Nthiti wovulala: mankhwala kunyumba ndi mankhwala azitsamba wowerengeka

Nthiti ndi wosweka ndi anthu osakwana manja kapena mapazi. Komabe, komabe ndi choipa zofala. Anthu nthawi zambiri sazindikira (kamodzi), iwo nthiti wovulala. Chithandizo kunyumba Koma ikuchitika osati milandu onse. Nthawi zambiri, wozunzidwayo akadali m'chipatala. Ichi ndi chifukwa chakuti pali ngozi kuwononga m'mbali mwa yofunika "anansi" - m'mapapo, mtima, impso, malingana ndi mtundu wanji wa m'mphepete chawonongeka.

Zifukwa nthiti fractures

Zimayambitsa fractures angathe kugawidwa, titero, zachilengedwe ndi pathological.

Gulu loyamba zikuphatikizapo:

1. Ngozi. Chifukwa ambiri fractures a deta, wozunzidwayo zambiri dalaivala, anagunda pa chifuwa gudumu kuwonongeka. Apansi anakonza ofanana kapena kuvulala mu kugunda ndi galimoto, kapena kumenya mwa msewu, kapena kupita gudumu. Ngati ngozi zidzachitika limodzi nthiti wovulala, mankhwala kunyumba alandiridwa ngati fupa lothyoka si umagawanika ndi chatsekedwa.
2. Kuwomba kwa pachifuwa. Ndi mphamvu zokwanira ndi ntchito iliyonse zinthu zikhoza kuonongeka nthiti.
3. A kugwa kuchokera pamwamba. Ngati ayenera kukhala mokwanira mkulu mfundo (mwachitsanzo, mtengo, mpanda, kapena denga la barani) kwa mnyamata, mu ukalamba, ndi kupatulira minofu fupa, kupeza nthiti wosweka ngati n'kotheka, ngakhale pambuyo zakugwa mpando.
4. Sports kuvulala.
5. Kufinya (atolankhani mtundu ntchito). Childs, izi kuvulala kupanga. Kuwonongeka si nthiti, iwonso bwanji chiuno, ndi zina, ndipo chigaza. Zikuonekeratu kuti palibe amene anapanga nthiti wovulala - kunyumba mankhwala kuwonongeka ngati n'zosatheka.

fractures Pathological wa nthiti ungadzakhazikitsidwe osati pa umphawi wadzaoneni chifukwa kufooka kwa mafupa chifukwa matenda. Zina mwa zinthu zimene angathe kudzipheralo ngati nthiti fractures, akhoza dzina lake:

1. Nyamakazi.
2. Cancer metastasis: chifuwa cha zokolola zawo zotupa zilonda wa m'mawere prostate, ndi impso. Izi zikhoza komanso zimachitika, ndipo khansara fupa.
3. Kufooka kwa mafupa. Chifukwa fupa fragility pamene kumabweretsa mfundo yakuti wovulala m'mbali angayambe ngakhale ndi amadza pang'ono.
4. Pakalibe sternum wa - onse nazo ndiponso titadziwa.
5. Majini chigoba anomalies. Analogs cha kufooka kwa mafupa, koma ndi njira zina. Akamanena akanali yemweyo - kwambiri osalimba mafupa.

Anthu amene ali kuvutika izi mu thupi azisunga kusamala kwambiri pofuna kupewa kuvulala zotheka.

ndi nthiti fractures Kodi

Amasiyana pa malo angapo.

1. Khungu Kukhulupirika: ogaŵikana anatseka (popanda kuphwanya wake) ndi lotseguka, ndi mapangidwe bala.
2. Mlingo wa zotupa fupa: wonse (nthiti yopuma mwa makulidwe) subperiosteal (pang'ono okhulupirika ukhale). Osokoneza, mfundo, nayenso, nthiti wovulala. Chithandizo kunyumba pambuyo kuona ndi polojekiti kupita kwa dokotala wa - chophweka ndi ambiri vuto lililonse njira.
3. Ndi Location: fenestrated - fractures angapo pa dzanja limodzi - ndi amgwirizano - onse. Yotsirizira ndi oopsa kwambiri, makamaka m'mapapo choipa.
4. Malinga ndi chiwerengero cha nthiti ovulalawo: osakwatiwa ndi angapo.
5. Ndi mapangidwe zinyalala: kuchepetsa (ngati), ndipo popanda izo.

