Nthiti wovulala ndi zambiri choipa cha pachifuwa. zimayambitsa zambiri. Nthawi zambiri zoipa chifukwa cha kugwa kuchokera kumwamba. Zizindikiro nthiti wovulala angavomereze osati za kuwonongeka kwa fupa, komanso a choipa kwa ziwalo. Pali milandu pamene choipa amenewa ndi oopsa, choncho ayenera ankachitira kwambiri osati kudzimvera medicate.
The chizindikiro chachikulu cha nthiti wovulala
N'kosavuta kwa ndikuganiza kuti waukulu chizindikiro cha nthiti wovulala ndi ululu. phindu ake chikondwerero pamene mpweya ndi kayendedwe ntchito. Makamaka ululu udzamvedwa pamene kutembenukira ku mbali ya chifuwa. Mukupuma pamwamba akhudzidwa ndi osaya. Chifuwa adzachititsa kuukira zamphamvu ululu waukulu. Kuti osachepera pang'ono kuchepetsa mavuto a anthu, m'pofunika kuonetsetsa lopuma. Kuti azichita izi iye ayenera kutenga udindo atakhala, mutu pang'ono chopendekekera mmbuyo. chizindikiro china cha nthiti wovulala - fupa crepitus - angathe kuonedwa pamene palpation za m'dera. Izo kumaonekera mwa mawonekedwe a crunch, amene anapanga fupa zikukhudza. N'zochititsa chidwi kuti choipa mu zapambuyo ndi lateral pachifuwa anasamutsa ankawonjezereka. Iwo nthawi zambiri limodzi ndi kulephera kupuma. fractures nthiti pa kumbuyo kwa zochepa kwambiri.
Zizindikiro za fractures angapo
Kufinya kapena wovulala m'mbali yosabala poyerekeza ndi zoopsa zochuluka komwe kuwonongeka kulandira mafupa angapo. Pamene ndikulemba kuwonongeka amphamvu a boma bwanji, kuwonjezera pa ululu, kufupika wapezeka osaya kupuma ndipo pa zimachitika mofulumira. Khungu akutembenukira wotumbululuka, amakhala cyanotic. Wodwala amayesa kutenga malo omasuka ndi optimally poyesa atathana. Amapewa lokhoza kayendedwe ndi mabasi ngati ndimosadziwa. anayendera Komanso m'dera zowonongeka ndi pafupifupi nthawi zonse imasonyeza chizindikiro china cha fractures nthiti - kufinya. Komanso, n'zosavuta kuti muzindikire ndi kutupa. Palpation ndi fractures angapo ndipo limanena chowawa crepitus mpweya, zikuwoneka ngati creaking pang'ono.
Pneumothorax wovulala m'mbali
Wolakwiridwayo pakutchulidwa wa pneumothorax adzasonyeza kuwonongeka ambiri chapansipansi za kuwonjezeka kupuma movutikira. Mu zinkakhala m'dera sadzakhala titsimikize ndi mpweya. Kuwonongeka kwa mapapo mwina amasonyezanso hemoptysis. Ichi ndi chizindikiro kwambiri kuti amafuna yomweyo alowererepo zachipatala. mavuto awa (pneumothorax ndi hemothorax) zimakhala pasanapite nthawi atalandira kuwonongeka. posttraumatic chibayo - wina syndrome chimodzimodzi oopsa angagwe pambuyo masiku angapo pambuyo wovulala lapansi. Ndi vuto ili amakonda anthu makamaka achikulire. Pankhaniyi, zikukhudza nthiti ndi sternum chidzakhala ndi kusalekerera wapadera ndi kudzipereka kwa chithandizo kovuta.