Vula waphuka futhi ngezigaba zabo. Usizo lokuqala for waphuka evulekile

amathambo Kusukela ngobugebengu kungukuthi oVikelwe yinoma yimuphi umuntu, kungakhathaliseki ubudala, ubulili noma yiziphi ezinye izici ezithile. Ngaphansi ukwa libhekisela umonakalo nhlobo noma ngokwengxenye ithambo ubuqotho. Lokhu kungaholela ukuwa, buhlungu okungazelelwe eqinile, abenziwe abantu noma yemvelo inhlekelele yemvelo, yemoto.

izinhlobonhlobo waphuka

Ngokuvamile abantu baphuka izinqulu zihlukaniswe zibe:

• ukuvula;
• evaliwe.

izici ezivamile ukwa evulekile

Vula waphuka - umonakalo lamathambo, ahambisana esephule ubuqotho isikhumba futhi izicubu zomzimba ezithambile eziyimbangela, lapho ukwa ungaphakathi ukuxhumana imvelo bangaphandle.

Kuvele ukwa evulekile kubhekwa ngokonakalisa nzima, ngoba ukulimala enjalo kwandisa ingozi yokutheleleka wethambo izingxenye flora amagciwane abe nenkani. Lokhu iyona eyenza evulekile futhi ophukayo avaliwe emikhawulweni. Sici ukwa ivuliwe futhi wadalula ukuthi bone, kakhulu inkimbinkimbi ukwelashwa wayixova kanye lamabutho kwezicubu ezithambile endaweni umonakalo, okwandisa ingozi yokutheleleka. Kuyingozi izidingo zabantu ukwa evulekile kubhekwa njengento ukopha futhi ukushaqeka.

Izimpawu i ukwa evulekile

Izimpawu ovulekile futhi ukulimala avaliwe kukhona ethé ukuhluka kancane, kodwa esimweni sokuqala, kobukhulu izimpawu aphindwa izikhathi eziyishumi namandla. Ngakho:

• engavamile ukuhamba esinye sezitho zomzimba wakho endaweni lapho kungekho khona ngokuhlanganyela;
• palpation ukusuka endaweni yenhlekelele ngaphansi kwesikhumba Crackle ezwakalayo;
• khona inxeba, mncane kakhulu, futhi wenziwa endaweni ebanzi;
• ukopha emithambo yegazi;
• isimo lohlaselwayo uwohloka ngokushesha;
• izimpawu ezibonakala ukubheduka oluhambisana ukushaqeka.

Vula ukwa: ngezigaba

Vula waphuka, kuncike indlela yentuthuko uhlukaniswe:

• ekuqaleni-evulekile, kuyilapho okudalwa emathanjeni nezicubu ezithambile;
• evulekile yesibili lapho isikhumba esithambile izicubu ezonakele semikhawulweni izinsalela.

Kobukhulu ukwa futhi ingozi ukuze ukuphila komuntu yakha isendlalelo sokobana ngezigaba olwengeziwe. Imiphumela yaloku kuhlola okungenhla luchazwa Russian ofeleba, okusho:

• A - waphuka amancane ethambile izicubu ukulimala, ogama ukusebenza ngokugcwele walondoloza noma kancane kahle.
• B - Damage unayo i degree isilinganiso amandla adonsela phansi, elithambile izicubu ukusebenza kule lesion kancane noma ngokuphelele ngobugebengu.
• Ngo - ukwa nge umonakalo eqinile ongalungiseki izicubu zomzimba ezithambile, okuyinto ukususwa akunakugwenywa ngenxa yokulondoloza impilo.

Ukwahlukanisa Kaplan-Markova sigcwalisa uphethwe, olukhombisa uhlobo izilonda, lapho A - okugwazwa; B - ilinyazwe, izilonda lacerated; B - wayichoboza olwembiza.
zesi-Roman e uphethwe wabonisa ubukhulu isilonda:

• Mina - usayizi elincane angu-1.5 amasentimitha.
• II - ubukhulu balesi silonda uyahluka 2-9 amasentimitha.
• III - nilimaza engaphezu kuka-10 amasentimitha.

Iqembu IV kuhlanganisa waphuka imvelo sihlanganise indawo ebanzi kakhulu ezisindayo. Kukhona ukusebenza ukuphazamiseka esitho, ephelezelwa ezinzima ukopha futhi ukushaqeka. Ngokuvamile, ithambo unqanyulwe.
Kwasendaweni waphuka evulekile kunqunywa igama ithambo lilimele. Kungaba:

• ehlombe;
• indololwane;
• femoral;
• tibial futhi peroneal.

