Kuthamanga kwapafupi - kubwezeretsa (dislocation) ya mapewa. Kawirikawiri, chinthu choyambirira chimapezeka, ngakhale pali mitundu yambiri, yam'mwamba, yochepa ndi yovuta. Ngakhale kuti zowonongeka zimakhala zovuta, zimatha kuyenda limodzi ndi kuwonongeka kwa mitsempha, matope, mitsempha ndi zitsulo.
Zifukwa za Mphungu Zogwira Ntchito
Kuphatikizana kwa mkono ndi imodzi mwa mafoni ambiri, ndakatulo ya kuvulaza paphewa ndi yofala kwambiri. Kuthamangitsidwa kumakhala kobadwa ndipo kunapezedwa. Kusokonezeka komwe kumapezeka nthawi zambiri kumachitika pakaphunzitsidwe ndi masewera - makina, zokopa, kugunda mpira, koma zifukwa zazikulu zoyipa ndi:
- kulimbika m'dera la mapewa;
- kugwera pa dzanja lotambasula;
- Kuwombera dzanja ndi kugwiritsa ntchito mphamvu.
Chinthu choopsa kwambiri pangozi imeneyi, malinga ndi madotolo, ndikuti kugwiritsa ntchito mphamvu pang'ono ndikokwanira kuchoka pamapewa. Nthawi zina, mwayi wovulala umawonjezereka nthawi zambiri, mwachitsanzo, ndi matenda omwe amagwirizana nawo. Paunyamata, mgwirizano umakhala "wosasunthika" chifukwa cha ziwalo za thupi za nthawi ino. Pazochitika zonsezi, nkofunika kupewa zoopsa ndi kupewa kugwa ndi zochitika zina.
Kuthamangitsidwa kwa mapewa - zizindikiro
Khungu lochotsana limayambitsa mavuto kotero kuti n'zosatheka kunyalanyaza vutoli, mosiyana, mwachitsanzo, mtundu wina wa zophulika zomwe anthu amatha kuyenda nawo masiku angapo popanda kuthandizidwa ndi dokotala. Zizindikiro zikuluzikulu za kusweka kwa mapewa:
- matenda opweteka kwambiri, ndi kuwonongeka kwa mitsempha ndi mitsempha ya mitsempha - kuthamanga, kusowa, kuvulaza ndi kutupa pa mkono wathanzi;
- maonekedwe a mapewa ndi kumverera kumakhudzidwa molakwika - kusuntha, kugwa, ndi zina zotero, nthawi zambiri kuvulala, zimagwira dzanja lake ngati mwana.
Thandizo loyamba ndi mapepala osweka
Kuwongolera moyenerera kwa chithandizo choyamba ngati vuto lopweteketsa paphewa ndilo chitsimikiziro cha kupumula bwino popanda mavuto. Munthu wamba sayenera kuyesera kuti azigwirizanitsa yekha - izi zimafuna luso lomwe dokotala yekha ali nalo, kotero munthu wovulala ayenera kutumizidwa kuchipatala. Musanayambe kuonetsetsa kuti mukukonzekera dzanja kuti mapewa asasunthe. Ngati n'kotheka, ndi bwino kupanga ozizira compress. Kuperewera kwachitsulo chosasunthika pamapewa (malingana ndi zovuta) ziyenera kukhala kuyambira masabata 1 mpaka 4, mwinamwake kusokonezeka kumatha kudziwika.
Kodi mungakonze bwanji vutoli?
Kuwongolera kwa mapewa kumapangidwira m'njira zosiyanasiyana - panthawi imodzi vutoli linayambidwa ndi Hippocrates, Meshkov, Janelidze ndi madokotala ena omwe adapereka njira zawo. Musanayambe ndondomekoyi, aesthesia ndilololedwa. Mu zovuta zovuta, osati mankhwala osokoneza bongo komanso novocaine kapena lidocaine amalowetsedwa m'dera lachilonda. Pakakhala vuto lalikulu (ndi kuvulala ndi mitsempha), anesthesia amaperekedwa pamaso pa wodwalayo.
Chimodzi mwa zovuta kwambiri ndi zogwira mtima kwambiri ndi kukonzanso mapepala omwe amachokera ku Kocher. Ndi njira imeneyi, katswiriyu akuchita zochitika zotsatirazi:
- Amatenga dzanja ndi dzanja limodzi la magawo atatu a mapewa;
- Lumikizani mkono kumbali kumbali yolondola;
- amakoka dzanja lake pambali pa phewa ndipo nthawi yomweyo amatsindikiza motsutsana ndi thupi;
- Amatambasula dzanja lake kuti mzere wake ukhale m'mimba;
- akutembenuza dzanja (goli patsogolo pa mimba);
- imatembenuzidwanso kuti chigoba chikhale pafupi ndi mimba.
