Pana iwi: symptoms a me ka lapaau.

Ka luna, a malalo ā i kekahi hapa o ka iwi lehalehu, a hana i ka walaʻauʻana hana o hoʻopunipuni niho. Ka hui ua hua mai ma waena o nā ā Via ligament-muscular kahua. Lākou nā palapū, ua pinepine, a me ka hapanui o nā mea a pau - me ka lalo iwi ā.

Pana iwi - mea heʻilihune o ka pololei a kui mai i ka maka, alanui he ulia pakalaki, haʻuki nā palapū. Ua pohō i ka iwi ā ma kona ano hoopono 'aʻe.

Inā 'oe i kekahi lahuikanaka i mokumokuia ā, na symptoms laila ia mea loa like, a oko ma luna o ka ino a me kona oolea. Kuhikuhi, nānaina lehalehu t hoʻonohonohoʻia ikea hoʻoneʻe koena ai loli aʻe nahu. Pakahi aku la ia pilikia complications i manaoia naehana hanu ole, kahe ana ke koko, eha kŰia. 'Eleu radiograph hiki pololei ho oholo i ka wahi a me ka ano o ka fracture.

No ka fractures o ka mea a luna ua hoʻoneʻe koena ai ā e kō ana. Ka mea, i hiki ole, e pani i kona waha, pani koʻu mau niho. Aia He He lilo no ka waiʻona ma loko o kaʻili o nā pāpālina, kīhaeʻia, haanou ana o na lihilihi. Unconsciousness - mua hoailona o ka concussion.

Inā uhaʻi iwi uhaʻiʻia i loko o ka haʻahaʻa, he mea asymmetry o ka maka, chin neʻe aku i, ka iwi hakina i lawe lima, waha hamama mea paʻakikī, paakiki, e mama a me ke ale wale iho. Ma ka hihia o loa kaʻeha e hana ana i ka moku'āina o kŰia. Hiki pepehi kulana home 'ole no ka panina o ka puka e komo ai a hiki i ka larynx hakina. Ma keia hihia, koke e hoʻomōhala ana i asphyxia, i pau, i loko o ka hapanui hoopii, ona. Ka 'ole o ka lalo iwi ā i kona mau ano, no laila, trauma kānāwai mau fractures - kaulua, Triple. I loa hoopii, i ka lalo iwi ā hiki i mahuka mai ka luna aʻe o ka lehalehu t iwi. I kekahi manawa, he mea kekahi i loko o ka pahee nā'aʻaʻa o ka maka a me ka mea i ka wā hoʻokahi hanana o ke kahe ana ke koko.

A i kona iwi ā ua hana okoa no o ka iwi ā fracture iapaau Ua pili kēia e kaukaʻi ma ka hoʻolako 'ana i mua kōkua i ka nāna.

First kōkua i loko o ka hihia o ka luna a lalo, iwi ā nā palapū envisages ana nona ma ka lawe ana mai i ka iki i wahi i loko o ka noho malie, ae hookaawale i ka hoʻomanawanui mai i ka moku'āina o ka hawewe, kahe ana ke koko holo ana. No ka fractures o ke a luna, ka mea ma lalo o ka i kā mākou, pono e hele i ka luna, a laweia aku la oia e kekahi ke haka pono maila, i loaʻa hoʻi ma ka lima. Ma ka hihia o mandibular fractures i i ka ia manipulation: ka poino wahi o ka lehalehu t iwi ua paa ma ke kumu o ka maa. Ma ka hihia o sticking o ka 'ōlelo, ka mea, he pono ke akahele huki mai i ka kihi, a laila, huli i ka hoʻomanawanui maka iho, malia paha o ikea e strangulation. Ma ka hihia o ka poino, hospitalization o ka luahi hua mai la ia ma ka noho kūlana. he kūikawā kōkua haukapila mea i pono ana no ka mea o ka maʻamau reposition iwi koena ai.

A i kona iwi ā ua ua malamaia lakou nei, i loko o ka haukapila. e like iwi koena ai, a paa ma ka uea o ka niho papale hainaka e lako pono immobilization. Nō hoʻi, e hana ea a uea kaula makalii, fixation o ka mea hiki ke hooheheeia mau laau la. Inā pono, i kaʻeha sutured ma lehulehu mā i superimposed laminar uea stitches. Hoʻopunipuni poino wahi noho a ka mea i spliced.

Ma ka hihia o ka pono hoʻopololei o ka iwi koena ai, i ka wa e kaawale aku o ka li nui fracture e hoola i ka hola 1-2 mahina. Papale hainaka i wehe 'ia ma hope o ka ho okumu i ka ino paena anuanu callus. Ma ka hoʻopulapula hope loa a me ka hoʻopakeleʻana i nā mana a pau e pono ai a hiki hou manawa. Mana hoʻomalu ma luna o ka papa o ka mea e olaʻi ua hana ma papa'āweʻaweʻa kemika X-Ray ninaninau.