Izindlela zokuphela kwamathambo kanye nohlobo umonakalo ku x-ray ukwa ihlukaniswe:

• etshekile;
• esiphambanweni;
• bumper waphuka ezenzeka endabeni imoto ukushayisana;
• Helical;
• Big / melkooskolchatye;
• double (ukwa dengwane ka izingcezwana amathambo ngaphandle kwalo).

ekuxilongweni

Vula waphuka kulula ukuxilonga. Ukukhomba zonke ukwa umonakalo kufanele palpated. Lokhu kulandelwa X-ray do, okusho ikuvumela ukuba sithole isikhathi esiqondile iphutha, uhlobo ukwa, ubunjalo ukufuduka, inani izinsalela. Vula esitho waphuka, waphuka we amathambo eside kanye nomgogodla adinga okungenani ezimbili izithombe ze-X ray, akhiqizwa izindiza ezimbili Okusizayo perpendicular. Kwezinye izimo, ukuhlolwa isimo soft-izicubu kudinga i-MRI. Nge i ukwa evulekile kukhona ingozi ukulimala kwenzwa nobuqotho semithambo. Uma ikhona, noma unezinsolo zalolu, kufanele uxhumane udokotela ohlinza izinzwa kanye udokotela ohlinza imithambo yegazi.

Usizo lokuqala nge ukwa evulekile

Usizo lokuqala for ukulimala yalolu hlobo itholakala lokuthi ukuthi:

1. Yeka ukopha, aphathe emaphethelweni isilonda isinqandakuvunda.
2. Sebenzisa avale oyinyumba ngqo enxebeni isayithi ukwa.
3. Nikeza kubulawe izinzwa efana Analgin, Pentalgin.
4. kubathene esitho ngesikhathi isikhundla eyafunyanwa ngokonakalisa.
5. wezokuThutha isisulu eseduze isiteshi eziphuthumayo.
Siza nge waphuka evulekile noma kunjalo akufanele zihlanganisa imizamo ukuze ubeke kabusha eshicilelwe ngaphandle kwethambo, kokukhipha nemilenze bent, ukuqondanisa lamathambo lilimele. Loku kungenteka kuphela inkinga ibhebhetheke.

Outdoor hip ukwa kungenzeka ngenxa yokuwa noma imoto ukushayisana. Lokhu ngokuvamile ehambisana nobutha shift of doti, zenze umuntu oyisisulu esimweni ubuhlungu ukushaqeka.

Into yokuqala okumele uyenze - iwukuba anesthetize. Khona-ke qiniseka ukuthi imbande umlenze. Ukuze wenze lokhu, ungasebenzisa noma iyiphi into isikhathi eside: ibhodi, ipayipi, induku. Splinting kwenziwa kuwo wonke umzimba kusukela izinyawo kuze kube le ikhwapha. Kodwa-ke asikwazi inkatho ukuze ohlangothini lapho amathambo aphukile ebonakalayo.

Vula ukwa esandleni - lena owande kakhulu yokulimala. Ngokuvamile kwenzeka ngenxa negalelo elinamandla noma ekwindla. Ngaphezu izandla ukopha kungase ukwa evulekile kuhambisana ukuvuvukala enamandla nasemilenzeni, deformity ngokuhlanganyela. Ingozi lolu hlobo umonakalo ukuthi kungenzeka ezinzima ukopha uma kwenzeka ukudabuka i Umthambo njengoba igazi kunzima ukuyeka. Oluphuthumayo Okokuqala kuyinto ukuphoqelela Ilokhi-ibhasi baxhashazwe. Futhi kumelwe kubathene emalungeni okungenani ezimbili endaweni ukwaphuka. It is ngqo isetshenziswa izingubo. Tow noma ngebhandeshi Friend ngenhla endaweni ezilimele ukusiza ukumisa ukopha.

