'ā'ī poʻohiwi fracture: mea, lalau mai, symptoms,ʻike, a me ka lapaʻau

Humerus e leie aku i kekahi kanaka e hana i ka hailona o ka neʻe, ka ikaika hawewe o i e ĸokoĸa ana nä pane. Kekahi poino i keia wahi i ka hopena maikaʻi 'ole ma o ka ha awina o ka'ūhā mua, he paakiki a kohu pono pāpana o ke ola. Ka mea hiki ke loli likeʻole māhele o ia ka fragile 'ole. Loa pinepine, kauka diagnosed he fracture o ka ai o ka poohiwi. About ka hiʻona, a me ka papa kuhikuhiE ano o ka hana maikaʻiʻole o ia nā palapū e e kūkākūkā i kēia lā i ka 'atikala.

anatomical pili

Humerus - mea he lōʻihi omo 'ole. Ua Ua Aia ma waena o ke kuʻekuʻe aku a me ka'ūhā mua kaei wahi, a he mau diaphysis a me ka epiphysis. A ano o ka hoʻololi cii ma waena o kēia mau wahi i na metaphyses. I ka peʻa'ākau o ka iwi ua poe e ka hui poo, i kohu i kekahi mea poepoe. Ua Ua Aia ma lalo iho o ka'ūhā mua anatomical'ā'ī. Nui fractures i loko o kēia wahi mea pohihihi.

Iki iho ma lalo o ka'ā'ī o ka'ūhā mua i nui a me ka uuku bumps, a e pili ana i ka tendon. Lalo holo i ka "palena" e hoʻokaʻawale i ka diaphysis o ka iwi a me kona luna, hope. Hope ole ike i "kaʻoki lāʻau lapaʻau ai o ka poohiwi." He kēia wahi pinepineʻana i ka hewa.

loa tentatively kaawale ho'ākāka 'ia ma fractures i loko o nā waeʻano. Ka mea, i wehewehe aku ma ka pono lapaʻau kiʻi. No laila, na kauka hoʻoholo ihola e hui pu iho la ia i loko o kekahi pūʻulu -ʻoki lāʻau lapaʻau ai fracture o ka poohiwi.

I ka papa kuhikuhiE kumu o nā palapū

I ka papa kuhikuhiE kumu o fractures o keia ano ua manaoia e e kaʻauhau'ēʻaʻe me mechanical hana. No ka laʻana, ka wā e haule ana ma ka lima 'ole kuʻekuʻe aku. Pela ka mea, he flexion o ka humerus, a me ka i ka wā hoʻokahi mea ulu ma ka puʻe ma luna o laila axially. Ma pohihihi keia hihia, ke poho mea pono i ka pololei physical hopena.

Fracture o kaʻoki lāʻau lapaʻau ai o ka'ūhā mua i pakahi aku la ia, he pono ole i ka poʻeʻelemākule wahine. Ladies no 50 makahiki i ma kiʻekiʻe kamepiula o ka trauma ma muli o ia mau aʻe:

• menopause a me ka ulu ana ma ke kāʻei kua o ka iwi osteoporosis;
• hoʻololi i ka iwi 'ole.

Pūʻulu lala poino nānā 'ia e ka wahi i ka manawa o ka haule. Me keia ma ka naau,'ā'ī'ūhā mua fracture ua hopena i hōʻikeʻia, a me ka adduktsionnym abduction. E noonoo oe i ka ho i kela a me keia o na nā kinolau.

hopena i hōʻikeʻia fracture

I waena o nā mea a pau traumatic nā palapū o keiaʻano ia mea emi, he pono ole i loko o nā mea a pau. A hiki i ka lima o loko o ka'ākilikai kulana, akā, ua pu keia ma ma paʻi hana, diagnosed transverse fracture. ʻike ākea iwi hehee ai komo i loko o ka hui poo, ho okumu i ua hopena i hōʻikeʻia fracture o ka ai o ka poohiwi. He ua mau paa.

