Ola kino, Maʻi a me nā kūlana
First kōkua no ka fractures o na iwi aoao. Pehea e hoomaopopo i ka poino o ka fracture
He 'atikala e kālele ana ma mua kōkua no fractures o ka iwi, eha Mea Maluna, symptoms a me ka lapaau. Eia hou kekahi, hoʻomālama ma na oko ma waena o ka ino, a me ka fracture i ka inexperienced 'inikua kanaka hiki wawe ka hoomaopopo kēia nā palapū mai kekahi i kekahi, a hoomakaukau mua kōkua i ka luahi koi' ia.
Ano, e haawi mai i kekahi wahi o ke ana helu 'ike. I hoʻomaka me, ka iwiʻaoʻao fractures i hoʻomaka ai ma muli o ke kino ai 'ole ma o ka kanaka thorax. Inā manaʻo 'oe i ka' ikepili helu, ma kahi o 70 pakeneka o ke kanaka ia i loko o ka haukapilaʻo me ka iwiʻaoʻao eha. Eia kekahi, 16 pakeneka o ka fracture akomi i.
Pinepine ia poino prone 4, 5, 6 a me 7 la ka iwiʻaoʻao. Keia ua hikiwawe wehewehe ia e ka mea i ka lalo e waiho i hoomalu i loko o ka palapala o ka muscular nenoaiu. I helu 'ia ma iwi aoao mai,ʻaʻole i ka kohoʻia e like me na mea e ae.
Mea Maluna
Mākou e huli ana i ke kahe o ka Mea Maluna o ka iwi aoao nā palapū. Importantly, 'oe ke waiho i ka Mea Maluna e like me ka mau ana hoʻohālike. No ka nui lāliʻi, oe e aʻo ia mai i ka papaʻaina ma lalo nei.
hoailona | ano | clarification |
Ke alo aku o ka ili lesions | Ma keia hihia, maopopo ma waena o hamama, a paa hou mai la fractures | Hakina kue ana i ka pono o ka ili me ka hamama fracture. I ka paʻa fracture o ka iwi hakina mai i hanaʻino i kaʻili, a ua aia i loko o ka pahee'aʻaʻa kona mānoanoa |
Ke degere o ka iwi poho | Hoomaopopo: he piha fracture, subperiosteal a me ka mau māwae, i loko o ka iwiʻaoʻao | I piha huli o ka poino iwi ma ka mānoanoa holoʻokoʻa, ma subperiosteal - poino iwi'aʻaʻa ma ka fracture - fracture mea ma kahi'ē, poino iwi'aʻaʻa wale |
Helu o nā hewa | Hoomaopopo hookahi a me ka mau | A hiki aku oe e huli i ka pa alima ua poino, wale i kekahi iwiʻaoʻao, ma ka mau - mau |
IIeEeAIEUAA | Unilateral aʻeluaʻaoʻao | Unilateral fracture - poino i na iwi aoao ma kekahiʻaoʻao wale nō, papalua-kapakahi - me nā |
Location o ka iwi koena ai | Me ka pāʻewaʻewa a offset | He nui e möakäka hou i nā kēia: ka huli hope (ia mea, ma ka hihia o ka poho o kekahi kae i loko o nā wahi) e hana koena ai. Ka mea, ke noho ma ka ia wahi (fracture me pohupani hale) ole hele nei (hoʻoneʻe fracture) |
Pehea e hoomaopopo i ka poino o ka fracture
Ma keia pauku, mākou e aʻo akuʻoe i kaʻike ma waena o ka eha ole o iwi aoao mai lākou fracture. Ma ke ola, ka mea e hiki mai okoa: hina, haule iho la ia, na keikikane ma ke kula pinepine kaua me ka manao e pili ana i ka hopena, a no laila, ma luna o. Pehea e maopopo ma waena o ka iwi aoao eha? He nui ka e hoailona oukou i ka loaʻa nō kekahi mau nuiʻokoʻa ma waena o ka poino iwiaoao a me ka fracture. I ka poe mākou ke loaʻa i nā kēia:
- fracture ua wehewehe aku ma ka loa eha, ka mea hiki ke wehewehe ma ka poho i ka iwi (ia mea nui, e hoailona oukou ia oe e ho'āʻo ai i ka hoʻoneʻe 'ole cough i ka eha intensifies);
- Inā na iwi aoao i wāwahiʻia, a laila, he mea ka loa, e hiki ke haha aku i ka iwi anaanai e ku e kekahi i kekahi;
- hamama fracture ka loa oluolu eʻike mai ka hewa me ka iwi poino o ke kanaka ili;
- ina ka mea, ua i wāwahiʻia, e like me ka loa, ka mea wale pahee'aʻaʻa ua poino, a ua hiki ia oukou ke haha aku i ka aching eha, hai i kekahi wahi i pēpē, a (e e uku i ka deformation o ka pahu kūikawā noonoo, a me ka pilikia ana iho ua ole 'akomi i) haanou ana.
