Ukulimala kwesifuba okubi kakhulu? Ake sixoxe ngokuthi isifuba esithambile siyini nokuthi singaba kanjani yingozi empilweni!

Ungacabanga ukuthi kungaba yini isimo esibi uma izimbambo zakho eziningana zingaphulwa, hhayi endaweni eyodwa, kodwa ezindaweni ezimbili noma ezintathu? Leso yisimo sezokwelapha esibucayi kakhulu, esibuhlungu kakhulu, nesiphuthumayo esizokhuluma ngaso namuhla (Flail Chest) . Empeleni lokhu kuyinto engaba yingozi kakhulu empilweni. Ngakho-ke, kubaluleke kakhulu ukuthi uqaphele lokhu.

Yini ngempela iFlail Chest? Kwenzekani esifubeni?

Kalula nje, isifuba esigoqekile yisimo lapho izimbambo ezintathu noma ngaphezulu eziseduze esifubeni sakho ziphukile, noma okungenani ubambo olulodwa luphukile ezindaweni ezimbili. Cabanga ukuthi lapho lokho kwenzeka, indawo yodonga lwesifuba lapho izimbambo ziphukile khona iba "ikhululekile," okusho ukuthi ilahlekelwa ukuqina kwayo. Kufana nengxenye yodonga ewa esakhiweni. Yilokhu okwenza kube nzima kakhulu ukuphefumula ngokuzumayo.

Into engavamile kakhulu ngalokhu ukuthi uma ubambo luphukile kanje, leyo ngxenye yesifuba iyanyakaza uma uphefumula ngendlela ephambene nesifuba sakho esiphilile. Okusho ukuthi, uma uphefumula (uphefumula), ingxenye ephukile, ekhululekile iyangena. Kodwa uma uphefumula (uphefumula), leyo ngxenye iyaphuma. Kufana nokuthi isebenza ngenye indlela! Odokotela babiza lokhu kunyakaza okungajwayelekile ngokuthi "ukunyakaza okuxakile" . Lokhu kuvimbela amaphaphu ekuphefumuleni nasekukhipheni umoya kahle, okuphazamisa yonke inqubo yokuphefumula.

Ubani othinteka kakhulu yilesi simo (i-Flail Chest)?

Lesi simo esiyingozi esibizwa ngokuthi iFlail Chest empeleni senzeka ngenxa yokulimala okukhulu . Ake sibone ukuthi ubani osengozini enkulu:

• Kulabo abahileleke ezingozini ezinkulu zezimoto . Eqinisweni, lena yimbangela eyinhloko (ye-Flail Chest).
• Ukuwa usuka phezulu kuyisici esiyingozi, ikakhulukazi kubantu asebekhulile. Uma une -osteoporosis , isifo esenza amathambo akho abe buthaka njengoba ukhula, ngisho nokuwa okuncane kungaphula izimbambo zakho.
• Ezinye izingane nazo zisengozini. Isibonelo, izingane ezinezifo ezibangela ubuthakathaka bamathambo, njenge -Osteogenesis Imperfecta (isifo sofuzo esibangela ukuba amathambo aphuke kalula), noma izingane ezinezifo ezithile ze-metabolic ebuntwaneni, nazo zingaba nalesi simo.
• Ezinye izifundo zithole ukuthi amadoda anamathuba amancane okuthola lesi simo (i-Flail Chest).

Ziyini izimpawu zeFlail Chest?

Manje ake sibone ukuthi yiziphi izimpawu eziboniswa umuntu onesifo sesifuba esibuhlungu. Kubaluleke kakhulu ukuqaphela lezi:

• Ubuhlungu obukhulu esifubeni, okubangela ukuphefumula kancane futhi okungajulile. Kunzima kakhulu ukuphefumula ngokujulile ngoba isifuba sibuhlungu kakhulu.
• Ukuntuleka komoya-mpilo owanele ezicutshini zomzimba. Lokhu kubizwa ngezokwelapha ngokuthi "i-hypoxia" . Lesi yisimo esiyingozi.
• Izindebe noma iminwe eluhlaza okwesibhakabhaka (i-cyanosis). Lokhu kwenzeka lapho umzimba ungatholi umoya-mpilo owanele. Lokhu kuyisibonakaliso sesimo esiphuthumayo.

