Mary Allen
Pambuyo pa ngozi zazikulu - kaya kugundana ndi magalimoto kapena kugwa kuchokera pamtunda waukulu - nthawi zambiri pamakhala kuvulala kwa msana.
Chithandizo choyambira
Thandizo loyamba pamalo angozi ndi zoyendetsa zimasankha tsogolo la nyama: kusamalira mosasamala kumatha kuwononga msana. Choncho, odwalawo ayenera kuwanyamulira pamwamba pomwe pamakhala cholimba kwambiri (monga bolodi), ngati kuli koyenera kumangidwa ndi zomatira kapena zomata. Pambuyo pa kukhazikika komanso kuyesedwa koyamba kwa minyewa kusanachitike, wosamalira ayenera kupereka chidziŵitso chosonyeza ngati wodwalayo anali ataimirirabe kapena akuyenda pamalo angoziwo, ndiponso ngati pali ziwalo, kupunduka, kapena kupweteka.
Kuyesedwa kuchipatala
Mwa mosamala palpting nyama, dera chidwi chapadera. Kenako imathanso kujambulidwa ndi X-ray kuti iwonetsedwe kale kumunsi kwake. Kuti mufufuze mwatsatanetsatane, idzayikidwa pa tebulo loyesera kuti mayesero enieni apangidwe osakhudzidwa ndi kukonzanso.
Zinyama zomwe zimatha kuima zimayesedwa koyamba zitayima: kumveka bwino, malo a miyendo, malo ndi ma reflexes, komanso kuthekera kogwirizanitsa kungadziwike motere.
Musanaunikenso mphamvu, kusuntha kwadzidzidzi, kuzindikira koyenera, ndi machitidwe owongolera a miyendo inayi amafufuzidwa. Pomaliza, chiwetocho chikhoza kufufuzidwa mosamala pogwiritsa ntchito kafukufuku wam'mphepete mwa tebulo kapena kuyendetsa bwino kwa wilibala. Zowonongeka zomwe zapezeka zimatha kukhazikitsidwa bwino kwambiri mothandizidwa ndi mayeso a reflex.
kutanthauzira
Zotsatira za kafukufuku wa minyewa ndizomwe zimafunikira kwambiri kuti mudziwe malo omwe kuwonongeka kwa minyewa ndi momwe zimakhalira. Kuwonongeka kwa msana mu chithunzi cha X-ray kungakhale kwakukulu kwambiri kapena kuchepetsedwa. Makamaka pambuyo pa kutayika kwa minofu, kuvulala kwa msana kumatha kuchepetsa ndikuwoneka bwino, ngakhale kuti msana wawonongeka kwathunthu.
Kuwunika kwa X-ray kwa cholakwika chodziwika kuyenera kuchitidwa nthawi zonse mu ndege ziwiri. Nthawi zina zophimbazo zimakhala zomvetsa chisoni kwambiri kotero kuti kuvulala koopsa kumatha kunyalanyazidwa, monga momwe tawonetsera pa dorsoventral view pamwamba pa galu yemweyo. Pakuwunika kwa minyewa, nyamayi idawonetsa kuperewera kwakukulu.
Ngati kuperewera kwa minyewa kumagwirizana ndi kuopsa kwa kuvulala kwa msana komwe kumatsimikiziridwa ndi radiologically, matendawa amakhala ochepa kwambiri kotero kuti chithandizo china chilibe phindu. Izi zikuphatikiza ma dislocations ndi fractures ndi kusamuka kwakukulu monga momwe tawonetsera pachithunzi chotsatira. Msana nthawi zonse umadulidwa kwathunthu mu nyama izi.
Ngati ulusi wopweteka sunadulidwebe, kusuntha kwakukulu kungathebe kuchiritsidwa bwino ngati kungakhazikitsidwe.
Therapy
Nthawi zambiri, kukonza kosautsa kwambiri kumakhala kokwanira. Mphaka wa Carthusian uyu anali atagwa kuchokera padenga ndipo - poyang'anitsitsa - adathyoka vertebra yomaliza ya thoracic kumapeto kwa caudal ndi mafupa a msana. Sanathenso kuyimirira, adawonetsa kukokomeza kwa miyendo yakumbuyo, komabe adawonetsa zowawa. Kukhazikika kwamkati ndi mawaya awiri odutsa a Kirschner, omwe adayikidwa kumbuyo momwe angathere m'matupi a vertebral pansi pa X-ray chifukwa cha zidutswa zowonongeka, adathandizidwa ndi kusunga wodwalayo mu khola lopapatiza kwa masabata a 6.
Zidutswa za mafupa zomwe zili mumsana wa msana zimatha kuchotsedwa potsegula mosamala ma vertebral arches.
The caudal vertebral endplate ya thoracic vertebra imatha kudziwikabe ngati kachigawo kakang'ono kamene kamayang'anira X-ray.
Mphakayo anachira. Pambuyo pa zaka zinayi, akuwonetsa kugwira ntchito kwathunthu kwa chikhodzodzo, rectum, ndi kumbuyo. Amapita kokayenda padenga lake lokondedwa ndi chisangalalo chachikulu.
Komabe, sikofunikira kwenikweni kuchiza chovulala chilichonse cha msana opaleshoni, malinga ngati chili chokhazikika pa dzanja limodzi ndipo chimakhala ndi chizoloŵezi chodzichiritsa chokwanira. Mwachitsanzo, amphaka omwe amagwa kuchokera pamtunda waukulu nthawi zambiri amavutika ndi sacrum-iliac dislocation ngati atakhala pamatako. Nthawi zambiri chiuno chokha sichimasweka. Komabe, imasinthidwa 1-3 cm cranial, sacrum imakhala ngati mphero.
Nthawi zambiri pamakhala kuphulika kuchokera ku facies auricularis ya sacrum (zozungulira). Sasokoneza mkhalidwe waubongo kapena machiritso. Chofunikira pa chithandizochi chokhala ndi mpumulo wa khola kwa masabata 4-6 ndizowona kuti ali ndi thanzi labwino la minyewa kuphatikiza kuwongolera kuthako ndi chikhodzodzo.