Whati o kikowhiti: whakanohonoho me te maimoatanga

Kikowhiti - wāhanga o te ringa, tae atu toropā, wheua ulnar. I roto i te meka, he hokohoko atu o tona pokohiwi. Ko te tahi hononga - te whatīanga. Kei te hono te kikowhiti ki te ringa paraihe. whati kikowhiti ICD whakamuna waehere S52. Tenei wharanga - kino nui tono tono akiaki ki te tākuta. Ko tētahi o nga wāhanga nui o te āwhina - immobilization ki te kikowhiti whati. Me hohoro te meatanga, tika, kahore ähua huru o te manawanui.

Whati: Take

whakapataritari whati te whara wheua, take o nei he:

• maturuturunga tutuki;
• whiu tika;
• ringa-kowiria.

Ko te mōrea o te kikowhiti whati i runga, ki te āhuatanga te manawanui e:

• pakeke atu i te toharite;
• papatipu uaua iti;
• mate wheua;
• mahi hākinakina.

tūponotanga High o piere kikowhiti i roto i te hunga e fehangahangai ki te tutu ranei e kore e whiwhi nui kai tōtika.

Ka rite ki te whakapae?

A, no te te tuwhera / tutakina whati o nga tūroro kikowhiti amuamu o:

• mamae;
• huamo;
• deformation o te wāhi kua pā.

e kore e taea e te ringa o te manawanui neke i roto i te whānuitanga noa.

Ki te whai koe i e kite tonu i enei tohu i te tākuta. I te whakamātautau tuatahi mau te tohunga te rangahau manawanui, kohikohi kōrero i runga i nga tohu e rua, me te i runga i nga takahanga mua i whakapataritari he whati o te kikowhiti. Ano, tirohia te tākuta te rohe papaka ki te hanga i te tātaritanga tika.

whakatau tatou whati

Hei tātari i te kikowhiti whati roto / waho, matua mahi te x-ray. E whakarato ana ngā mōhiohio e pā ana ki te hanganga ā-o te tinana tangata, homai he tohu o te condition wheua. Ka taea e te tākuta akatainuia te rohe raruraru.

Ko tētahi atu tikanga whai hua, me te tika o te whiwhi raraunga - computed tomography. I roto i te whakamatautau te whakamahi i te rorohiko me te X-ray kaha e taea ai e koe te tiki i te pikitia tika o whara ā-me te hanganga wheua, uaua kiko. Atahanga whakarato he pikitia o te āhua o tendons, wheua ngohe. Ki te te whati o te matatini kikowhiti, ka te hoko atahanga te taputapu mahuinga o te tākuta i tiaki o te faaho'iraa mai o wheua.

Kia ki taea te raruraru e

rongoā Modern taea te whakaora e te kikowhiti whati, Heoi, tei angitu i runga i te mea i te whara te wahi e tū ai i roto i te tinana, kia rite ki te mea uaua. Tikanga, tākuta kawe atu ngā mahi e hāngai ana:

• wheua hoki i roto i tona āhua taketake, Kei te maha i haere tahi i te rehunga, pokanga;
• tiaki o te wāhi kua pā whakaritea, tae noa kahore e tupu tahi wheua.

tikanga whai hua

Hei matiti i whai hua te kiri kikowhiti, kua tono ai ki tetahi o nga tikanga e whai ake nei:

• maka whakaritea i mua ki te pokanga, me te i roto i te wā i reira e kore he tukanga urutomo tika;
• he pereti konganuku (whakaturia i roto i te mahi);
• pokekore (whakaturia invasively).

Ki te whakaiti i te mamae, meinga nga werohanga o anesthetics. I muri i te pokanga, wā tirohia te manawanui tomography x-ray ki te aroturuki i te tukanga whakaora ranei. I roto i te kaupapa o te displacement ohorere o te wheua e taea tātari tonu i te reira, ka tango i mahi e tika ana.

He aha te i muri?

A, no te i whakaratohia he whati o te āwhina tuatahi kikowhiti, ka whakamana i te mahi, a haere ana te manawanui ki te menemana, he mea e tika ana ki te mahi i mahi motuhake. Ratou mahi matua - ki te whakapakari i uaua, me te whakahoki i te tinana te whai wāhi ki te neke. Ko te mahi matua o te manawanui me te tākuta - ki te hoki i te kaha ki te whakahaere i te pokohiwi, maihao. Tikanga whakaritea i tua, me te rāhuitia te mahi me tetahi kawenga taimaha.

