Fractures o ke kuʻekuʻe aku: ke ano, symptoms, lapaʻau, hoʻopulapula

Ke kuʻekuʻe aku ami mea okoa, aole i luna '' ole. Ka hooku iho la ia i kauwahi o ke keena lala ua hana ke kahahńnai a me ka ulna iwi mea e pili ana i ka lole poʻohiwi. I loko o ka papa kuhikuhiE kuʻekuʻe aku i kekahi mea uuku. Ma ka hōʻike kahi i nui nä olonä a me nā ipu koko i ka mea kuleana i ka ka hoʻoneʻe o ka lala holoʻokoʻa. Nolaila, fractures o ke kuʻekuʻe aku ma ka hou ana i ka pilikia o ka Hawaii oihana, a me ka hooulu ana o ka loa eha fraught me ka pau nui o complications.

He aha Inc ua hoʻohana 'ia i loko o nā palapū o keia manao? Pehea e hana fractures o ke kuʻekuʻe aku? He aha ka mea i koi 'ia no ka hoʻopulapula? ho'āʻo e mākou e pane i nā nīnau i hoʻouna 'ia.

Kumu o ka eha

Ke kuʻekuʻe aku ke ami hoi ka loa kūlana i ka poino, no ka mea,ʻaʻole he pilipaa muscular maoli, i mea hiki ia i ike loea kākoʻo a me ka palekana i hoakakaia ma ka aoao o ke keena lala. No pinepine malalo e stress i loko o kēia māhele o nā keiki kao i hōʻike excessive haʻawina a me ka pinepine loaa i loko o ke kulana home 'ole fraught me keʻano o nā palapū.

E kiʻi kuʻekuʻe aku fracture Ua hiki i ka hopena o ka haule, a no ka nui loa hopena wahie, ma ka haawi mai ai māhele 'āina. Ka loa, he pono ole poino i ka iwi 'aneʻi mea maloko.

'ano o nā fractures

Līkaia no kēia mau 'ano o ka iwi nā palapū o ke kuʻekuʻe aku:

1. E haapau nei i fracture o ke kuʻekuʻe aku ami ua wehewehe aku ma ka poho i ka kahahānai iwi, o kona'ā'ī, a poo. Loa pinepine ia ia lŘlŘ like me ka hopena o excessive haawe ana i ka wa a ke kākauʻana ma ka pololei lala.
2. Open fractures o ke kuʻekuʻe aku - i hou i ka helehelena o ka mawae i loko o ka 'ole o ka iwi koena o ka poino pahee'aʻaʻa. I ka mea hoopii, he mea, ua hana hoʻokokoke eha, he rupture o ka ili i ka pu ma ka nui ke koko me keia poho.
3. Fracture o ka coronoid kaʻina ia lŘlŘ ma muli o ka nui hopena wahie, ma ka iwi. Oia nā palapū mea pohihihi keia. No ka poho o keia manao ua wehewehe aku ma ka hopena o ka pohupani hale a me dislocation o ka forearm.

Kekahi pee kuʻekuʻe aku fracture me ka pohupani hale a me ka ole. Pinepine me ka like nā palapū e ae aku i ka iwi.

symptoms

E hōʻike i ke kuʻekuʻe aku fracture e na kēia mau hiʻona:

1. Ke alo aku o ka pahikaua napoo eha e haawi ana i ka pulima a me ka lima.
2. Limited ka hoʻoneʻe o na lala a me kona piha lōlō.
3. Unhealthy, hana no kanaka ka hoʻoneʻe lima i loko o ke kuʻekuʻe aku hui, no ka laʻana i loko o ke kīloi paʻewa kuhikuhi.
4. Ka hanana o edema, hematoma ho okumu cyanotic, subcutaneous paopao koke mai oia.
5. Neurological symptoms - numbness ma na manamana a me na pulima oʻu, tingling forearm.
6. Poho i ka moku, Muscle, ili koko (hamama fractures o ke kuʻekuʻe aku).

Aʻoiaʻiʻo hoailona o ka 'inoʻino loa i ke kuʻekuʻe aku ami ka loa ikaikaʻeha i loko o ka hapa hope o ia. Ke kiʻekiʻe, ka mea mua ili o ka poino wahi ua hana edema a me ka hematoma. Ma ka hope hiki i anuenue lima nalowale. Maoli ka pōʻino mai lala kēkahi limply. I ka wā o ka forearm neʻeʻana, he mea Muscle oolea.

Ma hope o fracture o na iwi, hoopaa mai i ka hiki e offset palena manawa o ka lima. Eia naʻe, e hoohaunaele ana i ka lala a me kona kuapo i loko o kaʻaoʻao ma o na la nui discomfort.

mua-kōkua

mua kōkua nā kaʻa mokulele ma ka huli kuʻekuʻe aku ua wae mai ma muli o ka mea i ho'ākāka 'ino a me kona oolea. E ia e like me ka mea hiki, o ka iniiaiie e hopohopo neiʻaneʻi o ka piha immobilization o ka lala. ? Aeiiaiaiaaia e akoakoa ai i ke kau ana o ka luhi o. Ma keia hihia, i ka lima ua lena i ka huina akau, a laila, maluhia paa. Inā pono, hoʻopau i ka unbearable eha i hoʻohana analgesics.

makeʻe kulana lapaʻau

I ka wa e kaawale aku o ka trauma e akoakoa ai i ka hamama ano o ka makeʻe kulana Inc. Iloko o ka mea mua 6-7 lā ma hope o ka fracture ana ia lŘlŘ volumetric nani. A aole hoi he pathological hoike ana, e auhau ia longetnuyu lima puna e kipaku. Pale stress ma ka iki i koʻo ikaika i loko o ka wā i hiki i 3 pule.

