Ma hope o ka hoʻopaʻaʻana, ua hoʻopauʻia ka iwi a me nā'āpana a me nā piliʻana i nā haʻawina'ē aʻe a me nāʻano likeʻole e like me keʻano o ka hōʻeha. Ma mua o ka mālamaʻana i nā hana āpau, pono ia e hoʻoholo i ka nui o ka hōʻeha.
Nā hōʻeha palupalu palupalu
I.Classification
Nā mea paʻa
Hoʻokomoʻia nā mea hōʻeha palupalu i nāʻehaʻeha i kaʻoluʻolu, e hoʻohana pinepine ana i keʻano o ka tsccher. 1)
ʻO ka hōʻeha o ka Pōʻalima:ʻO ka hōʻehaʻeha palupalu liʻiliʻi
ʻO ka hōʻehaʻana o ke kula
ʻO kaʻehaʻeha
ʻO ka hōʻeha nui:ʻO ka hōʻehaʻehaʻeha palupalu me ka hōʻeha nuiʻana o ka haʻaleleʻana, e wāwahi, a me ka hōʻeha paha
Kiʻiʻia
Wehe i ka fracture
No ka mea,ʻo ka hoʻopiliʻana i ka honua e pili ana i ka honua o waho
Kiʻi2: Gustiloclassifition
Pākuʻi I:ʻO ka lōʻihi o nā hōʻehaʻeha <1 cm, nā pōʻino liʻiliʻi,ʻaʻohe mea hōʻeha maikaʻiʻole
Kāleka III: Hoʻopiliʻia nā'āpanaʻokoʻa, ka musoa, hana, me nā trauma ka nui o nā pua a me nā hōʻeha kūikawā
Type IIIA: E wehe i ka Contamaninare a me / a iʻole ka heleʻana o ka palupalu hohonu hohonu, nā'āpana palupalu o ka iwi i kūpono
Pākuʻi Iib: Me nā hanaʻino palupalu palupalu, a iʻole a iʻole nā ulia a iʻole nā metant metastases i ka wā e hoʻokō ai
Pākuʻi iic: E wehe i nā mea hoʻowalewale me nā mea hana vascular e koi ana i ka hanaʻana i ka hana o ka hanaʻana i ka manawa.
Pāʻani Ka Ito.Jun Manage
Pono ka hānaiʻana i ka oxygentation, ka hanaʻana o nā mea hana cellular Heʻehā mau pae nui o ka ho'ōla: coagulation (mau minuke); ka phsemmatory pohō (mau hola); ʻO ka helu Tissue Tissue Stage (heluʻia nā lā); Scar Tissue Formation Form (mau pule).
Ke kū nei o ka mālamaʻana
Aʻole phase:ʻO ka hōʻehaʻeha, kaʻai, hana houʻana o ka iwi, a me ka hoʻihoʻiʻana o ka neʻe
(1) E nānā i ka nui o nā hōʻeha palupalu a me ka hōʻeha Neurovascular
)
(3) Ua laweʻia ka Drabdement Dradement i kēlā me kēia 24 ~ 48 mau hola e wehe i nā kino'ē aʻe a iʻole ka hoʻopauʻiaʻana o ka pākeke.
(5) Ua hoʻihoʻiʻia ka hopena manuahiʻole i kaʻeha; Laweʻia ka cortex liʻiliʻi e nānā i ka nānāʻana a hoʻomaʻemaʻe i ka lua o ka iwi
RecestCoCtACT:ka hanaʻana me ka sequelae o ka trauma (lohi i ka hui pūʻana, nonunion, deformity, maʻi)
Contheanscence:ʻO ka noʻonoʻo noʻonoʻo, ka pilikino, a me ka hanaʻana o ka mea maʻi o ka mea maʻi
ʻAno o ka pani kūpono a me ka uhiʻana
Hiki i nā mea ola kino
(2) pani pani
(3) pani paʻa
(4) ka hoʻololiʻana o ka unium
(5) Flact Glap Flap (kokoke i ka flap digital
(6) Vascular Pediclar Flap (Gastrocnemius Flap)
(7) flap flap (fig. 3)
Kiʻi3: Ua hāʻawi pinepineʻia nā hiʻohiʻona hapa o nā transplants manuahi
Hanaʻino
ʻAʻole wau e hoʻololi i ka laina laina
ʻO ka transverse: Hoʻopili i keʻano o kahi hana transriced o kahi mea i hanaʻia e ka'ā'ī
'Obliquely: Model mode of kahi ikaika ma muli o kahi flingonal
Spiral: ka hanaʻana o ka pānaʻi o kahi pālani o kahi mea hana ma muli o kahi firral
IIWCRARERS
ʻO keʻano e like me nā fractures, fractureʻano, etc. (fig. 4)
ʻO nā fractuded e hoʻopiliʻia me 3 a iʻole nā mea'ē aʻe e ola ai, maʻamau ka hopena mai kahi hōʻeha kiʻekiʻe.
