Hauora, Diseases me ngā Here
Piere tuwhera, me ratou whakarōpū. āwhina Tuatahi mō te tuwhera piere
e kore e wheua i whati inihua e tetahi tangata kotahi, ahakoa o tau, ira tetahi atu āhuatanga motuhake ranei. I raro i te whati pā ana ki te kino katoa te kanohi ranei o wheua tapatahi. kia arahi tenei ki te hinga, he ohorere pupuhi kaha, te tangata-i hanga ranei āhua kino tūturu, motokā aituā.
momo o piere
E wehea piere ki:
- whakatuwhera;
- kati.
āhuatanga noa o tuwhera whati
Open piere - kino o wheua, kua haere tahi i pakaru o te tapatahi o te kiri, me te kiko ngohengohe whāriki, kei hea he te whatinga i kōrero ki te taiao o waho.
whakaaro He whatinga tuwhera te ki te tūkino i uaua, no te mea ake i taua injuries te mōrea o te mate o nga wahi wheua o nga otaota koiora.
Tohu o te whatinga tuwhera
He paku rerekē tohu tuwhera me whara kati, engari i roto i te take tuatahi, ko te tekau nga wa kaha te pakeke o ngā tohu. Na:
- rerekē hoki te nekeneke o te alangá i roto i te wahi i reira i reira he kahore tahi;
- palpation o te wahi i pangia i raro i te kiri Crackle paraparau;
- te aroaro o te motu, ko reira iti rawa, me te whānui;
- toto venous;
- Kei te taumaha tere huru o pārurenga;
- tohu kitea o te ngaukino, me te hemorrhagic ru.
Open whati: whakarōpū
Whakatuwheratia piere, i runga i te huarahi o te whanaketanga rānei kua wehea ki:
- tuatahi-tuwhera, i te kino hua ki te wheua, me te kopa ngohengohe;
- tuwhera tuarua ka pakaru te kiko kiri, me te ngohengohe pito o te wheua whatiwhatinga i.
Ko te pakeke o te whatinga me te ati ki te ora te tangata te hanga i te pūtake mō te whakarōpū atu. denoted te tātaritanga te reta whakapaipai Russian, e te tikanga:
- A - piere ki iti whara kiko ngohengohe, tona tonutanga kei te tino tiaki ranei paku waimaero.
- B - tūkino i te tohu toharite o mahara, ki te noho tuwhera tonu kiko ngohengohe i roto i te lesion wāhanga tino ranei pakaru.
- I roto i te - whati ki te kaha kino tina heke ki te kiko ngohengohe, i te mea mooni hoki te pupuri hauora tango.
kīnaki Classification Kaplan-Markova tātaritanga, tohu momo o patunga, te wahi A - wero patunga; B - maru, patunga horipi; B - kuru mongamonga.
tau Rōmana i roto i te tātaritanga tohu te rahi marutanga:
- Ahau - rahi iti o runga ki te 1.5 henimita.
- II - te rahi o te patunga rerekē i waenganui i 2-9 henimita.
- III - tukitukia e neke atu i te 10 henimita.
Rōpū IV ngā piere rawa whānui āhua taimaha. He he he oranga tonutanga mate o te e alangá, tahi e nui mate toto, me te ru. E mea pinepine, avae he alangá.
whakaritea localization o tuwhera piere e te ingoa o te wheua pakaru. E nehenehe te reira:
- pokohiwi;
- tuke;
- femoral;
- tibial me peroneal.
Tikanga o te mate wheua, me te momo o te kino ki runga ki x-ray whati wehea ki:
- hōtiu;
- ripeka;
- piere āraituki e puta i roto i te take o te tukinga waka;
- helical;
- Big / melkooskolchatye;
- rua (whati ngā o nga whatiwhatinga wheua, me kahore reira).
Tātarihia te
He ngāwari ki te tātari Open piere. Ki te tautuhi i kia palpated whati kino katoa. aru ana tēnei e mahi X-hihi, e taea ai e koe te whakatau i te roanga tangohia o te hara ki, te momo o te whati, te āhua o displacement, te nui o te wheua whatiwhatinga i. Open piere e alangá, piere o nga wheua roa , me te tuaiwi rapu i te iti rawa e rua whakaahua X-ray, whakaputaina i roto i te rua rererangi tahitia hāngai. I roto i ētahi wā, te aromatawai o te huru ngohengohe-kiko titau te MRI. Ki te whatinga tuwhera reira ko te tūpono o te kino karere, me te tapatahi iaia. Ki te tetahi, ranei i whakaaro, kia kōrero koe he roro me te taote iaia.
