Wovulala pachala chachikulu: zizindikiro. Kodi ndifunika pulasitala ndi wosweka chala chachikulu?

Wovulala chala chachikulu mapazi - ichi ndi chinthu wamba. miyendo phalanx osatetezeka zinthu zambiri zakunja komanso pansi sanasiye kutiuza thupi. Ku zipangizo za nkhani limeneli muphunzira zimene zizindikiro ayende kudwala imeneyi ndi yaitali bwanji pamafunika mankhwala ake.

Kapangidwe ka mfundo chala ndi ntchito zake zazikulu

Zala mbali ya dongosolo galimoto mu thupi la munthu. Pamodzi ndi phazi iwo kusunga kulemera kwa thupi, n'zotheka kuti muziyendayenda ndipo izi zikuthandiza kuti asamangoyang'ana mbali imodzi.

Chala wapangidwa ndi mafupa angapo ang'onoang'ono kuti sakanavomereza otchedwa phalanges. N'zokhudza wina ndi mzake mfundo makina, zomwe zimathandiza kuti zosinthira ndi unbend zala.

Miyendo - gawo citetezo thupi la munthu, omwe kaŵirikaŵiri pansi wovulala. Nthawi zambiri amadwala chala. Kumasiyana ndi ena amakhala awiri okha m'malo mwa atatu phalanges. Pamene anali kuyenda chala chachikulu amamva kuwawa. Mwina chotenga wovulala kumawonjezera kangapo. Pamene bluish zoopsa edema ndi zambiri kufalitsa kwa mulu wonse.

Wovulala chachikulu chala: photos, mbali

Kumapeto kwa chala ndi kuphwanya umodzi wa minofu fupa. Iwo akhoza kukhala wangwiro ndi tsankho, komanso pathological komanso zoopsa. Pathological uka ndi chiwonongeko fupa matenda ena aliwonse. Izi ndi izi: kutupa, TB kufooka kwa mafupa, osteomyelitis. matenda onsewa amachepetsa mphamvu fupa ndi kuzipanga izo Chimaona. The fractures ambiri chifukwa zoopsa.

Wovulala pachala chachikulu ali ndi peculiarities. kudwala The limodzi ndi khalidwe chithunzi matenda. Pa nthawi yomweyo chala chachikulu ndi waukulu, kotero chimachititsa katundu pazipita paulendo. Kenako, tikambirana zizindikiro zazikulu za matenda ndi mankhwala ake.

Kodi zizindikiro zinkalosera kuvulazidwa?

Kuwonekera kwa wovulala pachala chachikulu akhoza kukhala wachibale kapena mtheradi. Mbali yoyamba, ife tikhoza kuganiza kuti kuli choipa. palibe chikaiko pa zizindikiro mtheradi.

Mwa zizindikiro wachibale kuvulazidwa ndi:

• ululu;
• kuonongeka m'dera zitunda;
• nthambi ntchito ndi makutu;
• Zilibe amapatula imabwera magazi pansi misomali ya;
• pali ululu pamene kayendedwe chala.

Mphamvu ya zizindikiro wachibale zimatengera mwachindunji pa fupa lothyoka malo. Chithunzi matenda chimaoneka bwino kwambiri pamene anavulala proximal phalanx, omwe amalankhula mwachindunji ndi mafupa phazi.

Phazi amawonjezereka mofulumira ndipo cyanotic hue. Kupweteka kusapeza kuti silipita kudwala ichi, kawirikawiri salola wozunzidwayo kudalira nthambi. Nthawi zambiri, ndi fupa lothyoka lotseguka kwa chala chachikulu ndi zovuta chifukwa cha kuwonongeka kwa khungu ndi matenda. Pankhaniyi munthu ali zizindikiro zoonekeratu kuledzera.

Mosiyana ndi choipa wovulala

Ngati amphamvu matenda choipa angakhale mofanana kuchiyambi. Kudwala kusiyanitsa wina ndi mzake akhoza kukhala pa malo mtheradi:

• ndi chosakhala malo a phazi;
• m'munda wa wovulala anati nthenda sayenda;
• phokoso chosiyana atamukakamiza, ofanana ndi crunch pa.

