Khopo fractures: mefuta e, tlhathoba, thuso ea pele

Khopo fractures - the atileng ka ho fetisisa likotsi sefubeng. Ka ho khetheha ba bonolo hore batho ba hōlileng. metshetshe bona ba na le ka tlaase ho moo elasticity le khatello tlase hantle mameletse ka ka e monyenyane. khopo fractures ke ea mefuta e latelang:

• mapetsong;
• subperiosteal;
• ka ho feletseng.

Matšoafo ho fetisisa ba tletlerana.

Mekgwa ea bobe

E le busa, batho ba senya 5-8-'s likhopo. Bonyane - 11 le la bo12. Sena ke ka ntlha ya go maemo a fapaneng tsa tsamaiso ya lipheletsong distal. Bakeng sa tsoa likotsi ka ho toba a bakoang ke lintho tse nyenyane angular le ntho e itseng e thata, roba moqotetsane costal khoro karolo. Ka tloaelo, ka fracture le hlaha ka sebaka sa ho pepesehela lebotho sithabetsang. Ntlha ea pele, bokaholimo ka hare e robehileng likhopo, 'me joale e ntan'o ba ka ntle.

Ha lebotho le kgolo sebetsang sebakeng sa hae ka libakeng tse ngata e pharaletseng ea segopo, ho etsahala ho bona ho tlōla ho tsoa le maikutlo a ka hare. fractures joalo ba bitsoa habeli kapa felletseng. E le busa, ya data mo ntša kotsi e tsamaea le pshatloa pleura e, mesifa, methapo ea mali. Ha lebotho la phetha molao e sebelisoa ho libakeng tse kholoanyane, ea sefubeng Ho thehoa sebakeng nkehang, eo e bitsoa "khopo belofo." Feletseng peperana likhopo hangata qholotsa e displacement la likhechana masapo. Ha u ntse u exhale, re o ile a re ba il'o fatše, 'me ha inhaling - smoothing. Ha likotsi joalo atisa ho etsahala'ng discontinuities methapo pleura le pneumothorax, haemothorax, subcutaneous emphysema, hemoptysis. E lokela ho utloisisa hore ho na le ka 'na ea e-ba e bolaeang haholo fracture ea likhopo. Kalafo lapeng ke khoneha feela likotsi ha hae ho tebile haholo (haeba u tla lumella ngaka). Mohlala, mapetsong kapa fractures ha ho feta 1-2 likhopo.

Symptomatology le phumano

khopo fractures tšoauoa ka bohloko bohale sebakeng seo ea bobe. E ba matla le ho feta ha e le phefumoloho tebileng le khohlela. Bakuli ba leka ho hema ntle feela, empa khafetsa. Ba ile ba tlameha ho nka e boemo ba homolog hore e fana ka khotso palo e kahodimodimo ea sebakeng se amehileng. Ha likotsi joalo hlaha letšoao sitisoa inhalation. Monna o leka butle haholo, empa kha moea, empa ho etsa joalo khaotsa ka mor'a qala ho ea bohloko hlabang ka tšohanyetso. Ka palpation tšoauoa borutho libaka, 'me ka linako tse ling crepitus. Leha ho le joalo, ea bobeli e sa a hlokomela lefapheng la lefufuru fractures ea likhopo. Ha fractures multiple tlhaho ba atisa ho tšoauoa cardio-matšoafo mafu a, hammoho le matšoao a tsoile likotsi tse ka hare. Sena se ka lebisa ho hloleha ho hema. E le busa, ho hlahloba Link ba a re:

• tachypnea;
• palo letlalo;
• matlafalitseng ventricular tachycardia;
• phetse sefubeng (likhechana);
• cyanosis;
• asymmetry nakong mekhatlo hema tsa leboteng sefubeng.

The ho tiea tsa mamello kotsing itšetlehile diriswa le nomoro ea metshetshe robehile.

thuso ea pele

ketsahalo etelletsa pele - thethebatso. Ho ke ke ha hlokahala hore ho fana ka analgesics mamello kapa le literata tsa sebakeng senyehile. Ka linako tse ling ho feela ho lekaneng ho e fa 'mele oa motho e le boemo ba phutholohile. Joale e ke ho hlokahala hore ho lokisa sefubeng hang ha ho khoneha. Hobane mokhatlo oa leha e le efe sa tsotelleng, e seng feela ho ba utloisa bohloko, empa hape eketsa kgonego ya eketsa tsoa mali ho tswa ho lisele tse senyehileng. Ho tsitsisa mangeta lesapo morpheme superimposed chitja lokisa sepeiti tlamisa fracture metshetshe. E ka entseng ho tloha thepa sephephechaneng kapa tlamisa. Libaka tse ka etsahala hore ebe moo etsahetseng khopo fractures, ba lokela ho beha mekatelo k'hothone-gauze.