Waphuka uzwane umonakalo engengaphansi kwandile, okuholela ukuhlukumezeka ngqo like into esindayo falling, umthelela, kokucindezelwa, tucking kwezinyawo zakhe. Usizo lokuqala for ukulimala yalolu hlobo ilula. Kungaba noma ubani luseduze, noma isisulu. Into esemqoka kuleli cala - kubathene unyawo. Shoes kufanele kususwe ngesikhathi esifanayo. Umunwe ezilimele kufanele ukubopha kunoma eqinile noma umunwe engumakhelwane. uzwane Waphuka kungaba:

• ukuvula;
• avaliwe;
• ukwa nge ukufuduka;
• comminuted;
• ukwa umngcele.

ukwa Zixoshwe etholwe ngokudalula amandla umunwe ithambo, okuholela okuvela yokulimala. Kungase zikhambisane ukwephula nezinzwa eduze, imithambo yegazi, nemisipha. Ehamba umonakalo by sebuhlungwini obunzima, ukuvuvukala, hhayi kuphela ezilimele umunwe, kodwa lonke unyawo, ukopha ngaphansi kwesikhumba, nail, ukwephulwa kwamalungelo kwemilenze noma.

okunye ukwelashwa

Ngemuva kokunikeza usizo lokuqala kufanele esibhedlela uMnyango "Trauma". Moscow has okukhethekile izinto eziningi, abasebenza ubusuku nemini, lapho isiguli kuyomelwe lonke usizo oludingekayo. Ngokunikeza uchwepheshe usizo lodokotela ukucacisa ngobucayi umonakalo bayokwazisa hemodynamic, ukubamba ukuxilongwa eyinhloko ukwa ebandakanya ukuhlolwa, ukwelashwa ukulimaza, ukuthola izimpawu zokwelashwa ukulimala, izithombe ze-X ray. Isiguli zizokwenziwa procaine ukuvinjelwa kanye imijovo ngokumelene ngqi, ukhombe ejenti, imithi elwa namagciwane ezibanzi-spectrum ukuvimbela ukutheleleka.

Ngokulandelayo, isiguli idluliswe egumbini lokuhlinza, lapho Isilonda bahlanza zemizimba angaphandle futhi enenhlabathi elele eceleni izinsalela isuswe, zonakala kakhulu, nonviable izicubu issekutsya, isilonda lizovalwa futhi iguqulwe ibe ukwa avaliwe. Okuyisisekelo emaphethelweni isilonda kufanele kwenziwe ngaphandle ukungakhululeki, uma lokhu kungeke kwenzeke, khona-ke aphethwe dermepenthesis.

Isinyathelo yokwelapha eyinhloko kuhlinzwa kubalulekile ngoba neutralizes evumayo sokuthuthukiswa pathogenic nezilwanyana ezincane flora kudala izimo ezivuna isilonda sisheshe siphole. Ngaphezu kwalokho, excision we "eliphansi" izicubu kuyimfanelo enhle begazi, ngoba ukulwa izicubu zokuphila okunempilo kangcono ukutheleleka futhi aphilise.

Kungcono uma ukunakekelwa okuyisisekelo kuhlinzwa zizokwenziwa ku 8 amahora lokuqala ukulimala. Ngalesi sikhathi, izilokazane ezincane ngeke babe nesikhathi engena ijule isilonda ezicutshini, zasakazekela umzimba ngokusebenzisa igazi-lymph.

PECVD kungaba: Early agcinwe kule amahora 24 emva ukulimala; imisiwe amahora angu-48; kamuva. Izizathu ukubambezeleka bangaphakela ukushaqeka esibuhlungu, ukopha okunzima, kokungenela op lihlotshaniswa ukulimala kwezitho ezibalulekile.

Izindlela eyinhloko immobilization of izinsalela

Kubathene umonakalo kuyadingeka kunoma isiphi isimo. Ukuze wenze kanjalo, unikezwa ubufakazi, khetha:

• ukhonkolo usimende;
• traction lwamathambo;
• eyinhloko, imisiwe yangaphakathi osteosynthesis metal izakhiwo;
• Kwangaphandle kudivayisi nenkanuko edlulele for nenkanuko edlulele zangaphandle.

Abalingisi has ezinhle hygroscopic, kokungathembeki efanelekayo kusho ukuthini ngokuhlolisisa abagula akudingi amakhono obuchwepheshe ukunikeza ukulayisha kancane kancane emkhawulweni abalimala. Nokho, Gypsum immobilizes emalungeni eduze futhi kungaba cindezela omzimba ngendwayimane.

traction lwamathambo evumela ukuba bagcine esitho futhi wenze kusaladi. Uma une ukwa okukhululekile ukufuduka, kuba isandiso ivumela uhlelo ukuguquguquka reponirovat izinsalela. Kodwa le ndlela yokukhuluma immobilization kudinga embhedeni ukuphumula, ukuphumula esitho inikezwa ayiphelele, idinga ukuqapha kanye ukulungiswa.
Osteosynthesis enziwe etshekile, Helical, comminuted waphuka kunzima ukulondoloza, kanye kabili noma amaningi.

