Wovulala msana. msana wovulala chithandizo. thandizo opaleshoni, konzanso

Ngakhale mphamvu, munthu dongosolo minofu ndi mafupa kawirikawiri pansi katundu wa Kumwambamwamba, amene angachotsedwe kuvulala. Zoipa kwambiri mwamphamvu kwambiri ndi wovulala msana. Chithandizo cha wovulala msana kudzadalira kuopsa kwa choipa ndi kutanthauzira. Pamene kuwonongeka amenewa kawirikawiri nawo ndondomeko za ozungulira minofu, mwachitsanzo, minofu, msana, mitsempha. Mwina kale ndi mavuto aakulu kwambiri.

Tidzayensa kuthana ndi mitundu yosiyanasiyana ya fractures msana, thandizo ndi mankhwala zoipa.

Zosiyanasiyana fractures vertebral

fractures Vertebral ndi a mitundu yosiyanasiyana ndi madigiri. wovulala gulu anapanga zinthu zina. Popeza limagwirira kuvulazidwa, tingasiyanitsire mitundu itatu kuvulala takiz:

1. Psinjika wovulala. Kumachitika chifukwa cha psinjika za vertebrae pansi mphamvu zoopsa. Nthawi zambiri kuwonongeka ngati akutsirizira kugwa pa nsana wake, miyendo kapena matako.
2. Flexion-ekstenzivnye kuwonongeka, kapena iwo amatchedwa flexor-extensor. kuvulala amenewa amaona kukhala povuta kwambiri akuchokera flexion ndi kutambasuka kwa msana chifukwa cha ngozi kapena kugwa kwa chinthu chinachake pa nsana wake.
3. Makina choipa. Kwenikweni awo ndi kayendedwe transcendent za olamulira kotenga msana. Izi zimachitika chifukwa cha manyazi mwachindunji.

Psinjika wovulala, nayenso lagawidwa milingo zingapo:

• Kalasi 1 losiyana kuchepa msinkhu vertebral ndi zosakwana 50%.
• 2 digiri - kumwamba yafupika ndi theka.
• Pa madigiri 3 vertebral kutalika anatsika ndi oposa 50%.

Ngati msana wovulala chimodzi chokha zowonongeka linkawonongeka, kuvulala amenewa amatchedwa wovulala umodzi. Pamene zotupa angapo bwanji kukhulupirika kwa vertebrae angapo.

Mitundu zotsatirazi fractures tingaone tikaonetsetsa choipa kutanthauzira:

1. Wovulala msana khomo lachiberekero.
2. thoracic msana wovulala.
3. Kuwonongeka kwa lumbar vertebrae.

Kuwonjezera mitundu, mukhoza kusankha angapo:

• Khola wovulala. Woterowo vertebrae zowonongeka Usaigwedezere, si anakhudzidwa ndi minofu ozungulira.
• Wosakhazikika kuwonongeka. Mu nkhani iyi, vertebrae ali osamukira kungakhale perelomovyvih.

Ngati tikulingalira mapindikidwe wa vertebrae, ndi fupa lothyoka akhoza wachinsinsi motere:

• The mphero woboola pakati wovulala. Vutoli ndi mphero nsonga akukumana patsogolo, kwa m'munsi mwa msana chingwe.
• Kugawikana. kuwonongeka amenewa kungakhale zachiwawa pamene vertebral thupi zidutswa osamukira mu madera osiyana, ndipo ngakhale nthawi zina mawonekedwe a ikulendewera dontho. fractures oterewa amakhala osakhazikika nthawi zambiri amachita opaleshoni.

Symptomatology la fupa lothyoka msana

Kuti zotsatira za fractures ali wamng'ono kwambiri, m'pofunika oterewa nthawi amapereka thandizo yake yoyamba ndi kunyamula wozunzidwayo kuchipatala. Zizindikiro za wovulala achuluke, koma lofunika kwambiri zones ndi izi:

1. kupweteka kwambiri m'dera wovulala. ululu kawirikawiri amatenga mphamvu pamene inu muyesera kusintha udindo wa thupi kapena kusintha dzanja kapena phazi.
2. Chiletso kayendedwe. Chifukwa cha vertebral wovulala anatomic umphumphu chosemphana ndiye zoyesayesa zonse kuti ululu gulu kumapeto.
3. Ndi amphamvu zinasintha zingaoneke mapindikidwe a dipatimenti, amene kuonongeka.

