Ni ryari ukeneye kubagwa kuvunika?

Ubusanzwe kuvunika guherekezwa no gukomeretsa ibindi bice byumubiri. Muburyo bwose bwo kuvura, abarwayi bagomba kuvurwa muri rusange.

Urutonde rwibanze

• Kiza ubuzima

• Bika ingingo

• Bika ingingo

• Igikorwa cyo kwiyubaka

  
  

Kubaga byihutirwa: amahame yo kuvura ibikomere byimitsi, kuvunika gufungura no kuvunika gufunze.

• Gufungura kugabanya no gukosora imbere hakiri kare (muri 6h)

• 48h

• 3 ~ 7d: Bizongera kugaragara kwa ARDS nibindi bibazo.

• 7 ~ 10d: Endocrine reaction yagabanutse [kubyimba byagabanutse, gutwika birashira]

• Ibyumweru birenga 2: ingorane zo gukora ziriyongera kandi nyuma yibikorwa bigabanuka.

Kuvunika kwa collarbone

• Iyo imvune yamenetse ikomeretsa imitsi ya subclavian, veine na brachial plexus, hemejwe ko ari ingorane ikomeye kandi igomba guhita ikorwa.

Kumeneka hafi ya humeral

• Iyo kugaruka kwa elastique bibaye nyuma yo kugabanuka kwintoki-tendon ya biceps longus, mugihe ibimenyetso bya nervice axillary bigaragara.

Ivunika rya humeral shaft

• Ibimenyetso byo gukomeretsa imitsi ya radial bibonetse mugupima umubiri, kubaga bizahita bikorwa.

Kuvunika kure

• Ubu bwoko bwo kuvunika bushobora gutera imitsi iyo ari yo yose cyangwa imitsi y'amaraso inyura mu nkokora. 

• Kugabanuka kw'imiyoboro y'amaraso ntibisanzwe, ariko hashobora kubaho impagarara cyangwa kwikuramo. 

• Indwara ya syndrome ya Fascial-guhita gutemagura no gutesha umutwe.

Gukomeretsa olecranon, umutwe wa radiyo hamwe nu nkokora igoye

• Uzuza ibikorwa mugihe cyicyumweru.

• 1 ~ ibyumweru 2 kubaga kirazira igihe-myosite ossificans.

• Kubaga mu byumweru 2.

  
  

Kuvunika ukuboko kabiri

• Cyangwa kuvunika gufungura bigomba kubagwa muri 6 ~ 8h nyuma yimvune.

• Gutinda gukora bishobora kongera ibyago byo gushiraho ikiraro cyamagufwa hagati ya ulna na radiyo.

Kumeneka kure ya radiyo

• Mugihe isuzuma ryumubiri ryasanze extensor pollicis longus tendon igikomere hamwe nibimenyetso byo kwikuramo imitsi ya median byagaragaye-kubagwa ako kanya.

Kuvunika intoki

• Kugabanuka hakiri kare no gukosora imbere birashimangirwa kumeneka zifunguye kandi zifunze, cyane cyane kubigoye n’imvune ziva mu mitsi, imitsi cyangwa imitsi, kubaga bigomba guhita bikorwa.

  
  

Kuvunika kw'intanga

• Ivunika rya pelvic akenshi rihujwe no kuvunika mubindi bice, bizatera ihungabana rya hemodinamike.

  
  

• Uburyo bwo kuvura kuvunika pelvic bigoye: 30min, ibyemezo 3

• Ubushakashatsi bwihuse bwo kubaga kugirango uhagarike kuva amaraso

• Pelvic fixation (C ifite imbaraga cyangwa C ikosora hanze) irangira muri 10 ~ 15min.

• Nyuma yo kwitegereza 10 ~ 15min, umurwayi aracyafite hemodynamic ihungabana-imikorere.

• Ku barwayi bafite hemodinamike ihamye, kubaga bigomba gukorwa mu minsi 7, cyangwa iminsi 7 ~ 14.

Ivunika ryigitsina gore hafi-kuvunika hagati

• Iyo imiterere rusange yumurwayi imaze kugenzurwa, gukosora imbere, DHS, DCS na PFN, bigomba gukorwa.

Kuvunika kw'igitsina gore hafi-kuvunika ijosi

• Kuvunika kw'ijosi ry'umugore, cyane cyane kuvunika kw'imitsi, birashobora guhungabanya amaraso y'umutwe w'igitsina gore, bityo rero birakenewe gufungura kugabanuka no gukosora imbere vuba bishoboka.