Ko te tikanga, he whati o nga wheua kikowhiti whakaora e pā ana ki 10 wiki, ētahi wā - tere. Ki te reira ko tetahi iwi whānui he whati o te kikowhiti ki displacement ranei, na te roanga o te maimoatanga me te whakanohonoho atu. I roto i ētahi wā matatini, e kore e taea e ki te whakatutuki i te ora tonu. Heoi, i roto i tetahi take, kei te nuinga whakaritea te angitu o ngā i te āhua o te pai te manawanui whai nga tohutohu o taote. I roto i te take o te ofatiraa o te taua tūponotanga nui o pōauautanga.

Me pēhea te ki te aukati i?

O te akoranga, te kaha ki te āwhina ki te ringa whati - ko te pūkenga whai hua, me te nui, engari tae noa atu whai hua ki te mohio me pehea ki te ārai i te āhuatanga taua. Ko te tūtohutia rite āraihia:

• karo āhuatanga mōrearea e taea meinga whara;
• whakahaere i te ihirangi o te huaora D, konupūmā i te kai;
• mahi mahi auau haapuai te wheua;
• whakangungu i te uaua;
• i mahi, i roto i te hākinakina ki te whai ture haumaru.

Conservatively a invasively

Ka taea te tukinotia kikowhiti whati hāparapara ranei i roto i te tikanga momo ranei. He taea te kōwhiringa tuarua ki te kahore he rītaha ranei, ki te he taua huru o te manawanui e maua e pokanga tūponotanga nui mō te ora. tikanga tūpato tā te noho roa i roto i te maka e taea meinga he hononga hē. I roto i te tūroro tokomaha, na nei ka atawhai whati o te mahi e alangá kua pā nui kino atu i te aroaro o te whati. Ano, i reira he piere iu, ki te mea te reira uaua ki te whakatutuki i repositioning pau.

Operation traumatology i tokomaha rite te pai mohiotia i roto i to tatou kōwhiringa maimoatanga wā. He tikanga minimally urutomo ki te mahi i runga i te ulnar, wheua toropā. Te tākuta i roto i te hui mau mai anō te wheua whatiwhatinga, he tika physiologically, a ka whakatika te tūranga o ngā pūrere motuhake. tutuki infestation Small te i roto i taua mo te whawhe hanga punctures iti anake, a kua whakahaere nekehanga katoa i roto i nga x-ray. noho tonu kiko Soft, whakaora e te wā poto ngā o te wā, i mua i taea te koe tukua i te hōhipera. I tua atu, ka he mahi taua, heke te mōrea o pōauautanga te.

Toromoka me nunu'a

Hoki piere o te kikowhiti mā te whakamahi i te whānuitanga o ngā topenga. Ētahi o te whai hua tino - titi intraosseous, faufaa ki te diaphysis pakaru. A, no te whakamahi i enei hononga taea te whakatutuki hua ki iti kino uaua. Ko te mahi, e apee te tāutanga o raka, rau tohu, engari he ratou iti rawa, tata kitea, ara mo tākuta.

Ko tētahi atu momo rongonui o hononga - pereti, piri ki te wheua e te pokekore. Ki rahaki - he momo o "te paerewa koura" o rongoā. Te nuinga tauira o paraharaha o nāianei tukua ki te whakatika i wheua whatiwhatinga i roto i te tūranga tino tika, me te pupuri ratou na te roa rite te whatinga kore he srastetsya.

He nui tenei!

I roto i te take e kore e taea ki te karo i te mahi o tuwhera piere. Ko te wawaotanga tā te whakamahi o ngā pūrere motuhake, whakatika waho o te kikowhiti. hanga tenei reira taea ki te ū huru o te manawanui, a ka taea e koe te puta ki atu mahi.

A, no te faaora nei i te patunga, i nekehia atu te pūrere, ka whakaritea ki te mau api wheua rakau ranei. Tenei huarahi whakaiti te tūponotanga o pōauautanga ero.

kia tupato

Whakahaere i te rohe kikowhiti - e kore te mahi ngāwari. Tenei rohe ko taonga i roto i raru, oko toto, kore o e ai pā tōraro huru o te manawanui. Ki runga ki te taenga o te whara atu he tūponotanga nui o pōauautanga, e taea arahi ki te mate tina heke o te mahi nekeneke tūtohutanga ranei. Te nuinga pea he takahi o te mahi paraihe. Ki te karo i pōauautanga, me rawa āta whakaritea te taote, me whakatinana te wawaotanga.

ati whakaora

Diaphysis o pakeke whakaora mo te wa roa. I muri i te ono wiki, kia he X-ray o te rohe pakaru ki tirohia mo te aroaro o te callus. I muri i tetahi wha wiki whakamana nga whakamātautau mo te taumata o te haumaru. I roto i te wheua tonu me waea ki te 80% o taua i te aroaro o te kaha whati. Ko te hanganga o te kiko me te whakaora oti e tau.

