Wovulala mkono: konzanso ndi mankhwala

Mkono - mbali ya dzanja, kuphatikizapo zozungulira, ulnar fupa. Ndipotu, kupitiriza phewa lake. Kugwirizana olowa - chigongono. forearm The chikugwirizana ndi burashi polumikizira. ICD mkono wovulala encrypted malamulo S52. Izi choipa - kuwononga kwambiri zofuna pempho mwamsanga kwa dokotala. Imodzi mwa ndondomeko zofunika thandizo - immobilization ndi mkono wosweka. Ziyenera kuchitika msanga, molondola, popanda akuchuluka alili.

Wovulala: Zoyambitsa

Wovulala atamuyamba yavulala mafupa, zimayambitsa ndizo

• zinalephereka dontho;
• nkhonya mwachindunji;
• dzanja-kuwapindapinda.

Chiopsezo mkono wovulala pamwamba, ngati mtima wa amakhala ndi:

• wamkulu kuposa pafupifupi;
• otsika minofu misa;
• matenda a mafupa;
• masewera ntchito.

Mkulu Mwina fractures mkono anthu amene akukumana ndi nkhanza kapena si kupeza zakudya zokwanira.

Monga amaganiziridwa?

Pamene panja / anatseka wovulala odwala mkono amadandaula:

• kupweteka;
• kutupa;
• mapindikidwe wa zinkakhala m'dera.

dzanja la wodwalayo sangathe kusamukira zosiyanasiyana zachilendo.

Ngati muli ndi zizindikiro zimenezi mwamsanga kuchipatala. Pa kuona koyamba katswiri nayo kafukufuku mtima, kudziwa zizindikiro ndi pa zochitika yapitayi chikwiyire wovulala mkono wa. Komanso, Adokotala malo zowonongeka kupanga matenda zolondola.

tingadziwe wovulala

Matenda a m'nyumba / panja zikukhudza forearm, makamaka kuchita ndi x-ray. Baibulo limafotokoza za dongosolo mkati mwa thupi, amapereka umboni wa chikhalidwe fupa. adokotala akhoza kudziwa malo vuto.

njira ina ogwira ndi molondola kupeza deta - yopangidwa tomography. Mu kudziyesa ntchito kompyuta ndi mphamvu X-ray kuti amalola kuti molondola kuvulala mkati ndi dongosolo mafupa, minofu minofu. Kulingalira amapereka chithunzi cha mkhalidwe tendons, chichereŵechereŵe. Ngati wovulala ndi mkono zovuta, ndiye kulingalira likupitirizabe kukhala chida singasiyanitsidwe ndi dokotala kuyang'anira kubwezeretsedwa kwa mafupa.

Kuthana ndi vuto kungakhale

mankhwala amakono akhoza kuchiza ndi mkono wosweka Komabe, kupambana zimadalira zimene choipa kumene ili mkati thupi, monga n'zovuta. Childs, madokotala kugwira ntchito zomwe umalimbana:

• mafupa kumbuyo uliri loyambirira, lomwe nthawi zambiri limodzi ndi mankhwala, opaleshoni;
• kuteteza malo akhudzidwa mapulani mpaka mafupa musati kukula pamodzi.

aluso

Kuti fupa lothyoka ndi mkono splint kogwira amanena ndi imodzi mwa njira zotsatirazi:

• pulasitala woyikidwa isanafike opaleshoni, komanso pa nthawi imene olanda ndondomeko Sikuti;
• mbale zitsulo (anapereka pa ntchito ya);
• zomangira (anapereka invasively).

Pofuna kuchepetsa ululu, kupanga jekeseni wa mankhwala opha. Pambuyo pa opaleshoni, wodwalayo zonse kufufuzidwa tomography kapena x-ray kuwayang'anira lipole. Mu chochitika cha kusamutsidwa mwadzidzidzi mafupa athanso oterewa ndi kanthu moyenerera.

Kodi yotsatira?

Pamene wovulala thandizo mkono woyamba inaperekedwa, opaleshoni chitachitidwa, ndi mtima anapita Kusintha kwa, m'pofunika kuchita Zochita wapadera. ntchito yaikulu - kulimbitsa minofu ndi kubwezeretsa thupi mwayi kusuntha. Ntchito yaikulu ya mtima ndipo madokotala - kubwerera luso ntchito mapewa, zala. Childs Kwalamulidwa physiotherapy ndipo amaletsa zolimbitsa thupi ndi katundu aliyense lolemera.

Kawirikawiri, wovulala mafupa mkono kuchiritsa 10 masabata, nthawizina - mofulumira. Ngati panali anthu kapena wovulala wa mkono ndi kusamutsidwa, ndiye nthawi ya mankhwala ndi konzanso kwambiri. Nthawi zina zovuta, sangathe kukwaniritsa kuchira bwino. Komabe, mu Mulimonsemo bwino kwa zinthu makamaka Mungasankhe bwino wodwala amatsatira malangizo a madotolo. Mu nkhani ya waphwanya Mwina mkulu matendawo.

