Wan siriɔs injuri na in chɛst? Lɛ wi tɔk bɔt wetin na flayl chɛst ɛn aw i kin mek pɔsin in layf de pan denja!

Yu kin imajin aw bad bad tin go apin if sɔm pan yu rib dɛn brok, nɔto wan ples, bɔt na tu ɔ tri ples? Dat na di rili siriɔs, rili pen, ɛn imejensi mɛdikal kɔndishɔn we wi go tɔk bɔt tide (Flail Chest) . Dis na rili sɔntin we kin rili mek pɔsin in layf de pan denja. So, i rili impɔtant fɔ mek yu no bɔt dis.

Wetin na Flail Chɛst rili? Wetin kin apin to di chɛst?

Fɔ tɔk am simpul wan, flayl chɛst na tin we tri ɔ mɔ rib dɛn we de nia yu chɛst brok, ɔ at le wan rib brok na tu ples. imajin se we dat apin, di εria na di chεst wכl usay di rib dεm brok de bi "lכs," we min se i de lכs in stεbiliti. I tan lɛk se wan pat pan di wɔl we de fɔdɔm pan bildin. Dis na wetin kin mek i nɔ izi fɔ blo wantɛm wantɛm.

Di tin we nɔ kɔmɔn pas ɔl bɔt dis na dat we wan rib brok lɛk dis, da pat de na di chɛst de muf we yu de blo di ɔpɔzit we to di ɔda pat na yu chɛst we gɛt wɛlbɔdi. Dat min se we yu blo insay (inhale), di pat we brok, we dɔn lɔs de go insay Bɔt we yu blo (exhale), da pat de de stik aut. I tan lɛk se i de wok di ɔda we! dכkta dεn kכl dis abnכmal muvmεnt ``paradoksal muvmεnt'' . dis de mek di lכng dεm nכ de inhal εn pul di briz fayn fayn wan, we de ambɔg di כl brith prכsεs.

Udat dɛn kin afɛkt mɔ pan dis sik (Flail Chest)?

Dis denja sik we dɛn kɔl Flail Chest kin rili apin bikɔs ɔf wan big trauma . Lɛ wi si udat de pan denja pas ɔl:

• Fɔ di wan dɛn we gɛt siriɔs motoka aksidɛnt . Infakt, dis na di men tin we kin mek pɔsin gɛt (Flail Chest).
• Fɔdɔm frɔm ayt na tin we kin mek pɔsin gɛt prɔblɛm, mɔ fɔ di wan dɛn we dɔn ol. If yu gɛt ɔstioporosis , we na wan sik we kin mek yu bon dɛn wik as yu de ol, ivin we yu fɔdɔm smɔl, i kin brok yu rib dɛn.
• Sɔm pikin dɛnsɛf kin de pan denja. Fɔ ɛgzampul, pikin dɛn we gɛt sik dɛn we kin mek dɛn bon wik, lɛk Osteogenesis Imperfecta (wan sik we de mek dɛn bon dɛn brok izi wan), ɔ pikin dɛn we gɛt sɔm sik dɛn we kin mek dɛn bɔdi wok we dɛn smɔl, kin gɛt dis sik bak.
• Sɔm stɔdi dɔn sho se man dɛn kin gɛt dis sik smɔl smɔl (Flail Chest).

Wetin na di sayn dɛm fɔ Flail Chɛst?

Naw lɛ wi si us sayn dɛm pɔrsin wae gɛt flay chɛst kɔndishɔn kin sho. I rili impɔtant fɔ no dɛn tin ya:

• Wan pen we rili bad na di chɛst, we kin mek pɔsin blo sloslo ɛn shalo. I rili at fɔ blo dip bikɔs di chɛst de at bad bad wan.
• Di nɔ gɛt bɛtɛ ɔksijɛn to di bɔdi in tisu dɛn. dis na mεdikal dεn kכl am ``haypoksia'' . Dis na tin we de mek pɔsin denja.
• Blu lip ɔ finga tip (cyanosis). Dis kin apin we di bɔdi nɔ de gɛt inof ɔksijɛn. Dis na sayn fɔ se ɛnitin apin we nɔ izi fɔ du.

