Ubambo oluqhekekileyo: Isikhokelo esiGqibeleleyo kwiZisusa kunye nendlela yokuyiNyanga

Abantu banokungaqondi ukuba unobambo oluqhekekileyo de iimpawu ezinjengeentlungu xa uphefumlela phezulu ziqala ukubonakala. Ngaba ukwazi iimpawu kunye noonobangela bokuqhekeka kweimbambo okanye okwaphukileyo kunokunceda ekuxilongeni nasekunyangweni?

Ubambo oluqhekekileyo

Imbambo eyaphukileyo / eyaphukileyo ichaza nakuphi na ukuphuka kwethambo. Ubambo oluqhekekileyo luhlobo lokwaphuka kwembambo kwaye luyinkcazelo engaphezulu kunoxilongo lwezonyango lwembambo ethe yaphuka inxenye. Nayiphi na impembelelo engacacanga esifubeni okanye ngasemva inokubangela ubambo oluqhekekileyo, kuquka:

• Ukuwa
• Ukungqubana kwemoto
• Ukulimala kwezemidlalo
• Ukukhohlela okunobundlobongela

1. Uphawu oluphambili lubuhlungu xa uphefumla.
2. Umonzakalo uphola kwiiveki ezintandathu.

iimpawu

Iimbambo eziqhekekileyo zidla ngokubangelwa kukuwa, ukwenzakala esifubeni, okanye ukukhohlela okunobundlobongela. Iimpawu ziquka:

• Ukudumba okanye ukuthamba kwindawo eyonzakeleyo.
• Intlungu yesifuba xa uphefumla/uphefumla, uthimla, uhleka, okanye ukhohlela.
• Intlungu yesifuba ngokunyakaza okanye xa ulele phantsi kwiindawo ezithile.
• Ukugruzuka okunokwenzeka.
• Nangona kunqabile, ubambo oluqhekekileyo lunokubangela iingxaki ezifana nenyumoniya.
• Bonana nomboneleli wezempilo ngokukhawuleza ukuba ufumana ubunzima bokuphefumla, iintlungu ezibuhlungu zesifuba, okanye ukhohlokhohlo oluzingileyo olunemifinya, umkhuhlane ophezulu, kunye/okanye nengqele.

iintlobo

Kwiimeko ezininzi, ubambo ludla ngokuphuka kwindawo enye, lubangele ukwaphuka okungaphelelanga, okuthetha ukuqhekeka okanye ukuqhekeka okungahambi ngethambo. Ezinye iintlobo zokwaphuka kwembambo ziquka:

Abagxothiweyo kunye nokwaphuka kweNondisplaced

• Iimbambo ezaphuke ngokupheleleyo zinokushenxiswa okanye zingasuki endaweni.
• Ukuba ubambo luyashukuma, oku kwaziwa njenge a ukwaphuka kweembambo kwaye kunokwenzeka ukuba agqobhoze imiphunga okanye wonakalise ezinye izihlunu kunye namalungu. (Yale Medicine. 2024)
• Ubambo oluhlala endaweni luthetha ukuba ubambo alwaphuki ngokupheleleyo phakathi kwaye lwaziwa ngokuba yi-a Ukwaphuka kwembambo ngaphandle kwendawo.

Isifuba seFlail

• Inxalenye ye-ribcage inokwaphuka kwithambo elijikelezileyo kunye nesihlunu, nangona oku kunqabile.
• Ukuba oku kwenzeka, i-ribcage iya kulahlekelwa ukuzinza, kwaye ithambo liya kuhamba ngokukhululekile njengoko umntu ekhupha okanye ekhupha.
• Eli candelo leembambo ezaphukileyo libizwa ngokuba yi-flail segment.
• Oku kuyingozi njengoko kunokugqobhoza imiphunga kwaye kubangele ezinye iingxaki ezimandundu, njengenyumoniya.

