Kuwonongeka kwa chifuwa, nthiti wovulala

Pakati pa kuvulala ambiri panthaŵi ntchito katswiri wa mpira kapena ngozi - nthiti wosweka. chikhalidwe ichi ndi zoopsa kwambiri, chifukwa nthiti ovulalawo zikhoza kuwonongeka kwa ziwalo ndi mitsempha ya magazi ndi chitukuko cha mavuto aakulu. Komabe nthawi zambiri zikukhudza nthiti bwino zinaphatikizidwa ndipo sanali angabweretse chiopsezo thanzi. Zimayambitsa kuvulala nthiti kawirikawiri kutumikira monga kugwa, mantha kapena kuvulala pa ngoziyi, wamphamvu kwambiri chifuwa, kufooka kwa mafupa, gunshot mabala, komanso khansa.

Chofunika, nthiti wovulala ndi mitundu iwiri: lotseguka, yodziwika ndi maonekedwe a zilonda pa fupa lothyoka malo, ndi kutsekedwa, mmene khungu si kuonongeka. Ife kusiyanitsa pakati:

- losweka nthiti;

- periosteal wovulala, mmene kuonongeka gawo la pamwamba organic wa nthitiyo;

- wathunthu wovulala, kumene kumachitika chifukwa cha ming'alu mu nthiti ndi fupa kusamutsidwa.

Mukhozanso zambiri kusunga pleural choipa, kuwala, chifukwa kukhala ndiko kumayambitsa kapena hemothorax.

Pa malo zowonongeka thupi kumachitika edema ndi hematoma, magazi kumachitika. Choncho, nthiti wovulala mu zizindikiro za zotengeka ululu pamene kupanga inhalation ndi thupi filimu. Pa kuwonongeka ziwalo kumachitika hemoptysis, pneumothorax kapena ndiko kumayambitsa subcutaneous, cyanosis, Anabweza a chifuwa, tachycardia, khungu amakhala wotumbululuka pa gawo kuonongeka m'chifuwa, kawirikawiri mwa nthawi yochepa zifukwa kale kuyambitsa kulephera kupuma.

Mlingo wa kukula kwa zoipa zimadalira wovulala ndi kuchuluka kwa m'mbali maganizo. Choncho, milandu amaganiziridwa nthiti wovulala m'pofunika mayesowo. Iwo amagwiritsa ntchito njira zimenezi:

1.Rentgen. Atakhazikitsa ndi nthiti wosweka ndi.

2. ultrasound. Ntchito kudziwa mlingo wa kuwonongeka kwa ziwalo.

3. Tomography. Amaonetsa kuonongeka m'mbali, zimakhala ndi ziwiya.

4. MR. Zimathandiza kudziwa ming'alu ing'onoing'ono ya m'mphepete, komanso limasonyeza digiri ya kuwonongeka kwa zimakhala ozungulira nthiti wovulala.

Ngati ife kuganizira za mmene zinthu ndi nthiti wosweka, tisaiwale kuti kuvulala izi ndi zofunika thandizo. Kuchita izi, kukonza nthiti zowonongeka kutsatira chigamba kuthetsa fupa kusamutsidwa ndi pakutchulidwa magazi, kupereka mankhwala analgesic, ndi kupereka kayendedwe ku malo dokotala. Pamene wamba gypsum fractures zambiri ntchito ngati fupa lothyoka angapo kapena mavuto anabwerera, mtima aikidwa mu kuchipatala kukalandira chithandizo ndi opaleshoni. Munthu anamuika othetsa ululu ndi mankhwala expectorant, analgesics mankhwala thupi, gymnastic Zochita.

Ngati mwayamba aliyense amene amati mavuto a wovulala, izo nthawi zonse umachitikira X-ray, kupanga puncture, ngati n'koyenera.

Pa masabata asanu zambiri kuchiritsa nthiti choipa yosavuta, opaleshoni ntchito Zikavuta kwambiri.

Choncho, fupa lothyoka m'mbali kungachititse kuti mavuto% odwala 60 ndi fractures ndi kuwononga ziwalo za pleura, chomwe chimayimira kuopseza moyo, 40% odwala ndi fractures kuwalako zambiri kuchiritsa kwa mwezi umodzi, ndipo popanda chithandizo chapadera. Mu zina, fupa lothyoka akhoza chakupha, ngati nthiti wosweka ingathe kuwononga ziwalo zofunika kwambiri. Nkofunika kukumbukira kuti tilibe amalangiza kuchepetsa wovulala pa m'mbali, ndipo mwina kuwononga minofu, mitsempha ya magazi kapena ulusi mitsempha.