Fracture o ka scapula: symptoms, lapaʻau, ka hopena

Ke humerus ua pili i ka clavicle ma ke kumu o ka maka. Ke kinona o ka iwi kohu he Oopalau la. Ua haawi mai la i ka inoa o ka hapa o ka iwi. Oopalau la - palahalaha iwi. Ua oia mai o kekahi mau wahi. Ke kaumaha ma muli a i wawahi ai i ka hehee ai i ka pōʻino, ua maka, a me ka Inc ua wae.

Kumu o fractures

Kēia hapa o ka iwi ua wāwahi loa pinepine ana. I ka makahiki ka mea i kakau i oi aku 1.5% o ka scapula fractures hoʻohālike au i nā iwi. Akā, i kēia aʻole i manaʻo 'ia kekahi ke keʻena o ka iwi e e hana naka.

scapular fracture entails lōʻihi-makahiki lapaau a me ka hoʻopulapula pilikia. Ka loa e like me ka kumu o ka ia eha ua hāʻule hoʻi. Ua mea i oluolu i ka loaa i kēia 'ano o ka fracture i pololei lakou hahau ana i ka uha mua maka.

lapa kāne ai, i ka wa a keia wawahi i kekahi iwi i loko o hoʻopilikia o nāʻiʻo o ka'ūhā mua ami i kekahi manawa halawai. Anakahi uila ua pū i hiki i keia hihia, i ka'ā'ī o ka scapula, a me ka mea, mai hemo mai ma lalo o ke kaumaha o ia i ka lima iwi. Pinepine, e like me ka pilikiaʻalo ma ka 'âlapa ka poe i hana i ka hoolei ana i na mea poepoe. I ka skidding i na mea kaua e like trauma hiki i hoʻomaka ai hohonu hoʻi.

symptomatology o ka maʻi

Fracture o ka scapula - ia mea mau i ka eha, a me ka nani. Palpation kino hapa discomfort listen ma ka iwi paena wahi. I ka'ā'ī fractures i kekahi manawa ke kauka probes kaʻoi kihi o ka iwi. I ka dislocations o ka'ūhā mua mau kihi ma ke kōmi 'ana i kalaka nui-hoʻopoepoe a me ka laumania.

I ka holo ana o ka lima hoʻohuli ai i nā mea pono, a me 'ana, eʻohi ia i ka mea, he hoopaapaa eha. Ma kekahi mau hihia, ma laila e huahuaʻe ma ke kahua o ka hewa. Ka mea, pinepine hōʻike i 2-3 lā.

Recognizable symptom mea he nani i loko o ke kinona o ka triangle. Ma keia kumu ke kauka koke hoʻoholo i kaʻike,. Ke kaumaha ma muli o ka 'ano o ka fracture symptoms e hoʻololi aʻikea au i loko o ka palena iki kīnā.

Fracture o scapula kaʻina

Me keia palapala o ka hewa ka ae nānā mau kaei deformation. A laila, he mea hemorrhage. Fracture nadplechevogo kaʻina hana hiki ho oholo i ke kauka Via palpation. He maʻalahi ma ka ili e hoʻoholo i nā hakina. Ua eha ia lŘlŘ loa pinepine mai ka papai aku ikaika, mai luna a lalo 'ana ma luna o ka poʻohiwi. Fracture hiki ke hali me ia a me nā complications.

Nō hoʻi,ʻaʻole loa pinepine i ka nuku, fractured iwi. Ma keia hihia, aia no he maopopo asymmetry o ka'ūhā mua kaei. Ma palpation ka eha, piʻi pū. Ano wahi e pehu ae. A hiki i ke anakahi uila o ka lima a me ka hoao e hana ia i kaʻeha ma ka hana kekahi mau manawa, piʻi pū.

Nuku, i paiiaʻi na hiki ke hoʻoneʻe fracture. Kēia ia lŘlŘ ka wā o ka rupture o ligaments poʻohiwi a me ka collarbone. Together me ka fracture o kēia kaʻina ua pinepine mālama i ka dislocated poohiwi. Kēia hui poino, a me ka lapaau i kau i ka mua 7-14 lā i loko o ka haukapila.

Fracture o ka ai o ka scapula

Kēiaʻano o ka lawe complications a me ka lōʻihi-makahiki hoʻopulapula. O ia fracture hiki e offset ole ia. Ke hoomanawanui pinepine paʻa i ka luahi ka lima ola a me ka lua kaomi waina ia i kona umauma. Ma o ka wahi o ka maka hana like me ka haanou ana ka'ololaha. Ma ka huli ana o ka ai me ka neʻe maila i ka hoʻomanawanui 'aʻole i haha aku ka eha i loko o ka forearm wahi. Ua reacts e palpate i ka armpit.

Ma ka hihia ia he mea he scapular fracture me pohupani hale, loaʻa nō kekahi mau 'ē aʻe symptoms:

• lima haawi mamua, aʻaʻole retracted;
• i ka'ūhā mua ami i ka spherical shape;
• palpation ka hoʻomanawanui complains o kaʻeha mea i loko o ka wahi o ka hopena;
• OE lima neʻe i ole hampered.

