Kodi wovulala chatsekedwa? Tatseka wovulala ndi kusamutsidwa. thandizo kwa fractures

Kodi osiyana ndi fupa lothyoka chatsekedwa lotseguka? Yankho la funso limeneli, adzaphunzilanso pa zipangizo za nkhaniyi. Komanso, tidzakhala kufotokoza zimene mitundu ya fractures kulibe, momwe iwo amasiyana, zomwe poyamba chithandizo m'pofunika kupereka wovulalayo.

zambiri

Tatseka wovulala - ndi tsankho kapena okwana kusokonezeka kukhulupirika kwa fupa. Childs, izi zimachitika pa katundu kwambiri kuposa mphamvu ya maganizo mafupa gawo. Chikhalidwe chotere pathological zingachitikenso chifukwa zoopsa, chifukwa matenda osiyanasiyana limodzi ndi kusintha zikuchokera minofu fupa.

Popereka alili

Kuopseza thanzi wodwalayo mu fractures poyera ndi chatsekedwa chifukwa kukula kwa fupa kuonongeka, komanso kuchuluka kwawo. Ngati chifukwa cha kuvulala panali chiwonongeko cha lalikulu mafupa tubular, kawirikawiri zimabweretsa mantha zoopsa ndi kukha mwazi wochuluka. Tikumbukenso kuti pambuyo pa odwala wovulala pang'onopang'ono limzake. kuchira awo akhoza kutenga miyezi ingapo.

gulu la fractures

Mu yochizira matenda, fractures ali m'magulu malinga ndi muyezo angapo. Monga ulamuliro, iwo zokhudza kutanthauzira kuvulazidwa, chifukwa chitsogozo mawonekedwe, kulemera, etc. Komabe, atangochimwa kuswa akatswiri chinthu choyamba kutembenukira chidwi -. Iwo adatsekedwa kapena lotseguka. Ndipotu, umphumphu wa khungu makamaka zimaonekera osati traumatologist, komanso kwambiri akhudzidwa.

Open, chatsekedwa wovulala

Pali mitundu iwiri waukulu fractures:

• Open. wovulala amenewa limodzi ndi kuwononga mafupa komanso kuphwanya umphumphu wa minofu zofewa, omwe amalankhula ndi malo akunja.
• Tatseka. fomu iyi imatengedwa kukhala kosavuta kuposa lotseguka. Ichi ndi chifukwa chakuti zoterozo wovulala kuwononga khalidwe chabe fupa. Komanso, khungu, Mitsemphayi, minofu ndi zina zotero. Sizisintha.

Ngakhale kuti wovulala chatsekedwa imatengedwa mawonekedwe wofatsa kuvulazidwa, kukhulupirira kuti sangathe ankachitira - cholakwika. Ndipotu, zotsatira zake a munthu akhoza kukhala wosasangalala kwambiri.

diagnostics

Oterewa chatsekedwa wovulala zambiri zovuta kuposa lotseguka. Iwo ayenera kukumbukira kuti kupwetekedwa zazing'ono (mwachitsanzo, mu nkhani mng'alu popanda kukondera) sangathe kamtima kudwala nthawi yomweyo. Chifukwa zimatha zambiri thanani ululu wa wovulala wina wa yotupa wamba. N'chifukwa chake muyenera kudziwa zizindikiro, zimene khalidwe la kuvulazidwa amenewa.

Zizindikiro za wovulala chatsekedwa

Ngati inu muli chatsekedwa wovulala bondo la A burashi, etc., ndiye, osalephera, muli zizindikiro zotsatirazi zimapezeka.

• kupweteka kwambiri m'dera zowonongeka;
• kutupa;
• mapindikidwe mu gawo la nthambi komwe anaganiza wovulala;
• khalidwe crunch mu pabala;
• kulephera kuyenda wathunthu kapena malire kuyenda (kukachitika kuti kuonongeka olowa);
• kufinya;
• kayendedwe ka mafupa kumene kulibe olowa.

Tikumbukenso kuti si zizindikiro zonse kumachitika mu fractures chatsekedwa imodzi. Pa nkhani imeneyi, kwa matenda okhazikika Pamafunika kwenikweni amatchula traumatologist ndi x-ray.

Mwa njira, zizindikiro za chatsekedwa wovulala manja ndi mapazi kuima pakati mpumulo. Inde, mu nkhani iyi, wozunzidwayo akhoza pasanapite nthawi timvetse zimene zinachitika kuwonongeka wokongola kwambiri. Ichi ndi chifukwa chakuti Mwachitsanzo, fupa fractures kudalira pa mwendo wovulala kuli kovuta m'munsi malekezero.

Popereka

Malinga ndi zovuta za wovulala angakhale:

• popanda kukondera;
• kuchepetsa.

Kumene, chatsekedwa wovulala popanda kusamutsidwa ndi digiri lightest kuwonongeka. Ndipotu mawonekedwe minofu ozungulira si poyera kuti chiwonongeko cha zidutswa fupa. Komanso, atalandira chotero kupwetekedwa mtima abwezeretsedwa posachedwapa.