Chithandizo Amasankhidwa ndi zinthu zonse.

The fractures ambiri

Kawirikawiri, anthu amene ali mafupa amapanga unakhota pazipita, ndiko kuti, wachisanu ndi chitatu. Awa, 8 nthiti wovulala ndi ambiri. Chithandizo ambiri silingawafike chikukonzekera: ndi ogwira mpaka okha 5 nthiti. Kuchokera chinayi ndi ciwiri yopuma fupa ali osowa kwambiri: ali mafoni mokwanira, kotero kodi maondo pa amadza. Komabe, ngati analandira Mwachitsanzo, zikukhudza nthiti 9, chithandizocho okha ochititsa dzanzi (mwachitsanzo, ntchito ketanova), kutentha youma ndi malo amangokhala. Ndikufuna kugona zochepa ngati n'kotheka, ndi kuchira othamanga dokotalayo zambiri limalangiza wautali kuyenda. 10 Ngati pali nthiti wosweka, mankhwala sasiyana ku imodzi yapita. Komanso akhoza analimbikitsa kupuma kokoka. Baibulo losavuta za izo - kufufuma kwa balloons ndi (mwachibadwa, pang'onopang'ono popanda khama kwambiri).

nthiti fractures Zizindikiro

Amazindikiridwa mosavuta ngakhale mwa munthu popanda kuphunzira zachipatala. Choyamba, ndi yomangika kaimidwe a wovulalayo ndi kuweramira kutchulidwa kwa choipa. hematoma Large ndi kutupa akhoza kulankhula za kuvulala, koma ngati ilipo m'pofunika ndi dokotala - kuchitapo kanthu pa nkhani ya nthiti wovulala. Wokhudza malo wovulala kwambiri zopweteka kwambiri kuposa yotupa yachibadwa. Pa kupuma pachifuwa zowoneka ngati izo lags kumbuyo. Ndipo ngati munthu ali ndi kufupika kwa mpweya, ndi uncharacteristic, malikhweru phokoso popuma, ndiye zikuoneka m'mapapo kuwonongeka, ndipo amafuna hospitalization yomweyo. Pneumothorax limapezeka ambiri mu kuvulala kwambiri ndi wachisanu ndi nthiti lachisanu ndi chitatu; wovulala chithandizo nthiti 7 akuyamba ndi kuwala kubwezeretsa wokhulupirika ndi kukonzanso ntchito kupuma.

choyamba-chithandizo

Ngati mukukayikira wovulala nthiti thandizo bwino - osati kusokoneza zochita unprofessional. Sikuti kutenthetsa kapena kutsatira ayezi, chinachake kupaka kapena kukoka pachifuwa. Yotsirizira ndi owopsa ngati yotupa anapanga umagawanika, ndi kukokera iwo sakanakhoza puncture ya m'mapapo kapena mtima. Wovulalayo ayenera kunyamulidwa yomweyo chipinda mwadzidzidzi, atagwira udindo theka-atakhala: zambiri n'kosavuta kupuma. The pazipita chomwe tingachite koma - ululu mankhwala, ndi amene adzakhale sudzalepheretsa kupuma. N'kofunika "Promedol" ndipo m'gulu si woyenera "Fentanyl".

chithandizo zikuluzikulu

Zoikidwa ndi zotsatira za X-ray. Ngati choipa ndi kanthu ovuta anavumbula mng'alu kapena wosakwatiwa nthiti wovulala mankhwala - kunyumba: mankhwala zotchulidwa dokotala anu (zambiri ululu relievers), wodzilemekeza zakudya, ithandiza oyambirira fupa kuchiritsa bwino. Ndiko kuti, iyenera apindula ndi kashiamu (mkaka, kanyumba tchizi, tchizi) ndi mapuloteni. Ngati fractures unilateral, dokotala wanu angakulangizeni mpiru ndi mabanki pa mbali wathanzi - chifukwa kupewa m'mapapo kuchulukana. Ndikoletsedwa katundu, makamaka kunyamula zitsulo. Wodwala ayenera kupewa kayendedwe mwadzidzidzi.

