Wharanga tuarā: whakarōpū, tohu, maimoatanga

Tuaiwi mahi he mahi nui: E tautoko ana te reira i te tinana i roto i te tūranga tika, me te ko te āhuatanga matua o te pūnaha musculoskeletal. Tetahi whara filosilivá me ua, ka taea e whai hopearaa nui mo te rauropi katoa. Various tīwae filosilivá pakaru riro neke atu i te 10% o wharanga hoki. He noa i roto i te iwi pakeke ahakoa o te ira tangata ratou. I te tahi taime puta raruraru hoki i roto i ngā tamariki, engari, ka rite ki te tikanga, he angamaheni mo te tuaiwi waha taua whara me Whakaröpütia rite whara whanau. Women i iti rawa iho e tika ana whakanui te whara filosilivá kua tata riro ki te tino nui haere te maha o nga wahine hapu nei i hoatu whanau i te wāhanga whakawhānau.

take

wharanga ua he puka tino nui o te rangirua o te pūnaha toitoi. E meinga e pikaunga rawa taimaha, me pānga ki runga i te reira i te whara filosilivá tino noa. pea he taka i te teitei, ruku hikaka ki te pauna hohonu tiango ia tangata, aituā me ētahi atu aituā ara-waka tenei. I te tahi taime e taea te whakaritea te momo o te whara i te āhua o te pānga tinana i runga i te tīwae tuaiwi. Hei tauira, i roto i ngā aituā motokā te wharanga tino noa o te tuaiwi te waha, he ake noa raro-rei ranei, me te mea i tuturu iho i te tiketike o piere sacral.

Raruraru ki te ua i te pūāhua rerekē. I roto i ngā pakeke, ka rite ki te tikanga, puta tika ana ki te pānga kaha waho i runga i ngā wāhi rerekē o te hoki whara tuaiwi. e pā ana-Age kino, pērā i wheua ngohe kākahu e taea te arahi ki te whāiti o te stenosis awa filosilivá me te whanaketanga. Nā tēnei, i roto i te pēhanga ki runga i te ua, me te raru filosilivá me, no reira, tauwhatinga o ratou taumahinga. maha puta wharanga tamaiti no te mea o te kaha rawa ranei ohorere totoro o te ua.

Ngā momo o wharanga filosilivá

Tohu o te whara filosilivá tei runga i tona momo me te āhua. Kua wehea momo katoa o pakaru taea ki karawarawa, te haehaenga o, piere, dislocations, me kōpeketanga. Ratou pā tika te ora me te maimoatanga tikanga, me te te pānga o te mate me te tere whakaora o te manawanui.

1. Whati o te tuaiwi waha ko te takahi o te tapatahi o te wheua, i te rerekē ki te raruraru, āhuatanga nei i te tīaroaro hē o te pekehoe me tona tuaka. Ka taea e ēnei wharanga arahi ki kino ki te ua. puta Kōpeketanga whati hoki o te kōpeketanga kaha o te tinana vertebral i roto i etahi wahi o te tuarā i roto i nei te wahi oho te whakamua, me te iho. A, no te ai e ngā tenei kōpae filosilivá me protrude ki te awa filosilivá. Ko te nuinga noa i roto i ngā aituā motokā takiri ohorere o te tinana atu ranei whara.
2. A, no te puta te raruraru whaturama nape kaha ranei totoro. Taua kino kia "maukati" te pekehoe runga ake ia atu i runga i tetahi taha e rua o te tīwae tuaiwi ranei. Raruraru ki te ua i te wa ano kia puta i runga i nape haea pehea pūkoro. Hei whakahoki i te taumahinga o te pūwaha, kia rapua e te manawanui pokanga.
3. puta Paraplegia tika ki ino o te tuaiwi o raro-rei i roto i whara.
4. puta hoki Quadriplegia tika ki te whara i ai nga paanga kino o kitea rei runga, me te pekehoe waha. Ēnei wharanga filosilivá arahi ki mate o te nekeneke i roto i wahi katoa.

