Dislocation wa olowa phewa: mankhwala kunyumba. Dislocation wa olowa phewa: zimayambitsa

Dislocation wa olowa phewa - vuto ambiri okhudzana ndi dongosolo minofu ndi mafupa. Chifukwa - kapangidwe ija, amene amathandiza osiyanasiyana kwambiri za kayendedwe zimfundo zonse za thupi. M'nkhaniyi tiona mmene kuzindikira phewa ntchafu, zizindikiro za matenda. Kupewa ndi chithandizo monga miyeso zofunika popewa ndi tichotse zotsatira za mtundu wa choipa nawonso kutchulidwa kugonjera ndi.

Kodi dislocation?

Dislocation ife timachitcha imfa ya mgwirizano wa kali ndi articular ndi mzake. Kuvulala amayambira pa masewera kapena ngozi zapamsewu. Makamaka atengeke ili ndi anthu a volebo, umodzi, mpira ndi yozizira masewera. Pamene choipa phewa amafuna matenda enieni.

Za mtundu wina zovuta kwambiri kuwonongeka kwa phewa ndi ntchafu phewa olowa. Amachititsa ndi mankhwala a dokotala anakhazikitsa kuphunzira wovulalayo. mankhwala Komanso n'choti ntchito olowa ndi kuteteza zosokonezeka.

Chifukwa pali vuto?

The zimakonda phewa kuvulala olowa dislocation ali pa zolimbitsa thupi, kugwa kunja (mbali) pa mkono. vuto angakhale chidakwa nkhonya. Nthawi zina zoopsa zotsatira za kugwa kuchokera kumwamba, mwachitsanzo pamene ntchito ya zomangamanga. Pa amadza, ndi kusamuka kwa mafupa mutu wa olowa phewa. Malinga malangizo yomwe udasokonezeka, dislocations phewa angathe kugawidwa:

1. Zapambuyo dislocation wa olowa phewa. Iyi ndi njira kwambiri ambiri kusamutsidwa, zomwe kawirikawiri kumachitika chifukwa cha kugwa pa dzanja lotambasula kapena paphewa.
2. Zapambuyo dislocation wa olowa phewa. Mtundu uwu wa kukondera bwino zimayamba ndi nkhonya mwachindunji kapena lakuthwa ankasinthana phewa.

zizindikiro za vuto

Dislocation wa olowa phewa kungawononge kuti nyumba iliyonse m'deralo phewa. Kodi kudziwa vuto ndi chochita pambuyo matenda a "dislocation phewa"? Zizindikiro ndi Chithandizo (thandizo) zimadalira mlingo wa kukula kwa zoipa.

Zizindikiro za dislocation wa olowa phewa:

1. Mwadzidzidzi, kwambiri ululu m'dera mapewa.
2. Large kutupa kapena hematoma.
3. Malire kuyenda olowa.
4. Kupotozedwa kwa mawonekedwe limodzi anamva pakalibe mutu humeral, umene umayenda mu malo armpit.
5. Ululu umachuluka pamene kuyesera kuyenda olowa (kotero wodwala amasunga dzanja kwambiri kwa thupi).
6. Syncope ndi malungo.

Achire miyeso ndi diagnostics

kuvulala kwambiri amaona kuti kukhala dislocation wa olowa phewa. thandizo ndi phukusi mankhwala - chofunika kuti apeze kudya ndi kubwerera kwa wodwalayo moyo wabwinobwino. M'pofunika mankhwala oletsa ululu wa olowa phewa, amene anachita pogonekedwa ndi mankhwala ambiri pofuna kupewa kuvulala zina pamene dokotala ntchito. Chithandizo ikuchitika pa maziko a zinthu zokonzedwa ndi njira Buku, ndi radiography.

Pambuyo phewa (kumene tsamba olowa) umagwiritsidwa mwa pulasitala bandeji. immobilization Izi chiwalo, zambiri kumatenga za 4 masabata. Pambuyo kuchotsa bandeji la pulasitala ndi kuphunzira X-ray, ngati mwaonapo kukonzanso dislocation wa olowa phewa, kukhazikitsa ndi chofunika kuti kubwezeretsedwa kwa phewa wodwalayo. Izo analimbikitsanso miyezi zina awiri kapena atatu kupewa thukuta.

