Litšitiso tsa Intercostal

Ho hula kahare hohare ho etsahala ha mesifa e lipakeng tsa likhopo e hulela kahare. Motsamao hangata ke sesupo sa hore motho o na le bothata ba ho hema.

Ho khaotsa ho kenella ka hare ho 'mele ke tšohanyetso ea bongaka.

Lerako la sefuba sa hao lea tenyetseha. Sena se u thusa ho hema ka mokhoa o tloaelehileng. Lisele tse thata tse bitsoang lefufuru li kopanya likhopo tsa hao le lesapo la matsoele (sternum).

Mesifa ea "intercostal" ke mesifa e lipakeng tsa likhopo. Nakong ea ha motho a hema, mesifa ena e ea tiea ebe e hulela likhopo holimo. Sefuba sa hao sea atoloha 'me matšoafo a tlala moea.

Ho hula kahare ho mokokotlo ho bakoa ke ho fokotsa khatello ea moea kahare ho sefubeng. Sena se ka etsahala haeba tsela e kaholimo ea moea (trachea) kapa lifofane tse nyane tsa matšoafo (bronchioles) li ka koaloa hanyane. Ka lebaka leo, mesifa ea "intercostal" e huloa ka hare, lipakeng tsa likhopo, ha u hema. Sena ke sesupo sa tsela e thibetsoeng ea moea. Bothata bofe kapa bofe ba bophelo bo botle bo etsang hore motho a thibe moeeng o tla baka likhathatso tsa "intercostal".

Ho hula kahare ho mokokotlo ho ka bakoa ke:

• Karabelo e matla, ea 'mele oohle e bitsoang anaphylaxis
• Sefuba
• Ho ruruha le ho ruruha ha mameno litemaneng tse nyane haholo tsa moea matšoafong (bronchiolitis)
• Bothata ba ho hema le khohlela e boholang (croup)
• Ho ruruha ha lisele (epiglottis) tse koahelang sekhahla sa moea
• 'Mele oa kantle ho sefefo
• Nyomonea
• Bothata ba matšoafo ho masea a sa tsoa tsoaloa a bitsoang lefu la khatello ea maikutlo
• Pokello ea boladu liseleng tse ka morao tsa 'metso (retropharyngeal abscess)

Batla thuso ea bongaka hang-hang haeba ho ka ba le ho hula ka har'a intercostal. Sena e ka ba sesupo sa tsela e koetsoeng ea moea, e ka bang kotsing ea bophelo kapele.

Hape batla tlhokomelo ea bongaka haeba letlalo, molomo, kapa lipekere li fetoha tse putsoa, ​​kapa haeba motho a ferekana, a otsela kapa a le thata ho tsoha.

Nakong ea ts'ohanyetso, sehlopha sa tlhokomelo ea bophelo se tla nka mehato ea pele ho u thusa ho hema. U ka fumana oksijene, meriana ea ho fokotsa ho ruruha le kalafo tse ling.

Ha o ka hema hamolemo, mofani oa tlhokomelo ea bophelo o tla u hlahloba ebe o botsa nalane ea hau ea bongaka le matšoao, joalo ka:

• Bothata bo qalile neng?
• Na ho ntse ho ntlafala, ho mpefala kapa ho lula ho tšoana?
• Na e etsahala ka linako tsohle?
• Na u hlokometse ntho efe kapa efe ea bohlokoa e kanna ea baka tšitiso ea sefofane?
• Ke lipontšo life tse ling tse teng, joalo ka 'mala oa letlalo le leputsoa, ​​ho hema, molumo o phahameng ha u hema, ho khohlela kapa' metso?
• Na ho na le letho le phefumolohetsoeng moeeng?

Liteko tse ka etsoang li kenyelletsa:

• Likhase tsa mali tse ngata
• X-ray sefubeng
• Palo e felletseng ea mali (CBC)
• Pulse oximetry ho lekanya boemo ba oksijene ea mali

Ho hula morao ha mesifa ea sefuba

Brown CA, Marako RM. Sefofane. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 1.

Rodrigues KK, Roosevelt GE. Tšitiso e matla ea sefofane e holimo (croup, epiglottitis, laryngitis, le tracheitis ea baktheria). Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 412.

Sharma A. Matšoenyeho a phefumoloho. Ka: Kliegman RM, Lye PS, Bordini BJ, Toth H, Basel D, eds. Tlhatlhobo e thehiloeng ho matšoao a Nelson Pediatric. Philadelphia, PA: Elsevier; 2018: khaolo ea 3.