Aw dɔktɔ dɛn kin no if pɔsin gɛt Flail Chɛst?

Lɛ wi si aw dɔktɔ kin kɔrɛkt wan fɔ no dis siriɔs sik we dɛn kɔl Flail Chest.

Dɔktɔ dɛn kin sɔprayz dis mɔ bay we dɛn de wach aw yu de blo . di ``paradoxical movement'' we a bin diskraib bifo, we na di muvmεnt we di brok pat pan di chεst de muv to di כda say we yu de brith, na sכmtin we di dכkta kin si na do. We yu blo, da pat de we brok de kɔmɔt bifo, ɛn we yu blo insay, da pat de go insay.

dis abnכmal brith patεn na di men tin we de mek yu no di Flail Chεst.

Apat frɔm dat, dɛn kin du tɛst dɛn lɛk dɛn wan ya bak:

• Chɛst X-ray: Dis kin sho klia wan usay ɛn aw di rib dɛn brok. Bɔt i nɔ kin sho se di katilej bitwin di rib dɛn dɔn pwɛl. Dɔn bak, sɔntɛnde, yu kin no if yu lɔng dɛn gɛt brus pan ɛkstrem rayt.
• Sɔntɛnde, we di dɔktɔ tɔch yu chɛst saful wan , i kin fil se yu rib dɛn dɔn brok ɛn i nɔ kin tinap tranga wan na da say de.

Aw dɛn kin trit Flail Chɛst?

Flail Chest na wan sik wae de mek yu layf de pan denja wae yu nid fɔ trit yu kwik kwik wan. Afta dɛn admit yu na ɔspitul, dɛn kin gi dɛn tritmɛnt ya:

Besik tritmɛnt ɛn kɔntrol di pen

• Di fɔs tin we yu go du na fɔ gi yu ɔksijɛn fɔ ɛp yu fɔ blo. Dɛn go wach yu at rit, blɔd prɛshɔn, ɛn ɔksijɛn lɛvɛl bak.
• Neks, fɔ kɔntrol di pen rili impɔtant. Bikɔs if yu nɔ ebul fɔ blo fayn bikɔs ɔf bad bad pen, di tin kin wɔs. Yu kin du tin dɛn lɛk dis fɔ mek yu nɔ fil pen:
• Medikeshɔn dɛn we dɛn kin put insay di bɛlɛ (IV).
• wan spεshal injεkshכn we dεn gi di spεnal εria (epidural anesthesia).
• injεkshכn dεm we de kil pen we de blכk di nεv dεm bitwin di rib dεm (`intakostal pen blכk`).
• Sɔntɛnde, dɛn kin yuz pas wan pan dɛn we ya togɛda.

Fɔ kip di lɔng dɛn klin: (Pulmonary Hygiene) .

Dis rili impɔtant. Wan pan di men kɔmplikeshɔn dɛm we kin apin pan di kes fɔ (Flail Chest) na di divɛlɔpmɛnt fɔ nyumonia . fכ mek dis nכ apin, i nid fכ stכp di akyumulεshכn fכ di mכkus lεk sekreshכn dεm na di lכng dεm. di tin dεm we dεn kin du fכ dis dεn kכl dεm `(Pulmonary hygiene)`dεn kכl am (wan we fכ kip di rεspiretכri sistεm klin). Dɛn kin kɔl am bak `(pulmonary toilet)` ɔ `(chɛst fisiotɛrapi)`. I gɛt dɛn tin ya:

• sכkshכn: dεn de put wan tin tכb insay di aywe εn dεn de sok di mכkus we dεn kכlכp kכmכt.
• Yuz spɛshal divays fɔ ɛp fɔ mek yu brith fayn (`Incentive spirometry`): Dis de tren di sikman fɔ brith dip ɛn divɛlɔp di lɔng dɛn fayn fayn wan.
• Bronchodilator therapy: Dɛn kin gi dɛn tin ya as mɛrɛsin we dɛn kin inhal. Dɛn kin mek di say dɛn we di briz de blo (bronchi) big ɛn mek i izi fɔ blo.
• fכ mכnitor di wata: fכ di lכng dεm fכ wok fayn fayn wan, di כmכnt fכ wata na di bכdi, spεshal wan na di bכdi, fכ de na di rayt lεvεl.
• Fɔ put di pɔsin fayn fayn wan: Dis kin mek i izi fɔ blo ɛn i kin mek i nɔ fil pen.

Ɛp fɔ blo ɛn ɔpreshɔn

• Sɔm sik pipul dɛn kin gi dɛn wan mashin we dɛn kɔl ``CPAP - Continuous Positive Airway Pressure'' fɔ ɛp dɛn fɔ blo. Ɔ dɛn kin gi dɛn ɔda ɔksijɛn.
• Yu kin nid fɔ kɔnɛkt to spɛshal mashin (wan `mɛkanikal ventilatɔ`) fɔ ɛp yu fɔ blo , sɔntɛm fɔ sɔm dez ɔ wik, te yu wund dɛn wɛl.
• Sɔntɛnde, dɛn kin nid fɔ du ɔpreshɔn fɔ mek dɛn nɔ gɛt prɔblɛm dɛn lɛk nyumonia, fɔ mek dɛn nɔ de na ɔspitul smɔl, ɛn sɔntɛm dɛn kin ivin mek dɛn nɔ day. Dɛn kɔl dis we aw dɛn kin du am ɔspitul rib fikseshɔn . Dis kin min fɔ put tin dɛn lɛk plet ɛn skru, we dɛn mek wit mɛtal lɛk taytaniɔm, insay di chɛst fɔ mek di rib dɛn we dɔn brok stebul.

Aw na di tɛm fɔ wɛl?

I kin tek sɔm mɔnt fɔ mek yu wɛl gud gud wan frɔm dis siriɔs sik we dɛn kɔl Flail Chest. Bikɔs dis kin apin bikɔs ɔf siriɔs aksidɛnt, dɛn rib fraktrɔs ya nid fɔ wɛl wit di ɔda injuri dɛn we dɛn gɛt frɔm da aksidɛnt de.

Yu kin nid fɔ de na ɔspitul, sɔntɛm na di Intensiv Keya Yunit (ICU) fɔ sɔm dez ɔ mɔ. If yu gɛt di ɔspitul rib fikseshɔn we a bin dɔn tɔk bɔt, sɔm stɔdi dɛn dɔn sho se di lɔng tɛm we yu de na ɔspitul ɛn di lɔng tɛm we yu de na di ICU kin ridyus.

Ivin afta yu dɔn kam bak na os frɔm ɔspitul, yu kin gɛt sɔm prɔblɛm dɛn fɔ blo fɔ sɔm tɛm. So , yu fɔ kɔntinyu fɔ du di ɛksesaiz dɛn fɔ blo we yu dɔktɔ ɛn fisiotɛrapist dɛn de tich yu, ɛn du dɛn kɔrɛkt wan.

Fɔ ɛgzampul:

• Fɔ blo sloslo wit pursed lips (pursed lip breathing).
• dip brith frכm di bεlε (`diaphragmatic (bεlε) brith`).
• Yu nid fɔ praktis bak di we dɛn we yu kin kɔntrol fɔ kɔf fɔ mek yu nɔ gɛt bɔku bɔku mכkus na di lכng.

Yu tink se yu kin ridyus di risk fɔ mek yu gɛt flay chɛst?

Yɛs, te to sɔm mak. Flail Chɛst kin kam bikɔs ɔf siriɔs trauma, so fɔ ridyus di risk fɔ dɛn kayn injury ya kin ridyus di risk fɔ dis kɔndishɔn.

