Fractures kuʻekuʻe: Kind, Symptoms, lapaʻau

Ka nui iwi o ka wāwae o ke kuekue wawae iwi. No a pau fractures o ka wāwae fractures kuʻekuʻe hou paha, e ana i loko o nā mea a pau. I hookuu i ke kumu o ka hewa o ka haule i loko o ke kiekie o ke kuekue wawae, astragalus (Aia ma luna) me ke kuekue wawae, a nahu i loko o ia mahaeʻana.

'ano o nā fractures

Nui fractures kuʻekuʻe mea e lauwili. Ka mea hiki ke offset koena ai ole kaʻawaleʻana a me ka palena,ʻike mau a me ka hakina (me comminuted) paha. Mai mea, ma kekahi kulana i ka holo ana kui i ke aupuni ', e hilinai nei alakaʻi o ka pohupani hale o ka iwi koena ai, a me ka fracture laina. A hiki aku ka mea, he ikaika'ōpā mīkini'opihia fracture, ka mea hiki ke'ākoʻakoʻa anaʻilikai poino o ami a me ka ia. I kekahi manawa e hana ia i ka ia manawa uhai nā kuekue wawae iwi. Eia kekahi, kuʻekuʻe fractures i e keu-articular a me ke kūʻai '-articular.

na hoailona o ka fracture

Ka mua symptom e 'ōili mai ka wā kekahi fracture - mea, o ka papa, i ka eha i loko o ka iki i wahi. E pio, ke'ōlelo mai lilo hou i lalo, a me ka kuekue wawae wahi e hoʻonui. Ma moku'āina a me ka noho kaʻawale fractures o na symptoms i ole oukou i kaʻu mea i kekahi kanaka hiki ke ahiahi hele. Ka loa loa fractures kuʻekuʻe - mīkini'opihia ka wā i ke kuʻekuʻe wāwae o ka iwi i loko o ka traumatic ololi a hiki i ka hookui hookahe koko ana ua i hopu ai a mai hemo mai. Ma keia hihia, e haha loaʻeha, e pani ma luna o ka wāwae i ka wa a ua e ma na aoao ma ke kuekue wawae mea,ʻaʻole e hiki, ala mai ma luna o koʻoukou mau manamana wawae, hoi, aole ia i hana, oiai i loko o ke kuʻekuʻe wāwae ami neʻeʻana i koe. A hiki i ke anakahi uila o ka gastrocnemius Muscle soreness listen. Ma podlodyzhechnoy kahua o palupalu'aʻaʻa nani, kahe ana ke koko i, hohola iho koke mau keʻano o ka hanaʻana i ka Achilles tendon.

lapaʻau '

Fractures kuʻekuʻe diagnosed e radiological haʻawina. Ka X-Ray e ike ia mea maʻalahi. Akā, i ka wa a malaila mea he fracture o ke kuekue wawae offset, ia mea paakiki i ka pololei hooholo i ka degere o ka pohupani hale o ke koena. Ma keia hihia, e ka X-Ray o ka wāwae ola, a hoʻohālikelike i ka mau kiʻi.

lapaʻau

Inā diagnosed me ka fracture me pohupani hale o ke kuekue wawae ma ka wāwae, e koho i ka iwi i loko o ka makemake kulana noi puna. Wehe i ka mea, i ka wa o ka iwi ulu pu, i ka mea o ka hola 1.5-2 mahina. I kekahi manawa e lawe hou manawa no ka mea ulana. Inā iwi koena ai e hoʻoneʻe, hiki ole ke hana meʻoki kino. I ka wā o ka fracture paa hou mai la, i ka hana ua hana ma hope o ka hoʻopöʻino 'ia o ka edema, a emi li nui. I mea e hōʻeleu i kēia, immobilize i ka wāwae no kekahi mau lā, e piʻi. No hoi, ua ana he hoʻonui i ka hoihoi hou ana i hohola ili. Open fractures kuʻekuʻe, huikau naeaeaa e hana koke. Iloko o ka hana, hoʻohana kūikawā metala clamps hoʻohui iwi koena ai. Ma hope o pae'ōnaehana superimposed gypsum. i ka uku o ke ola hilinaʻi nui ma luna o ke 'ano o ka fracture. Akā, hiki ina ka hoʻomanawanui mea hiki ke hoʻi i kā lākou mau mua kiʻekiʻe o ka ha awina wale nō ma hope o 3-4 mahina o ke akemāmā (paa, a me ka pohupani hale). I loa fractures kekahi manawa, loaa i kekahi mau makahiki, a me kekahi manawa, a hiki ma ka i kā mākou mau o na kauka a me ka hana ana o ka wāwae, a malalo uha mua o ka hoʻomanawanui hiki ole hoihoi loa.