Isifuba se-Flail sisho ukuhlukumeza okujulile kokuthembeka komgqa wokudoba kusuka ezingxenyeni ezingaphezu kweyodwa eziphambene nezimbambo eziphukile ezindaweni ezingaphezu kweyodwa. Esikhundleni sokubambelela ngokuqinile isimo esivamile sesifuba, isifuba se-flail siphumela endaweni engxenyeni yesifuba eshayela emuva nangaphandle ngaphesheya kolunye uhlangothi lwesifuba.
I-flailing ibizwa ngokuthi ukunyakaza kwe-paradoxical .
Uma isiguli sigxilisa futhi sonke isifuba sanda, ingxenye ye-flail izongena ngaphakathi. Ngakolunye uhlangothi, lapho isiguli sigxuma nezinye izinkontileka zesifuba, ingxenye ye-flail izokhipha ngaphandle.
Lokhu ukulimala okuyingozi okudinga ukwelashwa okuphuthumayo. Uma kungelashwa ngokushesha, i-flail esifubeni ingaholela ekuphazameni kwamaphaphu ( pneumothorax ) noma igazi enhliziyweni (tamponade yenhliziyo). I-Flail esifubeni kanye nomhlubu wezintambo, ngokuvamile, zivame kakhulu ezigulini ezikhulile kuneziguli ezincane. Qaphela kakhulu uma uhlola iziguli ezindala eziwile noma ezimele ukulimala izimbambo zabo.
Ukuphatha i-Flail Chest
- Hlala Uphephile . Uma ungesiye isiguli, sebenzisa izixwayiso zomhlaba jikelele futhi ugqoke imishini yokuzivikela yakho uma ikhona. Qinisekisa ukuthi noma yini eyabangela ukulimala isiguli akusisona isongo.
- Shayela u-911 . Uma opharetha abangu-911 enikeza imiyalo, landela leyo miyalo futhi uyishaya indiva lonke leli khasi. Uma u-911 engatholakali, thola isiguli usizo lwezokwelapha oluphuthumayo ngokushesha ngangokunokwenzeka.
- Qinisekisa isifuba se-flail . Sebenzisa umcamelo ukuze ubeke ingcindezi engxenyeni ye-flail. Ukubamba ingxenye ye-flail endaweni iyawuvimbela ukuba uhambe ngendlela ehlukile njenge-muscle ne-bone. Uma ingahambisani, ngeke kubangele ukulimala enhliziyweni, amaphaphu namathiski azungezile.
- Uma umcamelo awutholakali, cishe noma yini ezokwenza ukuze kuqiniswe isifuba se-flail. Roll up a jacket noma ingubo. Uma kungekho lutho olutholakalayo, okungenani isiguli sigxile ohlangothini oluthintekile esifubeni ukuze ludikibale ekuhambeni.
- Kungakhathaliseki ukuthi kusetshenziswe isifuba se-flail kuzolimaza, mhlawumbe kubi nakakhulu kunanoma yini isiguli esake sibhekana nayo. Ngaphezulu kwemithi yokuhlunguphazwa kwamanxeba angeke yenze okuningi kule nqanaba yezinhlungu kanye ne-painkillers enamandla akuyona umbono omuhle kuze kube yilapho usizo oluphuthumayo lwezokwelapha lukhona ukuze luhlinzekele uhla oluphelele lwezokwelapha eziphuthumayo. Ungalokothi uthathe - noma unike esinye isiguli - imithi yomuthi womunye umuntu.
- Qinisekisa njalo ukuthi iziguli ezine-flail esifubeni zithola ukwelashwa okuphuthumayo. Ukwehluleka ukunikeza ukwelashwa okufanele kwesikhumba se-flail kungaholela ekuphefumulweni kwe- pneumonia nezinye izimo ezisongela ukuphila.
Imithombo:
> Balas MC, Casey CM, Happ MB. Ukuhlola okuphelele nokuphathwa kogula kakhulu. Ku: Boltz M, Capezuti E, Fulmer T, Zwicker D, umhleli (s). Izikhombisi-ndlela zokwelapha ezisekelwe ezingobufakazi obusezingeni eliphezulu. I-4th ed . I-New York (NY): Inkampani ye-Springer Publishing; 2012. iphe. 600-27.
UHenry, uMark C. no-Edward R. Stapleton. Ukunakekelwa kwe-EMT Prehospital . Umhla wesi-3. 2004. Mosby / Jems
Pettiford, BL, JD Luketich noRJ Landreneau. "Abaphathi be-flail esifubeni." I-Thorac Surg Clin . 2007 Feb; 17 (1): 25-33