Fracture o forearm: hoʻopulapula a me ka lapaʻau

Forearm - hapa o ka lima, a me kahahānai, ulnar iwi. I mea, he hoomau o kona poohiwi. Ke pili ami - ke kuʻekuʻe aku. Ke forearm ua pili i ka palaki na pulima oʻu. ICD forearm fracture hoʻopā'āluaʻia kuhi S52. I keia ino, - 'inoʻino loa e noi ana kaʻenaʻena hoopii i ke kauka. Kekahi o na kuʻina nui o ke kōkua - immobilization me ka pepe forearm. Ua pono e hana koke, pololei, me worsening ka hoʻomanawanui ka kulana.

Fracture: 'ehaʻeha ka

Fracture ua hoonaukiuki ua poino iwi, kumu o ka mea i:

• pomaikai ole oe kulu;
• pololei a kui mai;
• lima-wringing.

Ka pilikia o ka forearm fracture luna, ina o ka hoʻomanawanui ua wehewehe aku e:

• mua ma mua o kaʻawelike;
• haahaa Muscle nuipa;
• iwi mai;
• haʻuki ha awina.

High pahiki o forearm fractures i loko o ka poe iʻalo me ka lawe wale a me ka ua i noho lawa no kou kino.

E like me kēia?

I ka wā o ka hāmama / Hoopaa iho la fracture o ka forearm hoʻomanawanui iki mai ohumu o:

• eha;
• haanou ana;
• deformation o ka hoʻohuli ai i nā wahi.

Ka hoomanawanui ka lima hiki ole ke oni i loko o ka maʻamau laulā.

Inā 'oe i kēia mau symptoms e koke ike i ke kauka. Ma ka loiloi mua ninaninau i ke akamai kaua i ka hoʻomanawanui anamanaʻo, hoiliili 'ikepili ma nā nā symptoms, a ma luna o ka mua hanana i hoʻonāukiuki aku i ka fracture o ka forearm. Nō hoʻi, ke kauka nana i ka pōʻino, ua make 'āpana i hana i ka pololeiʻike.

ua hooholo fracture

E diagnose ka mea i loko o / foxmike fractured forearm, kuhikuhi hana i ka m-Ray. Ua hoʻolako 'ike e pili ana i ke kipi' ole o ke kanaka kino, e hāʻawi mai i ka PAaIEN o ka iwi kulana. Ke Kauka ke ho onoho ana i ka pilikia wahi.

Kekahi pono a me ka pololei iaoia o loaaʻikepili - Me tomography. Ma hoao hoʻohana 'ana i ke kamepiula, a me ka ikaika X-Ray e leie aku oe, e kiʻi i ka pololei kiʻi o na nā palapū a me ka iwi ole, Muscle'aʻaʻa. Kiʻi i nā kiʻi o ka moku'āina o tendons, cartilage. Inā ka fracture o ka forearm luna, a laila, kiʻi ua lilo ka paʻa mau mea paahana o ke kauka ma ka malama ana i ka hoihoi hou ana o ka iwi.

E hana me ka pilikia hiki e

Hoikehonua, lapaau ke hoola i kekahi lahuikanaka i mokumokuia forearm, nae, pomaikai nui hilinaʻi nui ma luna o ka mea a ka ino i kahi e ua aia i loko o ke kino, e like me ka mea i pono. Nō kāu, kauka lawe mai hana pahuna ma:

• iwi hoʻi i loko o kona palapala ana, a ua pinepine pu ma ka anesthesia,ʻoki kino;
• malama ana o ka hoʻohuli ai i nā wahi paa, a iwi mai i ulu pu laua.

ka hoʻokō ki ina hana like

E fracture ka forearm splint ua pono, ka mea, ua noi ia me kekahi o nā kēia mau kiʻina hana:

• hoolei kau mamua eʻoki kino, e like me ka pono me ka hihia kahi invasive hana mea i pono;
• he mea hiki ke hooheheeia pń (kau i ka hana);
• nā kui nao (i invasively).

