Chifukidzo chepachifu chinoreva kukanganisa kwakakomba kwehutenderedzwa hwembambo dzembambo kubva kune imwe chete yakatarisana nenyundo dzakaputsika dzakaputsika mune imwe nzvimbo imwe neimwe. Panzvimbo yekugadzirisa zvakasimba chimiro chechifukidzo chebhokisi, chifukidzo cheparil chinokonzera chikamu chemuti wechipfuva chinoputika shure uye mberi kune imwe nzvimbo yakatarisana neyese yerusvingo rwechifuva.
Iko kunotumidzwa kunonzi paradoxical movement .
Kana murwere achizununguka uye chikamu chese chechipfuva chichiwedzera, chikamu chemafuta chinonyura mukati. Kune rumwe rutivi, kana murwere achizununguka uye zvimwe zvechibvumirano chechifuva, chikamu chemafuta chichawedzera kunze.
Iyi inokuvadza ine ngozi inoda kurapwa kwekukurumidzira. Kana isingatarisirwi nokukurumidza, chifukidzo che flail chinogona kutungamirira kumapapu akadonha ( pneumothorax ) kana ropa mukati memwoyo (tamponade yemwoyo). Flail chifu uye nhavu dzinoputika, kazhinji, dzinowanzowanikwa kune vakwegura vakwegura kudarika varwere vaduku. Iva nehanya chaizvo kana uchitarisa varwere vakwegura avo vakawa kana kuti vangangokuvadza mitsipa yavo.
Kuchengetedza Flail Chest
- Ramba Wakachengeteka . Kana iwe usisiri murwere, ita tsika dzekuchengetedza zvese uye upfeke zvishandiso zvemunhu kana zviripo. Iva nechokwadi chokuti chero chii chinokonzera kukuvara kumurwere hachisiri mungozi.
- Dana 911 . Kana mufambisi 911 anopa mirayiridzo, tevera mirairo iyo uye usakanganwa zvese zve peji rino. Kana 911 isiripo, tora murwere kubasa rekurapa nokukurumidzira nokukurumidza.
- Simbisa chifukidzo chemoto . Shandisa mutsago kuti uise chisungo pane chikamu cheiri. Kubata chikamu chechikamu panzvimbo inoita kuti isasvike kune rumwe rutivi rwakafanana neyemuviri uye pfupa rakapoteredza. Kana iyo isingafambi, haingazokonzeri kukanganisa pamwoyo, mapapu nemasukisi akakomberedzwa.
- Kana murove usingawanikwi, chero chinhu chipi zvacho chingaita kuti chigadzikane chifukidzo chemoto. Ronga jekete kana bhandi. Kana pasina zvachose chiripo chiripo, zvichida murwere anorara kune rumwe rutivi rwakavhiringidzika rwechifukidzo kuti azvidzivise kubva pakufamba.
- Pasinei nokuti chifukidzo chemapuranga chinorapwa chinenge chichikuvadza, zvichida chakaipisisa kupfuura chinhu chipi nechipi murwere akaonana nacho. Pamusoro pemishonga yemarwadzo ekupikisa haisi kuzoita zvakawanda nokuda kweiyo marwadzo uye mapainiseti akasimba haasi pfungwa yakanaka kusvikira rubatsiro rwezvehutano rwemhirizhonga runowanika kupa huwandu huzere hwehutano hwekukurumidzira. Usambozvitora-kana kupa kune mumwe murwere - mumwe mushonga wemishonga yemumwe munhu.
- Nguva dzose ivai nechokwadi chokuti varwere vane chifukidzo cheflail vanoenda kuchipatara. Kusakwanisa kupa kurapa kwakakodzera kwechifukidzo chepailil kunogona kutungamirira pneumonia nemamwe mamiriro ezvinhu anotyisa.
Sources:
> Balas MC, Casey CM, Happ MB. Kunyatsonzwisisa kuongorora nekutarisa kwekurwara kwakanyanya. Mu: Boltz M, Capezuti E, Fulmer T, Zwicker D, mhariri (s). Zviratidzo-zvakagadzirwa nemaitiro ekurapa ekuchengetedza maitiro akanaka kwazvo. 4th ed . New York (NY): Springer Publishing Company; 2012. p. 600-27.
Henry, Mark C., uye Edward R. Stapleton. EMT Prehospital Care . 3rd Ed. 2004. Mosby / Jems
Pettiford, BL, JD Luketich naRJ Landreneau. "Kutungamirirwa kwechifupa cheflail." Thorac Surg Clin . 2007 Feb; 17 (1): 25-33