āwhina Tuatahi ki te whatinga tuwhera
āwhina Tuatahi mō whara o tenei ahua takoto i roto i te meka e:
1. Kāti te toto, hamani i te taha o te patunga rongoā horoi.
2. Hoatu te kakahu horomata tika ki te motu, me te pae whati.
3. Homai he rongoā rite Analgin, Pentalgin.
4. immobilize te alangá i te tūnga e i kitea ki te tūkino i.
5. te kawe i te pārurenga ki te tata teihana whawhati tata.
Āwhina ki piere tuwhera i roto i tetahi take e kore e ngā whakamātau ki te mai anō te whakaputaina i waho te wheua, te tango i nga waewae piko, tīaroaro o wheua pakaru. Ka taea e anake hanga kino te raruraru tenei.
kia tupu whati huha Outdoor rite ki te hua o te hinga pereoo ranei te tutukinga. Kei te maha haere tahi tenei i te neke o te otaota, ka meinga te pārurenga ki te āhua o te mamae ru.
Ko te mea tuatahi ki te mahi - ko te ki anesthetize. Na kia mohio ki te papa kiri te waewae. Ki te mahi i tenei, ka taea e koe te whakamahi i tetahi ahanoa roa: poari, putorino, rakau. mahi Splinting te haere te tinana katoa i te waewae ki runga ki te kēkē rawa. Otiia e kore e taea te maka reira ki te taha ki te wahi kitea nga wheua whati.
Open whati o te ringa - ko te momo tino noa o te whara tenei. Nuinga o ngā wā puta reira rite ki te hua o te pānga kaha ranei hinga. I tua atu ki te toto ringa kia haere tahi tuwhera whati i te kaha ngawhatanga o nga wahi, hira tahi. Ko te mōrea o tenei momo o te kino, ko te he uaua ki te mutu i te taea o nui mate toto i roto i te hui o te whaturama o te uaua rite toto. Emergency āwhina Tuatahi ko ki te tangohia he raka-pahi mō te immobility. A me immobilize reira i te iti rawa e rua hononga i roto i te rohe whati. Kei te tika tono te reira ki te kakahu. Muka tipare kikī ranei i runga i te wāhi pakaru ki te āwhina mutu mate toto.
koromatua whati kino kahore iti whānui, te whētuki tika hua rite te ahanoa taimaha hinga, pānga, kōpeketanga, e kopa ona waewae. āwhina Tuatahi mō whara o tenei ahua, ko te ohie. E nehenehe te reira tetahi tangata e he tata, te patunga ranei. Ko te mea matua i roto i tenei take - ki immobilize te waewae. kia nekehia atu hu i te wa ano. kia takai i te ringa pakaru ki tetahi ahanoa totoka ranei ki te maihao tata. kia koromatua whati:
- whakatuwhera;
- kati;
- whati ki te displacement;
- comminuted;
- whati rohe.
whiwhi whati ngā e whaki i te kaha maihao wheua, ārahi ki te takanga o te whara. kia kia haere tahi te reira e te hara o raru pātata, oko toto, uaua. Tahi e te kino i te mamae kino, pupuhi, pakaru e kore anake te maihao, engari te waewae katoa, toto i raro i te kiri, titi, takahi o e alangá mo mahi.
maimoatanga atu
I muri i te whakarato āwhina tuatahi kia falemahaki i roto i te tari o "Trauma". He maha ngā tūemi motuhake Moscow, mahi huri noa i te karaka, te wahi e whai i te āwhina e tika ana katoa te manawanui. Na roto i te whakarato rata tokoni tohunga whakatau ka mauruuru te pakeke o te kino hemodynamic, ki te pupuri i te tātaritanga tuatahi o te whati i ngā tirohanga, maimoatanga maru ia, te rapunga o tohu haumanu o te whara, he X-ray. Ka te manawanui e hanga procaine pā me werohanga ki timu, whakarite āpiha, paturopi whanui-hihinga ki te ārai i te mate.
Next, kua whakawhitia te manawanui ki te ruma whakahaere, te wahi horoia te patunga e o tinana ke, me te paru e takoto wehe whatiwhatinga wheua nekehia, kino pakaru, issekutsya kiko nonviable, ka kia tutakina te patunga, a tahuri ana ki te whati kati. Me kawea tino kai nga taha o te patunga i kahore mānukanuka, ki te kahore e taea tenei, ka puritia reira dermepenthesis.
Hipanga He nui maimoatanga hāparapara tuatahi no te mea neutralizes pai mo te whanaketanga o pathogenic microorganisms tipu me hanga tikanga pai mo te whakaora maru ia i te. Ano, ko te excision o te kikokiko "kounga rawakore" ko te tauwehe koiora pai, no te mea whawhai hauora kiko ora pai mate, me te whakaora.
He pai ki te ka te hanga i te tiaki hāparapara tuatahi i roto i te 8 haora tuatahi o te whara. Neke atu i te tenei wā, e kore e nga microorganisms whai wa ki te tomo hohonu ki te patunga ki te kopa, horahia puta noa i te tinana i roto i te toto, me te tīpona.
