Kuvulala pachifuwa kwambiri? Tiyeni tikambirane za tanthauzo la chifuwa cha flail komanso momwe chingakhalire choopsa pa moyo!

Kodi mungaganizire momwe zinthu zingakhalire zoopsa ngati nthiti zanu zingapo zitathyoka, osati pamalo amodzi, koma m'malo awiri kapena atatu? Umenewo ndi vuto lalikulu, lopweteka kwambiri, komanso ladzidzidzi lomwe tikambirane lero (Flail Chest) . Ichi ndi chinthu chomwe chingakhale choopsa kwambiri pa moyo. Chifukwa chake, ndikofunikira kwambiri kuti mudziwe izi.

Kodi chifuwa cha Flail ndi chiyani kwenikweni? Kodi chimachitika ndi chiyani pachifuwa?

Mwachidule, chifuwa chopindika ndi vuto lomwe nthiti zitatu kapena zingapo zomwe zili pafupi pachifuwa chanu zasweka, kapena nthiti imodzi yasweka m'malo awiri. Tangoganizani kuti pamene zimenezo zachitika, dera la khoma la pachifuwa komwe nthiti zasweka limakhala "lotayirira," kutanthauza kuti limataya kukhazikika kwake. Zili ngati gawo la khoma lomwe lagwa kuchokera ku nyumba. Izi ndi zomwe zimapangitsa kuti kupuma kukhale kovuta mwadzidzidzi.

Chinthu chachilendo kwambiri pankhaniyi ndi chakuti nthiti ikasweka motere, gawo la chifuwacho limasuntha mukapuma mosiyana ndi chifuwa chanu chathanzi. Izi zikutanthauza kuti, mukapuma (kupuma), gawo losweka, lomasuka limalowa. Koma mukapuma (kutulutsa), gawolo limatuluka. Zili ngati likugwira ntchito mosiyana! Madokotala amatcha kuyenda kosazolowereka uku kuti "kuyenda kosazolowereka" . Izi zimalepheretsa mapapo kutulutsa mpweya bwino, zomwe zimasokoneza njira yonse yopumira.

Ndani amene amakhudzidwa kwambiri ndi vutoli (Flail Chest)?

Matenda oopsa otchedwa Flail Chest amapezeka chifukwa cha kuvulala kwakukulu . Tiyeni tiwone omwe ali pachiwopsezo chachikulu:

• Kwa iwo omwe akhudzidwa ndi ngozi zazikulu zamagalimoto . Ndipotu, ichi ndiye chifukwa chachikulu cha (Flail Chest).
• Kugwa kuchokera pamwamba ndi chinthu chomwe chimayambitsa chiopsezo, makamaka kwa okalamba. Ngati muli ndi matenda a osteoporosis , matenda omwe amafooketsa mafupa anu mukamakalamba, ngakhale kugwa pang'ono kungaswe nthiti zanu.
• Ana ena ali pachiwopsezo. Mwachitsanzo, ana omwe ali ndi matenda omwe amayambitsa kufooka kwa mafupa, monga Osteogenesis Imperfecta (matenda a majini omwe amachititsa kuti mafupa asweke mosavuta), kapena ana omwe ali ndi matenda enaake a kagayidwe kachakudya m'thupi, nawonso akhoza kukhala ndi vutoli.
• Kafukufuku wina wapeza kuti amuna ali ndi mwayi wochuluka wopeza vutoli (Flail Chest).

Kodi zizindikiro za Flail Chest ndi ziti?

Tsopano tiyeni tiwone zizindikiro zomwe munthu amene ali ndi vuto la chifuwa chotupa amaonetsa. Ndikofunikira kwambiri kuzindikira izi:

• Kupweteka kwambiri pachifuwa, komwe kumayambitsa kupuma pang'onopang'ono komanso pang'ono. N'kovuta kwambiri kupuma mozama chifukwa pachifuwa chimapweteka kwambiri.
• Mpweya wokwanira superekedwa ku minofu ya thupi. Izi zimatchedwa "hypoxia" m'madokotala. Uwu ndi vuto loopsa.
• Milomo yabuluu kapena zala za m'manja (cyanosis). Izi zimachitika thupi likapanda kulandira mpweya wokwanira. Ichi ndi chizindikiro cha ngozi.

Kodi madokotala amazindikira bwanji Flail Chest?

Tiyeni tiwone momwe dokotala amadziwira molondola vuto lalikulu ili lotchedwa Flail Chest.

Madokotala amakayikira izi makamaka poyang'ana momwe mumapumira . "Kusuntha kodabwitsa" komwe ndafotokoza kale, komwe ndi kuyenda kwa gawo losweka la chifuwa kupita mbali ina mukapuma, ndi chinthu chomwe dokotala amatha kuwona kunja. Mukapuma, gawo loswekalo limatuluka patsogolo, ndipo mukapuma, gawolo limalowa mkati.

Kachitidwe ka kupuma kosazolowereka aka ndiye chinthu chachikulu chomwe chimapangitsa kuti chifuwa cha Flail chidziwike.

