Chifuwachi chimatanthauzanso kusweka kwa nthiti kuchokera ku nthiti imodzi yosweka yomwe imathyoledwa m'malo oposa amodzi. M'malo mokhala ndi chizolowezi chodziwika bwino cha chifuwa, chifuwa cha flail chimapanga gawo la khoma lachifuwa kumbuyo ndi kutsogolo kumbali yonse ya khoma la chifuwa.
Kuwotcha kumatchedwa kutengeka kwapadera .
Pamene wodwala akufuula ndipo mbali yonse ya chifuwa imakula, chigawo cha flail chimalowa mkati. Koma, pamene wodwalayo akuwombera ndi zonse zomwe zimagwirizana ndi chifuwa, gawo la chifuwa lidzakankhira panja.
Izi ndi zovulaza zoopsa zomwe zimafuna chithandizo chamankhwala. Ngati simukuchiritsidwa mwamsanga, chifuwa cha flail chingapangitse mapapu otumphuka ( pneumothorax ) kapena magazi pamtima (mphutsi yamtima). Chifuwa ndi nthiti zazing'amba, makamaka, zimakhala zofala kwa okalamba kuposa odwala. Dziwani bwino pamene mukufufuza okalamba omwe agwa kapena akhoza kuvulaza nthiti zawo.
Kuchiza Chophimba Chophimba
- Khalani Otetezeka . Ngati simuli wodwalayo, yesetsani kusamala komanso chitani zodzitetezera ngati mulipo. Onetsetsani kuti chilichonse chomwe chinapangitsa wodwalayo kuvulala sikungakhalenso choopsya.
- Itanani 911 . Ngati opanga 911 amapereka malangizo, tsatirani malangizowa ndi kunyalanyaza mapepala onsewa. Ngati 911 palibe, pitani wodwalayo kuchipatala mwamsanga.
- Tsimbitsani chifuwa cha flail . Gwiritsani ntchito mtsamiro kuti muthe kukanikiza pazitsulo. Kuyika mbali ya chikhomo kumaloko kumapangitsa kuti zisasunthike mosiyana ndi minofu yoyandikana ndi fupa. Ngati sichimasunthika, sichidzapweteka kwambiri mtima, mapapo ndi ziwalo zozungulira.
- Ngati mtsamiro sulipo, pafupifupi chilichonse chingachititse kuti chifuwachi chikhale cholimba. Sungani jekete kapena bulangeti. Ngati palibe chilichonse chomwe chilipo, wodwalayo angagone pambali pa chifuwacho kuti awonongeke kusamuka.
- Mosasamala kanthu momwe chifuwa chalachi chikuchiritsidwa icho chidzapweteka, mwinamwake choipitsitsa kuposa chirichonse chimene wodwala wamuwonapo. Pa mankhwala opweteka kwambiri omwe sagwiritsa ntchito mankhwalawa sangathe kuchita zambiri pa ululu uwu komanso kupweteketsa mphamvu kwambiri sizomwe zili bwino mpaka thandizo lachipatala ladzidzidzi likupezeka kuti lipereke mankhwala ochuluka. Musatenge-kapena mupereke kwa wodwala wina - mankhwala ena a mankhwala.
- Nthawi zonse onetsetsani kuti odwala omwe ali ndi chifuwa chachikulu amapita kuchipatala mwamsanga. Kulephera kupereka chithandizo choyenera cha chifuwa cha chilakolako kungayambitse chibayo ndi zinthu zina zoopsya.
Zotsatira:
> Makolo MC, Casey CM, Happ MB. Kusanthula kwakukulu ndi kusamalira odwala kwambiri. Mu: Boltz M, Capezuti E, Fulmer T, Zwicker D, mkonzi. Zotsatira zovomerezeka zaukhondo zothandizira odwala kuti azichita bwino. 4th ed . New York (NY): Springer Publishing Company; 2012. p. 600-27.
Henry, Mark C., ndi Edward R. Stapleton. EMT Prehospital Care . Mkonzi wachitatu. 2004. Mosby / Jems
Pettiford, BL, JD Luketich ndi RJ Landreneau. "Olamulira a chifuwa cha flail." Chipatala cha Thorac Surgery . 2007 Feb; 17 (1): 25-33