Ichipịa aka bụ mmerụ ahụ mechiri emechi na anụ ya ndị dị nro. A na-enwekarị mmerụ ahụ n'aka ma ọ bụ site na ịda ada. Ọ dịghị ọkpụkpụ ma ọ bụ mmebi anụ ahụ na-eme. Dị ka ICD-10 si kwuo, koodu ọgwụgwọ bụ S60.2.
Esemokwu dị n'etiti nchihịa na mgbaji ọkpụkpụ
Na mmerụ ahụ, a na-echekwa ọrụ aka. Ejiri nkwadoji okpukpu:
- Nnyocha nyocha:
- mbelata dị ịrịba ama na oke mmegharị nwere ike: enweghị ike iwere ihe, mee mmegharị ntụgharị, gbagọrọ agbagọ ma ọ bụ imegharị aka, dabere na ogwe aka merụrụ ahụ;
- mmegharị na / ma ọ bụ nrụrụ aka;
- Mmetụta nke crepitus na ije.
- Ihe nyocha X-ray.
Ihe kpatara ya
Na etiology, ndị isi na-arụ site na:
- dara (site na igwe ma ọ bụ mgbe ị na-egwu volleyball);
- ọkpọ (mgbe ị na-eme karate);
- Mberede okporo ụzọ;
- ịmachi aka (n'ọnụ ụzọ);
- ihe omume egwuregwu (ọgụ ndị ọkpọ, ihe mmerụ ahụ bụ ọnya aka).
Nhazi
N'ebe trauma di, ndiiche di iche:
- ulo oru (mgbe eji ihe di egwu);
- ezinụlọ;
- egwuregwu.
Site na mpaghara, bruises dị iche:
- nkwojiaka;
- mkpịsị aka aka;
- n'ọbụ aka;
- nkwojiaka nkwonkwo.
N'ihe banyere oke ike, bruises bụ:
- akpa ume (ntakịrị reddening nke anụ ahụ na saịtị nke mmerụ ahụ ekpebie);
- ọkara (a na-ahụ ọbara ọgbụgba dị n'okpuru ụzọ, anụ ahụ dị nro aza);
- oké (oke edema na hematomas buru ibu).
Ogo nke ọnya na-emetụta oke mgbu. Maka oke ọnya, causalgia bụ njirimara - ihe mgbu nke nnukwu ike, na-agbapụta na aka na ubu. Uzo di iche iche na causalgia nwere ike idi oke.
Mgbaàmà
Ihe ịrịba ama a na-ahụkarị nke ụdị mmerụ ahụ gụnyere:
- ihe mgbu na aka, na-enwu gbaa n'ihu ma ọ bụ mkpịsị aka (na nnukwu mmerụ ahụ);
- obere okpuru ọbara (pụtara mgbe awa 2-3 gachara) na hematomas;
- akpịrị mgbe ị na-emegharị mmegharị (ọ nwere ike isiri gị ike ịmị mkpịsị aka gị aka);
- ọzịza;
- mmetụta nke ụfụ, na-esonyere mbelata n'ụdị dịgasị iche iche nke uche;
- hyperemia (acha ọbara ọbara) nke anụ ahụ.
Site na ọbara ọgbụgba na abụba subcutaneous, ihe omume nke "blooming bruises" bụ njirimara, nke cherry agba na-agbanwe-acha anụnụ anụnụ-akwụkwọ ndụ akwụkwọ ndụ mgbe ụbọchị anọ na ise gasịrị, yana edo edo (n'ihi metabolism nke iron nwere ọbara piment).
Site na ọnya na-agbaji, hematomas dị n'akụkụ azụ aka, na ụfọdụ, na-eru oke nha. Akpụkpọ ahụ na saịtị nke mpaghara nwere ike gbanwee acha anụnụ anụnụ. Mgbe ụfọdụ anụ ahụ na-agbapụta, na-akpụ blisters na hemorrhagic ọdịnaya.
Ọrịa nhụjuanya siri ike nwere ike ịkpalite mbelata dị ukwuu nke ọbara mgbali, mmepe nke syncope ma ọ bụ ihe nhụsianya na-adakarị.
