Ka Hip ke ami hoi: he pepe a me kona hopena. Hip hope, hoʻopulapula ma hope oʻoki kino

'Aʻole i noonoo ai i na mea o ka hip-ami. Ka popoiwi wahi o keia hapa o ka iwi ke kumu no na mea he nui pilikia. Ma hope o nā mea a pau, kanaka i kekahi manawa i immobilized. Ma ka hapanui o hoopii,'aʻaʻa ano hoopono kue ia lŘlŘ i loko o ka femoral'ā'ī, i ua aia ma lalo o ka poo aia i loko o ka lua o ka Hip ami like hoʻi me mezhvertilnom hapa - ka luna mawaho hapa o ka femur. A pau keia fracture i e piha paha ka helehelena.

Mea Maluna

ua hoʻolaha Hip fracture like penei:

1. 'Aʻe' ana i ka pono o ka femoral'ā'ī.
2. Fracture o ke keena'ūhā.

Ma keia hihia, he 'aʻe' ana i ka pono o ka'aʻaʻa o ka femoral ai e māheleʻia i loko o nā waeʻano. Ua pau hilinaʻi nui ma luna o ka fracture laina.

1. Major iwi fracture - he poo eha.
2. Subkopitalny. Ma keia hihia, ke fracture laina hele 'ana ma lalo o ke poʻo o ka hip-iwi.
3. Transcervical a chrezsheechny - poino ma ka femoral'ā'ī.
4. Bazistservikalny fracture - he eha laina hele ana oukou ma ka kumu o ka ai i loko o ka wahi o kona pili i ka iwi kino.

Mea Maluna o ka poe noonoo ole a me ka hui fractures

Aia mau no hoi oi mea fractures. Mau nā:

1. hope pa fracture.
2. Fracture o ka hope kolamu.
3. 'Aʻe i ka pono o ka mea mua paia.
4. Fracture o ka anterior kolamu.
5. Fracture kea.

No ka hou eiiieaena nā palapū loaʻa:

1. T-hoʻokino fracture.
2. 'Aʻe' ana o ka mea hope kolamu a me ka pono o ka hope paia.
3. Fracture o ka hope paia a me ka transverse.
4. 'Aʻe' ana i ka pono o nā kolamu.

fracture symptoms

Pehea e ike ai i ko ka Hip ami ua poino? Iwi fracture i loko o kēia wahi, IeAUPIIe, IAa IO pu ma ka ano symptoms. I waena o lākou ke kū mai:

1. Pain i loko o ka groin wahi. Ka mea hiki e mehana i maha. Eia naʻe, he mea he hoopaapaaʻeha ka wā imi e hoʻoneʻe i kona iki i wāwae.
2. Hematoma. Kēia hiʻona mea,ʻaʻole i kakahiaka nui, e like me ka mea hiki ke hana pono i kekahi mau lā ma hope o ka poino.
3. Ma ka huli ana, ke moe ma ke kae o ka papamoe ili.
4. I ka nele o kaʻeleu kūloko ma kuapo o ka lalo palena. I ka Hip fractures kanaka hiki ole ka ao i ka poino wāwae, a huli ia i loko o ka wāwae. Ia mea no kēia mea, i ka wāwae mea mau i loko o ke kūlana waho.
5. Lower lala i pōkole e pili ana i 3-4 kenimika.
6. Symptom Girgolova. I ka mea, ia lŘlŘ ua listen ka lāʻau ikiʻai o ke femoral artery. Ma keia luahi ke lena a unbend lala kuekue wawae akā, e ho one nō ma luna o ka papamoe ili. Eia hou, i ka hoʻomanawanui mea,ʻaʻole hiki i kaʻohi mai, a hoopaa i ka wāwae i loko o ka hoalaia kulana.

No ke aha la he mea he fracture

I kela hoʻopaʻa waiwai ma luna o nā palapū, a mea hiki ke malama i ka pono o ka hip-ami. Ka popoiwi wahi i loko o ui kanaka - i kāna hana i ia lŘlŘ ukuia i kekahi mau kumu. Kēia e nā:

1. Ke alo aku o keʻano o ka maʻi.
2. Trauma (alanui ulia, he haule).

Like no ka mea kūpuna, ma ka hou ana i ka luna kumu no ke ki fracture me ka pohupani hale, a me ka mea hiki ke'ākoʻakoʻa ma luna o ke kāʻei kua o ka hoemi i ka ikaika o ka iwi'aʻaʻa. Kēia, ma ka huli, o kekahi o na hopena o na maʻi like osteoporosis. Kēia maʻi pinepine e hoʻomōhala ai ma hope o ka hoouka kaua ana o menopause. Osteoporosis pinepine ia lŘlŘ i loko o nā kānaka i loko o wa elemakule, akā, no ka uuku loa.

