Intercostal kudzora

Intercostal retitions inoitika kana mhasuru dziri pakati pembabvu dzichikwevera mukati. Iko kufamba kunowanzo kuve chiratidzo chekuti munhu ane dambudziko rekufema.

Intercostal kudzoreredza ndeyekurapa kwekukurumidzira.

Rusvingo rwechipfuva chako runochinjika. Izvi zvinobatsira iwe kufema zvakajairika. Mitsipa yakaoma inonzi shwashwa inosungira mbabvu dzako kuzamu pfupa (sternum).

Iyo mhasuru yepakati ndiyo mhasuru dziri pakati pembabvu. Panguva yekufema, mhasuru idzi dzinowanzo sunga uye dzinodhonza mbabvu kumusoro. Chipfuva chako chinowedzera uye mapapu anozadza nemweya.

Intercostal retitions inokonzerwa nekuderedzwa kwemhepo mweya mukati mechipfuva chako. Izvi zvinogona kuitika kana iyo yekumusoro yemhepo (trachea) kana diki nzira dzemapapu (bronchioles) dzikavharika zvishoma. Nekuda kweizvozvo, mhasuru dzekupindirana dzinoyamwa mukati, pakati pembabvu, paunofema. Ichi chiratidzo cheyakavharika mweya. Chero dambudziko rehutano rinokonzeresa kuvharika munzira yekumhepo kunokonzeresa kudzora mukati.

Kudzorera mukati kunogona kukonzerwa ne:

• Iyo yakaoma, yakazara-muviri allergic reaction inonzi anaphylaxis
• Asima
• Kuzvimba uye mamasi anovaka mune diki diki mamhepo mapapu mumapapu (bronchiolitis)
• Dambudziko kufema uye kuhukura chikosoro (croup)
• Kuzvimba kwetishu (epiglottis) inovhara mhepo
• Mutumbi wekunze mune yevhu
• Chirwere chemabayo
• Dambudziko remapapu muvacheche vachinzi kufema kunetseka chirwere
• Kuunganidzwa kwepus mumatukisi ari kumashure kwehuro (retropharyngeal abscess)

Tsvaga rubatsiro rwechiremba ipapo ipapo kana intercostal retitions zvikaitika. Ichi chinogona kuve chiratidzo cheyakavharika nzira yemhepo, iyo inogona kukurumidza kuve inotyisidzira hupenyu.

Uyezve tsvaga kurapwa kana ganda, miromo, kana mabheji akashanduka kuita bhuruu, kana kana munhu akavhiringidzika, achikotsira, kana kunetsekana kumuka.

Mune emergency, timu yehutano inotanga kutora matanho ekukubatsira kufema. Iwe unogona kugamuchira okisijeni, mishonga yekudzora kuzvimba, uye kumwe kurapwa.

Kana iwe uchigona kufema zvirinani, mutarisiri wezvehutano anozokutarisa obvunza nezve nhoroondo yako yezvokurapa nezviratidzo, zvakaita se:

• Dambudziko rakatanga rini?
• Zviri kuva nani, kuwedzera, kana kuramba zvakafanana?
• Zvinoitika nguva dzose here?
• Wakaona here chero chinhu chakakosha chingangodaro chakakonzera kuvharika kwemhepo?
• Ndezvipi zvimwe zviratidzo zviripo, zvakaita seruvara rweganda rebhuruu, kufema, kurira kwepamusoro kana uchifema, kukosora kana kurwadziwa pahuro?
• Pane chero chinhu chakafemerwa mumhepo?

Miedzo inogona kuitwa inosanganisira:

• Arterial eropa magasi
• Chest x-ray
• Yakazara kuverenga ropa (CBC)
• Pulse oximetry kuyera mwero weropa okisijeni

Kudzoserwa kwemhasuru dzechipfuva

Brown CA, Masvingo RM. Mhepo. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 1.

Rodrigues KK, Roosevelt GE. Yakasimba yekumusoro yepamusoro yekuvharika yemhepo (croup, epiglottitis, laryngitis, uye bhakitiriya tracheitis). Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 412.

Sharma A. Kutambudzika kwekufema. Mune: Kliegman RM, Lye PS, Bordini BJ, Toth H, Basel D, eds. Nelson Pediatric Chiratidzo-Kubva Kuongorora. Philadelphia, PA: Elsevier; 2018: chits. 3.