Tatseka osamukira wovulala limapezeka nthawi lero. Pakuti kupatuka ngati khalidwe kusamutsidwa wa zidutswa za fupa ndege osiyana. Tikumbukenso kuti choipa chotero ndi zovuta kwambiri. Ndipotu, ananena chidutswa cha fupa ndi zosavuta moti n'kuwononga ozungulira zimakhala zofewa (Mitsemphayi, minofu, Mitsempha), chimene chimayambitsa amataya magazi.

Makamaka oopsa ndi osamukira wovulala mu chifuwa. Ndipotu makombo a nthiti ndi mafupa ena priniknut mu ziwalo zofunika kwambiri, zomwe mapeto ake ndi imfa.

Zizindikiro zazikulu za wovulala ndi kusamutsidwa

Tatseka osamukira wovulala ndi ndinasintha osiyana zisaonongeke ofanana, koma popanda kusuntha makombo a fupa ndege osiyana. Pankhaniyi, wodwala penyani pa:

• kukula ululu kuzimiririka kapena lakuthwa;
• kutupa pa malo a choipa;
• deformities olowa;
• zachilendo malo a mbali kuonongeka kwa thupi;
• ululu palpation;
• ufulu lochedwa olowa (mwachitsanzo, manja, mapazi, etc.).

Tatseka wovulala: thandizo

Njira yoyamba ya anavulala amaganiziridwa chatsekedwa wovulala ndi immobilization wa thupi gawo kuonongeka. Izi ndi zofunika kuonetsetsa kuti pamene zoyendera chipatala munthu analibe mavuto alionse.

Ndiye kodi Zitatero ngati wokondedwa wanu amati chatsekedwa wovulala? thandizo kwa chiphaso cha kuvulala ayenera kukhala imposition wa tayala zosakhalitsa pa zinkakhala m'dera. Pankhaniyi, zochita zanu ayenera kukhala osamala kwambiri. Pambuyo unsembe chofunika kukonza tayala, ntchito nsalu iliyonse, ndi bandeji sayenera pa-omangika. Apo ayi, mwina kusokoneza magazi ndi maonekedwe a kutupa kwambiri.

Kuti angagwiritsidwe ntchito ngati basi? Popeza zipangizo zenizeni achipatala angathe kugwiritsidwa ntchito yabwino iliyonse yaitali zinthu okhwima (mwachitsanzo, bolodi, wolamulira, ndodo ndi zina zotero.). Anakuta tayala zofunika kuchokera ku mbali zonse za gawo kuonongeka.

Monga amadziwika, fractures otsekedwa nthawi zonse limodzi ndi kutupa. Pankhani imeneyi, akatswiri amalangiza kwa nthawi angagwirizanitse ku malo wodwalayo compress ozizira. Ngati wovulalayo yavulala kunyumba, kotero kuti coolant atha kutumikira ngati chidutswa cha nyama ndi mufiriji kapena ayezi wamba, zimene ziyenera Pre-atakulungidwa mu chopukutira.

Zikatero, ngati wodwalayo amakhala ululu, izo tikulimbikitsidwa kuti ululu mankhwala.

Tatseka wovulala chithandizo

M'nyumba comminuted wovulala umaimira digiri zovuta kuvulazidwa. Childs, kuwonongeka umenewo kumafuna opaleshoni mwamsanga kuchotsa zidutswa. Ngati zoopsa aakulu sangathe kuchita opaleshoni kuchotsa mafupa zisonga kuti ali kwenikweni akugwera minofu zofewa, wodwala angathe kutaya kwa magazi kwambiri, zomwe zina kuyambitsa zamafinya zinangoti mabala mkati, ndipo Motero, kufunika amputation.

Ngati choipa ndi osavuta kumva, koma pali anasintha, mafupa a kwenikweni limagwirizana. Kuchita njirayi okha ndiwo ayenera anamva ululu. Akamaliza cha machitidwe pa zinkakhala m'dera la thupi ndi superimposed gypsum, umene logwirana ndi fupa lothyoka ndi kuchepetsa mosavuta choipa zina.

Malinga mlingo wa kuopsa kwa pulasitala choipa kumangirira wodwalayo kwa masabata 2-3 miyezi 3-6. Kenako, wodwalayo Kwalamulidwa kutikita komanso gulu la mankhwala chikhalidwe thupi.

zofunika kwambiri nthawi konzanso ndi chitukuko tsiku la nthambi anakhudzidwa ntchito katundu metered. Komanso, kuti imathandizira accretion fupa munthu wodwala kutumikiridwa kukonzekera munali kashiamu ndi zina zazikulu ndi micronutrients.

kuti adzimvera

M'nyumba osamukira wovulala kapena popanda ziyenera anatsimikizira ntchito deta cholinga monga X-ray. Komanso, onetsetsani kuti ndiweruzidwe ndi dokotala.

Ngati wovulalayo pali chatsekedwa wovulala ndi kusamutsidwa a zotsala fupa, pamafunika repositioning. Childs, monga ndondomeko ndi imagwiridwa pansi mankhwala oletsa ululu pamalopo. Nkofunikira kuti ikuchitika katswiri. Apo ayi inept kuchepetsa adzatsogolera mavuto sizingasinthe, monga kuyiwala za ntchito yofunika kwambiri ya nthambi.