Momwe mungapewere?

Komabe, luso la kuthandiza ndi dzanja wosweka - ndi kothandiza ndiponso zofunika luso, koma ngakhale zothandiza kwambiri kudziwa momwe mungapewere zikatero. Analimbikitsa monga zodzitetezera:

• kupewa zinthu zoopsa zomwe zingachititse choipa;
• kulamulira zili vitamini D, calcium mu chakudya;
• kuchita masewera olimbitsa thupi kumalimbitsa mafupa;
• kuphunzitsa minofu;
• kuntchito, masewera kutsatira malamulo chitetezo.

Conservatively ndi invasively

Mkono wovulala angachiritsidwe kapena opaleshoni kapena m'njira ndiwofatsa. Yachiwiri ndi zotheka ngati palibe kukondera kapena ngati mmene alili ndi chotero kuti opaleshoni amanyamula mavuto waukulu kwa moyo. njira ndiwofatsa kumaphatikizapo kukhala yaitali m'chikhakha kuti kungachititse maphatikizidwe pachithunzichi. Odwala ambiri, choncho amene ankachitira wovulala wathuyo nthambi ntchito zikuipiraipirabe kuposa kale wovulala lapansi. Komanso, pali kusokonekera fractures, ndi zomwe n'zovuta kukwaniritsa repositioning yeniyeni.

Opaleshoni traumatology anthu ambiri odziwika wathu mwina nthawi yolandira chithandizo. Pali njira asang'ambe ntchito pa ulnar, zozungulira fupa. The dokotala kukachitika magwiridwe muyike pena zidutswa fupa, kukhala ndi physiologically olondola, ndipo kenako kukonza malo zipangizo zapadera. Small infestation zimatheka kwa mpheto kupanga punctures chabe omenyera onse akulamuliridwa mwa x-ray. minofu zofewa sizisintha, kuchira amatenga yochepa nthawi, iwe usanati kukhala nane kuchipatala. Komanso, pamene opareshoni zimenezi, ngozi ya mavuto yafupika.

Fasteners ndi zotsatira

Pakuti fractures wa mkono ndi ntchito zosiyanasiyana tatifupi. Ena mwa zothandiza kwambiri - intraosseous zikhomo, n'kofunika ngati kuonongeka diaphysis. Pamene ntchito clamps awa akhoza kukwaniritsa zotsatira minofu kuwonongeka kwenikweni. Ntchito, zomwe umabweretsa unsembe maloko, masamba mabala, koma iwo ali ochepa, pafupifupi wosaoneka, ngakhale madokotalawo.

mtundu wina wotchuka wa clamps - mbale, Ufumuyo mafupa ndi zomangira. Yokhomerera - mtundu wa "muyeso wa golide" wa mankhwala. Ambiri zitsanzo panopa mbale kulola kukonza zidutswa fupa pa malo abwino kwambiri ndi kusunga iwo mpaka pamene wovulala si srastetsya.

Izi ndi zofunika!

Pankhaniyi n'zosatheka kupewa machitidwe a fractures lotseguka. alowererepo The zimaphatikizapo kugwiritsa ntchito zipangizo zapadera, kukonza kunja kwa mkono wa. Izi zimathandiza ziziyenda alili, ndiyeno inu mukhoza chitani zinthu zina.

Pamene chilonda amachiza, chipangizo chinatha ndipo anakakonza ndi mbale fupa kapena ndodo. Njira imeneyi minimizes Mwina mavuto septic.

samalani

Ntchito m'dera mkono - zovuta. Kudera limeneli wolemera mu misempha, mitsempha ya magazi, kulephera omwe mwina zoipa bwanji alili. Pa chiphaso cha zifukwa zina ndi mkulu Mwina mavuto, tingayambe imfa sizingasinthe wa ntchito galimoto kapena tilinazo. Ambiri mwina kuphwanya ntchito burashi. Kupewa mavuto, dokotalayo ayenera mosamala kwambiri zinakonzedwa ndi zomwe zagwiridwa alowererepo pa.

ngozi machiritso

Diaphysis wamkulu kuchiritsa kwa nthawi yaitali. Pakapita masabata asanu ndi kupanga X-ray m'dera kuonongeka kukayendera pamaso pa callus. Patatha milungu inayi anachita mayesero kwa mlingo wa chitetezo. Mu fupa wabwinobwino ayenera oyimba 80% ya asanakhazikitsidwe mphamvu wovulala. The kukonzanso kwa minofu ndi machiritso wathunthu zimatenga zaka.

