Gukomereka mu gituza gukomeye? Reka tuvuge icyo igituza cyo mu gituza ari cyo n'uko gishobora gushyira ubuzima mu kaga!

Ese ushobora kwiyumvisha ukuntu byaba bimeze nabi cyane imbavu zawe nyinshi zivunitse, zitavunitse ahantu hamwe, ahubwo zivunitse ahantu habiri cyangwa hatatu? Iyo ni yo ndwara ikomeye cyane, ibabaza cyane, kandi yihutirwa tugiye kuvugaho uyu munsi (Flail Chest) . Iki ni ikintu gishobora gushyira ubuzima mu kaga. Kubwibyo, ni ngombwa cyane ko ubimenya.

Igituza cya Flail ni iki mu by'ukuri? Ni iki kiba ku gituza?

Mu magambo make, agatuza gafite uruhu ni indwara aho imbavu eshatu cyangwa zirenze zegeranye mu gituza cyawe zavunitse, cyangwa nibura imbavu imwe ivunitse ahantu habiri. Tekereza ko iyo bibaye, agace k'urukuta rw'igituza aho imbavu zavunitse kaba "gacitse," bivuze ko gatakaza ubushobozi bwako bwo kuguma. Ni nk'igice cy'urukuta gikoroka kiva ku nyubako. Ibi nibyo bituma guhumeka bigorana cyane.

Ikintu kidasanzwe kuri ibi ni uko iyo urubavu rwavunitse gutya, icyo gice cy'igituza kigenda iyo uhumeka mu buryo bunyuranye n'ubw'igice cy'igituza cyawe gisanzwe. Ni ukuvuga ko iyo uhumeka (guhumeka), igice cyavunitse, kidafunguye kijyamo. Ariko iyo uhumeka (gusohora), icyo gice kirasohoka. Bisa nkaho gikora ukundi! Abaganga bita uku kugenda kudasanzwe "guhaguruka kudasanzwe" . Ibi bibuza ibihaha guhumeka neza no gusohora umwuka, bigahungabanya uburyo bwose bwo guhumeka.

Ni nde wibasirwa cyane n'iyi ndwara (Flail Chest)?

Iyi ndwara iteje akaga yitwa Flail Chest mu by’ukuri iterwa n’ihungabana rikomeye . Reka turebe abashobora kugeramirwa cyane:

• Ku bantu bagira impanuka zikomeye z'ibinyabiziga . Mu by'ukuri, iyi ni yo mpamvu nyamukuru itera (Flail Chest).
• Kugwa uvuye hejuru ni ikintu gishobora gutera ibyago, cyane cyane ku bageze mu za bukuru. Niba ufite indwara yo kubura amaraso , indwara ituma amagufwa yawe acika intege uko ugenda usaza, ndetse no kugwa gato bishobora kukuvunika imbavu.
• Hari n'abana bamwe na bamwe bari mu kaga. Urugero, abana bafite indwara zitera intege nke z'amagufwa, nka Osteogenesis Imperfecta (indwara y’uturemangingo ituma amagufwa avunika byoroshye), cyangwa abana bafite indwara zimwe na zimwe z’imikorere y’umubiri mu bwana, nabo bashobora kurwara iyi ndwara.
• Ubushakashatsi bumwe bwagaragaje ko abagabo bafite amahirwe make yo kurwara iyi ndwara (Flail Chest).

Ni ibihe bimenyetso by'indwara ya Flail Chest?

Noneho reka turebe ibimenyetso umuntu ufite ikibazo cyo mu gatuza ashobora kugaragaza. Ni ngombwa cyane kumenya ibi bikurikira:

• Ububabare bukomeye cyane mu gituza, butera guhumeka buhoro kandi mu buryo buciriritse. Biragoye cyane guhumeka cyane kuko igituza kibabaza cyane.
• Kubura umwuka uhagije wa ogisijeni ku ngingo z'umubiri. Ibi byitwa "hypoxia" mu buvuzi. Iyi ni indwara iteje akaga.
• Iminwa y'ubururu cyangwa intoki (cyanosis). Ibi bibaho iyo umubiri utari kubona ogisijeni ihagije. Iki ni ikimenyetso cy'impanuka.

Ni gute abaganga bapima Flail Chest?

Reka turebe uburyo umuganga asuzuma neza iyi ndwara ikomeye yitwa Flail Chest.

Abaganga babikeka cyane cyane iyo barebye uburyo uhumeka . "Inzira idasanzwe" navuze mbere, ari yo nzira igice cy'igituza cyavunitse kijya ku rundi ruhande iyo uhumeka, ni ikintu umuganga ashobora kubona inyuma. Iyo uhumeka, icyo gice cyavunitse kijya imbere, kandi iyo uhumeka, icyo gice kijya imbere.

Iyi miterere idasanzwe yo guhumeka ni yo mpamvu nyamukuru mu kumenya Flail Chest.

