Emergency Live | New partnership between Netcare and Qhubeka - Together for Traumatic Cycling Injuries

IsiKhokelo esiKhawulezayo nesimdaka kwiNgxaki yeSifuba

By UCristiano Antonino On Sep 14, 2022

Ukwenzakala kwesifuba kubangele i-25% yabo bonke abantu ababhubhileyo ngokumanyumnyezi ngonyaka. Kubalulekile ukuba bonke ababoneleli be-EMS bakrokre kwaye baphaphe xa bejongene nesigulane sokwenzakala esifubeni.

Ukulimala kwamathumba

Ukwenzakala kwesifuba kubangelwa kukwenzakala ngamandla, ukwenzakala okungena ngaphakathi okanye zombini.

Zihlala zibonwa kwi:

Iingozi zithuthi
Ukuwa ukusuka kwiindawo eziphakamileyo (ngesiqhelo> 15' ngokuthe nkqo)
Ukwenzakala koqhushumbo (zombini eziziiprayimari nezesekondari)
Ukubetha okubalulekileyo esifubeni
Ukulimala kwesifuba
Amanxeba eembumbulu (GSW)
Ukuhlatywa/amanxeba okubethelelwa

Ukulimala kwe-thoracic / ukwenzakala okwahlukileyo, okuchazwe ngendawo yokubandakanyeka:

Ukwenzakala kwaSkeletal (iimbambo, iiClavicles, iSternum)
Ukwenzakala kwemiphunga (Trachea, Bronchi, Lungs)
Intliziyo/Imithambo emikhulu (iMyocardium, iAorta, iinqanawa zePulmonary)

Kubalulekile ukuba umntu abe nekheji yesifuba ukuze akwazi ukungena komoya owaneleyo.

Ukulimala kwe-thoracic okubuhlungu okubangelwa ukungena komoya okunganeleyo kunokukhokelela ngokukhawuleza kwi-hypoxia kunye ne-hypercarbia.

I-Acidosis kunye nokungaphumeleli kokuphefumula kuya kwenzeka ukuba ungenelelo olungxamisekileyo aluqaliswanga ngokukhawuleza.

Ukulimala kodonga lwesifuba esibuhlungu kubandakanya ukwaphuka kweembambo ukusuka kwimbambo enye ukuya kwisifuba esine-flail, kunye nokwaphuka kwamathambo.

Ukwenzakala kwesifuba okugqobhozayo kunokubangela i-hypoxia kunye ne-hypocarbia njengoko kulahlekile uxinzelelo oluphefumlelayo.

UMGANGATHO AED? TYELELA IZOLL BOOTH KWIMBONISO KAXAKEKA

Malunga nokwenzakala kwesifuba: I-Rib/Sternal Fracture

Ukuqhekeka kweembambo yeyona nto ixhaphakileyo yokwenzakala kwesifuba.

Nangona kubuhlungu kakhulu kwisigulane, ingxaki yokuqhekeka kwembambo ayiqhelekanga ukuphuka ngokwayo, kodwa kunye nokwenzeka kokulimala kwangaphakathi okuhamba kunye neefractures; njenge:

Pneumothorax
IHemothorax
Ukwenzakala kwentliziyo
Ukulimala kwesibindi
Iminxeba yesini

Ukuqhekeka kweembambo ezi-3 zokuqala aziqhelekanga; zifutshane, ziqinile, kwaye zikhuselwe yi-clavicle, i-scapula, kunye nezihlunu zodonga oluphezulu lwesifuba.

Ubukho bemibhobho emibini okanye ngaphezulu kweembambo kunoma yiphina inqanaba kwi-thoracic cage ihambelana nesiganeko esiphezulu sokulimala kwangaphakathi.

Iimbambo 4–9 zezona mbambo zixhaphakileyo zonzakele ngenxa yokuba zityhilekile kwaye azishukumi.

Ezi mbambo zifakwe kwi-sternum ngaphambili kunye nomqolo ngasemva.