Ka taea e PECVD kia: Early puritia i roto i te 24 haora tuatahi i muri i whara; roa ki te 48 haora; muri. kia mahi i te take mō te whakaroa ru pāmamae, te pakaruhanga toto, e pā ana wawaotanga operative te ki kino ki whekau faufaa.
Ko te tikanga matua o te immobilization o wheua whatiwhatinga
Immobilize kino he tika i roto i tetahi take. Ki te rave i te reira, hoatu te taunaki, te whiriwhiri:
- he maka te raima;
- te pamu kōhiwi;
- tuatahi, i whakaroa ā-hanganga osteosynthesis whakarewa;
- pūrere warea waho mō te warea waho.
Ko te maka He pai hygroscopic, whakatika e tika ana te tikanga ki te arohaehae e kore e tūroro kino rapua e pūkenga hangarau ki te hoatu i te utanga āta o te pito whara. Heoi, immobilizes gypsum hononga pātata me taea kōpeke te alangá roto i te puranga.
te pamu kōhiwi taea ki mau i te e alangá, me te hanga dressings. Ki te whai koe i te whatinga tuwhera ki displacement, ko reira te toronga taea te whatiwhatinga reponirovat neke. Ko tenei tikanga o te immobilization titau moenga okiokinga, okioki kore he oti te e alangá e whakaratohia, e titau te reira aroturuki me te whakatikatikanga.
Osteosynthesis hanga ki matahao, helical, comminuted piere uaua ki te mau tonu, me te rua maha ranei.
Me pēhea te ki te whakaora tuwhera he whatinga
Wheua whati whakaora e wahi i roto i te maha o ngā wāhanga. Ka taea te huaina te atamira faaineineraa tuatahi. Here i reira ko te tākai waitinana me upoo- toto, clots toto i hanga nga pito o nga whatiwhatinga, a ka tomo serum tukua katinga te kiko ngohengohe.
I roto i te rua i te wā tīmata ki te hanga i tuatahi callus kiko tūhonohono. He he kakano pūrerehu, ahakoa te meka e kahore he mea i roto i te tai kotakota wheua ranei. e kore e tenei witi tukua nga wheua ki te neke noa i roto i te wahi pakaru. Hoki te roanga o tenei tukanga pea rerekē. He maha nui o kiko matia, te aroaro o te kiko ngohengohe i waenganui i te wheua mutu, mate, heke te kaha o ngā pūtau kakau ki te tini wheua kikokiko kia pōturi iho te tukanga.
haamata te toru o wāhanga āhua 2-3 wiki i muri i te whati. Kei te āhuatanga i te reira na roto i te ossification. callus pēpēhia kiko tūhonohono. Heoi, ki te kawe pikaunga pateko hihiri ranei e kore te mea ano i roto i te tūranga, reira, he hāngai tonu, he immobilization pono. I roto i tenei wā, i whakaarahia te taumata o te konupūmā i roto i te serum toto.
I roto i te wha o nga wā, te hanganga whakamutunga o te callus ki te wheua oti. He marama torutoru i muri i te whatinga o te wheua hou e taea te tu i te taimaha o te tinana. Callus Ko maha nui nui atu i nga wheua whati tūturu. Ko te whānui atu ko te kino o te wheua, me te kikokiko e karapoti ana, ka waiho i te whānui atu te rahi o te witi. I muri iho, e heke ai e te taatiraa o te kopa, me te resorption o wahi wheua tawhito. ka whakatere āhua kawenga mahi te hanganga o te callus.
āhuatanga hanganga roa o callus e te whati tuwhera. Treatment me te whakaora o te whētuki taea whai i te tukanga wā roa-, ki te:
- i te pae whati hua nui iti o clots toto na roto i te whakaongaonga i te hanganga o te callus wheua tuatahi;
- he tukanga inflammatory whakapeka, huringa kino e pa ana i te ahua o te callus i runga i te pūtake o te mate;
- te tukanga o te pakoko haere o wheua whatiwhatinga;
- i roto i te kiko tūhonohono i hanga fibrocartilage callus.
Ko te tere o te hanganga o te callus ko te nuinga ti'aturi i runga i te āhua o me, i te āwhina i te reira e te wāhi whati, tau o te manawanui, me te tahi atu āhuatanga.
Ki te tere ake te tukanga o te hanganga o te callus taea te whakamahi i antireticular Bogomolets serum cytotoxic, kai wheua, paura, eggshell, ūkuikui i te hinu ika.
nunu'a o piere
I roto i te tuwhera piere i te torutoru tuma. e kore e Time hoatu te tokoni tohu - i roto i te 6-8 haora tuatahi i muri i te wharanga - taea arahi ki hopearaa tina heke. I muri i tenei wa, ka taea e timata sepsis, he mate toto.
