Fractures wa chigongono: mitundu, zizindikiro, mankhwala, kukhazikitsa

Chigongono olowa ndi osiyana dongosolo m'malo ovuta. Mbali anapereka wa nthambi chapamwamba aumbike utali wozungulira ndi ulna mafupa kuti olumikiza nsalu paphewa. Mkati chigongono waukulu penapake ang'onoang'ono. Kudzera m'dera ulaliki ndi mitsempha yaikulu ndi mitsempha ya magazi amene amachititsa sayenda ya nthambi lonse. Choncho, fractures a chigongono kuwonjezera vuto ntchito galimoto ndi chitukuko cha ululu zinadzala ndi lonse Unyinji wa zosokonezeka.

Kodi mankhwala ntchito kuvulala a dongosolo lino? Kodi kuchitira fractures a chigongono? Kodi chofunika n'chiyani kuti konzanso? Tidzayensa kuyankha mafunso anagonjera.

Zimayambitsa kuvulala

Chigongono olowa ali pachiopsezo kwambiri kuwonongeka, chifukwa palibe zolimba akulu chimango, okhoza kupereka thandizo yodalirika ndiponso kutetezedwa ndi mbali ya nthambi chapamwamba. Makamaka zambiri ukuvutika ndi maganizo m'dera lino la ana amene Onetsani zimabwezera zambiri wagwidwa zinthu zinadzala ndi maonekedwe a kuvulala.

Pezani chigongono wovulala ndi zotheka chifukwa cha kugwa, ndi chifukwa cha katundu yokulirapo yaikulu m'dera anapatsidwa. The kuwonongeka ambiri fupa pano ali mkati.

mitundu ya fractures

Kuonetsetsa zotsatirazi mitundu kuvulala fupa la chigongono:

1. Tatseka wovulala chigongono olowa amakhala ndi kuwonongeka kwa fupa zozungulira, khosi lake ndi mutu. Nthawi zambiri kumachitika chifukwa cha katundu kwambiri pamene kutsimikizira pa nthambi mwachindunji.
2. fractures Open wa chigongono - kuwonjezera kuoneka ming'alu mu kapangidwe ka zidutswa fupa minofu kuonongeka zofewa. Mu nkhani yaikulu, pali chotupa a khungu, gaping bala aumbike, amene anatsagana ndi imfa zambiri magazi.
3. Wovulala ndondomeko coronoid kumachitika chifukwa katundu zimakhudza kwambiri pa fupa. kuvulala amenewa n'zochepa. Kuwonongeka kwa dongosolo lino amakhala ndi zotsatira za kusamutsidwa ndi dislocation wa mkono ndi.

Komanso secrete chigongono wovulala ndi kusamutsidwa ndi opanda. Nthawi zambiri ndi kuvulala ofanana nawo fupa.

zizindikiro

Onetsani pa chigongono wovulala mulole mbali zotsatirazi:

1. Pamaso pa kupweteka kwambiri azilandira kuti amapatsa dzanja ndi dzanja.
2. Limited sayenda wa miyendo kapena ziwalo yake.
3. Zilakolako zoipa, zachilendo kwa anthu sayenda dzanja mu chigongono olowa Mwachitsanzo motsogozedwa lateral.
4. Nthawi ya edema, hematoma mapangidwe cyanotic, subcutaneous mikwingwirima.
5. Zizindikiro ubongo - dzanzi pa zala ndi dzanja, kumva kulasalasa mkono.
6. Kuwonongeka kwa mitsempha ya magazi, minofu, khungu (lotseguka fractures a chigongono).

A umboni wa kuwononga kwambiri chigongono olowa ululu amphamvu kwambiri mu gawo kumbuyo kwa iyo. Pang'onopang'ono, kutsogolo padziko m'dera anavulala aumbike edema ndi hematoma. Luso wotsatira kwa kupinda manja anataya. Zowonongeka nthambi chagona limply. Pamene gulu forearm, pali minofu stiffness.

Pambuyo wovulala mafupa anapitiriza luso kuchepetsa kutambasuka kwa dzanja. Komabe, kuukitsa nthambi ndi kasinthasintha ake mmbali kuchititsa kusapeza kwambiri.

choyamba-chithandizo

Wopezerera thandizo nayenso chigongono amasankhidwa zochokera choipa yeniyeni ndi ukulu wake. Mulimonse mmene zinakhalira, yaikulu apa ndi immobilization wathunthu chiwalo. Ndi bwino amachita kwa imposition a tayala. Pankhaniyi, mkono akuyesetsa pa mlingo woyenerera, kenako adzatsekeredwa lokhazikika. Ngati ndi kotheka, kuthetsa ululu mumamva analgesics ntchito.

chithandizo ndiwofatsa

Popeza zoopsa amachita mawonekedwe lotseguka mankhwala ndiwofatsa. Pa tsiku loyamba masiku 6-7 pambuyo wovulala kawirikawiri amapezeka volumetric kutupa. Mpaka palibe mawonetseredwe pathological, kuti asanene longetnuyu kuponya dzanja pulasitala. Pewani mavuto nthambi ovulalawo mu nthawi mpaka masabata 3.

