Open laceration kwa mwendo ndi dzanja sikapola. namkulunga chithandizo. Kodi bala?

Mwina aliyense amadziwa zimene choipa: kamodzi pa moyo, koma zimatengera onse. Mwamwayi, nthawi zambiri okha kuti kuvulala zazing'ono, zomwe Komabe, kupereka lingaliro momveka za nkhani ya m'nkhaniyi. Ngakhale anthu amudziko si dokotala kapena dokotala, ayenera osati kudziwa ongolankhula, kuti woteroyo bala, komanso luso zothandiza kanthu koyamba pamene analandira. Mu zochitika kwambiri, isanafike azaumoyo waluso, iwo akhoza kupulumutsa miyoyo - osati kwa inu, kotero munthu amene zikomo kuwerenga kuti miyeso kuti apulumuke kufika pafupi.

ndi bala ku mfundo chithandizo cha zimene

Ngakhale Kudziŵa ambiri, kupereka maganizo ena yosokoneza maphunziro momveka kwambiri. Ngati mupereka kwambiri kapena zochepa sayansi cheni ndi bala, tikhoza kunena kuti amatchedwa gaping, zooneka kuwonongeka kwa khungu (kawirikawiri - ndi zimakhala zambiri ya thupi). Iwo limodzi ndi zingapo mwa zizindikirozi. Common monga:

1. Magazi a osiyanasiyana mwamphamvu.
2. Amafuna ululu.
3. Zooneka ananena otaya gwero.

Local kapena mwachinsinsi ndi:

1. Pachimake magazi m'thupi, ndiko imfa amphamvu magazi. A chizindikiro wamba izo sizingakhoze dzina, chifukwa kuvulala zazing'ono njila msanga anatengera izo zimachokeradi.
2. Mantha. Komanso limodzi ayi mabala onse. Silipita kuwonongeka makamaka kwambiri ndi / kapena yaikulu.
3. Jekeseni - Ndi khalidwe kwa munthu mitundu mabala kapena zotupa cholakwika kuzunzidwa.

Pangakhale zina, kupatula wamba, zizindikiro. Aliyense pachilonda (kupatula, mwina aang'ono kwambiri) Mwina zikuphatikizapo zotsatira zoipa kwambiri. Choncho, zotupa izi amafunika chisamaliro chapadera ndi yofunika zachipatala kuyang'aniridwa.

Mitundu ya matenda kuvulala minofu

Adziwitse chithandizo bala mokwanira chimafotokozera angapo makhalidwe ake. The woyamba - kukafika kuwonongeka kwa akhudzidwa chipolopolo mkati mwake peritoneum, meninges, aliyense olowa kapena pleura. Apa wolemekezeka:

1. Ozama kuvulala, imene kukhulupirika kwa mmodzi wa anati zipolopolo wathyoka.
2. Nonpenetrating, wolakwayo akamandiŵerengera yekha integument ndi akulu wosanjikiza chapamwamba.

Yoyamba ndi woopsa kwambiri: pachilonda wa mtundu uwu amachiza yaitali ndipo amafuna njira kwathunthu mankhwala. Akuti aakulu ozama kuvulala ndi kuwonongeka kwa ziwalo - umodzi kapena kuposerapo.

Mitundu mabala ndi kukhalapo kwa matenda

Chinthu chofunika kwambiri, makamaka zowongolera njira ya chithandizo zina. choipa chilichonse - pa mwendo, nkono, mutu kapena thupi - awerenge limodzi la magulu atatu:

1. yatsoka samveka, otchedwa zakhudzana. Zizindikiro za zamafinya zinangoti kwina, koma pamaso pa matenda ndi zotheka.
2. Mafinya, iwo alinso ndi HIV.
3. Aseptic, imene suppuration n'zosathekadi, ngakhale chiphunzitso. Iwo yekha kuwonongeka chifukwa opaleshoni.

Mitundu kuvulala choyambiriracho

Gulu yaikulu yokhudza limagwirira chopezera mabala chinthu mtundu ndi imene inachititsa pakuwonekera kwake.

1. Puncture bala. polowera wake waung'ono awiri, koma mabala a kutalika njira, ngakhale yopapatiza. Childs, Kukulitsa umagwiritsidwa, msomali kapena choboolera. The owopsa imatengedwa chifukwa Mwina mkulu wa kuwonongeka kwa viscera ndi matenda chifukwa mwayi osauka a oxygen.
2. Incised M'malo mwake, ndi osaya, ndi polowera m'malo chachikulu. Cannon ntchito - mpeni kapena lezala. Ngati inu sizimapweteka ziwiya lalikulu ndi ziwalo mabala ngati kuchiza msanga kuposa ena.
3. Akanadulidwa ntchito zinthu lakuthwa ndi katundu monga nkhwangwa. Kuwonongeka kwakukulu, kwambiri, nthawi zambiri limodzi ndi fractures fupa ndi kugawikana.
4. Zovuta kuchiza laceration anayambitsa ndi amalowetsa pa m'goli tsamba thupi ndi kuthamanga munthawi yomweyo. Mwina limodzi ndi imfa ndi tsankho ya chivundikirocho ndi zimakhala zakuya.
5. mabala Gunshot ndi chiwerengero cha makhalidwe chifukwa cha kusintha ndi manja (kachigawo chipolopolo mpukutu), ndi digiri ya kuwonongeka. Kwambiri mopepuka tangents pa zimene chipolopolo mkati angamachite okha chikopa padziko minofu wosanjikiza. The aakulu - akhungu, amene chipolopolo amakhalabe mu thupi.

