Raug mob hauv siab loj heev? Cia peb tham txog lub hauv siab uas raug nplawm yog dab tsi thiab nws tuaj yeem ua rau tuag taus li cas!

Koj puas xav txog seb qhov xwm txheej yuav phem npaum li cas yog tias koj ob peb tug tav raug tawg, tsis yog ib qho chaw, tab sis tawg ob lossis peb qhov chaw? Qhov ntawd yog qhov mob hnyav heev, mob heev, thiab xwm txheej ceev uas peb yuav tham txog hnub no (Flail Chest) . Qhov no yog ib yam dab tsi uas tuaj yeem ua rau tuag taus. Yog li ntawd, nws yog ib qho tseem ceeb heev rau koj kom paub txog qhov no.

Lub hauv siab Flail yog dab tsi tiag? Muaj dab tsi tshwm sim rau lub hauv siab?

Hais yooj yim xwb, lub hauv siab tawg yog ib qho mob uas peb lossis ntau dua cov tav uas nyob ib sab hauv koj lub hauv siab tawg, lossis tsawg kawg yog ib lub tav tawg rau ob qho chaw. Xav txog tias thaum qhov ntawd tshwm sim, thaj chaw ntawm phab ntsa hauv siab uas cov tav tawg yuav "xoob," txhais tau tias nws poob nws qhov ruaj khov. Nws zoo li ib feem ntawm phab ntsa poob ntawm lub tsev. Qhov no yog qhov ua rau nws nyuaj heev rau ua pa.

Qhov txawv tshaj plaws txog qhov no yog thaum ib tug tav raug tawg zoo li no, qhov ntawm lub hauv siab ntawd txav mus thaum koj ua pa mus rau sab nraud ntawm koj lub hauv siab noj qab haus huv. Ntawd yog, thaum koj ua pa (ua pa), qhov tawg, xoob mus rau hauv. Tab sis thaum koj ua pa tawm (ua pa tawm), qhov ntawd tawm los. Nws zoo li nws ua haujlwm rau sab nraud! Cov kws kho mob hu qhov kev txav tsis zoo no tias "kev txav tsis sib xws" . Qhov no tiv thaiv lub ntsws kom tsis txhob ua pa thiab tso pa tawm kom raug, cuam tshuam tag nrho cov txheej txheem ua pa.

Leej twg raug kev txom nyem tshaj plaws los ntawm tus mob no (Flail Chest)?

Qhov mob txaus ntshai no hu ua Flail Chest yeej tshwm sim los ntawm kev raug mob loj heev . Cia peb saib seb leej twg muaj kev pheej hmoo tshaj plaws:

• Rau cov neeg uas muaj kev sib tsoo loj heev ntawm lub tsheb . Qhov tseeb, qhov no yog qhov ua rau muaj (Flail Chest).
• Kev poob ntawm qhov siab yog ib qho ua rau muaj kev pheej hmoo, tshwj xeeb tshaj yog rau cov neeg laus. Yog tias koj muaj osteoporosis , ib yam kab mob uas ua rau koj cov pob txha tsis muaj zog thaum koj laus, txawm tias kev poob me me tuaj yeem ua rau koj cov tav tawg.
• Muaj ib txhia menyuam yaus kuj muaj feem yuav muaj tus mob no thiab. Piv txwv li, cov menyuam yaus uas muaj cov kab mob ua rau pob txha tsis muaj zog, xws li Osteogenesis Imperfecta (ib yam kab mob caj ces uas ua rau pob txha tawg yooj yim), lossis cov menyuam yaus uas muaj qee yam kab mob metabolic thaum yau, kuj tuaj yeem muaj tus mob no.
• Qee qhov kev tshawb fawb pom tau tias cov txiv neej muaj feem yuav mob no (Flail Chest).

Cov tsos mob ntawm Flail Chest yog dab tsi?

Tam sim no cia peb saib seb cov tsos mob ntawm tus neeg uas muaj tus mob hauv siab flail chest yuav muaj li cas. Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov no:

• Mob hauv siab heev, ua rau ua pa qeeb qeeb thiab tsis tob. Nyuaj heev rau ua pa tob vim hauv siab mob heev.
• Qhov tsis muaj oxygen txaus rau cov nqaij ntawm lub cev. Qhov no hu ua "hypoxia" . Qhov no yog ib qho mob txaus ntshai.
• Daim di ncauj xiav los yog cov ntiv tes xoo xiav (cyanosis). Qhov no tshwm sim thaum lub cev tsis tau txais oxygen txaus. Qhov no yog ib qho cim qhia txog xwm txheej ceev.

