Zimene mungachite ngati mutathyola nthiti.
Pambuyo povulazidwa pachifuwa-kapena kukhwimitsa mwamphamvu-ganizirani za nthiti yothyoka ngati wodwala ali ndi zotsatirazi:
- Kumva kupweteka kwambiri pamene mupuma
- Chikondi ku chifuwa kapena kumbuyo kwa nthiti
- Crepitus -kumverera kovuta "pansi pa khungu
Imodzi mwa njira zabwino kwambiri zodziwira nthiti yosweka ndiyo njira ya kuvulaza . Kuyamba kugunda mu chifuwa, kugwa pa chinachake ndi kugunda pachifuwa kapena kuswa chifuwa mu gudumu kapena dashboard pangozi ya galimoto kungabweretsere nthiti zosweka.
Kukhwimitsa mwamphamvu kungakhalenso njira yothetsera nthiti.
Flail Chifuwa
Kawirikawiri, chigawo cha nthitiyi chimachoka ku fupa ndi minofu yoyandikana nayo. Dera limeneli lataya malo ake okhazikika (ganizirani kanthawi kochepa kamwana kamene kamagwirizanitsa ndi nthiti yonseyo ndi minofu) ndipo imayenda mosavuta pamene wodwala akupuma. Gawo ili limadziwika ngati gawo lamtundu ndipo ndi loopsa kwambiri kuposa nthiti chabe yosweka.
Nkhono ndizovuta kusiya. Iwo akuzunguliridwa ndi minofu yamphamvu ndipo kawirikawiri amatha kugwiritsa ntchito nkhanza zambiri asanagwidwe. Okalamba akhoza kuthyola nthiti mosavuta kusiyana ndi achinyamata akuluakulu. Ana ali ndi mafupa osinthasintha. Nthiti zambiri zong'ambika-kuphatikizapo ana-zimachokera ku ngozi za galimoto, koma zimakhalanso zachizoloŵezi kugwa mahatchi, kuvulala masewera, ndi kugwa. Nthaŵi zina, kukodza kolimba kwambiri-monga matenda a chibayo-kungayambitse nthiti .
Zingwe Zogwedezeka Zosweka kapena Zosweka
Nthaŵi zambiri, nthiti yosweka imangowonongeka pamalo amodzi, ndipo ndi "kupasuka koletsedwa," kutanthauza kuti sizingatheke kupyola mafupa.
Ziphuphu zonse zathyola zingakhale zosasunthika kunja. Ngati atasunthira, amatchedwa kuti nthiti za nthiti zowonongeka ndipo amatha kuponya mapapu kapena kuwononga ziwalo zina ndi ziwalo zina. Nkhono zomwe zimakhalapo-kawirikawiri nthiti zomwe sizingathetsedwe mwagawo-zimatchedwa nondisplaced nthiti za fracture.
Chithandizo
Choyamba, ngati mwagunda mwamphamvu m'chifuwa kukupangitsani kuganiza kuti mwathyola nthiti kapena awiri, pitani ku dipatimenti yowonjezera kapena muitaneni 911. Mphamvu iliyonse yovuta kuti muthe nthiti ili ndi mphamvu zina, zovulala zambiri zowopsa. Ndizoopsa kwambiri ngati wodwalayo ali ndi zizindikiro zotsatirazi:
- Kutaya mpweya wochepa
- Kuwaza magazi
- Kusokonezeka kapena chizungulire
- Kufooka kwakukulu
- Magazi mu mkodzo
Zikhozanso kuthetsa nthiti zambiri pa nthawi. Zitsulo zoposa zitatu zathyola nthawi imodzi zimatha kupha moyo. Popeza njira yokhayo yodziwira zenizeni ndi kupeza x-ray, nkofunika kupita ku dipatimenti yowopsa nthawi iliyonse yomwe mukuganiza kuti nthiti yathyoka.
Osati zambiri zomwe mungathe kuchita
Pali uthenga wabwino komanso nkhani zabwino zokhuza nthiti zophweka. Uthenga wabwino: Iwo adzichiritsa okha ndipo mwinamwake sudzapanganso mavuto ena. Nkhani zoipa ndizowawa kwambiri ndipo pali zochepa kwambiri zomwe mungathe kuchita.
M'mbuyomu, chithandizo cha nthiti zothyolapo chimaphatikizapo kukulunga pachifuwa ndi gulu lalikulu lomwe nthawi zambiri limatchedwa nthiti ya nthiti. Kafukufuku wina mu 1990 sanapeze phindu lolemba odwala. Kuphulika kwa nthiti yosweka kunayambitsa mavuto ambiri mu phunziro ili pamene iwo ankapatsidwa ndi belt kuposa pamene iwo sanali.
Ambiri mwachipatala masiku ano samaphika nthiti zosweka.
Mankhwala abwino kwambiri osweka ndi mankhwala opweteka kwambiri. Mankhwala otsutsana ndi kutupa ( nonsteroidal anti-inflammatory drugs (NSAIDs) monga ibuprofen kapena naproxen ndi abwino kwambiri. Ngati mupita ku ER chifukwa cha nthiti yanu yosweka, dokotala akhoza kukupatsani mankhwala ochepetsa ululu komanso NSAID.
Mavuto
Kusokonezeka kwakukulu kwa nthiti yosweka sikutha kutenga mpweya wakuya chifukwa zimapweteka. Ngati simukupuma mokwanira, mucous ndi chinyezi zingamange m'mapapu ndipo zimayambitsa matenda monga chibayo .
Mphuno ya nthiti yosweka imatha kuwononga ziwalo zina kapena ziwalo zina ndipo nthawi zina zimapangitsa mapapo omwe amathyoka (pneumothorax) kapena magazi.
Ndikofunika kuti mapapu anu akhale ndi thanzi labwino. Pamene mukuchiza, yesetsani kupuma mokwanira. Ndikofunika kuti musamachite kumwa mankhwala opweteka monga momwe mwafunira chifukwa kusunga ululu wolamulidwa ndikofunikira kuti mutenge mpweya wolimba.
Ngati mupita ku ER, dokotala angakutumizeni kunyumba ndi chida cholimbikitsira kupuma kwakukulu. Chidachi chimatchedwa spirometer. Zimayesa mphamvu zamapapo kuti odwala akhoze kuona momwe mapapo awo akukhalira bwino ngati nthiti yosweka imachiza.
Zotsatira:
Sirmali, M, et al. "Kufufuza mwatsatanetsatane za zopwetekedwa ndi nthiti: kupha, kufa, ndi kusamalira." Eur J Cardiothorac Surg . Jul 2003.
> Mwamsanga, G. "Kuyesedwa kosasinthika kwa kachipangizo ka nthiti za nthiti za zophulika zosavuta." Am J Emerg Med . Jul 1990.