Ka rite ki miia a taea te wāhi pakaru kia nekehia atu te retainer konganuku. E kore te mea āki tenei hui, engari i ētahi wā te aroaro o te huānga konganuku ai hūhi ara mamae, i te mea he tohu mo te tango ranei. Peleti, kua nekehia tokotoko i te tinana tangata i roto i te rua tau i muri mai ranei. whakaritenga whakahauanga - ki te X-hihi kia tohu kitea o te whakatōpū.

whati angamaheni

Ko te tikanga, he angamaheni - he whatinga Smith Kolles ranei. I roto i tenei take, kino ki te whatiwhatinga wheua kahore e ngā. I muri i te whakamātautau X-ray o te tūroro tangohia te raima maka ki immobilize te wahi kua pā. tīmata te maka i nga tohutohu o nga maihao, te runga whakawhānui ki te toru o te kikowhiti. Immobilization o te ringa pumau e pā ana ki te marama. A, no te nekehia atu te raima te, ki te therapy tinana whakaritea whakawhanake uaua o te kawititanga o. I roto i te whanaketanga tonu, te whakaora āhuatanga e tetahi ki te e rua wiki.

He whatinga ohie, neke uaua, titau te pamu repositioning, ka nga wheua ahu ki noa, kukume i te ringa i whati. titau rehunga te hui - rohe, pēne. tākuta Kaiāwhina faaho'i te paraihe, tetahi kaiāwhina faaho'i te alangá i roto i te huarahi i te ritenga, e pupuri i te whatīanga. Āta, na e wahi wheua whatiwhatinga, te hanga tawhiti i waenganui ia ratou me te tākuta ā whakaturia i roto i te wahi i nga mongamonga katoa, e aki ana ratou ki te tango i te tūranga tika.

He aha te i muri?

oti, no te te repositioning, hanga he takai te raima, te haapa'oraa i te ringa mānukanuka, ki te karo anō-displacement. A, no te maroke ake te gypsum, kei te āta heke te mānukanuka.

Ki te kore e taea e te neke pai koe otaota ranei whakakitea e haere tahi te whatinga e te maha rawa nui o whatiwhatinga, ki te anō-puta ranei wāhikē e kino pakaru hononga, ka hiahia koe ki te wawe te mahi i te mahi. Mauria ki te whakamahi osteosynthesis o hononga whakarewa, a ka tangohia te takai te raima. Ko te tikanga i tenei wāhi koki i roto i te raima, ka whai ki te noho i te marama, me te hawhe, me te whakanohonoho e 2-4 wiki.

Whati: Ngā

Whati whakaoho nunu'a o rerekē pakeke. whakawhirinaki ratou i runga i te wāhi o te kino, me tona whīwhiwhi. Ki te he ngāwari te whatinga, ka katoa hohoro whakaora nei me e kore e waiho tetahi tohu kitea, e kore e meinga pōauautanga. Ko te displacement o whatiwhatinga - ko te tohu o nui haere te ati o te mau fifi atu. Ki te pāngia ki te whatinga tuwhera ki displacement, whakarōpūtia te āhuatanga kei te rite rawa uaua.

Ko te tikanga mau i te mau hopearaa e whai ake nei o piere:

• takahi te mahi io;
• te tapû-;
• Embolism;
• māuiuitanga splicing;
• toto.

Ko te pōauautanga whakamutunga e tupu tino maha pōreareatanga e wharanga kiko ngohengohe. Ko te uaua matua - he e he reira he karawarawa ā-me ngā kitea e kitea ranei ki te kanohi, i roto i te parau tumu. kia mōhio e kia kino te whatiwhatinga wheua oko toto, kakahu ngohengohe te rata.

Kei te maha haere tahi toto ā-i piere kati ki displacement. A, no te tuwhera piere wharanga iaia faufaa mai whatiwhatinga kaha ngā me toto waho puta.

Tūkinotanga o te mahi io

Ko tenei he tino noa te putanga o te whatinga me te whakarōpūtia rite te tika taimaha. Kei te rongo te reira e te meka e i te tahuri o te hanganga kahiwi io wheua whatiwhatinga waimaero kei tata wheua. E mea pinepine te whakaritea kino io, ki te tuwhera te whati ngā. I taua taime, ka kino ia te wheua tangata, mihini pa reira a tawhio noa te kahiwi o te raru, i te mea ngaro he aha ratou ratou mahi noa.

Tūkinotanga o te mahi io whakakitea mate o sensation, tae atu te mamae, me te pāmahana. I tua atu, i te maihao te paraihe katoa ranei ngaro ratou nekeneke, e alangá kōpā, mahi tahi āraia.