Kusamalira nthiti

Kuphatikizika kwa nthiti, komwe kumatchedwanso nthiti yovulazidwa, kumatha kuchitika mutagwa kapena kukuphulirani m'chifuwa. Kupunduka kumachitika pamene mitsempha yaying'ono yamwazi imathyoka ndikutulutsira zomwe zili mkatikati mwa khungu. Izi zimapangitsa kuti khungu lisinthe.

Zomwe zimayambitsa nthiti zovulazidwa ndi ngozi zapagalimoto, kuvulala pamasewera, kapena kugwa. Kutsokomola kwanthawi yayitali kumayambitsanso nthiti.

• Bola lophwanyika chifukwa champhamvu limatha kuyambitsa magazi komanso kuvulala kumatenda omwe ali pakhungu.
• Kutengera mphamvu ya nkhonya, mutha kukhala ndi zovulala zina, monga nthiti zosweka kapena kuwonongeka kwa mapapo, chiwindi, ndulu kapena impso. Izi ndizotheka kwambiri pangozi zamagalimoto kapena kugwa kuchokera kutalika kwambiri.

Zizindikiro zazikulu ndikumva kupweteka, kutupa, komanso kusintha khungu.

• Khungu lomwe limaphwanya bala limatha kukhala labuluu, lofiirira kapena lachikasu.
• Malo otundumuka ndi ofewa komanso owawa.
• Mutha kumva kupweteka mukamayenda komanso kupumula.
• Kupuma, kutsokomola, kuseka, kapena kuyetsemula kumatha kubweretsa kapena kukulitsa zowawa.

Nthiti zovulazidwa zimachira mofanana ndi nthiti zophwanyika, koma kufinya kumatenga nthawi yocheperako kuchira kuposa kuthyoka nthiti.

• Kuchiritsa kumatenga pafupifupi milungu 4 mpaka 6.
• Pangafunike X-ray, MRI, kapena CT scan kuti atsimikizire matendawa ndikuwonetsa kuvulala koopsa, monga kuphwanya nthiti kapena kuwonongeka kwa ziwalo zamkati.
• Simudzakhala ndi lamba kapena bandeji pachifuwa panu chifukwa izi zimathandiza kuti nthiti zanu ziziyenda mukamapuma kapena mukatsokomola. Izi zitha kubweretsa matenda am'mapapo (chibayo).

Nazi njira zina zothandiza kuti muchepetse ululu komanso kusapeza bwino mukamachira.

ICING

Kujambula kumathandiza kuchepetsa kutupa pochepetsa magazi m'deralo. Zimasokoneza dera ndikuthandizira kuthetsa ululu.

• Ikani phukusi pa malo ovulala kwa mphindi 20, 2 kapena 3 patsiku tsiku loyamba kapena awiri.
• Manga mkaka wa ayezi mu nsalu musanapake malo ovulalawo.

MANKHWALA AZOPweteka

Ngati ululu wanu suli wovuta, mutha kugwiritsa ntchito ibuprofen (Advil, Motrin) kapena naproxen (Aleve, Naprosyn) kuti muchepetse ululu. Mutha kugula mankhwala amtunduwu kusitolo.

• Lankhulani ndi omwe amakupatsani mankhwala musanagwiritse ntchito mankhwalawa ngati muli ndi matenda a mtima, kuthamanga kwa magazi, matenda a impso, matenda a chiwindi, kapena mudakhala ndi zilonda zam'mimba kapena kutuluka magazi m'mbuyomu.
• Musatenge zochuluka kuposa zomwe zakulimbikitsidwa mu botolo kapena ndi omwe amakupatsani.

Acetaminophen (Tylenol) itha kugwiritsidwanso ntchito kupweteka anthu ambiri.

• Musamamwe mankhwalawa ngati muli ndi matenda a chiwindi kapena kuchepa kwa chiwindi.
• Musatenge zochuluka kuposa zomwe zakulimbikitsidwa mu botolo kapena ndi omwe amakupatsani.

Ngati ululu wanu ndi waukulu, mungafunike mankhwala opweteka (mankhwala osokoneza bongo) kuti muchepetse ululu wanu pomwe kuvulaza kwanu kumachira.

