Fractures na radial kashi a wani hali wuri: a bayanin irin bayyanar cututtuka da kuma halaye na magani

Karaya kira kashi lalacewa, wanda faruwa tare da m da cikakken warwarewarsu da mutunci karkashin sakamakon wani traumatic factor. Fractures na radial kashi a wani hali wuri - talakawa Pathology da rauni asibiti. A gaskiya, sabili da haka, an ba da "magana" da sunan. Musamman na kowa rauni daga cikin distal rabo, wanda ake located kusa da goga.

haltta

Yadda aka saba, hannu da dantse an kafa ta biyu ƙasũsuwa da suke a layi daya da juna, da radius da ulna. Za su iya yin juyawa game da wani dogon ko a tsaye axis, kamar yadda a tsakãninsu da alaka da biyu m gidajen abinci da kuma membrane:

1. A gwiwar hannu hadin gwiwa. Yana hadawa da kashi a batu na dangane da kafada.
2. Interosseous membrane. Located a cikin sarari tsakanin radius da ulna, akwai jini da kuma jijiyoyi samar da hannu. Bugu da kari, shi ne wani nau'i ne na splitter ga wasu daga hannu da dantse tsokoki.
3. Wuyan hannu hadin gwiwa. Yana yana da jijiyoyin cewa connect da radius da ulna.

Kamar yadda guda tsarin, hannu da dantse ya hada da ba wai kawai kasũsuwa, ashe, amma kuma da jijiyoyin, gidajen abinci, tsokoki, da jini da kuma jijiyoyi.

Kasusuwa da kuma gidajen abinci

Tun da radius da ulna ne tubular, bukatar mu san su tsarin domin fahimtar cikakkun bayanai na samu karaya. Saboda haka kowane dogon tubular kashi ya:

1. Epiphysis - kashi fadada ga samuwar na hadin gwiwa surface. An kafa ta a porous soso-kamar abu da kuma ƙunshi ja bargo.
2. Metaphysis - karamin sashi na kashi, wanda shi ne peculiar ga m cell division. Yana da aka yi masa godiya da muka girma.
3. Diaphysis - asali dlinnik ƙasũsuwa. Wannan shi ne m tube gina na m al'amarin. Ciki shi ne rawaya bargo.

Sama kowane rufe tare da tubular kashi periosteum, wanda ciyarwa da tushe abu, shi na samar da thickening kuma yana da babban yawan jijiya endings. Sau da yawa shi ne wannan siffa taimaka wajen gane asali samu karaya, kashi saboda ta rasa zafi rabe.

Gidajen abinci guda biyu ne kawai, amma su ne fasali mai rikitarwa, kamar yadda kafa ta uku ko fiye da ƙasũsuwa:

1. Elbow hadin gwiwa - kafa radial, ulnar da humeral kashi iya yi lankwashewa, tsawo da kuma juyawa da iyaka mawadãta.
2. Wuyan hannu hadin gwiwa - ƙunshi ƙananan sashi daga cikin radius da kuma saman jere na carpal ƙasũsuwa. Range na motsi ne sosai m.

tsokoki

babban adadin tsoka da ake bukata don tabbatar da irin wannan iri-iri na ƙungiyoyi. Kuma muna bukatar su zama quite bakin ciki, amma a lokaci guda karfi da kuma supple. Duk da tsokoki na hannu da dantse an rarraba su zuwa:

1. flexors: shirya a kan wani gaban farfajiya na hannu da dantse. Akwai na waje da kuma zurfi. Kayyade batu a su - ƙananan karshen da humerus, da kuma nufi na motsi - da carpal ƙasũsuwa da phalanges. Su aiki ne don flexing da wuyan hannu, da yatsunsu.

2. extensor: located a kan raya surface na hannu da dantse. Alhakin da tsawo na hannu da yatsu. abin da aka makala maki su ne guda.

3. A tsokoki cewa juya hannu da dantse: same tsakanin radius da ulna ƙasũsuwa.

All tsoka kungiyoyi ne quite m, kuma suna da wani dogon, bakin ciki tendons cewa ratsa cikin goga. Saboda haka, tare da qananan raunin da hannu da dantse isasshen karfi wajen lalacewar saboda murdede ƙungiyoyi gawa lalace motility.

Tasoshin da kuma jijiyoyi

Hannu da dantse izinin manyan jini, gazawar da wadda take kaiwa zuwa wani m asarar jini, kuma mai tsanani aqibar da kwayoyin. Wannan reshe na brachial jijiya, wanda aka raba a yankin na cubital fossa a cikin radius da ulna.

A farko na samar da ikon tsokoki na hannu da dantse, kuma hannunka kuma yatsunsu daga dabino daga hannunka. Shi ne ta palpable bugun jini likitoci.

Na biyu shi ne a layi daya masaƙa. Yana ba mai yawa rassan, wanda aka saka a cikin tsoka fascia da kuma gina su. Yana Forms mai zurfi jijiya baka goga.

