Isihlungu sekhanda

Ukulimaza kwesifuba ngakwesobunxele noma ngakwesokudla kungumkhuba ovame ukulimala okwenzeka ngenxa yezifuywayo, izimboni, ezemidlalo nezinye izinto. Ngokucindezelwa esifubeni, kubola ngesikhumba esidabukisayo, i-hypodermis, imisipha, nokuhamba kwezimbambo ezibheke emaphashini nokukhala. Ukulimala okukhulu kwalesi simo sangakini kungaba nemiphumela emibi ngenxa yokulimala kwezicubu zangaphakathi nezitho noma ukuphuka kwamathambo nomgogodla.

Izimpawu zokulimala kwesifuba

Ukubonakaliswa okuyinhloko kokuphazamiseka kwesifuba yilokhu:

• ubuhlungu obunzima bokuhluka okuhlukahluka, okukhulunywa ngokunyakaza, inhalation kanye nokuphumula;
• ukuvuvukala endaweni yokulimala;
• ukubonakala kwesisu noma ukulimaza.

Ezimweni ezinzima, kungase kube nemiphumela yokulimala kwesifuba ngezimpawu ezinjalo:

• ubuhlungu obunzima bokulunywa (kubonisa ukuhlukana okungenzeka kwembambo);
• i-cyanosis, ukuboshwa kokuphefumula, i-syncope (izimpawu zenhliziyo ukwehluleka);
• ukubonakala kwezindawo zokuvuvukala, okukhona lapho kuqhutshwa khona umsindo ophikisayo, obonisa ukuthi i-emphysema engaphansi kwe-air ingena esikhaleni esingaphansi (umonakalo emaphashini nasempilweni);
• i-tachycardia, ukunciphisa ukucindezelwa kwegazi, ukwehlisa umoya, okubonisa i-hemothorax-ukungena kwegazi emgodini wokudabuka;
• i-cyanosis ebizwa ngokuthi i-cyanosis noma i-blanching, ukuphefumula okuncane, ukuphefumula okuphefumulayo, okungakhuluma ngokuqoqwa komoya emgodini we-pleural-pneumothorax.

Ukuxilongwa ngokulimala kwesifuba

Ukuze isitatimende sokuthola i-diagnostic ngokuqondile kuyadingeka:

• iqoqo le-anamnesis (kuphi nokuthi kutholakala kanjani ukulimala, yiziphi ukuzwa okuhambisane nazo, njll);
• i-palpation yendawo emele;
• ukuqhutshwa kwamapayipi nenhliziyo (ukulalela);
• ukulinganisa kwegazi;
• ukuhlunga ukuhlunga;
• i-radiography , njll.

Ngokusebenzisa i-radiography, awukwazi kuphela ukucacisa ubuqotho bezintambo, i-sternum nomgogodla, kodwa futhi nokubona i-hemothorax, i-pneumothorax ne-emphysema engaphansi.

Usizo lokuqala ngokulimala kwesifuba

Ukuze ugweme ukufuduka kwezimbambo ngenxa yokulimala kwesifuba kanye nokukhululeka kwesimo sezisulu ngokushesha ngemva kokulimala:

1. Isiguli kufanele siqinisekise ukuthula nokungaziphathi kahle. Ukuze wenze lokhu, ungasebenzisa noma yisiphi isisindo sobukhulu obanele futhi ubophe phezu kwesayithi lokulimala esiseduze nesifuba. Ukugqoka okuphoqelekile kufanele kuqiniswe ngokuqinile, futhi iphoyinti kufanele liboshwe ohlangothini oluhlukile lwesayithi lokulimala.
2. Kunconywa ukuthi umuntu omelekile uthathe isikhundla sokuhlala phansi.
3. Endaweni yokulimala kuyinto efiselekayo ukufaka ukushisa (iphakethe leqhwa, iqhwa, njll) ukunciphisa ukuvuvukala nokulimaza.
4. Ngesifo esibuhlungu esinamandla, ungathatha isidakamizwa sokusibulala.

Indlela yokuphatha isifuba esilimele?

Ngenxa yobungozi obukhulu bezinkinga, ukwelashwa kuqala ngokushesha, ikakhulu esibhedlela esiteji sokuqala. Ngokuncintisana okuncane kuya kokulinganisa isifuba, ukwelashwa kungenziwa kuphela ekusetshenzisweni kwezidakamizwa eziphikisayo, izidakamizwa kanye nezidakamizwa (ngokuvamile ngesimo samafutha okugcoba).

Ezimweni ezimbi kakhulu, ukungenelela okuhlinzayo kungenzeka. Isibonelo, uma ukulimala kwamaphaphu kunconywa, ukukhishwa isikhala sokwemvelo sokususwa kwegazi kanye noketshezi kwamanzi. Futhi, kungase kudingekile ukugcoba ama-clots egazi ngokuhlinzwa, ukuthunga izitsha zegazi ezilimele.

Uma imbambo iphukile ukuvimbela i-pneumonia emva kokuthungatha, okulandelayo kunqunywe:

• izidakamizwa ze-expectorant;
• ama-antibiotics;
• ama-analgesics ;
• inkambo yokuzivocavoca zokwelapha yokuphumula umoya;
• izinqubo ze-physiotherapeutic.