Sikuti kusuntha wovulalayo ngati pali amaganiziridwa wovulala msana. Chithandizo cha fractures a msana ndi bwino kwakukulukulu zimadalira thandizolo woyamba ndi kuvuta zoipa.

Zimayambitsa fractures

wovulala chilichonse kumachitika chifukwa cha kwambiri mphamvu zimakhudza mphamvu mapangidwe fupa. Kuti msana wathyoka, muyenera kukhala zinthu zotsatirazi:

• A gulu lalikulu mmene.
• Ofooka dongosolo fupa.

Childs, fractures msana zimachitika chifukwa kugwa kuchokera kumwamba, monga zotsatira za masewera kumatheka kapena zochitika akatswiri ndi ogula. Mwayi chiphaso cha wovulala monga chifukwa cha ngozi ya galimoto.

Pali zinthu komwe fupa amakhala osakhazikika chifukwa cha njira pathological mu thupi. Pankhaniyi, ngakhale kukhudzana yaing'ono kungachititse kuti choipa zimenezi. Izi zingachitike pamene matenda otsatirawa:

• Kufooka kwa mafupa.
• Kupezeka kwa zotupa.
• TB.
• Kuphwanya mu dongosolo endocrine.

Kaya chifukwa chake chinali, thandizo kwa fractures msana ayenera kupatsidwa bwino kuti ndi zotsatira loopsa kwambiri.

Kupeza Vuto wovulala

Ululu kuti zidzachitika wovulala si mbali zenizeni za kuvulazidwa, choncho m'pofunika kusunga kafukufuku lotsatira kupanga matenda molondola:

1. Msana X-ray kuchita. Izi kutenga zolosera mwachindunji ndi lateral, kupeza malo enieni kuwonongeka ndi kudziwa kukula kwa zoipa.
2. CT jambulani nthawi zotchulidwa pambuyo X-ray kuti mwatsatanetsatane mmene angathere kubwerezanso malo owonongeka.
3. Myelography limasonyeza udindo wa chingwe msana pambuyo wovulala a.
4. Kudzifufuza mwa katswiriyu ndi chofunika kuti ayese tilinazo ndi ntchito ya molekezera mitsempha, ndi chingwe msana.
5. dokotala Kujambula mwina mankhwala ngati pali kukayikitsa kuwonongeka kwa nyumba ya msana.
6. Densitometry imagwiridwa mu nthawi zina, kuteteza kufooka kwa mafupa.

Pambuyo onse dokotala kafukufuku akhoza kupanga matenda, kuona zovuta za fupa lothyoka la, ziyenera a chiopsezo ndi kusankha bwino machenjerero chithandizo.

Wovulala msana khomo lachiberekero

Msana khomo lachiberekero ndi sitepe koyamba mu ndime msana. Lili vertebrae zisanu ndi ziwiri. Nthawi zambiri chifukwa cha kugwa pa mutu pali wovulala ndi linkawonongeka woyamba, wotchedwa Buku la mapu.

Chiopsezo fractures imeneyo ndi wakuti kungawononge osati chingwe msana, komanso mbali zina za ubongo. Mwachitsanzo, ngati anawononga medulla oblongata, ndi zinadzala ndi kuphwanya kupuma ndi kugunda.

Kamtima wovulala wachiwiri linkawonongeka khomo lachiberekero zovuta kwambiri, wodwalayo zambiri amadandaula za ululu mutu kasinthasintha. Malinga mlingo wa wovulala mwakayakaya amenewa kungabweretse mavuto osokoneza bongo kapena kuwonongeka kwambiri kwa chingwe msana, lomwe ndi yosemphana ndi moyo.

Kuwonongeka kwa otsala vertebrae khomo lachiberekero, amangoona kumachitika chifukwa ndi kupinda zakuthwa khosi. Ngati choipa amakhudza Mitsemphayi, pali ngozi kuvulazidwa msana.

Wovulala msana lumbar

Mitundu yofala kuvulala msana ndi psinjika fractures wa thoracic ndi lumbar vertebrae. Iwo nthawi zambiri amapezeka chifukwa cha kugwa pa matako kapena kudumpha kuchokera pamwamba kwambiri.