Ka luahi Pono e imi kōkua mai kekahi wahi a 'inikua hale mai, a hiki ina ka mea, ua pono diagnosed kulana.
symptoms
Kēia māhele o ka 'atikala, e kālele ana ma luna o ka pā hale o ka iwiʻaoʻao fractures. Pehea e pakiko-diagnose lākouʻano? Kēia, e kōkua i ka symptoms. E hoʻomaka, koho i na hoailona o ka fracture me ā 'inoʻino kekahi i ka ili (' o ia hoʻi, paa hou mai la) a me ka na nā loko:
- hoopaa hoi i ikaika ka eha, (ka mea, ua listen wā hoao ana, me ka puʻu, hohonu hanu);
- Oweliweli (me kekahi lahuikanaka i mokumokuia ka iwiʻaoʻao kanaka UOAAaOON e lawe ia i ka oihana, a e emi i ka neʻeʻana o ka pahu, i mea komo i ka hene ma ka fractured iwi aoao a me ka umauma Beritania lima);
- pokole o ka hanu (hou, keia mea ku pono i ka mea e iloko o ka hohonu ka hoʻoulu manaʻo, he mea ka holo ana o ka pahu, e kauoha ana i ka eha, piʻi pū; e loa kń ia, ke kanaka UOAN e hanu superficially);
- hematoma (nui hematoma i hanaʻia ma luna o ka poino lihi);
- kekahi hoailona o ka iwiʻaoʻao fracture - he deformity o ka pahu (keia hiʻona ua maopopo nō i loko o lahilahi kanaka, o ka oi aku ina mau fractures).
Ano, ke nana aku i na hoailona o ka hamama fracture a poho i na nā loko:
- poino ili (iwi ke aupuni 'waho);
- kokololio pāpaʻa;
- haikeaʻili;
- ka wā poino akemāmā mea akaka pokole o ka hanu, kahe ana ke koko mai ka Air;
- poino i ka aorta hele aku ai a hiki i ka make ana o ka luahi ma ka loa, me he mea he nui hemorrhage (i na hihia i loa pohihihi keia);
- naau poino i ka 70 pakeneka o ka hihia hiki aku ai i ka make ma ka mea mua minuke, hola a me nā lā; a hiki ina ke kanaka ola ma hope o ka poino, alaila, i kona ola, e e paʻakikī, e pani lakou i na mai e like me maʻi coronary insufficiency, degenerative cardio;
- ake poho hiki aku ai i ka make, e like me ka rula, i loko o kēia mau hihia a pau, i ke kanaka make, elua no hora hope hewa.
ho'ōla pae
Healing o fractures a me na mawae ma ka iwiʻaoʻao - ia mea he lōʻihi kaʻina hana e pono akahele mana hoʻomalu. Total anao? Aou kahua o ka hoʻonaʻauao ekolu o ka ho'ōla. Ka mea, e hōʻike mai iā ia i loko o ka papaʻaina ma lalo nei.
