Wovulala - ndi fractures fupa ... mitundu, zizindikiro, matenda ndi thandizo

Moyo wa munthu masiku ano losiyaniranatu ndi lomwe lakhala khalidwe la, kunena, okhala Ages Middle. Komabe, zinthu monga kuvulala, monga mikwingwirima, sprains ndi fractures, komabe kuchitika. Nkhani ili laperekedwa kwa fractures fupa. Mu izo, ife mwachidule tione zifukwa asayembekezere, komanso mitundu ikuluikulu.

Khama la fupa wovulala mankhwala

Choyamba, tiyeni kuthana ndi mavuto amene - ndi chiyani ichi? Kodi n'kutani "kuswa" ochokera kwa akatswiri? Mawu osavuta, ndi fractures akhoza zimachitika choipa chilichonse, amene yodziwika ndi chiwonongeko cha munthu mafupa mafupa. Mankhwala monga akuti izi motere: wovulala - wathunthu kapena tsankho kuwonongedwa kwa fupa monga wosakwatiwa, monolithic thupi mpukutu, chakhungu okhulupirika ake m'mikhalidwe pamene kuposa zoopsa amadza mphamvu.

The zifukwa zimene fupa akhoza kusweka, akatswiri zotsatirazi:

1. Ngozi, imene pali psinjika amphamvu kudutsa pamwamba fupa kapena zimakhudza mfundo izo digiri yapamwamba mwamphamvu.
2. Kupanikizika fractures, amene ali mwadongosolo yaying'ono-mabvuto ena olowa kapena fupa.
3. Matenda amene amayambitsa kuchepa mphamvu ya mafupa mafupa kapena munthu mu izo.

Malinga ndi kafukufuku, nthawi zambiri zimachitika mu nthambi anthu fractures: manja ndi mapazi. Mu malo chachiwiri ndi nthiti fractures. Wochepetsetsa atathana fractures a Chigaza ndi ndime msana.

mitundu ya fractures

Kotero, ife titembenukira kwa wina, n'kofunika nkhani, zomwe zimadetsa nkhawa chodabwitsa wovulala. Mtundu wa choipa, malingana zimayambitsa awo, lagawidwa mitundu yambiri. Choyamba, fractures angathe kukhala ndi kobadwa nako, zoopsa ndi pathological. fractures zoopsa zambiri zimachitika ku mathithi, tokhala ndi zotsatira zina makina pa mafupa a. fractures Pathologic akhoza zimachitika ngakhale boma lopuma pa matenda monga osteomyelitis, osteogenesis imperfecta, matenda Paget ndi kufooka kwa mafupa ndi ena.

Popeza zinasintha - ndi koposa zonse, ululu, pali mitundu iwiri ya izo, malingana ndi kuwonongeka mmene ozungulira minofu fupa. Mu kukhalapo kwa chotupa ulusi minofu ndi khungu tikulankhula ndi fupa lothyoka lotseguka. Ngati ife tataya kukhulupirika kwa mafupa kuti khungu ngati fupa lothyoka amatanthauza chatsekedwa. fractures Open Zikatero, anawagawa pulayimale ndi sekondale: pakuti khalidwe loyamba lalikulu bala padziko ndi kutulutsidwa kwa makombo fupa kunja, chifukwa yachiwiri - bala kakang'ono pa khungu, chifukwa cha zidutswa fupa puncture khungu kuchokera mkati.

Khalidwe la wovulala mafupa komanso spawned magulu angapo a fractures: helical, obliques, yopingasa ndi kotenga, unagawanika, otalikirana ndi comminuted, mwapeza, kuichotsa ndi psinjika.

Mwachitsanzo, fupa lothyoka la humerus kapena femur ndi zambiri oblique, yopingasa kapena kotenga. Choyamba, ichi ndi chifukwa kapangidwe ka mafupa awa, ndi chiopsezo chawo chinakula. Nthawi zambiri, zoipa za nthambi zimachitika dislocation ndi fupa lothyoka. zodabwitsazi umatchedwa mankhwala perelomovyviha. Nthawi zambiri iwo anapezeka ndi kuvulala a m'chiuno, ndipo bondo, chigongono ndi mawondo.

Zizindikiro ndi zizindikiro za fractures

Maonekedwe a wovulala fupa lililonse mosavuta matenda. Zizindikiro Common kuphwanya minofu fupa yakuthwa kapena kusokoneza ululu, kutupa minofu ozungulira, atypical zoyendayenda, mkhutu galimoto ntchito, mapangidwe hematoma.

Wovulala ndi humerus kapena femur akhoza limodzi ndi maonekedwe a khalidwe bluish mlomo ndi zala. Kulakwa fupa anati kufupikitsa nthambi, zikamera wa ululu pamene akuyesa kusuntha izo. Pamene fractures olowa odwala ankawachotsera contours a mbali kuonongeka kwa thupi, ndipo pali chotupa noticeable wa magazi atasunga izo. fractures Open yodziwika ndi kukhala ndi bala magazi, zowoneka mu zidutswa fupa.

Matenda a fractures fupa

Woyamba njira yodziwira kwa amaganiziridwa wovulala - izi, ndithudi, kuyendera zithunzi ndi palpation. Iwo akhoza kugwiritsidwa ntchito kuti azindikire zinthu monga chotupa maonekedwe ndi kuchuluka kwa minofu tilinazo, ndi kulephera kuchita kayendedwe anavulala gawo.

Kumvetsa bwino kwambiri a mtundu ndi mtundu wa wovulala akhoza akamagwira X-ray bwino. Mtundu wa matenda zimathandiza kukhazikitsa malo kutanthauzira makombo fupa, chiwerengero chawo. Childs, zithunzi X-ray atengedwa mu zolosera awiri, monga izi zimathandiza kuti atsimikizire kapena kukana kuli kusamutsidwa makombo fupa.

thandizo kwa fractures

Ngati mukukayikira wovulala n'kofunika posachedwapa kugwetsa mwendo kapena thupi ena gawo anavulala mothandizidwa ndi zipangizo zapadera kapena improvised. Basi wovulala azilemba lake mwachindunji, komanso malo ozungulira. Nkofunika kupewa psinjika kwambiri wa zimakhala zofewa. Ngati pali wovulala lotseguka kwa chilonda umagwiritsidwa kutchinjiriza (makamaka wosabala) kuvala.

ululu zikhoza kuchepetsedwa ndi mankhwala. M'malo mwa fupa lothyoka la ayenera kuika chinachake ozizira: thumba ayezi, botolo madzi ndi zina zotero. Pamene nthiti fractures mtima pachifuwa bandeji kutulutsa mfundo zotanuka. Pambuyo njira izi, mukhoza kunyamula wozunzidwayo kuchipatala.