Kodi mungakonze bwanji vuto lanulo?
Nthawi zovuta, pangakhale funso momwe mungakonzekerere paphewa. Ngati simungathe kugwiritsa ntchito thandizo lachipatala loyenerera, mungayesere kukwaniritsa njira yomwe Hippocrates inayambitsa. Wodwalayo ayenera kuikidwa pamgone pamsana pake, dzanja lovulala lomwe linagwidwa ndi burashi, phazi lake - kuti apumule m'dera la chigamulo. Kutayidwa kwa mapewa kumakonzedwa panthawi imodzimodziyo kutambasula dzanja ndikukankhira mutu wa humer chidendene ku chiphatikizo. Kulondola kwa njirayi kumayendetsedwa ndi radiography.
Kuthamangitsidwa kwa mapewa - mankhwala
Kuwala kumatuluka, osati kuphatikizidwa ndi fractures ndi kuvulala kwa mitsempha, zotengera, minofu ndi khungu, mutatha kukhazikitsidwa kwa humer mu malo otometsa kumafunikira kokha mpumulo. Panthawiyi, minofu yamagulu, minofu ndi mitsempha imabwereranso, ndipo pambuyo pochotsa gypsum langettes salola kuti kuchitika kwachizoloŵezi kusokonezeka. Vuto la momwe angathandizire kusokoneza mapewa kumabwera ndi zovuta, zokalamba komanso zachizoloŵezi zosokoneza.
Pofuna kupititsa patsogolo kuchiritsa kwa zilonda, chotsani edema ndikubwezeretsanso mgwirizano wothandizira chifukwa cha kusweka kwa mapewa panthawi yomwe simungathe kuperewera komanso pambuyo pake, njira zotsatirazi zingagwiritsidwe ntchito:
- kupaka minofu;
- magnetotherapy;
- ululu;
- Mankhwala a microwave, UHF;
- mankhwala osokoneza bongo;
- mapulofini.
Ntchito zogwiritsidwa ntchito
Njira zothandizira opweteka pamapepala zimafunika pamene chizoloŵezi chomasuka chikuchitika. Kugwiritsiridwa ntchito Pambuyo potsitsimula pa mapewa kumasankhidwa pamene fupa likuchotsedwa, kupanga m'mphepete mwa malo ozungulira. Kupewera kotereku kumathandiza kupeŵa mavuto ambiri, ndipo kumaphatikizapo kubwezeretsa mafupa osowa.
Ntchito zothandizidwa ndi mapepala ndizofunikanso kuti:
- N'zotheka kuthetsa mgwirizano ndi njira yosamala;
- amafunika kupanga kapeni wamba wothandizidwa chifukwa cha kutambasula, misonzi;
- maonekedwe a ziphuphu zakuda, zowonjezereka, zozizwitsa ndi zina;
- kupweteka kwa mitsempha, cartilage, tendons, zomwe zimafunika kuti ziswe.
Chizoloŵezi chosasunthika pamapewa - mankhwala popanda opaleshoni
Kuchiza kwa kusweka kwa mapewa popanda opaleshoni, ngati vutoli ladziwika bwino, siloyenera. Mafuta opatsirana ndi mapepala osokoneza bongo, komanso mankhwala ena omwe amapezeka m'madera ena (mavitamini, mazira), amachepetsa kuopsa kwa zizindikiro. Kuonjezera kukhazikika kwa mapewa, kulimbitsa mitsempha ndi mitsempha yogwiritsira ntchito mankhwala awa:
- Mankhwala osakanikirana omwe sali otero (Diclofenac, Ketorolac, Ketoprofen, Indomethacin, Piroxicam).
- Otsitsimula (Dona, Teraflex, Alflutop, Arthra, Hondrolon, Elbona).
- Mavitamini amchere (ArtriVit, Orthomol Arthro kuphatikizapo, SustaNorm, Collagen Ultra).
Kodi mungasamalire bwanji pakhomo?
Pambuyo pokonza mankhwala osokoneza bongo m'chipatala, chithandizo chopitilira n'chofunika kunyumba. Zomwe mungachite ngati mutachoka paphewa lanu:
- Mutagwiritsa ntchito makina a gypsum, muyenera kupereka mkono ndi kupuma kwathunthu.
