Anavulazidwa pachifuwa chithandizo, zizindikiro, kupewa

Kuvulala kwa thorax akhoza bwinobwino zimachitika chiwerengero cha kuwonongeka owopsa, chifukwa chimakwirira ziwalo zofunika kwambiri - mtima ndi mapapo. Choncho, pamene kuvulala monga anatunduzidwa pachifuwa, mankhwala n'kofunika akuchedwa angasokoneze imfa wodwalayo.

Chithandizo Ngozi thorax wovulala m'mbali

Anatunduzidwa pachifuwa akhoza kukhala zosiyanasiyana zotsatira. Mu nkhani zabwino, ndalama zonse wosweka nthiti, pa zikachitika - kuwonjezera pa mtima kuonongeka ndi mapapo. Ganizirani mu dongosolo.

Kuyamba ndi ife adzamvetsa mmene tiyenera kuchitira zoipa za chifuwa imene palibe kuvulala m'mutu. Kuona ngati nthiti ndi wosweka ndi kumene kungakhale zizindikiro zimenezi. M'malo mwa fupa lothyoka anati tilinazo ndi kutupa, kupuma akukhala osaya ndipo pali ululu pa kupuma mwakuya ndi gulu. Oopsa kwambiri, makamaka nthiti wosweka pafupi - otchedwa "lotayirira m'mphepete". chizindikiro chake si khungu bluish, komanso nthenda pachifuwa kayendedwe (pa kudzoza limayenda mkati, ndipo pamene inu kutulutsa - kunja). Choyamba, kuchotsa zovala kuchokera woberedwa, kuti magawowa kupuma wake. Iye nditatsamira kumbuyo (udindo theka-atakhala) ndi kupanga legeni (tayi dzanja pa mbali yanu, kugwetsa m'mbali). Itanani "ambulansi." Musaiwale kukayendera zimachitika a wovulalayo ndipo kupuma isanafike madokotala.

Thandizo ndi mankhwala mtima kuonongeka ndi mapapo

Taonani pachifuwa anatunduzidwa, amene Zizindikiro zimasonyeza kuwonongeka m'mapapo. Pankhaniyi, angagwe mitundu iwiri ya choipa: pneumothorax ndi hemothorax. pneumothorax kumachitika pamene nthiti wovulala likulowerera m'mapapo. Pankhaniyi, mpweya amasonkhana padziko m'mapapo. Ndi pneumothorax lotseguka, wozunzidwayo akhoza kusunga kufupika amphamvu mpweya, khungu bluish, ululu, mukubwadamuka, ndipo mofulumira osaya kupuma. Pamene tenzionnom pneumothorax limapezeka kupweteka kwambiri mu chifuwa, kutupa khosi mitsempha, izo kufulumizitsa zimachitika. Hemothorax otchedwa kudzikundikira magazi mu mapapo. Pansi kufupika kwake kwa mpweya ndi kupuma mofulumira amagwiritsidwa limodzi ndi chifuwa ndi magazi, wamagazi frothy sputum, ndi kunachita mdima wa khungu ndi thukuta kwambiri. Mtundu wa choipa zimayambitsa mantha pamene anatunduzidwa pachifuwa. Pamene choipa m'mapapo chifukwa kugunda kwa mtima ndi kupuma ayenera kwambiri kuunikira. Mu nkhani ya kutha kwa zosowa zawo amachita compressions pachifuwa. Nuchoka ndi kuwonongeka kwa mapapo - ndi chifuwa anavulazidwa, mankhwala n'chotheka mu zikhalidwe za kuchipatala. Thandizo akhoza mwachidule kubweretsa wodwala mu dongosolo. Koma chithandizo chamankhwala, vuto la kuchotsa zosiyanasiyana. Pamene pneumothorax chubu wapadera atachotsedwa chifuwa ndi kuwongoka mapapo mpweya. Ngati izi pneumothorax tenzionny, musanalowe mu chubu, amaika singano kuthetsa kuthamanga pa chifuwa. Pamene hemothorax mtima m'nsinga kutumikiridwa saline njira kuteteza mantha, chubu wapadera atachotsedwa magazi pachifuwa patsekeke. Imfa lalikulu magazi.

Kuwonongeka kwa mtima mwa zifukwa pachifuwa ndi kovuta kuzindikira. Zimafunika mosamala pokhazikitsa kuchipatala - yekha mu njira izi zikhoza mabanga ndi kuteteza arrhythmia mantha. Izo anatunduzidwa pachifuwa, chithandizo chimene amafuna kugwiritsa ntchito mpweya komanso mankhwala matenda a mtima ndi kuthetsa mtima kulephera.

Aliyense kupewa choipa kuposa kuchiza. Izi imakhudzanso kuvulala monga chifuwa anatunduzidwa, mankhwala amene angatenge nthawi yaitali. Kumene, motsutsana kuwonongeka ngati zovuta kutsimikiza. Koma nthawi zina n'zotheka. Mwachitsanzo, kupewa choipa ku ngozi ya galimoto, Ndi bwino ngakhale pamene oyendayenda okonda kugwiritsa ntchito malamba. Ana (ochepera zaka 6) ayenera kunyamulidwa mu mipando yapadera, osati kuiwala za zofooka kulemera kwa mwanayo. Ndipo ana zaka 6 mpaka 8 kunyamula pa mpando wakumbuyo. Kusamalira thanzi lanu!