Kuphatikiza apo, mayeso ngati awa akhoza kuchitidwanso:

• X-ray ya pachifuwa: Izi zitha kusonyeza bwino komwe nthiti zasweka komanso momwe zaswekera. Komabe, sizingawonetse kuwonongeka kwa kagayidwe ka mafupa pakati pa nthiti. Komanso, mabala m'mapapo anu nthawi zina amatha kuwonedwa pa X-ray.
• Nthawi zina, dokotala akakukhudzani pang'onopang'ono pachifuwa, angamve nthiti zosweka komanso kusakhazikika m'dera limenelo.

Kodi Flail Chest imachiritsidwa bwanji?

Chifuwa cha Flail ndi matenda omwe amaika moyo pachiswe omwe amafunika chithandizo chadzidzidzi. Pambuyo polowa m'chipatala, nthawi zambiri amapatsidwa chithandizo chotsatirachi:

Chithandizo choyambira ndi kuwongolera ululu

• Chinthu choyamba chomwe mungachite ndikukupatsani mpweya wokwanira kuti mupume. Kugunda kwa mtima wanu, kuthamanga kwa magazi, ndi kuchuluka kwa mpweya wokwanira zidzayang'aniridwanso .
• Kenako, kuchepetsa ululu n'kofunika kwambiri. Chifukwa ngati simungathe kupuma bwino chifukwa cha ululu waukulu, vutoli likhoza kuipiraipira. Mukhoza kuchita zinthu ngati izi kuti muchepetse ululu:
• Mankhwala operekedwa kudzera m'mitsempha (IV).
• Jakisoni wapadera woperekedwa kudera la msana (epidural anesthesia).
• Jakisoni wochepetsa ululu womwe umatseka mitsempha pakati pa nthiti (`intercostal pain blocks`).
• Nthawi zina njira zingapo mwa izi zimagwiritsidwa ntchito pamodzi.

Kusunga mapapo oyera: (Ukhondo wa m'mapapo)

Izi ndizofunikira kwambiri. Chimodzi mwa mavuto akuluakulu omwe angachitike pa nkhani ya (Flail Chest) ndi kukula kwa chibayo . Pofuna kupewa izi, ndikofunikira kuletsa kudzikundikira kwa mamina ofanana ndi mamina m'mapapo. Zinthu zomwe zimachitika pa izi zimatchedwa `(Pulmonary cleansity)`Imatchedwa (njira yosungira dongosolo la kupuma loyera). Imatchedwanso `(chimbudzi cha m'mapapo)` kapena `(chifuwa cha thupi)`. Ikuphatikizapo izi:

• Kuyamwa: Chubu chopyapyala chimalowetsedwa munjira yopumira ndipo mamina osonkhanawo amatuluka.
• Kugwiritsa ntchito chipangizo chapadera chothandizira kupuma bwino (`Incentive spirometry`): Izi zimaphunzitsa wodwalayo kupuma mozama ndikukulitsa mapapo bwino.
• Mankhwala ochepetsa kutupa kwa bronchi: Mankhwalawa angaperekedwe ngati mankhwala opumira. Amakulitsa njira zopumira (bronchi) ndipo amapangitsa kupuma kukhala kosavuta.
• Kuyang'anira madzimadzi: Kuti mapapo agwire ntchito bwino, kuchuluka kwa madzimadzi m'thupi, makamaka m'magazi, kuyenera kukhala pamlingo woyenera.
• Kuika wodwalayo pamalo oyenera: Izi zimapangitsa kuti kupuma kukhale kosavuta ndipo zimachepetsa ululu.

Chithandizo cha kupuma ndi opaleshoni

• Odwala ena angapatsidwe makina otchedwa ``CPAP - Continuous Positive Airway Pressure'' kuti awathandize kupuma. Kapena angapatsidwe mpweya wowonjezera.
• Mungafunike kulumikizidwa ndi makina apadera ('makina opumira mpweya') kuti akuthandizeni kupuma , mwina kwa masiku angapo kapena milungu ingapo, mpaka mabala anu atachira.
• Nthawi zina zoopsa, opaleshoni ingafunike kuti tipewe mavuto monga chibayo, kuchepetsa nthawi yopita kuchipatala, komanso kupewa imfa. Njira imeneyi imatchedwa opaleshoni yokonza nthiti . Izi zimaphatikizapo kuika zida zoikira, monga mbale ndi zomangira, zopangidwa ndi chitsulo monga titaniyamu, pachifuwa kuti zikhazikitse nthiti zosweka.

Kodi nthawi yochira imakhala bwanji?

Zingatenge miyezi ingapo kuti munthu achire bwino ku vuto lalikulu lotchedwa Flail Chest. Chifukwa chakuti izi zimachitika chifukwa cha ngozi yaikulu, kusweka kwa nthiti kumeneku kuyenera kuchira limodzi ndi kuvulala kwina komwe kumachitika chifukwa cha ngoziyo.