ʻO ka pākuhiʻo Pathological Fracture Fracture i loaʻa i ka'āina o ka iwi o ka iwi, e pili ana i ka maʻi make, meteopop
ʻAʻole e wāwahi i nā mea hoʻonāukiuki i nā'āpanaʻokoʻa
ʻO nā'āpana segmental me ka weheʻole, waena, a me nā fragure fragture fragture. ʻO ka māhele waena e pili ana i ka hāʻawiʻana o ke koko, ma muli o kahi hōʻeha kiʻekiʻe, me kaʻeha o ka iwi.
ʻO nā Fractures me nā iwi iwi, e wehe i nā fractures me nā iwi iwi, a iʻole nā mea hoʻowalewale e pono ai e hoʻopauʻia, a iʻole nā mea i koiʻia e hiki ai ke hoʻopauʻia.
ʻO nā fractures me nā'āpana Butterfly e like me nā'āpana segmetal i loko o kēlā me kēia e pili ana i ka'āpana o ka iwi a iʻole ka hopena o ka hanaʻino.
Hoʻopiliʻia ke kaumaha i nā mea i hana pinepineʻia e nā ukana a pinepine pinepine i ka callineus a me Tiabia.
Hoʻokomoʻia nā mea hoʻopili avulsion i kahi pākuhi o ka iwi i keʻano o ka iwi i keʻano a iʻole keʻano o ka tendon a iʻole ka ligament.
ʻO nā fractures compression he mau mea nui e hoʻopili ai nā iwi iwi, maʻamau ma nā'āpana axial.
Kiʻi 4:ʻO ka papa o nā fractures
Iiirocortor e hoʻoulu ana i ka ho'ōlaʻana i ka ho'ōlaʻana
Nā mea kupanaha:ʻO Assia,ʻo Medabolina maʻi, ka haʻahaʻa o nā iwi ʻO ka iwi,ʻo ka paʻa, keʻano hanaʻano, ka pae o ka ikaika traumatic.
IV. Nā Kūlana o ka hoʻomaʻamaʻaʻana
Hōʻikeʻia ka mālamaʻana non-Surrical no nā mea maʻi me nā hōʻeha haʻahaʻa haʻahaʻa a iʻole nā mea iʻole e pili ana i nā'ōnaehana a iʻole nā mea maʻamau.
ʻO ka hōʻemiʻana:ʻO ka Traction ma ka lōʻihi o ke axis lōʻihi o ka wāwae, fracture hoʻokaʻawale.
ʻO ka hoʻoponoponoʻana ma nāʻaoʻaoʻelua o ka fracture hou aku: hoʻoponoponoʻia o ka iwi i hōʻemiʻia ma o ka hoʻoponoponoʻana ma waho.
