Āwhina Tuatahi mō piere o te topito: he taahiraa i te whakaahuatanga taahiraa o te tūtohutanga me te maimoatanga

E ai ki ngā tatauranga, i te iti rawa kotahi i roto i tona ora fehangahangai tata katoa ki te whara pēnei i te whati. I roto i te Hau Amui no Marite tuhia i te rā huri noa e whitu miriona take i roto i Russia - katoa iwa miriona. maha ai tenei māuiuitanga iwi ki te tahuri ki te traumatology, me i roto i ngā hararei, me tūroro tio riro atu ara: haurangi, me hinga whakapataritari takoki, piere e alangá mo. āwhina Tuatahi i roto i tenei take e kore e taea e whakaiti anake te tupono o pōauautanga, engari whakaorangia hoki ora.

Ko te take tino noa o piere

Meinga pito whati te tikanga riro whētuki, t. E. mana waho e nui te mana te kaha o te rohe wheua ki te whakahaua nei te reira. piere wāhanga puta rite te putanga o tetahi mate: e taea te takahi tapatahi wheua, me kahore ope waho, engari anake i o te ngoikore wheua pathological. kia hua piere Pathologic i wheua kohi, osteoporosis nui, mate pukupuku (tini metastasis o pukupuku localization tonu i roto i te kiko wheua ranei) ranei myeloma maha.

wheua kino Stats Tere

Ko te piere tino noa puta i roto i te mau tamaroa, me nga tangata taitamariki. Māngai o te mahi sex kaha i roto i ngā ahumahi i reira i reira ko te mōrea o te whara, atu pea ki te whakamahi i waipiro, me hāngai brawls haurangi, me te taraiwa haurangi, aroha hākinakina tino. Nuinga o ngā wā i roto i nga tangata puta te takoki me piere o pito (kia āwhina tuatahi i te wa ano e whakaratohia tonu), rara me wheua kanohi o te angaanga.

Women o te whakawhanake osteoporosis ki tau, te mōrea o piki wharanga ki 45-50 tau. I tua atu ki te menopause, he mea he wā kino o te hapū me te hohipera, ka ite te tinana he hē o te konupūmā, neke i te pokapū o te mahara, ka he iti ki te kopu nui te aritanga.

Tūaritia whara rite i roto i te tamarikitanga. Ko te wahi o piere pūkete hoki 20% o wharanga katoa i roto i ngā tamariki, i te taha o to ratou natura e kaha, mātātoa, me te mahira.

Whakarōpū o piere e alangá

āwhina Tuatahi mō piere o te topito tei te nuinga i runga i te āhua o te kino. He maha ngā paearu mō te piere wehenga ki ngā rōpū:

1. Nā ki te takanga o: ngaukino (te take ko mana waho) ranei pathologic (whai wāhi whati ki ngā āhuatanga ā-: te fifi o tini o nga mate, i te hē o etahi huaora me ngā ōpapa)
2. Pakeke: wehewehe piere ki displacement, kia ka kino te whatiwhatinga wheua nga kopa e karapoti ana, a kahore rītaha, ki te e puritia wheua whatiwhatinga ki te awhina o uaua me tendons. Tohatoha hoki piere oti, e te hunga kua huaina tītipi kapiti ranei.
3. E ai ki te tapatahi o te kiri: āhuatanga e marutanga ausia ki te whatinga tuwhera, te mea ki te kore whatiwhatinga wheua kati e kōrero ki te taiao o waho.
4. Ko te āhua me te ahunga o te kino: helical, tika, roa, matahao me piere hake.

āwhina Tuatahi mō piere: Hātepe

Ki te te pā o piere wheua o pito, hanga āwhina tuatahi reira taea ki te tutu i te tūponotanga o pōauautanga, a i roto i ētahi wā noa whakaora ora. Ko te mea matua ko te e kua kawea ngā mahi katoa i roto i tika, me te i roto i te wā.

āwhina Tuatahi mō piere o te topito ngā he maha o mehua e hāngai ana ki te momo whati whakamāramatanga (mahi tangata, e utua āwhina tuatahi, tēnā i runga i te mea whai tatou ki te mahi - ki te whati tuwhera kati ranei, ki te mea i reira he amuamu mate hei utu o te mamae, me te tahi atu fifi), a tika whakarato i te āwhina e tika ana. I muri kia te pārurenga kia kawea ki te hōhipera ranei ki te whakarite i te taenga mai o nga kaiwhakaako i runga i te scene.

