Ilizarov i hoʻomākaukauʻia, he nui kuhi hewa o ia 'mīkini Elizarova'

Ilizarov i hoʻomākaukauʻia (kekahi kapa ia "ka mea Elizarova") no ka lōʻihi manawa, a ua hoʻomano hoʻohana ma ka traumatology. Ma keia 'atikala, mākou e kālele ana ma luna o ka mea no ka Ilizarov nakeke a me ka wā pono. Pehea e mālama no ka mea, a me ka wā hoʻohana 'ana i ka manao ka complications ke kānāwai.

Ilizarov i hoʻomākaukauʻia, he nui loa aku nei au "Elizarova i hoʻomākaukauʻia" He aha ka keia?

Ka mea i invented ia ma 1953 ma he nä känaka 'epekema nui, he kauka Ilizarov. Mai laila, i ke aloha a hiki i keia Kaka, hoomaka ae la kekahi au i loko o orthopedics a me ka traumatology.

Ilizarov i hoʻomākaukauʻia - ka mīkini'opihia-ka hihia i manao ai i manao ia no ka hoʻopunipuni lōʻihi iwi fractures ka wā i ko lakou mau pono a me ka hihia (elongation) a me ka mīkini'opihia (mīkini'opihia).

Ka hoʻomākaukauʻia o ke alahao 'ole iloko olaila o nā apo. O kau mau huila i ana ma ka iwi i ka huina o ka 90 degere. Nā apo i interconnected ma ka mea o kūikawā ua mau laau la, a hiki i ka hoʻomaʻa koi elongation paha contraction o ka lala.

naue like

Ilizarov i hoʻomākaukauʻia (e like me ka "mea hoʻoluku Elizarova") mea o ka i nui i loko o nā hana o kēia lapaau.

- ma ka orthopedics - e hoʻopau i ka likeʻole loaʻa iā ia kekahi paha congenital mā, iwi hua'ōlelo a me ka lala deformation traumatic hopena (wahahee ami pono fused fractures a me nā mā);

- ma ka traumatology - splicing eiiieaena, a hamama fractures;

- ma Pediatric Orthopedics - ma systemic skeletal deformations (no ka ulu mahuahua), hoohaahaaia iho la wāwae o kekahi mau ka loa;

- ma aestheticʻoki kino - e hoonui ulu ma ka hooloihiia mai i ka uha, a drumsticks, mau wawae hoʻolilo o ka curvature.

Noi o fractures

Ilizarov i hoʻomākaukauʻia (a me "Elizarova i hoʻomākaukauʻia"), naʻe ka mea i 'ano he mea manao, akā, e mea wale irreplaceable ma ka iapaau ana o na mea he nui kanaka. Ua kōkua nui ma ka accretion o ka luna 'fractures Noi manao o ka lapaʻau, straightening ino iwi, hoohaahaaia iho la na wawae.

I ka wa ana i kekahi fracture mea i manao ai mea ma ka palena o ma ka liʻiliʻi elua mahina. Ma hope iho ma kahi o elua pule ma ka hoʻohuli ai i nā lala e e haawi hiki a pau e haawe. No ka laʻana, i ka wa a kekahi lahuikanaka i mokumokuia wāwae i ka hoʻomanawanui ke heleʻano maʻamau, me ka pepe lima - e lawe i na mea maʻalahi.

aaioee

Kupono malama ana o ka manao, e kōkua pale aku i na pilikia, a e loli i ka pomaikai o ka e olaʻi kaʻina. Inā ka Ilizarov nakeke (erroneously kapaia "i hoʻomākaukauʻia Elizarova ") ma ka lima, ka mea, ua hiki ke hele i ke kahikoia a nani i ka kūloko? Aaieou. Nui hou paʻakikī i ka hele i ka 'inikua Hoʻonaʻauao me ka pepe wāwae. Ma keia hihia, e mea hiki ke hana i ka mea e pono ai malama ma ka home ma oe ia oe iho.

Kuhikuhi e pono ai kela la i keia kanaka mau huila. Spitz mea mau he ahiahi helu, mai ka 12 huahelu, niioaaonoaaiii, i ke 24 nā mea hōʻike aku. Kēlā me kēia auaiaea pono lawelawe i ka huila 50% waiʻona pāʻoihana (maʻemaʻe ka waiʻona, nāu kekahi ma ka hapalua me ka i puhi ia ka wai) aʻike mau vodka maikai e like ai.

Kaʻina e ole wale e pili ana i ka olelo mau wahi, akā, i ke kui kele ma holoʻokoʻa loa. Ma hope o ka aaioee ma kahi o ka auoiaea mau huila superimposed gauze kapa, pulu loa me ka pāʻoihana o ka waiʻona a chlorhexidine.

E ho ohana i pilikia

Holo nōhie, pilikia e ala mai ka wā o ka maʻi lala hoʻomaka e kipaku aku i ka haawe. Loa pinepine complications ai ka haohao ana i ka wa a kekahi lahuikanaka i mokumokuia wāwae i ka wa a ke ahonui hoʻomaka e hele ana, i wela ai pahee'aʻaʻa i loko o ka wahi o nā huila. Ua olelo maʻiʻaʻai. Ia mea nui,ʻaʻole e holo i ka complication.

Ma ka hanana o nā huila kaʻeho, redness, eha puni, purulent secretions mea pono keʻauhau iā lākou ma luna o ka aina o ka li nui loleʻona nō i loko o Dimexidum pāʻoihana nāu kekahi ma ka hapalua me ka i puhi ia i ka wai. Aia i kekahi ala - ma ka mea o ka hypertonic pāʻoihana (paʻakai koloriside 10%), a pono e hui pū i ka lole a me ka hoʻokō i puni hoʻoʻino. Hypertonic pāʻoihana kōkua ho'ēmi i li nui, huki i ka pus. I ka wā i'ōleloʻia ai complications antibiotics a me ka kūloko dressings.

ma hope o wehe i ka

Ma hope o ka Ilizarov nakeke (erroneously - "Elizarova i hoʻomākaukauʻia") e e pana ma luna o ka wahi hoʻokuʻu uuku eha koe mau huila. Ka mea, e malama ia no elike me disinfecting konohiki, e hoʻopiha i ho'ōla. A mau lā ma hope o ka eha puakai, a ma luna o ka mea iki i wāwae lomilomi hiki ke pili me ka hoʻohana a me ka hinu a me holika no ka wehe edema (Lioton, Troxevasin, Troxerutin a me na mea e ae).