Fracture o ka lima. Symptoms,ʻike, a me ka iapaau ana

No kekahi mea'ōnaehana paleʻea, mai nā palapū, me hoʻoponopono. Pela poʻe e noho ana i ole mau hooholo i ka oolea o ke resultant poino, i mea nui no ka 'eleu lapaau. Fracture o ka palaki mea,ʻaʻole he koe, no ka mea, i kekahi manawa i ka luahi, aole ia i ike i ka iwi i haki. No keia kumu, ka mea, he pono e nana i ke ki Hopu symptoms.

Ke ae pā o ka pilikia

I ka hooilo a me ka wāʻeleu Aloha Hawaii hiki ole ke hoʻokoe 'i ka haule ikaika, hoʻomālama ma ka palaki. Nō hoʻi i loko o kēia wahi o ka lima hiki ke hoopili i ka nui loa, no ka mea hoike, i loko o ka? Iecaianoaaiiie.

Ma kēia mau 'ano o ka waiwai hiki ole ke alii iho la oia palaki fracture.

Eha o kēia 'ano hiki i ekolu' ano apau loa.

• fractures o metacarpal iwi;
• phalanges (ka loa, he pono ole);
• na pulima oʻu mau iwi.

Mākou hiki ole kāpae'ōlelo i ka mea i ka fracture ua kekahi manawa pu ma ka naeaeaa, i mea fraught me nā complications, no laila, ina kekahi ona ma luna o ka palaki, a kena ae la i ka hailona o ka eha, e pono e ike i ke kauka.

Mea Maluna o ka maʻi

Paha i ka mea ike e pili ana ia, akā, i loko o ke kula o ka lapaau, he mea ana he Mea Maluna o ka maʻi. Ma keia nenoaiu, i kaʻikepili o kēlā me kēia maʻi a me kona? Ueony ua ia i kekahi kivila, a ua hōʻikeʻia e huahelu a me ka palapala.

Ka ICD fractured na pulima oʻu waiho i loko o ka pauku S00-T98 (poʻomanaʻo, ma ka 60th i 69 la), a ua hoʻolaʻa i ka poino, kaʻapu kōheoheo a me nā hopena o mawaho keiki. Ma keia hapa o ka lahui Mea Maluna o ka hoʻopaʻa a pau pili ano o fractures, traumatic na pulima a me ka lima (ka mea mua, ka lua metacarpal iwi, manamana nui, mau nā palapū, etc.).

A me kēia mauʻikepili ka mea, he mea hiki i ka pololei paa ka manao o kekahi mau 'ano o fracture, a waiho aku hoʻi i ke akamai, pololeiʻike.

symptoms

Fracture o ka palaki mea paakiki i ka hala, akā nō mākou kapa kekahi hiʻona a e ole e 'ae' ia i hookahuli ai ia me ka eha.

Mua, e ka hoakaka i ka papa kuhikuhiE symptoms:

• ka wā imi e straighten na manamana he mea nui eha;
• ma kaʻaoʻao hoʻi i hana i kekahi 'nani;
• Inā loa trauma e worsen i ka nohona ma ke ano o ka luahi i ua loaa;
• ma ka palaki kekahi 'deformation.

Ma keia hihia, o ka ili i bluish, a me kaʻeha hiki ke ikeia ole wale i loko o ka palena manawa o ka manamana lima, akā, no hoi i kekahi, a hiki nīnūnē, ka neʻe 'ana.

Navicular a me metacarpals

Ma hope o poho i kēia mau eiiiiiaiou o ka palaki ma hope o ka manawa iʻikeʻia edema e kekahi neʻe problematic. Inā ke poo, ua fractured metacarpal iwi, a me ka haanou ana deformation, e hōʻike i ke kua o ka lima, ana i ka paena o ka hewa.

Akā, kekahi lahuikanaka i mokumokuia na pulima oʻu i loko o ka scaphoid ke alakai i ka hou complications i hou i ka papa kuhikuhiE hopena o ka hewa. Most pinepine ia poino ia hoʻi ka no o ka haule ana, oiai i ka luahi ka hoʻokoʻikoʻi ma luna o ka lāʻau. E like me ka hopena, i ka eha ana ma ke kumu o ka palaki, mai kaʻaoʻao o ka manamana nui. Ma keia hihia, hiki ke ho'ākāka 'ia ma ka eha me aching, ikaika, haʻahaʻa ka leo. Deformation ma ia poino mea ole, a me ka hoʻokano, aole nae he mea akā, hōʻemi iki. Penei waiho i ka crux o ka pilikia.

