1. Medical pulasitala bandejikukonza kwa fractures

 

Medical pulasitala bandejikuwombera kwenikweni

Ndi ufa wabwino wa pulasitala wa Paris (anhydrous calcium sulfate) owazidwa pa bandeji yapadera ya sparse-hole yopyapyala.Amapangidwa kukhala bandeji ya pulasitala yachipatala, yoviikidwa m’madzi ofunda, ndi kukulunga m’chiwalo cha wodwalayo kuti asasunthe.Ikhoza kuumitsidwa ndikupangidwa mu mphindi 5 mpaka 10, ndikuwuma pang'onopang'ono komanso kulimba, zomwe zimatha kusokoneza mwendo womwe wakhudzidwa.M'zaka zaposachedwa, kugwiritsa ntchito mabandeji a utomoni kwa immobilization kwawonjezeka tsiku ndi tsiku.

 

Zizindikiro zachipatala pulasitala bandeji fixation (1) pambuyo debridement ndi suturing wa fractures lotseguka, pamaso chilonda amachiritsa (2) fractures mbali zina, amene zovuta kukonza ndi splints yaing'ono;(3) pambuyo kuchepetsa lotseguka ndi fixation mkati ena fractures, monga intramedullary misomali kapena mbale wononga fractures chikazi fractures, monga wothandiza fixation kunja;(4) kukonzanso malo a mafupa pambuyo pa kukonzanso kwachilema ndi kukonza pambuyo pa opaleshoni ya mafupa ndi mafupa, monga pambuyo pa kuphatikizika kwa dzanja;(5) suppurative Immobilization wa miyendo anakhudzidwa ndi nyamakazi ndi osteomyelitis.

 

Ubwino ndi kuipa kwa mankhwala pulasitala bandeji fixation (1) Ubwino: Ikhoza kupangidwa molingana ndi mawonekedwe a nthambi, ndipo zotsatira zake zimakhala zodalirika ndipo zimatha kusungidwa kwa nthawi yayitali.(2) Kuipa: inelastic, sangathe kusintha zomangika, osiyanasiyana chokhazikika ndi lalikulu, zambiri ayenera kupitirira chapamwamba ndi m'munsi olowa mbali yosweka, sangathe kuchita ntchito zolimbitsa thupi ntchito olowa, ndipo mosavuta kuchititsa kuuma pamodzi.

 

Zachipatala, odwala fracture nthawi zambiri matenda ena, monga shuga, amene amafuna unamwino ogwira ntchito kulabadira matenda a shuga ndi kuyesetsa kupewa matenda, chifukwa odwala matenda a shuga sachedwa matenda ndi osachiritsa mabala, ndi zakudya zawo Ndi bwino kuti funsani dokotala wodziwa za kadyedwe kake kuti akuthandizeni kuti wodwalayo achire mofulumira.

 

2. Zizindikiro za pulasitala wa fractures

  

Mafractures alipo m'moyo lero.Zitha kukhala pafupipafupi.Nthawi zambiri chifukwa chosasamalira chisamaliro chawo komanso chisamaliro chaumoyo.ngozi zina.Zimakhalanso zosavuta kuyambitsa fractures mwachibadwa, zomwe zimapereka moyo wathu wamba ntchito.adzakhala ndi chikoka.Chifukwa zimatenga masiku 100 kuti zipweteke minofu ndi mafupa, kotero zotsatirazi zidzakupatsani chidziwitso chatsatanetsatane.Ndi zothyoka ziti zomwe zimafunikira kuponya?

 

Pakusweka kwa mkono, nthawi zambiri kumatenga mwezi umodzi kuchotsa pulasitala.Kumayambiriro kwambiri kuchotsa pulasitala pakangotha ​​milungu iwiri yokha.Malo ophwanyika sanalumikizidwe bwino kwa nthawi yayitali, zomwe zingayambitse kusamuka, kuyambitsa kupunduka, ndi kusokoneza ntchito zamtsogolo.Ndibwino kuti mupite kuchipatala kuti mukaone ma X-ray kuti mutsimikizire Kodi malowa ndi abwino?Ngati pali vuto, liyenera kuthetsedwa munthawi yake.Ngati fracture tsopano ikugwirizana bwino, pitirizani kujambula.

