Ukubethelwa kwesifuba

Ukutyumla kwesifuba ngakwesobunxele okanye ngasekunene yindlela eqhelekileyo yokulimala eyenzeka ngenxa yezasekhaya, ezoshishino, ezemidlalo nezinye izinto. Ngoxinzelelo esifubeni, kutyhafa ngesikhumba esibuhlungu, i-hypodermis, imisipha, kunye nokuhamba kweembambo ezibhekise emiphakeni kunye nokukhala. Ukuqhaqha okukhulu kwesi sikhundla sinokubangelwa yimiphumo emibi ngenxa yomonakalo kumathambo angaphakathi kunye namalungu okanye ukuphuka kwamathambo nomgudu.

Iimpawu zokulimala kwesifuba

Imbonakalo ebalulekileyo yokuphambana kwesifuba kukuba:

• ubuhlungu obubukhali bokutshintsha okukhulu, ukuphakanyiswa ngentshukumo, inhalation kunye nokuphuphuma umoya;
• ukuvuvukala kwindawo yokulimala;
• ukubonakala kwentsholongwane okanye ukunyunyuzwa.

Kwiimeko ezinzima, kunokubakho imiphumo yokulimala kwesifuba kunye nemiqondiso enjalo:

• intlungu ebuhlungu kwi-palpation (ibonisa ukuhlukana kwembambo);
• i-cyanosis, ukubamba ukuphefumula, i-syncope (iimpawu zesifo senhliziyo);
• imbonakalo yeendawo zokuvuvukala, phantsi kwayo kukho ukubethelwa ngesandi esiqhekezayo, esichaza i-emphysema yangaphakathi-moya engena kwindawo engaphantsi (umonakalo emiphakeni kunye ne-pleura);
• i-tachycardia, ukunciphisa uxinzelelo lwegazi, ukuncipha komphefumlo, okubonisa i-hemothorax-ukungena kwegazi kwisigxina soxinzelelo;
• ebizwa ngokuba yi-cyanosis okanye i-blanching, ukuphefumula okufutshane, ukuphefumula okufutshane, oku kuthetha ukuqokelela umoya kwintlambo ye-plene-pneumothorax.

Ukuxilongwa ngokuxhatshazwa kwesifuba

Kufuneka i-diagnostic ye-diagnostic ngqo.

• ukuqokelelwa kwe-anamnesis (apho kwaye kwenzelwa khona ukulimala, zithini ukuvalelwa, njl);
• isalathiso sommandla owonzakeleyo;
• ukuhluthwa kwemiphunga kunye nentliziyo (ukuphulaphula);
• umlinganiselo wexinzelelo lwegazi;
• ukuxilongwa;
• radiography , njl

Ngokusebenzisa i-radiography, awukwazi kuphela ukugqiba intambo yeembambo, i-sternum kunye nomgudu, kodwa kwakhona ukuqonda i-hemothorax, i-pneumothorax kunye ne-subphylaxism emphysema.

Uncedo lokuqala ngengozi yesifuba

Ukuze ugweme ukufuduka kwimizi yeentambo ngenxa yokulimala kwesifuba kunye nokukhululeka kwimeko yexhoba ngokukhawuleza emva kokulimala:

1. Isigulane sifanele siqinisekise uxolo kunye nokunyanzeliswa. Ukwenza oku, ungasebenzisa naziphi na izicubu ezinobungakanani obukhulu kwaye uzibophelele kwisiza sokulimala esikufuphi esifubeni. Ukugqoka okungafanelekanga kufuneka kugxininiswe ngokwaneleyo, kwaye iphoyinti kufuneka iboshwe kwicala eliphambene nesayithi yokulimala.
2. Kunconywa ukuba umntu omazileyo athathe indawo yokuhlala.
3. Endaweni yokulimala kuyinqweneleka ukufaka ubanda (ipakethi yeqhwa, ikhephu, njl.) Ukunciphisa ukuvuvukala nokuqhwaba.
4. Ngenxa yesifo esibuhlungu, unokuthatha isicatshulwa se-anesthetic.

Indlela yokuphatha isifuba esisihlungu?

Ngenxa yengozi enkulu yeengxaki, unyango luqala ngokukhawuleza, ngokunokwenzeka kwisibhedlele kwisigaba sokuqala. Ngokuxhatshazwa kwesifuba esifanelekileyo, unyango lunokuthi lugcinwe ekusebenziseni izidakamizwa zengqungquthela ezichasayo, izigulane kunye ne-thrombolytic (ngokuqhelekileyo ngendlela yamafutha okugcoba).

Kwiimeko ezinzima, ukungenelela kunokwenzeka. Ngokomzekelo, ukuba kunokunyuswa umonakalo wamaphaphu, ukugqithiswa isigxina sokususwa kwegazi kunye nokungena kwamanzi. Kwakhona, kunokuba kuyimfuneko ukuba ugqithise amaqhekeza egazi, ukugcoba iinqanawa zegazi.

Ukuba imbambo iyaphulwa ukukhusela i-pneumonia emva kokuphazamiseka, oku kulandelayo:

• iziyobisi;
• i antibiotics;
• analgesics ;
• Inkqubo yokugulisa i-gymnastics yokuphuphuma umoya;
• inkqubo ze physiotherapeutic.