Izizathu

Izizathu eziqhelekileyo zokuqhekeka kweimbambo ziquka:

• Ukungqubana kwemoto
• Iingozi zabahambi ngeenyawo
• Falls
• Ukwenzakala kwempembelelo kwimidlalo
• Ukusetyenziswa ngokugqithiseleyo / ukuphindaphinda uxinzelelo oluziswa ngumsebenzi okanye imidlalo
• Ukukhohlela kakhulu
• Abantu abadala banokufumana ukuphuka ngenxa yokulimala okuncinci ngenxa yokulahleka okuqhubekayo kweeminerali zethambo. (UChristian Liebsch et al., 2019)

Ukuqheleka Kokwaphuka Iimbambo

• Ukuqhekeka kweembambo lolona hlobo luqhelekileyo lokuqhekeka kwamathambo.
• Zibalelwa kwi-10% ukuya kwi-20% yazo zonke iingozi ezibuhlungu ezibonwa kumagumbi angxamisekileyo.
• Kwiimeko apho umntu efuna ukunyamekelwa ngokwenzakala okungafihlisiyo esifubeni, i-60% ukuya kwi-80% ibandakanya ubambo olwaphukileyo. (UChristian Liebsch et al., 2019)

Ukuqondwa

Ubambo oluqhekekileyo lufunyaniswa ngovavanyo lomzimba kunye novavanyo lwemifanekiso. Ngexesha lovavanyo, umboneleli wezempilo uya kumamela imiphunga, acinezele ngobunono ezimbanjeni, kwaye abukele njengoko iimbambo zihamba. Iinketho zovavanyo lomfanekiso ziquka: (USarah Majercik, uFredric M. Pieracci ngo-2017)

• X-ray – Ezi zezokubona iimbambo ezisandul’ ukuqhekeka okanye ezaphukileyo.
• CT Scan – Olu vavanyo lomfanekiso lubandakanya ii-X-reyi ezininzi kwaye luyakwazi ukubona iintanda ezincinci.
• MRI – Olu vavanyo lomfanekiso lwenzelwe izicubu ezithambileyo kwaye ziyakwazi ukubona ikhefu elincinci okanye umonakalo we-cartilage.
• IBone Scan - Olu vavanyo lokucinga lusebenzisa i-tracer ye-radioactive ukuze ibone isakhiwo samathambo kwaye ingabonisa ukuphulwa koxinzelelo oluncinci.

impatho

Ngaphambili, unyango lwalubandakanya ukusonga isifuba ngebhanti eyaziwa ngokuba yibhanti yembambo. Ezi azifane zisetyenziswe namhlanje njengoko zinokunqanda ukuphefumla, zinyusa umngcipheko wenyumoniya okanye ukuwohloka kwenxalenye yemiphunga. (L. May, C. Hillermann, S. Patil 2016). Imbambo eqhekekileyo kukuqhekeka okulula okudinga oku kulandelayo:

• Ukuphumla
• I-over-the-counter okanye amayeza amiselweyo anokunceda ukulawula iimpawu zentlungu.
• Amachiza achasene nokudumba kwe-nonsteroidal - ii-NSAID ezifana ne-ibuprofen okanye i-naproxen ziyacetyiswa.
• Ukuba ikhefu libanzi, abantu banokumiselwa amayeza eentlungu ezinamandla ngokuxhomekeke kubunzima kunye neemeko eziphantsi.
• Unyango lomzimba lunokukhawuleza inkqubo yokuphulukisa kunye nokunceda ukugcina uluhlu lwentshukumo yodonga lwesifuba.
• Kwizigulana ezibuthathaka kunye nabantu abadala, unyango lomzimba lunokunceda isigulana sihambe kwaye senze imisebenzi ethile ibe yesiqhelo.
• Umgulana womzimba unokuqeqesha umntu ukuba atshintshe phakathi kwebhedi kunye nezihlalo ngokukhuselekileyo ngelixa egcina ulwazi lwazo naziphi na iintshukumo okanye indawo eyenza intlungu ibe nzima.
• I-physical therapist iya kumisela ukuzivocavoca ukugcina umzimba womelele kwaye ube lilungu kangangoko kunokwenzeka.
• Ngokomzekelo, i-lateral twists inokunceda ukuphucula uluhlu lwentshukumo kwi-thoracic spine.