Cov kws kho mob kuaj mob Flail Chest li cas?

Cia peb saib seb tus kws kho mob yuav kuaj mob hnyav no hu ua Flail Chest li cas.

Cov kws kho mob feem ntau xav txog qhov no los ntawm kev saib koj ua pa li cas . Qhov "kev txav mus los txawv txawv" uas kuv tau piav qhia ua ntej, uas yog kev txav ntawm qhov tawg ntawm lub hauv siab mus rau sab tod thaum koj ua pa, yog ib yam dab tsi uas tus kws kho mob tuaj yeem pom sab nraud. Thaum koj ua pa tawm, qhov tawg ntawd tawm mus rau pem hauv ntej, thiab thaum koj ua pa nkag, qhov ntawd mus rau sab hauv.

Tus qauv ua pa tsis zoo no yog qhov tseem ceeb tshaj plaws hauv kev txheeb xyuas Flail Chest.

Tsis tas li ntawd xwb, cov kev ntsuam xyuas zoo li no kuj tuaj yeem ua tau:

• Duab X-ray hauv siab: Qhov no tuaj yeem qhia meej meej qhov twg thiab li cas cov tav tau tawg. Txawm li cas los xij, nws tsis tuaj yeem qhia txog kev puas tsuaj rau cov pob txha mos ntawm cov tav. Tsis tas li ntawd, qee zaum cov qhov txhab rau koj lub ntsws tuaj yeem pom ntawm X-ray.
• Muaj tej lub sij hawm, thaum tus kws kho mob maj mam kov koj lub hauv siab, nws yuav hnov ​​​​​​tias koj cov tav tawg thiab tsis ruaj khov hauv thaj chaw ntawd.

Yuav kho tus mob Flail Chest li cas?

Mob hauv siab yog ib yam mob uas yuav ua rau tuag taus thiab yuav tsum tau kho mob thaum muaj xwm txheej ceev. Tom qab nkag mus rau hauv tsev kho mob, feem ntau yuav muab cov kev kho mob hauv qab no:

Kev kho mob yooj yim thiab kev tswj qhov mob

• Thawj qhov koj yuav ua yog muab oxygen rau koj los pab koj ua pa. Koj lub plawv dhia, ntshav siab, thiab cov pa oxygen kuj tseem yuav raug saib xyuas.
• Tom ntej no, kev tswj qhov mob yog qhov tseem ceeb heev. Vim tias yog tias koj ua tsis tau pa zoo vim yog mob hnyav, qhov xwm txheej tuaj yeem hnyav zuj zus. Koj tuaj yeem ua tej yam zoo li no kom txo qhov mob:
• Cov tshuaj txhaj rau hauv cov hlab ntsha (IV).
• Ib qho tshuaj txhaj tshwj xeeb uas muab rau thaj tsam ntawm tus txha nqaj qaum (epidural anesthesia).
• Cov tshuaj txhaj tshuaj loog uas thaiv cov hlab ntsha ntawm cov tav tav ('intercostal pain blocks').
• Qee zaum ntau tshaj ib qho ntawm cov hau kev no siv ua ke.

Ua kom lub ntsws huv si: (Kev Huv Si ntawm Lub Plawv)

Qhov no tseem ceeb heev. Ib qho teeb meem tseem ceeb uas tuaj yeem tshwm sim hauv rooj plaub ntawm (Flail Chest) yog kev loj hlob ntawm mob ntsws . Txhawm rau tiv thaiv qhov no, nws yog ib qho tsim nyog los tiv thaiv kev sib sau ua ke ntawm cov hnoos qeev zoo li hauv lub ntsws. Cov khoom uas tau ua rau qhov no hu ua '(Pulmonary hygiene)'Nws hu ua (ib txoj kev ua kom lub cev ua pa huv si). Nws kuj hu ua '(chav dej hauv lub ntsws)' lossis '(kev kho lub cev hauv siab)'. Nws suav nrog cov hauv qab no:

• Kev Nqus Pa: Muab ib lub raj nyias nyias ntxig rau hauv txoj hlab pa thiab cov hnoos qeev uas tau sib sau ua ke raug nqus tawm.
• Siv ib lub cuab yeej tshwj xeeb los pab txhim kho kev ua pa ('Incentive spirometry'): Qhov no qhia tus neeg mob kom ua pa tob thiab txhim kho lub ntsws zoo.
• Kev kho mob bronchodilator: Cov no tuaj yeem muab ua cov tshuaj nqus pa. Lawv ua rau txoj hlab pa (bronchi) dav dua thiab ua rau ua pa yooj yim dua.
• Kev Saib Xyuas Cov Kua Dej: Yuav kom lub ntsws ua haujlwm tau zoo, qhov ntau ntawm cov kua dej hauv lub cev, tshwj xeeb tshaj yog hauv cov ntshav, yuav tsum nyob rau theem kom raug.
• Tso tus neeg mob kom raug: Qhov no ua rau ua pa yooj yim dua thiab tuaj yeem txo qhov mob.

Kev pab ua pa thiab phais

• Tej zaum yuav muaj ib txhia neeg mob uas tau txais lub tshuab hu ua "CPAP - Continuous Positive Airway Pressure" los pab lawv ua pa. Los yog tej zaum yuav tau txais cov pa oxygen ntxiv rau lawv.
• Tej zaum koj yuav tsum tau txuas nrog lub tshuab tshwj xeeb (lub 'mechanical ventilator') los pab koj ua pa , tej zaum li ob peb hnub lossis ob peb lub lis piam, kom txog thaum koj cov qhov txhab zoo.
• Qee zaum mob hnyav heev, yuav tsum tau phais kom tiv thaiv tau cov teeb meem xws li mob ntsws, txo qhov nyob hauv tsev kho mob, thiab tej zaum yuav tiv thaiv tau kev tuag. Cov txheej txheem no hu ua kev phais kho tav . Qhov no suav nrog kev cog cov khoom siv, xws li cov phaj thiab cov ntsia hlau, ua los ntawm cov hlau xws li titanium, rau hauv lub hauv siab kom ruaj khov cov tav tawg.

Lub sijhawm rov zoo li cas?

Nws yuav siv sijhawm ntau lub hlis los kho kom zoo los ntawm qhov mob hnyav no hu ua Flail Chest. Vim tias qhov no yog los ntawm qhov xwm txheej loj, cov pob txha tav no yuav tsum tau kho nrog rau lwm cov kev raug mob los ntawm qhov xwm txheej ntawd.

Tej zaum koj yuav tau nyob hauv tsev kho mob, tej zaum nyob hauv Chav Saib Xyuas Mob Hnyav (ICU) ob peb hnub lossis ntev dua. Yog tias koj tau phais mob tav uas kuv tau hais ua ntej, qee qhov kev tshawb fawb tau qhia tias lub sijhawm ntev npaum li cas koj nyob hauv tsev kho mob thiab lub sijhawm ntev npaum li cas koj nyob hauv ICU yuav raug txo kom tsawg dua.

Txawm tias koj rov qab los tsev los ntawm tsev kho mob los xij, koj yuav muaj teeb meem ua pa ib ntus. Yog li ntawd , koj yuav tsum ua cov kev tawm dag zog ua pa uas koj cov kws kho mob thiab cov kws kho lub cev qhia koj, thiab ua kom raug.

Piv txwv li:

• Ua pa qeeb qeeb nrog daim di ncauj zawm (ua pa daim di ncauj zawm).
• Ua pa tob tob los ntawm lub plab (`diaphragmatic (plab) ua pa`).
• Koj kuj tseem yuav tsum xyaum tswj kev hnoos kom txo tau qhov sib sau ua ke ntawm cov hnoos qeev hauv lub ntsws.

Puas txo tau qhov kev pheej hmoo ntawm kev raug mob hauv siab?

Yog, rau qee qhov. Flail Chest yog tshwm sim los ntawm kev raug mob hnyav, yog li txo qhov kev pheej hmoo ntawm kev raug mob zoo li no tuaj yeem txo qhov kev pheej hmoo ntawm tus mob no.