Ma ka huli ana o kēia 'ano o ka complication e pono aiʻoki kino. Ua Ua kākaʻikahi hoʻohana ', akā, ka mea, he 100% o ka pono, e e pono ai.

I kekahiʻano o ka eha pono noiʻi i loko o ka haukapila, a koke lapaʻau. Ke hoomanawanui Kahalaopuna i kaʻoiʻeha ia mea he fracture o ka scapula. Symptoms laila i nā stuhayut, a me he kanaka hele me ka poino ma aʻoukou, he maka i ka complications o ka maʻi. Nolaila, ina e manao kekahi fracture, koke imi 'inikua noonoo.

mua-kōkua

Inā he ua he kanaka me symptoms suggestive o ka fracture o ka maka, a laila, nele ia i kōkua ma mua o ka ambulance paha, e lawe aku i ka hoʻomanawanui i ka haukapila ma luna o lākou iho:

• haawi aku i kekahi painkiller papa ( "Analgin", "Spazmalgon" "Ibuprofen" ma lalo o intolerable manaʻo i 'ae' ia ka hoʻohana ' "Ketanovom");
• i loko o ka armpit i ka uuku pale o ka pulupulu ka hulu hipa a me ka lole wili ana i kekahi mau i hilo bandages;
• i ka poino paena e e kekahi anu (ka ai, mai ka pahu hau a hiki i ka lawe 'ana e ma ka diaper paha a lahilahi,ʻaʻole e frostbitten ili);
• me kekahi apana o ka lole, e kau i ka lole wili ke haka pono maila lima ikaika loa o Paulo ma luna o kona umauma, no laila, e e hiki ke pale hou poino i ka moku i ke koko a me nā aʻalolo rubble iwi;
• i ka haukapila nā mea maʻi wale nō e pono ai ma ka noho kūlana e lawe.

Mau rula, e kōkua loaʻa nā complications a me hanahana loa kaʻeha a hiki i ka loli ana i kanaka.

ʻike, no ka maʻi

Fracture o ka scapula ka loa pohihihi, akā, ka mea hiki ke hoakaka i kekahi trauma aʻoki kino. E hoomanawanui i akaaka malu palpation o ka wahi o ka hopena, a ma ka naoh, a me ka hōʻike o ka luahi ka waiʻona ma ke ano e hana i kekahi kiʻi o keʻike, ma kekahi kauka.

E hookoiaʻi na nā mea mahuʻi kauka hoʻokō X-Ray keia hookolokolo ana i loko o nā nā wānana waiwai. Nā hualoaʻa hiki 100% hoʻopaʻa aku hoʻi i a hoole i ka ka muaʻike.

therapies

Ma kekahiʻano o ka fracture mea initially pono e anesthetize i ka paena o ka hewa. Ma ka home, e pono e lawe i ka Akala a anesthetic. Ka haukapila hiki e i ka pahu kui "Novocain" i loko o ka fracture paena.

A laila, puʻe lole wili noi me ka lole wili ma lalo o ka lima. Ma keia aoao o ka hoʻomanawanui hele 3-4 pule. Hou, aole ia e hana ma ka emi o 5-6 pule.

I loa hoopii,ʻoki kino ua hana me ka hui nā palapū. Kēia papa hana, 'aʻole hoʻohana' ia no laila, pinepine, ka wā diagnosed me scapular fracture. Lapaau a me ka hoʻopulapulaʻana ma hope o ka mea i oi eiiieaena a me ka hou.

'ano o ka immobilization

Hoʻopunipuni mau lima i loko o ka hana oihana kōkua e ua hui pū e ka maka pono. He aha ka mea i pono ma ka immobilization o fractures o ka maka? Fixation me ka puna e hoʻohana loa kākaʻikahi.

ʻO kēia like paha o ia immobilization mea nui oi pono. Ka ili lalo mea hanu ana, a aole hoi he diaper poʻe noʻonoʻoʻole, ka oi aku i loko o ke kauwela. No hoi, ka wā uhi ana i ka lole wili hoomanawanui inā pilikia ka haumāna emi discomfort a me kaʻeha. Ke hana i ka hoopoina koke ana. Ia ia pela, he pono lole wili lole, a neʻe mai a puni.

Pela, ke discomfort ua hoano e ia e hoʻomanawanui iki mai ana ua hoʻokomoʻia ka palena haʻahaʻa. Ma ka huipūʻana me ua hoʻokomoʻia bandages desault waeia 'inikua gymnastics no i na mea kaua. Loa pinepine ka mea, ua lawe mai no na iwi o ka lima a me ka kuʻekuʻe aku.

Ma ka huli ana o ka ai ua paʻa i loko o kekahi mau 'ē aʻe aoao o ka immobilization. Hoʻokō ke haka pono maila lima pakele Via ke kaʻa'ōhua. Ma cervical pohupani hale ia lŘlŘ mua skeletal hohola ana. Kēia kaʻina hana i kahi o 4 pule. Ma hope iho o kēia lima ua kau ma luna o ka pela papahana uluna, a hana gymnastics kekahi 2 pule. Kēia iapaau ana ua loa a no ka maluhiluhi i ke ahonui a me ka hoʻopulapula ua hoopanee no 5-6 pule.

