Nthiti fractures: mitundu, diagnostics, thandizo

Nthiti fractures - ambiri kuvulala pachifuwa. Iwo makamaka atengeke okalamba. m'mbali awo ndi zochepa elasticity ndi mavuto zochepa bwino analekerera monga wamng'ono. nthiti fractures ndi mitundu zotsatirazi:

• ming'alu;
• subperiosteal;
• wathunthu.

Mapapo ambiri losweka.

Zimagwirira kuvulazidwa

Monga ulamuliro, anthu kuswa 5-8-m nthiti. Osachepera - 11 ndi 12. Ichi ndi chifukwa magulu a zoyendayenda wa malekezero wapotalikira. Pakuti kuvulala mwachindunji chinaperekedwa ndi yaing'ono okhota ndi chinthu zovuta, akuswa yopapatiza costal Chipilala gawo. Kawirikawiri, wovulala amapezeka mu malo kukhudzana ndi mphamvu zoopsa. Choyamba, pamwamba mkati wathyoka nthiti, ndiyeno akunja.

Ngati gulu lalikulu amachita pa malo ochulukirapo waku Arc, ndi pinaacitikira ikufalikira ndipo kukhudzidwa mkati. fractures amatchedwa awiri kapena wokwanira. Monga ulamuliro, deta zoipa limodzi ndi kumatula pleura ndi Minofu, mitsempha ya magazi. Ngati mphamvu mawotchi umagwiritsidwa ntchito m'madera zikuluzikulu pa chifuwa aumbike m'dera makina wotchedwa "nthiti valavu." Full zikukhudza nthiti zambiri amakwiya ndi kusamutsidwa a zotsala fupa. Monga inu kutulutsa, ife anati iwo akupita pansi, ndipo pamene wina akapuma - kusalaza. Pamene kuvulala ngati amayambira mipata m'mapapo mwanga pleura ndi pneumothorax, hemothorax, subcutaneous ndiko kumayambitsa hemoptysis. Iwo ayenera kumvetsa pakhoza chakupha aakulu wovulala nthiti. Chithandizo kunyumba n'chotheka kwa kuvulala si lalikulu kwambiri (ngati adzalola dokotala). Mwachitsanzo, ming'alu kapena fractures ndi osapitirira 1-2 nthiti.

Symptomatology ndi matenda

nthiti fractures yodziwika ndi kupweteka kwambiri pa malo kuvulazidwa. Ndi kwambiri ngati mpweya kwambiri ndi chifuwa. Odwala kuyesa kupuma chabe, koma nthawi zambiri. Anawakakamiza kutenga udindo mulingo woyenera kuti amapereka mtendere pazipita za m'dera. Pamene kuvulala ngati kuoneka chizindikiro linasokonekera inhalation. Munthu ayesera pang'onopang'ono, koma kupuma kwambiri, koma ndondomeko mabasi pambuyo isanayambike kupweteka kwambiri mwadzidzidzi. Pa palpation amalembedwa mwachikondi m'deralo ndipo nthawi zina crepitus. Komabe, yotsirizira si anati m'munda wa chichereŵechereŵe fractures a nthiti. Pamene fractures angapo chikhalidwe nthawi zambiri amalembedwa cardio-kupuma matenda, komanso zizindikiro za kuvulala m'mutu. Zimenezi zingachititse kuti kulephera kupuma. Monga ulamuliro, Kupenda kunja ali anati:

• tachypnea;
• wotumbululuka khungu;
• chosunga yamitsempha yamagazi tachycardia;
• kutha pachifuwa (makombo);
• cyanosis;
• asymmetry pa kayendedwe kupuma kwa mpanda pachifuwa.

Kuopsa kwa wodwala ku choipa zimatengera kutanthauzira ndi chiwerengero cha m'mbali wosweka.

choyamba-chithandizo

chochitika patsogolo - mankhwala ochititsa dzanzi. Sikuti kupereka analgesics mtima kapena chipika cha m'dera kuonongeka. Nthawi zina zimakhala zokwanira basi kupereka thupi udindo omasuka. Ndiye m'pofunika kukonza chifuwa posachedwapa. Chifukwa gulu lililonse osasamalira osati amayambitsa kupweteka, komanso kumawonjezera Mwina wa kowonjezeka magazi kuchokera zimakhala kuonongeka. Ziziyenda makombo fupa thorax superimposed zozungulira chikukonzekera bandeji wovulala m'mbali. Iwo akhoza zopangwidwa kuchokera ku zipangizo zidutswa kapena bandeji. Malo ayenera kumene chinachitika nthiti fractures, ayike ziyangoyango thonje-gauze.