Fupa kugwirizana dzanja nthawi anamasulidwa pulasitala pa chitukuko cha olowa. M'kupita kwa nthawi, ngati bandeji m'malo okhwima achepetsa lomwe lili ndi dongosolo la kusintha matalikidwe kayendedwe.

mankhwala ntchito

fractures Open wa m'zigongono, amene amakhala ndi kusamuka kwa makombo, opaleshoni. Apo ayi mkono kupinda luso simungati mubwezeretsedwe.

The bwino mankhwala ntchito zimadalira lolondola zochita ndi zoopsa dokotala, makamaka zofanana makombo a fupa, kutsimikizika fixation awo mu malo anatomically zolondola. Onetsetsani kuti ntchito zimenezi amatha Center wa Traumatology ndi zamafupa.

Mu nyumba ochiritsira mapeto ulna mankhwala kuonongeka umalimbana zachipatala minofu chidule waya kuzungulira. Nthawi zina pamafunika fixation zina mafupa mu masipoko malo amodzi malo.

Ngati muli ndi kuchitira fractures mkati mwa chigongono ndi mapangidwe a zotsala mankhwala zochokera fupa kumezetsanitsa. Zikatero kovuta chidule cha minofu kuzungulira, monga zimenezi zingayambitse zowononga wa pamalo articular. M'malo moyembekezera ntchito mbale zazikulu psinjika.

Nthawi pamene pali zizindikiro za kugawikana fupa traumatology ndi pakati zamafupa lingapereke wodwala m'malo a thupi minofu prosthesis yeniyeni. Ndisonyezeni amadzala zopangidwa pulasitiki ndi zitsulo. unsembe wawo imagwiridwa ntchito fupa simenti.

zosokonezeka zotheka

Zokhumudwitsa chifukwa fractures chigongono kungakhale imfa wathunthu kapena tsankho la nthambi kuyenda. A chofunika awa ufulu kuteteza kusapeza kapena ululu chidwi pa mapeto a moyo mankhwala. Pewani zinthu zodabwitsa kungakhale, ndendende kutsatira malangizo a dokotala nawo.

Kuteteza zosayembekezereka matendawo ana, makamaka imfa ya nthambi ntchito, mankhwala zizichitidwa moyang'aniridwa wamkulu. Choyamba, mkono kuonongeka ayenera lopuma pa njira yonse ya mankhwala. mwana ayenera kutsegula nthambi kuchita kayendedwe mwadzidzidzi. The kopanda chosasamala zingachititse kuti adzathe wovulala.

konzanso

Zochita umalimbana anaukitsa magwiridwe wathanzi kumene, amalandiranso:

• kutikita;
• olimbitsa;
• physiotherapy.

chitukuko limodzi ndi mankhwala thupi akupezeka masiku oyambirira a chikukonzekera nthambi pulasitala chosungunula. Mwachibadwa, mu nkhani iyi amapewa kupinda mkono pa chigongono. Kutsindika waukulu amachitidwa pa chisonyezo cha zala ndi polumikizira. Wozunzidwayo tikulimbikitsidwa kuti muyambe supine anavulala nthambi kumbuyo mutu wake, Yosefera minofu ya mkono ndi mapewa. njira izi zimathandiza kuti kuchotsedwa kwa edema chifukwa cha kutsegula kwa outflow wa lymph ku zimakhala ndi.

Pamene kubwezeretsa mphamvu olowa zosamukira ku kupinda chitukuko pang'onopang'ono. Pakuti ichi amachotsa mbali yaikulu ya pulasitala, ndipo kenako kuphedwa anayeza, unsharp kayendedwe nthambi. Pamene konzanso mwa physiotherapy zoletsedwa zosinthira ndi unbend dzanja kwathunthu, monga izi zingachititse wovulala chachiwiri.

Minofu agwiritsa ntchito pokhapokha kuchotsa wathunthu wa osewera a. Ndipo izi zimakhudza nyama lamba phewa ndi kumbuyo pang'onopang'ono. ntchito zonse za kayendetsedwe awa akhoza kuthetsa ululu, kulimbitsa minofu atrophied, Mitsemphayi kutambasula ndipo pamapeto pake kuti athe kubwezeretsa sayenda manja.

Koma mankhwala thupi, iwo analimbikitsa kuti alternated ndi physiotherapy. Apa kugwiritsa ntchito njira ya UHF mankhwala maginito, electrophoresis, chithandizo matope umathandizanso.

pomaliza

Pamene mapeto ndi Dziwani kuti wovulalayo pambuyo kumaliseche kwa kuchipatala n'kofunika kumveketsa mafunso angapo. Muyenera kuyang'ana ndi dokotala angachite kuti apange kayendedwe ka chigongono pamene mukhoza kutsegula kulemera komaliza, mmene tingapewere musabise ndi mavuto amene tingayembekezere posachedwapa.