Monga splice malo zowonongeka akhoza kuchotsedwa pa retainer zachitsulo. chochitika sikowumiriza, koma nthawi zina kukhalapo kwa chinthu zachitsulo amachititsa kusapeza kapena ululu, omwe kumasonyeza Jaji. Mbale, ndodo ndi kuchotsedwa thupi laumunthu mu zaka ziwiri kapena mtsogolo. Kuvomerezedwa chofunika - kuti X-ray ayenera kukhala zizindikiro zoonekeratu kuphatikiza.

lililonse wovulala

Kawirikawiri, ambiri - wovulala kapena Smith Kolles. Pankhaniyi, kuwonongeka kwa makombo fupa si pokhala. Pambuyo X-ray Kupenda odwala zoika pulasitala kuponyedwa kugwetsa mbali akhudzidwa. Osewera kumayamba nsonga zala, pamwamba chimafikira kwa theka la mkono wa. Immobilization dzanja kumatenga pafupifupi mwezi umodzi. Pamene pulasitala chikutha ndi akuchipatala mankhwala thupi kukhala minofu ya polumikizira. Mu chitukuko wabwinobwino, vuto kuchira amatenga wina kwa masabata awiri.

A wovulala yosavuta zovuta kosangalatsa, samatha amafuna repositioning, pamene mafupa kumam'phunzitsa mwakale, kukoka dzanja wovulala. chochitika pamafunika mankhwala oletsa ululu - m'deralo, kondakitala. dokotala wothandizira chimakakamiza burashi ndi, wothandizira wina imakoka ziwalo zosiyana, kukhala chigongono. Pang'onopang'ono, kotero kukokera zidutswa fupa, kulenga mtunda pakati pawo ndi dokotala pamanja anaika mu malo zidutswa zonse, kuwathamangitsa kutenga malo olondola.

Kodi yotsatira?

Pamene repositioning udzatha, kupanga pulasitala bandeji, wosunga dzanja nkhawa, kupewa kukonzanso kusamutsidwa. Pamene gypsum uphwetsa, maganizo pang'ono ndi pang'ono yafupika.

Ngati simungathe bwinobwino kusuntha zinyalala kapena anaulula kuti fupa lothyoka la limodzi ndi ochuluka zedi makombo, ngati kachiwiri anatuluka kapena kuchepetsa zimfundo ndi lowonongeka, ndiye muyenera mwachangu kuchita opaleshoni. Musanyamule osteosynthesis ntchito clamps zitsulo kenako zoika pulasitala bandeji. Kawirikawiri panthawi ino kutembenuza mu pulasitala adzayenera amathera mwezi ndi theka, ndipo konzanso amatenga masabata 2-4.

Wovulala: zikugwirira

Wovulala amakwiya zotsatira za osiyanasiyana mwamphamvu. Akudalira pa malo kuwonongeka, ndi kapangidwe kake. Ngati wovulala ndi zosavuta, aliyense amachiza mwamsanga ndipo sasiya kuda chilichonse chooneka sayambitsa mavuto. Koma kusamutsidwa makombo - ndi chizindikiro cha kuchuluka ngozi mavuto ena. Ngati matenda ndi fupa lothyoka momasuka ndi kusamutsidwa, zinthu zimagawidwa kovuta kwambiri.

Kawirikawiri kusunga zotsatira zotsatirazi fractures:

• kuphwanya mitsempha uziyenda;
• osteomyelitis;
• embolism;
• kudwala splicing;
• magazi.

The vuto lomaliza zimachitika nthawi zambiri amayamba ndi kuvulala minofu zofewa. Vuto lalikulu - n'chakuti eni ndi zowoneka anasonyeza yotupa kapena zosaoneka kwa diso, pa mfundo. dokotala ayenera kudziwa kuti makombo fupa akhoza kuvulaza Mitsempha, nsalu zofewa.

magazi Internal nthawi zambiri limodzi ndi fractures chatsekedwa ndi kusamutsidwa. Pamene lotseguka fractures mtima choipa zofunika kuchokera zidutswa kwambiri osamukira ndi magazi kunja akuwonekera.

Kulakwila ntchito wamanjenje

Izi ndi zotsatira za fupa lothyoka la sizachilendo ndipo zimagawidwa monga mwachilungamo lolemera. Iwo amayamba chifukwa chakuti kumayambiriro kwa makombo fupa chakhungu makungwa mitsempha dongosolo ili pafupi ndi mafupa. Nthawi zambiri kuwononga mitsempha chili, ngati pokhala wovulala lotseguka. Pa nthawi imeneyi, pamene fupa akuvulazidwa, umakaniko limachitira padziko mitengo ikuluikulu ya mitsempha, nchifukwa chake iwo anataya ntchito zawo.

Kulakwila ntchito mantha akuwonetseredwa imfa ya kumverera, kuphatikizapo kupweteka ndi kutentha. Komanso, zala kapena burashi lonse kutaya sayenda awo, nthambi dzanzi, ntchito olowa oletsedwa.