Trehlodyzhechny wovulala: zimayambitsa, zizindikiro ndi mbali chithandizo

Trehlodyzhechny wovulala imatengedwa ndi choipa sizachilendo. Kugwiritsa ntchito pa umphumphu wa pansi fupa chipangizo cha nthambi - yekha chifukwa cha kudwala kwambiri. Zotsatira za fractures mu chiwerengero zaphindu milandu sanasangalale nazo, kuthamangitsa walakwa chifukwa moyo.

Amene ali pangozi kupeza kumwendo wosweka?

"Peak" ziwerengero pa chiwerengero chachikulu cha kuvulala kugwa, monga ulamuliro, nyengo yozizira. Pa chiopsezo osati okalamba, komanso okonda zinthu panja, kukwera miyala, liwiro lapamatalala. Lipole amatenga miyezi ingapo. Kuwonongeka kwa bondo kaŵirikaŵiri limodzi ndi kusamuka kwa fupa makombo, subluxations ndi misozi Mitsemphayi. Self wovulala - osati njira yabwino ndi chodziwikiratu kuti kudya pa mapazi ake m'lingaliro lenileni koma chifukwa anavulala, Akufunika kuti kupempha thandizo dokotala.

Wovulala ku bondo la: mitundu trehlodyzhechnyh kuwonongeka

Ngati kuonongeka fractures kumwendo fupa kubwera mu njira zosiyanasiyana. Pamene mphamvu pa nthambi pansi, mkati psinjika bondo zikuchitikadi supinatsionno-adduktsionny wovulala. Pronation-atigwira zoopsa mitundu kumachitika pamene kwambiri chiwawa amazipotokola kumwendo fupa kumbali lakunja. Pankhani ya kwambiri eversion mokwanira phazi adzakhala chifukwa zachibadwa za munthu wovulala pa mlingo makina olowa. Ngozi zokhudza kukhulupirika kwa tibial wa - akutali flexor ndi extensor choipa, zimene Mbali khalidwe ndi triangular fupa otlomok.

Zikavuta zimachitika ophatikizana fractures, kuimira zingapo zochititsa mitundu ina ya m'mbuyomu kuwonongeka. Amenewa ndi monga mtundu trehlodyzhechny la fupa lothyoka - oopsa kwambiri, ponena onse a kumwendo ndi tibia. paradaiso khalidwe amaonedwa mipata Mitsemphayi, ziwiya chotupa ndiponso kuwonongeka kwa molekezera mitsempha.

kuwononga zinthu chifukwa wosweka bondo?

Trehlodyzhechny osamukira wovulala ndi subluxation - zovuta mawonekedwe kuwonongeka nthambi imagwira kusankha chithandizo ndi nthawi ya konzanso.
Zimayambitsa kuyan'anila za kukhulupirika kwa mafupa a kumwendo nthawi zambiri ndi:

• olowa kupotoza;
• tucking phazi;
• mtolo kwambiri pa olowa mu dera kumwendo;
• tima extension flexion wa olowa.

Chinanso kwambiri chifukwa trehdlodyzhechnogo wovulala si zochuluka kwambiri za mphamvu pa minofu fupa, monga fragility chifukwa utachepa kashiamu zili microelements zothandiza. The kuchepekedwa zinthu zabwinozabwino, kupereka munthu mphamvu fupa - chifukwa cha kuperewera kwa zakudya m'thupi, kumwa mowa ndi khofi. Kawirikawiri moti n'kuchititsa wovulala ndi bondo olowa angathe lawola chikwiyire ndi osteomyelitis. Matendawa amapezeka nthawi zambiri ana, ndi zivute zitani kumabweretsa chilema wodwalayo.

Zizindikiro zazikulu za kuvulala nthambi

Kuwasamalira woyenera zachipatala zoopsa kumwendo kutanthauzira mu malo oyamba ndikofunika kuphunzira kuzindikira wovulala. Nthawi kulingalira, koma tiyenera kuchita mofulumira, chifukwa chake matenda chikhalidwe cha kuwonongeka kwa munthu amene anali mu nthawi ya kupweteka wovulalayo. Kuzindikira trehlodyzhechny wovulala - vuto si mapapo awo, koma kupirira izo pansi pa mphamvu ya lililonse. Zizindikiro zoyambirira za chotero kuvulala kwambiri kuti nthambi ali motere:

• kupweteka kwambiri, kuti abwerere kwa kamphindi;
• pamene inu muyesera anapereka ululu phazi itakula;
• chitukuko mofulumira edema;
• kufinya;
• miyendo bluish mu okwana bondo.

Zizindikiro zina za kuwonongeka kwa bondo mu malo atatu

hematomas Internal zimachitika patapita kanthawi, kufalitsa pa phazi lonse, zala. Zizindikiro zina zikusonyeza kukhalapo kwa kuwonongeka trehlodyzhechnogo monga zizindikiro zotsatirazi:

• khungu zolimba pa makhalidwe a mafupa kuthyoledwa;
• kusintha mu mawonekedwe lolondola la bondo olowa;
• kutchulidwa chilema phazi;
• zoletsa aakulu kuyenda zala.