E emi i ka eha, e na injections o anesthetics. Ma hope oʻoki kino, i ka hoʻomanawanui mau kulana kupono tomography a m-Ray e kanaka hoʻoponopono i ka ho'ōla kaʻina. Ma ka hanana o ka unexpected pohupani hale o nā iwi ke koke diagnose ia, a lawe hana kūpono.

He aha e hiki mai ana?

A hiki i ka fracture o ka forearm mua kōkua i hoʻolako, i hana i ka hana, a me ka hoʻomanawanui hele aku la i ka hoololi, ia mea pono e hana kūikawā kino. Lākou mau papa kuhikuhiE hana - e hooikaika nāʻiʻo, a hoihoi aku i ke kino i ka manawa e neʻe. O ka papa kuhikuhi hana o ke ahonui a me na kumu - e hoʻi i ka waiwai, e hana i ka poohiwi, manamanalima. Nō kāu hoakaka physiotherapy a me ka papa aku i ka hookoikoi a me kekahi kaumaha wahie.

IeAUPIIe, IAa IO, he fracture o ka forearm iwi hoola ma kahi o 10 pule, i kekahi manawa - wikiwiki. Inā he ua he lehulehu a me ka fracture o ka forearm me ka pohupani hale, alaila, i ka lōʻihi like 'ole o ka lapaau a me ka hoʻopulapula hou. Ma kekahi luna 'hoopii,ʻaʻole e hiki ke hoʻokō i ka piha ke ola. Eia naʻe, ma kekahi hihia, no ka pomaikai o ka hanana ua pili kēia nānā 'ana i ka pono o ka hoʻomanawanui hahai i ka olelo ao a kauka. I Ina o ka 'aʻe' o ia i ka pahiki kiʻekiʻe o complications.

Pehea e pale aku?

O ka holo ana, ke hiki, e kōkua me ka pepe lima - mea he pono keia mau mea a me ka mea nui ke akamai, akā, e oi pono ana i ole ia i kekahi kulana e ike. Ka paipai me kāohi ana:

• pale pilikia wahi, i hiki i hiki i eha;
• mana i ka maʻiʻo o ka wikamina D, kalipuna i loko o kaʻai;
• hana maʻamau hoounauna Hoʻoikaika i ka i ka iwi;
• lńkou na nāʻiʻo;
• ma ka hana, ma ka haʻuki e hahai palekana rula.

Conservatively a invasively

Forearm fracture hiki ke hana a surgically paha i loko o ka makeʻe kulana ano. Ka lua o ka hōʻoia Ua hiki ina he mea ole pāʻewaʻewa a ina o ka hoʻomanawanui ka kūlana ka mea iʻoki kino hāpai nui ka pilikia no ke ola. Makeʻe kulana iaoia komo ai i ka lōʻihi noho i loko o ka nou ana la o e hiki i ka pololei ole kuʻi nukeliu. Ma na mea he nui nā mea maʻi, no laila, ka poe i hana fracture o ka lala kuleana pili i hoʻohuli ai i nā meaʻoi aku ma mua o mua o ka fracture. Nō hoʻi, ma laila i lolelua ka fractures, me ka i ia mea paakiki e loaʻa ai kūlike loa repositioning.

Hana traumatology ma na mea he nui e like me ka maikaiʻike i loko o ko mākou manawa lapaau koho. Aia i minimally invasive ano, e hana ma ka ulnar, kahahānai iwi. Ke kauka i loko o ka hanana paʻa reposition iwi koena ai, me he physiologically pololei, a laila, hoʻopunipuni i ke kulana o kūikawā manaʻo. Small infestation ua loaʻa i loko o ia no ka manipulation e uuku wale punctures, a ua uumi i ka neʻe 'ana ma ka m-Ray. Kahi I'aʻaʻa noho kōna, loaa i ka kŘpa a pōkole kōā o ka manawa, ma mua oe hiki ke hookuu mai i ka haukapila. Eia hou, i ka wa ia i hana, ua hoemiia ka pilikia o complications.