• Ɔltɛm, yu fɔ drayv sef wan. Nɔ drayv fast we yu nɔ nid, ɛn wɛr yu sit bɛlt ɔltɛm.
• If yu dɔn ol ɔ yu de pan denja fɔ fɔdɔm, tek tɛm ivin na os. Kip yu flo fri frɔm tin dɛn we slipul ɛn tin dɛn we de ambɔg yu. Mek shɔ se layt de fayn fayn wan. If yu nid tin fɔ ɛp yu fɔ waka, lɛk pɔsin we de waka ɔ stik, yuz am ɛn nɔ shem.

Flail chɛst ɛn nyumothorax na di sem tin?

Nɔ, Flail Chɛst ɛn Nyumotɔraks (lɔng we dɔn fɔdɔm) na tu difrɛn tin dɛn.

nyumothorax na we di briz de kכlekt na di pleura spεs bitwin di chεst wכl εn di lכng insted fכ go insay di lכng. כltu, wan siriכs komplikashכn fכ flail chεst na nyumothorax, we kin apin if wan pat pan di rib we brok lod insay di lכng.

Aw siriɔs Flail Chɛst de?

Dis na sɔntin we yu fɔ mɛmba: Flail Chest na wan rili siriɔs, layf-threating mɛdikal imejensi. Dɛn nɔ fɔ ɛva trit am na os. Na ɔspitul fɔ trit am wantɛm wantɛm.

Bikɔs dis na bikɔs ɔf siriɔs aksidɛnt, if yu gɛt wan sik we dɛn kɔl Flail Chest, i go tek lɔng tɛm fɔ mek i wɛl. Yu go gɛt fɔ de na di ɔspitul fɔ lɔng tɛm. Yu kin ivin de na ventilator fɔ sɔm dez. Ivin afta yu bigin fɔ wɛl, yu go gɛt fɔ kɔntinyu fɔ du ɛksɛsayz fɔ blo ɛn fɔ du fizik tritmɛnt lɛk aw yu dɔktɔ tɛl yu fɔ du.

Fɔ dɔn, tin dɛn we yu nid fɔ mɛmba (Take-Home Message) .

Okay, so, a tink se yu don andastan sohm impohtant pohint from wetin wi don tok boht (Flail Chest). Fɔ dɔn, na dis a gɛt fɔ tɔk:

• Flail Chest nɔto sɔntin we pɔsin fɔ tek am layt. Na siriɔs imejensi we kin mek pɔsin in layf de pan denja.
• Di men rizin fɔ dis na siriɔs aksidɛnt, mɔ motoka aksidɛnt ɛn fɔdɔm frɔm ayt.
• di men εn difrεnt fכ dis na di muvmεnt fכ pat pan di chεst to di כda say we yu de brith (`paradoxical movement`) . Along wit dis, bad bad pen ɛn i nɔ kin izi fɔ blo.
• If yu gɛt sayn dɛn lɛk dis, ɔ if yu dɔn gɛt siriɔs aksidɛnt, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm.Nɔ west tɛm.
• I kin tek tɛm fɔ mek yu wɛl ɔl, ɛn ivin afta yu dɔn kɔmɔt na ɔspitul, yu nid fɔ kɔntinyu fɔ fala di advays dɛn we di dɔktɔ gi yu ɛn du ɛksesaiz fɔ blo.
• Tray fɔ protɛkt yusɛf frɔm aksidɛnt as yu ebul ɛn ridyus di risk fɔ mek dɛn kayn tin ya apin .

If yu ɔ pɔsin we yu sabi gɛt dɛn sik ya, ɔ if yu tink se yu dɔn gɛt siriɔs aksidɛnt, di bɛst tin we yu go du na fɔ go na di ɔspitul we de nia yu wantɛm wantɛm ɛn go to dɔktɔ. I kin ivin sev pɔsin in layf!

` Flail Chɛst, Rib Fraktrɔs, Chɛst Wɔl Instability, Paralaytik Brith, Aksidɛnt, Chɛst Injuri, Respiratory Distress