Ngati matenda ali kufooka kwa mafupa, ndi lumbar msana wovulala angayambe chifukwa cha otsika mphamvu dontho. Kuopsa ndi kamodzi zilibe zonse ntchito kwa dokotala, kutenga kupweteka kwa zizindikiro za kusintha obwera ndi ukalamba.

chithandizo Emergency

Ngati mukukayikira wovulala msana zofunikira kuthandiza kukonza wovulalayo. Popanda kupita kuchipatala mu nkhani iyi, sangakhoze kuchita, kotero muyenera bwino kugwira kayendedwe.

thandizo adzakhala motere:

1. Stow bwino kumbuyo kwa wozunzidwayo padziko aliyense olimba: kungakhale khomo gulu, plywood kapena zinthu zilipo.
2. Yakusankha miyendo ndi torso.
3. Ngati kupweteka kwa dera khomo lachiberekero, m'pofunika kuchitapo kanthu.
4. Kumayambiriro kwa vertebrae mu thoracic kapena lumbar msana kuyika khushoni zofewa kwa zifukwa.
5. Atapereka kulephera kuyenda wodwala akhoza anapatsidwa analgesic mpumulo ululu.
6. Simungathe kunyamula wodwala angathe mosapumira.

Molondola amamasulira thandizo angapulumutse moyo wa munthu wovulalayo.

Iwo choletsedwa milandu amaganiziridwa wovulala msana

kuvulala Izi kwambiri moti choncho pali ena zochita mwamtheradi contraindicated mu:

• Inu singatikakamize wozunzidwayo pansi kapena kuima.
• Ndi zoletsedwa kuyesa kuchepetsa ndi vertebrae mu malo.
• Iwo ali osavomerezeka kupereka mankhwala, ngati wovulalayo wotaya chikumbumtima kapena kulemala kumeza ntchito.
• Osachikoka mkono kapena mwendo, kapena kuyesera kusamutsa wodwalayo yekha.

Aliyense cha zimene zingachititse mavuto aakulu, kotero musati pachiopsezo thanzi la munthu ngati pali wovulala msana.

msana chithandizo wovulala

Popanda mankhwala pamalowo dokotala sangathe kuchita pamaso pa choipa zimenezi. Only katswiri oyenerera angathe mankhwala chithandizo chokwanira kuti kodi kupewa mavuto onse.

mankhwala akhoza kuchitika mu mbali ziwiri:

1. Ndiwofatsa.
2. Opaleshoni.

Gulu limene m'pofunika amachita bwino kwambiri kulimbana ndi fupa lothyoka zimadalira kuopsa kwa choipa ndi malo ake.

chithandizo ndiwofatsa

Childs, njira zonse za mankhwalawa wovulala limatenga 3 miyezi, chitadutsa kuyang'aniridwa zonse dokotala ndiponso kafukufuku zonse kudziwa ndondomeko ya splicing zowonongeka vertebrae.

wovulala chithandizo zikuphatikizapo zotsatirazi:

1. Ndiyotani pakuchotsa ululu. kuvulala Izi zimapangitsa ululu, opirira laperekedwa othetsa ululu, iwo sikungawononge mlingo wa kuchira, ndipo boma adzasintha.
2. Ntchito malire. Mofulumira ndondomeko zofanana ndi vertebrae ayenera kukhala zotheka kuchepetsa sayenda kulikonse. Inu simungakhoze kuchita zinthu zimene kuwonjezera katundu pa msana m'munsi kukhala ndi kuima. Popanda lamulo ili mlingo accretion cha kuchepa.
3. Fixation. Pambuyo wovulala msana, ambiri mavuto ubongo angakhalepo. Kuzipewa, m'pofunika kukonza msana mu malo omwewo. Pakuti zolinga zimenezi, mungathe kugwiritsa ntchito corset a msana wovulala. Verteroblastika - ndondomeko amene angagwiritsidwe ntchito kubwezeretsa kukhulupirika kwa msana. Kwa iye anayamba zinachitikira ndi psinjika wovulala mu zipatala zambiri. Mfundo yofunika ndi izi: ndi puncture mu khungu ndi mu thupi vertebral ndi anaikapo zitsulo ndodo kudzera M'mimbamo ladzala ndi yankho kulimbitsa kapangidwe vertebral. Ndondomeko anachita pansi mankhwala oletsa ululu pamalopo.
4. Kyphoplasty ntchito kubwezeretsa vertebral msinkhu. dokotala amapangitsa amacheka khungu ndipo amaika mu vertebral thupi zibaluni kuti mpweya ndi kutalika oyenera kubwezeretsedwa kwa kukula vertebral. Ndiye simenti mwachizolowezi, adzatsekeredwa potseka malo.