Jijiyoyinmu a hannu da dantse, kazalika a kan wasu sassa na jiki, ya kasu kashi na waje da kuma zurfi. A cewar ta take, da farko zuwan kai tsaye karkashin fata, yayin da karshen yana tare da wannan sunan jijiyoyinmu.

Innervation ne daga hannu da dantse brachial plexus. Daga shi tashi azanci da kuma mota rassan. The most of su suna dauke da ulnar jijiya (wadda iko flexor da kuma tsakiya na dabino daga hannunka), radiation (da alhakin flexor) da tsakãtsaki ce (da hannu a cikin tsari da buroshi).

Nau'in kuma samu karaya

Daga makaranta kimiyyar lissafi Hakika san cewa karaya bayyana a cikin wuri inda da} arfin tuwo da aka amfani. Amma wannan factor shi kadai bai isa ba. Wajibi ne a kara rage a kashi ƙarfi ne, kuma tabbataccen aya daga cikin sanadin motsi makamashi aikace-aikace. Wannan manufa shi ne dalilin da rarrabuwa na iri daban-daban na samu karaya.

1. Pathological. Lokacin da wani karfi directed zuwa kashi, shi ne low, amma saboda ƙananan ƙarfi shi har yanzu karya. Wannan shi ne saboda kwayoyin (Crystal yaro ciwo), rayuwa, ko endocrine cuta, da kuma m marurai girma tafiyar matakai. Karuwan fragility iya zama wata alama ce ta wani shekaru a lokacin da tsofaffi sosai alli-phosphorus metabolism.
2. Traumatic. Lokacin da karfi ne mafi girma daga cikin tsanani da kashi yawa. Matsayin mai mulkin, wannan ne saboda abin da hatsarori, hanya hatsarori, wasanni raunin. A lokacin fall mutum instinctively yana sanya hannunsa, yunƙurin kare fuska ko kirji, da kuma dukan duka da dama a kan hannun da hannu da dantse.

Bisa kididdigar da, traumatic samu karaya faruwa more sau da yawa, su ne mafi m, a sakamakon, ban da kashi, za a iya lalace jini, jijiyoyi da tsoka. Very babban hadarin da tawaya.

A kan hanyar samuwar samu karaya ne:

1. Cross - a lokacin da karfi amfani perpendicular zuwa axis na kashi.
2. Skew - shugabanci na karfi ne a wani kwana. Iya bayyana a matsayin kai tsaye tasiri a jiki, duka biyu kai tsaye da kuma a kaikaice.
3. Helical - idan kashi fallasa su da karfi tare da juyawa ga wani ajali daya karshen. Alal misali, a lokacin wani hatsari.
4. Tsaye - layukan cikas ne a layi daya tare da dlinnik ƙasũsuwa. Yawancin lokaci bayyana a lokacin da karfi squeezing da kuma tasiri da wani m abu Mai girma surface (kwalta, kasar gona).
5. Comminuted - akwai fiye da biyu kashi, niƙaƙƙun gaɓãɓuwa, babu wani sarari line na karaya.
6. Kwararar - faruwa lokacin fadowa daga wani tsawo. karfi shugabanci kara tare tsaye axis na kashi, da kuma bayan da karaya, niƙaƙƙun gaɓãɓuwa "ya hada da" jũna.

Idan wani daga cikin wadannan raunin da ya faru na iya motsa more kashi, niƙaƙƙun gaɓãɓuwa da kuma taushi nama rauni. Amma da radial kashi karaya a hankula wuri saba yi ba tare da kananan niƙaƙƙun.

Akwai wani rarrabuwa, ya nuna mataki na lalacewar da fata. Yana raba duk samu karaya a cikin bude da kuma rufe. Open kamar yadda zai zama ma'ana to zaton lalata fata, da kuma kashi, niƙaƙƙun gaɓãɓuwa za a iya gani da ido tsirara. Su ne m saboda high alama na rauni kamuwa da cuta, da kuma gagarumin jini hasãra. An Rufe samu karaya da m hanya, kuma kada ku sadarwa tare da waje muhalli.

sarrafawa

Illar likita, da sanin inda samu karaya faruwa mafi sau da yawa, za a iya daidai gane asali rauni. Saboda haka:

1. A yankin na kai da wuya daga cikin radius, kusa da gwiwar hannu hadin gwiwa. Kafa a cikin fall a kan wani mara tausayi yakan kishi hannu.
2. Diaphysis na radius - faru a lokacin da} arfin tuwo, yana amfani. Sau da yawa a hade tare da wani karaya da ulna.
3. Karaya na radial kashi a wani hali wuri ne guda uku inci daga goga. Yana auku a drop of tanƙwasa goga a hannu ta tsawon. More kowa a mazan mata saboda postmenopausal osteoporosis.
4. Karaya da sāke wuri na kai na ulna.

cututtuka

A fili yake cewa da muhimman hakkokin mutum gunaguni, kamu da wani kashi karaya a hankula wuri, ba su bambanta ba daga waɗanda suke a cikin sauran shafuka na lalacewa, amma yana da daraja a mayar da hankali a kan bayyanar cututtuka.

