Fractures nke n'ikpere aka: ụdị, mgbaàmà, ọgwụgwọ, ghara ịgbanwe

N'ikpere aka na nkwonkwo bụ dị iche iche kama mgbagwoju Ọdịdị. The ọkọnọ òkè nke elu N'ịdị a kpụrụ okirikiri na ulna ọkpụkpụ na jikọọ na ákwà ubu. Inside isi n'ikpere aka bụ dịtụ obere. Site na ngosi ebe bụ isi na irighiri akwara ọbara arịa na-ahụ maka na agagharị nke dum N'ịdị. Ya mere, fractures nke n'ikpere aka na mgbakwunye na nke isi ike nke moto ọrụ na mmepe nke oké mgbu ndụ jupụtara na a dum uka nke nsogbu.

Gịnị ọgwụ na-eji na unan nke a plan? Olee otú na-emeso fractures nke n'ikpere aka? Gịnị ka a chọrọ maka ghara ịgbanwe? Anyị ga na-agbalị-aza ajụjụ ndị osụk.

Akpata mmerụ

N'ikpere aka na nkwonkwo bụ nnọọ ngwangwa mmebi, n'ihi na e bụghị a uko muscular etiti, nke bụ ike na-enye pụrụ ịdabere na nkwado na nchebe nye site na akụkụ nke elu N'ịdị. Karịsịa mgbe doro nchegbu na mpaghara a nke ụmụaka bụ ndị na-egosi oké ọrụ ma na-ejide a ọnọdụ ndụ jupụtara na ọdịdị unan.

Nweta ikiaka mgbaji ọkpụkpụ bụ omume dị ka a N'ihi nke na-ada, na n'ihi na nke ọkpụrụkpụ mmetụta ibu nyere mpaghara. The kasị mmebi nke ọkpụkpụ ebe a bụ esịtidem.

ụdị fractures

Igbunye na-esonụ iche iche nke ọkpụkpụ unan nke n'ikpere aka:

1. Mechiri emechi mgbaji ọkpụkpụ nke n'ikpere aka nkwonkwo e ji mmebi nke radial ọkpụkpụ, ya n'olu na isi. Ọtụtụ mgbe ọ na-adị ka a n'ihi nke oké ibu mgbe e mesiri ike na kpọmkwem N'ịdị.
2. Open fractures nke n'ikpere aka - na mgbakwunye na nke ọdịdị cracks na Ọdịdị nke ọkpụkpụ iberibe mebiri emebi adụ anụ ahụ. Na oké ikpe, na e nwere a-agbawa nke anụ, ghere ọnya na-guzobere, nke na-esonyere ukwuu ọbara na ọnwụ.
3. Mgbaji ọkpụkpụ nke coronoid usoro emee ya ruru ka ịrịba mmetụta ibu ọkpụkpụ. Dị otú ahụ unan bụ obere. N'ihi na mmebi nke a plan e ji mmetụta nke Ndahie na na eze nke aka.

Ọzọkwa secrete ikiaka mgbaji ọkpụkpụ na Ndahie na-enweghị. Mgbe mgbe na yiri unan na-ata ahụhụ a ọkpụkpụ.

mgbaàmà

Gosi na n'ikpere aka mgbaji ọkpụkpụ ike ndị na-esonụ atụmatụ:

1. Ọnụnọ nke a nkọ otu ebe mgbu nke na-enye ka nkwojiaka na n'aka.
2. Limited agagharị nke aka na ụkwụ ma ọ bụ ya mkpọnwụ.
3. Adịghị mma, ọhụrụ n'ihi na mmadụ agagharị ogwe aka n'ikpere aka nkwonkwo, ihe atụ, na mpụta direction.
4. The omume nke edema, hematoma guzobere cyanotic, subcutaneous bruises.
5. Akwara ozi mgbaàmà - nkụnwụ na mkpịsị aka na nkwojiaka, tingling aka.
6. Mmebi ọbara arịa, muscle, anụ (oghe fractures nke n'ikpere aka).

A n'aka ịrịba ama nke dị oké njọ mmebi n'ikpere aka na nkwonkwo bụ nnọọ ike mgbu na azụ akụkụ nke ya. Nke nta nke nta, n'ihu elu nke merụrụ ahụ ebe a kpụrụ edema na hematoma. Na ụdi ike ekwe aka furu efu. Mebiri emebi N'ịdị ekokwasị limply. Mgbe aka ije, e nwere muscle isi.

Mgbe mgbaji ọkpụkpụ nke ọkpụkpụ nọgidere ike dechapụ ndọtị n'aka. Otú ọ dị, azụ N'ịdị na ya adiana ke n'akụkụ eme ịrịba erughị ala.

mbụ enyemaka

mbụ enyemaka Ụzọ e si eme n'oge ya n'ikpere aka a họọrọ dabeere na kpọmkwem mmerụ ahụ na ya ntaramahụhụ. Ịbụ na dị ka ọ nwere ike, isi nchegbu ebe a bụ zuru ezu Immobilization nke a N'ịdị. Ọ na-atụ aro ka na-amalite na imposition nke taya. Na nke a, na ogwe-aka-kpudo na a nri n'akuku, wee na ntukwasi-obi ofu. Ọ bụrụ na ọ dị mkpa, kpochapụ egwu mgbu eji analgesics.

mgbanwe ọgwụgwọ

Na enweghị trauma-amalite na-emeghe ụdị mgbanwe ọgwụ. N'oge mbụ 6-7 ụbọchị mgbe mgbaji ọkpụkpụ na-emekarị emee volumetric ọzịza. Ruo mgbe ọ enweghị nchịkwa ediyarade, ịmanye longetnuyu ogwe aka nkedo. Zere nchegbu na merụrụ ahụ N'ịdị na oge elu 3 izu.

