Wosweka nsagwada: zizindikiro ndi mankhwala.

Chapamwamba ndipo m'munsi nsagwada ndi gawo la mafupa nkhope ndi kuchita ntchito zoyamba za kukonza mano. pawiri The amapangidwa pakati pa nsagwada kudzera mitsempha-akulu dongosolo. kuvulala awo kawirikawiri, ndipo koposa zonse - ndi nsagwada m'munsi.

Wosweka nsagwada - ndi zotsatira za nkhonya mwachindunji kwa nkhope, ngozi zapamsewu, kuvulala masewera. Kodi kuwonongeka kwa fupa mwa kuswa kukhulupirika kwake.

Ngati muli ndi nsagwada wosweka, zizindikiro ndiye yosiyanasiyana ndipo ikhoza kusintha kutengera choipa ndi ukulu wake. Kwenikweni molakwika kasinthidwe nkhope kuoneka zidutswa makina imasiyana kuluma. mavuto oopsa kwambiri, makamaka amaonedwa kupuma kulephera, magazi, kupweteka mantha. Panthawi yake radiograph molondola kudziwa malo ndi chikhalidwe cha wovulala lapansi.

Pakuti fractures a nsagwada olemera osamukira zidutswa nsagwada downwards. Zimakhala zosatheka kutseka pakamwa pake, kutseka mano anga. Pali imfa ya kumverera mu khungu la masaya, pom'ng'amba, kutupa zikope za. Samakumbukira - chizindikiro cha concussion a.

Ngati wosweka nsagwada yathyoledwa mmunsi, pali asymmetry ya nkhope, chibwano amayendayenda, ndi makombo fupa ali m'manja, pakamwa kutsegula ndi zovuta, zovuta kutafuna ndi kumeza. Pankhani ya ululu kumachitika boma kakasi. N'zotheka woopsa vuto kwa kutsekedwa a pakhomo kuti makombo m'phuno. Pankhaniyi, mwamsanga akufotokozera asphyxia, mathero, nthawi zambiri amapha. Kapangidwe ka nsagwada m'munsi ali ndi makhalidwe ake, kotero zoopsa kumachitika fractures angapo - awiri, patatu. Zikavuta, m'munsi nsagwada akhoza kusiya kumtunda kwa mafupa a nkhope. Nthawi zina pali kusiyana mu zimakhala zofewa cha nkhope ndi pakutchulidwa munthawi yomweyo magazi.

A nsagwada wosweka mankhwala mosiyana chifukwa cha mankhwala nsagwada wovulala mwachuluka amadalira makonzedwe a thandizo kwa wozunzidwayo.

thandizo pa nkhani za kuvulala chapamwamba kapena m'munsi nsagwada envisages miyeso zopeleka ku pabala mu mkhalidwe bata, kuchotsa wodwalayo mkhalidwe mantha, magazi amasiya. Pakuti fractures a nsagwada chapamwamba, m'munsi pazipita, mwatcheru akuyandikira pamwamba natengekatengeka ndi chikukonzekera aliyense, njira kupezeka pa dzanja. Pankhani ya fractures mandibular anapangidwa kwa mpheto yemweyo: m'dera kuonongeka kwa mafupa nkhope chili mwa gulaye ndi. Pankhani ya kukakamira chinenero, m'pofunika mosamala tinyamuke nsonga, ndiyeno nkutembenuka nkhope mtima pansi, pangakhale strangulation. Pankhani ya choipa munthu m'chipatala cha wovulalayo opangidwa mu malo mosapumira. wapadera kutumiza kuchipatala ndi zofunika muyezo cholinga yachibadwa zidutswa muyike pena fupa.

A nsagwada wosweka akulandira thandizo ku chipatala. Bone zidutswa zake chikufanana ndi kuliika ndi waya matayala dzino anaonetsetsa immobilization. Komanso, ntchito pulasitiki kapena waya chingwe, fixation ndodo zitsulo. Ngati ndi kotheka, bala sutured pa zopindika ambiri ali superimposed laminar waya stitches. Kukonza malo owonongeka ifike iwo spliced.

Pankhani ya mayikidwe moyenera zidutswa fupa, pakalibe kutupa wovulala amachiza pafupifupi 1-2 miyezi. Matayala amachotsedwa pambuyo mapangidwe pa choipa malo wandiweyani callus. Pa konzanso chomaliza ayambe kugwira ntchito konse ofunika nthawi zambiri. Control m'kupita machiritso zimachitika nthawi X-ray bwino.