Dislocation

Kutsemurwa kupatsanurwa kwemapfupa maviri kwavanosangana pajoini. Mubatanidzwa ndiyo nzvimbo inobatana mapfupa maviri, iyo inobvumira kufamba.

Chibatanidzwa chakabviswa mubatanidzwa umo mapfupa anenge asisiri munzvimbo dzawo dzepo.

Zvinogona kuve zvakaoma kuudza jubhu rakabviswa kubva pfupa rakatyoka. Ose ari ma emergency anoda kurapwa kwekutanga rubatsiro.

Kazhinji dislocation inogona kurapwa muhofisi yechiremba kana mukamuri rekukurumidzira. Iwe unogona kupihwa mushonga kuti uite iwe uve nehope uye kuti uve nenzvimbo iyo nzvimbo. Dzimwe nguva, general anesthesia iyo inokuisa iwe muhope huru inodiwa.

Kana ikarapwa nekukurumidza, kusununguka kwakawanda hakukonzere kukuvara zvachose.

Iwe unofanirwa kutarisira kuti:

• Kukuvara kumaturu akakomberedza kazhinji kunotora mavhiki matanhatu kusvika gumi nemaviri kuti apore. Dzimwe nguva, kuvhiyiwa kugadzirisa ligament iyo inosvimha kana iyo joini yabviswa inodiwa.
• Kukuvara kwemitsipa uye mitsipa yeropa kunogona kukonzera matambudziko mazhinji kwenguva refu kana zvachose.

Kana joini yangobviswa, zvinowanzoitika zvakare. Mushure mekurapwa mukamuri rekukurumidzira, iwe unofanirwa kuteedzesa nachiremba wemabhonzo (pfupa uye akabatana chiremba).

Dislocations inowanzo kukonzerwa nekukanganisa kamwe kamwe kujoini. Izvi zvinowanzoitika zvichitevera kurohwa, kudonha, kana kumwe kushungurudzika.

Chibatanidzwa chakabviswa chinogona kunge chiri:

• Inoperekedzwa nehusimbe kana kugwinha pajoini kana kupfuura
• Zvinorwadza kwazvo, kunyanya kana iwe ukaedza kushandisa mubatanidzwa kana kuisa uremu pairi
• Zvishoma mukufamba
• Kuzvimba kana kupwanya
• Zvinoonekwa kunze kwenzvimbo, kusviba, kana kusasikwa

Gokora remukoti, kana kukweva gokora, kutsemurwa kusarura kunowanzoitika kune vana vadiki. Chiratidzo chikuru marwadzo kuitira kuti mwana asade kushandisa ruoko. Uku kubvisa kunogona kurapwa nyore nyore muhofisi yechiremba.

Matanho ekutanga ekubatsira kutora:

1. Fonera 911 kana iyo yemunzvimbo yekukurumidza emergency usati watanga kurapa mumwe munhu angave aine dislocation, kunyanya kana tsaona yakakonzera kukuvara inogona kunge iri kutyisidzira hupenyu.
2. Kana munhu wacho akakuvara zvakanyanya, tarisa nzira yake yekufema, kufema, uye kutenderera. Kana zvichidikanwa, tanga CPR, kana kudzora kubuda ropa.
3. Usafambisa munhu kana iwe uchifunga kuti musoro wavo, musana, kana gumbo rakakuvara. Chengetedza munhu wacho akadzikama uye akanyarara.
4. Kana ganda rakatyoka, tora matanho ekudzivirira hutachiona. Usaridze ronda. Sukurudza nzvimbo yacho zvinyoronyoro nemvura yakachena kuti ubvise chero tsvina dzaungaona, asi usatsvaire kana kuongorora. Fukidza nzvimbo yacho nemapfekero asina kuchena usati waremadza mubatanidzwa wakakuvara. Usaedze kudzosera pfupa panzvimbo kunze kwekunge uri nyanzvi yemabhonzo.
5. Nyorera kupwanya kana chipfuramabwe kujoini yakakuvara panzvimbo yawakaiwana. Usafambisa mubatanidzwa. Zvakare bvisa nzvimbo iri pamusoro uye pazasi yenzvimbo yakakuvara.
6. Tarisa kutenderera kweropa kutenderedza kukuvara nekutsikirira zvakasimba paganda munzvimbo yakakanganiswa. Inofanira kushanduka chena, wozowana ruvara mukati memasekonzi mashoma mushure mekumira kuimanikidza. Kuti uderedze njodzi yekubatwa nehutachiona, usaite nhanho iyi kana ganda rakatyoka.
7. Isa mazaya echando kuti usanyanya kurwadziwa uye kuzvimba, asi usaise chando zvakananga paganda. Putira chando mumucheka wakachena.
8. Tora matanho ekudzivirira kushamisika. Kunze kwekunge paine musoro, gumbo, kana musana kukuvara, gadzika munhu akuvara padenga, simudza tsoka dzayo anenge gumi nemasendimita (30 masentimita), uye vhara munhu nejasi kana gumbeze.