ke kahua me | clarification |
mua | Kēia kahua Ua i kapaia connective palaoa. He aha ka ke kumu? I wahi o ka fracture ia lŘlŘ a me ka hoʻomāhuahua ana o ke koko aeee i paka connective'aʻaʻa. i kapaia Oia keena fibroblasts, ka mea, i ka loa connective palaoa |
lua o ka | Ma keiaʻanuʻu o ka ai pili aku palaoa i hana osteoid. Keia mea aie a hiki i ka palapala moʻopane o'okanikaʻole waiwai a me ka mea pōhaku paʻakai i loko o connective palaoa |
kolu o ka | Coalescence a me ka poe paakiki, o na iwi. E hoomahuahua i ka ikaika o ka callus osteoid waihoia hydroxyapatites. Ua mea waiwai 'ana i kumumanaʻo i ka iho i poe paakiki, aole ia e ana nei. Palaoa koe iki e wehe ai i loko o ke anawaena, a ia mea nui ma mua o ka iwiʻaoʻao wale |
First kōkua no ka fractures o ka iwi aoao
Inā kou maka kanaka hana ino iki mai o ka iwiʻaoʻao, a laila, i ka manaʻo pono, e kahea aku i ka ambulance, oiai oe e kali no ka mea, e ho'āʻo e e ka mea pono no ka mea hoʻomanawanui:
- I ka hoʻomaka 'ana, eʻoiaʻiʻo ia oe e Hana me ka wāwahi (pehea e hana ia, ua ho'ākāka' ia ma luna).
- E hāʻawi aku i ka luahi he anesthetic lāʻau.
- E ho ohana i ka loaʻa hana (bandages, pepa, lole), pili i ka manaʻo koikoi lole wili no ka hoʻomanawanui i ka pahu. A hiki i keia kena emi discomfort, i ka lole wili e auhau ia ma luna o ka Exhale.
- Next, e pono e pili i kekahi mea anu i ka wahi o ka hewa.
- I ka i ke kokua mua i loko o fractures o na iwi aoao E e hāʻawi ai i ka loli ana o kalaka nui-noho kūlana. E noke i ka 'ikamu e e hana i loko o ka kiko'ī kaʻina. ke hoʻomanawanui i ka kua e e heʻoʻoleʻa kākoʻo.
Ia ka leo o nā mea a pau e hiki ke hana no ka hoʻomanawanui i kekahi haawiia manawa.
lapaʻau '
E diagnose he fracture i loko o ka 'inikua hale paa i ka helu o nā kaʻina hana:
- ana manaʻo;
- nana.
Next, e pono e loaʻa mai i ka nui o ke poho, e mea pono e hana ai:
- X-kukuna (i hiki ke lawe i ka Hawaii photo, oe e hai aku i ke kauka, e like me ka rula, ma ka ia kula);
- HI;
- ultrasound o ka pahu.
lapaʻau
Lapaʻau ua lawe mai ma ka mea o ka laholio lole wili paha puna, a fixes ke kulana o ke ahonui, a me kaʻeha lapaʻauʻia. No ka uuku lesions ka hoʻohana narcotic painkillers, i oi loa na - ai '.
Hiʻona o ka wahi moe koena
Pehea hiki ke moe me ka pepe iwi aoao? Kēia kahe mea o ka mea e hopohopo nei i na mea he nui nā mea maʻi. Ua pau hilinaʻi nui ma luna o kahi o ka fracture ana. Inā he poino kae o ka mua paia, i ka pono, e hiamoe ma luna o kona kua, ua koi 'ia ma luna o ka paa ili. Inā ka poho o ka hope o ka moe, a moe iho la ma ka ku ponoʻaoʻao pono.
First kōkua no ka fractures o na iwi aoao pono o ka luahi oiai e kali ana no ka ambulance. He nui no ka ike ana i ka pono e uku mai. Pehea mai, mai kēia 'atikala e aʻo.
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