Operations on the lungs

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The preoperative period. Radical surgery for lung places high demands on the patient, so he had before the surgery have significant reserve functionality. This is facilitated by the inclusion of physical exercises in complex treatment of patients.
The main objectives of therapeutic exercises in this period are: the reduction of purulent intoxication, improvement of function of the cardiovascular system and respiratory system, strengthening physical force and psychological status of the patient, training exercises, necessary to the patient in the early postoperative period.
In preparation for surgery of patients with suppurative lung physiotherapy start with exercises that help drainage cavity bronchi, abscesses, cysts. To exercise the patient is given the initial position of localization and extent of the pathological process.
For best outflow of pathological secretion from the upper lobe of the right lung is necessary, sitting on a chair, torso to the left while turning 45 degrees forward, raising his right hand (Fig. 34, A), and take a breath. Through the 30-60 (this is enough time to sputum into force of gravity reached plots bronchial mucosa, where not lost sensitivity of nerve endings in the ciliated epithelium) with the advent of coughing on the exhalation should torso forward, trying to get your fingers gender or toes (Fig. 34, B). In this situation the patient is coughing, must stay for a few seconds, and a Methodist (or assistant in self-employment) to press simultaneously with cough strokes on the upper part of the chest, contributing, as if mechanically, the removal of sputum.

drainage of the upper lobe of the right lung
Fig. 34. Drainage of the upper lobe of the right lung
drainage of the middle lobe of the right lung
Fig. 35. Drainage of the middle lobe of the right lung

The weakened patients drainage cavity located in the upper part of the lung, is in the original position of lying on the healthy side, with lowered head end of the bed by 20-30 degrees. Hand on the affected side up. On the exhale, to prevent the leaking of sputum in a healthy light, the patient makes slow follow a half of the trunk on his stomach, this position is for a few seconds and coughs, and Methodist synchronously with cough presses on the upper part of the chest.
For bronchial drainage middle lobe of the right lung patient from the initial position of sitting on the bed (head end lowered by 20-30 degrees) makes at a slow pace full trunk extension ago (Fig. 35), and the Methodist thus slightly presses on the front surface of the chest, contributing to the promotion of sputum. On the exhale, coughing, sore rotate the torso to the left and forward. Rising from the couch, he leans forward, trying hands to touch the feet, and coughs, and Methodist synchronously presses on the region average share (anterolateral the surface of the chest). Then the rest phase from 30 seconds to 1 minute of the Exercise is repeated 3-4 times.
The most complete drainage of cavities in front segments of the middle lobe of the right lung facilitates the exercise of the original position of lying on the back with lowered head end of the bed by about 40 see After dilution hand in hand patient performs inhale and exhale to the right side of the chest tightens leg bent at the knee, and coughs, remaining in this position for at least 30 seconds After removal of sputum comes a phase of rest, then the exercise is repeated.
Drainage of right lower lobe of the lung is from the starting position lying on his stomach, hands lowered to the floor, head end of the bed lowered by 30-40 see Allocating the right hand side, the patient does slow follow a half on the left side, a deep breath, then slowly exhale with coughing returns to its original position. Methodist synchronously with coughing spasms presses hands on the lower parts of the chest.
Well separated sputum with the defeat of the right lower lobe of the lung in the position of lying on the left side (foot end of the bed is raised). The patient breathe raises his right hand, and on the exhale presses her on the side and the lower parts of the chest Tacloban synchronously with cough. Methodist makes it easy effleurage in sadnesstear Department of the chest and between the shoulder blades, thereby phlegm from the walls of the bronchi.
The drainage of the right lower lobe of the lung promotes the exercises in the original position of lying on the back or on the left side. The patient inhaling spreads his arms in hand, and on the exhale, coughing, tightens right leg to your chest.

  • Postoperative period