He aha mea he paʻa fracture? E haapau nei i fracture me ka pohupani hale. First kōkua no ka fractures

He aha ka okoa mai ka paʻa fracture hamama? Ke pane i keia ninau, oe e aʻo mai i nā mea o kēia 'atikala. Eia hou kekahi, mākou e hoomaopopo aku i ke ano o fractures noho, pehea ka mea, oko, i mua kōkua mea pono e hoʻolako i ka nāna.

kekahi mau 'ike

E haapau nei i fracture - he hapa 'ole huina hoʻohuikau o ka pono o ka iwi. Nō kāu, keia ia lŘlŘ ma ka haawe ia mea me ka nui loa ma luna ma mua o ka ikaika o ka traumatized iwi hapa. Oia ka pathological ke ano e no hoi ia i hoʻomaka ai ma muli o ka trauma, kūpono i ka maʻi likeʻole pu ia e loli i loko o ka haku mele 'ana o ka iwi'aʻaʻa.

Ke oolea o ke ahonui o kaʻano

Ka hoʻoweliweli 'ana o ke ahonui i ka ola i loko o ka hamama a me ka paʻa fractures aie i ka nui o ka iwi poino, e like me kā lākou mau mea. Inā like me ka hopena o ka eha nui loa ka lukuia ana o nui omo iwi, ia pinepine hiki aku ai i traumatic hawewe a me ka nui hemorrhage. It E e kaulana ia ma hope o ia he fracture nā mea maʻi loa lohi hoihoi hou ia. Lākou ke ola e lawe kekahi mau mahina.

Mea Maluna o fractures

I ka 'inikua hana, e hoʻolaha fractures e like me kekahi mau ana hoʻohālike. E like me ka rula, ka mea e pili ana i ka IIeEeAIEUAA o ka hewa, ke kumu, kuhikuhi, kinona, ke kaupaonaʻana, etc. naʻe, koke ka uhaʻiʻana i ka mua mea akamai ma hope o ka mea, haliu ae la ia i ko lakou noonoo ana -. Ua ua paa paha hamama. Ma hope o nā mea a pau, i kuhikuhi akaka ka pono o kaʻili,ʻaʻole wale traumatologist, akā, i ka loa i ka heluna.

Open, paʻa fracture

Aia nō nā papa kuhikuhi hoailona ia mea o nā fractures:

• Open. Oia fracture ua pu ma ka poho iwi ole wale akā, i ka 'aʻe' ana i ka pono o palupalu'aʻaʻa, a kamaʻilio me ka mea mawaho kaiapuni.
• Pani '. Kēia palapala Ua manaoia e e aho ma mua o ka hamama. O ke kumu ho i ka mea e no ia fracture poho ano wale iwi. A,ʻili, ligaments, nāʻiʻo a no laila, ma luna, E noho pū.

I loko nō o ka mea i ka paʻa fracture ua noʻonoʻo i ka mehana 'ano o ka hewa, me ka manaoio aku i ka mea hiki ole ke hana - ka hewa. Ma hope o nā mea a pau, o ka hopena no ka luahi hiki e kaʻawaʻawa loa.

lapaʻau '

Diagnose paʻa fracture mea nui oi luna 'ma mua o ka hamama. Ua E hoi e kaulana ia me ka nīnūnē trauma (e laʻa me, ma ka hihia o ka māwae, me ka pāʻewaʻewa) hiki ole huai ae i ka pathology ma kahi hoʻokahi. No ka mea, i ka heluna kanaka nui e kakau i ka eha, kena ae la ma kekahi fracture, he maʻamau loa. I mea no ke aha la oe e ike i ka hoailona, a he ano no ia i ka eha.

Symptoms o ka paʻa fracture

Inā 'oe he paena loaa i ka paʻa fracture o ke kuʻekuʻe wāwae A palaki, etc., laila, loa paha, oe i ka mea kēia mau symptoms, e hoike ana ia lakou iho.:

• loaʻeha i loko o ka pōʻino, ua make 'āpana;
• haanou ana;
• deformation i loko o ka hapa o ka lala kahi i kēia fracture;
• ano kamumu i loko o ka iki i wahi;
• piha immobility ole i kaupalena 'o ka neʻe' (i loko o ka hanana i poino ami);
• i pēpē;
• i ka neʻeʻana o nā iwi ma kahi o ka ami.

It E e kaulana i ole a pau symptoms kānāwai i loko o paʻa fractures ka poʻe. Ma keia manao, no ka definitiveʻike pono pono i kapa i ka traumatologist a me ka m-kukuna.

Ma ke ala, i ka hoailona o ka paʻa fracture o na lima a me na wawae ku mai iwaena o ke koena. No, ma keia hihia, ke aneane koke maopopo i ka luahi mea hanaia nani 'inoʻino loa. O ke kumu ho i ka mea e, no ka laʻana, iwi fractures reliance ma luna o ka mea iki i wāwae mea aneane hiki ole i emiʻaoʻao.

Ke oolea o

E like me ka ka manaʻo pohihihi o ka fracture i e:

• me ka pāʻewaʻewa;
• offset.

O ka holo ana, i ka paʻa fracture me pohupani hale o ka hoa loa o ka poino. Ma hope o nā mea a pau, i loko o kēia palapala o ka puni'aʻaʻa ua i paku ole ia i ka make ana o ka iwi koena ai. A, ma hope o ka loaa ana ia o ka trauma hoomanawanui ua hoihoi hou ia me ka hikiwawe e loaa.