Saboda haka, a haƙuri a cikin gaggawa dakin zai koka da zafi a yankin na rauni, aggravated ta latsa kuma motsi. Lura mahaukaci motsi na lalace hannu, idan akwai wata kawar da na kashi, niƙaƙƙun gaɓãɓuwa ko watse ƙasũsuwa. Saboda kumburi za a lura kumburi daga cikin hannãyenku da alama shakka. Lalacewar da manyan tasoshin sau da yawa ya ce a hematoma. Bugu da ƙari kuma, bayan rauni za a iya gani ko instrumentally niyya rage (saboda korar kashi, niƙaƙƙun gaɓãɓuwa) kazalika da alama crepitations (crunch) a lokacin da yunƙurin bincike da rauni. An Rufe karaya na radial kashi a wani hali wuri ne halin da nakasawa da defiguratsiey da wuyan hannu tare da mahaukaci lankwasawa ko straightening goga, hijirar daga kashi, niƙaƙƙun gaɓãɓuwa da kuma take hakkin da wuyan hannu taimako.

bincikowa da

Ya kunshi dama, saukarwa:

1. Poll (gunaguni inji rauni, mai tarihi na rayuwa da kuma kiwon lafiya).
2. Dubawa (launin fata, kasancewar wani ruwa a karkashin shi, bugun jini, mataki na lalacewa da kuma pathologic m da kuma aiki ƙungiyoyi a karaya site).
3. Radiography (Fig ji rauni reshe a biyu tsinkaya).
4. Ƙirgar da kwamfuta tomography (amfani da musamman wuya lokuta, don kawar da kuskure a cikin ganewar asali ko shirya domin reconstructive tiyata).
5. Angiography (aikata domin kauce wa lalacewar da finjãlai na hannu da dantse).

gaggawa

Tun da radial kashi karaya a hankula wuri ne quite na kowa, shi ne ba superfluous don magana game da taimakon farko.

1. Tabbata a kira motar asibiti.
2. Immobilize da reshe kamar yadda zai yiwu su hana korar kashi, niƙaƙƙun gaɓãɓuwa.
3. Haða sanyi a karaya site, amma kada ka manta to kunsa a yanki na kankara a wani tawul don kauce wa frostbite.
4. Sha analgesic.

Mafi sau da yawa akwai wani karaya da dama radial kashi a wani hali wuri, kamar yadda da wannan hannunka aiki a mafi yawan mutane. Man instinctively kokarin garkuwa da shi ko ramammu kuma suka ji rauni. Amma kar ka manta da cewa karaya na hagu radial kashi a wani hali wuri ne kuma zai yiwu (as a bangaren dama kuma bangaren hagu). A duk ya dogara a kan halin da ake ciki. Saboda haka, likitoci kamata ba rasa vigilance.

magani

A core na far, kazalika da a wasu lokuta, shi ne immobilization na wata gabar jiki da kuma zafi taimako. Domin wannan dalili, da danniyan daga cikin simintin gyaran ko karan ɗori, ci na maganin ciwo. Amma da magani daga radial kashi karaya a hankula wuri ba ya kawo karshen akwai. A aka azabtar ake bukata da za a alurar riga kafi da tetanus, ba maganin rigakafi da kuma immunoglobulins ƙara da jiki ta jure (musamman da amfani a bude samu karaya). Sanye da gypsum ya ci gaba da 2-2.5 watanni. M baki na iya zama dole idan akwai rikitarwa.

rikitarwa

Babu daya ne rigakafi daga matsaloli ko da lokacin da irin wannan al'ada sabon abu na karaya radius a wani hali wuri. Matsalolin yawanci gano wani bincike mataki. Wadannan sun hada da:

• bude karaya.
• ƙarin karaya na ulna.
• gaban sāke wuri ko subluxation.
• wani gagarumin motsi na da wani ɓaɓɓake.
• jijiya matsawa ko lalacewar jini.
• pathological karaya.
• multisplintered karaya.

dawo da

A mataki na gaba bayan cire gypsum - fizioprotsedur lengthy tsari, wanda ake bukata don maido da aiki na hannu da dantse, kuma hannunka. Wannan yakan auku 2-3 watanni bayan ganewar asali "karaya na radial kashi a wani hali wuri." Fi ne da muhimmanci ga} arfafa murdede firam wata gabar jiki da kuma hankali dawo a cikin motsi bayan shafe tsawon immobilization. Matsalolin iya bayyana a cikin tsofaffi, marasa lafiya da ciwon sukari mellitus, illa hanta, koda, da kuma rage rigakafi.

Fractures na radial kashi a wani hali wuri - quite talakawa da kuma na yau da kullum da lifiya a cikin gaggawa dakin, amma wannan Pathology ba ya zama kasa mai muhimmanci, ko ga likita ko haƙuri.