Me pēhea te ki te whakarato āwhina tuatahi mō ngā piere o te topito? I roto i te whānui, whakamana te āwhina kei te rite e whai ake nei:

1. He mea tika ki te hoatu i tētahi aromatawai whāinga o te patunga, kia tino whai koe i te whatinga me te whakatau i te akoranga atu o te mahi. kawea āwhina Tuatahi mō piere o te topito e i roto i anake i roto i te take, ki te he kua te manawanui i roto i te haumaru.
2. Ki te he mauri, me te kore te kupukupu tonu i te pārurenga, te mea tuatahi ki te mahi i te mea ki te whakahaere whakaora, ka kawe ia ia ki tona rongo.
3. I roto i te tuwhera piere, me tuatahi mutu koutou te toto, me te hamani i te patunga ki te rongoā horoi ki te ārai i te mate, ki te taea, he reira e minaminatia ki te tangohia i te takai horomata.
4. Ki te kia anesthetize rongoā e wātea ana te alangá whati, hanga he werohanga o ketorolac (1 ampoule), novocaine (5 ml) ranei ētahi atu tikanga e tika ana.
5. He mea tika ki immobilize te e alangá me karanga "nohopuku." I roto i ētahi wā, tukua ana e ia koe ki te kawe mai i te pārurenga ki te whare hauora.

Tohu me nga tohu o te alangá whati

āwhina Tuatahi hoki piere he o te akoranga anake, ki te mea kua manatoko koe e ko te pārurenga tika he whati, me kahore atu ahua o te kino. Ko te kupu, nga tohu tūturu o waewae whati he:

• deformation kitea o te wahi pakaru;
• i roto i ētahi wā - i te eita o kaupapa;
• nui haere nekeneke, te tūranga te ngau ke o nga ringa / waewae (ranei wahi ona);
• papa'u patunga me te wheua whatiwhatinga kitea ki tuwhera piere;
• chestnut āhuatanga i roto i te kau o te pānga.

.. Ko nga tohu whanaunga o te whati, tohu arā, i roto i ētahi wā kia haere tahi e te tahi atu kino e:

• mamae i roto i te wāhi kua pā, e faarahi i roto i te motini;
• kanokanototo, a Korowhiti mamae tohu e tonu toto ā-;
• edema me te tetere i roto i te rohe o te whara, e taea te whakawhanake i roto i te 15 meneti i muri i te whati;
• iti nekeneke, te e alangá kafó, rite ki te tikanga, e kore e mahi i ranei katoa i roto i te wahi.

Aromatawai o te kāwanatanga pāngia

āwhina Tuatahi mō te tuwhera piere wahi, kino kati, kapiti, ranei te tahi atu whara tā whakamātautau o te patunga, he aromatawai o tona huru me te āhuatanga a tawhio noa te scene. Ki te he reira tonu te ati, he mea e tika ana ki te whakatahi ki te wāhi haumaru, me te ka puta ki te whakarato āwhina tuatahi.

kia te pärurenga kia uia mo te aroaro o te kino atu, toto, whara pea, tirohia atu nga tohu faufaa matua: te aroaro me te ngātere auau me te respiration, te kaha ki te whakautu ki akiaki waho (marama, oro). Ki te he mohio te tangata, kia whakapumautia whakapā ki te pārurenga, ki te ui e pā ana ki te amuamu, te wāhi me te āhua o te mamae.