 

Kuyabwa kwa mkono kumayamba chifukwa cha exfoliation ndi necrosis ya epidermis chifukwa cha kusayenda bwino kwa magazi komwe kumachitika chifukwa cha pulasitala.Palibe kanthu.pulasitala ikachotsedwa, imagwa mwachibadwa.Patatha mwezi umodzi kuchotsa pulasitala, m`pofunika kulimbikitsa zinchito ntchito kuti bwino achire.

 

Zizindikiro 1. Pambuyo kuchepetsa fractures khola.2. Kuphwanyidwa kwa msana.3. Pambuyo olowa dislocation kuchepetsa.4. Kutupa kwa mafupa, kung'ambika kwa ligament ndi kugwedezeka.5. Limbikitsani machiritso ndi kupewa kuwonongeka kwa matenda pambuyo pa opaleshoni, monga mitsempha ya anastomosis, kupatsirana kwa tendon, ligament suture, kuphatikizika kwa mafupa ndi kukonza, osteotomy, kupatsirana fupa, kupatsirana pamodzi, microsurgery, osteomyelitis, etc. zothyoka.7. Konzani zolakwika zobadwa nazo, monga kusokonezeka kwa chiuno, congenital clubfoot, etc. 8. Matenda a osteoarthritis, matenda a osteoarthritis, kuvulala kwa khomo lachiberekero, ndi zina zotero.Contraindications 1. Ambiri chikhalidwe ndi osauka, makamaka okalamba ndi insufficiency mtima ndi mapapo ntchito, mankhwala pulasitala mabandeji sayenera atakulungidwa pachifuwa ndi pamimba.2. Amayi apakati ndi zotupa zotupa sayenera kugwiritsa ntchito pulasitala pachifuwa ndi pamimba.3. Pakakhala zochitika zapadera zomwe zimalepheretsa kuwonetsetsa kwa matendawa.

Medical pulasitala bandeji immobilization wa fractures Chenjezo pambuyo pulasitala immobilization wa fractures

 

Ngati fracture ichitika, ndithudi, muyenera kulabadira kuchira kwake kwa gawo losweka.Kupatula apo, ngati simungathe kubwezeretsanso pamalo oyamba kwa nthawi yayitali, zidzakhudza kwambiri kukonzanso pambuyo pake, kotero aliyense ayenera kumvetsera.Kutenga njira zochiritsira zothandiza, zigawozi ziyeneranso kutetezedwa m'moyo watsiku ndi tsiku.

 

Zitatu, 6 zodzitchinjiriza zazikulu pambuyo fracture pulasitala immobilization

  

Six kusamala pambuyo fracture pulasitala immobilization.Akatswiri a mafupa adanena kuti mabandeji a pulasitala azachipatala nthawi zambiri amafunikira kukonza pambuyo pa opaleshoni yothyoka.Ubwino wa njirayi ndikuti ukhoza kupangidwa molingana ndi mawonekedwe a chiwombankhanga chomwe chimakhudzidwa ndipo zotsatira zake zimakhala zolimba komanso zodalirika.Zoyipa monga kuuma kwa mafupa.Choncho, tiyenera kumvetsera kwambiri, kupereka masewera athunthu ku ubwino wake ndikuthetsa kuipa kwake kuti tilimbikitse kuchira kwa fractures mwamsanga.Mfundo zotsatirazi ziyenera kutsatiridwa pambuyo poti bandeji ya pulasitala yathyoka:

 

1. Samalani kusunga malo okhazikika mpaka pulasitalayo itakhazikika.Munthawi yanthawi zonse, bandeji ya pulasitala yachipatala imatha kufikira mphamvu yake yayikulu itatha kukhazikika kwa maola 24.

