Zvaunofanira kuita kana iwe ukavhuna mbabvu.
Mushure mekukuvadzwa kwechifuva-kana kunyanya kukohwa-funga kuti ingangodaro rakaputsika nharo kana murwere ane chimwe chezvinotevera:
- Kunyanya kurwadziwa pakutora mweya
- Unhu hunoenda kuchipfuva kana kudzoka pane imwe nhavo
- Crepitus-"kunetsa" kunzwa pasi peganda
Imwe yenzira dzakanakisisa dzekuona nharo yakaputsika ndiyo nzira yekukuvara . Kuwana hit mubhokisi, kuwira pane chimwe chinhu nekurova chifukidzo kana kuputika chifukidzo mumoto wekutungamirira kana dashboard panguva yengozi yemotokari kunogona kutungamirira kumakumbo akavhuniwa.
Kushingaira kunokwidza kunogonawo kuva nzira yekuputsa mbabvu.
Flail Chest
Kazhinji, chikamu chechibhakera chinoputika kubva kumapfupa akapoteredza uye musuru. Iyi nharaunda inorasikirwa nheyo yaro yakasimba (fungidzira kamukira kadiki kemwana-mushure akabatanidzwa kune imwe nzvimbo yebhiriji chete nemisumbu) uye inofamba nyore nyore sezvinoita murwere achifema. Ichi chikamu chinozivikanwa senhengo ye flail uye inonyanya kutyisa kupfuura kungovhurika mbabvu.
Ribs zvakanaka zvakaoma kuputsa. Ivo vakakomberedzwa nemisimba yakasimba uye kazhinji inogona kutora zvakanyanya kushungurudzwa vasati vapera. Vakwegura vanogona kuwana zvibvu zvakaputsika zviri nyore kupfuura vaduku vakuru. Vana vane mafaira akawanda. Nzira dzakawanda dzakaputsika-kusanganisira vana-dzinobva mumotokari dzemotokari, asi dzinowanzosvika pakugumburwa pamabhiza, kukuvara kwemitambo, uye kuwira. Mune zvimwe zviitiko, zvakawanda zvekukanganiswa kwakasimba-kufanana nechokudzivirira kwepineumonia-kunogona kukonzera nhavu kuputika .
Matanda Akakanganiswa Akasvibiswa kana Anoputika
Kazhinji yenguva, ribhi rakaputsika rinoputsika pane imwe nzvimbo, uye "kuputsika kusina kukwana," kureva kwete nzira yose kuburikidza nefupa.
Zvose zvakaputsika mbabvu dzinogona kana kuti dzisingabvi panzvimbo. Kana vachifamba, vanodanwa kuti vakaputika nhengo dzomukati uye vanowanzopedza mapapu kana kuparadza mamwe maviri uye nhengo. Nhovo dzinogara munzvimbo-kazhinji nharo dzisina kukwaniswa zvachose muhafu-dzinonzi nondisplaced rib fractures.
Kurapa
Chokutanga pane zvose, kana iwe wakarova zvakasimba zvakakwana mubhokisi kukuita iwe unofunga kuti unogona kuputsa nhavu kana maviri, enda kune dhipatimendi rekukurumidza kana kudana 911. Simba chero ripi zvaro rakaoma zvakakwana kuputsa nambo rine simba rakakwana zvimwe, zvakanyanya kukuvadza upenyu. Zvinonyanya kuipa kana murwere ane chimwe chezviratidzo kana zviratidzo zvinotevera:
- Kupfupika kwepfuuriro
- Kuchema ropa
- Kuvhiringidzika kana chizivo
- General kushaya simba
- Ropa mumuguta
Zvinogona zvakare kuputsa nhamba imwe chete panguva. Zvinopfuura zvitatu nhovo dzakaputsika panguva imwechete zvinogona kutyisa upenyu. Sezvo nzira chete yekuziva chokwadi ndeyokuwana x-ray, zvakakosha kuenda kune dhipatimendi rekukurumidza chero nguva iwe unofungidzira nharo yakaputsika.
Kwete Zvakawanda Unogona Kuzviita
Pane mashoko akanaka uye nhau dzakaipa pamusoro pokurapa nyore nyore nenyati dzakaputsika. Mashoko akanaka: Achaporesa ari oga uye zvichida haazogadziri matambudziko mamwe. Nhau dzakaipa zvinorwadzisa zvakawanda uye pane zvishoma chaizvo zvaunogona kuzviitira.
Munguva yakapfuura, kurapwa kwembambo dzakaputsika kwakabatanidza kuvhara chifuyo nebandana yakawanda inowanzonzi bhandi bhandi. Chidzidzo muna 1990 hachina kuwana rubatsiro nekuvhara varwere. Kukanganiswa kwebhiriji yakabviswa kwakakonzera mamwe matambudziko mukudzidza uku apo ivo vaibatwa nebhanhire kupfuura apo pavakanga vasina.
Kazhinji vanachiremba vanokurumidzira nhasi havaputi mbabvu dzakaputsika.
Iyo yakanakisisa yakaputsika mupfudze mushonga unorwadza. Nonsteroidal anti-inflammatory drugs (NSAIDs) se ibuprofen kana naproxen dzakanakisisa. Kana iwe ukaenda kuE ER nokuda kwebvu rakaputsika, chiremba angangokupa mishonga yemarwadzo emishonga pamwe neNSAID.
Matambudziko
Kunyanya kunetseka kwembambo dzakaputsika hakukwanisi kutora kufema kwakadzika nokuti kunorwadzisa. Kana iwe usingafemera zvakadzika zvakakwana, mucous uye mhepo inogona kuvaka mumapapu uye inotungamirira kuhutachiona hwakaita sepineumonia .
Kukanganiswa kwebhiriji kunogona kukanganisa mamwe maviri kana nhengo uye dzimwe nguva zvinotungamirira kumapapu akadonha (pneumothorax) kana kubuda mukati.
Zvakakosha kuchengetedza mapapu ako ave noutano. Sezvaunoporesa, ita tsika yekufema zvakanyanya. Zvakakosha kuti usatya kutora mishonga inorwadza sezvinorayirwa nokuti kuchengeta marwadzo ari pasi pesimba kunokosha pakutora zvakasimba, kufema kwakadzika.
Kana ukaenda kuna ER, chiremba angakutumira kumba nechinangwa chokukurudzira kufema kwakadzika. Icho chinonzi inonzi inokurudzira spirometer. Inogadzirisa simba remapapu kuitira kuti varwere vaone kuti mapapu avo ari kupora zvakadini sezvo rambo rakatyoka rinorapa.
Sources:
Sirmali, M, uye al. "Kuongorora kwakanyanyisa kwekuvhiringidzika kwembambo kuputika: kuora, kufa, uye kutungamira." Eur J Cardiothorac Surg . Jul 2003.
> Kurumidza, G. "Kuongororwa kwekliniki dzisinganzwisisiki dzemabhande emidhi yezvipuka nyore." Am J Emerg Med . Jul 1990.