Iimbambo 9–11 fx. zidibene nomngcipheko ophezulu wokulimala kwangaphakathi kwesisu, ngokukodwa ukulimala kwesibindi kunye ne-spleen.

Ukuqhekeka kwangasese kunye nokuhlukana kwe-costochondral (ukuhlukana kwe-sternum kwiimbambo) zihlala zibangelwa yi-anterior blunt force trauma.

Ngenxa yendawo yentliziyo ngokuthe ngqo ngasemva kwi-sternum, iingxaki zentliziyo ezifana ne-myocardial contusion zinokuthi zenzeke kunye ne-sternum ephukile okanye efudukayo.

Qaphela: Kunzima kuthi ukuqonda kwindawo kodwa, umkhweli othintelweyo kunokwenzeka ngakumbi kunomkhweli ongalawulekiyo ukuba aphuke umqolo.

NGABA UNONQWENELEYO? NDWENDWELA EMI EMAZULWINI EMPUMELELO

Isifuba seFlail

Isifuba se-flail senzeka xa i-3 okanye iimbambo ezingaphezulu ziqhekekile kwiindawo ezimbini okanye ngaphezulu, ukudala isahlulo esihambayo samahhala sodonga lwesifuba oluhamba ngokumangalisayo ukuya kwesinye isifuba.

Amacandelo e-Flail angafumaneka ngaphambili, ecaleni okanye ngasemva.

I-flail sternum inokuvela kwi-anterior blunt force trauma ehlukanisa i-sternum kuzo zonke iimbambo (ukuhlukana kwe-costochondral).

Ukuphefumla kuchatshazelwa yi-flail esifubeni ngeendlela ezi-3:

Umsebenzi wokuphefumla unyuswa ngokulahleka kwengqibelelo yodonga lwesifuba kunye nesiphumo sokunyakaza kwe-paradoxical yecandelo le-flail.
Umthamo we-Tidal uyancipha yintshukumo ye-paradoxical yecandelo le-flail elicinezela imiphunga kwicala elichaphazelekayo ngexesha lokuphefumlelwa. Kwakhona kubangelwa ukungafuni kwesigulane / ukungakwazi ukuphefumla kakhulu ngenxa yeentlungu eziveliswayo xa icandelo le-flail lihamba.
I-pulmonary contusions iphazamisa ukuphefumla okukhokelela kwi-atelectasis kunye notshintshiselwano olubi lwegesi kwi-alveolar-capillary membrane.

Ezi zinto zinegalelo ekuphuhliseni ukuphefumla okungonelanga kunye ne-hypoxia.

Ukwenzakala kwemiphunga

Ukongeza kudonga lwesifuba olungaguqukiyo, inkqubo ye-pulmonary engaguqukiyo kwaye esebenzayo kwaye iyafuneka ukuba kuqinisekiswe ukungena komoya okwaneleyo.

Ukwenzakala okuqhelekileyo kwemiphunga kubandakanya:

Ukuphazamiseka kwemiphunga
I-pneumothorax elula evulekile / evaliweyo
Uxinzelelo lwepneumothorax
IHemothorax
I-asphyxia ebuhlungu.

I-pneumothorax yenzeke xa umoya uqokelela kwisithuba sepleural phakathi komphunga kunye nangaphakathi kwodonga lwesifuba.

Yingxaki eqhelekileyo yesifo sesifuba esibuhlungu kunye nesingena ngaphakathi esidlula kwi-parietal kunye ne-visceral pleura.

I-Pneumothorax ihlelwa ngolu hlobo:

I-pneumothorax elula
Vula i-pneumothorax
Uxinzelelo lwepneumothorax
I-Pneumothorax elula

I-pneumothorax elula yenzeka xa umngxuma kwi-visceral pleura ivumela umoya ukuba ubaleke emiphungeni kwaye uqokelele kwindawo ye-pleural.