• Gukosora imbere: <imyaka 65

• Gusimburana hamwe:> imyaka 65

• Niba kubagwa byihutirwa bidashoboka, gutobora hamwe no kwifuza kwa hematoma yo mu nda-articular birashobora gukorwa, kandi ingingo yibibuno irashobora kubikwa mugice cya flexion hamwe no kuzunguruka hanze.

Kuvunika kure

• Abarwayi bafite ibikomere byoroheje byoroshye, kuvunika gukinguye, cyangwa ingorane zo gukora hakiri kare-Super-articular fixator yo hanze.

• Kubaga ako kanya kuvura ibikomere byitaruye -— DCS, retrograde intramedullary imisumari.

  
  

Kumeneka kwa Patella

• Muri rusange umurwayi ameze neza, kandi imiterere yuruhu rwaho iremera, kubaga bigomba guhita bikorwa.

Kumeneka hafi ya tibial

• Menya imiterere yihohoterwa

• Gukomeretsa ingufu nyinshi akenshi biherekejwe no gukomeretsa bikabije. Irangwa no kubyimba ingingo, kubyimba, gukuramo uruhu no gukomeretsa uruhu. Igikorwa kigomba gusubikwa muri iki gihe. Muri icyo gihe, syndrome de fassique space hamwe no gukomeretsa kw'imitsi n'imitsi bigomba kuvaho.

Ivunika rya Tibial

• Umwihariko wa anatomy-akamaro ko gukwirakwiza ingirabuzimafatizo.

• Icyiciro cyambere: muri 8h

• Gukosora hanze bifatwa nkuburyo bwambere bwo kuvura hakiri kare.

• Inkunga ya Gypsumu

• Gukurura Calcaneal

• Icyiciro cya II: hafi ibyumweru 2.

• Nta kwandura kugaragara kwabayeho no guhahamuka gukabije.

• Nta kubyimba cyangwa gusohora igikomere.

• Ibibyimba byumye, kubyimba bigabanuka kandi ibimenyetso byamagufwa birashobora gukorwaho.

• Uruhu rwijimye, imirongo yuruhu iragaragara.

Kumeneka kwa tibia ya kure (pilon)

Ibisubizo byo kuvura kuvunika kwa Pilon biterwa nubwiza bwo kwiyubaka hamwe nuburyo bwo gukingira ingirabuzimafatizo.

Igihe cyiza cyo kubagwa biterwa nuburyo bwimyenda yoroheje:

• Icyiciro cyambere: igikorwa cyakozwe muri 6 ~ 8h, cyamaze 2 ~ 3h.

• Gutinda: iminsi 7 ~ 10, kubyimba byarazimye kandi impu zuruhu ziragaragara.

Amahame ane gakondo agomba gukurikizwa mubyiciro bimwe byo kongera kubaga:

• Kongera kubaka fibula

• Kongera kubaka tibial articular surface

• Amagufwa

• Inkunga y'isahani

Kuvunika amaguru

• Kuvunika amaguru ni kuvunika imbere.

• Intego yo kuvura ni ukugarura imiterere isanzwe ya anatomique yingingo.

• Igihe cyo kubagwa giterwa nuburyo bwimyenda yoroheje.

• Igihe cyiza cyo kubagwa ni mbere yo kuribwa no kubyara bigaragara ahantu havunitse.

Kuvunika ibirenge

• Nibuye ryibirenge kugirango abantu bahagarare kandi bagende. Kugarura imiterere isanzwe yikirenge bigira uruhare runini muburyo abantu bahagaze no kugenda.

• Kimwe no kuvunika amaguru, igihe cyo kubagwa biterwa nurwego n'imiterere yo kubyimba byoroshye.

Kuvunika umugongo

• Niba umubiri wose uhagaze neza, kuvunika kwimuwe bigomba guhita bikorwa niba hari ibimenyetso byubwonko.

  
  

Nigute wagura imitekerereze ya orthopedie nibikoresho bya orthopedie？

Kuri CZMEDITECH , dufite ibicuruzwa byuzuye byumurongo wo kubaga amagufwa hamwe nibikoresho bijyanye, ibicuruzwa birimo umugongo, imisumari, icyapa cy'ihungabana, icyapa, cranial-maxillofacial, prothèse, ibikoresho by'ingufu, abatunganya hanze, arthroscopy, ubuvuzi bwamatungo nibikoresho byabo bifasha.

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