He aha te mea nui e kore e whakaaetia ki te neke i te pārurenga kore e tino āhei, a kahore te whakapanga o potae waka i runga i te e alangá kafó.

pārurenga mauri

āwhina Tuatahi mō piere o te waewae tā te tangata ki te kawe ki te mahara me te whakaora, ki te tika. Na, kia whakarite ai te marino pārurenga me tamata ki te arahi i te mahara tangata ki te awhina o whakaohooho waho - he papaki i runga i te paparinga, te wai matao te ūkuia miro mea tuku i roto i te haukini wai, me te hakari ki te ihu ranei.

whakaora

Ki te kupukupu tonu me kahore pini, he mea e tika ana ki te mahi i tukupūngao tāwhaiwhai, me te mirimiri ngakau. Hoki pärurenga whakaora angitu ki te takoto i runga i te mata pakeke. kia tango tetahi ringa i runga i te kauwae, te tahi atu - ki te whakawiri i te ihu. Ko te upoko o te pärurenga whiua hoki he hoki nohinohi, he tuwhera tona mangai. Ko te tangata e āwhina, e te manawa hohonu, a ka āta exhale, Inia uhi i te mangai o te patunga. Me whakahaere tukupūngao Artificial roto i te kiko urutaunga motuhake ranei. Exhale ki te mangai o te pārurenga kia meatia nga wha hēkona noa te faaho'iraa mai o te manawa māhorahora.

Autaki mirimiri cardiac whakamana te rite whai: He tangata whakarato āwhina tuatahi, he ringa crosswise i runga i te pouaka o te patunga me te hanga (me haere pouaka ki raro ki te wha ranei e rima henimita) te pēhi. kia hanga e te reira i 30 ueuetanga, a ka huri te kōpeketanga ki ventilation. mehua Resuscitative e kawea atu i roto i te ōwehenga o toru tekau puranga ki rua te whakahā.

ru pāmamae: Hātepe

Ngaukino ru āwhina tuatahi mō ngā piere o te wahi o raro (rite te runga) kōrero hemostasis, whakarato tikanga whakamarie (hei tauira, tākai matao te tangata i roto i te tikanga ki te ārai hukapuri) me te tiaki akiaki hauora i roto i te fare ma'i. Ki te kahore he piere e alangá raro, ara nga waewae o te pärurenga i 15-30 henimita.

Hemostasis me te patunga maimoatanga

āwhina Tuatahi mō te tuwhera piere o rara titau hemostasis me marutanga maimoatanga. Tuatahi, he mea e tika ana ki te hoatu i te tūranga tika o nga wahi, me te tuku i i kakahu, rite te whakanui ake i edema i te heke mai, pea, e kore e meatia e te reira. Next, pāpuni, he takai pēhanga ki te motu (pai horomata) me te hamani pakaru tapa o waipatu kiri ranei. Kia tino ki te tuhi i te wa tangohia o tono te papaki.

Ka taea e koe te hoatu i te patunga i te analgesic mo mamae haumi. analgin tika, paracetamol, "Nurofen", "Ketorol" me te rite. I roto i te taiao hōhipera kia te whakamahi ki te Pë whakapōauau tika, me te ake kaha. Ko ētahi o ēnei "Fentanyl", "nalbuphine" ranei "Promedrol".

Immobilization o te alangá kafó

āwhina Tuatahi mō piere o te waewae tā te immobilization o te rohe wheua pakaru. Ka taea te whakaratohia Immobility o te alangá i maha ngā huarahi: tono here e alangá whara raro ki te hauora, whakatika te tikanga i te ringa, pribintovyvanie takakau whati , me te utumu. Ki te kore koe e taea e whakarato waka immobilization potae motuhake, ka taea e koe te whakamahi i tetahi ahanoa totoka flat. Maukati ringa waewae ranei kia waiho i roto i te āhua whaiaroaro noa. Kia tino ki te hoatu i waenganui i te mauiui, me te finiteness o te papa miro-whāriki.

A, no te Me whai whakaaro immobilization he torutoru ture me ngā whakaritenga:

• Me immobilize pahi i te iti rawa kia rua hononga, ki te karo atu kino ki nga kopa ngohengohe o te whatiwhatinga wheua;
• whakatika i te rahi tupare kia rite ki te rohe hapa;
• Kei te whakamana immobilization, te tikanga i runga i te tihi o nga kakahu me hu, engari kia kia nekehia atu te reira i te tūemi mōmona pānga;
• āwhina tuatahi mō ngā piere o te topito o runga (me raro) Ko taea ki te kaiāwhina.

I muri e mau ana i roto i nga mahi e tika ana katoa e hiahiatia ana ki te hei i runga i te whakarato o te tiaki mua hōhipera-ki te karanga "waka tūroro." ka hiahia āwhina hauora ngaio, me te tiaki i te pārurenga.