Wharanga o te tuaiwi waha: Āhuatanga

Ko te tino te hema ki te kino me te wharanga te tuaiwi waha. Mō 20% o wharanga katoa o te tīwae filosilivá taka i runga i tenei pae, neke atu i te 35% o ratou mate. Tūkino ki te tuaiwi waha he tika ki te meka e i roto i te matenga pupuhi koi me te utumu o te tangata neke i roto i ngā tohutohu ritenga.

He tino nui, me te mōrearea whara tuaiwi waha. O ngā momo matau katoa o taua āhuatanga kino o tenei wahi o te tīwae filosilivá, whati o tuarā waha ko te tino noa, ranei "Whiplash" whara. Te reira i te tikanga puta i roto i nga taraiwa pāhihi ranei whai wāhi i roto i te ati purumu. I roto i braking ohorere o te waka i te aueueraa koi o te tūpuku tuku ki te iwi katoa i roto i te piha. āhuatanga te whētuki o te tuaiwi waha e mamae whakapeka ohorere, mahi nekeneke whāiti o te kaki, whanoke, mate o mahara.

injuries filosilivá i roto i te pouaka me te hope

Tino maha i raro ki ngā momo o whara tuarā rei, me te lumbar. Ko te tino noa ngā piere e puta i roto i te hinga ranei te aituā motokā. I tua atu, he hoki te ruhiruhia i mōrearea o te kino ki enei tari hoki o te tau o te osteoporosis. Ka taea te meinga kino ki te ua e tika ana ki nui whati vertebral.

A, no te pakaru te tuarā rei te, hokosia hoki he tangata te mamae i āhua ki kino, e kua hë i te kaupapa. Ki te pa te ua te, ka tāpiri ki te tohu o te kōpā, o mania, ngoikore, me te ngoikore ki te whakahaere i te mahi o te tōngāmimi, me te whēkau. Ko te wharanga te nuinga noa o te rei me te lumbar tuarā ko te whai ake:

1. takokitanga tahi hononga vertebral Intervertebral. Puta reira ka te displacement takoha o te pekehoe whakamua muri ranei. Whakapakari o piki mamae ki te kaupapa whakamua muri ranei o te tuaiwi.
2. Uaua whaturama Ko te mate hoki noa mō hākinakina maha, ka te pūnaha uaua me te tuaiwi e taea kino ia ki nekehanga koi. Photos o wharanga paturuhia e te pūkarapa, taea tatou ki te whakatau i te tohu o to ratou pakeke. Signs o te mate ngā mamae kino ka piko, ka piko te tinana hoki, me te puta hurihanga.
3. Dislocations costovertebral hononga puta ranei hua i te kaupapa takoha i roto i te pekehoe rei, rite ki te putanga o te rumati inflammatory ranei. I roto i tenei take, e faarahi te mamae ina maremare, te tihe, manawa rei hohonu.
4. He tino noa i roto i hākinakina whakapā, he hinga aituā ranei piere. Pain tonu hoki rawa he wa roa, me te puta noa ki te tahuri iti o te tinana.
5. Scoliosis, curvature o te tuaiwi ranei, he hoki he wharanga nui. e kore e Tohu whai tonu te wahi ki te kia, a maha e ngohengohe ki te huri i runga i ia take rānei.

whara tuaiwi whānui

raruraru Hoki i roto i ngā tamariki te tino maha āhuatanga rite whara whanau o te tuaiwi waha. Ko tētahi o nga kohakore he tuaiwi ritua kōhungahunga, i roto i nei e kore e te pekehoe hipokina tino te raru raw. E mea pinepine, puta he koha taua i roto i te rohe lumbosacral, engari i reira he okotahi. Tūkino ki te tuaiwi waha i roto i whanau puta i roto i te 40% o te wā, me te te maha haere tahi e te wharanga roro whānui. Ko te take hoki tenei āhuatanga e whai ake nei:

• rerekētanga i waenganui i te rahi o te matenga fetal me papatoiake o te whaea;
• malpresentation ki te kōhao uterine;
• hua nui (taimaha neke atu i 4500 g);
• preterm hapūtanga;
• oligohydramnios (oligohydramnios) me ētahi atu tikanga congenital.