Odokotela bayixilonga kanjani iFlail Chest?

Ake sibone ukuthi udokotela usithola kanjani ngokunembile lesi simo esibi esibizwa ngokuthi iFlail Chest.

Odokotela basola lokhu ngokuyinhloko ngokubheka indlela ophefumula ngayo . "Ukunyakaza okuxakile" engikuchazile ngaphambilini, okuwukunyakaza kwengxenye yesifuba ephukile iye kolunye uhlangothi lapho uphefumula, kuyinto udokotela angayibona ngaphandle. Uma uphefumula, leyo ngxenye ephukile ivelela phambili, futhi uma uphefumula, leyo ngxenye ingena ngaphakathi.

Le ndlela yokuphefumula engavamile iyisici esiyinhloko ekutholeni i-Flail Chest.

Ngaphezu kwalokho, ukuhlolwa okufana nalokhu kungenziwa futhi:

• I-X-ray yesifuba: Lokhu kungabonisa ngokucacile ukuthi izimbambo ziphuke kuphi futhi kanjani. Kodwa-ke, akukwazi ukukhombisa umonakalo ku-cartilage ephakathi kwezimbambo. Futhi, imihuzuko emaphashini akho ngezinye izikhathi ingatholakala ku-X-ray.
• Kwezinye izimo, lapho udokotela ekushaya kancane isifuba sakho, angase azizwe izimbambo eziphukile kanye nokungazinzi kuleyo ndawo.

Iphathwa kanjani iFlail Chest?

Isifuba se-Flail yisimo esisongela ukuphila esidinga ukwelashwa okuphuthumayo. Ngemva kokungeniswa esibhedlela, ukwelashwa okulandelayo kuvame ukunikezwa:

Ukwelashwa okuyisisekelo nokulawula ubuhlungu

• Into yokuqala oyoyenza ukukunika umoya-mpilo ukuze ukusize uphefumule. Izinga lokushaya kwenhliziyo yakho, umfutho wegazi, kanye namazinga omoya-mpilo nakho kuzoqashwa.
• Okulandelayo, ukulawula ubuhlungu kubaluleke kakhulu. Ngoba uma ungakwazi ukuphefumula kahle ngenxa yobuhlungu obukhulu, isimo singaba sibi kakhulu. Ungenza izinto ezinjengalezi ukunciphisa ubuhlungu:
• Imithi yokufakwa emthanjeni (IV).
• Umjovo okhethekile onikezwa endaweni yomgogodla (i-epidural anesthesia).
• Imijovo yokuqeda ubuhlungu evimba imizwa ephakathi kwezimbambo (`amabhlogo obuhlungu be-intercostal`).
• Ngezinye izikhathi izindlela ezingaphezu kweyodwa zisetshenziswa ndawonye.

Ukugcina amaphaphu ehlanzekile: (Ukuhlanzeka Kwamaphaphu)

Lokhu kubaluleke kakhulu. Enye yezinkinga ezinkulu ezingase zenzeke uma kwenzeka i-(Flail Chest) ukuvela kwe-pneumonia . Ukuze kuvinjelwe lokhu, kubalulekile ukuyeka ukunqwabelana koketshezi olufana ne-mucus emaphashini. Izinto ezenziwayo kulokhu zibizwa ngokuthi `(Pulmonary hygiene)`Ibizwa ngokuthi (indlela yokugcina uhlelo lokuphefumula luhlanzekile). Ibizwa nangokuthi `(indlu yangasese yamaphaphu)` noma `(i-chest physiotherapy)`. Ihlanganisa okulandelayo:

• Ukumunca: Kufakwa ipayipi elincane endleleni yokuphefumula bese kuthi uketshezi oluqongelelekile lukhishwe.
• Ukusebenzisa idivayisi ekhethekile ukusiza ukuthuthukisa ukuphefumula (`I-Incentive spirometry`): Lokhu kuqeqesha isiguli ukuba siphefumule ngokujulile futhi sithuthukise amaphaphu kahle.
• Ukwelashwa nge-bronchodilator: Lokhu kunganikezwa njengemithi ephefumulwayo. Kwandisa imigudu yokuphefumula (i-bronchi) futhi kwenza ukuphefumula kube lula.
• Ukuqapha uketshezi: Ukuze amaphaphu asebenze kahle, inani loketshezi emzimbeni, ikakhulukazi egazini, kumele libe sezingeni elifanele.
• Ukuma kahle kwesiguli: Lokhu kwenza ukuphefumula kube lula futhi kunganciphisa ubuhlungu.

Usizo lokuphefumula kanye nokuhlinzwa

• Ezinye iziguli zinganikwa umshini obizwa ngokuthi "i-CPAP - Continuous Positive Airway Pressure" ukuze uzisize ziphefumule. Noma zinganikwa umoya-mpilo owengeziwe.
• Kungase kudingeke ukuthi uxhunywe emshinini okhethekile ('i-mechanical ventilator') ukuze ikusize uphefumule , mhlawumbe izinsuku eziningana noma amasonto, kuze kube yilapho amanxeba akho ephola.
• Kwezinye izimo ezinzima kakhulu, ukuhlinzwa kungadingeka ukuze kuvinjelwe izinkinga ezifana ne-pneumonia, kuncishiswe ukuhlala esibhedlela, futhi mhlawumbe kuvimbele nokufa. Le nqubo ibizwa ngokuthi i-surgical rib fixation . Lokhu kuhilela ukufaka amadivayisi, njengamapuleti nezikulufo, ezenziwe ngensimbi njenge-titanium, esifubeni ukuze kuqiniswe izimbambo eziphukile.

Sinjani isikhathi sokululama?

Kungathatha izinyanga eziningana ukululama ngokuphelele kulesi simo esibi esibizwa ngokuthi iFlail Chest. Ngenxa yokuthi lokhu kubangelwa ingozi enkulu, lokhu kuphuka kwezimbambo kudingeka kuphole kanye nezinye izingozi ezivela kuleyo ngozi.

Kungase kudingeke uhlale esibhedlela, mhlawumbe e-Intensive Care Unit (ICU) izinsuku ezimbalwa noma ngaphezulu. Uma une-bambo fixation yokuhlinzwa engikhulume ngayo ekuqaleni, ezinye izifundo zibonise ukuthi ubude besikhathi ohlala ngaso esibhedlela kanye nobude besikhathi ohlala ngaso e-ICU bungase buncishiswe.

Ngisho nangemva kokubuya ekhaya uvela esibhedlela, ungase ube nobunzima bokuphefumula isikhashana. Ngakho-ke , kufanele uqhubeke nokwenza izivivinyo zokuphefumula ezifundiswa odokotela bakho kanye nodokotela be-physiotherapists, futhi uzenze ngendlela efanele.

Ngokwesibonelo:

• Ukuphefumula kancane ngezindebe ezicindezelwe (ukuphefumula ngezindebe ezicindezelwe).
• Ukuphefumula okujulile okuvela esiswini (`ukuphefumula kwe-diaphragmatic (belly)`).
• Kudingeka futhi uzijwayeze amasu okukhwehlela alawulwayo ukuze unciphise ukunqwabelana kwamafinyila emaphashini.

Ingabe ingozi yesifuba esithambile ingancishiswa?

Yebo, ngezinga elithile. Isifuba esithambile sibangelwa ukulimala okukhulu, ngakho-ke ukunciphisa ingozi yokulimala okunjalo kunganciphisa ingozi yalesi simo.