Mungafunike kukhala m'chipatala, mwina ku Intensive Care Unit (ICU) kwa masiku angapo kapena kuposerapo. Ngati muli ndi nthiti zomwe ndatchula kale, kafukufuku wina wasonyeza kuti nthawi yomwe mumakhala m'chipatala ndi nthawi yomwe mumakhala ku ICU ingachepe.

Ngakhale mutabwerera kunyumba kuchokera kuchipatala, mungakhale ndi vuto lopuma kwakanthawi. Chifukwa chake , muyenera kupitiriza kuchita masewera olimbitsa thupi omwe madokotala ndi akatswiri a physiotherapy amakuphunzitsani, ndikuwachita bwino.

Mwachitsanzo:

• Kupuma pang'onopang'ono ndi milomo yodzaza (kupuma ndi milomo yodzaza).
• Kupuma mozama kuchokera m'mimba (`kupuma kwa diaphragmatic (m'mimba)`).
• Muyeneranso kuchita njira zowongolera kutsokomola kuti muchepetse kuchulukana kwa mamina m'mapapo.

Kodi chiopsezo cha chifuwa chotupa chingachepe?

Inde, pamlingo wina. Flail Chest imayamba chifukwa cha kuvulala kwakukulu, kotero kuchepetsa chiopsezo cha kuvulala kotereku kungachepetse chiopsezo cha vutoli.

• Yendetsani galimoto mosamala nthawi zonse. Musayendetse galimoto mofulumira kwambiri, ndipo nthawi zonse valani lamba wanu.
• Ngati ndinu okalamba kapena muli pachiopsezo chogwa, samalani ngakhale kunyumba. Sungani pansi panu popanda zinthu zoterera ndi zopinga. Onetsetsani kuti pali kuwala kokwanira. Ngati mukufuna chothandizira kuyenda, monga choyendera kapena ndodo, gwiritsani ntchito mosazengereza.

Kodi chifuwa cha flail ndi pneumothorax ndi chinthu chimodzi?

Ayi. Flail Chest ndi Pneumothorax (mapapo osweka) ndi zinthu ziwiri zosiyana.

Pneumothorax ndi pamene mpweya umasonkhana m'malo ozungulira pakati pa khoma la chifuwa ndi mapapo m'malo molowa m'mapapo. Komabe, vuto lalikulu la chifuwa chopindika ndi pneumothorax, lomwe lingachitike ngati nthiti yosweka yakhazikika m'mapapo.

Kodi Flail Chest ndi yoopsa bwanji?

Ichi ndi chinthu chomwe muyenera kukumbukira: Flail Chest ndi vuto lalikulu lachipatala lomwe lingayambitse imfa. Siliyenera kuthandizidwa kunyumba. Liyenera kuthandizidwa nthawi yomweyo kuchipatala.

Popeza izi zimachitika chifukwa cha ngozi yaikulu, ngati muli ndi vuto lotchedwa Flail Chest, zimatenga nthawi yayitali kuti muchire. Muyenera kukhala m'chipatala kwa nthawi yayitali. Mutha kukhala ndi makina opumira kwa masiku angapo. Ngakhale mutayamba kuchira, muyenera kupitiriza kuchita masewera olimbitsa thupi opumira komanso olimbitsa thupi monga momwe dokotala wanu wanenera.

Pomaliza, zinthu zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, ndikuganiza kuti mwamvetsa mfundo zofunika kuchokera pa zomwe takambirana (Flail Chest). Pomaliza, nazi zomwe ndiyenera kunena:

• Chifuwa cha Flail si chinthu chongofunika kuchitenga mopepuka. Ndi vuto lalikulu komanso loopsa.
• Chifukwa chachikulu cha izi ndi ngozi zazikulu, makamaka ngozi zamagalimoto komanso kugwa kuchokera pamwamba.
• Chinthu chachikulu komanso chodziwika bwino pa izi ndi kuyenda kwa gawo la chifuwa kupita mbali ina pamene mukupuma (`paradoxical movement`) . Pamodzi ndi izi, kupweteka kwambiri ndi kuvutika kupuma kumachitika.
• Ngati muli ndi zizindikiro ngati izi, kapena ngati mwachita ngozi yaikulu, ndikofunikira kupeza chithandizo chamankhwala mwachangu.Musataye nthawi.
• Zimatenga nthawi kuti munthu achire mokwanira, ndipo ngakhale mutatuluka kuchipatala, muyenera kupitiriza kutsatira malangizo a dokotala ndikuchita masewera olimbitsa thupi opumira.
• Yesetsani kudziteteza ku ngozi momwe mungathere ndikuchepetsa chiopsezo cha zochitika zotere .

Ngati inu kapena munthu amene mumamudziwa ali ndi zizindikirozi, kapena ngati mukuganiza kuti mwachita ngozi yaikulu, chinthu chabwino kwambiri chomwe mungachite ndikupita kuchipatala chapafupi nthawi yomweyo ndikupempha upangiri wa dokotala. Zingapulumutse moyo!

Chifuwa Chopindika, Kusweka kwa Nthiti, Kusakhazikika kwa Khoma la Chifuwa, Kupuma Kopuwala, Ngozi, Kuvulala pa Chifuwa, Kuvutika ndi Kupuma