Ua mea waiwai 'ana i kumumanaʻo i ka Hip fracture pinepine ia lŘlŘ like me ka hopena o ka haule ana. 'Ākena kumumea ka hoohuoi ana me kona ano hoopono e hoʻohui i hoʻopōʻino hihiʻo, neurological paha oncological maʻi, ua hoʻemi physical haʻawina a me ka'ōpahaʻai. Hope a hiki i ka makahiki o ka 50 i ka pilikia o ka ino ua nui mahuahua. Kela a me keia makahiki, ke ao nei i kākau e pili ana i 1,6 miliona fractures o ka ke ki kala ami nā'aʻaʻa.

waiwai

Maopopo hoihoi hou ia ina ka hip-ami? Ka popoiwi wahi o keia hapa o ka iwi o ka 'eha nui ia no i kekahi manawa i immobilizes he kanaka. Luahi me kaʻole'aʻaʻa ano hoopono pono koke hospitalization. No nā mea maʻi me ka trauma pa alima na fractures e hooweliweli puʻe mai hehe. Loa pinepine, ka mea i hanaʻia ma luna o nā lākou kīkala a me ka sacrum. Keia mea kuhikuhi manawa a hiki i ka 'aʻe' ana o ka trophic'aʻaʻa.

Thrombosis a me keʻano o ka hanaʻana stagnant

No ka mea ola kino a me ke ola o ka hoʻomanawanui ka nui hoʻoweliweli mea thrombosis o ka laloʻaoʻao, e like me venous congestion. Hooloihi ae i moe koena pinepine hiki aku ai i ka circulatory pilikia. ʻelemākule e hoʻomanawanui iki mai i hoʻomaka ai pulmonary embolism. Kēia 'aʻe' He pinepine ona. Eia hou, ma laila e e naehana ka hoʻokō 'ole a me ka congestive pneumonia.

It E e kaulana e hooloihi ae i kahi moe maha pinepine hiki aku i ka 'aʻe' ana i ka digestive'āpana hana. Keia ua hoikeia mai ke emi intestinal motility, a alakai ai i ka hooulu ana o ka constipation.

Ka nele o ka hoʻokō 'pinepineʻo nā mea maʻi i kaumaha. I wahi, i hiki e like keia mea loa nui kākoʻo mai i wae. Ma waho aʻeo ia o ka luna, i loko o nā mea maʻi me ka trauma o ka acetabulum ke hana avascular necrosis o ke poo wale, a me ka iwi lua. Ma kekahi mau hihia, ulu coxarthrosis.

First kōkua

E like me ka mea huli mai ma ka Hip fracture mua kōkua? Ka wā e like me nā palapū Pono e hana akahele. Ke hoomau aku like penei:

1. Ka mua luahi ma ka 'aʻe o ka Hip iwi manao pono pono e soothe, a moe ihola ma luna o kona kua.
2. i ka eha, e wehe, hoʻolauna i ka pili-narcotic analgesic. Ma keia hihia, he "Analgin". Inā ka eha o haʻi, ka mea, ua ae ka hoʻohana o narcotic ai '. Ua hiki e kekahi analgesic Agena "Ketorol".
3. Ka halihali ana i ka luahi i keia ino e wale e hoomaka lakou ma ka stretcher.
4. Ma lalo i ka noho ana e kekahi ho'āʻo e loaa i ka poino haʻahaʻa mau koʻo ikaika i loko o ka wahi ho kūlana.
5. Ma ka iki i wāwae ua koi 'ia e hoʻokō i ka kūikawā kaʻa' ohua, a leie aku oe e immobilize i ka hip-ami.

Ma ka halihali ana i ka luahi mea pono ke kanaka hoʻoponopono i kona kanawai, e lohe i ka ano o ka mucous membranes a me ka ili.

He aha e hana ai me ka hou poino

Hip fracture lapaʻau a e halihaliia oia iwaho i loko o ka haukapila - he nui eha i hiki pū i ka pohāʻana o ka pahee'aʻaʻa ano hoopono. He aha e hana me na nā palapū?

1. Inā he poino na moku koko, ke tourniquet e ia ma luna o ka wahi, kahi i kahe ana ke koko i kaulana. , Elua no hora ma hope, ka mea pono e wehe. Me ia trauma luahi lawelawe intramuscularly 12,5% "Etamsylate" 1% "Vikasol". Ke kaula oka hiki ole pani i ka gauze lole wili
2. Inā ka ili ua poino, ka mea pono e ia me ka iodine, a laila, hoʻokō i aseptic lole wili.
3. Inā ka luahi originated eha a kia-traumatic kŰia, ia mea pono e paʻa ka manaʻo resuscitative ana, a AIM e malama i ka walaʻauʻana mana o ka nui nenoai.