Dị ka ọkpụkpụ njikọ ogwe aka oge ẹkesiode plasta maka mmepe nke nkwonkwo. N'ime oge ahụ, ndị dị otú ahụ a bandeeji dochie isiike mwekota, nke nwere a usoro nke ukpụhọde njupụta nke mmegharị.

ịkpa ọgwụ

Open fractures nke n'ikpere aka, na nke e ji displacement nke rifọrọ, na-achọ ịwa ahụ. Ma ọ bụghị aka ekwe ike ike-weghachiri eweghachi.

Ịga nke ọma nke ịkpa ọgwụ na-adabere na izi ezi nke omume na trauma dọkịta na-awa ahụ, karịsịa abịa iberibe nke ọkpụkpụ, kwupụtara ha fixation na anatomically ziri ezi onodu. Gbaa mbọ hụ na ihe dị otú ahụ ime ihe bụ ike nke na Center nke Traumatology na orthopedics.

Na ot ọgwụgwụ owuwu mebiri emebi ulna ọgwụ iji na ọgwụ na ahụ ike anụ ahụ mkpi waya akaghị. Mgbe ụfọdụ, ọ na-achọ ndị ọzọ fixation nke ọkpụkpụ na a static ọnọdụ spokes.

Ọ bụrụ na ị nwere na-emeso esịtidem fractures nke n'ikpere aka na guzobere rifọrọ, ọgwụ dabeere na ọkpụkpụ grafting. N'ọnọdụ ndị dị otú siri mkpi nke anụ ahụ akaghị, dị ka nke a pụrụ iduga shortening nke articular ebupụta. Kama iji ojiji nke ike mkpakọ efere.

N'ọnọdụ ebe e nwere ihe ịrịba ama nke fragmentation nke ọkpụkpụ traumatology na orthopedics center nwere ike inye onye ọrịa nnọchi nke ahụ anụ ahụ kpọmkwem prosthesis. Mepụta implants mere nke plastic na metal. Ha echichi a rụrụ iji ọkpụkpụ ciment.

kwere omume nsogbu

Akụda n'ihi ikiaka fractures nwere ike izu ezu ma ọ bụ ele mmadụ anya n'ihu ọnwụ nke N'ịdị agagharị. A mkpa maka nke a amara ichebe erughị ala ma ọ bụ ihe mgbu nnukwu na njedebe nke a N'ezie nke ọgwụ. Zere ndị dị otú ahụ bụ ngosipụta nwere ike ịbụ, kpọmkwem na-esonụ na-atụ aro nke ịga dibịa.

Iji gbochie omume nke nsogbu na ụmụ, akpan akpan ọnwụ nke N'ịdị ọrụ, ọgwụgwọ a ga-eme n'okpuru torola eto. Mbụ, mebiri emebi ogwe aka ga-abụ na-ezu nnọọ ike n'oge dum nke ọgwụ. A na nwa na-ekwesịghị Ibu Ibu N'ịdị ịrụ mberede mmegharị. The mwere nke ndị dị otú ahụ ileghara pụrụ iduga re-mgbaji ọkpụkpụ.

ghara ịgbanwe

Omume iji na Iweghachi a ike arụmọrụ nke N'ezie, na-eburu:

• ịhịa aka n'ahụ;
• jimnazum;
• physiotherapy.

nkwonkwo mmepe na ọgwụgwọ anụ ahụ dị na mbụ ụbọchị mgbe gwara N'ịdị nkedo. Kwesịrị ịdị, na nke a ezere ekwe ogwe aka na n'ikpere aka. Isi mesiri ike na rụrụ na ngagharị nke mkpịsị aka na nkwojiaka. The aja na-atụ aro ka na-amalite a supine merụrụ ahụ N'ịdị n'azụ isi-ya, straining uru nke aka na ubu. Ndị a ngwọta na-eme ka mwepụ nke edema dị ka a n'ihi nke ebighị nke outflow nke Lymph si arọ.

Mgbe Iweghachi na nkwonkwo nwere ikike ime ka ekwe ya jiri nwayọọ nwayọọ na mmepe. N'ihi na nke a na-ewepu isi akụkụ nke na nkedo, na mgbe ahụ gburu tụrụ, unsharp N'ịdị mmegharị. Mgbe ghara ịgbanwe site physiotherapy machibidoro bịada na unbend ogwe aka kpamkpam, dị ka nke a nwere ike ime ka a abụọ mgbaji ọkpụkpụ.

Iji ịhịa aka n'ahụ malitere nanị mgbe kpamkpam nkedo. Na a na-emetụta uru ahụ nke ubu-ọkiké na azụ nwayọọ. Ịgachi arụmọrụ nke ndị a na usoro nwere ike mgbu, ike atrophied mọzụlụ, ụdọ gbatịa n'ikpeazụ ka n'ụzọ zuru ezu weghachi agagharị nke n'aka.

Ma ihe ndị ọgwụgwọ anụ ahụ, ha na-atụ aro ka alternated na physiotherapy. Ebe a na-amalite ụzọ nke UHF, magnetik ọgwụ, electrophoresis, ọgwụgwọ nke curative apịtị.

Ná mmechi

Dị ka a ọgwụgwụ ọ bụ uru arịba ama na aja mgbe orùrù si n'ụlọ ọgwụ dị mkpa iji dokwuo anya ọtụtụ ajụjụ. Ị kwesịrị ịlele na dọkịta gị otú kacha mma na-emepụta na ije nke n'ikpere aka mgbe i nwere ike mara ikpeazụ arọ, otú e si ezere nlọghachi ahụ na nsogbu na ike ga-atụ anya na n'ọdịnihu dị nso.