Poohiwi ami. Dislocation a me ka lapaʻau

Pinepine, kanaka hana ino i ka'ūhā mua ami. Dislocation o keia hapa o ka iwi i loaʻa i loko o kanalima pakeneka o ka hoopii. Mau nā palapū, ua māheleʻia i loko o nāʻano. Dislocation hiki e congenital. Pinepine, ia mea he traumatic a iniiaiie. Aia nō i ka mau dislocations. Ka mea, hoʻomōhala ma hope traumatic. Dislocation o ka'ūhā mua ami hiki e maʻi. Kēiaʻano o ka pathology aicieeaao i ka pili me ka poho ana i nāʻiʻo, tendons, ligament-mea hōʻikeʻikeʻuʻuku'ōnaehana, a me kekahi no ka mea, o ka mea ulu o ka maʻi likeʻole (tuberculosis, arthropathy, osteodystrophy, a no laila, ma luna o. D.).

Ma ka hihia ma ka 'ūhā mua ami dislocation ua traumatic iniiaiie paha kūʻiʻo ona pathologies hiki ke hoʻolaha. Ka mea, i ole eliminated a hiki ma lalo o anesthesia. Ke kumu no ia mau hihia i lilo interposition oʻaeʻae'aʻaʻa a tendon, cartilage, a no laila, ma luna, D. Inā ka traumatic dislocation i diagnosed ekolu pule ma hope o kona loaa ana, e like me ka pathology manaoia e e loa-e ku ana. Hoʻolaha a me ka huikau hihia. Ka mea, i hele pu me ia e kekahi hui malu pu ana o ka poʻohiwi dislocation me nā nā palapū.

Hanana pathology ke ana ku pono i ka pili hopena. Pinepine dislocated pono poʻohiwi ke ami hoi ua loaʻa ma hope o ka haule ana ma ka straightened lima. Ma ka hanana o ia he eha e ole e pono ma luna o ka wahi, e hoʻopau i ke kaua kipi pathology. Wale pololei dislocation ma hope o anesthesia. He nui kekahi mau ano e hoʻi i ka wahi o ka'ūhā mua ami.

Dislocation eliminated epekema Hippocratic Cooper, Kocher, Chaklin, Dzhanelidze a me Muhina Mota. I ka hiki mua o ka hooponopono ana ua hana radiography. Ke finiteness o ka paʻa puna e kipaku. Ua auhau ia lakou i ka manawa o ka elua a hiki i eono pule.

Lapaʻau o dislocation o ka'ūhā mua hui i loko o ka hanana o irreparable wale surgically. Ināʻoki kino mea,ʻaʻole e hiki no kela contraindications, i ka poino haliu ae la ia i loko o ka lōʻihi-e ku ana. Ma keia hihia, e kuhikuhi i ka remedial ana e hōʻoia i ka hoʻomanawanui hoʻomōhala adaptive mākau. Inā 'oe e hopohopo nei i keia eha symptoms, laila, pili novocaine blockade paha analgesics.

Maʻi sprains ho'āʻo nei e straighten ana i ka hoʻomanawanui mea ma lalo o anesthesia. Inā keia ke aloha, alaila, e akoakoa ai i kaʻoki kino. Ma ka mea kēia a me ke kapuai e e hoonoho lomilomi, me ka Inc a me ka physiotherapy.

Lapaʻau o ka dislocation attributable i ka waeʻano o traumatic, AIM e hoʻopau maʻi me ka hikiwawe e loaa. Ma hope iho o kēia ka ho'ēmiʻana i nā kihi o nā iwi koi ka mālama i loko o ka pololei kulana (ka mea, ua i ma ka hoʻopunipuni ia). Mahope kaʻina hana i nona ma ka hoi ana mai o ka nalowale mana o ka poino ami. I ka pomaikai o kekahi hoʻokō 'ia hilinaʻi nui ma luna o ka piha eha kokua a me ka hoʻomaha o ka hoʻohuli ai i nā lima nāʻiʻo.

A kohu pono dislocation o ka'ūhā mua ami hiki ke loaa ma maʻamau ka neʻe 'ana. ka wā lenalena mawaenakonu, e holoi 'ole e hali ana i nā mea kaumaha i poino pinepineʻia ana. No ka mea manawa mua keia pathology e hoʻomōhala ana i loko o eono mahina ma hope o ka loaʻa 'ana o ka loiloi mua dislocation. O ia nā palapū hiki ke hai mai i ka umi o ka makahiki. E hookaawale ia i na manawa i ala e reposition i ka iniiaiie dislocation pono e wae pololei. An nui ololi mea pono fixation o ka lala, me ka 'eleu hana o keʻoki kino a me ka piha hoʻopulapula wā.