Pehea mea ia he fracture

I kekahi manawa, he hip-hope. I kaulana i loko o trauma haʻi eha, pinepine no ka heleʻana discomfort kauka hoʻolauna iā 'i loko o ka hoʻohuli ai i nā wahi i kūloko anesthetic. Eia hou, i ka hoʻomanawanui ua kuhikuhi narcotic painkillers a me ka 'ole-steroidal Anati-hoʻoʻino ai'. Inc tactic ma keia hihia hilinaʻi nui ma ka manao pono o ka'aʻaʻa i ua compromised, ina nui na moku, nāʻiʻo a me nā ligaments i poino.

Loli ana i ka fracture o nā iwi ke ki kala e ka hoʻohālike o nā māhele, a laila, superimposed skeletal traction. Ma keia kulana, e moe i ka hoʻomanawanui ma waena o 1 a me 2 mahina. Ma ka hooko ana mai i kēia hana dala o ka waiwai ua i nā hoemiia. Mahope, i ka loli ana i noi puna lole wili. Ua apono 'oe, e ho okele ana me ke kokua o oaʻiʻo. Hawaii ano o ka hoʻomanawanui ua kiʻekiʻe e māhuahua. Eia naʻe, pololei papaia e kālele ana ma luna o ka mea iki i wāwae. Ma ke kaʻina hana o ka hoʻopulapulaʻana o nā mea maʻi me na mea i hoakaka ia nā palapū lomilomi a me physical Inc. Ma waho ka mea, hōʻike physical Inc ma ka hip-fracture.

Ua mea waiwai 'ana i kumumanaʻo i ka huina physical hana ma luna o ka poino lala ua hōʻike wale nō ma hope o 3 mahina. Inā ka hoʻomanawanui mea kūpuna aʻole i kekahi maʻi i loko o i ole ae o ka hoike a mau anesthesia, i ke kauka ke hanaʻoki kino. No, ma kekahi wahi, i hiki i kauoha mai hip-hope. Eia hou, i ka hana ke emi ka lōʻihi like 'ole o ka moe koena, i ka loa nui.

Ma kekahi mau wahi, i hiki, hoonoho hip-hope. Hoʻopulapula ma hope o ka hana i wahi he nui wikiwiki. It O ke kumukuai o 'ana i kumumanaʻo ana ka hope o ka iwi i loko o kēia wahi mea he kiʻekiʻe-ʻenehana a me ka luna' hana.

Ke kaʻina hana o ka hoʻopulapulaʻana ma hope o prosthesis

Pehea oluolu ka mea tolerated hip-hope? Hoʻopulapula ma hope o ʻoki kino hiki e lawe mai ma ka oihana physical Inc paha physiotherapy. Mai ka lā mua ma hope oʻoki kino ua hana ma lalo o ke kanana 'mana o physical Inc kumu aʻo a me kauka. Ma hope o kekahi mau lā o ka hoʻomanawanui ua 'ae' ia ka hele me ka 'oaʻiʻo. Eia hou, ua hana ma hope oʻoki kino lāʻau Inc. Hoʻomanawanui iki mai ma hope o Hip hope, e ana hoakaka sosudoregulyatory ma / infusion, heparins o haʻahaʻa hakakino ke kaupaonaʻana no ka prophylaxis o thrombosis, analgesics a me antibiotics. Ma hope oʻoki kino, i ke ahonui e noho i loko o ka haukapila no ma ka liʻiliʻi loa 5 lā.

Hoʻopulapula ma hope o fracture

Open a paʻa fracture o ka Hip ami - ka poino, ma hope e pono ai i ka wā lōʻihi o ka hoʻopulapula. Ma keia hihia, he kupaianaha Inc. Ua ua hāʻawi i ka wā lā o ka wahi moe koena. Kona papa kuhikuhi - ka Kāohiʻana a me ka hoʻopau o stagnant keʻano o ka hanaʻana, e like me postoperative complications.

Ma luna o ka moe ana o ka hoʻomanawanui i kūikawā kaula. Me kā lākou kōkua,ʻo ia ke pololei hoʻololi i ke kulana o ke kino. Kēia hookaaokoa ae mai o ke kahua o ka puʻe ulcers. Eia hou, i ka rehabilitator e halihaliia oia iwaho mau me ka hoʻomanawanui hanu kino, a me kekahi mau kino e ae i ka'aʻaʻa e hoʻopiha me ka o oxygen, a pale aku i ka ulu ana o congestive pneumonia.

Ua loaʻa heʻai

Me ka pili ana i ka kino, nā mea maʻi i like nā palapū loaʻa, e pili ana i ka kekahiʻai, i nā ai me ka maʻiʻo kiʻekiʻe o nā wikamina a me kalipuna. Ka lau a me nā hua ke hoʻoikaika 'ana i ka digestive'āpana, e like me ke pale i ka hanana o koʻikoʻi constipation. Eia hou, nā mea maʻi me na nā palapū e ole poina i ka Spa lapaau.