He whara kino ki te uma? Me kōrero tātou mō te aha te uma whiu, me pēhea hoki e taea ai te whakamate i te ora!

Ka taea e koe te whakaaro he aha te āhua kino o te āhua mēnā ka whati ētahi o ō rara, ehara i te mea i te wāhi kotahi, engari i ngā wāhi e rua, e toru rānei? Koinei te mate hauora tino kino, tino mamae, ā, he āhuatanga ohorere ka kōrerohia e tātou i tēnei rā (Flail Chest) . He mea tino morearea tēnei ki te ora. Nō reira, he mea tino nui kia mōhio koe ki tēnei.

He aha rawa te Flail Chest? He aha te mea ka pā ki te uma?

He whakarāpopototanga noa iho, ko te uma whiu he āhua e whati ai ngā rara e toru, neke atu rānei i roto i tō uma, e rua rānei ngā wāhi e whati ai te rara kotahi. Whakaarohia i te wā e tupu ana tēnā, ka "ngāwari" te wāhi o te pakitara o te uma e whati ai ngā rara, arā, ka ngaro tōna pumau. He rite ki te wāhanga o te pakitara e hinga ana i tētahi whare. Koinei te mea e tino uaua ai te manawa.

Ko te mea tino rerekē mō tēnei, ina whati te rara pēnei, ka neke taua wāhanga o te uma ina manawa koe i te huarahi rerekē ki te toenga o tō uma hauora. Arā, ina manawa koe ki roto (manawa), ka uru te wāhanga whati, wetekina. Engari ina manawa koe ki waho (puku), ka tū mai taua wāhanga ki waho. Me te mea kei te mahi i te huarahi kē! Ka karangahia e ngā tākuta tēnei nekehanga rerekē ko te "nekehanga paradoxical" . Ka ārai tēnei i ngā pukahukahu ki te manawa tika me te tuku i te hau, ka whakararuraru i te tukanga manawa katoa.

Ko wai te hunga e tino pāngia ana e tēnei mate (Flail Chest)?

Ko tēnei āhuatanga morearea e kiia nei ko te Flail Chest ka puta mai i tētahi whara nui . Kia kite tātou ko wai te mea tino mōrearea:

• Mō te hunga e pāngia ana e ngā aituā waka nui . Koinei tonu te tino take o (Flail Chest).
• He tūponotanga te hinganga mai i ngā teitei , inā koa mō te hunga kaumātua. Mēnā he mate osteoporosis tōu, he mate e ngoikore ai ō wheua i a koe e pakeke haere ana, ahakoa he hinganga iti noa iho, ka whati pea ō rara.
• Kei roto hoki i te mōrearea ētahi tamariki. Hei tauira, ko ngā tamariki he mate e ngoikore ai te wheua, pērā i te Osteogenesis Imperfecta (he mate ira e whati ngāwari ai ngā wheua), me ngā tamariki rānei he mate pākia o te tinana o te tamarikitanga, ka pāngia hoki e tēnei mate.
• Kua kitea e ētahi rangahau he nui ake te tūponotanga ka pāngia ngā tāne e tēnei mate (Flail Chest).

He aha ngā tohu o te Flail Chest?

Nā, kia tirohia tātou he aha ngā tohu e whakaatuhia ana e te tangata he mate pāwera tōna uma. He mea tino nui kia mōhiotia ēnei:

• He mamae tino kino i roto i te uma, ka puhoi, ka pāpaku te manawa. He tino uaua ki te manawa hōhonu nā te mea he tino mamae te uma.
• Te korenga o te hāora e ranea ana ki ngā kiko o te tinana. E kiia ana tēnei e te hauora ko te "hypoxia" . He āhuatanga morearea tēnei.
• Ngā ngutu kikorangi, ngā matimati rānei (cyanosis). Ka puta tēnei ina kore e nui te hāora e whiwhi ana te tinana. He tohu tēnei mō tētahi āhuatanga ohorere.

Me pēhea te tautuhi a ngā tākuta i te Flail Chest?

Kia titiro tātou me pēhea te tātaritanga tika a te tākuta i tēnei mate kino e kiia nei ko te Flail Chest.

E whakapae ana ngā tākuta i tēnei mā te tirotiro i te āhua o tō manawa . Ko te "nekehanga paradoxical" i whakaahuahia e au i mua ake nei, arā, ko te nekehanga o te wāhanga whati o te uma ki tērā taha ina manawa koe, he mea ka kitea e te tākuta i waho. Ina manawa koe ki waho, ka puta whakamua taua wāhanga whati, ā, ina manawa koe ki roto, ka haere taua wāhanga ki roto.

Ko tēnei tauira manawa rerekē te mea matua hei tautuhi i te Flail Chest.

