Isimo esiyingozi, lapho kukhona khona ukucindezela okubi emgodini wesikhala, igobolondo langaphandle lamaphaphu, libizwa ngokuthi i-pneumothorax enkulu. Kwenzeka ngenxa yokuphuka kwangaphakathi kwesistimu yokuphefumula, ukwephula ubuqotho besifuba. Lesi simo siyingozi kakhulu empilweni, njengoba iphazamisa ukungenisa nokuvunguza komoya okuvamile.
Usizo lokuqala nge-pneumothorax enamandla
Njengoba unikezwe ukuthi ukukhubazeka okuchazwe ngokuvamile kuphelela emhubheni obulalayo futhi kudinga ukungenelela kwezokwelapha okufanelekayo, kufanele ushayele ngokushesha "i-ambulensi" futhi ubize iqembu labachwepheshe.
Ngaphambi kokufika kodokotela kuyisifiso sokumvimbela isisulu. Uma izimpawu ( ukuphefumula , i-cyanosis, ukwanda kwe-pulse ekucindezelekeni okuphansi) inqubekela phambili futhi isiguli silahlekelwa ukwazi, ungasindisa impilo yakhe ngamanzi okuphuthumayo.
Ukunakekelwa okuphuthumayo kwe-pneumothorax encane:
- Thola inaliti enkulu noma yimuphi omunye idivayisi, efana nayo - ngesimo se-tube.
- Ukukhipha imishanguzo ye-intanethi nge-antiseptic, utshwala, utshwala.
- Faka ngokujulile i-catheter ephumela kuleyo ngxenye ye-thorax lapho amaphaphu ewonakele khona. Ukuphela kwesibhubhu kufanele kube ngaphandle kwengxenye noma ingxenye yesithathu yobude obuphelele.
- Uma ukuphefumula komuntu olimazekile nokucindezela emgodini ongenamandla kwakungenakubuyiselwa, i-tip ye-rubber emihle, isibonelo, ibhaluni le-air, ikhondomu, kufanele lifakwe ngokushesha ekugcineni komcathisi.
Ngemva kokufika kwe-ambulensi brigade, isiguli sisheshe sitholwa esibhedlela.
Ukwelashwa kwe-pneumothorax enamandla
Esikhathini esibhedlela, i- puncture puncture iyenziwa okokuqala, okudingekayo ukuphuza umoya kusukela emlonyeni wesilonda, kanye nokuyikhipha.
Ukwelashwa okuqhubekayo kuxhomeke esimweni somuntu futhi kungafaka:
- ukuthatha i-painkillers, antibiotics, izidakamizwa zenhliziyo;
- ukubopha ukuhlinzwa kwe-sternum;
- i-pleurodesis;
- i-oxygen inhalation.