• Tsav tsheb kom muaj kev nyab xeeb tas li. Tsis txhob tsav tsheb sai dhau yam tsis tsim nyog, thiab ib txwm hnav koj txoj siv sia.
• Yog koj laus lawm los yog koj muaj feem yuav ntog, ceev faj txawm tias nyob hauv tsev los xij. Khaws koj cov plag tsev kom tsis txhob muaj cov khoom nplua thiab cov teeb meem. Xyuas kom muaj teeb pom kev zoo txaus. Yog tias koj xav tau cov khoom pab taug kev, xws li lub cuab yeej taug kev lossis tus pas nrig, siv nws yam tsis muaj kev yig.

Puas yog lub hauv siab flail thiab pneumothorax zoo ib yam?

Tsis yog. Flail Chest thiab Pneumothorax (lub ntsws tawg) yog ob yam sib txawv.

Mob ntsws (pneumothorax) yog thaum cua sib sau ua ke hauv qhov chaw pleural ntawm phab ntsa hauv siab thiab lub ntsws es tsis nkag mus rau hauv lub ntsws. Txawm li cas los xij, qhov teeb meem loj ntawm lub hauv siab yog mob ntsws (pneumothorax), uas tuaj yeem tshwm sim yog tias ib daim tav tawg nkag mus rau hauv lub ntsws.

Flail Chest loj npaum li cas?

Qhov no yog ib yam uas koj yuav tsum nco ntsoov: Flail Chest yog ib qho xwm txheej ceev heev uas ua rau tuag taus. Nws yuav tsum tsis txhob kho nws hauv tsev. Nws yuav tsum tau kho tam sim ntawd los ntawm tsev kho mob.

Vim qhov no yog qhov tshwm sim ntawm qhov xwm txheej loj heev, yog tias koj muaj tus mob hu ua Flail Chest, nws yuav siv sijhawm ntev heev kom rov zoo. Koj yuav tsum nyob hauv tsev kho mob ntev heev. Tej zaum koj yuav siv lub tshuab ua pa rau ob peb hnub. Txawm tias tom qab koj pib zoo lawm los xij, koj yuav tsum ua cov kev tawm dag zog ua pa thiab kev kho lub cev raws li koj tus kws kho mob tau hais.

Thaum kawg, tej yam koj yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li ntawd, kuv xav tias koj tau nkag siab qee cov ntsiab lus tseem ceeb los ntawm qhov peb tau tham txog (Flail Chest). Thaum kawg, ntawm no yog qhov kuv yuav tsum hais:

• Lub hauv siab tsis yog ib yam uas yuav tsum tau saib yooj yim. Nws yog ib qho xwm txheej ceev loj heev thiab txaus ntshai rau lub neej.
• Qhov laj thawj tseem ceeb rau qhov no yog xwm txheej loj heev, tshwj xeeb yog xwm txheej tsheb thiab kev poob ntawm qhov siab.
• Qhov tseem ceeb thiab tshwj xeeb tshaj plaws ntawm qhov no yog kev txav ntawm ib feem ntawm lub hauv siab mus rau sab tod thaum ua pa ('kev txav mus los txawv txawv') . Nrog rau qhov no, mob hnyav thiab ua pa nyuaj tshwm sim.
• Yog tias koj muaj cov tsos mob zoo li no, lossis yog tias koj tau raug xwm txheej loj heev, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob tam sim ntawd.Tsis txhob nkim sijhawm.
• Yuav siv sijhawm kom rov zoo tag nrho, thiab txawm tias tom qab koj tawm hauv tsev kho mob lawm los xij, koj yuav tsum ua raws li cov lus qhia kho mob thiab ua cov kev tawm dag zog ua pa.
• Sim tiv thaiv koj tus kheej ntawm qhov xwm txheej ntau li ntau tau thiab txo qhov kev pheej hmoo ntawm cov xwm txheej zoo li no tshwm sim .

Yog koj lossis ib tug neeg koj paub muaj cov tsos mob no, lossis yog koj xav tias koj tau raug xwm txheej loj heev, qhov zoo tshaj plaws uas koj ua tau yog mus rau tsev kho mob ze tshaj plaws tam sim ntawd thiab nrhiav kev pab kho mob. Nws tuaj yeem cawm tau ib tug neeg txoj sia!

Lub hauv siab tawg, Pob txha tav tawg, Phab ntsa hauv siab tsis ruaj khov, Ua pa tsis taus, Xwm txheej, Raug mob hauv siab, Ua pa nyuaj