Whara te rere. whētuki maha me ngā

whara te rere ngā te momo o tātaritanga, āhuatanga hoki nga morehu o nga pānga ngaukino kino i runga i maha whēkau me ngā wāhi o te tinana. Here, tuatahi o nga pāpaka taratahi katoa i roto i nei, me ki te matatini whara o te matenga , me whekau he maumaui nui o te pūnaha musculoskeletal.

Ko te take matua mō te whiwhi traumas ngā

whara te rere tino maha meinga e aituā nui, taka i te tiketike nui no o mahi o te tutu ranei. E ai ki nga tatauranga matekiri, taka te nuinga o ngā wharanga e pā ana i roto i te nui i runga i nga kaiuru o te aituā i runga i te waewae. I te wa ano, i te take tino auau o te mate kite i roto i te taka i te teitei.

Ki te kōrero tatou e pā ana ki te patunga o te tutu, ka e āhuatanga taua āhuatanga e nui whētuki cranial me kanohi, me ki whara ua, whekau.

pikitia haumanu

Ka taea e whara ngā rerekē te whānuitanga o tohumate, e whakawhirinaki matua i runga i te wāhi o te kino tino nui, te aroaro o te toto, tikanga ru pāmamae, disorders, roro, disorders o te ngakau, momo pūnaha romahā.

hāngai ana te pikitia haumanu whānui i roto i te faaineineraa o te whara hāngai te i runga i ārahi whara, te aroaro o e huna te riri ki te ora. Heoi, i reira he take ka reira te mea neke atu i rite i roto i te kino nui pakeke.

Ngā momo o wharanga hāngai

He he he whakarōpū ohie o te polytrauma ngā matatini, i te mea tino tika, ki te faaotiraa e tika ana o te tohu o tākuta kino whawhati tata.

I runga anō i te āhua o te kino whētuki e pā ana ki mua whakarōpūtia e whai ake:

• tuwhera kati ranei whara roro me whara cranial i roto i te taha ki te taua ahua o te tahi atu wāhanga o te tinana, pērā i rei, tari celiac, wahi, papatoiake;
• tuwhera kati ranei pouaka whara, ngā ki wharanga roro pāmamae;
• tuwhera kati ranei kōhao whara celiac, upoko, tuarā, wahi;
• whara filosilivá uaua ngā ki whara o te tahi atu wahi: te roro, puku, papatoiake, uma;
• whara papatoiake nui, ngā ki roro, celiac, whara rei.

whētuki maha me ngā

Ko te aroaro o whara maha i roto i te take o te aroaro o te mahara pärurenga e taea arahi ki te hanganga o pera-ka karanga kino psevdodominantnyh. maha ai he tu'unga taua te manawanui ki te arotahi ki runga i te whara iti kino, whakaware i te tākuta tātaritanga tika.

Ārai hapa tātaritanga i roto i te faaineineraa o te whawhati tata whētuki maha taea whakamātautau X-ray ā-, me te whakahaere o te kōhiwi katoa.

I roto i te ngaro o te mahara i roto i te hanga o te polytrauma maha rangahau tuatahi whakahaere te mo te aroaro o pāpaka i roto i te ãpoko, tuarā, puku, Angaanga me papatoiake. I te wa ano, ki te take te mahi X-ray tātaritanga taea riro abrasions aroaro e alangá, edemas, hematomas, uncharacteristic āhua pūmau alangá motility.

tiaki ohotata Tuatahi

E pā ana taimaha whara te rere ki te kino i roto i ai te stabilization o te kāwanatanga whara ko te nuinga ti'aturi i runga i te tere o te whawhati tata tuatahi. Hoki transportation o te manawanui i roto i te take o whara ngā rapua e moenga pakeke, reira whakaiti i te tūponotanga o te tukuna ai airway i toto, ruaki, a ki te karo te reo retraction ranei o te kauwae. I roto i te whakarara, te rohe o te awa ihu horoia whāriki fluids momi hauora ranei. kia rapua e Pākaha whētuki ngā whakatuwheratanga motuhake o te mangai purua.

I tua atu, i roto i te take o te kore e mea ohie ki te whakaputa i tukupūngao tāwhaiwhai mangai-ki-mangai i roto i te kōwae ranei KI-ZM. A, no te tonu, akiaki, me tino nui, te āwhina tika i roto i te whakatinanatanga o te mahi i runga ake, ora te pärurenga manawa, i muri nei te tikanga puta he āhua mohio.

I muri te tuku ki te wehenga e hāngai ana whētuki pāngia ki te ū mahi tinana faufaa titau whakahaere poliglyukina, prednisolone, hydrocortisone. I roto i te aroaro o whara kino ki wahi matua toto takanga pukupuku superimposed.

whara te rere i roto i te tamariki, ranei he tangata i roto i te huru tino nui i roto i nei i reira ko te pēhanga toto iti, me te titau te whakahaere o te taiāki huka i werohia ki te rua 40% th ia te kai kūhuka poliglyukina taiki.

I roto i te hui o te auau pini piringa, me te ū ki te pēhanga o 80 mm HG. Art. i roto i te take o piere e alangá mo ngā kore e tūtohu ki te noho wa i roto i te whakapanga o potae. Engari, hāngai te arotahi i runga i te ārai i te kore o whekau faufaa.