Adduktsionny fracture

I keia ino, mea i hookuu i ka hopena o ka haule ana ma ka manao lima. I ka Ia manawa ma ke kuʻekuʻe aku nui puʻe Falls. No ka mea, o ka ka hoʻoneʻe o ka lalo kihi o ka distal humerus mea i kā mākou ka ho'ēmiʻana. 'Ē aʻe maiʻaʻole i like ka hoʻoneʻe, no laila nō auaneʻiʻoukou fulcrum i loko o ke keena'ūhā wahi. Pela ua hana i kekahi une lōhai i wahie, i ka humerus. Articular poo i koe i wahi no ka mea, o ka ligament-mea hōʻikeʻikeʻuʻuku lima kūlana kiʻekiʻe ua ālai 'dislocation o kaʻimi hoʻopunipuni. E like me ia i kaʻilihune, aia no he fracture o ka'ā'ī poʻohiwi adduktsionny.

I Ina o ka eha ana o keia ano i ke kikowaena iwi apana nahaha ua 'oni iki imua, a me kaʻike ākea - ma waho aku, a hala loa i luna. huina i hana therebetween i wehe maloko.

abduction fracture

Oia poho Ua hiki i ka haule ana ma ka haawi lima. Ka ikaika o ka puʻe ua ulu i loko o nāʻaoʻao ka poʻe. ʻike ākea iwi hehee ai höʻike loko. Kona kaʻe triggers reversal kikowaena apana nahaha i kipaku kūlana. A me ka mea hope iki ua deflected lalo a aku. I ka hopena o ka huina wehe mawaho.

lapaʻau kiʻi

Ma ka loaʻa 'ana o ka fracture pono koke e kelepona i ka casualty oihana o ka mea kokoke haukapila. Ma ka'ā'ī o ka poino poʻohiwi, i hookuu Hōʻike ka mau lapaʻau kiʻi. Ka luahi mua Kahalaopunaʻeha i loko o ka fracture wahi. Ua hiki ole ke hee ma kaʻike mau analgesics. Kēia pono i ke kōkua o potent painkillers mea e loaa wale i loko o ka haukapila hiki.

Ka poohiwi ami wahi o ka lima iki i haalele i kona functionality, akā, i ka flexion ana ma ke kuʻekuʻe aku i kekahi manawa hoomau. Ka luahi pinepine paʻa i ka ailing lala forearm. Kela a me keia manawa aʻu e ho'āʻo e hana i ka neʻe,ʻo ia i hoʻomaka e 'ike excruciating kaʻeha.

Olelo helehelena Aʻole e loli ana. I ka abduction fracture paha e ike "retraction," like ma ka poohiwi dislocation. Ka eha loa koke e pehu ae. Ma hope o kekahi manawa, aia no he hematoma, i loaʻa iā ia nā nui i kekahi manawa nui Ana.

No paʻakikī holo'ā'ī poʻohiwi fracture me ka pohupani hale. Ma keia hihia, i ka lihi o ka iwi i oOeEIAOO hoʻopuni'aʻaʻa a me ka vascular laulau, e kauoha ana i ke kēia symptoms:

• kāheaʻia nuku edema;
• lōlō;
• ka hooulu ana o ka aneurysm;
• neurosis pahee'aʻaʻa.

Ma ka hihia o ka hopena i hōʻikeʻia fracture o ka lapaʻau kiʻi ana lubricated, aʻaʻohe mea i eha. E like me ia i kaʻilihune, ka mea nāna i, i loko o kekahi mau lā i ole manao i ke ola ana o ka ino a me ka ole, eʻimi 'inikua kōkua.

ki ina hana like o kaʻike,

Inā e manaʻo ai he fracture e leka uila i ka casualty oihana o ka mea kokoke haukapila. Initially, ke kauka pono nānā i ka luahi, e möakäka hou i ka na hoopii a me ke kumu o ka hewa. Hope i ua ia i ka helu o nā ho'āʻo ma no ka pololeiʻike.

Hapanui informative ua wehewehe aku ma ka X-Ray o ka'ūhā mua kaei. Pictures pono hana i loko o nā nā wānana waiwai: ka iho a me ka pololei. I Ina o questionable hualoaʻa aiiieieoaeuii e koi HI. Inā e manao i ka fracture o ka ke kūʻai '-hoonohoia ultrasound.

