Yintoni ongayenza xa uphula umbhobho.
Emva kokulimala kwisifuba-okanye ukukhwehlela ngokugqithiseleyo-cinga ukuba kungenzeka ukuba umbhobho ophukile ukuba isigulane sinakho na oku kulandelayo:
- Ubuhlungu obukhulu xa uthatha umoya
- Ukunyamezela kwisifuba okanye ukubuyela kummandla weembambo
- I-Crepitus-yinto ephoqelekileyo yokuvalelwa phantsi kwesikhumba
Enye yeendlela ezifanelekileyo zokuchonga umbhobho ophukileyo yindlela yokulimala . Ukubethelwa esifubeni, ukuwela kwinto ethile nokubetha esifubeni okanye ukutshaya isifuba kwisondo okanye ideshibhodi ngexesha leengozi yemoto ngokuqinisekileyo kunokukhokelela kwizimbambo eziphukileyo.
Ukukhwehlela okunamandla kunokuba yindlela yokuphula izimbambo.
Flail Chest
Ngokuqhelekileyo, icandelo le-ribcage lisuka kwi bone kunye ne-muscle. Lo mmandla ulahlekelwa isakhiwo sakhe esilungileyo (cinga umgca omfutshane we-back-backs ehlangene nayo yonke i-ribcage kuphela ngesisipha) kwaye uhamba ngokulula njengoko isigulana siphefumula. Eli candelo liyaziwa njengecandelo le- flail kwaye linobungozi kakhulu kunokuba nje izimbambo eziphukileyo.
Iibhanki zinzima kakhulu ukuphula. Zizungezwe zizihlunu ezinamandla kwaye ngokuqhelekileyo zingathatha ukusetyenziswa kakubi kwezobisi ngaphambi kokuba ziqhekeke. Abantu asebekhulile bangakwazi ukufumana izibambo eziphukile kunabantu abadala. Abantwana banamathambo aguquguqukayo. Uninzi lwezimbambo eziphukile-kubandakanywa nabantwana-zivela kwiingozi zezithuthi, kodwa ziqhelekile ukuwa kwamahhashi, ukulimala kwezemidlalo kunye nokuwa. Kwezinye iimeko, amaninzi okukhwehlela-anjengobunzima be-pneumonia-angabangela ukuqhuma kwembambo .
Iibhenqo ezigqityiweyo zeNatisplaced
Ininzi yexesha, umbhobho ophukileyo uphulwa kuphela kwindawo enye, kwaye "ukuphulwa okungazalwanga ngokupheleleyo," okuthethi ukuba akuyiyo yonke indlela ithambo.
Iingcambu ezigqitywe ngokupheleleyo zingakwazi okanye zingasuki kwindawo. Ukuba bayahamba, babizwa ngokuba yi-rib fractures kunye neentlobo zeemfucuza kunye neentlobo zezilwanyana kunye namalungu. Iibhere ezihlala kwindawo-ngokuqhelekileyo izibambo ezingaphuli ngokupheleleyo kwisiqingatha-zibizwa ngokuba yi-nondisplaced fracture fractures.
Unyango
Okokuqala, ukuba uthe wathinteka ngokwaneleyo esifubeni kukukwenza ucinge ukuba unokuphulaphula intambo okanye ezimbini, uye kwisebe elingxamisekileyo okanye ubize i-911. Nawuphi na umkhosi onzima ngokwaneleyo ukuphula imbambo unamandla okwenza ezinye, ukulimala okungakumbi kwingozi. Kunobungozi ngakumbi ukuba isigulane sinempawu okanye iimpawu ezilandelayo:
- Ukuphefumula okufutshane
- Igazi elikhuphayo
- Ukudideka okanye ukungcola
- Ubuthakathaka jikelele
- Igazi kumchamo
Kwakhona kunokwenzeka ukuphula umbhobho ongaphezu kweyodwa ngexesha. Izibambo ezingaphezu kwethathu ziphukile ngexesha elinye zizobungozi bokuphila. Ekubeni indlela ephela yokwazi ngokuqinisekileyo kukufumana i-ray-ray, kubalulekile ukuya kwisebe lexakeka kuyo nayiphi na ixesha uxola umbhobho ophukileyo.
Akuninzi ongakwenza
Kukho iindaba ezilungileyo kunye neendaba ezimbi malunga nokuphathwa kwezimbambo ezilula eziphukile. Iindaba ezilungileyo: Ziza kuphulukisa ngokwazo kwaye mhlawumbi zingabi naluphi na iingxaki ezingaphezulu. Iindaba ezimbi zibuhlungu kakhulu kwaye kuncinci kakhulu ongayenza.
Kwixesha elidlulileyo, unyango lweembambo eziphukile zibandakanya ukufaka isifuba ngebhodi ebanzi ebizwa ngokuba ngumlenze webambo. Uphando olwenziwa ngo-1990 alufumananga nzuzo kwiigulana zokufaka. Ukuqhekeka kweembambo zomdumba kubangele ezinye iingxaki kulolu phofu xa bephathwa ngebhanti kunokuba bebengekho.
Uninzi lwamagqirha angxamisekileyo namhlanje awanxibe izimbambo eziphukile.
Uphulo oluphambili olugqityiweyo luyilwaphulo elula. Izidakamizwa ezichasayo ezingabhubhisiyo (i-NSAID) njenge-ibuprofen okanye i-naproxen ihamba phambili. Ukuba uhamba kwi-ER yombambo wakho ophukileyo, ugqirha unokukunika imishanguzo yesifo somzimba kunye ne-NSAID.
Iingxaki
Inkxalabo eqhelekileyo yeembambo eziphukile ayikwazi ukuthatha umoya ophefumlelweyo kuba uyabuhlungu. Ukuba awuphefumli ngokwaneleyo, i-mucous kunye nomswakama unokwakha kwimiphunga kwaye iholele kwisifo esinjenge- pneumonia .
Ukuphulukana kweembambo zomdumba kungaphazamisa ezinye iisculi okanye izitho kunye ngamanye amaxesha kubangela ukuphazamiseka kwamaphaphu (pneumothorax) okanye ukuphuma kwangaphakathi.
Kubalulekile ukugcina imiphunga yakho iphilile. Njengoko uyaphilisa, qhelisa ukuthatha umoya ophefumulayo. Kubalulekile ukuba ungesabi ukuthatha imithi yentlungu njengoko inqunyiwe kuba ukugcina intlungu phantsi kolawulo kubalulekile ukuthatha umoya oqaqambileyo.
Ukuba uya kwi-ER, ugqirha unokuthumela ekhaya ngesixhobo sokukhuthaza ukuphefumla. Isixhobo sibizwa ngokuba yi-spirometer yokukhuthaza. Ilinganisa umthamo wamaphaphu ukuze izigulane zibone indlela imiphunga yabo ephilisa ngayo njengoko intambo ephukile iphilisa.
Imithombo:
Sirmali, M, et al. "Uhlalutyo olubanzi lweembambano zembambano ezibuhlungu: ukugula, ukufa nokuphathwa." I- Eur J Cardiothorac Surg . Julayi 2003.
> Ngokukhawuleza, G. "Uvavanyo lweklinikhi olungenangqiqo lweebhande zeembambo zokuphuka ezilula." NguJim Emerg Med . Julayi 1990.