Hei tāpiritanga, ka taea hoki te whakahaere i ēnei whakamātautau:

• X-ray o te uma: Ka taea e tēnei te whakaatu mārama i te wāhi me te pēhea o te whati o ngā rara. Heoi, kāore e taea te whakaatu i te kino o te kiriuhi i waenganui i ngā rara. Waihoki, ka kitea pea ngā marutanga o ō pukahukahu i runga i te X-ray.
• I ētahi wā, ina pā mārire te tākuta ki tō uma, ka rongo pea ia i ngā rara whati me te kore pumau o taua wāhi.

Me pēhea te rongoā mō te Flail Chest?

He mate morearea te Flail Chest e hiahia ana kia rongoatia wawetia. I muri i te whakaurunga ki te hōhipera, ko ngā maimoatanga e whai ake nei te tikanga ka tukuna:

Te maimoatanga taketake me te whakahaere mamae

• Ko te mea tuatahi ka mahia e koe ko te hoatu hāora ki a koe hei āwhina i a koe ki te manawa. Ka aroturukitia hoki tō tere o te manawa, tō toto toto, me ngā taumata hāora.
• Muri iho, he mea tino nui te whakahaere i te mamae . Nā te mea ki te kore e taea e koe te manawa tika nā te mamae nui, ka kino haere te āhuatanga. Ka taea e koe te mahi i ēnei mea hei whakaiti i te mamae:
• Ngā rongoā ā-uaua (IV).
• He werohanga motuhake e tukuna ana ki te tuaiwi (whakamamae epidural).
• Ngā werohanga whakamamae mamae e aukati ana i ngā io i waenganui i ngā rara ('aukati mamae intercostal').
• I ētahi wā ka whakamahia ngātahitia ngā tikanga e rua, e toru rānei.

Te pupuri i te ma o ngā pūkahukahu: (Te Hauora o ngā Pūkahukahu)

He mea tino nui tēnei. Ko tētahi o ngā raruraru matua ka puta i roto i te mate (Flail Chest) ko te whanaketanga o te niumōnia . Hei ārai i tēnei, me aukati te kohikohinga o ngā waipara rite ki te hūpē i roto i ngā pukahukahu. Ko ngā mahi e mahia ana mō tēnei ko te '(Pulmonary hygiene)'.Ka kiia tēnei he (tikanga hei pupuri i te pūnaha manawa kia ma). Ka kiia hoki ko te `(wharepaku pūkahukahu)` he `(whakaora tinana uma)` rānei. Kei roto i tēnei ko ngā mea e whai ake nei:

• Te momi: Ka whakauruhia he ngongo angiangi ki roto i te ara manawa, ā, ka momihia te hūpē kua kohia ki waho.
• Te whakamahi i tētahi taputapu motuhake hei āwhina i te whakapai ake i te manawa (`Incentive spirometry`): Ka whakangungu tēnei i te tūroro ki te manawa hōhonu, kia pai ai te whanake o ōna pukahukahu.
• Whakaora i te manawa pupuhi: Ka taea te hoatu i ēnei hei rongoā manawa. Ka whakawhanui ake i ngā ara manawa (bronchi) ā, ka māmā ake te manawa.
• Te aroturukitanga wai: Kia tika ai te mahi a ngā pukahukahu, me tika te nui o te wai i roto i te tinana, inā koa i roto i te toto.
• Te tūnga tika o te tūroro: Mā tēnei ka māmā ake te manawa, ā, ka taea hoki te whakaiti i te mamae.

Āwhina manawa me te pokanga

• Tērā pea ka hoatu he mīhini ki ētahi tūroro e kīia nei ko te "CPAP - Continuous Positive Airway Pressure" hei āwhina i a rātou ki te manawa. Tērā pea ka hoatu he hāora tāpiri ki a rātou.
• Me hono atu pea koe ki tētahi mīhini motuhake (he 'mīhini manawa') hei āwhina i a koe ki te manawa , mō ētahi rā, wiki rānei, kia ora rā anō ō patunga.
• I ētahi wā tino kino, me mahi pokanga pea hei ārai i ngā raruraru pēnei i te niumōnia, hei whakaiti i te noho hōhipera, ā, hei ārai pea i te mate. Ka kiia tēnei tikanga ko te whakatikatika rara pokanga . Kei roto i tēnei ko te whakauru i ngā taputapu, pēnei i ngā pereti me ngā tīwiri, he mea hanga ki te konganuku pēnei i te titanium, ki roto i te uma hei whakau i ngā rara whati.

He pēhea te wā whakaora?

E hia pea ngā marama ka roa hei whakaora katoa i tēnei mate kino e kiia nei ko te Flail Chest. Nā te mea i puta mai tēnei i tētahi aituā kino, me whakaora ēnei whati rara me ētahi atu whara i puta mai i taua aituā.

Me noho pea koe ki te hōhipera, ki te Wāhanga Tiaki Kaha (ICU) pea mō ētahi rā, neke atu rānei. Mēnā kei a koe te whakatikatika rara i kōrerotia i mua ake nei, kua whakaatuhia e ētahi rangahau ka taea te whakaiti i te roa o te noho ki te hōhipera me te roa o te noho ki te ICU.