Zizindikiro zonsezi zikuloza kwa wosweka chachikulu chala. Zizindikiro za kuvulala ayenera kuchenjeza ndi kukhala chifukwa chithandizo kuchipatala.

Kodi mitundu ya fractures zimachitika?

Kudziwa yabwino kwambiri mankhwala kamwedwe Nkofunika kudziwa mtundu wa choipa. Ngati kuwonongeka kwa khungu pamene bala ndi zooneka ndi mwachindunji fupa yokha, ndi fupa lothyoka lotseguka. Pankhaniyi, kuwonjezera kuopseza matenda a m'dera akhudzidwa, choncho ndi bwino kupita kuchipatala zofunika yomweyo. Kuika aseptic bandeji, munthuyo ayenera kuperekedwa yomweyo traumatologist lapansi.

Tatseka wovulala pachala chachikulu amakhala ndi pakalibe kuwonongeka kuwoneka. mavuto Special mankhwala sadzafika.

Kuchepetsa zambiri zimachitika atadziŵa mafupa olimba, amene chikwiyire kuvulazidwa. Nthawi zambiri kumachitika odwala wotsinidwa misempha, mitsempha ya magazi kapena minofu. Kubwezeretsa zonse anatomical mawonekedwe chala mukufuna mapu a zinyalala. Pamene splintering fupa komanso zopweteka mmakutu zidutswa mu bala imatchedwa wovulala comminuted.

thandizo kwa fractures

Pamene choipa thandizo mwendo ayenera kupatsidwa kwa chala amakhudzidwa Mphindi oyambirira, isanafike madokotala. Kuyambira izi zimatengera ndi zina fupa machiritso. Wodwala ayenera kuonetsetsa lopuma, musayese kusokoneza zinkakhala m'dera ndi kuthetsa nkhawa. Kumalo wovulala ayenera kutsatira ayezi kapena compress ozizira. Mpumulo ululu ndi kuchepetsa kutupa akhoza pang'ono kulera mwendo.

Open wovulala pachala chachikulu sidzatenga masaka chilonda ndi kutsatira chigamba. Anakhudzanso akhonza kupatsidwa ndi mankhwala ochititsa ( "Ibufen", "ndi aspirin", "Ketanov"). Mankhwalawa amapezeka iliyonse nduna mankhwala kunyumba.

miyeso matenda

Nthawi zambiri, kuvulala ndi kuwonongeka kwa ziwalo makina ndi asymptomatic Mwachitsanzo, pamene tikukamba za wovulala popanda kusamutsidwa. Zikatero, anthu amakonda kunyalanyaza ululu ndi sapereka maganizo ake mokwanira chifukwa chakuti si sangadziwe zoipa.

Nthawi zina amakhala kungoyankha aulesi kwambiri thandizo la oyenerera komanso kukumana Kupenda yoyenera. Zotsatira za kunyalanyaza izi umoyo wawo angathe kukhala mavuto aakulu (fupa chilema, osteomyelitis, zosayenera maphatikizidwe).

Kuwonjezera zipangizo atchulidwa m'nkhaniyi, zizindikiro zoopsa, chofunika kwambiri ndi matenda kuperekedwa kwa X-ray phazi mu zolosera awiri. Mothandizidwa ndi phunziro ili kungakhale kwa 99% kuzindikira wosweka chachikulu chala. Radiography kudziwa malo achindunji kuwonongeka, amene pamapeto pake zimakhudza khalidwe chisamaliro.

More chipangizo njira kulingalira zoopsa (CT) sizigwiritsidwa ntchito, chifukwa si koyenera, ndipo mtengo wa maphunziro awa si mkulu mwa iwo.

machenjerero wovulala chithandizo

makamaka mankhwala njira amasankha dokotala potengera chikhalidwe cha zoipa. Pamene pali ngozi fractures lotseguka chilonda matenda. Kudwala nthawi zambiri limodzi ndi suppuration ndi kafumbata. Chotero odwala jekeseni wa mankhwala ndi kutumikiridwa kafumbata toxoid.