Ngati zizindikiro pamwamba lifanane ndi mmene wodwalayo kukufunikira kum'patsa lopuma ndi immobilization za m'miyendo wosweka. Mwamsanga mtima chidzatengedwa ku chipinda mwadzidzidzi, ndi apamwamba mwayi kukwaniritsa akudwala matenda mwatsatanetsatane ndi chithandizo choyenera.

Kuchepetsa ndi subluxation: vuto la fractures

Ngati trehlodyzhechny osamukira wovulala zovuta zowoneka kuzindikira ngakhale traumatologist, kukayikitsa subluxation angayambe mu akatswiri kale zotsatira za Kujambula maphunziro. Mwa njira, njirayi matenda ndi kuvomerezedwa kuti ngati fupa lothyoka zovuta bondo lapansi. The zosiyanasiyana avulala chibadidwe kwambiri kusiyana deltoid mitsempha ya bondo olowa. Pezani wovulala ndi subluxation ndi kosavuta kuposa owerenga ambiri. Ambiri "script" kuvulazidwa ndi kugwa pa ayezi, imene:

• amaunjika ali apangidwe kwa kunja;
• deltoid mitsempha mavuto amapezeka ndi breakage wotsatira;
• chifukwa kuthamanga akuswa kumwendo lateral;
• kwambiri sayenda wa talus ndi kumawonjezera mphamvu ya zimakhudza motani tibia ndi fibula.

Kodi kuchitira bondo ngati konzanso chosatha?

Trehlodyzhechny wovulala ndi subluxation - mmodzi wa ambiri zimayambitsa 'ambiri a phukusi opaleshoni mu ziwalo za nthambi m'munsi. Pa kusamutsidwa makombo fupa ndipo iwo sangakhoze kukhala pamanja muyike pena wodwala ngati ntchito zinalembedwa. Trehlodyzhechny wovulala mankhwala akhoza kukhala njira imodzi yokha - kubweretsa maonekedwe anatomically olondola a kumwendo ndi. Kuchita izi, kwa miyezi yoposa 2, odwala Kwalamulidwa atavala pulasitala amatulutsa. Anavulala mwendo maloko dokotala, kusiya ima ake - chofunika maphatikizidwe mafupa. Kumapeto kwa masiku 4-5, wodwalayo anagwiritsa ntchito stirrups wapadera, kulola kusuntha. Pa miyezi 2-3 wa ntchito wodwala pang'ono ndi pang'ono atachira, ndipo posakhalitsa wodwala kubwerera ku moyo wabwinobwino.

Kuti konzanso pambuyo wovulala trehlodyzhechnogo bwino mu nthawi yochepa, madokotala kuchita muyike pena mafupa mbali wosweka, amapanga zonse ndalama pamodzi ndi kukonza iwo mwamphamvu. Ndondomeko akhoza kutenga malo onse mu chatsekedwa ndipo fractures lotseguka.

The phukusi la madokotala mu Kuchiritsidwa

Paokha kuchita m'dera zowonongeka muyike pena nthambi sangakhale wachita unprofessional zitha kuyambitsa kuwonongeka kwa zinthu. Ndondomeko anachita pansi mankhwala oletsa ululu pamalopo, ndipo pa mapeto ake zimapangitsa komaliza zithunzi X-ray ndi kukonza mwendo wosweka m'chikhakha.

Ngati kumene kuwongola mafupa m'malo sizingatheke opaleshoni imagwiridwa. Pofuna kupewa zolakwika splicing kumwendo ndi tibial (fibula) mafupa, sitingathe chitani ndi kuphedwa kwa opaleshoni, kotero opaleshoni imagwiridwa zambiri masiku 3-4 pambuyo choipa. Kuti fixation ogwira mtima a zapambuyo ndi zapambuyo kumwendo madokotala ntchito zosiyanasiyana zipangizo (masingano, zomangira, misomaliyo, etc.). Kumapeto kwa mankhwala mwendo wodwalayo kugwiritsa ngalande ndi ntchito pulasitala.

Kusangalala ndi konzanso pambuyo kumwendo wovulala

Trehlodyzhechnogo wovulala chithandizo zoona, chikuyimira yaitali nthambi immobilization limodzi ndi phwando medicaments kake. Kukatenga mankhwala kwa maphatikizidwe othamanga mafupa owonongeka kuchira wiry ndi minofu zofewa ayenera kukhala dokotala. Pambuyo pa opaleshoni ya mtima amadziwikanso Kwalamulidwa njira ya mankhwala kupewa kutupa. Monga konzanso wa trehlodyzhechnom wovulala mtima Kwalamulidwa physiotherapy, zofikisa, komanso zokambirana wapadera kuthandiza kubwezeretsa nthambi sayenda akale, tichotse ululu kovutitsa.

A mawu ochepa ayenera kupatsidwa kwa zotsatirapo za m'miyendo wovulala, kuyembekezera anavulala. Chiopsezo deforming arthrosis amakhalabe mkulu ngakhale pamene mankhwala oyenerera komanso konzanso zovuta. Nthawi zina, odwala akhala opanda kuthekera kwa mokwanira achire, chifukwa mu chilema komaliza.