Isifuba se-Flail sibhekiselele ekuphambeni okukhulu kobugqwetha bentambo yomlambo ukusuka ngaphaya kweyodwa edibeneyo iimbambo eziphukile eziphukileyo kwindawo enye. Esikhundleni sokubambelela ngokuqinileyo isimo esifanelekileyo sesifuba, isifuba se-flail siphumela kwisigxina sobundu lwebhokisi esifubeni emva kokuhamba ngaphaya kolunye udonga lwesifuba.
I-flailing ibizwa ngokuba yi- paradoxical movement .
Xa isigulane sithengisa kwaye sonke isifuba sanda, i-flail ingxenye iya kuphuma ngaphakathi. Ngakolunye uhlangothi, xa isiguli sigxotha kunye nezinye iikontraki zesifuba, inxalenye yecala iya kuphuma ngaphandle.
Le yingozi eyingozi efuna unyango lwezonyango. Ukuba ingakhange iphathwe ngokukhawuleza, isifuba se-flail singakhokelela kumaphaphu aphelile (i- pneumothorax ) okanye igazi elijikeleze intliziyo (tamponade yenhliziyo). I-Flail esifubeni kunye neentshukumo zomzimba, ngokuqhelekileyo, ziqhelekileyo kwizigulane ezisebekhulile kunezigulane ezincinci. Qaphela kakhulu xa uvavanya izigulane eziguleyo eziye zawa okanye zenzakalise izikhuni zazo.
Ukuphatha i-Flail Chest
- Hlala Ukhuselekileyo . Ukuba awuyena isigulane, qhelisa ukukhusela kunye neenqwelo zokukhusela xa ukhona. Qiniseka ukuba nayiphi na eyenza ukulimala kwisigulane akusisongelo.
- Ifowuni 911 . Ukuba umqhubi we-911 unikezela imiyalelo, landela loo myalelo kwaye uyigatya yonke le phepha. Ukuba i-911 ayifumanekanga, fumana isigulane kuncedo lwezonyango olukhawulezileyo ngokukhawuleza.
- Ukuzinzisa isifuba se-flail . Sebenzisa umlambo ukubeka uxinzelelo kwicandelo le-flail. Ukubamba inxalenye ye-flail kwindawo ehlala kuyo kuyigcina ekuhambeni kolunye uhlangothi njenge-muscle ne-bone. Ukuba ayihambeli, ayiyi kubangela umonakalo entliziyweni, kwimiphunga kunye nezicubu ezungezile.
- Ukuba umlotha awunakuthola, phantse nantoni na oya kuyenza ukuzinzisa isifuba. Ukuqhawula ibhatyi okanye ingubo. Ukuba akukho nto ayifumanekanga, ubuncinane isigulane silale kwicala elichaphazelekayo esifubeni ukuze lidikibise ekuhambeni.
- Kungakhathaliseki ukuba isifo esifubeni siyaphathwa njani siya kuphazamiseka, mhlawumbi sibi ngaphezu kwanantoni na isigulane esiye sahlangana nayo. Ngaphandle kweyeza zokunciphisa intlungu akuyi kwenza oku kukhulu kule nqanaba yeentlungu kunye neengxaki zokuguqula ezinamandla kunengcamango enokuthi uncedo lwezonyango olungxamisekileyo lufumaneka ukubonelela uluhlu olupheleleyo lwezonyango zonyango. Ungalokothi uthathe-okanye unike omnye isigulane - imithi yomyalelo womnye umntu.
- Njalo qiniseka ukuba izigulane ezinefestile zifika kwonyango olunyango. Ukungaphumeleli ukubonelela ngonyango olufanelekileyo kwi-flail esifubeni kungakhokelela kwiphemonia kunye nezinye iziganeko ezisongela ubomi.
Imithombo:
> Balas MC, Casey CM, Happ MB. Uvavanyo olupheleleyo kunye nolawulo olugula kakhulu. Ku: i-Boltz M, iCapezuti E, i-Fulmer T, i-Zwicker D, umhleli (s). Iiprogram zokuncedisa abahlengikazi ezisekelwe kwiingqinisiso zokufundisa. Wesi-4 . I-New York (NY): Inkampani ye-Springer Publishing; 2012. iphe. 600-27.
UHenry, uMark C., no-Edward R. Stapleton. Uncedo lwe-EMT Prehospital . Umhla we-3. 2004. UMosby / Jems
Pettiford, BL, JD Luketich kunye noRJ Landreneau. "Ulawulo lwesifuba se-flail." Clinic Thorac Surgery . 2007 Feb; 17 (1): 25-33