I-pneumothorax elula idla ngokubangelwa xa ubambo olwaphukileyo lukrazula i-pleura.

Inokuthi yenzeke ngaphandle kokwaphuka xa umonzakalo obuhlungu unikezelwa ngokuphefumlelwa ngokupheleleyo kunye ne-glottis ivaliwe (ubambe umphefumlo wakho).

Oku kubangela i-spike ephawulekayo kuxinzelelo lwe-intra-alveolar kunye nokugqabhuka kwe-alveolar. Ngokuqhelekileyo eyaziwa ngokuba, i-paper bag syndrome.

Unyango: izigulana zihlala zikwazi ukugcina indlela yazo yokuphefumla kwaye zikhuphe umoya ngokwaneleyo.

Kwiimeko ezinjalo, lawula i-oksijini nge-NRB @ 12-15 lpm (SpO2 ubuncinane i-94%). Beka isigulane kwi-monitor yenhliziyo kwaye usethe ukufikelela kwe-IV.

UKUTSHINTSHWA KWE-CARDIOPULOTE KUNYE NOKUVUSELELWA KWEZIBOPHELELE? NDWENDWELA EMD112 BOOTH KWIMBONAKALO YONXAKEKO NGOKU UKUFUNDA OKUNGAKUMBI

Beka iliso kwi-EtCO2 ukuba kuyenzeka kwaye ungashukumi umqolo ukuba kuyafuneka. Izigulana aziyi kufuna i-BVM okanye intubation.

Vula iPneumothorax

I-pneumothorax evulekileyo yenzeka xa umngxuma (ngokuqhelekileyo mkhulu kune-nickel) kudonga lwesifuba kunye ne-pleura ivumela umoya ukuba uqokelele kwindawo ye-pleural.

Umoya usenokungena kwaye uphume kumngxuma oseludongeni lwesifuba ngokuphefumlelwa, okukhokelela kwinxeba lokufunxa esifubeni.

Unyango : Gubungela ukungena okukhapha i-pneumothorax evulekileyo kunye ne-occlusive dressing efakwe kumacala amathathu.

Oku ngokufanelekileyo kudala ivalve yendlela enye eya kuthintela umoya ukuba ungangeni esifubeni ngokungena ngexesha lokuphefumlelwa, kodwa uvumele umoya ukuba uphume ngexesha lokuphefumla, ukuthintela ukukhula kwepneumothorax yoxinzelelo.

Kukho amaxesha apho i-occlusive dressing ayiyi kusebenza ngokufanelekileyo, kwaye umoya uya kuqokelela kwi-thorax.

Ukuba i-occlusive dressing isetyenziswa kwaye iimpawu kunye neempawu ze-tension pneumothorax zikhula, phakamisa ikona yesinxibo ukuze uvumele isifuba sithobe.

Le vidiyo imfutshane ilandelayo ibonisa unyango olululo lwenxeba elifunxayo esifubeni.

Uxinzelelo lwePneumothorax

I-tension pnuemo's yingxakeko yokwenyani; kwenzeka xa umngxuma emiphungeni usebenza njengevalve yendlela enye, evumela umoya ukuba ungene kwi-thorax ngokuphefumlelwa kodwa, umoya awukwazi ukuphuma ngokuphefumla.

Ngomphefumlo ngamnye, uxinzelelo kwi-cavity yesifuba luyanda, luqhubela phambili ukucima imiphunga.

Njengoko uxinzelelo luqhubeka lukhula, i-mediastinum iqhutyelwa kwicala elingathintekiyo.

Olu tshintsho lubangela ukuba i-vena cava ikhabe, inciphisa ukubuya kwe-venous.

Oku kudala ukusabela kwekhonkco lokuthotywa kwangaphambili, ukunciphisa umthamo we-stroke, ukwehla kwemveliso yentliziyo kwaye, ekugqibeleni, ukunciphisa uxinzelelo lwegazi.