Fasteners a me ka hopena

No ka fractures o ka forearm hoʻohana i keʻano o ka pakalōlō. Kekahi o ka loa ka hoʻokō - intraosseous makia, nui ina poino diaphysis. I ka hoʻohana 'ana i kēia mau clamps hiki ke hoʻokō i nā hualoaʻa me ka palena haʻahaʻa Muscle ka pōʻino. I ka hana, i accompanies ka mea hoʻonoho o nā wili lauoho, na lau scars, akā, e mau loa uuku, kokoke eʻike makaʻole, a hiki no kauka.

Kekahi kaulanaʻano o clamps - papa, pili i na iwi ma nā kui nao. Nailing - he ano o ke "gula hae" o ka laau lapaau. Most papa Ke Ana Hoʻohālike o ka papa ae, e koho iwi hakina ma ka loa akau kulana, a hoopaa ia no ka lōʻihi me ka fracture mea ole srastetsya.

He mea nui kēia!

Ina he mea hiki ole ke pale ia i ka hana o ka hamama fractures. Ke kākoʻo a komo ai i ka hoʻohana 'ana o kūikawā manaʻo, hoʻopunipuni mawaho o ka forearm. Kēia i mea e hiki ai e stabilize i ke ahonui o ka ana, a laila, e hiki ke hoomau aku i ka hou hanana.

A hiki i kaʻeha e hoola i, i wehe 'ia o ka manaʻo a me ka paa me ka iwi o na papa a me ua mau laau la. Kēia hoʻokokoke minimizes ka pahiki o septic complications.

e ao

Hana i ka forearm āpana - i ka maʻalahi hana. Kēia wahi mea waiwai i loko o nā aʻalolo, ipu koko, ole no a hiki negatively pili i ka hoʻomanawanui ka kulana. Ma ka loaʻa 'ana o ka hou poino mea kiʻekiʻe pahiki o nā complications, a hiki alakai i irreversible lilo ana o Hawaii hope ole pā lonoaʻili. Loa paha i ka 'aʻe' ana o ka palaki hana. E pale complications, ka surgeon pono e loa akahele? Oaony a hoʻokō i ka 'uao.

ho'ōla weliweli

Diaphysis o ka makua hoola no ka lōʻihi manawa. Ma hope o eono pule, e ka X-Ray o ka poino wahi, e nānā i ke alo o ke callus. Ma hope o kekahi eha pule hoʻokō i nā ho'āʻo ma no ka nui o ka palekana. Ma maʻamau iwi pono hōʻike degere i 80% o ia ma mua o ka fracture ikaika. ʻO ka kūkuluʻana o ka'aʻaʻa a me ka piha hoola aku ana hoi i makahiki.

Like splice ka pōʻino, ua make 'āpana hiki ke wehe' ia i ka mea hao kahu. Kēia hanana mea ole OAXA, akā, i kekahi manawa i ka alo o ka mea hao hehee ai ke kumu discomfort paha i eha, a mea he PAaIEN no ka hoopau ana. Papa, ua wehe 'koʻokoʻo mai ke kanaka kino i loko o nā makahiki a me hope. OAXA koi - i ka X-kukuna e e ahuwale na hoailona o ka hoʻohuiʻana.

typical fracture

IeAUPIIe, IAa IO, he typical - he fracture a Smith Kolles. Ma keia hihia, pōʻino i ka iwi hakina i ole hoʻoneʻe. Ma hope o ka X-Ray ka ninaninau ana i na e hoomanawanui i hoʻokō i ka puna hoʻolei e immobilize i ka loli ana o hapa. Ke hoolei aku i ka hoʻomaka i nā manaʻo kōkua o ka manamana, i ka luna kŰlń ao a hiki i ka hapakolu o ka forearm. Immobilization o ka lima mau e pili ana i ka mahina. I ka wā o ka puna ua weheʻia, ka mea i koi 'ia physical Inc e möhala nāʻiʻo o ka na pulima oʻu. Ma maʻamau kūpono 'ana, ke kahua koi i kekahi i mau pule.