First kōkua

I ka papa kuhikuhiE manao o ka mua kōkua i ka luahi - eha ke ola. Ua mea no hoi e pono ai e ho'āʻo i ka immobilize i ka iki i ka lala. Ma ka hihia mua, hiki ole ke hana me ke kōkua o nā analgesics. ʻaneʻane kela hale lapaau Aha Kuhina o "Keterol", "Analgin" a me ka "Nimesulide". Ka lapaʻauʻia laʻau heluna E e like i kulike ai me ka pili kuhikuhi i ka medicament.

Inā 'oe hiki ole e ka ka uku aʻe, a me ka X-Ray e maopopo lea ai o ke koʻikoʻio o ka poino, ma mua e hele ana i ka haukapila ka mea, ua waiho ia immobilize i ka lala. No keia mea, mai hamoʻia lako hiki e ua hanaʻia kosynochuyu lole wili. No ia hoopii i kekahi'aʻaʻa a hainaka, he apana o ka lole. I palapala ia e hoohalike ai i isosceles triangle. Triangular lole wili e e kau i loko o ia i kekahi ala e ka mea kākoʻo i ka lima ma ke kuʻekuʻe aku.

Inc Hiʻona

He aha e ia i kaʻike, "fracture o ka'ā'ī poʻohiwi" lapaau, ke kauka hoʻoholo. Ma keia hihia, ka mea, e lawe i ka mooolelo o ka hoʻomanawanui i ka makahiki, i ke ano o kona pilikia ana, a me ka alo o ka iwi koena ai pohupani hale. Nolaila, Inc hiki e makeʻe kulana aʻoki lāʻau lapaʻau kohoʻia. Kekahi nā mea maʻi i aʻo aku ai iā skeletal traction. Lapaʻau o fracture maʻelemākule e hoʻomanawanui iki mai i kekahi wahi okoa. Kēia ninau mea kūpono i ka noonoo kaawale.

fracture lapaʻau ole symptoms pāʻewaʻewa

Ma uncomplicated fracture paipai outpatient lapaau. Mua, ma ka wahi o ka hematoma, ke kauka inserts he anesthetic, a laila, e kakau iho i ka kau ana o ka puna splint no Turner. Kupono immobilization o ka wawahi ai i ka lala ua ālai 'o ka ulu ana o contractures. Hoʻokomo i ka splint ka mea, ua pono no 4 pule.

I kekahi kahua o ka lapaʻau komo ai aaieieno? O kiaha dala a me ka UHF. Iloko o ka malama mua ka hoʻomanawanui ua paipai i ke kino o kūpaʻa type. No ka pololei hopena ma luna o ka fracture pili phonophoresis a me ka electrophoresis me na laau.

Mahope o eha pule o ka immobilization ke hoomau aku i kaʻeleu hoʻopulapula. No keia mea, e hiki ke hele i kekahi hoʻopulapula lapaau oaio kahi 'Oihana ke koho i ke kanaka polokalamu hana. Nō kāu, e waiho i ke kēia mau kaʻina hana no uncomplicated fracture:

• lomilomi;
• kukuna Inc;
• palapala noi me ka paraffin;
• physical Inc;
• UV irradiation;
• balneotherapy;
• DDT.

Ke hana i ka hana ma hope o ka poho ua hoihoi hou ia i loko o 2 mahina.

Lapaʻau o fracture me ka pohupani hale

I ka ua poho pono lapaʻau i loko o ka haukapila kaiapuni. Ma ka hapanui o na hihia, ua lawe ia no hoi ma ka mea o ka makeʻe kulana i kūpono mai. Kauka hoʻohana i nā 'ole mau anesthesia mua hanaʻia Hoopaa iho la hana lima reposition. Ua ua lawe mai i loko o ka aʻe ala e hiki aku, mai ka hewaʻano papa hana. Ma keia hihia i kaʻike ākea hehee ai ua pili me ka iwi hakina Central.

Ke kaʻina hana iho ua hana i loko o ka supine kulana. Ke surgeon hanaʻia a pau kūlana o ka manipulation, a e kuhikuhi i ka hana o nā kānaka kōkua. Ma hope o ka pau ana o ka pōʻino, ua make lala lole wili 'ole i ka puna splint.