Indlela ukuphulukisa waphuka evulekile

Imigqa ephezulu nephansi ukuphulukiswa senzeka ngezigaba eziningana. Isigaba sokuqala wokulungiselela kungenziwa ngokuthi. Lapha kukhona ukugoqa lymph kanye igazi ekunqandeni, amahlule igazi kwakhiwa imikhawulo izingcezwana, futhi serum ezikhishwe ihlule engena izicubu zomzimba ezithambile.

Esigabeni sesibili uqala ukwakha eyinhloko zezinzwa izicubu callus. It has a ukuthungwa obukhulu, naphezu kweqiniso lokuthi kakulalutho usawoti lime noma ithambo. Lokhu corn akuvumeli amathambo ukuhambisa ngokukhululekile endaweni ezilimele. Ukuze isikhathi yale nqubo ingase ibe khona ehlukile. Inani elikhulu izicubu avuvukele, khona izicubu zomzimba ezithambile phakathi ithambo uphela, ukutheleleka, encishisiwe ikhono stem cells ekwandeni ithambo izicubu kungase ukubambezela yonke inqubo.

Isigaba sesithathu iqala cishe 2-3 amasonto emva ukwa. It libhekene Ukuqina sekuyenzeka. ezicutshini callus ohlangene. Nokho, ukuba athwale imithwalo emile noma ashukumisayo akukabi esimweni, Ngakho-ke, i-immobilization okuthembekile namanje efanele. Phakathi nale nkathi, ephakanyiswe ezingeni-calcium egazini serum.

Phakathi esigabeni sesine, ukuhlelwa kabusha yokugcina callus ku ithambo ephelele. Ngemva kwezinyanga ezimbalwa ama-ukwa wethambo entsha zingamelana isisindo emzimbeni. Callus ngokuvamile inkulu kakhulu kunangendlela amathambo langempela eziphukile. I ethe xaxa kwaba umonakalo ithambo kanye nezicubu eziseduze, yakhula ngaphezulu kuyoba ubukhulu zommbila. Ngemva kwalokho, kuyehla kuphele ukubekwa uphawu kwabangu izicubu kanye resorption ithambo izingxenye ubudala. Lokulingene umthwalo obusebenzayo ukuphuthumisa kabusha callus.

kumiswa Ibambezelekile ka callus libhekene i ukwa evulekile. Ukwelashwa nokwelashwa ukubheduka ungaba inqubo yesikhathi eside, uma:

• ngaleso indawo ukwa ekhiqizwa imali enganele amahlule by inkanuko kumiswa eyinhloko ithambo callus;
• kokuba izinqubo acute ukuvuvukala, izinguquko elimazayo ezithinta ukubukeka callus ngesisekelo ukutheleleka;
• inqubo lilokhu libuna of izinsalela;
• e ezicutshini callus kwakheka fibrocartilage.

Izinga kumiswa callus incike kanjani futhi nini-ke ubesizwa indawo ukwa, ubudala lesiguli kanye nezinye izinto.
Ukuze umsebenzi usheshe ka kumiswa callus angasebenzisa antireticular cytotoxic serum Bogomolets, bone kokudla, impuphu, eggshell, phosphorus kusukela namafutha kafishi.

imiphumela waphuka

Ngo waphuka evulekile abe izinsongo ambalwa. Isikhathi akusho zihumusha usizo kumuntu ofanelekayo - e amahora okuqala angu-6-8 ngemva ukulimala - kungaholela nemiphumela engelapheki. Emva kwalesi sikhathi, usungaqala sepsis, igciwane igazi.

Lapho injected emhlabeni isilonda ingaqala nomhlathi-ngqi. Ngemva ukuxhumana oyisisulu traumatology issekutsya okunobuthi amasayithi, kodwa ngesikhathi eside ibanga izingxenye imisipha noma imisipha, ukuze ulondoloze ukuphila komuntu, kukhona awokuthi isiguli kuzokhutshazwa.

Kulokhu osekushiwo esiphethweni sokuthi ukuphulukiswa nenzuzo kungenzeka nge ezanele usizo lokuqala kanye usizo lwezempilo lokuqala olunikezwa traumatology. Moscow, ngokuba umuzi omkhulu, unikeza zonke izindawo ukuhlinzeka ngosizo oludingekayo.