Ekugqibeleni kuya kuqala ukuphazamisa ukwanda komphunga kwicala elichasene nokulimala, ukunciphisa umthamo we-tidal kwimiphunga enempilo.

Ukutshatyalaliswa kokuphazamiseka kunye ne-hypoxia ziziphumo ze-tension pneumothorax.

Ukuba uxinzelelo lwe-pneumothorax luba lubi, utshintsho lwe-mediastinal luya kwenzeka.

I-Tachycardia kunye ne-hypotension iya kuba yinto enzulu, ilandelwa kukuhla kweqondo lokuqaphela.

Izandi zemiphunga ziya kuncipha kwicala elingachaphazelekiyo, kwaye i-JVD iya kwenzeka ngenxa yokuncipha kokubuyela kwe-venous entliziyweni xa kungekho hypovolemia ehambelanayo.

Ukuphambuka koqhoqhoqho, ukuba kuqatshelwe yi-EMS kwaphela, luphawu olusemva kwexesha kakhulu kwaye lwenzeka luphantsi entanyeni.

I-cyanosis eyandayo, ukungabikho zingqondweni kwaye ekugqibeleni kuya kwenzeka ukufa.

Unyango: unyango lwe-tension pneumothorax kukuthotywa kwenaliti, isakhono esifumaneka kuphela kubaboneleli be-ALS.

BLS ababoneleli kufuneka babonelele nge-PPV kwezi zigulana ngelixa behambisa ngokukhawuleza kwisebe elingxamisekileyo okanye be-rendezvousing kunye neyunithi ye-ALS.

Yenza ukuchithwa kwenaliti xa kukrokrelwa i-pneumothorax yoxinzelelo, ngaphambi kolunye unyango (Qhagamshelana ne-MCP).

Inkqubo: I-2-3"14 g catheter ifakwe kwisithuba sesibini okanye sesithathu se-intercostal kumgca we-midclavicular nje phezulu kwembambo.

Kubalulekile ukusebenzisa inaliti yobude obaneleyo.

Emva kokufaka inaliti kwisithuba sepleural, umoya uphuma ngokungxama ngenaliti, ukudodobala ngoko nangoko kwethorax, kunye nolungiso olukhawulezileyo lwesifo sentliziyo esibonakalisa ukuxinezeleka kwepneumothorax.

I-catheter ishiywe endaweni, ngokuqhelekileyo inevalve ye-flutter ukuvumela umoya ukuba ubaleke kwi-thorax kodwa ungaphinde ungene.

Iikiti ze-thoracostomy zeenaliti zorhwebo zifumaneka kubavelisi abaninzi, okanye ikiti ingenziwa nayo izixhobo ngokuqhelekileyo ifumaneka kwi iigulane.

Tension Pneumothorax Treatment Prehospital

IHemothorax

I-hemothorax iyenzeka xa igazi liqokelela kwi-pleural cavity.

Inokuthi yenzeke ngokukrakra kunye nokungena kwesifuba sokwenzakala.

Ukopha ngenxa yokwenzakala kwi-lung parenchyma ngoyena nobangela uxhaphakileyo we-hemothorax, kodwa ukopha ngenxa yoko konzakala kudla ngokuzibekela umda ngenxa yoxinzelelo lwegazi eliqokelelanayo, isixa esikhulu se-thromboplastin (iprotein yegazi enceda ekujimeni. ) ekhoyo kwimiphunga, kunye noxinzelelo oluphantsi lwe-pulmonary arterial, yonke into eyenza kube lula ukwakheka kwamahlwili kunye nokuyeka ukopha.

Izithuba enxulumene

Inkcitho yezempilo e-Italiya: umthwalo okhulayo ekhaya

Ngo-Apr 11, 2024

Isilumkiso seAviary: Phakathi kweNtsholongwane yeNtsholongwane kunye nemingcipheko yabantu

Ngo-Apr 4, 2024

Usuku oluphuzi ngokuchasene ne-endometriosis

Mar 28, 2024

Ithemba kunye neNtsha ekulweni noMhlaza wePancreatic

Mar 27, 2024

Ukonzakala okukhulu kwi-parenchyma ye-lung kunye nemithambo kunye/okanye kwimithambo kunokopha kakhulu (ngaphezu kwe-1 ilitha) kwaye kukhokelele kumothuko we-hypovolemic.