Ngati pali nthiti wovulala ndi kusamutsidwa, mankhwala ikuchitika yekha kuchipatala mpaka kusiyiratu chiopsezo malowedwe mu zidutswa minofu.

Kuchokera tsiku lachitatu, ngati palibe choopsa pa moyo, kuyambira njira, makamaka UHF lapansi. Kuchokera chiwiri kupita ku tsiku lachisanu ndi chitatu zolimbitsa thupi mankhwala chikuyendetsedwera pambuyo kuvulazidwa.

kutalika kwa chithandizo

Ana kuswa nthiti yosowa kwambiri: ali ochepa kwambiri zofewa, kusintha mafupa. Koma ngati zichitika, konzanso amatenga masabata 2-3. achinyamata zinaphatikizidwa nthiti kwa mwezi umodzi. Mu okalamba kapena debilitated yovulala, ndondomeko izi zingatenge mwezi ndi theka. Masiku m'kabokosi ka fractures wopepuka. Pamene mavuto a konzanso anachedwa, chifukwa loyamba mavuto onse ankachitira. Ululu nthawi zina zimachitika pambuyo coalescence fupa pasanathe miyezi sikisi pambuyo choipa.

Zovuta kuti chingabwere limodzi nthiti fractures

Nthawi zambiri, pali mitundu kuvulazidwa chatsekedwa. Komabe, ngakhale popanda kunja kuwonongeka nthiti wovulala zikhoza kukhala zoopsa kwambiri thanzi ngati zidutswa anapanga. fractures angapo zambiri limodzi ndi mkhutu kukhulupirika kwa mbali iliyonse ya ziwalo kupuma, kuchititsa pneumothorax.

zizindikiro zake:

1. Kufupika kwa mpweya, ntchito molimbika ndi m'goli, ovutika kupuma.
2. Magazi malovu (hemoptysis).
3. Ndiko kumayambitsa pansi pa khungu pa fupa lothyoka malo.
4. Popeza akhudzidwa mbali mpweya osati amapatutsidwa.
5. The kuwonongeka kwa chikhalidwe wamkulu wa wovulala.

Malowedwe zinyalala m'mbali kuti minofu mtima zambiri Umapha mwamsanga; popanda zizindikiro.

Shards a m'mbali m'munsi ingawononge impso, ndulu, chiwindi.

mankhwala wowerengeka

Paja: Chithandizo cha fractures mankhwala nthiti wowerengeka, popanda kutsatira malangizo amene dokotala, sadzakhala m'njira iliyonse. mankhwala zina zitha kufulumizitsa kuchira. Komabe, kusintha ndi imathandizira maphatikizidwe fupa amachita ngati nkotheka. Nawa ochepa maphikidwe otchuka:

1. Mumie theka galamu amasungunula mu mafuta pinki; desoldering chida wolakwiridwayo supuni kawiri patsiku.
2. Zisudzo analimbikitsa yophika anyezi: akhoza kudya popanda chiletso nthawi ndi chiwerengero.
3. Kulimbikitsa mafupa ndi maphatikizidwe mofulumira analimbikitsa wotere zikuchokera. Dazeni chipolopolo mazira, mwayeretsa ku filimuyi, wodzazidwa ndi madzi garnets asanu ndi otsalira kufikira kusungunuka kwathunthu. Ndiyeno anawonjezera wosweka adyo (pafupifupi kukula 10 mitu) ndi okwanira 1 uchi. osakaniza blended Anaphatikizanso tsiku mu chipinda, ndiyeno atatu zambiri - mu firiji. katatu pa tsiku waledzera supuni mankhwala, wothira yofanana mafuta.

Komanso mankhwalawa fractures mankhwala nthiti wowerengeka kumafuna ntchito mwakhama chakudya wolemera kwambiri fupa msuzi: amathandiza kuti achire ndi connective minofu.