• Tengani mankhwalawa panthawi yomwe woperekayo wakupatsani.
• Musamamwe mowa, kuyendetsa galimoto, kapena kugwiritsa ntchito makina olemera mukamamwa mankhwalawa.
• Pofuna kupewa kudzimbidwa, imwani madzi ambiri, idyani zakudya zopatsa mphamvu, komanso gwiritsani ntchito zofewetsera.
• Pofuna kupewa kunyansidwa kapena kusanza, yesetsani kumwa mankhwala anu opweteka ndi chakudya.

Uzani wothandizira wanu za mankhwala ena aliwonse omwe mukugwiritsa ntchito mukamagwiritsa ntchito mankhwala osokoneza bongo.

ZOCHITIKA ZOPUTSA

Kukhala ndi zowawa mukamapuma kumatha kukupangitsani kuti mupume pang'ono. Mukapuma pang'ono kwa nthawi yayitali, imatha kukuikani pachiwopsezo cha chibayo. Pofuna kupewa mavuto, omwe amakupatsani angakulimbikitseni kupuma mwakuya.

• Musamachite pang'ono kupuma komanso kutsokomola pang'ono pakatha maola awiri, kuti muchotse mamina m'mapapu anu ndikupewa kugwa kwamapapo pang'ono. Wopereka wanu atha kukupangitsani kugwiritsa ntchito chida chapadera chomwe chimayeza kuchuluka kwa mpweya womwe mumayenda ndi mpweya uliwonse (spirometer).
• Tengani mpweya wokwanira 10 ola lililonse, ngakhale mutadzuka usiku woyamba.
• Kugwira pilo kapena bulangeti ku nthiti yanu yovulala kumatha kupangitsa kuti mpweya uzipweteka kwambiri. Mungafunike kumwa mankhwala anu opweteka kaye.
• Wothandizira anu akhoza kukuwuzani kuti mugwiritse ntchito chida chotchedwa spirometer kuti muthandizire kupumira.

KUSAMALITSA

• Osapuma pakama tsiku lonse. Izi zimatha kuyambitsa madzi m'mapapu anu.
• Osasuta kapena kugwiritsa ntchito mankhwala aliwonse a fodya.
• Yesetsani kugona pamalo owoneka bwino kwa mausiku angapo oyamba. Mungathe kuchita izi mwa kuyika mapilo pang'ono pansi pa khosi lanu komanso kumbuyo kwanu. Udindowu udzakuthandizani kupuma bwino.
• Yambani kugona mbali yanu yomwe simukukhudzidwa itatha masiku angapo ovulala. Izi zithandizira kupuma.
• Pewani zinthu zovuta monga kunyamula katundu, kukankha, ndi kukoka, kapena mayendedwe omwe amapweteka.
• Samalani pantchito ndikupewa kugundana ndi malo ovulala.
• Mutha kuyamba pang'onopang'ono zochitika zanu zatsiku ndi tsiku (mutalankhula ndi omwe amakuthandizani azaumoyo), kupweteka kwanu kumachepa ndikubwanyuka kwanu kukuchira.

Muyenera kuyimbira omwe akukuthandizani nthawi yomweyo ngati muli:

• Zowawa zomwe sizilola kupuma kwambiri kapena kutsokomola ngakhale mutagwiritsa ntchito zowawa
• Malungo
• Chifuwa kapena kuwonjezeka kwa ntchofu zomwe mumatsokomola
• Kutsokomola magazi
• Kupuma pang'ono
• Zotsatira zoyipa zamankhwala opweteka monga nseru, kusanza, kapena kudzimbidwa, kapena zovuta zina, monga zotupa pakhungu, kutupa kwa nkhope, kapena kupuma movutikira

Kusamalira nthiti-kudzikonda; Kufinya nthiti; Nthiti zovulazidwa; Kuphatikizika kwa nthiti

• Nthiti ndi mapapu anatomy

Eiff MP, Hatch R. Rib ziphulika. Mu: Eiff MP, Hatch R, eds. Kuphulika kwa Fracture for Primary Care, Kusinthidwa Edition. Wachitatu ed. Philadelphia, PA: Elsevier Saunders; 2018: mutu 18.

Major NM. CT pamavuto aminyewa. Mu: Webb WR, Brant WE, Major NM, olemba. Zofunikira pa Thupi CT. 5th ed. St Louis, MO: Elsevier; 2020: mutu 19.

Raja AS. Zoopsa Thoracic. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 38.

Yeh DD, Lee J. Trauma ndikuvulala kwambiri. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 76.