Yini okufanele uyenze uma uphula imbambo.
Ngemva kokulimala esifubeni-noma ukukhwehlela ngokucindezela ngokukhethekile-cabanga ukuthi kungenzeka ukuthi umcubu ophukile uma isiguli sinoma yikuphi okulandelayo:
- Ubuhlungu obukhulu uma uthatha umoya
- Ukufisela isifuba esifubeni noma ubuyele endaweni yezimbambo
- I-Crepitus-umuzwa "onzima" ngaphansi kwesikhumba
Enye yezindlela ezingcono kakhulu zokubona imbambo ephukile yindlela yokulimala . Ukuthola ukushaywa esifubeni, ukuwela okuthile nokushaya esifubeni noma ukushaya isifuba esitokisini noma ideshibhodi ngenkathi ingozi yemoto ingabangela ukuba izimbambo ziphulwe.
Ukukhwehlela okunamandla kungase kube indlela yokuphula izimbambo.
I-Flail Chest
Ngokuvamile, ingxenye ye-ribcage ihlukana ne-bone ne-muscle ezungezile. Le ndawo ilahlekelwa isakhiwo sayo esicacile (cabanga ukuthi i-short back of baby-backs ixhunywe kulo lonke udoti kuphela) futhi iyahamba kalula njengoba isiguli siphefumula. Lesi sigaba saziwa njengengxenye ye- flail futhi sinengozi kakhulu kunamacimbi nje aphukile.
Ama-Ribs anzima kakhulu ukuwaphula. Zizungezwe izinhlanzi eziqinile futhi ngokuvamile zingathatha ukuhlukumeza okuningi ngaphambi kokuba ziqhume. Abantu asebekhulile bangathola izimbambo eziphukile kunabantu abadala abancane. Izingane zinamathambo aguquguqukayo. Izimbambo eziningi eziphukile-kuhlanganise nezingane-zivela ezingozini zemoto, kodwa nazo zivame ukuwa ngamahhashi, ukulimala kwezemidlalo nokuwa. Kwezinye izimo, ukukhwehlela okunamandla-okufana ne-pneumonia-kungabangela ukuqhuma komfutho .
Amathrekhi aphukile ahlukumeziwe noma aNondisplaced
Esikhathini esiningi, umhlubu ophukile uphukile kuphela endaweni eyodwa, futhi "ukuphulwa okuphelele," okusho ukuthi akuyona yonke into edabula ithambo.
Izimbambo eziphukile ngokuphelele kungenzeka noma zingasuki endaweni. Uma zihamba, zibizwa ngokuthi i-ribbon fractures futhi zivame ukufaka amaphaphu noma ukulimaza ezinye izicubu nezitho. Ama-Ribs ahlala endaweni-ngokuvamile izimbambo ezingaphuliwe ngokuphelele-zibizwa ngokuthi i-nondisplaced rib fractures.
Ukwelapha
Okokuqala, uma ushayele kanzima ngokwanele esifubeni ukuze wenze ucabange ukuthi usuke uphule umhlubu noma ababili, hamba emnyangweni ophuthumayo noma ushayele u-911. Noma yimuphi umlenze okhuni okwanele ukuphula imbambo unamandla okwanele ukubangela okunye, ukulimala okuningi okusongela impilo. Kuyingozi kakhulu uma isiguli sinesinye sezibonakaliso noma izimpawu ezilandelayo:
- Ukuphefumula okuncane kakhulu
- Ukushaya igazi
- Ukudideka noma isizungu
- Ubuthakathaka jikelele
- Igazi emcimbini
Kungenzeka futhi ukuthi uphule umgqomo ongaphezu kweyodwa ngesikhathi. Izimbambo ezingaphezu kwezintathu eziphukile ngesikhathi esisodwa zingase zisongele ukuphila. Njengoba indlela kuphela yokukwazi ngokuqinisekile ukuthola i-x-ray, kubalulekile ukuya emnyangweni ophuthumayo nganoma isiphi isikhathi uma usola ukuthi unombambo ophukile.
Akuningi ongakwenza
Kunezindaba ezinhle nezindaba ezimbi mayelana nokuphatha izimbambo ezilula eziphukile. Izindaba ezinhle: Izozipholisa zodwa futhi mhlawumbe ingabi nezinkinga ezengeziwe. Izindaba ezimbi zibuhlungu kakhulu futhi kuncane kakhulu ongakwenza ngakho.
Esikhathini esedlule, ukwelashwa kwezimbambo eziphukile kufaka phakathi ukufaka isifuba nge-band ebanzi ngokuvamile ebizwa ngokuthi ibhande lembambo. Ucwaningo olwenziwe ngo-1990 aluzuzanga nzuzo ezigulini zokugqoka. Ukuhlukunyezwa kwezimbambo ezilahlekile kubangele izinkinga eziningi kulolu cwaningo lapho bephathwa ngebhande kunokuba bebengekho.
Odokotela abaningi abaphuthumayo namuhla abafaki izimbambo eziphukile.
Imithi yokwelapha ephukile kunazo zonke imithi yokwelashwa elula. Izidakamizwa eziphikisana nezidakamizwa (ama-NSAID) afana ne-ibuprofen noma i-naproxen ahamba phambili. Uma uya ku-ER ngenombolo yakho ephukile, udokotela cishe uzokunika imithi yokwelapha imithi kanye ne-NSAID.
Izinkinga
Ukukhathazeka okuvame kakhulu kwezimbambo eziphukile akukwazi ukuthatha umoya ojulile ngoba ubuhlungu. Uma ungaphefumuli ngokwanele, u-mucous kanye nomswakama ungakha emaphashini bese uholela ekutheleleni okufana ne- pneumonia .
Ukuphulwa kwezimbambo ezilahlekile kungalimaza ezinye izicubu noma izitho futhi ngezinye izikhathi kuholele emaphashini aphukile (i-pneumothorax) noma ukuphuma kwangaphakathi.
Kubalulekile ukugcina amaphaphu akho aphilile. Njengoba uphilisa, yenza umkhuba wokuphefumula okujulile. Kubalulekile ukuthi ungesabi ukuthatha imithi yobuhlungu njengoba kunqunywe ngoba ukugcina ubuhlungu ngaphansi kokulawula kubalulekile ukuthatha ukuphefumula okuqinile, okujulile.
Uma uya ku-ER, udokotela angakuthumela ekhaya ngethuluzi lokukhuthaza ukuphefumula okujulile. Ithuluzi libizwa ngokuthi i-spirometer yokukhuthaza. Ilinganisa umthamo wamaphaphu ukuze iziguli zikwazi ukubona ukuthi amaphaphu abo alulame kanjani njengoba umhlanga ophukile uphulukisa.
Imithombo:
Sirmali, M, et al. "Ukuhlaziywa okubanzi kokuhlukumezeka kwembambo: ukugula, ukufa nokuphathwa." I- Eur J Cardiothorac Surg . Jul 2003.
> Okusheshayo, G. "Isivivinyo somtholampilo esingahleliwe sezintambo zomgqomo ngeziphuzo ezilula." Am J Emerg Med . Jul 1990.