura uye purulent maronda munyama. Kunyanya kakawanda uye fanera keeled muchipfuva, osteomyelitis, mapfupa (semuenzaniso, mashizha uye mbabvu). Varwere nezvirwere kupinda thoracal bazi iri dererei.

Zvokurwara of pericardium uye pleura

Kuvhiya Kupindira pamusoro pleura uye pericardium mu okurapa zvinoitiswa kakawanda kupfuura mediastinum uye chipfuva rusvingo. Kana iwe aifanira kuvhiyiwa? In chisingaperi uye rikwanise pleural empyema, kunotevera, benign namamota, diverticula uye cysts pericardium.

Aperture zvirwere yaida kuvhiya kupindira

Surgery pamusoro diaphragm hadzisi chakasviba. Zvirwere izvo zvinoda oparesheni, - ndiko bundu, kunotevera uye aperture kutandara uye cysts uye heniya zvakasiyana lineages. In pamberi zvirwere izvi anofanira yakanyorerwa thoracal Department pakarepo. The oparesheni chichaitwa nokukurumidza, nani. Vazhinji vanotya kuvhiyiwa uye kumbomira nayo nokusingaperi, sezvo chirwere mberi. Somugumisiro, munhu kunowedzera, marwadzo iri kuwedzera hanya, uye chokwadi zvaizova nguva nani zvikuru kuona chiremba. In izvi, tinofanira kuedza kukurira kutya kwavo uye asi kuenda chiremba. Zvinofanira kunzwisiswa kuti vamwe nzira kunze izvi, anongoti regai. Unofanira kuzvinyengera, uye kumbosendeka chisarudzo nokusingaperi.