I-Rib fractures kukhona ukulimala okwenzeka odongeni lwesifuba. Isizathu esivame kakhulu sokuqhekeka kombambo kuyingozi yokulimala esifubeni kusukela ekuwa, ukushayeka kwezimoto, noma ukulimala okunamandla. Okungavamile kakhulu, ukuhlukunyezwa komdlandla ngokweqile, ukulimala okwezinye izikhathi ngenxa yemisebenzi ethile yemidlalo efana nokugwedla ukuncintisana.
I-Rib fractures ngokuvamile ayidingi ukungenelela okuqondile noma ukwelashwa, kodwa kungaba uphawu lokulimala okukhulu ezingxenyeni zesifuba nesisu.
Noma yikuphi ukuhlukunyezwa okunamandla okubangela ukuqhuma kombambo kumuntu onesisindo somzimba ojwayelekile, kufanele uqaphele udokotela wakho ukuqinisekisa ukuthi akukho ukulimala kwezinye izakhiwo zesifuba nesisu.
Kunezimo lapho ukuqubuka kombuthano kwenzeka khona ngaphandle kokusebenzisa ngokweqile noma ukuhlukunyezwa okukhulu. Lezi zingozi zibizwa ngokuthi i- pathologic fractures , futhi zenzeka lapho ithambo libuthakathaka kuze kube yilapho lingaphula khona noma kungabi nengozi. Isizathu esivame kakhulu sokuphulukana kwezimbambo ze-pathologic kunabantu abanobuthakathaka obubuthakathaka besithambo, noma i- osteoporosis . Ezinye izimbangela zethambo elibuthakathaka eliholela ekuqhekekeni kwe-pathologic kungafaka izifo, izicubu, nezinye izimo ezibuthakathaka amathambo.
Izimpawu Ezivamile
Isibonakaliso esijwayelekile sombundu ophukile ubuhlungu. Ubuhlungu buba bubi nakakhulu uma kuthatha umoya ojulile, noma ukunyakaza okungazelelwe kwesifuba njengokukhipha noma ukukhwehlela. Iziguli zizokhononda ngokubuhlungu okugxilwe ngokuqondile phezu kwegazi eliphukile, kanti kwezinye iziguli, ukuphuka kungase kubonakale sengathi kunesisindo esincane phakathi kwesikhumba nesithambo.
Uma kulimala kakhudlwana, ukubola kwesibindi sesifuba kungabonakala, futhi uma kunezimbambo eziningi ezihlukumezekile ezindaweni eziningi (isimo esibizwa ngokuthi 'i-flail esifubeni'), ukunyakaza komdanso wesifuba kungase kungavamile ngokuphefumula (ukunyakaza kwesifuba).
Ukwelashwa kwe-Rib Fractures
Ukwelashwa okuvame kakhulu kwenzalo ephukile kuyinkondlo yokusekela.
Ngenxa yokuthi udonga lwesifuba kufanele ludlulisele ukuba uphefumule, ayikho indlela yokuvimbela isifuba. Imithi yezinhlungu ingasiza ekunciphiseni ukungahambi kahle, kodwa ukuphumula, ukuphefumula okungajulile, kanye nesikhathi yizona zindlela zokwelapha ngokuphumelelayo umhlubu ophukile.
Njengoba kukhulunywe ngaphambili, ukulimala kwezinye izakhiwo esifubeni nasesisu sekuvame ukubaluleka ngaphezu kombundu ophukile. Isibambo esiphukile singabangela ukulimala ngokuholela ekugqaseni kwamapayipi okwenza i- hemothorax noma i- pneumothorax . Ngaphezu kwalokho, ngoba abantu abanomhlubu ophukile abathinti ukuphefumula okujulile, bangahlakulela i- pneumonia ne- atelectasis .
Ukwelapha Okuhlinzekwayo
Izindaba ezinhle ukuthi ukwelapha okuhlinzekwayo akuvamile ukubhekwa njengokwelashwa kwezimbambo. Izizathu ezimbili ezivame kakhulu zokudinga ukuhlinzwa kukhona isifuba se-flail noma ukuguqulwa kwendonga yesifuba. Kulezi zimo ezingavamile, ukulungiswa kokuhlinzwa kwembambo ephukile kungacatshangwa. Izimila ezijwayelekile ezisetshenziselwa ukwelapha izimbambo eziphukile zifaka amapuleti ensimbi , izindonga ze-intramedullary , namacwecwe e-bioabsorbable. Inselele ngokuhlinza ngoba ayikho indlela yokuvimbela izimbambo, kukhona ukuthambekela kokufakela izimpande ekuhambeni kwesikhathi. Ukuhlinzwa kubhekwa kuphela ezimweni ezicacile futhi ezingavamile.
Isibikezelo
Isibambo esisodwa esihlukumezekayo ezigulini ezincane sinesibikezelo esihle kakhulu sokuphulukiswa okuphelele. Eziguli ezikhulile kanye neziguli ezinezifo ezinzima zesifuba sekhanda, kukhona ithuba eliphakeme lokuthuthukisa izinkinga ezihambisanayo, ikakhulukazi izinkinga zamapulmonary. Ukugxila kokwelashwa kwezimbambo zomzimba kuzama ukunciphisa ithuba lalezi zimo ezibangelwa ukwenzeka.
Imithombo:
I-Fowler TT, et al. "Ukwelapha Okuhlinzekwa Kwe-Flail Chest kanye ne-Rib Fractures" J Am Acad Orthop Surg December Disemba 2014 vol. 22 cha. 12 751-760