Ahakoa kua hoki koe ki te kāinga i te hōhipera, tera pea ka raru pea koe i te manawa mō tētahi wā. Nō reira , me haere tonu koe ki te mahi i ngā mahi manawa e whakaakona ana e ō tākuta me ō kaiwhakaora tinana, ā, me mahi tika hoki.

Hei tauira:

• Te tuku mārire i te manawa me ngā ngutu kōpiko (te manawa ngutu kōpiko).
• Te manawa hōhonu mai i te puku ('manawa diaphragmatic (puku)').
• Me whakaharatau anō hoki koe i ngā tikanga maremare whakahaere hei whakaiti i te kohikohinga o te hūpē i roto i ngā pukahukahu.

Ka taea te whakaiti i te mōrearea o te whiu i te uma?

Āe, ki tētahi taumata. Ka puta te Flail Chest i te whara kino, nō reira mā te whakaiti i te mōrearea o ēnei whara ka taea te whakaiti i te mōrearea o tēnei mate.

• Kia haumaru te taraiwa. Kaua e tere rawa te taraiwa, ā, me mau tonu tō whitiki nohoanga.
• Mena he kaumātua koe, he tūpono rānei kei hinga koe, kia tūpato ahakoa i te kāinga. Kia kore he mea pahekeheke, he arai rānei i ō papa. Kia mārama te rama. Mena kei te hiahia koe i tētahi āwhina hikoi, pērā i te taputapu hikoi, i te tokotoko rānei, whakamahia kaua e whakaroa.

He rite tonu te flail chest me te pneumothorax?

Kāo. He rerekē ngā mea e rua, arā, ko te Flail Chest me te Pneumothorax (te hinga o te pukahukahu).

Ko te pneumothorax te wā e kohia ai te hau ki te wāhi pleural i waenganui i te pakitara o te uma me te pukahukahu, kaua ki te tomo ki te pukahukahu. Heoi, ko te pneumothorax tetahi raruraru nui o te flail chest, ka puta pea mēnā ka mau tetahi wahi o te rara whati ki roto i te pukahukahu.

He pēhea te kino o te Flail Chest?

He mea tēnei hei maumahara māu: He āhuatanga hauora tino kino te Flail Chest, he āhuatanga morearea ki te ora. Kaua rawa e rongoatia ki te kāinga. Me rongoa tonu e te hōhipera.

Nā te mea he aituā kino tēnei, ki te pāngia koe e te mate e kiia nei ko te Flail Chest, ka roa te wā e ora ai koe. Me noho roa koe ki te hōhipera. Tērā pea ka whakamahia e koe he mīhini manawa mō ētahi rā. Ahakoa kua tīmata koe ki te ora, me haere tonu koe ki te mahi i ngā mahi manawa me te whakaora tinana e ai ki te whakahau a tō tākuta.

Hei whakamutunga, ngā mea hei maumahara māu (Karere hei tango ki te kāinga)

Āe, ki taku whakaaro kua mārama koe ki ētahi o ngā kōrero nui i roto i tā tātou i kōrero ai (Flail Chest). Hei whakamutunga, koinei taku e kī atu nei:

• Ehara te Flail Chest i te mea hei mea māmā noa iho. He āhuatanga ohorere nui, he mea morearea hoki.
• Ko te tino take o tēnei ko ngā aituā kino, inā koa ko ngā aituā waka me ngā hinganga mai i ngā teitei.
• Ko te āhuatanga matua, ko te āhuatanga tino motuhake o tēnei ko te nekehanga o tētahi wāhanga o te uma ki tērā taha i te wā e manawa ana ('nekehanga paradoxical') . I tua atu i tēnei, ka puta te mamae nui me te uaua ki te manawa.
• Mena kei a koe ēnei tohu, kei roto rānei koe i tētahi aituā kino, he mea nui kia rapu awhina hauora tonu atu.Kaua e moumou taima.
• He roa te wā e hiahiatia ana hei tino ora, ā, ahakoa kua puta koe i te hōhipera, me whai tonu koe i ngā tohutohu a te taote me te mahi i ngā mahi whakakorikori manawa.
• Me ngana ki te tiaki i a koe anō mai i ngā aituā i ngā wā katoa e taea ana, me te whakaiti i te mōrearea o ēnei āhuatanga .

Mena kei a koe, kei tētahi atu rānei e mōhio ana koe, ēnei tohu, ki te whakaaro rānei koe kua pāngia koe e tētahi aituā kino, ko te mea pai rawa atu māu ko te haere tonu ki te hōhipera tata ki te rapu tohutohu hauora. Tērā pea ka ora te tangata!

` Whawhati Uma, Whati rara, Te kore pumau o te pakitara o te uma, Te manawa pararutiki, Ngā aituā, Ngā whara o te uma, Te mamae o te manawa