E haapau nei i hoʻoneʻe fracture ia lŘlŘ loa pinepine i keia la. No ka mea, ua haiahū kūmau ano pohupani hale o na hakina o ka iwi i loko o kekahi Kekoa. It E e kaulana i ka poino o ka loa pilikia. Ma hope o nā mea a pau, kuhikuhi'āpana o ka iwi, he mama lawa e hanaʻino i ka puni pahee nā'aʻaʻa (ligaments, nāʻiʻo, ipu koko), i ke kumu loa kahe ana ke koko.

No ka mea ua hoʻoneʻe fracture i loko o ka pahu. Ma hope o nā mea a pau, koena o ka iwiaoao ona, a me na iwi i priniknut i nui nā loko, a ho'ōla alakai ai i ka make.

I ka papa kuhikuhiE symptoms o ka fracture me ka pohupani hale

E haapau nei i hoʻoneʻe fracture mea markedly okoa mai like poino, akā, me ka neʻe maila i nā hakina o nā iwi i loko o kekahi Kekoa. Ma keia hihia, ke hoʻomanawanui ke kiai ma:

• ulu hoopaa a oi eha;
• haanou ana ma ke kahua o ka hewa;
• ami deformities;
• hana kulana o ka poino māhele o ke kino;
• eha i palpation;
• noa lohi hui (e like, lima, wawae, etc.).

E haapau nei i fracture: mua kōkua

Ke iniiaiie ano o ka hana ino iki mai kēia paʻa fracture mea immobilization o ka poino kino mahele. He mea pono i ka hōʻoia 'ana i amo ai i ka haukapila ole i kekahi kanaka i kekahi complications.

No laila, pehea e hoomau aku ina kou mea i aloha ai i kekahi supposedly paʻa fracture? First kōkua no ka loaa ana o ia nā palapū e ia i ke kau ana o ka? Aiaiiuie Turo ma ka hoʻohuli ai i nā wahi. Ma keia hihia, i kau hana e e loa makaala. Ma hope o ka mea hoʻonoho ua koi 'ia e koho i ka luhi o, ka hoʻohana' ana i kekahi lole, a me ka lole wili e ole e ma-puakai. I ole ia, ka mea i loko koko me ka helehelena o ka oi loa nani.

I hiki ke hoʻohana i ke kaʻa'ōhua? I ka wa e kaawale aku o ka hana i ho'ākāka 'inikua mea i hiki ke hoʻohana i kekahi kupono lōʻihiʻoʻoleʻa mea (e laʻa me, ka papa, e alii ana, au mika a no laila, ma luna o.). Uhi ia Turo makemake, mai na aoao a elua o ka hapa poino.

E like me ua ikeia, paa fractures i mau pu e haanou ana. Ma keia manao, poe akamai i waiho aku ai i kekahi manawa, e paʻa ana i ka hoʻomanawanui wahi he anu oOeEIAOO. Inā ka luahi ua hana ino iki mai ma ka hale, no laila, i ka coolant ke malama like me ka'āpana o kaʻai, mai ka pahu hau ai ole ano o ka hau, a pono e mālama '-wahīʻia i loko o ke kawele.

Ma ia hihia, ina o ka hoʻomanawanui inā pilikia ka haumāna loa eha, ka mea, ua? Aeiiaiaoaony e haawi eha ka lapaʻauʻia.

E haapau nei i fracture lapaʻau

I loko o comminuted fracture ho i ka luna 'degere o ka hewa. Nō kāu, ua poho pono kokeʻoki kino e extract koena ai. Inā loa trauma e lawe mai i ka hana, e wehe i ka iwi kuhikuhi mai la lakou i ka poe i literally haehae i ka palupalu'aʻaʻa, i ka hoʻomanawanui i hoʻoikaika loa hemorrhage, a hoi e alakai i festering na eha, a me kaʻilihune, ka mea e pono ai no ka amputation.

Inā ka poino mea uncomplicated, akā, no ka mea, he naeaeaa, na iwi o ka pono ua kūponoʻia. E lawe mai i kēia kaʻina hana e wale e hoano e trauma. Ma ka pau 'ana o ka hana ma ka hoʻohuli ai i nā wahi o ke kino, ua superimposed gypsum, a e ka laka' ana i ka fracture, a me ka nui loa emi i ka likelihood o hou eha.

Ke kaumaha ma muli o ka degere o ka oolea o ka eha puna lole wili i ka hoʻomanawanui mea, mai 2-3 pule i 3-6 mahina. A laila, i ka hoʻomanawanui ua hoakakaia lomilomi me pono me ka papa o ka 'inikua physical moʻomeheu.

Loa nui i loko o ka hoʻopulapula au o ka kela la kūpono 'ana o ka loli ana i ka lala me ka hoʻohana i ka heihei' auʻau wahie. Eia kekahi, e hōʻeleu i ke accretion o ka iwi i ka hoomanawanui lawelawe i ka hoomakaukau i loaʻa ka kalipuna a me nā nunui a me micronutrients.

e hōʻuluʻulu

I loko o hoʻoneʻe fracture a me ka mea pono e hoopaaia hoʻohana Pahuhopu ikepili e like me X-Ray. Nō hoʻi, eʻoiaʻiʻo e e hookolokolo aku la ia ma kekahi surgeon.

Inā ka luahi he mea he paʻa fracture me pohupani hale o ka iwi koena ai, ka mea pono repositioning. Nō kāu, e like me ka hana ua hana ma lalo o kūloko anesthesia. He mau Kuleana i ka mea lawe mai i ka 'oihana. I ole ia inept ka ho'ēmiʻana, e alakai i ka irreversible complications e like me ke kumulilo o ka nui oihana o na lala.