Ncafu fractures: mitundu pa chiopsezo ndi zina

Ncafu fractures nthawi zambiri zimachitika okalamba. Kuopsa waukulu kwagona kuti anavulala m'chiuno zingachititse kuti chiwerengero cha mavuto ndipo nthawi zina ngakhale kuika moyo pachiswe wodwalayo. Pofuna kupeza kwathunthu Chotsani zotsatira zoipa, pamafunika osachepera miyezi isanu ndi kutsatira bedi zina - Nthawi zambiri okalamba n'chimodzimodzi ndi imfa. Kumene, tisaiwale kuti mankhwala amakono akhala bwino kwambiri pochiza m'chiuno fractures, koma zimenezi sizitanthauza negate vuto chiwerengero cha kuvulala. Mwa njira, mavuto a ana ndi mafupa m'chiuno samaoneka - wamng'ono, monga ulamuliro, amakhala ndi mphamvu ya minofu fupa.

mitundu

Ncafu fractures anawagawa m'magulu atatu mwa akatswiri. Woyamba tichipeza mapeto chapamwamba choipa ntchafu, wachiwiri - ndi thupi la mavuto a femur, ndi wachitatu - wovulala mapeto apansi femur lapansi. Gulu lililonse amakhala ndi njira yeniyeni ya kuwonongeka, zizindikiro matenda ndi moyenera, ndi njira mankhwala.

ntchafu

Thupi fractures a femur ndi amaonedwa kukhala kuvulala kwambiri. Monga ulamuliro, iwo limodzi ndi mantha chowawa ndipo zikuphatikizapo aakulu kutaika kwa magazi. Chimayambitsa zikuluzikulu za kuvulala kwa mtundu umenewu madokotala kuitana madontho zodabwitsa, komanso ngozi galimoto ndi mitundu yonse ya kuvulala masewera. Mwachibadwa, chotero, kuti izi fractures m'chiuno zambiri anamuona pa achinyamata ndi wazaka zapakati.

symptomatology

Kudziwa pamaso pa fupa lothyoka ndi losavuta: anakhudzidwa zambiri amadandaula kuwawa kwambiri mu pabala; patapita kanthawi zitunda kuonongeka gawo, nthambi akhoza olumala.

thandizo

Pamene m'chiuno chisamaliro wovulala ayenera kupatsidwa nthawi yomweyo, popanda kuyembekezera kubera ambulansi. Choyamba, kukutetezani nthambi anavulala ndipo kumupatsa munthuyo ululu asipirini. Ngati wosweka lotseguka, pamwamba pang'ono pa chilonda ayenera tourniquet; koma musaiwale kuti amaloledwa kugwira maola chimodzi ndi theka - mwinamwake kumachitika necrosis a nthambi.

chithandizo

Kuwonjezera anakuta mankhwala kuponya ayenera monga njira monga kulamulira mantha zoopsa ndi magazi (ngati n'koyenera). Komanso, nthawi zina, dokotala angakupatseni chigoba samatha, atavala zipangizo kunja fixation, ndipo ngakhale opaleshoni.

Tatseka wovulala femur ndi

Pankhaniyi, chifukwa nthawi zambiri amakhala kugwa kapena nkhonya kudera la bondo; chatsekedwa wovulala nthawi zambiri limodzi ndi olakwika. Zizindikiro izi monga ululu waukulu mu patella lapansi. Pofuna kutsimikizira olondola matenda, wodwalayo zambiri chiyani m'mutu ndipo anamupeza bondo olowa. Chithandizo zambiri akuyamba ndi mpumulo kuwawa; ngati wovulalayo zimawonedwa hemarthrosis, Komanso yoikidwiratu arthrocentesis: kugwiritsa ntchito singano apadera mawere magazi patsogolo. Kenako, chigawo ku groin kwa bondo atathana pulasitala. Kuvala zingatenge masabata anayi ndi zisanu ndi zitatu. Ngati zidutswa fupa kuti ankatembenukira awo analipo watipatsa, ndi ntchito kukonza zomangira.