Ahakoa te kaumatua o te kino, whanau ritua tuaiwi i roto i ngā tamariki, te tikanga kua he waitohunga pai i roto i tona localization i roto i te rohe lumbosacral. I roto i te wā o te tipu kaha o te tamaiti e kore e faaruru tetahi hūhi i roto i te hoki, engari kia mataara mātua tona kai, me te taimaha. ka meinga Taumaha taonga pēhanga i runga i te nedoformirovannye pekehoe e exacerbate te mate. I roto i te take o te whara o te tuaiwi te waha i reira e he maha o nga matenga. maha i ēnei tamariki raruraru ki te mahi mātauranga, mamae i disorders mahara, he uaua ki te arotahi ki runga i te tumu parau. I te tahi taime e taea tuaiwi meinga pāpāngia, ngoikore o nga waewae, nekehanga rerekē kanohi, raruraru orthopedic, a na i runga i.

whara ua

toro tahi taime whara whētuki filosilivá ki te ua. Ka taea te meinga tenei i āhuatanga o waho pērā i te contusion kaha, kōpeketanga whati o te tuaiwi waha ranei, ahakoa kia puta te kino i roto i tetahi wahi o te tīwae vertebral.

whara ua, te nuinga o tohua e te tohu e whai ake nei:

• te kōpā mania o nga topito ranei;
• mamae me te tightness i roto i te rohe o te whara tuaiwi;
• tohu o te ru;
• ngoikore ki te neke i te wahi;
• mate o te mana ki runga i urination;
• mate o te mahara;
• tūnga anuanu o te matenga.

He maha ngā raruraru filosilivá te hua o aituā i möhio tutu ranei. whara take e te nuinga o:

• hinga;
• ruku i roto i te wai pāpaku (i takea mai i te patu i te raro);
• whētuki i muri i aituā motokā;
• taka i te teitei;
• Head whara i roto i te hui häkinakina;
• wharanga o te nāianei hiko.

āwhina Tuatahi mō whara filosilivá

Ngā mutunga iho o wharanga filosilivá taea e tino nui, na ko reira tino nui ki te taea ki te whakarato āwhina tuatahi ki te pārurenga tere, me te tika. Tetahi kino ki te tīwae vertebral e whakaaro matatini, mōrearea, me te rapu utu hohipera tonu. āwhina Tuatahi mō te whara filosilivá tei runga i te āhua me te whānuitanga o te kino i meinga e tona roa nui, te whīwhiwhi o te hanganga me te hiranga mahi. Ko te mau hopearaa mo te tinana i muri i te pānga whakapeka o whētuki e tika ti'aturi i runga i te āhua o te pai ka whakahaere i te tangata, te whakarato āwhina tuatahi i roto i te āhuatanga uaua.

ngā mahi āwhina pāngia i muri i whara tuaiwi ngā:

• karanga tonu te waka tūroro;
• whakarato i te mata papatahi totoka pāngia;
• whakarite oti immobility o te patunga, tae noa ki te whakaaro ia e taea e ia te neke takitahi;
• whakaratohia respiration tāwhaiwhai tona ngaro. e kore te tenei ki te maka hoki te upoko o tona patunga, a he pai ki te tamata ki pana whakamua tona kauae raro.

tātaringa

A, no te tino rerenga o te pārurenga ki te hōhipera, ka titiro mau taote ia, ka mau i te whakamātautau neurological tonu ki te whakatau i te āhua me te wāhi o te whara. Ko te tikanga tino rongonui o te tātaritanga ngā x-hihi o te tuaiwi.

