Amphamvu yotupa zosavuta: Zizindikiro ndi Chithandizo

Ambiri zambiri anatunduzidwa m'mapapo - chifukwa cha kuvulala pachifuwa. kuwonongeka amenewa ndi chatsekedwa ndipo angathe kutenga kuchokera zimakhudza kapena psinjika mantha. Mu matenda aakulu akhoza kuonongeka ziwiya ndi bronchi. Nthawi zambiri pali magazi.

Pali milandu pamene m'mapapo contusion amachititsa mapangidwe cavities kuti ndizodzazidwa ndi mpweya kapena magazi. Pankhaniyi, chipolopolo lokha, lomwe lili ndi mapapo, si kuonongeka.

Zizindikiro Contusion M'mapapo

Zizindikiro zoyambirira odwala kutsindika - ndi kupweteka kwambiri phapo. Pamene kwambiri kupuma kuwawa wakuzidwa. Kwambiri zosasangalatsa kutengeka kumachitika pamene kupinda udindo wina uliwonse wa thupi.

Ngati inu munazindikira magazi expectoration, si lilibe anavulazidwa m'mapapo. Zizindikiro sali choncho wamba - ndi tachycardia ndi khungu bluish.

Ngati zowonongeka anali aakulu, ndiye munthu akavulala mwina kufupika kwa mpweya ndi mantha. Nthawi zambiri, thupi silingathe oxygen.

Kunja kwa pachifuwa zambiri noticeable magazi, kufinya ndi kutupa.

m'mapapo contusion zingadziŵike yomweyo. Makamaka ngati kuonongeka chifuwa ndi nthiti. Choncho, kuleza mtima n'komwe kukula kwa vutolo.

Anawona matenda a chibayo chifukwa cha kuvulala m'mapapo. Zimakhala kapena mogwirizana kapena lobar.

Zimayambitsa kuvulala

Malinga ndi malipoti mankhwala, contusion waukulu m'mapapo ndi chifukwa cha kuvulala chatsekedwa pachifuwa. mwakayakaya akhoza analandira kugwa kuchokera okwera kwambiri, kapena kumenya gudumu la galimoto pa ngozi ya galimoto. Osati lilibe mabomba ndi mabala kubaya. Kawirikawiri ndi choipa m'mapapo komanso amakhudza mtima, nthiti ndi nthiti yokha.

diagnostics

kuvulala zazing'ono zikhoza matenda mu njira zingapo:

1) Pa pamwamba anayendera. njirayi imakhala mu Kupenda pachifuwa. Ngati kuoneka kukha magazi, mapapo akhoza anavulala.

2) Kugwiritsa ultrasound. Ngati pali malo zowonongeka, chinsalu ngati mthunzi Echo HIV.

3) Strong anavulazidwa m'mapapo zingadziŵike nthawi kumvetsera kwa thupi. Izi zikhoza kuchitika basi atatsamira pa khutu kapena stethoscope.

4) Kugwiritsa X-ray, n'zotheka kudziwa zifukwa chifukwa polymorphic kuwala obscuration m'dera anavulala.

5) Kudzifufuza a m'mapapo kudzera chipangizo bronchoscope. Izi ndi chubu dzenje ndi gwero kuwala kumapeto. Choncho, tingathe kuona edema wa bronchi, kapena kudzikundikira magazi.

zadzidzidzi

Ngati wogwiriridwayo ali kale pa kuwonana koyamba anapezeka ndi anavulazidwa m'mapapo, mankhwala ayenera yomweyo. Woyamba chithandizo mwadzidzidzi kuthetsa ululu, kuchepetsa zotsatira ndi kuchepetsa zizindikiro.

Kuchita izi, ntchito compress ozizira pa malopo wovulala. Chifukwa chaichi, mungathe kugwiritsa ntchito botolo mazira kapena ayezi paketi. Ikani Manga nthawi kwa maminiti pang'ono.

lotani kwa compress motalika Sikuti. Zingayambitse khungu frostbite kapena chimfine.

Perekani wovulalayo pa mpumulo. Iwo m'pofunika kuziyika izo mu malo yopingasa ndi kuonetsetsa kuti wodwala achokapo zochepa ngati n'kotheka. Nthawi yoyamba pambuyo kuvulazidwa ndi bwino kukhala ndi munthu ovulala theka woongoka udindo. Mpaka kufika pa dokotala sayenera kugwiritsa ntchito mankhwala aliwonse. Wenewu kuvutika zinthu.

pneumothorax

Mu chikhalidwe awiri katundu kumachitika pamene kulandira pachifuwa kupwetekedwa mtima. Zikuphatikizapo pneumothorax ndi hemothorax.

Contusion ya m'mapapo (zizindikiro ndi chithandizo atsimikiziridwa pa nthawi ya matenda) - uyu ndithu ndi choipa kovuta zofuna mwamsanga chidwi katswiri.