Like iwi pili lima kekahi manawa, kuu mai i ke puna no ka hooulu ana o ka ami. Over manawa, e like me ka lole wili auou caiaiaiʻoʻoleʻa mea'ūmiʻi, a i ka'ōnaehana o ka hōʻoiaʻana i ka ikaika hawewe o ka neʻe 'ana.

operative Inc

Open fractures o ke kuʻekuʻe aku, a ua wehewehe aku ma ka pohupani hale o ka hakina, he ponoʻoki kino. I ole ia forearm anuenue hana hiki ole e hoihoi hou ia.

I ka pomaikai o ka operative Inc hilinaʻi nui ma luna o ka pololei o ka hana a me ka trauma surgeon, oi'ālike koena ai o ka iwi, hōʻoiaʻiʻo lākou fixation i loko o ka anatomically pololei kulana. Hōʻoia 'ia ai ia i ka hana, ua hiki no Center o Traumatology a me Orthopedics.

I kaʻike mau hope hale poino ulna Inc ua pahuna ma 'inikua'aʻaʻa contraction uea loop. I kekahi manawa e pono ai nā fixation o nā iwi i loko o ka kūpaʻa kūlana mau huila.

Inā 'oe i ka hana na fractures o ke kuʻekuʻe aku me ke kahua o ke koena ai, Inc ma muli ma ka iwi pakuiia auanei lakou. Ma ia wahi, i hiki pilikia contraction o'aʻaʻa loop, e like me keia i alakai i ka hua'ōleloʻo o ka articular surfaces. Ma kahi o ka io i ka hoʻohana 'ana i hōʻeuʻeu mīkini'opihia papa.

Ma na wahi he mau hoailona o ka fragmentation o ka iwi traumatology a me ka orthopedics oaio ke kaumaha i ka hoʻomanawanui i ka hope o ke kino'aʻaʻa kekahi prosthesis. Paka implants i ke ea a me ka mea hiki ke hooheheeia. Kā lākou mea hoʻonoho ua hana hoʻohana 'iwi lepo pipili no hoi.

hiki complications

Loaa ole ia no o ke kuʻekuʻe aku fractures hiki e piha a hapa lilo o ka lala ka hoʻoneʻe. A elue no keia i ka lokomaikaiia, i ka mālama 'ana o ka discomfort aʻeha kilakila i ka hope o ka papa o ka Inc. Pale i na hoikeana hiki ia, e like ka hahai ana i nā koi o ka hele kauka.

E pale aku i ka hanana o complications i na keiki, ma ka like o ka poho o ka lala hana, i ka iapaau ana i hanaʻia ma lalo o kanaka makua hooponopono. Mua o nā mea a pau, me ka poino lima e ia i loko o piha koena iloko o ka papa holoʻokoʻa o Inc. A keiki e ole ke kiʻi i ka lala e hana manawa e ka neʻe 'ana. Ka mea mahuʻi o ka palaleha 'ke alakai i hou-fracture.

hoʻopulapula

Hana pahuna ma ka hoihoi hou ana i ke olakino functionality o ka papa, kuhi:

• lomilomi;
• gymnastics;
• physiotherapy.

olelo hooulu ana me ka physical Inc i loaʻa i loko o nā lā mua ma hope o ka haka pono maila lala puna e kipaku. Maoli ai, ma keia hihia hookaaokoa ae mai o anuenue lima i ke kuʻekuʻe aku. I ka papa kuhikuhiE kākauʻana ua hana ia ma ka noi o na manamana, a me ka na pulima oʻu. Ka luahi Ua pono, e hoʻomaka i ka supine poino koʻo ikaika ma hope o kona poo,ʻolu nāʻiʻo o ka forearm a me ka'ūhā mua. Mau pāʻoihana he hoʻonui i ka wehe 'ana o edema like me ka hopena o ka ho'ā hope o ka outflow o lymph mai na nā'aʻaʻa.

I ka hoihoi hou ana i ka mau o ka hana, e neʻe i ke anuenue kona gradual ulu. No keia e lawe aku oe i ka nui loa o ka nou ana la o, a laila, hana ana, unsharp lālā ka neʻe 'ana. I ka hoʻopulapula ma ka mea o ka physiotherapy hiki ole i ka lena, a unbend i ka lima loa, e like me kēia hiki i ka lua o fracture.

E lomilomi io ia ma hope o piha ana o ka nou ana la o wale. A me keia e loli ai na nāʻiʻo o ka'ūhā mua kaei, a hoʻi mālie. Papa hana o kēia mau kaʻina hana e hoʻopau ka eha, hooikaika atrophied nāʻiʻo, ligaments e kikoo a ultimately i ka piha hoihoi i ka ka hoʻoneʻe o ka lima.

Like no ka mea physical Inc, ka mea i waiho ia e koho 'ē aʻe me ka physiotherapy. Eia Hawaii i ki ina hana like o ka UHF,ʻume mākenēki Inc, electrophoresis, lapaʻau o curative mud.

ma ka hopena

E like me ka hopena e pono ke kūʻai 'ana i kumumanaʻo i ka luahi hope hookuuia mai o ka haukapila mea pono e möakäka hou mau nīnau. Oe E nānā me kou kauka pehea e pono e paka i ka neʻe o ke kuʻekuʻe aku ia oe i ke kiʻi i ka hope loa ke kaupaonaʻana, pehea e pale aku relapses a me complications e hiki ke manao ia i loko o ka wā e hiki mai ma kahi o.