Ki te pakaru tuarā, X-ray whakamātautau o te whakaahua whakaatu te pae whara, me te āwhina whakatau i tona huru. Ki te tika, ki te rangahau ake whānui, me te kitea he whara ua te whakamahi i te kōwarotanga autō, me te CT scan, me te raupapa o ngā whakamātautau ki te whakatau i te auau te tuku o tohu karere i roto i te roro.

Maimoatanga o te whara filosilivá

Kia aroha mai, i reira he kore ara ki te whakataka i te kino ki te ua. Heoi, i reira he tīkina ahu whakamua e whakatairanga te mahi whakaora i o ngā pūtau io, te whakapai ake me te whakahoki karere mahi rauropi.

Ki te puta he whara filosilivá, hāngai ana maimoatanga i runga i te ārai ahunga atu o te mate, me te whakawhānui i te taea o te patunga. Kei te tukua te reira ki te ICU, te wahi e kia whakaekea he manawanui taero, tafa maimoatanga whakamātau ranei e vahe maimoatanga tinana. Ngā rongoā e whakamahia ana mo te maimoatanga o momo tāhapa o te whara filosilivá me te tuaiwi. Hei ū te tuaiwi me ki kawe ai ki te tūranga tika e hiahia ana koe he attraction motuhake. I roto i ētahi wā, te manawanui he kaki pūmau ki te kara pakeke. Ka taea hoki te moenga Motuhake whai wāhi ki te tinana o te immobilization.

I roto i te wā o nui whara filosilivá kia rapua e pokanga ki te tango whatiwhatinga o wheua pakaru me ētahi atu taonga ke. I tua atu, e hiahiatia ana te tiaki hāparapara te ka ki te kōpae herniated te kaha ranei kōpeke te pekehoe takitahi. He nui hoki te stabilization o te tuaka vertebral i roto i te tikanga ki te ārai i te mamae me te deformities ēnei mahi.

Ko te whāinga o te therapy tinana mō ngā tūroro ki whara ua, me te ua, ko te ki te arotau i te kounga o te ora na roto i te whakanui ake i kaha tinana. hōtaka i tua o ngā mahi hangaia ki te whakawhānui i te kaha o ia manawanui i roto i te tikanga ki te whakatutuki i te taumata tino pai o mahi o te tuaiwi. Kei roto te reira i te mau parau tumu e whai ake nei:

1. Aromātai o maumaui matua me o ratou pakeke.
2. Tepenga o nga mahi pāngia.
3. Ko te whanaketanga o ngā mahi whaiaroaro, me te mana i runga i nga ngā tukanga mahia.

Ko te whai hua tino i roto i te whakahaere o disorders e pā ana ki hauā tinana, nekeneke, me te mate rongo raweketia i tua.

A, no te he eu huru o te pārurenga, ka hiahia ia he akoranga o whakanohonoho, te whāinga o te mea ki te tiaki me te whakakaha i te mahi uaua ngā, pai pūkenga nekeneke me te whakangungu pūkenga nekeneke. Ka taea e mehua Rehabilitation ārai pōauautanga taea i muri i ngaukino, me te whakapai ake i te kounga o te ora.

ārai

Kia aroha mai, He ohorere whara filosilivá me ua, engari te tangata e taea ki te ārai i te kino, ki te puritia e mehua haumaru ohie.

1. kakahu wā katoa he whitiki nohoanga, ina eke i roto i te motokā.
2. I roto i hākinakina kakahu taputapu tiaki e tika ana.
3. Kaua e ruku i roto i ngā wāhanga ki te raro i matau ruarua.
4. Whai wāhi i roto i te whakapakari i te pūnaha uaua ki te whakarite tautoko tika tuaiwi.
5. Kaua e inu waipiro ia peia.