Complications ma hope o eha

Ka popoiwi wahi o ka maka mea,ʻaʻole like noho malie hoi e like me ka mea āu e. Ma lapaʻau, hiki i hoʻomaka ai dislocated iwi o ka forearm. O ke kumu ho i ka hikiʻole, e hoopaa i ke koena o ka maka poʻo o ka lima iwi.

I loko o kēia mau nā palapū i ae cartilage i loko o ka'ūhā mua ami. Over manawa, i ka hoʻomanawanui i loko o kēia wahi e hoʻomōhala arthritis. Hoʻoneʻe fracture maka o ka pahi deformation. A laila, i ka iwi hiki ole ke oni ke alalai ole i loko o ka iwi aoao. Ua Ua pū ma kaʻeha a me kaʻawaʻawa loa kamumu.

ʻoki kino e i:

• maʻi sprains;
• Muscle atrophy;
• intercostal neuralgia;
• oolea i loko o ka lima o ka neʻeʻana.

Akā, inā 'aʻole e lawe mai manawa i ka hana, i ka mea i lilo aku loa ka hoʻokōʻana, a koe ka polokalamu JavaScript. He nui ke pane koke i ka manawa e fracture o ka scapula. laila, e E hoemi ia ka hopena o ka hopena maikaʻi ano i ka palena iki.

O ka papa kuhikuhi manawa - hoʻopulapula

Mai ka lā mua o ka immobilization mea pono e hana me ka physiotherapy. Ma keia hihia, 'aʻole i i hopena maikaʻi' ole o kekahi lahuikanaka i mokumokuia poohiwi huhui. Hoʻopulapula e halihaliia oia iwaho ma ka poe akamai. Kū kaʻawale i hookoikoi e ole e pono ai, a me oe e i poino i ka hoʻohuli ai i nā iwi.

Ma lalo o ka hooponopono ana o ka hoao ana i ka lapaau mea pono e pana aku au i kekahi mau kau. Oe ke laila, hoʻomau i ke kino ma ka hale. Oe E hoʻomaka me kekahi mau kino no ka manamanalima. ua mālamaʻia nā kaʻina hana, a me ka haawe ana ma ke kali uuku ae.

I keia manawa, he pono ia e kaupalena flexion a me ka hoʻolōʻihi 'ia' ana o manamanalima. Oe ke i hana i kekahi hoʻopoepoe noi me ka palaki. Hoʻokō 'e i ka lōʻihi like' ole o ka ole e emi malalo o 15 minuke. Ma ka lā e hana 4-5 Rep.

10 lā ma hope o ka ino e hiki ke hoomau aku i ka hoʻokō 'ana i ka uha mua nāʻiʻo. No keia hana lohi hookiekie mai no oia i kou mau lima, i ka wa e u eha. I kekahi manawa, ma hope o 2 pule a komo bandages desault mea hoʻololi i kosynochnyʻano o ka fixation. Ma keia hihia, no ka laulā o ka hoʻokō 'hiki e kekahi hoʻonui.

Ma ua kahikoia a nani desault komo kauka i hoakaka ia physiotherapy e hooholo ia. Ma keia hihia, e hoʻohana UHF a me kaʻume mākenēki Inc. Kaʻina hana kōkua e höʻike aku li nui, a wehe i ka eha. Nō hoʻi, iwi hoola ana mea nui wikiwiki.

Loaa ma hope wehe 'ana o immobilization

Ma kēia wā o ka hoʻopulapulaʻana a me ka meakino-pinepine 'me ka hiki i ka mea mua. Inā ka hoʻopulapula manawa a me ka pono, ke hiki i ka hana e loaa maopopo i loko o kekahi mau pule.

me ka pinepine 'ua mau e ulu ana, a ua paipai i ka hoʻohana' ana o nā haʻuki lako a pan.

• kala;
• laau a me ka ea ana i ka wahie;
• haʻuki nui aʻe ana;
• expanders;
• uuku laholio waihoʻoluʻu no ka lima me ka a me ka manamanalima.

A pau hoʻopulapula AIM i ka hana o ka hoʻonāwaliwaliʻia nāʻiʻo a me ka ami, e hoihoi. Welcome haʻawina i loko o ka wai. Penei, i ke ahonui i ka hoao ana emi stress, a me ka hoʻopulapula hiki e hoopomaikai io ia 40 minuke.

Mua, maikaʻi e hoopaa kino i loko o ka make up, i ka mehana ka wai. Ma keia hihia, mahu nāʻiʻo a me ka maʻalahi i kikoo a me ka contraction. Ma hope o kekahi mau kau oe ke hoʻomaka 'auʻau' ana i loko o ka waiʻauʻau a loko i loko o ke kauwela.

No pono, e haawi mua i ka ikaika stress ma luna o ke kino. Na ka papa kuhikuhiE Pahuhopu - o ka holo hou ana o nā mea a pau Muscle pūʻulu a me ami.