Nthawi zina, zochizira dokotala anapulumutsa matenda a "kabwerebwere dislocation wa olowa phewa" ntchito ndi mbali zofunika kwambiri pa ndondomeko kuchira, monga iwo tingaone, ndi mavuto ena monga:

• zikukhudza phewa fupa;
• anavulala minofu kapena olowa kapisozi;
• kuonongeka Mitsempha kapena misempha.

Monga ulamuliro, ikuchitika arthroscopy. Dokotalayo zimapangitsa amacheka ochepa minofu, amene akulowa kamera ndi zida. Ngati wodwalayo angapo dzanja choipa ndi kabwerebwere dislocation wa olowa phewa, opaleshoni ukakhala ndithu kwa dokotala, ndipo kenako wodwalayo kwa nthawi yaitali (masabata 6) ayenera kupewa kayendedwe ka nthambi chapamwamba.

konzanso

Konzanso pamafunika mankhwala zina. Inunso muyenera kuganizira mfundo zina zabwino otsatirawa:

1. Kupewa kayendedwe mwadzidzidzi olowa phewa mu nthawi yochepa kuchotsa gypsum.
2. Cold mapaketi ntchito kuchepetsa edema.
3. Pharmacological chithandizo, chomwe potenga mankhwala antiinflammatory. Ngati ululu ali kwambiri, mukhoza kufunsa dokotala kuti mankhwala analgesics. Kukonzekera "Nurofen Plus" ayenera kumwedwa mawola 6 aliwonse 15 ml.
4. Kuchita njira achire. Iwo amathandiza kuti analgesic ndi zotsatira odana ndi yotupa (cryotherapy), kukonza minofu yowonongeka kuonongeka zofewa (mankhwala maginito mankhwala laser, ultrasound), kuwonjezera minofu misa ndi mphamvu (magetsi), bwino magazi ndi zakudya za zimakhala (whirlpool kusamba kwa kumalekezero chapamwamba).
5. Kutikita zimakhala pafupi ndi mafupa, relieves nkhawa, ndi bwino magazi ndi thanzi.
6. The yolimbikitsa ya olowa phewa.

Kuchita achire kokoka siteji koyamba za konzanso bwino ndi dokotala wina. M'pofunika kusankha mpheto mosavuta popanda katundu aliyense pa olowa akhudzidwa, monga isometrics ndi ntchito anatambasula, zolimbikitsa minofu neuromuscular. Pang'onopang'ono anayambitsa masewera olimbitsa thupi kuganizira, kulimbitsa minofu mphamvu ndi kusintha bata ndi elasticity wa zimakhala zofewa. Pa gawo lotsiriza la mankhwala ntchito Zochita kwa chapamwamba nthambi lonse, kuwonjezera mphamvu kulamulira kayendedwe ndi ntchito kukonza mphamvu ya kayendedwe ka zinthu za olowa phewa.

Kinesiotherapy ndi pokhala atakutidwa olowa wapadera zomatira zotanuka. Ali ndi kukhudza kanthu, patsogolo kugwira ntchito kwa malo. Superimposed pa tsamba articulation yamawangamawanga wokhazikika, kusintha lipole ndi kuchepetsa chiopsezo kuvulazidwa pamene akuthamanga thupi.

zosokonezeka

Mwatsoka, matenda a "dislocation wa olowa phewa" ndi yaikulu kwambiri. Konzanso ndi chithandizo popanda matenda zolondola kungayambitse mavuto ambiri. Njirazi ndi monga:

• Kusakhazikika kwa olowa;
• zotumphukira mitsempha choipa (kumva kulasalasa kutengeka, tilinazo lonse chapamwamba nthambi matenda);
• zochepa osiyanasiyana zoyenda mu limodzi;
• ayambiranso ngakhale patapita choipa zazing'ono;
• kusintha osachiritsika mu olowa glenohumeral.