• Shayela ngokuphepha njalo. Ungashayeli ngesivinini esingadingekile, futhi gqoka ibhande lakho lesihlalo njalo.
• Uma usukhulile noma usengozini yokuwa, qaphela ngisho nasekhaya. Gcina phansi kwakho kungenazinto ezishelelayo nezithiyo. Qiniseka ukuthi kunokukhanya okwanele. Uma udinga usizo lokuhamba, njenge-walker noma induku, sebenzisa ngaphandle kokungabaza.

Ingabe isifuba esithambile kanye ne-pneumothorax ziyinto efanayo?

Cha. Isifuba Esicwebezelayo kanye ne -Pneumothorax (iphaphu eliwile) yizinto ezimbili ezihlukene.

I-Pneumothorax yilapho umoya uqoqana esikhaleni se-pleural phakathi kodonga lwesifuba nephaphu esikhundleni sokungena emaphashini. Kodwa-ke, inkinga enkulu yesifuba esithambile yi-pneumothorax, engenzeka uma ucezu lwembambo ephukile luhlala emaphashini.

Ingakanani iFlail Chest?

Lokhu kuyinto okudingeka uyikhumbule: Isifuba se-Flail siyisimo esiphuthumayo sezokwelapha esibucayi kakhulu, esisongela impilo. Akufanele siphathwe ekhaya. Kufanele selashwe ngokushesha esibhedlela.

Njengoba lokhu kungumphumela wengozi enkulu, uma unesifo esibizwa ngokuthi iFlail Chest, kuzothatha isikhathi eside ukululama. Kuzodingeka uhlale esibhedlela isikhathi eside. Ungase ube nomshini wokuphefumula izinsuku eziningana. Ngisho nangemva kokuba usuqalile ukululama, kuzodingeka uqhubeke nokwenza izivivinyo zokuphefumula kanye nokwelashwa ngokomzimba njengoba kunqunywe udokotela wakho.

Okokugcina, izinto okudingeka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngicabanga ukuthi uqonde amaphuzu abalulekile kulokho esikhulume ngakho (Flail Chest). Ekuphetheni, nakhu engikushoyo:

• Isifuba se-Flail akuyona into okufanele ithathwe kalula. Kuyisimo esiphuthumayo esingathi sína nesisongela ukuphila.
• Isizathu esiyinhloko salokhu izingozi ezinkulu, ikakhulukazi izingozi zezimoto kanye nokuwa kusuka phezulu.
• Isici esiyinhloko nesiphawuleka kakhulu salokhu ukunyakaza kwengxenye yesifuba iye kolunye uhlangothi lapho uphefumula (`ukunyakaza okuxakile`) . Kanye nalokhu, kuba nobuhlungu obukhulu kanye nobunzima bokuphefumula.
• Uma unezimpawu ezinjengalezi, noma uma ube sengozini enkulu, kubalulekile ukufuna usizo lwezokwelapha ngokushesha.Ungachithi isikhathi.
• Kuthatha isikhathi ukululama ngokugcwele, futhi ngisho nangemva kokuphuma esibhedlela, udinga ukuqhubeka nokulandela iseluleko sezokwelapha nokwenza izivivinyo zokuphefumula.
• Zama ukuzivikela ezingozini ngangokunokwenzeka futhi unciphise ingozi yokuthi izimo ezinjalo zenzeke .

Uma wena noma othile omaziyo enalezi zimpawu, noma uma ucabanga ukuthi ube sengozini enkulu, into engcono kakhulu ongayenza ukuya esibhedlela esiseduze ngokushesha uyofuna iseluleko sezokwelapha. Kungasindisa ngisho nokuphila!

Isifuba Esigobile , Ukuphuka Kwembambo, Ukungazinzi Kodonga Lwesifuba, Ukuphefumula Okukhubazekile, Izingozi, Ukulimala Kwesifuba, Ukucindezeleka Kokuphefumula