Chinsinsi machiritso bwino

Waukulu chithandizo kuvulala kwambiri kuposa zikande, kodi kupatsidwa kwa dokotala. Komabe, kuti si anachedwa motalika kwambiri, kanthu chachikulu ayenera kumwedwa. Njirazi ndi monga:

1. Zichitike kuti magazi asiye kutuluka. Ngati chilonda pa mwendo kapena mkono - ntchito ndi tourniquet; ngati thupi kapena mutu - compressive bandeji.
2. Aseptic Mavalidwe, umene polepheretsa kuti matenda otsegula minofu.
3. Immobilization a mbali akhudzidwa cha thupi: ndi fixation miyendo pafupi ndi thupi, ngati chilonda pa dzanja lake, anakuta splint ndi munthu wovulala lotseguka phazi, etc ...
4. Mankhwala ochititsa dzanzi (ngati nkotheka). Iwo chingamulepheretse mantha, nthawi zambiri umatha ndi matenda a mtima, makamaka achikulire.

Ngati zonsezi onse atengedwa, ngakhale asang'ambe, mankhwalawa zina mabala adzatenga kwambiri bwino.

Chifukwa mabala sizimakuchiritsani

Komabe, nthawi zambiri pali milandu pamene sikapola chilonda, zolosera za amene anali chidaliro ndithu. Nthawi zambiri izi chifukwa zifukwa cholinga, kuphatikizapo:

1. Shuga. Anthu odwala matenda, bwino omangika ngakhale zimakhalapo yaing'ono. Iwo amayamba ndi chakuti mpweya wambiri wa shuga pang'onopang'ono wawononga capillaries, amene impairs magazi mu miyendo ndipo zimakhala, vuto zakudya zawo ndi zovuta, ndipo Zimakhala zovuta kwambiri buluzi.
2. Nkhani yapadera ya nkhani yapita tinganene kuti ndi wonenepa. Kuchuluka kwa mafuta m'thupi saphunzira alandira zimakhala zakudya zowonongeka, kupanga kuchira awo anachedwa kwambiri.
3. Magazi m'thupi - kupitiriza nkhani yomweyo. "Mwaulesi" magazi sangathe mokwanira kukhutitsa zimakhala zinthu zofunika. Kwakenso monga kufooka ambiri a thupi, kuphatikizapo - ndipo anachititsa mitundu yonse ya zakudya.
4. matenda khungu monga chikanga, dermatitis ndi psoriasis chiyambi osiyana kungafoole overgrowing mofulumira mabala.

A item osiyana angathe kumwedwa immunodeficiency ndi khansa. Apa, namkulunga, mankhwala ayenera kuchitidwa khama la madokotala zosiyanasiyana specializations.

Kodi mofulumira machiritso

Pofuna kuteteza vuto limene m'pofunika tikupeza, chifukwa sikapola bala, nthawi zambiri odzipereka mokwanira kuti adzatsatira malamulo wosazindikira ukhondo.

1. Kusintha Mavalidwe zonse (nthawi zosachepera 2 pa tsiku).
2. Nthawi mankhwala pakhungu padziko chotupa (monga motsogoleredwa ndi dokotala).
3. Maso wosabala Mavalidwe ndi zida ntchito.
4. Mwanzeru kusankha (phunziro kwa malangizo a dokotala!) Bala kukonzekera machiritso.

Ndi zina zotero: kukhalabe stiffness, ngati osavomerezeka, mosamalitsa kumwa mankhwala (makamaka mankhwala), ndi m'zonse kumvera dokotala.

Features lacerations

Makamaka zambiri kuvutanganitsidwa ndi vuto akukamba laceration iliyonse. Iwo amachiza bwino, kwenikweni amafuna alowererepo zachipatala ndi yaitali. The vuto lalikulu la mankhwala - otsala moyo wonse magweru zipsera. Choncho, ngati chilonda ndi lalikulu ndipo lili ndi malo apamwamba, njira ndiwofatsa (atachuluka ndi cholinga sekondale) amakonda opaleshoni. Pamene ntchito m'mbali ovutika pogonekedwa ndi mankhwala kapena sedation excised isanafike wathanzi, undamaged minofu. Kenako sutured pafupi zodzikongoletsera ndi; nthawi yomweyo ndi laceration amachiza mofulumira kwambiri ndi zipsera pafupifupi imperceptible - malinga mukuchita zonse momwe dokotala anauza osati svoevolnichaete ndi oleza mtima ngakhale akupanikizika.