A noʻonoʻo fracture, huikau naeaeaa, traction pono repositioning, ka wā o nā iwi hiki aku ai i ka maʻamau, huki i ka iki i lima. Ka hanana pono anesthesia - kūloko, alakaʻi mele. Hope Kauka pulls ka palaki, kekahi hope pulls i ka lala ma ke ku pono ana i kuhikuhi, ka malama ana i ke kuʻekuʻe aku. Ua, no laila, huki iwi koena ai, e pili ana mamao ma waena o lākou, a me ke kauka hana lima i ma wahi a pau o ka apana, e hookuke aku ia lakou, e lawe i ka pololei kulana.

He aha e hiki mai ana?

I ka repositioning ua ana, e ka puna lole wili, ka malama ana i ka hoʻopilikia lima, e pale hou-pohupani hale. I ka wā o ka gypsum dries i, ke hoʻopilikia ua i nā hoemiia.

Inā 'oe hiki ole ana hoʻoneʻe'ōpala hoʻi a hōʻike i ka fracture ua pu ma ka helu nui loa i ke koena ai, ina hou-i waho paha offset ami meaʻino wale poino, alaila, e pono e urgently hana i ka hana. E lawe osteosynthesis hoʻohana o ka mea hiki ke hooheheeia clamps, a laila, hoʻokō i ka puna lole wili. IeAUPIIe, IAa IO i keia popoiwi wahi i loko o ka puna, e i e pana aku au i ka mahina, a me ka hapalua, a me ka hoʻopulapula i 2-4 pule.

Fracture: mea hoʻomaoe

Fracture hoʻonāukiukiʻana mai o ka hopena o ka loli iki ana oolea. Ka mea, hilinaʻi ma luna o ka wahi o ka poino, a me kona ka manaʻo pohihihi. Inā ka fracture, he mama, alaila, kela kanaka keia kanaka e hoola i koke, a aole i waiho aku i kekahi i nanaia ko läkou ',' aʻole i i complications. Akā, i ka pohupani hale o ke koena - mea he hōʻailona o ka mahuahua pilikia o nā pilikia. Inā diagnosed me ka hamama fracture me pohupani hale, ke kahua ua hoʻolaha like loa paʻakikī.

I hookuu malama i ka hahai ana i ka hopena o fractures:

• 'aʻe nā aʻalolo functioning;
• osteomyelitis;
• embolism;
• pathology splicing;
• kahe ana ke koko.

Ka hope complication mākaukau kaua paha ma ka hapanui pinepine triggered e pahee'aʻaʻa nā palapū. Na ka papa kuhikuhiE pilikia - o ia ia mea he loa kūloko ma, a visually lewa pahaʻike makaʻole i ka maka, ma ka rula. Ke kauka ë he mähele wale i ka iwi hakina i iki i na moku ke koko, pahee lole.

Kūloko kahe ana ke koko ua pinepine pu e paʻa fractures me ka pohupani hale. I ka hamama fractures vascular poino nui mai ikaika hoʻoneʻe koena ai, a mawaho kahe ana ke koko ikeia.

'Aʻe' ana o ka ua'emi ko ha awina

Kēia mea i kaʻilihune o ka fracture ka loa, he pono ole, a ua hoʻolaha me he 'ano kaumaha. Ua Ua triggered e ka mea e ma ka huli ana o ka iwi koena ai hihia hoʻi nā aʻalolo nui ilpko o nā hale a kahi kokoke i iwi. Pinepine nā aʻalolo poho ua paa, ina o ka hoʻoneʻe fracture hamama. Ma ia manawa, i ka wa a ka iwiʻiaʻeha, mechanically e honi ai a puni ka nui ilpko o na nā aʻalolo, i mea ke kumu e lilo lākou maʻamau hana.

'Aʻe' ana o ka ua'emi ko ha awina hoike lilo o ka waiʻona ma, me ka eha, a me ka wela. Eia hou, na manamana a me ka palaki holoʻokoʻa lilo lākou ka hoʻoneʻe, lālā numb, ami kuleana pili i wahi e.