Poino i ka umauma, iwiʻaoʻao fracture

Mawaena o ka loa e like me nā palapū malama aku i ka hana i loko o ka 'oihana haʻuki' ole i loko o ka ulia - heʻia ka iwiʻaoʻao. Keia ano He mea nui loa, no ka mea, ka mea iki i ka iwiʻaoʻao e i poino i na nā loko a me nā ipu koko, e like me ka hooulu ana o ka mea complications. IeAUPIIe, IAa IO, nae, fractured iwi aoao pono fused, a i ole ho oweliweli i ke ola kamepiula. Nā kumu o nā palapū iwi aoao i pinepine malama like me ka haule ana, kŰia a poino oiai ka ulia, he ikaika, pili cough, osteoporosis, gunshot mau eha, e like me Ka maʻi 'aʻai.

Importantly, o ka iwiʻaoʻao fracture mea a mau hoailona ia mea: e wehe ae, wehewehe aku ma keʻano o nāʻeha ma luna o ka fracture paena, a paa hou mai la, kahi o kaʻili ua i wela. Mākou differentiate ma waena o:

- Hi ohia iwi aoao;

- periosteal fracture, kahi o ka poino hapa o ka ke aloha ili o ka iwiʻaoʻao;

- piha fracture, a ia lŘlŘ like me ka hopena o na mawae ma na iwi aoao me ka iwi pohupani hale.

E hiki no hoi pinepine malama pleural poino, maʻiʻaʻai, ma o na la emphysema hoʻomōhala a hemothorax.

Ma ka pōʻino, ua make 'āpana o ke kino ia lŘlŘ edema a me ka hematoma, kahe ana ke koko ke kānāwai. Penei, o ka iwiʻaoʻao fracture i loko o nā symptoms o ka eha ka waiʻona ma ke ka wā e inhalation a me kino noi. I poho na nā loko kānāwai hemoptysis, pneumothorax a emphysema subcutaneous, cyanosis, retraction o ka pahu, tachycardia, o ka ili i haikea ma luna o ka poino hapa o ka pahu, IeAUPIIe, IAa IO loko o ka pōkole manawa ma hope o ka ino i ke alakai mua i ka ÷ naehana hanu ole.

Ke degere o ka oolea o ka eha hilinaʻi ma ka fracture, a me ka nui o traumatized lua penei. No laila, ma ka hihia o kēia iwiʻaoʻao fracture mea pono e hele aku nana. Ua hoʻohana keia ano:

1.Rentgen. Fixes ka hakina iwi aoao i.

2. ultrasound. Hoʻohana 'ia no ka hoʻoholo' ana i ka degere o ka poho i na nā loko.

3. Tomography. Hōʻike poino kihi, nā'aʻaʻa a me nā ipu.

4. MR. Ua kōkua huai ae liʻiliʻi mawae i loko o ka maka, a me Hōʻike i ka degere o ka poho i na nā'aʻaʻa puni ka iki i ka iwiʻaoʻao.

Inā ka ninau a pehea ia ke noonoo pono i ka uhaʻiʻia ka iwiʻaoʻao, ka mea e e kaulana ia i loko o kēia mau nā palapū mea pono mua kōkua. E hana i kēia, koho maoli ka pōʻino iwi aoao e ana i ke one, e hoʻopau i ka iwi pohupani hale, a me nā hanana o ke kahe ana ke koko, e haawi mai analgesic ka lapaʻauʻia, a i ka halihali ana i ka 'inikua wahi uku paha. Ka wā maʻamau gypsum fractures pele pili ina mau fracture a hoi mai la complications, i ke ahonui ua waiho i loko o ka haukapila no ka lapaʻau ma keʻoki kino. Kanaka i hoonoho painkillers a me expectorant ai ', analgesics, physiotherapy, gymnastics.

Inā 'oe i kekahi symptoms e paipai complications o ka fracture, ua ana i lawe mai ia X-kukuna, e ka puncture, ina he pono.

Iloko o na pule eono IeAUPIIe, IAa IO hoola alodio iwiʻaoʻao poino, ua hoʻohana 'ʻoki kino i loko o kaumaha loa hihia.

Penei, fracture kihi a ke alakai i ka complications, 60% o nā mea maʻi me ka fractures iki i na nā loko, a pleura, i ho i ka hoʻoweliweli 'ana i ke ola, 40% o nā mea maʻi i malamalama fractures i IeAUPIIe, IAa IO hoola i kekahi mahina a me ka mai e koi kuikawa lapaau. Ma kekahi mau hihia, o ka fracture hiki e ona, e like me ka mea i haki ka iwiʻaoʻao ke hanaʻino i ka nui nā loko. He nui no ka hoomanao ana mākou e ole waiho aku i ka ho'ēmi i ka fracture ma na kihi, e like me ka mea i hoʻopilikia maoli'aʻaʻa, ipu koko a me nā aʻalolo olona.