Kungenzeka yini ukuba ukuthathelwa umshuwalense ngokumelene waphuka

Ukwa kuyinto ukulimala mechanical, ukuthathelwa umshuwalense ngokumelene okungekho muntu angenza kanjalo. Nokho, izibalo zibonisa ukuthi ezinye ukulimala bekungagwenywa ukube ithambo kwadingeka isakhiwo ayazika. Yiqiniso, kusuka kokulimala uma kwenzeka ukuwa ukuphakama, zomgwaqo, amagalelo enobudlova ngeke ugcine, kodwa akuzona zonke ukuwa noma podvertyvanie izinyawo uzogcina eziphukile. Ngakho injongo eyinhloko zokuvimbela - ukuqinisa amathambo ekuvimbeleni ukukhumuzeka kwamathambo.

Into yokuqala kufanele sinake - lena ukudla. Amaphrotheni ukudla, kuhlangene nenani elikhulu ikhofi kanye iziphuzo efanayo, kunciphisa inani le-calcium umzimba. Isinxephezelo ukuntula futhi ukunikeza ukumuncwa okuhle kwe-calcium kuzosiza isipinashi, beetroot, isilimo esidliwayo esinamagatsha anamanzi, imifino eluhlaza, amantongomane, itiye, ukhokho kanye nemikhiqizo zinc equkethe.

Ngakho kusukela kule okulandelayo ukwa zokuvimbela ngesilinganiso - ekugcineni isisindo esinempilo. Lokhu kwakubangelwa ukukhumuzeka kwamathambo ingaqala hhayi kuphela ebukhoneni isisindo okweqile, okwandisa umthwalo phezu amathambo, kodwa mncane ngokweqile ngeke abe nokukhululwa. Kuyadingeka ukuba bazi uma sekufanele uzibambe.

Siza nge isisindo esinempilo kungaba umdlalo. Ngokudlala ezemidlalo azihloselwe amarekhodi entsha emhlabeni noma kusihlwa nobusuku wachitha in ejimini. Kodwa gqamisa ukuze kuphele isigamu sehora noma ihora kathathu ngesonto ngaphansi amandla cishe wonke umuntu. Ngokwemvelo, izikhungo zokuqeqesha kumele ngamuntu munye, kucatshangelwa nobudala, isimo sempilo, amathuba. Nale kungasiza abaqeqeshi ejimini noma udokotela. Qaphela umsebenzi ngokweqile kumele kube kokubili amadoda nabesifazane.

Kwamathambo zibulale futhi imikhuba emibi: ukuphuza utshwala noma ukubhema. Futhi uma ukusetshenziswa lokuqala kufanele igcinwe ukuze ngemithamo ubuncane, kubalulekile ukuba bangayeki ukubhema ngokuphelele. Ngo ababhemayo waphuka ukuphulukisa okuhlala isikhathi eside, hhayi nje kuphela, kodwa futhi amathuba i-fusion ayilungile. Amponjwana sephula izinqubo umzimba emzimbeni. Ukweqisa ophuzweni oludakayo kwephula ukumuncwa kwe-calcium umzimba, ezehlisa kwamathambo kwendaba.

Okunye okubalulekile ukuze Impilo yomzimba wethu, futhi uvithamini D, wona is ngobungako edingekayo angatholakala ukuba selangeni kungabangela nsuku zonke okungenani imizuzu engu-15. Lo vithamini ikhuthaza ukumuncwa kwe-calcium. Ukusebenzisa bethamele ilanga, yebo, akudingekile ukuba bangatsheli muntu ngalokhu, ikakhulu kubantu abanesikhumba ebucayi. Kodwa kuzuze ubuhle umkhakha yesimanje inikeza kukhethwa amathuluzi anhlobonhlobo ukuze sivikeleke, okuyinto kufanele banganakwa.

kahle kakhulu ibekezelelwe waphuka labantu asebekhulile. Uma ulimele siqu kungaholela ngisho ukuwa banal endlini yakhe siqu, indlu. Ngakho-ke, kulesi simo kufanele basingatha esiphezulu zokugwema. Kusho ukuthini? Kufanele ususe wonke izintambo okuxekethile noma uhlanganyela endaweni phansi. Rugs futhi amatshe aqambe amanga flat, musa ukuduka. Uma kukhona igumbi lokugezela ke, kufanele ufake handrails futhi okungezona ukushelela amacansi ukubeka. Ikhaya izicathulo kufanele kube ukhululekile, nge yedwa esingashintshi, futhi akumelwe awe phansi ngezinyawo zenu bezihambela.

Vula waphuka amathambo - ukulimala kubuhlungu ngempela nenkathi yokutakula eside. Lungisa usizo zangaphambi yezokwelapha nemithi lokuqala kuyoba nesandla ukubuyiselwa esitho evamile.