Pneumothorax - ndi kudzikundikira mpweya m'dera pleural. kuwonongeka oterewa nthawi zambiri kumachitika pamene fractures a nthiti, anavutika mu chifuwa kapena pa nthawi ya kupweteka pachifuwa. Pamene digiri zovuta matenda ukapezeka ndi bala lomwe chiwiya mpweya ingested. Pankhaniyi, mbali zowonongeka a m'mapapo amakhala unworkable. Nkhani yovuta kwambiri imatengedwa ndi valavu pneumothorax. Air akulowa, koma sangathe kutuluka kumbuyo. Motero, aliyense inhalation, kuthamanga mu ukuwonjezeka patsekeke.

chikhalidwe Zimenezi zingachititse choopsa kwambiri. Popanda wozengereza opareshoni mwadzidzidzi angavutike kufa.

Ngati munthu ali pachilonda pachifuwa, ndi woyamba zofunika kuti agwire kusindikiza zikutanthauza pa dzanja. Mukhoza kugwiritsa ntchito phukusi, oilcloth kapena filimu. Pa mbali kukonza nsalu, pulasitala kapena zomatira tepi ndi kudikira kubwera kwa ambulansi.

Kumene, kukhwimitsa kwambiri si zimene, koma iwo adzakhala okhoza kupulumutsa moyo wa munthuyo isanafike madokotala. Ngati mungathe, ndiye muyenera kuika patsogolo zinthu airtight, kungolandira magazi. Kuti tichite zimenezi, nsalu ndi abwino.

Kale ikuchitika kuchipatala ndi mankhwalawa:

- chifuwa linapangidwa kachiwiri losindikizidwa, natisunthitsa matenda mu nkhungu chatsekedwa.

- Mwa zingalowe m'malo magetsi suctioned mpweya kuwira kwa pleura lapansi.

- The kuthamanga abwelela zikomo wachibadwa M'mimbamo ngalande.

- Kuchita puncture M'mimbamo ndi mpweya.

hemopleura

chikhalidwe ichi amakhala ndi magazi kuti patsekeke pleural. chodabwitsa Zimenezi zingachititse moyo lalikulu kuopseza anthu.

Ngati hematoma lalikulu kwambiri, ndiye mapapo ovulalawo anayamba Finyani wathanzi. Kuti, ngakhale wina kuvulala m'mapapo angawononge awiri. A chizindikiro cha kuvulala amenewa ndi pafupipafupi koma osaya kupuma, ndi zina imfa ya chikumbumtima.

Pansi kwambiri zinthu, pamene pachilonda kuti wodwalayo kuika krovovpityvayuschuyu armband ndi kusindikiza chilonda. Ngati chilonda chatsekedwa, ndi changwiro kwa compress ozizira. Iye itsekeke pang'ono ziwiya magazi ndi chiwerengero cha magazi akukhamukira kudzakhala kuli.

M'chipatala atakhala magazi clotted mu kuda M'mimbamo ndi kumasulidwa kuwala.

chithandizo kuvulala

Contusion ya m'mapapo (zizindikiro ndi zotsatira tiganizire) ayenera kulandira chithandizo msanga. Kunyumba, izi zikhoza kukhala compress ozizira.

Ngati choipa ndi yaing'ono, zidzakhala zokwanira lopumula ndi ululu mankhwala. Ululu ndi kupuma movutikira akhoza kupezeka kwa masiku angapo, kenako chikudutsa.

Pakuti mikwingwirima mphamvu khalidwe mankhwala odana ndi yotupa mankhwala. Nthawi zambiri ntchito mankhwala ofunika kuti zinthu chibayo.

Bronchoscopy ndondomeko analamula kuti woyamwa madzi owonjezera ku m'mapapo patsekeke. Patapita masiku angapo zoipa yoikidwiratu physiotherapy mofulumira lipole.

Onani kuti mu masiku angapo otsatira pambuyo choipa sangathe bwanji ovulalawo malo otentha. Izo zimawonjezera ndi kutupa ndi kutupa.

Kupewa zosokonezeka

Kupewa mavuto ndiponso kulimbikitsa dongosolo kupuma akatswiri apanga ya Zochita wapadera kupuma. Kuchita Zochita zimenezi pamene pochiza matenda akuyandikira mapeto. kukhudzana kupeza kuyenda panja. Ichi ndi kuyenda makamaka m'nkhalango coniferous. Pezani njira ndi kupita ku malo kwa masiku angapo.

Zotsatira za kuvulala m'mapapo

Kaya mmene zoipa, izo sitingakane, monga zotsatira za matenda zikhoza kukhala zoopsa kwambiri. The Vuto ambiri kuvulazidwa ochiritsira m'mapapo - ndi chibayo chokumbukira zoopsa. matenda Ichi ndi choopsa kwambiri ndipo nthawi zambiri limadzetsa imfa.

Popewa izi zinachitika, nthawi yomweyo anapita ku chipatala ndi kudutsa diagnostics lapansi. Nthawi anawamasulira chithandizo chamankhwala adzaonetsetsa tsogolo losangalala. Nthawi zambiri ndi kuisamalira mankhwala a mavuto alionse zikhoza kupewedwa.