Njira ya chithandizo cha za m'mapewa kuvulala olowa kunyumba

Umabweretsa pang'ono mpumulo imposition wa compress ozizira kwa zinkakhala m'dera, ngati panali dislocation wa phewa olowa. chithandizo Home kwa kuvulala aakulu N'zosatheka makonzedwe a chisamaliro aluso. Wovulalayo ayenera kuti dokotala amene adzatenga miyeso kofunika pambuyo X-ray. Pa dzanja kayendedwe ndi kukhazika: akhoza pang'ono ndichotse pa chigongono, anakakamizidwa chifuwa ndi kukulunga bandeji kwa thupi.

Kuti muchepetse ululu, ayenera kuperekedwa ndi mankhwala analgesic kapena osakhala steroidal odana ndi yotupa kanthu ( "Nurofen Plus" kapena "Ibuprofen" 15 ml mawola 6 aliwonse). Kuchira amatenga masabata 3-6.

Ndiye izo tikulimbikitsidwa kuchita Zochita pa nkono ndi phewa minofu anatambasula. Pambuyo mndandanda wa magawo amenewa, pamene nthambi amadziwa ntchito, n'zotheka kuti abwerere masewera, koma zobvala zapadera, choncho wa kugwa izo chindiletsa dislocation wa olowa phewa. Home mankhwala ndi konzanso pambuyo choipa kungakhale pa zonse kuchita anatambasula Zochita kuti minofu ndi zotanuka ndi zochepa sachedwa kuwonongeka. Pankhani ya kuphwanya kwa thupi, mwachitsanzo, pambuyo zolimbitsa thupi kwambiri, ingagwiritsidwe ntchito umodzi ayezi.

Dislocation wa olowa phewa

Izi ndi kuvulala kwambiri kugwirizana ndi kulephera kupita mikono chifukwa chakuti panali dislocation wa olowa phewa. Home Chithandizo (Choyamba Lothandiza): othetsa ululu kumwa pa mlingo zafotokozeredwa malangizo, angagwirizanitse dzanja kwa thupi, kenako kuchezeredwa mwamsanga ndi mafupa kapena kupwetekedwa mtima. kuwonongeka amenewa - ichi ndi choipa kwambiri kuti angachititse imfa ya mitsempha ndi mitsempha ya magazi.

sprain

Kodi ngati panali sprain ndi dislocation wa olowa phewa? chithandizo Home ikukhudza ntchito compress ozizira (iye ntchito kwa theka la ola), mankhwala ndi analgesic ndi odana ndi yotupa katundu (angakhale angelo, mafuta). Mfundozo wosanjikiza woonda pa malo owonongeka kangapo patsiku. M'pofunikanso kupuma dzanja, ndiko kuti, chepetsani kuyenda.

Contusion wa olowa phewa

Nthawi zambiri, izo zimachitika kugwa mwadzidzidzi, imbaenda n'kuwononga kwa minofu zofewa. Zizindikiro za kuvulala: pang'onopang'ono kuwonjezeka ululu, kufinya, kutupa. Ayenera msanga ntchito ayezi ndi malo kuvulazidwa. Izi kuchepetsa hematoma ndi minofu zofewa edema, pokhapokha, ndithudi, si olowa dislocation zinachitika.

Ndi chithandizo cha mankhwala wowerengeka mu nkhani iyi sadzakhala superfluous: kangapo patsiku kwa mphindi 20, ntchito yozizira compresses kapena ayezi cubes wokutidwa zojambulazo kapena atakulungidwa mu nsalu. Kubweretsa mafuta mpumulo ndi analgesic ndi odana ndi yotupa kanthu. Iwo anagwiritsa ntchito kangapo patsiku. Komabe, ngati ululu si kuphwera, kukaonana ndi podiatrist, kupweteka kungakhale kwambiri kuposa momwe inu mukuganizira.

mankhwala wowerengeka

A zambiri njira kunyumba kuthana zotsatira kugwirizana ndi matenda a "dislocation wa olowa." Chithandizo cha mankhwala wowerengeka umalimbana mpumulo ululu. Ndi bwino ntchito ntchintchi za mkaka otentha: ndikofunikira kuti kutenthetsa, moisten ndi ntchito bandeji kwa zilonda olowa. thandizo wabwino finely akanadulidwa anyezi kapena "mtanda" kuchokera chikho ufa ndi supuni ya vinyo wosasa. Iwo ayenera kukakamiza malo zowonongeka ndi kusunga kwa theka la ola.