I ka wā o ka luahi ma hope o ka haule ana, aole ia i haha loa ka eha, a me ka ole i na hoailona o ka deformation lima o ka, ia mea no kahi loihi, mai ka hoʻi i ka fracture ana. E like me ka hopena, hiki ke hoemi i ka pakiko-ʻike, a me ka 'oihana kōkua o ka palapala hōʻoia no na kahuna lapaau a pau. Ma kekahi mau hihia, o ka luahi hoʻoholo e kipa i kekahi kauka ma hope o kekahi mau mahina, mai ka manawa o kekahi lahuikanaka i mokumokuia na pulima oʻu i loaa. Poho i nā iwi, i kaʻokoʻa i ka scaphoid a me metacarpal, kākau loa kākaʻikahi.

He kumukuai o ka ike ana o ka fractures a me ka paopao koke mai oia i kekahi mau pono ole symptoms: haanou ana aʻoi paha aching eha. Nolaila, ma hope o ka haule ole 'ē aʻe mawaho ikaika mea pono i loko o kekahi hihia, e kipa i ka haukapila.

Inā ka fracture Ua paa palaki offset, ia mea paha e koi operative 'uao, o fixation a me ka repositioning. Kēia mea hookahi hou aʻo nui i ka pono no ka 'eleuʻike.

Features keiki ka fractures

Initially, oe e hoʻolohe i ka mea i ka ke aloha i huiʻia i loko o nā keiki a ka iwi me ka nui loa oi aku ma mua o ia o nā mākua. E like me ka hopena, i ka iwi mea i malama i ka iwi (periosteum), no hoi i ka maikaʻi a me ka paakiki elasticity. Kēia mau hiʻona ae na keiki, e lawe aku i ka lima pepe i loko o kaʻokoʻa alanui.

Mau mea na kēia oko mai nā palapū malama aku i loko o nā mākua:

1. nā mea maʻi kaikaina kona mau makahiki ma hope o ka hui, pilikia ana, hiki ke pakiko-? Ee koena pāʻewaʻewa. 'O kēia ho'ākāka' ana no ia ma ka hiki ana o ia mau hana functioning o nāʻiʻo a me ka kokololio ka ulu ana o ka iwi,'aʻaʻa.

2. Fabrics a poino hale i loko o nā keiki hou nui wikiwiki a hiki pono ma mua o ka wati waena,ʻakahi-ʻelemakule kanaka aie a hiki i ka hōʻeleu i ikea o calluses , a me ka nui kiʻekiʻe o ka holo ana o ka periosteum.

3. Children ka fractures i kapa hoʻohanohanoʻia ka mea i ka ino mea oi e like anuenue a fracture o ka iwi. No keia kumu, he hōʻemi iki pohupani hale o ka iwi koena ai, a koe.

A hiki aku ia i ka trauma i ke keiki e hea aku, a noho i loko o ka noticeably hauʻoli. Ke koena o ka lima ma hope fracture i loko o na keiki o ka ia loli me i loko o nā mākua (haanou ana, lilo o ka hoʻoneʻe, deformity, eha, hoʻokano, etc.).

Ua akaka no ia kino i ke keiki i ka e loaa hou wale mai ka hewa, akā, ka mea, 'aʻole i manaʻo ia oe ke hana ke i ka ninau o ke lapaau. Ke komo 'ana o na kahuna lapaau i keia hihia, pono, a me ka hikiwawe e loaa.

mua-kōkua

Inā ma hope o ka ino hoike hoailona ano o ka fracture, ua pono e makaukau e hana i kekahi mau mea, akā, nui ke kapuai hookahi.

Mua o nā mea a pau ia mea nui i ka luahi lawe painkillers, ma hope i ka mea e loaʻa, e koho i ka palaki. I kekahi hana e hoomalu i ka poino wahi, mai nā poino ku i ka ākeʻakeʻa kumu neʻe. I Ina mākou i ka hana me ka hamama fracture o ka hana mua ia e hana - mea, e pau ana i ke kahe ana ke koko, a me ka wikiwiki.

Kekahi mea nui 'ana - o ka wehe' ana o ka pōʻino, ua make palaki i kekahi mea e nani ai. e hiki mau ana ma muli o ke ÿano ka pioloke o ka holo ana o ka'aloʻahiʻa apo a me na kupee lima. Eia hou, i ka wa e e haanou ana, wehe i na nā mea hoʻonani e e nui ka paʻakikī.

Inā he mea he fracture o ka manamana lima palaki, pono e pili ana i ka poino wahi anu a me ka pela 'ūlōlohi mai ana i ke ano o ka edema. Keia hana a makemake kekahi ho'ēmi i kā ka waiʻona ma o ka eha.

lapaʻau '

E hoʻoholo i nā 'ano o ka ino Pono e initially huli i ka trauma surgeon ka mea i ike i ka hoʻomanawanui ma muli o ia i ka poino, e nana i ka lima, a ma hope o palpation kuhikuhi mai i radiographic ninaninau.