• Usatamise munhu kunze kwekunge kukuvara kwacho kwanyatsopera.
• Usafambisa munhu ane chiuno chakakuvara, chiuno, kana gumbo repamusoro kunze kwekunge zvichinyatsodiwa. Kana iwe uri wega mununuri uye munhu wacho achifanira kufambiswa, dhonza nehembe dzavo.
• Usaedze kutwasanudza rakashata pfupa kana mubatanidzwa kana kuyedza kuchinja chinzvimbo.
• Usaedze pfupa rakashata kana mubatanidzwa pakurasikirwa nebasa.
• Usapa munhu chero chinhu nemuromo.

Fonera 911 kana iyo yemuno emergency emergency kana munhu wacho aine chero cheanotevera:

• Bonzo rinoonekwa kuburikidza neganda
• Kuzivikanwa kana kufungidzirwa kusununguka kana kutyorwa pfupa
• Nzvimbo iri pazasi pejoinhi yakakuvara iyo yakachenuruka, kutonhora, clammy kana bhuruu
• Kubuda ropa kwakanyanya
• Zviratidzo zvehutachiona, senge kudziya kana kutsvuka panzvimbo yakakuvara, pus, kana fever

Kubatsira kudzivirira kukuvara muvana:

• Gadzira nzvimbo yakachengeteka yakatenderedza imba yako.
• Batsira kudzivirira kudonha nekuisa magedhi pamatanho uye nekuchengeta mahwindo akavharwa nekuvharwa.
• Chengeta ziso rakatarisa pavana nguva dzese. Iko hakuna chinotsiva kutarisa kwepedyo, kunyangwe hazvo nharaunda kana mamiriro ezvinhu achiratidzika kunge akachengeteka.
• Dzidzisa vana nzira yekuchengeteka uye kuzvitarisira ivo vega.

Kubatsira kudzivirira dislocations muvakuru:

• Kuti udzivise kudonha, usamira pamacheya, pamatafura kana zvimwe zvinhu zvisina kugadzikana.
• Bvisa kukanda machira, kunyanya kutenderedza vakuru vakuru.
• Pfekai giya rekudzivirira kana muchipinda mumitambo yekubatana.

Kune ese mazera mapoka:

• Chengeta kitambo chekubatsira chekutanga chiri pedyo.
• Bvisa tambo dzemagetsi kubva pasi.
• Shandisa handrails pamasitepisi.
• Shandisa mateki asingakodzeri pazasi pemabhati uye usashandise mafuta ekugezesa.

Yakabatana dislocation

• Radial musoro kukuvara
• Kubviswa kwehudyu
• Pamwe chete

Klimke A, Furin M, Overberger R. Prehospital kusagadzikana. Mune: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts uye Hedges 'Clinical Maitiro muEmergency Medicine uye Acute Kuchengeta. 7th ed. Philadelphia, PA: Elsevier; 2019: chits.

Mascioli AA. Kwakanyanya dislocations. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chitsiko 60.

Naples RM, Ufberg JW. Manejimendi yezvakajairwa dislocation. Mune: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts uye Hedges 'Clinical Maitiro muEmergency Medicine uye Acute Kuchengeta. 7th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 49.