Ukulimala kweebhere kunobungozi obonakala kwindonga yesifuba. Isizathu esiqhelekileyo sokuqhaqha umbhobho kukulimala kabuhlungu kwisifuba sokuwa, ukushayiswa kwemoto, okanye ukulimala komzimba. Eyona nto iyinto eqhelekileyo, i- rib stress overraction , ukulimala ngezinye iziphumo ngenxa yemidlalo ethile efana nokuthungana.
Ukuqhaqha kweebhere akufuneki ukuba kungenelelo oluthile okanye unyango, kodwa lunokuba ngumqondiso wokulimala kakhulu kwizitho zesifuba nesisu.
Naluphi na umonakalo onamandla okwenza umbhobho uphuke kumntu onesifo esiqhelekileyo seethambo, kufuneka uqaphele ugqirha wakho ukuqinisekisa ukuba akukho nzakalo kwezinye izakhiwo zesifuba nesisu.
Kukho imeko apho ukuphulwa kombhobho kungabikho ngaphandle kokusetyenziswa kakubi okanye ukuxhatshazwa. Ezi nzakala zibizwa ngokuba yi- pathologic fractures , kwaye zenzeka xa ithambo libuthathaka kuze kube yinto apho ingakwazi ukuphazamiseka okanye ingabi nantlungu. Isizathu esivakalayo sokuphazamiseka kombhobho we-pathologic kubangabantu abanesisindo samathambo, okanye i- osteoporosis . Ezinye izizathu zethambo elibuthathaka elikhokelela ekuqhekekeni kwe-pathologic lingabandakanya izifo, izigulane kunye nezinye iimeko ezonakalisa amathambo.
Iimpawu eziqhelekileyo
Uphawu oluqhelekileyo lwembambo oluphukile lubuhlungu. Intlungu isoloko iphosakeleyo xa ithatha umoya ophefumlelweyo, okanye ezinye izinto ezinokuzulazula zesifuba ezifana nokukrazula okanye ukukhwehlela. Izigulana ziza kubhala isikhalazo ngokuthe ngqo kwi-bone bundu, kwaye kwezinye izigulane, ukuphuka kungabonakala ngathi kukho iincinci ezincinci phakathi kwesikhumba kunye namathambo.
Xa kunobungozi obunzima, ukubola kwindonga yesifuba kungabonwa, kwaye xa kukho izibambo ezininzi eziqhekekileyo kwiindawo ezininzi (imeko ebizwa ngokuthi 'i-flail chest'), ukunyakaza kwedonga lomfuba kungavumelekanga ngokuphefumula (ukunyakaza kwesifuba).
Unyango lweRib Fractures
Unyango oluqhelekileyo unyango oluqhekekileyo luyinkxaso yokuxhasa.
Ngenxa yokuba udonga lwesifuba lufuna ukunyusa ukuba uphefumle, akukho ndlela yokukhupha isifuba. Iipilisi zentlungu zinokukunceda ukunciphisa ubunzima, kodwa ukuphumla, ukuphefumla okungapheliyo, kunye nexesha zodwa iindlela zokuphatha kakuhle intambo.
Njengoko kukhankanywe ngaphambili, ukulimala kwezinye izakhiwo kwisifuba nesisu ngokuqhelekileyo kuthatha phambili ngaphezu kwembambo. Umbhobho oqhekekileyo ungabangela ukulimala ngokukhokelela ekugqibeleni imiphunga ebangela i- hemothorax okanye i- pneumothorax . Ukongezelela, kuba abantu abanomphunga ophukileyo abafaki ukuphefumula okukhulu, banokuvelisa i- pneumonia kunye ne- atelectasis .
Utyando loPhando
Iindaba ezilungileyo kukuba utyando oluthile lunqabile ukuba lugqithwe ekwenzeni unyango lwembambo. Izizathu ezibini eziqhelekileyo zokufuna ukuhlinzwa kuthiwa sisifuba okanye isalathisi sentonga yesifuba. Kule meko engavamile, ukulungiswa kocando lwembambo ophukileyo kungacingwa. Izimpembelelo eziqhelekileyo ezisetyenziselwa ukuphatha iimbambo eziphukile ziquka iiplati zetsimbi , iintonga ze-intramedullary , kunye namacwecwe e-bioabsorbable. Umngeni ekutyunjeni kukuba akukho ndlela yokukhupha izimbambo, kukho ukuthambekela kwezimpembelelo ukukhulula ixesha elide. Uphando luqwalaselwa kuphela kwiimeko ezichanekileyo neziqhelekanga.
Prognosis
Ukuphulwa kweembambo ezisezantsi kwiigulane ezincinci zineempembelelo ezintle zokuphilisa ngokupheleleyo. Kwizigulane ezisebekhulile kunye nezigulane ezineentlungu ezinkulu zesifuba somfuba, kukho ithuba eliphezulu lokuphuhliswa kweengxaki ezinxulumene nazo, ngokuthe ngqo iingxaki zamapulmoni. Ugxininiso lwonyango lweentambo zomzimba luzama ukunciphisa ithuba leengxaki ezibangelwa.
Imithombo:
I-Fowler TT, et al. "Ukunyangwa koPhando lwe-Flail Chest ne-Rib Fractures" I-J Am Acad Orthop Surg kuDisemba 2014 i-vol. 22 no. 12 751-760