Fractured manamana

I ka keia manawa i ka manamana lima fracture ia lŘlŘ he pinepine. Ua hiki e ma muli o ke kauoha 'ana pololei trauma. I keia poino nā hawewe, na kēia hoʻonaue maomeka, i ka haule ana o ka mea kaumaha ai, a no laila, ma luna o. Akā, pinepine ke kumu ua lilo a me kaʻauhau'ēʻaʻe poino.

Ka popoiwi wahi hiki ke hōʻike 'ia me ka nānā i kekahi mau symptoms. E like me ka rula, ka mea, o ka hanana o ka eha ma kekahi wahi, i ka wa a ka lima ua'opihia i loko o ka lima. Pinepine lohe i ke kamumu. No hoi, aia no he deformation o ka manamana lima, a? Aie? Aiiie i kona mākaukau.

Fractured manamana mea o kekahi mau ano. No laila, hoomaopopo transverse fractures, helical, emi kēlā a me comminuted. Oae, eia fractures intra- a keu-articular, me ka pāʻewaʻewa 'ole offset. Pinepine o kaʻike, ka poe noonoo ole, no laila, me ka manao paa o ka fracture ka mea, aohe pilikia.

Ma ka hihia ma ka fracture me ka pāʻewaʻewa lapaau mea makeʻe kulana. No ka immobilization hoʻohana 'ana i ka puna splint. No ka mea, Ua pono, e lawe ma kahi o iwakalua lā. Akā, i loko o kekahi mau wahi, i hiki, e lawe nui aku manawa.

Ma keia hihia, ia mea e pono ai i mau hōʻoia 'ia ai ka lole wili mālama i kona mau lima i loko o ka hana o ko lākou wahi me ka olelo (ike loea' ike), i nā manaʻo kōkua a me nā manamana a pau ma luna o ka styloid kaʻina 'ana o RADIUS.

O ka manamana i mea ole poino, e kali oe noa. I ka wā o ka fractured manamana offset,ʻano nui 'ana i mālama reposition iwi koena ai. He ua hana i ka mea e hana i ka pololei e like me ka ia. I Ina o ole manawa kūpono o ka paʻa ka ho'ēmiʻana, e noi mai ana lapaʻau ma kaʻoki kino hoʻohana mau huila koena ai no ka oi ka puali fixation.

It E e hoʻomaopopo i ka manamana lima fracture, e e ia na symptoms o i like cyanosis a me ka edema, a ua diagnosed ma ka mea o ka radiographs i loko o nā nā wānana waiwai. Ma kekahi hihia, ka mea wale paaʻike, e waiho i ka palapala hōʻoia no technician.

He nui e ike i na hakina o ka poino phalanx ka pono loa pono a me ka pololei hoohalike. He mea pono i ka mea e malama i ke kuleana pili i manamana lima. I ole ia, i ka manamana lima mea,ʻaʻole wale nō,ʻaʻole e hiki ke hana, akā, e mea, ke koe ino. A no kona mahope? Iaea, e hoopai i ka hou-? Iaea o ka iwi ma ka fracture.

Fracture o phalanx pono aahu i ka puna splint no ma ka liʻiliʻi loa ekolu pule. A pinepine i ka huli ana o ka offset e malama i na hakina, koe wale paipu i hoʻohana a me ka iwi mākia. A ma kekahi mau hihia superimposed skeletal traction.

Ua E hoi e kaulana e pono e lawe mai i ka hoʻohālike o ka hakina me ka hikiwawe e loaa. Kēia E e hana i hope ma mua o ka lua o ka lā ma hope o ka hana 'ia' ana i ka fracture. Nō kāu, e like me ka hoʻohālike ua hana ma lalo o kūloko anesthesia koi 'ia.

Ma keia hihia, holomua manipulation superimposed puna lole wili, ka wā noi e a pono hoʻopio a pau o ka manamana lima mua. Ua ua paʻa ma lalo o ka ikaika ana o ka X-Ray kiʻi.

Hai pohupani hale koi 'ia i ke kau o skeletal traction, nona ka manawa o ka mai i ekolu pule. Ma kekahi hihia, o ka ohe. Ma kaʻoki kino. Ma hope o fixation o ka iwi koena mau huila (me kekahi a elua, IeAUPIIe, IAa IO) no ma kahi o ekolu pule, ka mea, (na huila) i extracted. Naʻe, i ka nou ana la o ua koe no ka hola elima pule.

Ma ka pau 'ana o nā mea a pau kēia mau kaʻina hana manamana lima fracture ua ia me ka physiotherapy a me ka physical Inc. Up i ka piha papa manamana lima ua paipai ikaika hooponopono kekahi i kou kauka, a mai nā palapala hōʻoia no 'oihana.

Pinepine ka mea, he fracture o ka makemake luna 'i loaa i ka iiiaanoaa i ke koena ai. Ma ia wahi, i hiki pele lawe osteosynthesis hana. Ua hoʻohuʻu ka fixation o ka iwi koena ai ka hoʻohana paipu a me na papa. I ka pela 'ia metala papa hiki e manao, a e hoohalike ai i ke' oe i ka kiko'ī 'anatomia koke wāwahi manamana lima.

Eia kekahi, o kaʻikepili papa i kekahi pono: ka mea, oko lawa haʻahaʻa mānoanoa. Kēia 'o ia hoʻi i ka mea, i ole visually ike ma hope o kaʻeha ua paa. A me ka mea e ole iki i ka puni pahee'aʻaʻa. Me ke kōkua o kēiaʻoki kino hiki e like pololei ohi i nā mea a pau (i ka iki) hakina.