Rei Tari: e ngā mahi e kawea i roto i reira?

fifili tokomaha te iwi he aha te Tari Thoracic. I roto i te meka, he kuware mea katoa. te mahi tenei tari i roto i te pouaka. I tenei kaupapa, riro te reira mārama ki ta ratou mahi pokanga rei. hamani ratou ma'i tinana, e kua kei roto i te pouaka. Ka rite ki mohiotia te, he rota o huringa i runga i te wā. I mua, whakahaeretia nga kaiwhakaako i runga i nga okana katoa kei roto i te pouaka, engari i muri i runga i tenei makehe whanui momotuhia cardiac pokanga, esophageal, iaia, uma. Ko te take, me te i ēnei rā tenei. Ehara i Koinei, i reira ko tenei wehenga, no te mea kawea ngā tukanga i mua hāparapara katoa i roto i te tuwhera tikanga, a ko reira tino uaua atu ngā mahi endoscopic. nui atu uaua ki te hanga i te whawhe tika nga taote. Otiia riro te Tari o Thoracic Surgery tūroro hou i ia ra. I roto i tenei āhuatanga, ake whāiti me te mahi tonu i runga i te tinana kotahi taea te tākuta ki te riro i te tohunga i roto i to ratou mara. I tēnei wā, ka te whakamahia whānuitia pokanga thoracoscopy, kua tapoko te nuinga wawaotanga tūmatanui ki te warewaretanga. Na whakaputaina pokanga endoscopic. hei tikanga o ratou kua nui māmā, pōauautanga i roto i tūroro e onge, na reira nga hiahiatanga ki whakataka te tino houhanga rongo.

Operations i roto i te pūkahukahu

Surgery Thoracic Tari kore kau. Tūroro e tonu he rota. I roto i te tūranga ārahi i runga i te auau o te pokanga rei he ngā mahi i runga i te pūkahukahu. Ko te tukanga mate tino noa hoki i hiahiatia wawaotanga te - te mate kohi i te reira (āhua 80-85% o te wā), pūkahukahu mate pukupuku, mate suppurative (bronchiectasis, abscesses, etc ...) A whēwhē.

Ko te otinga o ngā raruraru ki te pū kai

pokanga esophageal - he momo rawa noa o te wawaotanga. Ngā mahi e hiahiatia ana mō te contracture cicatricial, weranga, cysts, whētuki me pukupuku mārire o te tinana. Ano, he tika wawaotanga hāparapara, ki te titi nga whekau romahā o te ahanoa ke. I tua atu, kei te whakahaere ngā mahi i te fistula esophageal-tracheal, mate pukupuku o te okana, rei achalasia, uaua diverticula, tīponapona.

Mediastinum - he wāhi rawa raruraru

He tokomaha, kāore, ano e kore e mohio ki ta pokanga rei. Ko te mea e tika ana ki te mohio. Tenei okana pokanga kei roto i te pouaka. mate Mediastinal hoki i hiahiatia te tauturu te taote rei - ko te neoplasm, chylothorax, stenosis o te ngōrahi me te pukorokoro, mau tonu, me te mediastinitis whakapeka. kia tukinotia ēnei mate tino. Ko te kahore he mea ngaro e te pokanga i runga i te mediastinum he tino uaua. Tūroro hoki uaua ki te kawe i taua ngā mahi. I muri i taua pokanga i ko te rota o pōauautanga. Na reira, i reira e te tahi mau contraindications mo taua ngā mahi: i runga i te tau o 60-65 tau, decompensation cardiac, mate kohi, pukupuku metastatic, takawhita, emphysema , etc ...

Tauatāina i mate pouaka

Ko ētahi atu tukanga pathological i roto i tenei rohe, kei te maha fehangahangai te rata ki whara o te natura rerekē, neoplasms, perihondritami, inflammatory me te purulent pāpaka te kopa. E kore e pinepine rawa me kōrere pouaka keeled, te tapû, wheua (hei tauira, matatahi me rara). Tūroro ki mate tomo ko varavara te peka rei.

Māuiuitanga o te pericardium me kiripūkahu

E whakahaere wawaotanga hāparapara i runga i te kiripūkahu me pericardium i roto i mahi hauora ake pinepine atu i roto i te mediastinum me pouaka taiepa. A, no te hiahiatia koe pokanga? I roto i te ma'i, me te whakapeka empyema pleural, whētuki, pukupuku mārire, diverticula me cysts pericardium.

Pūare mate tono wawaotanga hāparapara

Pokanga i runga i te HWM kore e noa. Ma'i e rapu utu mahi, - ko te puku, whētuki me te piata whakangā me cysts me whaturama rerekē NIT. I roto i te aroaro o enei mate kia whakatutuki ki te Tari Thoracic tonu. Ka kawea te mahi i roto i wawe, te pai. He tokomaha e wehi o te pokanga, ka faataime i te reira ake, ka rite ki te mate kauneke. Ka rite ki te hua, whiwhi kino te tangata, he piki āwangawanga e pā ana ki te mamae, me i roto i te meka e te mea pai nui te wā kia kite i te tākuta. I roto i tenei āhuatanga, e ti'a ia tatou ia haavî i to ratou wehi, me te ano ki te haere ki te taote. kia mohio ki te reira e te tahi atu ara i roto i o tenei āhuatanga, e kore te mahi noa. E kore e tinihangatia koe tatou, a ka ki te faataime i te whakatau ta'engata.