Byongeye kandi, ibizamini nk'ibi bishobora gukorwa:

• X-ray yo mu gituza: Ibi bishobora kwerekana neza aho imbavu zavunitse n'uburyo zavunitse. Ariko, ntibishobora kugaragaza kwangirika kw'agatsinga kari hagati y'imbavu. Nanone, hari igihe ibikomere mu bihaha byawe bishobora kugaragara kuri X-ray.
• Mu bihe bimwe na bimwe, iyo muganga akunyujije mu gituza witonze , ashobora kumva imbavu zavunitse kandi ntagire icyo ahindura muri icyo gice.

Igituza cya Flail givurwa gute?

Igituza cya Flail ni indwara ishobora gushyira ubuzima mu kaga isaba ubuvuzi bwihutirwa. Nyuma yo kwakirwa mu bitaro, ubusanzwe hatangwa ubuvuzi bukurikira:

Uburyo bw'ibanze bwo kuvura no kugenzura ububabare

• Ikintu cya mbere uzakora ni ukuguha ogisijeni kugira ngo igufashe guhumeka. Igipimo cy'umutima wawe, umuvuduko w'amaraso, n'urugero rwa ogisijeni nabyo bizagenzurwa.
• Hanyuma, kugenzura ububabare ni ingenzi cyane. Kuko niba udashobora guhumeka neza bitewe n'ububabare bukabije, ibintu bishobora kwiyongera. Ushobora gukora ibintu nk'ibi kugira ngo ugabanye ububabare:
• Imiti ikoreshwa mu mitsi (IV).
• Urushinge rwihariye ruhabwa agace k'umugongo (anesthesia yo mu bwonko).
• Inshinge zigabanya ububabare zifunga imitsi iri hagati y'imbavu (`intercostal pain blocks`).
• Hari ubwo uburyo burenze bumwe muri ubu bukoreshwa hamwe.

Gukomeza kugira isuku y'ibihaha: (Isuku y'ibihaha)

Ibi ni ingenzi cyane. Imwe mu ngorane zikomeye zishobora kubaho mu gihe cy'indwara ya (Flail Chest) ni indwara ya pneumonia . Kugira ngo hirindwe ibi, ni ngombwa guhagarika kwirundanya kw'ibicurane mu bihaha. Ibintu bikorwa kuri ibi byitwa `(Isuku y'ibihaha)`Byitwa (uburyo bwo kubungabunga isuku y'imiyoboro y'ubuhumekero). Bitwa kandi `(ubwiherero bw'ibihaha)` cyangwa `(ubuvuzi bw'igituza)`. Bikubiyemo ibi bikurikira:

• Gukurura: Umuyoboro muto ushyirwa mu nzira y'ubuhumekero maze amatembabuzi yakusanyije agasohoka.
• Gukoresha igikoresho cyihariye kugira ngo gifashe kunoza uburyo bwo guhumeka (`Incentive spirometry`): Ibi bitoza umurwayi guhumeka cyane no gukura neza ibihaha.
• Uburyo bwo kuvura indwara ya bronchodilator: Iyi ishobora gutangwa nk'imiti ihumekwa. Yagura inzira z'ubuhumekero (bronchi) kandi ikoroshya guhumeka.
• Gukurikirana amazi: Kugira ngo ibihaha bikore neza, ingano y'amazi mu mubiri, cyane cyane mu maraso, igomba kuba iri ku rwego rukwiye.
• Gushyira umurwayi mu mwanya ukwiye: Ibi bituma guhumeka byoroha kandi bigagabanya ububabare.

Ubufasha mu guhumeka no kubagwa

• Abarwayi bamwe bashobora guhabwa imashini yitwa "CPAP - Continuous Positive Airway Pressure" kugira ngo ibafashe guhumeka. Cyangwa bashobora guhabwa ogisijeni y'inyongera.
• Ushobora gukenera gushyirwa ku mashini yihariye ('icyuma gihumeka') kugira ngo kigufashe guhumeka , wenda mu minsi cyangwa ibyumweru byinshi, kugeza igihe ibikomere byawe bikize.
• Mu bihe bimwe na bimwe bikomeye, kubagwa bishobora kuba ngombwa kugira ngo hirindwe ingorane nka mopenoma, kugabanya iminsi yo mu bitaro, ndetse wenda no gukumira urupfu. Ubu buryo bwitwa kubaga imbavu . Ibi bikubiyemo gushyira ibikoresho, nk'amasahani n'ibisuguti, bikozwe mu byuma nka titaniyumu, mu gituza kugira ngo imbavu zavunitse zikomere.

Igihe cyo gukira kimeze gite?

Bishobora gufata amezi menshi kugira ngo umuntu akire neza iyi ndwara ikomeye yitwa Flail Chest. Kubera ko ibi biterwa n'impanuka ikomeye, izi mvune zo mu mbavu zigomba gukira hamwe n'izindi mvune zaturutse kuri iyo mpanuka.

Ushobora kuba ukeneye kuguma mu bitaro, wenda mu cyumba cy’indembe (ICU) iminsi mike cyangwa irenga. Niba ufite ikibazo cyo kubagwa imbavu navuze mbere, ubushakashatsi bumwe na bumwe bwagaragaje ko igihe umaze mu bitaro n’igihe umaze muri ICU gishobora kugabanuka.