M'nyumba Baibulo kuvulazidwa ayenera kuti muyike pena mafupa, kuti ndi kubwerera kwa wreckage pa malo anatomical. Osamukira wovulala pachala chachikulu amafunika kuika mpukutu mu malo oyenera ndi zazikulu izo. Apo ayi, maphatikizidwe angayambe molondola.

Pamene kwapakati pa-articular fractures opaleshoni. Pa opaleshoni, dokotala amapanga lotseguka muyike pena zidutswa ndi kukachita kwapakati pa-chikukonzekera mwa masingano wapadera. The kuyenda kwa olowa akhudzidwa wabwezeretsedwa ku za sabata chitatu. Mu nthawi ya mankhwala tikulimbikitsidwa kusunga thupi vitamini mankhwala.

Wovulala pachala chachikulu: ngati pulasitala chofunika?

Ngakhale kalelo anthu ankakhulupirira kuti chiwalo odwala kuti achire chofunika lopuma. Nazonso ndi fupa. Ntchito yake yaikulu ndi kupereka thandizo kwa minofu. Pakuti fractures ya mtundu wofanana wa mpumulo tinganene kuti wathunthu immobilization fupa. Immobilization zimathandiza mofulumira ndi njanji mwachindunji ndondomeko ya kusinthika kwa malo zowonongeka.

Wodwala ntchito bandeji amene premoistened kuti njira pulasitala. Pamene overlaying nthambi iwo kutenga izo kupanga ndi kukhalabe kuchira bwino. pulasitala Nthawi zambiri ntchito osati chala zowonongeka, komanso mbali ya phazi ndi mwendo m'munsi. Mkulu immobilization si kwathunthu wolungama, popeza kwambiri zimasokoneza sayenda wa miyendo. Komano, kuonetsetsa chala mtendere, m'pofunika kuchitapo kanthu phazi lonse, ndipo izi zimatheka mothandizidwa ndi osewera "jombo."

Nthawi zina, immobilization si chofunika kwa odwala ndi matenda a "wosweka chala chachikulu." Popanda mtengo wa gypsum mu fractures fupa kuti kuchiritsa paokha. Komanso mu gulu la kuchotserapo malo oyamba masiku angapo pambuyo popanga munthu opaleshoni pa mwendo ndi chala wosweka pamene kuvulazidwa ndi kudwala sekondale. Pankhaniyi, pali kufunika mu polojekiti mokhazikika ndondomeko bala machiritso. Pamene zizindikiro za kuchira bwino ayamba kuonekera pa ufulu mwendo pulasitala umagwiritsidwa ntchito.

Konzanso pambuyo wovulala

Mwa masabata asanu pambuyo zifukwa ayenera kutetezedwa nkhawa kuonongeka chala ndipo yesetsani overtax iye. Contraindicated koyenda yaitali, kusewera masewera.

nthawi konzanso zikuphatikizapo physiotherapy, kokoka wapadera ndi mankhwala kutikita. chakudya tikulimbikitsidwa kuti zosiyanasiyana zakudya zokhala ndi zomanga thupi ndi calcium.

Odwala ena amadandaula kusapeza pambuyo yaitali kuvala pulasitala. Chotero boma, chabe kupirira kwa fupa mwakula pamodzi. Pulasitala ndi wosweka chala chachikulu sangathe wasambitsa kapena kuyesa kuchotsa nokha.

kupewa

Pofuna kupewa fractures zala, madokotala akulangizidwa kuti avale nsapato omasuka ndi chokhacho olimba. Tiyeneranso amachotsedwa mankhwala zakudya, "kutsukidwa" kashiamu thupi. Pakati pawo ndi madzi okoma wothwanima, khofi ndi mowa. Chakudya ayenera moyenera ngati kuli kotheka. chidwi linaperekedwa kwa amalangiza mankhwala okhala kashiamu (monga nyemba, kabichi, kaloti, rye mkate). Mu kudwala fupa Ndi bwino kuti ndisanabadwe zonse. Izi miyeso yosavuta njira chingalepheretse fractures, kwambiri kusintha khalidwe la moyo ndi kukhalabe wathanzi.