I-hemorrhage evela kwi-artery intercostal eyenzakeleyo ingaba nzima, imasebe ngokuthe ngqo kwi-aorta kwaye iphantsi koxinzelelo oluphezulu.

Ukuqokelela kwegazi kugxotha kwaye kuwise imiphunga, ukunciphisa umthamo we-tidal kunye nokunciphisa umoya wokuphefumula, okukhokelela kwi-hypoxia.

Ukuba ivunyelwe ukuba iqhubele phambili, ingxaki engaqhelekanga ebizwa ngokuba yi-tension hemothorax inokukhula eya kubonisa ngokufanayo kwi-pneumothorax yoxinzelelo.

Isigulana esine-hemothorax siya kuba nobunzima bokuphefumla, ukuhla okanye ukungabikho kwezandi zemiphunga kwicala elichaphazelekayo, kunye nesifuba esibuthuntu kwi-percussion. Ukongezelela, iimpawu zokutshatyalaliswa ziya kubakho, kuquka i-tachycardia; tachypnea; ulusu olupholileyo, olukhanyayo, lwe-diaphoretic; kunye ne-hypotension.

Unyango: Ulawulo lwe-hemothorax luqala nge-oxygenation kunye ne-IV ukufikelela kunye nokulawula ukuphuma kwegazi ngaphandle.

Vumela i-hypotension evumayo, njengoko ukutshintshwa komthamo wolwelo olundlongo-ndlongo kunokulinyibilikisa igazi eliseleyo kunye nezinto zalo zokujiyisa, zombini ezi zinto zinokuphazamisana neenzame zomzimba zokubumba ihlwili, ukopha kunye ne-hemostasis.

I-Asphyxia Ebuhlungu

I-asphyxia ye-traumatic yenzeke xa amandla okutyumza ngokukhawuleza kunye nanzima kwisifuba kubangela ukuhamba kwegazi okubuyela emva ukusuka kwicala lasekunene lentliziyo nge-vena cava ephezulu kunye nemithambo emikhulu yentamo nentloko.

Uvavanyo lweklinikhi lwesigulana esine-asphyxia ebuhlungu luya kubonisa i-cyanosis ephezulu, i-bilateral sub-conjunctival hemorrhage, i-edema, ubuso obubomvu obuqaqambileyo, kunye nolwimi oludumbileyo.

Ukuhamba kwegazi kwi-cerebral okungahambi kakuhle kunokubangela ukusilela kwe-neurologic, ukuguqulwa kwesimo sengqondo, inqanaba elitshintshileyo lokuziva okanye ukuxhuzula.

Unyango: unyango lwe-prehospital lwe-asphyxia ephazamisayo luxhasa kakhulu.

Nangona ukubonakala okumangalisayo, imeko ngokwayo idla ngokungahambi kakuhle ngokungabikho kokulimala kwe-intrathoracic okanye kwi-intra-abdominal.

Ukubonelela Umgudu ukukhutshwa ukuba indlela yokulimala ibonisa ukuba kunokwenzeka ukuba umqolo womgcini okanye ukulimala kwentambo, kwaye unike ioksijini ukuba ukulimala kwe-intrathoracic kukrokrelwa okanye i-hypoxia ikhona.

Ukuqalisa ukungenelela kwe-ALS okufana ne-O2, IV, ukujongwa kwentliziyo kunye nokuvuselela umthamo wamanzi ukuba kukho iimpawu zokutshatyalaliswa.