 

2. Chisamaliro chiyenera kutengedwa kuti musaphwanye pulasitala posuntha ndi kunyamula wodwalayo.Ngati yathyoka, iyenera kukonzedwa ndi dokotala panthawi yake.

 

3. Pambuyo pamankhwala pulasitala bandejiatakhazikika, mwendo womwe wakhudzidwa uyenera kukwezedwa kuti upewe kutupa komwe kumachitika chifukwa cha kuchepa kwa magazi kwa minofu yapafupi.Pulasitalayo itakhazikika kwathunthu, ntchito yogwira ntchito ya mgwirizano wosakhazikika imatha kuchitika.

 

4. Yang'anani mozama kuzungulira kwa magazi, kumverera ndi kuyenda kwa kumapeto kwa mbali yomwe yakhudzidwa.Ngati pali ululu waukulu, dzanzi, kutentha kochepa kwa khungu lakumapeto kapena mtundu wakuda wa zala / zala zala, ndi zina zotero, zimasonyeza kuti pulasitalayo imakulungidwa mwamphamvu kwambiri ndipo zizindikiro zowonongeka zachitika.Chotsani pulasitala.

 

5. Pambuyo pa kutupa kwa chiwalo chokhudzidwa chokhazikika ndi bandeji ya pulasitiki yachipatala kutha, ngati pulasitalayo ili yotayirira kwambiri, pulasitala iyenera kusinthidwa panthawi yake kuti iwonetsetse kuti mafupa ndi kukonza bwino.

 

6. Pamene kutentha kozungulira kumakhala kochepa kwambiri, m'pofunika kulimbitsa kutentha kwa gawo lokhazikika la bandeji ya pulasitala yachipatala kuti muteteze kutupa kwa mapeto a distal a chiwalo chokhudzidwa chifukwa cha kuzizira.

 

Chachinayi, zoopsa za fractures ndi zotani?

  

Mwambiwu umati, zimatenga masiku zana kuti mupweteke minofu ndi mafupa anu.Zimakhulupirira kuti fractures ndizofala kwambiri pamoyo wathu watsiku ndi tsiku, sikuti zimangobweretsa ululu komanso zimabweretsa mavuto aakulu.Anthu ambiri angaganize kuti fractures zambiri zimayamba chifukwa cha kuchepa kwa calcium kapena mphamvu zakunja, koma kodi ndi choncho?Ndipotu, m'moyo watsiku ndi tsiku, mayendedwe ang'onoang'ono osadziwika angapwetekenso mafupa anu.

 

(l) Chibayo cha Hypostatic: Nthawi zambiri chimachitika kwa odwala omwe amakhala chigonere kwa nthawi yayitali chifukwa chothyoka, makamaka okalamba ndi ofooka komanso omwe amatsagana ndi matenda osatha.Izi nthawi zina zimatha kuyika moyo wa wodwalayo pachiswe.Woganiza ayenera kulimbikitsidwa kudzuka pabedi mwamsanga..

 

(2) Decubitus: Pambuyo pothyoka kwambiri, wodwalayo amakhala chigonere kwa nthaŵi yaitali, mafupa otuluka m’thupi amapanikizidwa, ndipo vuto la kufalikira kwa magazi m’deralo n’losavuta kupanga zilonda zapabedi.Malo odziwika bwino ndi mafupa amphamvu, osweka, ndi chidendene.

 

(3) Mitsempha yakuya ya mitsempha ya m'munsi: yofala kwambiri m'mitsempha ya m'chiuno kapena kuphulika kwa m'munsi, kusasunthika kwa nthawi yaitali kwa mitsempha ya m'munsi, kubwerera kwa magazi pang'onopang'ono, ndi hypercoagulability chifukwa chovulala, thrombosis ikhoza kuchitika.Kuchita masewera olimbitsa thupi kuyenera kulimbikitsidwa kuti zisachitike.

