I ka lalo iwia ... Pehea e hoʻomaopopo a hana dislocated ia ia?

I ka wehe oe i kou waha, i ka lalo iwi ā ninoaaeyao i ka oihana i loko a kona ke kūʻai '-pā hōkū a me ka poo neʻe maila i kaʻaoʻao hoʻi o ka articular hene. Kēiaʻano papa hana hoʻomaʻa i ke kiekie o ka articular tubercle, ligaments a me nāʻiʻo a puni i kēia mau ami. Akā, he mea hihia ma i ka lalo iwi ā biomechanics Nyos ma dislocations, 'o ia hoʻi, ke poʻoʻaoʻao ma kaʻaoʻao o ka ramp mua.

Dislocations mea a unilateral, aʻeluaʻaoʻao. Ka mea, e ala mai ka wā o ka waha wehe ākea e yawn, akaaka, Haiʻina mai i ka nui apana o ka ai, a me kekahi manawa me ka hopena o ka loa me ka puʻu, ka luaʻi, a me ka lāʻau a hiki i ka iwi ā. I kekahi manawa dislocations ua loaʻa iloko kahua niho lapaʻau ma ka dentist, e like me ka wā o ka hoʻohana 'ana o ka gag ma gastric intubation.

A hiki i ka lalo iwi ā mea heʻeluaʻaoʻao dislocation, he kanaka i loko o ia ka luna 'ana i ole e wehewehe hiki i ka pā o ka pilikia, no ka mea, he pa, e pani i ka waha. Wale lima kolohe 'ana, ua hōʻike i hanaʻeha kokoke i ka pepeiao, a me he mea he ikaika pono o kou tuha mai kona waha. Kona chin i ka ia manawa höʻike ana, no laila, me ka hoʻonohonohoʻia o ka wāwahi malalo o ka maka. Inā he wahi puʻe ma ka chin, e hiki ke haha aku i nā kumu wai luna, a me ka iwi ā lalo, aole ia e haawi lilo ole ia a hiki i keia. Radiographs a osteotomy o ka mandible hōʻike i olelo lua mea kaawale, a ua 'oni iki i ke poʻo a hiki i kaʻaoʻao o ka ramp mua.

A kona wahi okoa kiʻi nana unilateral dislocation. Chin höʻike ole wale aku, akā, i loko o ke ala e hiki aku ai i i ka ami ua i wela. Niho ka mea,ʻaʻole paʻa wale ma ka dislocation, a me ka awelika kanaka, e lilo i ka laina o ke symmetry. Dislocation o ka hui a hiki i kaʻaoʻao hope o ka ramp ia lŘlŘ ma ka hopena ma luna o ka chin. Ma keia hihia hiki e malama, a kahe ana ke koko mai ka pepeiao.

Ma ka iapaau ana o ka dislocation o ka noi 'ana i kūpono a Hippocrates. Kahuna lapaau noho hoomanawanui ai i ka dislocation māhele 'āina i ua kūponoʻia a me kona kuʻekuʻe aku ami. A laila,ʻo ia nā pūʻulu i kona mau manamana i kahiko no nui niho, a me ka mea 'ē aʻe manamana paʻa i ka holoʻokoʻa lalo iwi ā, a produces noi, i ke ku pono o ka a ua hanaʻia e like me ka hopena o ka dislocation. Ie emi iwi kānaka i lalo, a laila, lālau i kona kua, a kānaka e hoala, hoonoho iho la ma ka wahi o ka glenoid lua. Eia naʻe, i kona mau manamana ke holo ikaika aku nei ia ma ka pāpālina, Hohola i ka kamaiʻilio nāʻiʻo.

I ka mea i hana e ole e ulia neʻe, no laila, i ole e i ka eha. I ka pau ana o ke kaʻina hana pono e iki hookiekie i ka chin, a kau i ka lole wili no elima mau lā, e haawi ana i ka hoike ole e oaka ana i na waha no he umi lā. A no ka hōʻoia 'ana i ke kūpono o ka hana ana o ke kauka i ua maikaʻi, i ka hoʻomanawanui ua paipaiʻia e komo i ka ekolu i elima milligrams o novocaine elua-pakeneka ana i loko o ka poo'ēheu-iwi Muscle i loko o ka waha.

Pinepine i ka lalo iwi ā ho'ēmi i ke akahai puʻe ma luna o ka mea mua loa iki i lalo, a laila, hoʻi e kōkua Paipai i ka hōʻoniʻoni ke ami i ka wahi. Ma waho aʻeo no nā hakakā o Hippocrates, loaʻa nō kekahi mau kālā no, pono-kukuluia ki ina hana like o ka lapaau dislocation.