Ukulimala kwe-Cardiovascular in trauma yesifuba

Ukulimala kumacandelo e-intrathoracic ye-cardiovascular system kaninzi kuba nemiphumo eyingozi kwaye ngokukhawuleza ibeka ubomi.

Ukulimala okuqhelekileyo kubandakanya i-pericardial tamponade, i-blunt trauma ye-cardiac, kunye nokulimala kwe-aortic.

I-Tamponade yasePericardial

I-tamponade ye-pericardial kukuqokelelwa kwegazi kwi-pericardium, okubangelwa ukunyanzeliswa kwentliziyo, ukuphazamisa ukuzaliswa kwentliziyo kunye nokunciphisa ukukhutshwa kwentliziyo.

I-Acute pericardial tamponade ixhaphake kakhulu kwizigulana ezinomonzakalo ongene esifubeni nangaphezulu kwesisu, kwaye ayifane idityaniswe nomonzakalo wamandla.

Kwenzeka rhoqo ngamanxeba okuhlatywa kunamanxeba okudutyulwa.

Emva kokuphazamiseka kokuqala kokungena, i-pericardium ivala umngxuma. I-hemorrhage eqhubekayo evela kwi-myocardium eyenzakeleyo igcwalisa indawo ye-pericardial.

I-pericardium ifana ne-inelastic, kwaye ukuqaliswa kwemithamo emincinci (60-100 mL) yegazi kwixesha elifutshane kuya kubangela i-tamonade.

Uxinzelelo olongezelelweyo kwi-pericardium ludluliselwa entliziyweni, luyicinezele kwaye luthintele ukuzaliswa kwe-ventricular ngokwaneleyo ngexesha le-diastole.

Oku kunciphisa ukulayisha kwangaphambili, umthamo we-stroke kunye nokuphuma kwentliziyo.

I-hypotension eyingozi ikhula ngokukhawuleza.

Isiphumo sokunyanzeliswa kwentliziyo kukunyuka koxinzelelo lwe-diastolic.

Uxinzelelo lwe-pulse olucuthayo luya kukhula njengoko uxinzelelo lwe-systolic luwa kunye nokunciphisa ukuphuma kwentliziyo kodwa uxinzelelo lwe-diastolic luhlala luphezulu ngenxa yoxinzelelo lwentliziyo.

I-JVD inokukhula okwesibini ukuya ekunciphiseni ukubuya kwe-venous kwicala lasekunene lentliziyo.

Ukongeza kwimveliso yentliziyo encitshisiweyo, i-tamponade yentliziyo inciphisa ukutyhelwa kwe-myocardial ngokucinezelwa kwemithambo ye-coronary, ukunciphisa ukuhanjiswa kweoksijini ye-myocardial.

Iziphumo zakudala ezinxulumene ne-cardiac tamponade ziquka i-hypotension, i-JVD kunye neetoni zentliziyo edibeneyo, i-trio yeempawu ezaziwa ngokudibeneyo njenge-triad ye-Beck.

Le triad kunzima ukuchonga kwindawo ye-prehospital, njengoko i-auscultation yezandi zentliziyo inokubonakalisa ubunzima kwii-ambulensi ezinomsindo.

Njengoko i-tamponade iguquka, i-hypotension kunye ne-tachycardia iya kubakho, njengoko kuya kuba noxinzelelo lwe-pulse encinci kwaye mhlawumbi i-pulsus paradoxus (ukwehla kwi-systolic blood pressure engaphezu kwe-10 mmHg ngexesha lokuphefumlelwa).

Unyango: Ukulawula amaziko e-pericardial tamponade ekulawuleni indlela yomoya, i-oxygenation, kunye nenkxaso ye-ventilation kunye nokujikeleza.

Iimpawu kunye neempawu ze-pericardial tamponade zinokulinganisa ezo ze-tension pneumothorax, nangona ubukho bezandi zemiphunga ye-bilateral bungalawula okokugqibela.

