Wovulala chigaza m'munsi. chithunzi matenda

Fractures a zigawo chigaza anawagawa woyambira ndi convexital. kuvulala aakulu akhoza kukhala ndi mng'alu padenga. Iwo akhoza kufalitsa maziko a.

Pali gulu kotsimikizika zotupa malingana munthuyo. Choncho, kusiyanitsa ming'alu, perforated (fractures ndi zilema), comminuted fractures.

TBI akhoza limodzi ndi divergence wa matabwa. kugonjetsedwa Izi si zayamba zokhudzana fractures. Ming'alu imatambasula sikutanthauza, monga ulamuliro, palibe chithandizo chapadera. Kwa milungu ingapo, ndi kudzazidwa ndi ming'alu mphambano poyamba, ndiyeno fupa.

Zikuonetsa ntchito mu zotupa comminuted wapatsidwa mapindikidwe ndi kusamuka kwa makombo kuti patsekeke (enthlasis).

Ngati kumene mchikakamizo cha kuthamanga intracranial, ubongo umayamba prolabirovat (ukutsika ndi lofufuma kwambiri mbali imodzi) ku bala, kusoka chipolopolo molimba kumakhala kovuta. Zikatero, izo m'pofunika kunyamula chipolopolo pulasitiki. Pakuti ichi cholinga fascia lata, periosteal-aponeurotic khumudwitsidwa kapena mmalo yokumba. Yopangidwa kuchotsa zidutswa fupa. Pofuna kupewa zigawo liquorrhea sewn minofu zofewa.

Wovulala m'munsi Chigaza, zambiri limodzi ndi kuvulala woyambira ubongo, zigawo tsinde. Palinso zizindikiro za kuwonongeka kwa mitsempha. Wovulala chigaza m'munsi ali mawonekedwe a ming'alu, nthawi zambiri kudutsa paranasal sinuses, ndi gawo piramidi wa fupa wosakhalitsa, ephippium. Pa nthawi yomweyo kuwononga mucosa wa m'njira za m'mphuno paranasal ndi chipolopolo, pali Mwina mkulu wa matenda a ubongo. Ichi ndi chifukwa akutulukira mgwirizano pakati pa zigawo pneumatic wamng'ono ndi cerebrospinal malo madzimadzi. zotupa izi yodziwika monga penetrants.

Woyambira chigaza wovulala kuwonetsera zizindikiro ubongo. Momwe mulinso mawonetseredwe mapulaniwo matenda, kuwonongeka kwa mitsempha, cerebrospinal madzimadzi, ndipo magazi kuchokera makutu, pakamwa, mphuno, nasopharynx. Magazi kuchokera meatus Makutu zimawonedwa pamene kuonongeka petrous fupa gawo limodzi ndi kuwonongeka kwa Kakhungu tympanic; mphuno - ndi kugonjetsedwa kwa fupa ethmoid; Nasopharyngeal ndi pakamwa - mphero mchitidwe chawonongeka.

Liquorrhea ndi nkhani za madzimadzi cerebrospinal zikusonyeza kuti, kuwonjezera, kuti pali wovulala chigaza m'munsi chawonongeka ndi Mater. Choncho magazi pa makutu ndi mphuno amakhala matenda Mbali kukachitika kuti amapezeka molumikizana ndi mawonetseredwe ubongo. Minor magazi mphamvu ya amasiya mosavuta zokwanira. Kawirikawiri sizisonyeza wovulala. Wodzaza ndi yaitali magazi M'malo mwake, kawirikawiri akusonyeza pamaso pa choipa lalikulu.

Wovulala chigaza m'munsi. zotsatira

Kupezeka kwa zotupa n'kugwiritsa ntchito m'madipatimenti woyambira yomweyo pambuyo choipa kapena pasanapite nthawi kungachititse kuti imfa. Odwala ena kukhala matenda oopsa mokwanira yaitali. Pankhaniyi, wovulala chigaza m'munsi limodzi ndi nkhawa, nkhawa, matenda a dongosolo kupuma ndipo mtima. The Vuto owopsa imatengedwa purulent meninjaitisi.