- Pamaso pa kutupa kapena matenda opweteka - kutenga mankhwala oyenera, kupita ku physiotherapy.
- Limbikitsani mafupa ndi mafupa, kutenga vitamini-mineral complexes, chondroprotectors.
- Pambuyo pochotsa gypsum - mosamala mutenge mkono ndi mapewa.
Kuthamangitsidwa kwa mapewa - mankhwala ochiritsira
Mankhwala ambiri amtunduwu omwe amachotsa mapewa amakhala othandizira kuthetsa kutukusira komanso kupweteka.
- Pamene mgwirizano uli kutupa, compress alcohol imathandiza kwambiri. Gauze wothira madzi ndi vodka kapena kuchepetsedwa ndi theka ndi mowa, amagwiritsidwa ntchito pamphatikizidwe ndi mapepala a compress ndi thaulo. Gwiritsani compress kwa mphindi 30.
- Kuti imathandizira kuchiritsa kwa mgwirizano, mankhwala owerengeka amalimbikitsa compresses zopangidwa kuchokera ku mkaka wofunda. The cheesecloth yokutidwa mu nthawi 4 ndi wothira mkaka wowonjezera ndipo amagwiritsa ntchito pamapewa palimodzi, atakulungidwa ndi kukulunga filimu ndi thaulo pamwamba. Sinthani compress pambuyo kutentha, kubwereza ndondomeko kwa mphindi 30.
Chotsitsa chowawa (kapena tansy) ndi ululu waukulu
Zosakaniza:
- masamba atsopano (kapena tansy);
- 0,5 malita a madzi.
Kukonzekera ndi ntchito
- Thirani zowonjezera ndi madzi ndi wiritsani kwa mphindi 20.
- Utakhazikika msuzi moisten gauze, ntchito compress kwa olowa.
- Manyowa otentha monga kutentha. Nthawi ya ndondomekoyi ndi 20-30 mphindi.
Kusiyana kwa mapewa - zotsatira zake
Kusasamala malingaliro a dokotala ngati zoopsa zimabweretsa mavuto aakulu. Kuposa kusokonezeka kwa mapewa n'koopsa ngati palibe chithandizo:
- zochitika zowonongeka;
- kusintha kosasintha kwa mgwirizano;
- kuwonongeka kwa mitsempha ya pakhosi, yomwe imapangitsa kuchepa kwa kutuluka kwa dzanja, zovuta zokhudzidwa.
Zochita zamatsenga zimasokoneza
Kuthamanga mwamsanga pakutha kwa mapewa kumaphatikizapo kuchita masewera olimbitsa thupi, ndipo kutayika kwanthawi yaitali kumakhalapo, chofunika kwambiri pa siteji iyi ndi kukonzanso. Kuchita masewera olimbana ndi kuvulala pamutu kumalimbikitsa kulimbitsa minofu ndi kuwonjezeka. Kuti mukhale ndi zotsatira zabwino kwambiri, muyenera kuyamba ndi zovuta zosavuta komanso zochepa zobwereza. Pambuyo polimbitsa minofu, mukhoza kuwonjezera kubwereza ndikujambulira katundu. Pa gawo loyamba mungathe:
- Kugugulira ndikupukuta goli ndi zala za dzanja lovulala;
- Chitani kayendetsedwe ka kayendetsedwe kakang'ono kakang'ono, kwezani dzanja kumbali;
- Kwezani dzanja lachilombo, kulimbitsa thupi labwino.
Cholinga cha zochitika zotsatirazi ndi kupanga corset yolimba pambali yozungulira.
- Khalani pa mpando wolimba, ikani mikono yanu m'chiuno mwanu, ndipo tambani mipiringidzo yanu mosiyana. Mapepala ayenera kukwezedwa monga momwe angathere, kumeta pamutu, kenako kuchepetsa pang'onopang'ono.
- Khalani pa mpando, kubwerera kumbuyo. Ikani manja pa chiuno, kuchepetsa zitsulo. Pitirizani kusuntha mapewa kumbuyo ndi kutsogolo.
Pachigawo chotsatira (pambuyo pa miyezi 1-2-3 pambuyo pa kuchepa kwabwino), n'zotheka kuyamba zovuta zovuta zowonjezereka zomwe zimakhudzidwa ndi matalikidwe aakulu, maphunziro ndi katundu. Gawo lachitatu la masewera olimbitsa thupi limathandizira kulimbitsa mphamvu mu minofu yamtundu, biceps ndi triceps, zomwe zimabweretsanso kukhazikika kwa mgwirizano ndipo zimachepetsanso mwayi wobwereranso.