 

(4) Infection: Pamalo otseguka, makamaka omwe ali ndi kuwonongeka kwakukulu kapena kuwonongeka kwakukulu kwa minofu yofewa, matenda amatha kuchitika ngati kuwonongeka sikukwanira, minofu yotsalira ya necrotic kapena kuphimba bwino kwa minofu yofewa.Kusagwira bwino kungayambitse matenda osteomyelitis.

 

(5) Kuvulala kwa ossification: kumatchedwanso myositis ossificans.Chifukwa cha sprain sprain, dislocation kapena fracture pafupi ndi mgwirizano, periosteum imachotsedwa kuti ipange hematoma ya subperiosteal.Kusamalidwa kosayenera kumapangitsa kuti hematoma ichuluke, ipangike ndikuwonjezera kwambiri minofu yofewa yomwe ili pafupi ndi cholumikizira, zomwe zimapangitsa kuti mgwirizano ukhale wovuta kwambiri.Makamaka chofala mu chigongono olowa.

 

(6) Matenda a nyamakazi: Kuphulika kwa intra-articular, pamwamba pa articular ndi kuwonongeka, ndipo pamwamba pake sichikukonzedwanso molondola.Pambuyo pochiritsa fupa, malo a articular ndi osagwirizana.Kuvala kwanthawi yayitali kumatha kuyambitsa nyamakazi ya gawo lowonongeka, zomwe zimapangitsa kupweteka panthawi yolumikizana.

 

(7) Kuuma kwa ziwalo: Miyendo yomwe yakhudzidwayo yakhala yosasunthika kwa nthawi yayitali, kubwerera kwa venous ndi lymphatic sikosalala, ndipo pali fibrous exudation ya serous fluid ndi fibrin deposition mu minofu yozungulira mafupa.Ma fibrous adhesions amapezeka.Limodzi ndi kusintha olowa ndi contractures a zotumphukira minofu, kuchititsa olowa kusokonezeka.Ichi ndi vuto lofala kwambiri la fractures ndi kuvulala pamodzi.Kuchotsa panthawi yake kukonza ndi kuchita masewera olimbitsa thupi mwakhama ndi njira zothandiza zopewera ndi kuchiza kuuma kwamagulu.

 

(8) Acute bone atrophy: matenda osteoporosis pafupi ndi mafupa omwe amayamba chifukwa chovulala, omwe amadziwikanso kuti reflex sympathetic osteodystrophy.c Amachitika pambuyo pothyoka manja ndi mapazi, ndipo zizindikiro zake zimakhala zowawa ndi kusokonezeka kwa vasomotor.

 

(9) Avascular necrosis: Kuphulika kumachitika pamene magazi a gawo lina la fracture awonongeka, zomwe zimapangitsa kuti avascular necrosis ya gawo la fracture.Wamba avascular necrosis ya proximal fracture segment pambuyo pa mkono wa scaphoid fracture.

 

(10) Kupweteka kwa minofu ya Ischemic: Nthawi zambiri zimakhala zotsatira zosayenera za chithandizo cha compartment syndrome ndipo ndi chimodzi mwa zovuta kwambiri za fractures.Zitha kuchitika chifukwa cha fractures ndi kuvulala kwa minofu yofewa, ndipo nthawi zambiri zimayambitsidwa ndi kusamalidwa kosayenera kwa fracture, makamaka ngati kukonza kwakunja kumakhala kolimba kwambiri.Kuchitika kwa tsiku limodzi kumakhala kovuta kuchiza ndipo nthawi zambiri kumabweretsa kulumala kwakukulu.Zomwe zimapunduka ndi manja ndi zikhadabo.

 

KENJOY ndi wopanga mabandeji a pulasitala ku China.Ogulitsa mabandeji a pulasitala azachipatala,Otumiza kunja kwa mabandeji a pulasitala