No te patia ki marutanga te whenua e taea te whakawhanake timu. I muri i te whakapā atu ki te pārurenga i roto i te traumatology issekutsya poke pae, engari i te wahi tawhiti nui o uaua tendons ranei, ki te whakaora i te ora o te tangata, i reira te mea he tūponotanga tiketike e ka kia monokia te manawanui.
Mai i te i mua te mutunga e taea te whakaora painga ki rawaka āwhina tuatahi, me te āwhina hauora tuatahi e whakaratohia ana e te traumatology. Moscow, he pa nui, tuku nga whakaurunga katoa ki te whakarato i te āwhina e tika ana.
He reira taea ki te inihua ki piere
Whati ko te whara aunoa, te inihua ki nei kēne tangata. Heoi, whakaatu tatauranga e taea te karohia etahi whara, ki te i te wheua, he hanganga atu mātotoru. O te akoranga, i injuries paturuhia i roto i te hui o te hinga i te teitei, aituā waka, whiu tutu e kore e whakaora i te reira, engari e kore e mutu ake whati katoa hinga podvertyvanie ranei waewae. Na te whakaaro matua o te ārai - ko ki te whakapakari i te wheua, me te ārai i osteoporosis.
Ko te mea tuatahi kia utu koutou whakarongo - he kai tenei. kai Pūmua, ngā ki te maha nui o te kawhe, me te inu rite, te whakaiti i te nui o te konupūmā i roto i te tinana. Utu mo te hē, me te ki te whakarato i absorption pai o te konupūmā ka tauturu i te kōkihi, beets, herewi, huawhenua matomato, nati, tea, koukou me ngā hua konutea kei roto.
whai te reira i tenei me te mehua ārai whati e whai ake nei - te whakaū i te taimaha hauora. Ka taea e osteoporosis kore whakawhanake anake i roto i te aroaro o te taimaha te taikaha, e faarahi te kawenga i runga i te wheua, engari e kore e thinness nui hei he tanga mo ia. He mea tika ki te mohio ka ki te mutu.
Āwhina ki te taimaha hauora e taea e te hākinakina. Na roto i te tākaro hākinakina e kore e auraa pūkete hou te ao ranei ahiahi me te po pau i roto i te omaoma. Ko te miramira mo te hawhe haora ranei te haora e toru nga wa i te wiki i raro i te kaha o tata katoa. Noatia, kia kia wehewehea whakaurunga whakangungu, tango ki pūkete te tau, āhua o te hauora, whai wāhitanga. Ki tenei e taea te āwhina te kaiako i roto i te omaoma tākuta ranei. Tupato ki mahi nui kia rua tangata me nga wahine.
Wheua kiato pēhia ngā me peu kino: inu, me te kai paipa. A ki te mea kia pupuri i te whakamahi tuatahi ki te pota iti, he mea e tika ana ki te hoatu ake e paowa rawa. I roto i te kaipaipa piere whakaora roa e kore anake, engari ano hoki te tūponotanga o te hononga hē. Ko mana o te waipiro i roto i te ofatiraa o te tukanga pūkoro tinana o te tinana. tūkino waipiro takahi ana te absorption o te konupūmā i te tinana, i impairs wheua te mātotoru o te mea.
nui hoki te hauora o to tatou tinana, me te huaora D, e te roto i te rahinga e hiahiatia ana kia whiwhi i te i roto i te ra i nga ra i te iti rawa mō te 15 meneti hoki. whakatairanga ana tēnei huaora te absorption o te konupūmā. whakamahi nui o pāinaina, o te akoranga, e kore te mea e tika ana ki te tangata, ina koa ki te iwi ki te kiri tairongo. Ko te painga o te ahumahi ataahua hou tuku he kōwhiringa o te whānui o ngā taputapu ki te tiaki i te kiri, e kore e tika kia mahue ngā.
Tino ruarua nohotahi piere o te iwi kaumātua. Ka taea e te whara whaiaro arahi ki ara hinga banal i roto i tona ake fare, te whare. Na reira, i roto i tenei take kia hoatu whakarongo mōrahi ki mehua ārai. Eaha te auraa? kia tango te reira i waea wewete iri ranei katoa i roto i te rohe witi. e takoto flat kaitutei me whariki, kaua e kotiti. Ki te kahore he he kaukau i roto i reira, me tāuta e koe puringa me ngā whāriki pepa-kore hoatu. kia Home hu whakamarie, ki te kapu mārō, a me kore hinga iho ki o koutou waewae i te wā e haere ana.
piere Open o wheua - he wharanga rawa kino ki te wā whakaora roa. Pakia te āwhina mua-hauora, me te hauora tuatahi ka whai wāhi ki te faaho'iraa mai o te alangá noa.
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