Nubwo wasubira mu rugo uvuye mu bitaro, ushobora kugira ibibazo byo guhumeka igihe runaka. Kubwibyo , ugomba gukomeza gukora imyitozo yo guhumeka abaganga bawe n'abaganga b'imitsi bakwigisha, kandi ukayikora neza.

Urugero:

• Guhumeka buhoro buhoro ukoresheje iminwa ipfutse (guhumeka iminwa ipfutse).
• Guhumeka cyane uvuye mu nda (`diaphragmatic (inda) humiliation`).
• Ugomba kandi gukoresha uburyo bwo gukorora bugenzurwa kugira ngo ugabanye kwirundanya kw'ibicurane mu bihaha.

Ese ibyago byo kurwara igituza gishobora kugabanuka?

Yego, ku rugero runaka. Igituza cya Flail giterwa n'ihungabana rikomeye, bityo kugabanya ibyago byo gukomereka nk'ibyo bishobora kugabanya ibyago byo kurwara iyi ndwara.

• Buri gihe genda mu mutekano. Ntugatware imodoka vuba bitari ngombwa, kandi buri gihe komeza kwambara umukandara wawe w'intebe.
• Niba ugeze mu za bukuru cyangwa uri mu kaga ko kugwa, itondere no mu rugo. Gerageza ko hasi hatagira ibintu binyerera cyangwa inzitizi. Menya neza ko hari urumuri ruhagije. Niba ukeneye igikoresho cyo kugufasha kugenda, nk'icyuma gifasha kugenda cyangwa inkoni, gikoreshe nta gushidikanya.

Ese igituza cya flail na pneumothorax ni kimwe?

Oya. Igituza cya Flail na Pneumothorax (ibihaha byaguye) ni ibintu bibiri bitandukanye.

Pneumothorax ni igihe umwuka uterana mu mwanya wa pleural uri hagati y'urukuta rw'igituza n'ibihaha aho kwinjira mu bihaha. Ariko, ingorane ikomeye y'igituza cya flail ni pneumothorax, ishobora kubaho iyo igice cy'imbavu cyavunitse gifashe mu bihaha.

Flail Chest ifite uburemere bungana iki?

Iki ni ikintu ugomba kwibuka: Flail Chest ni ikibazo gikomeye cyane, gishobora gushyira ubuzima mu kaga. Ntikigomba kuvurirwa mu rugo. Kigomba kuvurirwa mu bitaro ako kanya.

Kubera ko ibi ari ingaruka z'impanuka ikomeye, niba ufite indwara yitwa Flail Chest, bizagutwara igihe kirekire kugira ngo ukire. Uzagomba kumara igihe kirekire mu bitaro. Ushobora no kumara iminsi myinshi uri ku cyuma gifasha guhumeka. Ndetse na nyuma yo gutangira gukira, uzagomba gukomeza gukora imyitozo ngororamubiri yo guhumeka no kuvura umubiri nk'uko muganga yabigutegetse.

Hanyuma, ibintu ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, ndatekereza ko wasobanukiwe ingingo z'ingenzi mu byo twavuzeho (Flail Chest). Mu gusoza, dore icyo navuga:

• Igituza cyo mu bwoko bwa Flail si ikintu cyo gufata nk'ikintu cyoroshye. Ni ikibazo gikomeye kandi gishyira ubuzima mu kaga.
• Impamvu nyamukuru ibitera ni impanuka zikomeye, cyane cyane impanuka z'ibinyabiziga no kugwa uturutse hejuru.
• Ikintu cy'ingenzi kandi kidasanzwe muri ibi ni ukwimuka kw'igice cy'igituza kijya ku rundi ruhande iyo uhumeka (`paradoxical movement`) . Hamwe n'ibi, habaho ububabare bukomeye no kugorwa no guhumeka.
• Niba ufite ibimenyetso nk'ibi, cyangwa niba waragize impanuka ikomeye, ni ngombwa kwihutira gushaka abaganga.Ntugapfushe ubusa igihe.
• Bifata igihe kugira ngo ukire neza, kandi na nyuma yo kuva mu bitaro, ugomba gukomeza gukurikiza inama za muganga no gukora imyitozo ngororamubiri yo guhumeka.
• Gerageza kwirinda impanuka uko bishoboka kose kandi ugabanye ibyago byo kubaho muri ibyo bihe .

Niba wowe cyangwa umuntu uzi afite ibi bimenyetso, cyangwa niba ubona ko wagize impanuka ikomeye, ikintu cyiza wakora ni ukujya kwa muganga vuba vuba no gushaka inama. Bishobora no kurokora ubuzima!

Igituza cyo mu gituza, Gucika kw'imbavu, Kudahagarara neza kw'urukuta rw'igituza, Guhumeka mu kiremare, Impanuka, Gukomereka mu gituza, Kubabara mu myanya y'ubuhumekero