1. Ngexesha lokuqala lokubuyisela, kucetyiswa ukuba ulale kwindawo ethe tye.
2. Ukulala phantsi kunokongeza uxinzelelo, kubangele intlungu kwaye mhlawumbi kubangele ukulimala.
3. Sebenzisa imiqamelo kunye neebolsters ukunceda ukuxhasa ukuhlala ebhedini.
4. Enye indlela kukulala kwisitulo sokulala.
5. Ukuphilisa kuthatha ubuncinane iiveki ezintandathu. (L. May, C. Hillermann, S. Patil 2016)

Ezinye iimeko

Oko kunokuvakala ngathi ubambo oluqhekekileyo lunokuba yimeko efanayo, yiyo loo nto kubalulekile ukuba uhlolwe. Ezinye iimpawu ezinokuba ngunobangela zinokubandakanya:

• Iimbambo ezityumkileyo - Oku kwenzeka xa iimbambo zingaqhekeki, kodwa imithambo yegazi emincinci ejikeleze ummandla igqabhuke kwaye ivuze kwizicubu ezijikelezileyo. (USarah Majercik, uFredric M. Pieracci ngo-2017)
• Popped iimbambo – Eli kuxa i-cartilage ikrazula kwaye yophuka, ibangela ukuba iphume kwindawo yayo. (USarah Majercik, uFredric M. Pieracci ngo-2017)
• Isihlunu esitsaliweyo - Ukuxhatshazwa kwemisipha, okanye ukutsalwa kwemisipha, kwenzeka xa i-muscle iyancipha, enokubangela ukukrazula. Iimbambo azichaphazeleki, kodwa zinokuziva ngathi zinjalo. (USarah Majercik, uFredric M. Pieracci ngo-2017)

Emergency

Eyona ngxaki ixhaphakileyo kukungakwazi ukuphefumla kakhulu ngenxa yeentlungu. Xa imiphunga ingakwazi ukuphefumla nzulu ngokwaneleyo, imifinya kunye nokufuma kunokwakhelana kwaye kukhokelela kusulelo olufana nenyumoniya. (L. May, C. Hillermann, S. Patil 2016). Ukuqhekeka kweembambo ezifudukayo kunokonakalisa ezinye izicubu okanye amalungu, kwandisa umngcipheko wokuwa kwe-lung / pneumothorax okanye ukopha kwangaphakathi. Kuyacetyiswa ukuba ufune unyango olukhawulezileyo ukuba iimpawu zivela ngolu hlobo:

• Ukuqhawukelwa ngumphefumlo
• Ukuphefumula okunzima
• Umbala oluhlaza wolusu obangelwa kukungabikho kweoksijini
• Ukhohlokhohlo oluzingileyo olunemifinya
• Intlungu yesifuba xa uphefumla ngaphakathi nangaphandle
• Umkhuhlane, ukubila, kunye nokugodola
• Iqondo lentliziyo ekhawulezayo

---

Amandla oNyango lweChiropractic ekuBuyiselweni kokulimala

---

Ucaphulo

Yale Medicine. (2024). Ukwaphuka kwembambo (ubambo olwaphukileyo).

Liebsch, C., Seiffert, T., Vlcek, M., Beer, M., Huber-Lang, M., & Wilke, H. J. (2019). Iipateni ze-serial rib fractures emva kokwenzakala kwesifuba: Uhlalutyo lwamatyala angama-380. PloS enye, 14(12), e0224105. doi.org/10.1371/journal.pone.0224105

May L, Hillermann C, Patil S. (2016). Ulawulo lokwaphuka kwembambo. Imfundo ye-BJA. Umqulu 16, ushicilelo 1. Amaphepha 26-32, ISSN 2058-5349. doi:10.1093/bjaceaccp/mkv011

Majercik, S., & Pieracci, F. M. (2017). I-Chest Wall Trauma. Iiklinikhi zotyando lweThoracic, i-27 (2), i-113-121. doi.org/10.1016/j.thorsurg.2017.01.004