Itheyiphu yophawu lwesifuba
Ingemuva
I-Thoracic trauma inezinga lezigameko ezingaba ngu-8% kuzo zonke izimpi, futhi ukufa okubangelwa ngokuqondile kubala i-25% yokufa okubuhlungu, okwenza kube imbangela ehamba phambili ye-2nd yokufa ezinhlotsheni zokuhlukumezeka ezibangela ukufa, kulandela ukulimala kwe-craniocerebral kuphela. .Ukulimala kwesifuba okuvulekile kuyimbangela eyinhloko yokufa okubangelwa ukulimala esifubeni.Lokhu kulimala kuvame kakhulu ngesikhathi sempi, ikakhulukazi emhlabeni, lapho kubalelwa ku-7% kuya ku-12% wabo bonke abalimala.Empini yasolwandle, izehlakalo zokulimala kwesifuba esivulekile zikhuphuka zize zifike ku-20%.Ukulimala kokuqhuma kuyimbangela eyinhloko yokulimala kwesifuba esivulekile.Indlela yosizo lokuqala ebaluleke kakhulu yokulimala kwesifuba esivulekile ukuhlenga kusenesikhathi ngenkathi kuhlolwa ukulimala.Kunezihluthulelo ezintathu zokwelashwa: okokuqala, ukubuyisela ubuqotho bodonga lwesifuba kanye nokucindezela okungalungile kwe-intrathoracic ngokushesha ngangokunokwenzeka;okwesibili, ukuvimbela ukungasebenzi kahle kokuphefumula nokujikeleza kwegazi;futhi okwesithathu, ukuvala umgodi wesifuba ngesikhathi nangendlela ephumelelayo.
Ukuhlukumezeka kwesifuba okuvulekile kuvame ukuhlanganiswa nokuphuka kwezimbambo noma isifuba esine-flail.Ngemva kokuba isifuba sesifuba sivaliwe futhi sithunyelwe esibhedlela, isiguli sivame ukuzwa ubuhlungu obukhulu besifuba kanye ne-dyspnea, okuvimbela kakhulu ukunyakaza kokuphefumula kwesiguli.Ukukhetha izinto ezifanele ukulungisa udonga lwesifuba kungadambisa ngempumelelo izinhlungu futhi kuvimbele udonga lwesifuba ukuthi lungacwili emgodini wesifuba, osekuyingxenye ebalulekile yokwelashwa kweziguli ezihlukumezekile.
Izingubo ezilula ze-gauze nezinye izinto ezivame ukusetshenziselwa usizo lokuqala zinezinkinga ezihlukahlukene futhi azikwazi ukuhlangabezana nezidingo zosizo lokuqala enkundleni yempi (ETOB) kanye nosizo lokuqala lwangaphambi kwesibhedlela (pre-HC).Ngakho-ke, ukwakhiwa nokuhlomisa izinto zosizo lokuqala ezilula ukuze kube lula ukuhlinza nokusebenzisa ukwelashwa okufika ngesikhathi nokulungile endaweni kanye nosizo lokuqala lwangaphambi kwesibhedlela kubaluleke kakhulu ekunciphiseni ukufa (MR).
Kungabonakala ukuthi i-tape yokuvala isifuba idlala indima ebaluleke kakhulu empini yosizo lokuqala.
Isingeniso
I-Chest seal yakhiwa ikakhulukazi i-hydrogel yezokwelapha, indwangu engalukiwe, ifilimu ye-PET.Imikhiqizo isetshenziselwa ukwelashwa noma impi kanye nezinye izimo ezihlukumezayo ezivalwe ukuhlenga.