Yintoni ongayenza ukuze uqhube umbhobho?
Ukuqhaqha kweebhande kungabangela ubuhlungu kakhulu kwaye kuphazamisekile kuba kungekho nonyango oluthile kubo ngaphandle kweentlungu kunye nexesha lokuphilisa. Ngentambo yokuqhekeka, intlungu yomlenze inganyanyiswa yiminyanya encinane: ukuphefumla, ukukhwehlela nokuhamba komzimba ophezulu.
Kwimeko yesibhedlele, iimbambo zomfutho ziyintlobo eqhelekileyo yokulimala okubangelwa yintlungu yesifuba.
Ngaphezu koko, izibambo zentambo zihlangene ngokubanzi kunye nempilo yonke kunye nobungozi bokufa. Ngamanye amagama, umntu ogcina ukulimala kanobom kwaye unezimbambo ezininzi eziphukileyo zikwingozi enkulu yokufa.
Sonke sinamaqoqo ayi-12 eembambo. Iimbambo zokuqala ezintathu zilukhuni ukuphula kwaye ngokuqhelekileyo ziqhekeka kuphela emva kokuphazamiseka kwamandla amakhulu (umzekelo, ukuqhuma kwemoto). Ezinye iimbambo ezithoba zilula ukuphula kunye neengxelo zecala, kunye nezimbambo eziphakathi zivame ukuphulwa. Ezinye izizathu eziqhelekileyo zokubambisa iimbambo ziyawa, ukulimala okunxulumene nemidlalo (umz., Ibhola lebhola okanye ukunqumla i-skiing), izingozi zemoto, ukuhlaselwa nokukhwehlela okukhulu (esebekhulile).
Ukufikelela kwisiqingatha sazo zonke izibambo zomlambo zenzeke phambili (yangaphakathi) kunye necala (emacaleni) kunye ne-cage cage kwaye ayibonakali kwi-X-ray. Ngaphezu koko, kunzima ukubona iinguqu ze-X zecala ukuya kumbhobho ukuphuka iintsuku ezimbalwa zokuqala emva kokulimala. Ekugqibeleni, umonakalo we-cartilage unokungabonakali kwi-X-ray.
I-ultrasound ikhulayo njengesixhobo sokuxilonga ukujonga iifubhu zomrhobhe, kubandakanywa iziqhekeza kwi-cartilage
Ngaphakathi, ngokwaso, intambo yomlambo ibuhlungu kodwa ayiyikusongela ubomi. Nangona kunjalo, izibambo zentambo zihlala zixhomekeke nakwezinye iintlobo zokulimala okungakumbi. Ngeentambo zentambo, oogqirha banokukrokra oku kulandelayo:
- Umoya kunye negazi kwindawo yomphunga (oko kukuthi, i-hemopneumothorax)
- Ukulimala kwe-Vascular (iinqanawa ezinkulu ze-thoracic ziquka umzobo we-subclavia kunye nemithanjeni, umzobo ongasenyakatho kunye nemithanjeni, kunye ne-artery carotid efanayo)
- Ukulimala kwesisu
- Umngcipheko wepulmonary
- Ukulimala kwi-airway (iindwangu ze-bronchial)
Ukuba ugqirha uyalindela i-pneumothorax, iifilimi ezithe tye okanye eziphefumlelweyo ziya kulandiswa, zeziphi iintlobo ze-X-ray. Ukongezelela, xa kukho ingozi enkulu okanye ukuba izibambo zitshintshwe, ugqirha unokuyalela umzobo wefestile.
Intlungu yomlambo ophukayo yenza kube nzima ukuphefumula kwaye kunokuba negalelo kwi- atelectasis . I-Atelectasis ichazwa njengokwehla okanye ukuphela kokuphela kompu. Ngokukodwa, xa isigulane sibhekene nentlungu ebuhlungu, iphefumula ngokunyanisekileyo, i-hypoventilating the lungs; le ntshukumo ye-hypoventilation iphumela kwi-atelactasis. Ukuqhaqha kweebhande kwenza kube nzima nakakhulu ukucima umntu ngaphandle kwenkxaso yomoya.
Izigulane ezibhedlele zizibhedlele ezibangelwa yimfucu yeembambo zingayifumana ibhodlo le-nerve nge-anesthetic ende ende efana ne-bupivacaine. Olu luhlobo lwe-anesthetic elide luhlala ixesha eli-12. Ngamanye amaxesha, i-epidural iyakunikwa ukuyeka intlungu, ingakumbi kwimeko yexinzelelo esifubeni.
Uninzi lweentambo zomfutho, nangona kunjalo, aluphilwanga kunye nokusetyenziswa ngqo kwe-anesthetics.
Ukongezelela, iimbambo zomzimba zingaphathwa kakubi kwindonga yesifuba kunye nokubophezeleka (oku kunokubangela ukuba i-pneumonia okanye i-atelectasis). Esikhundleni saloo ndawo, i-rib fractures iphathwa ngokuhlanganiswa kwe-benzodiazepines, i-opioids, kunye ne-NSAID (iziyobisi ezifana ne-Advil). Ngokuphawulekayo, i-benzodiazepines kunye ne-opioids banakho ukusetyenziswa gadalala, kwaye ukusetyenziswa kwabo kufuneka kusetyenziswe njengoko kunqunywe ngokungapheli ixesha lokugula okanye ukulimala.
Ukuba wena okanye othandekayo unobungozi obangela ukuba intambo ibhubhe ngaphandle kwesibhedlele, kukho ithuba lokuba ugqirha wakho angakwazi ukufumana i-X-ray.
Esikhundleni saloo nto, intlungu kwiimbambo ezichaphazelekayo ingaba yodwa uphawu lokulimala.
Ukunyanga okuphambene nokugqithiswa kwembambo ngokuqhelekileyo kubandakanya ukusetyenziswa kweepakethi zeqhankqalazo kunye nemithi yokugulisa imilenze kunye nokuphefumula. Kubalulekile ukuba uhlale usasebenza xa ufumana ukuphuka kombhobho. Ukubuyisela kungathatha iiveki ezintandathu.
Nangona kungekho nonyango oluthile lolwaphulo lwembambo, ukuba uyakrokreka ukuba uncedile, yinto efanelekileyo yokubona ugqirha. Udokotela unokuncedisa intlungu kwaye akuhlolisise ezinye iintlungu okanye ukulimala. Ngaphezu koko, ugqirha unokukunikezela unyango lwamachiza okwenzakalo. Nceda ukhumbule ukuba xa unyango oluchanekileyo, nceda uthabathe ngqo njengoko lichazwe. Amanye amachiza anikezelwe umonakalo wokuphuka-opioids kunye ne-benzodiazepines-anokusetyenziswa kakubi xa kuthathwa ngokungalunganga okanye ngaphezulu.
Imithombo:
Brunett PH, i-Yarris LM, iCevik A. Isahluko 258. I-Traum Trauma. Ku: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. I-Tintinalli Yonyango Elijongene Nezimo Eziphuthumayo: Isikhokelo Sokufunda Esipheleleyo, 7e . New York, NY: McGraw-Hill; 2011.