Mary Allen
Mushure menjodzi dzakakomba - kungave kudhumhana nemotokari kana kudonha kubva pakakwirira - pane kazhinji kukuvara kwemusana.
Rubatsiro rwekutanga
Rubatsiro rwekutanga panzvimbo yetsaona uye kutakura sarudza pamusoro pekuguma kwemhuka: kubata kusina hanya kunogona kuparadza mutsara wemusana. Naizvozvo varwere vanofanira kutakurwa pamusoro penzvimbo yakasimba sezvinobvira (semuenzaniso bhodhi), kana zvichidikanwa kunyange yakavharwa netepi yekunamira kana plasters. Mushure mekugadzikana uye kusati kwatanga kuongororwa kwetsinga, mutarisiri anofanira kupa ruzivo rwekuti murwere akanga achiri akamira here kana kuti achifamba panzvimbo yenjodzi, uye kana paiva nekuoma mitezo, kuremara, kana kurwadziwa.
Kuongororwa mukiriniki
Nekunyatso kupuruzira mhuka, nzvimbo yainyanya kufarira. Ipapo inogona zvakare kuve X-rayed yekumisikidzwa yakatosungirirwa pachigadziko chayo. Nekuongororwa kwakadzama, ichaiswa patafura yekuongororwa kuitira kuti mimwe miedzo chaiyo iitwe isina kukanganiswa nekugadzirisa.
Mhuka dzichiri kukwanisa kumira dzinotanga kuongororwa dzakamira: pfungwa yekuenzanisa, nzvimbo yemakumbo, nzvimbo uye maitiro ekugadzirisa, uye kukwanisa kurongedza kunogona kutsanangurwa nenzira iyi.
Usati waongorora mareflexes, mafambiro ega ega, proprioception, uye kugadzirisa maitiro emakumbo mana anotariswa. Chekupedzisira, mhuka yacho inogona kunyatsotariswa uchishandisa tafura kumucheto probe kana kungwarira kutyaira bhara. Kukanganisa kunowanikwa kunogona kugariswa zvakanaka nerubatsiro rwereflex bvunzo.
Localization
Mhedzisiro yekuongorora kwetsinga ndiyo inonyanya kukosha chiyero chekutsvaga nzvimbo yekukuvara kwetsinga uye kufungidzira. Kukuvadzwa kwemusana mumufananidzo we-X-ray kunogona kunyanya kufungidzirwa kana kuderedzwa. Kunyanya mushure mekurasikirwa kwetaundi yetsandanyama, kukuvara kwepelinha kunogona kungoerekana kwadzikira uye kuratidzika seyakajairwa, kunyangwe musana wakaparadzwa zvachose.
Kuongororwa kweX-ray kwechirema chakaonekwa kunofanirwa kugara kuchiitwa mundege mbiri. Dzimwe nguva kuvharidzirwa kunosuruvarisa zvokuti kukuvara kwakakomba kunogona kufuratirwa, sezvinoratidzwa mukuona kwedorsoventral pamusoro pembwa imwe chete. Mukuongorora kwetsinga, mhuka iyi yakaratidza kukanganisa kwakanyanya.
Kana kushaya kwetsinga kuchienderana nekuoma kweradiologically yakatemwa musana wekukuvara, kufungidzira kwakashata zvekuti kumwe kurapwa hakuna maturo. Izvi zvinosanganisira dislocations uye fractures ane akakosha displacement sezvakaratidzwa mumufananidzo unotevera. Muzongoza unogara wakagurwa zvachose mumhuka idzi.
Kana mafiibhi anorwadza asati agurwa, kubviswa kwakakosha kuchiri kubudirira kurapwa kana kuchigona kudzikamiswa.
kurapa
Muzviitiko zvakawanda, kugadzirisa kusinganyanyi kushungurudza kwakakwana. Katsi yeCarthusian iyi yakanga yadonha kubva padenga remba uye - pakunyatsotarisisa - yakanga yatsemuka vertebra yekupedzisira yechipfuva pane caudal endplate uye dorsal vertebral joints. Akange asisakwanise kumira, achiratidza kuwedzeredza tsinga dzeshure, asi achiri kuratidza kurwadziwa. Kudzikama kwemukati netambo mbiri dzakayambuka Kirschner, dzakaiswa semashure sezvinobvira mumitumbi ye vertebral pasi pekutonga kwe-X-ray nekuda kwezvimedu zvakaputsika, zvakatsigirwa nekuchengetedza murwere mucheji yakamanikana kwemavhiki matanhatu.
Zvimedu zvemabhonzo zvakarara mumugero wemusana zvinogona kubviswa nekunyatsovhura vertebral arches.
Iyo caudal vertebral endplate ye thoracic vertebra inogona kuramba ichizivikanwa semutsara chidimbu mu lateral control X-ray.
Katsi yakapora. Mushure memakore mana, anoratidza kushanda kwakakwana kwemuviri wedundira, rectum, uye kumashure kwemakumbo. Anotoenda kunofamba pamusoro pedenga rake raanoda nomufaro mukuru.
Zvisinei, hazvidikanwi zvachose kurapa kukuvara kwemusana kwese kuvhiyiwa, chero bedzi yakagadzikana zvakakwana kune rumwe rutivi uye iine hutano hwakakwana hwekuzviporesa kune imwe. Semuenzaniso, katsi dzinodonha kubva pakakwirira dzinowanzotambura kubva kune sacrum-iliac dislocation kana akagara pamakumbo. Kazhinji kazhinji pelvis pachayo haina kuputsika. Zvisinei, inoshandurwa 1-3 cm cranial, sacrum inoita seweji.
Iko kazhinji kune kunyange kuputika kubva kune facies auricularis ye sacrum (denderedzwa). Izvo hazvipindiri nechimiro chetsinga kana kuporesa. Chinhu chinodiwa pakurapa uku nekuzorora kwekeji kwemavhiki e4-6 ndeyechokwadi chimiro chakanaka chetsinga chinosanganisira kutonga kwakazara kweaku uye dundira.