Duration fracture immobilization offset mea o ka hola 2 mahina. Ke Kauka e kanaka hoʻoponopono i ka ke ola kaʻina. E hana i kēia, i ka hoʻomanawanui pono a hiki i kekahi manawa poohiwi pana pua aku makou. Uku X-Ray e leie aku oe i ka e koi aku la lakou hopena. Ua noa 'inikua kulanui kiʻi hiki ke hapai aku i ka kekahi lā aʻe. Employability IeAUPIIe, IAa IO hoʻi i ka maʻamau ma hope o 10 pule.

Hiʻona o ka lapaʻau o fractures ma ka kūpuna

Ma ka hapanui o hoopii, ana o ka'ā'ī poʻohiwi fracture maʻelemākule e hoʻomanawanui iki mai noi makeʻe kulana ki ina hana like. Ka wā adduktsionnoy eha hōʻike kakahiaka fixation o lala no 4 pule. I ka mua holo abduction poho hana no traction, a laila, e kakau iho i ka immobilization. Ma kekahi mau hihia, e ponoʻoki kino.

Like no kaʻeha kokua ana i ka hoʻohuli ai i nā wahi, eia no hoi kekahi mau kapu pili. No ka laʻana, i ka mahele lāʻau o ka anesthetic e koho i ka lalo. I ole ia, i ka mahuahua likelihood o undesirableʻaoʻao reactions like hypotension paha pōniuniu. Lapaau i komo ai i ka hookohu o nā mea a pau nā mea maʻi ole, koe nae, he helu o ka ai '. Mua o nā mea a pau, ia mea kalipuna hoomakaukau a me ka laau i ka hoʻoikaika 'ana i ke koko holo. I ka maikaʻi hopena o ia i akaka ka wā e hoʻomaka e coalesce fracture o ka ai o ka poohiwi.

Mua kanaka i manawa o ke ola ma hope o uncomplicated nā palapū hoike no e pili ana i 2-3 mahina. Ka lōʻihi like 'ole o ka hoʻopulapula au ua pili kēia nānā' ana i ka nohona ma ke ano o ka hoomanawanui, lawa physical haʻawina. Kēia manawa ua me ka nui loa, a mahuahua nui ina ka luahi ka mea, he mea ola pilikia. Mawaena o ka nui maʻi pathologies nui ana ia mea mimikō.

ʻoki lāʻau lapaʻau 'uao ua kākaʻikahi ia i ka poʻeʻelemākule e hoomanawanui i ka poe i ka fracture o ka'ā'ī poʻohiwi i' akomi i. Hoʻopulapula, a ma keia hihia ka mea, He nui iho la lōʻihi. E like me ka rula, ia mea he au o ma kahi o na malama ekolu. A hiki i kēiaʻano o ke kākoʻo a me ka nui loa maoli ka pilikia o infectious complications. Ka hanana o ka thromboembolism i loko o kēia mau makahiki pinepine Nā hualoaʻa ma ka make.

Fracture o ka ai o ka'ūhā mua a me kona mea hoʻomaoe

Complications mai nā palapū o kēiaʻano - ia mea he nui loa, he pono ole kŰia. Ka mea, e lilo ia i kekahi no ka lawa ponoʻole lapaʻau (hewa accrete fracture, pseudarthrosis). I kekahi manawa, i ka hopena maikaʻi 'ole o ka trauma kena ae la ma ka waiū a hiki i ka'ūhā mua kahi. No ka laʻana, ma fractures pinepine poino ligaments a me tendons, nāʻiʻo a me nä olonä. E like me ia i kaʻilihune, ka mea kahe ana ke koko, ooieoeiiaeuiiai paha neurological kāna hana i loko o ka loli ana o ka lala.

E hoʻopau i ka kiʻekiʻe pahiki o kēia mau complications, ia mea pono ma ka hihia o kēia eha koke imi 'oihana' inikua kōkua. I ka halaʻana o ka hookolokolo ana, i ke kauka ke koi 'ia e pono lapaʻau, ina pono. E e uku i ka hoʻopulapula kaʻina pakahi noonoo. I ka huikau fractures mea maikaʻi, e huli i ka hana kūikawā iwaena konu o ka hoʻopulapula lapaʻau, a mākaukau e e hiki ke koho i ka mea pono ka polokalamu no ka normalization o na lima.