Izigulane ezine-hypotensive, ukwanda ngokukhawuleza kwevolumu kunye ne-isotonic crystalloid kuya kwandisa uxinzelelo lwe-venous, okukhokelela ekunyuseni kwangaphambili kunye nokunyuka kwemveliso yenhliziyo, ukuphakamisa uxinzelelo lwe-systolic.

I-Blunt Cardiac Trauma

I-Blunt trauma ye-cardiac ligama elimele i-spectrum yokulimala kwe-myocardial okubandakanya:

I-Myocardial concussion ichaza uhlobo lwesifo senhliziyo esibuhlungu esingabangeli ukwenzakala ngokuthe ngqo kwi-myocardium.
Ukuphazamiseka kwe-Myocardial kwenzeka xa i-myocardium igruzukile, kaninzi ngenxa yokwenzakala ngamandla.
I-Myocardial rupture yi-acute traumatic rupture ye-atrial okanye udonga lwe-ventricular.

I-Myocardial contusion idla ngokubangelwa ngumonzakalo we-blunt force ukuya kwindawo yangasese ecinezela intliziyo phakathi kwe-sternum kunye nekholamu yomgogodla, okubangela ukulimala kwi-myocardium.

Ukulimala kwe-Myocardial kunokubandakanya ukuphuma kwegazi ngaphakathi kwe-myocardium, i-edema, i-ischemia kunye ne-necrosis, yonke into ebangela ukungasebenzi kwentliziyo.

I-Myocardial rupture yenzeke xa ukuxhatshazwa kwamandla angabonakaliyo kubangela ukunyuka kwe-intraventricular okanye intra-arterial pressure ebaluleke ngokwaneleyo ukukrazula udonga lwe-myocardial. Idla ngokuba sisiphumo sokutshayisa kwemoto ngesantya esiphezulu; phantse isoloko ibulala kwaoko.

I-Blunt Aortic Injury ichaza i-spectrum yokulimala okuvela kwiinyembezi ezincinci kwi-aortic intima (umgca ongaphakathi we-artery) ukugqiba ukunqumla kwe-aorta, ehlala ibulala.

Ukuya kuthi ga kwi-90% yezigulane ezinomonzakalo we-aortic blunt zifa kwindawo yengozi okanye kwiiyure ezimbalwa zokungeniswa esibhedlele.

Naphi na apho iwela khona kwi-spectrum, ukulimala kwe-aorta okubuhlungu kuyingozi ebeka ubomi, kwaye idla ngokuba sisiphumo songquzulwano lwangaphambili olungathintelekiyo okanye impembelelo yobundlobongela ecaleni kwesifuba.

Iziphumo zokucheba kunye nokukrazula amandla zibeka uxinzelelo kwi-aorta kwi-ligamentum arteriosum, kwaye ukukrazula kunokwenzeka.

Isalathiso esiphakamileyo sokukrokra, esisekelwe ekuqondeni indlela yokunciphisa ngokukhawuleza yokulimala kunye neempawu kunye neempawu zokothuka, kufuneka zicebise ukuba kunokwenzeka ukuba kubekho i-aortic trauma.

Unyango lokulimala kwe-aorta engabonakaliyo kubandakanya ulawulo lwendlela yomoya, i-oxygenation kunye ne-ventilation, kunye nokutshintshwa komthamo wamanzi kwizigulane ezine-hypotension enzulu yesibini ukuya ekukrokreleni ukuba i-aorta transection.

Musa ukwenza ulawulo lwevolumu ye-aggressive fluid kwizigulane ezingenayo i-hypovolemic, njengoko ukunyuka kwevolumu ye-intravascular kunokubangela amandla amakhulu okucheba kwi-vasculature eyenzakeleyo kunye nokunyuka kokulimala.

Njengazo zonke ezinye iintlungu, ukuthuthwa ngokukhawuleza kwiziko le-trauma kubaluleke kakhulu.

Ukwenzakala kwesifuba yinkalo enzulu kakhulu nebalulekileyo yokhathalelo lokwenzakala.