ʻO ka paleʻana o ka iwi Tubular e hoʻomau i ka Transncy Techning of Traction Traction Traction Ockage: kahi ala o ka hoʻemiʻana, me ka Tranching o kaʻili
ʻO ka mālamaʻana
(1) Ke kūpono nei ka hoʻoponoponoʻana i waho no ka weheʻana i nā fractures, paniʻia me ka nui o nā tramane palupalu palupalu
Kiʻi 5: Ke kaʻina hana kūʻokoʻa
(2) E pili ana i ka hoʻoponopono kūloko i nāʻano'ē aʻe o nā fractures a hahai i ke kumu a me ka papa kuhikuhi (papa 1)
Papa Helu 1: Evolution o Ao i loko o ka lāʻau lapaʻau
Pono nā mea i koiʻia nā fragments i ka hoʻoponoponoʻana, me ka hoʻopiliʻana i ka static
(4) Ka hōʻemi pihaʻana:
Ua hoʻokōʻia kaʻenehana Traction i loko o ka wahi i hoʻopiliʻia e hōʻemi ai i keʻano o ka'ā'īʻana o ka mea hana palupalu, aʻo ka mea hoʻokele kaʻa a iʻoleʻo Ao
V.Saging o ka mālamaʻana
Wahi a ke kaʻina biochemical o ka ho'ōlaʻana i ka ho'ōlaʻana, ua hoʻokaʻawaleʻia ia iʻehā mau state (papa 2). I ka manawa like, hoʻohuiʻia me ka kaʻina buberamical, ua maheleʻia ka mālamaʻana i nā papa heʻekolu, kahi e hoʻopiha ai i ka hopena o ka bluchemical a me ka hoʻopauʻana o ka pahuʻoi aku ka nui o ka bubchemical
Papa 2:ʻO keʻano ola o ka ho'ōlaʻana o ka ho'ōlaʻana
Kiʻi 6:ʻO ke kiʻi schematic o ka ho'ōlaʻana i ka ho'ōlaʻana ma nā kiʻi
Palapala
Hemorrhage mai ka pūnaeweleʻo Fracture a me ka puniʻana o nā'āpana palupalu i kahi hematoma, hoʻomaka a me nā ososoblascular
Haiiai
ʻO ka paneʻana o ka Halepule mua i loaʻa i loko o 2 mau hebedoma, me ka hoʻokumuʻiaʻana o kahi pahu pahu o ka CREDITUD ma ka Hoʻolaha E huiʻia ana.
Hoʻomaha
I ka hanaʻana i ka'ōnaehana hoʻoikaika, ua hoʻololiʻia nā iwi Lala i ke iwi, a ua hoʻomanaʻo houʻia ka cavity purelary e hōʻailona i ka hoʻopauʻana i ka hana hoʻoponoponoʻoi aku ka hopena o ka hanaʻana.
Hoʻohālikelike
ʻO ka hoʻopiliʻana i ke huiʻia i hōʻikeʻia e ka meaʻole i ka ho'ōlaʻana i loko o ka manawa i kaliʻia, akā he mau hana no ka hikiʻana i ka hoʻohuiʻana i ka lehulehu.
Ua hōʻikeʻiaʻo Nonion e like me ka pīhoihoi me kaʻole o ka hōʻikeʻana o ka hoʻokeleʻana a iʻole ka ho'ōlaʻana o ka cinical, a me nāʻike nui:
(1) NOTropIC nonnunion ma muli o keʻano o ka hikiʻole ke ho'ōla, e like me keʻano o ke kahe koko a me ka lepo paha.
(2) Ua hiki ke hoʻohemoʻiaʻo hypertropic he noninana he transitional Vascularization a me ka hiki ke hoʻonuiʻia, akā pono ke hōʻikeʻia e ka nui o ka palena o ka'ōpū, a me ka nui o ka mālamaʻana i ka hoʻomauʻana me ka paʻakaʻiʻana o ka palaki uila.
(3) Ua lawa ka nonnunic nonnunion i ka hāʻawiʻana i ke koko, akāʻaʻole aneane e pili ana i ka hoʻopukaʻana, a me ka hōʻemiʻana o ka neʻeʻana o ka neʻeʻana o ka neʻeʻana.
) ʻO ka maʻi maʻi maʻi o ka iwi a me nā maʻi o ka iwi a me nā maʻi maʻi e hiki ai i ka maʻi o nā microgree a me nā pathogen
ʻO ka paʻakikī paʻakikī o ka Syndrome i hōʻikeʻia e kaʻeha, hyperastheia, nā limu kino ākea, e ulu ana, a me nā ademma, me nā abnormalities o ka'ōnaehana o ka'ōnaehana autonomic. ʻO ka manawa maʻamau ma hope o ka trauma a me ka hanaʻana, aʻikeʻia a mālamaʻia a mālamaʻia, me keʻano o ka block block inā pono.
• Heʻokoʻa ka hioplepoc possopic (ho) ma hope o ka trauma a me ka hanaʻokoʻa, a ua maʻamau pū nāʻala, hino, a me nā'alokilo o Bodymphonations ma hope o ka hōʻailona '.
• Ke kaomiʻana i ka pae o ka periophysal ma kahi kiʻekiʻe, e hoʻonāukiuki ana i kahi pae kūloko.
• Heʻokoʻa nā hōʻeha o Neurovascularcular i nā hōʻeha neurovascular ma muli o nā wahi likeʻole.
• Ke hele neiʻo Avascular Necrosis ma nā wahi o ka lawaʻole o ka hāʻawiʻana i ke koko, eʻike i ka hōʻeha a me nā mea hōʻehaʻole.
Post Time: Dec-31-2024