chithandizo opaleshoni

Mwatsoka, inu simungakhoze zonse tilimbane ndi mabvuto njira ndiwofatsa. Ngati anapezeka ndi wovulala msana, opaleshoni ukafunidwe kukachitika kuti pali chiopsezo mavuto ubongo.

Pa opaleshoni dokotalayo akupanga resection a mbali linkawonongeka, amene kuvulaza mizu mitsempha ndi chingwe msana, ndipo mu malo awo anayikidwa zitsulo amadzala.

zosokonezeka opaleshoni

Ngakhale podziwa kuti zipangizo zamakono mungathe kwambiri, ndi madokotala - zinachitikira ntchito zimenezi, kuwasokoneza zikugwirizanirana ndi oopsa monga moyandikana zotheka ndi msana ndi misempha.

Chifukwa cha mankhwala a mavuto otsatirawa pangabuke psinjika wovulala:

1. Kyphosis. Izi maonekedwe a hump mu msana thoracic. Vuto Izi wamba odwala okalamba. mtima A zambiri akumva ululu, pangakhale mavuto m'dongosolo la mtima, kapepala kakuti m'mimba kapena m'mapapo. Fast kutopa ndikulakwa, pali kupuma movutikira.
2. Segmental Kusakhazikika limapezeka nthawi zambiri mu nkhani anakana ndi oposa 30% chifukwa cha wovulala kutalika kwa linkawonongeka lapansi. Ndi Vuto izi si ululu pa mpumulo ndi pa kayendedwe, komanso chiyambi cha njira osachiritsika-dystrophic mu msana.
3. Bone zidutswa popangidwa ndi fractures zovuta kungayambitse mavuto ubongo. Iwo kumachitika nthawi yomweyo kapena patapita kanthawi. Zizindikiro za matendawa ndi ululu kuyenda ndi pa mtendere, komanso kuchepetsa kapena imfa wathunthu wa zotengeka ndi dzanzi ku malekezero.

Nthawi zambiri zapita kuyambira wovulala pamaso chithandizo akuyamba, wamkulu chiopsezo mavuto osiyanasiyana.

zotsatira za fractures

kuneneratu molondola zovuta kupereka, ngati pali wovulala msana. zotsatira zake zingakhale aakulu kwambiri. Anthu ena otere musathamange kuchipatala ndi kufa ku mantha msana, zimachitika chifukwa cha kuvulala kapena msana chophukacho.

Ngati chikunena za msana, kuti ndi chiopsezo cha ziwalo. Wodwala kwa nthawi yaitali kapena chifukwa moyo kutaya amatha paokha.

Ngati wovulala yosavuta msana, zotsatira zake zingakhale mu mawonekedwe a nyamakazi kapena intervertebral chophukacho. Kupewa mavuto amenewa, kapena kuchepetsa iwo yochepa, m'pofunika kuti aziona mankhwala, kutsatira malangizo onse a madokotala, makamaka nthawi ya konzanso.

Konzanso pambuyo msana wovulala

Izo Sizotheka kupewa choipa: ngozi, kuwonongeka - ndipo pali inu ndi fupa lothyoka la msana. msana wovulala chithandizo ayenera kutha nthawi konzanso. Cholinga cha potithandiza ndi kubwezeretsa vertebrae anavulala ndi kubwerera kwa moyo wakale kugudubuzika.

Pakuti zolinga zimenezi, madokotala kugwiritsa ntchito njira zotsatirazi:

• Physiotherapy.
• Electrostimulation.
• Kutikita.
• Zachilendo kwenikweni.
• zolimbitsa thupi achire.

Only vertebral wovulala akhoza Sasankhana njira kupambana, konzanso imathandizira lipole, kupewa mavuto ndi kubwezeretsa kuyenda.