Ka hope hana, ma ke ala, He aliʻi nui, no ka mea, e leie aku e differentiate i fracture dislocation o ka palaki a me ka poino ke kahahńnai o. ʻO lalo laina mea i ka luna lalani o carpal iwi ua i pili i ka mea nana i ulana hui, ma ka hihia o ke poho a hiki i ka eha i loko o ka na pulima oʻu.

Ma ia ke kulana, e ho onoho ana i ka hoʻohuli ai i nā 'āpana me ka X-Ray e e loa problematic. oe ke hana i maopopo ka hopena ma luna o ka muli o kēia 'ike: e e hana ma ka hale i kekahi poino lima ma hope, a me ka nui palaki - he nui kuhihewa.

lapaʻau

Ma ka hapanui o na hihia,ʻoki kino i ka eha lima o ua i koi 'ia. No ka hou pono a me kokololio ke ola o ka mea iki i iwi hakina i paʻa ma ka poe, a pinepine ana e hele mai ai i ke kuʻekuʻe aku.

7 lā ma hope o ka fixation ua hana radiography palaki. Kēia i mea e hiki ai i ka hooholo ana i ka pōʻino, ua wahi kahuna lapaau. I ka lole wili Ua wehe 'ia i loko o ka hapanui o na hihia i loko o 4-5 pule.

Inā ka manamana lima i wāwahi (kekahi phalanx) me ka pāʻewaʻewa, i ke kau ana o splints e e hoʻohana me remedial ana.

I ka manawa ia e launa me kekahi fracture o ka mua metacarpal iwi, Made reposition'ōpala hoʻi, a no nā lā ma hope o ka pōʻino. Ua hiki ke hoʻohana no ka hoʻopunipuni i ka puna, a me nā mākia paipu. No nā palapū me pohupani hale o nā metacarpal iwi ma hope o ka ho'ēmiʻana e e lawa puna.

Like no ka fracture o ka navicular iwi, kona lapaau o ka loa pilikia. Ma ka hapanui o hoopii, hoʻopunipuni wahi aku me ka puna, akā,ʻaʻole e mau ana. Ua mea waiwai 'ana i kumumanaʻo ana e hana i kēia pilikia ana, i nui aku paʻakikī ina ka fracture laina hele ma na iwi o ke kino. Ma keia hihia, no ka loaa i ke hoopanee i eono mahina.

Inā 'oe i ka pono i kou manamana lima, ka mea wale koho phalanx maoli o ka pōʻino, a me ka palena iki kau. Ke kulana o ka manamana lima ka manao.

I kekahi manawa 'oe i ka hana hou loa fracture. Offset palaki, no kekahi laʻana, hiki nunui complicate i ka ke ola kaʻina. Ka loa ka hoʻokō iaoiaeii o ka waiū ma keia hihia, ua hamama a paʻa ka ho'ēmiʻana. Kekahi complicating ololi e lilo i hamama fracture, no ka i lapaʻau hoʻohanaʻoki lāʻau lapaʻau 'uao, a aho, ili pakuiia auanei lakou.

ke ola

He nui nā mea maʻi makemake e ike ina paha e malama i kona functionality palaki ma hope o fracture, a mahope ke ola. I ka hopena o na mea he nui ka mahalo i hilinaʻi nui ma luna o ka hana o naʻia lākou iā lākou iho. E dice hou e like lawe lima me ma mua o ka poino, ka mea pono, e mau hoʻomōhala. Akā, e hoʻomaka i ka hana i ano wale nō ma hope o ke kauka hoʻopaʻa i ka iwi, ua hoola oia.

E hoʻomaka i ke kaʻina hana o ka hoihoi hou ana i maikaʻi me ka malamalama hoounauna (flexion, palena manawa, kuapo, pama, a pela aku ..). Koke neʻe ana contraindicated. Pono e komo i loko o kekahi mau pule. I kekahi manawa, he piha koi e i ka hana oolea, ma ka palaki kūlana i loko o eono mahina.

Keia e pale ia ai kekahi Initiative - a pau kino a me kā lākou pinepine 'a me ka lōʻihi like' ole e e like me ka hele kauka.

hualoaʻa

Fracture na pulima oʻu - keia mea he loa nasty poino, a me ka nui loa complicates ka luahi ka nui i hana '. Akā, i kēia pilikia hiki ke lanakila ina ka pono, e hoopii i ka lapaau, a palapala hōʻoia no e hoʻomaka lapaau.