Enyemaka mbụ na otu esi bandeeji njikọta
Ọ bụrụ na a na-enyo enyo na ọnya, egosiputara ngwa ngwa (kachasị n'ime nkeji 15) itinye mkpakọ oyi na mpaghara mebiri emebi.
Ice a juru n'ime akpa rọba ma fụchie ya na akwa kachasị mma.
Na-esote, a na-asacha saịtị nke mmerụ ahụ na mmiri oyi, mgbe nke ahụ gasịrị, a na-etinye bandeeji, wee ruo oge oge ịkpọtụrụ traumatologist iji nyochaa nchoputa ahụ, a ga-edebe aka ahụ na ọnọdụ dị elu.
Iji belata edema, ọbara ọgbụgba n'ime ya na ịmegharị ahụ nke aka, ọ bụ bandeeji. Nhọrọ ndị nwere ike ime:
- mitten;
- na aka na nkwojiaka (na-enweghị mkpịsị aka na-ejide);
- n'aka na mkpịsị aka;
- na aka na mkpịsị aka dịka ogwe aka.
Mgbe ị na-etinye bandeeji, cheta na ọ dịkarịa ala, nkwonkwo abụọ ga-emegharị. A na-ekwe ka ojiji nke taya Cramer ma ọ bụ ihe ezighi ezi. N'okwu a, ihe ndị ahụ taya agaghị abanye na akpụkpọ ahụ iji zere iwe. Iji mee nke a, ha ga-ebu ụzọ kechie ya na bandeeji.
Na oke ọnya, oge iji yi bandeeji nwere ike ịbụ ụbọchị iri na anọ.
Otu esi emepe aka
N'ụbọchị nke atọ mgbe ọnyá gasịrị, iji zere ịla n'iyi nke akwara aka, a na-atụ aro ịmalite ịme omume ndị a:
- tinye aka gị na tebụl ma kpoo mkpịsị aka gị n'elu ya;
- apịaji ọbụ aka gị, na-agbagharị ha dị ka metronome;
- tinye nkwụ gị na tebụl, pịa mkpịsị aka gị n'elu (mmega ahụ bụ iji gbalịa ibuli ha elu);
- jiri nwayọ apịa ihe na-agbasa ma ọ bụ bọl na mkpịsị aka aka merụrụ ahụ;
- were bọọlụ abụọ n’ọbụ aka gị wee tugharia ha n’aka gị na klọọkụ na-aga. Kwesịrị, ha ekwesịghị ikukota.
N'ọnọdụ ọ bụla ị kwesịrị ịme mmegharị na mberede ma ọ bụ mee mmega ahụ iji merie mgbu.
Ọ bụ ihe amamihe dị na ya ịkọwa ịhịa aka ma ọ bụ ịhịa aka aka nke aka, nke na-agụnye ịmị aka aka na-emerụ ahụ site na mkpịsị aka nke mkpịsị aka ruo n'akụkụ akụkụ aka.
A na-agwọkwa ọnya dị ukwuu nke aka site na nnọkọ acupuncture.
Ihe enwere ike ime n'ụlọ n'ụlọ dị iche iche
Ọ bụrụ na ewepu mgbaji, enwere ike ịme ọgwụgwọ na ụlọ ọgwụ ọpụpụ n'okpuru nlekọta nke dọkịta na-aga.
N'ime awa 24 mbụ mgbe ọnyá gachara (n'oge na-adịghị anya), a ga-etinye oyi na-atụ oyi na mpaghara mebiri emebi maka ihe karịrị 10 nkeji kwa awa 2. Enwere ike itinye ọgwụ na-akụnwụ ahụ n'ahụ n'ahụ. Mgbe awa 72 ruo 96, a pụrụ itinye okpomọkụ iji mee ka mkpebi nke ọnya dị ngwa.
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Enwere ike iji kpo oku iji:
- pouches nke nnu kpụ ọkụ n'ọnụ (ọkụ akọrọ);
- ngwa paraffin;
- baths na-ekpo ọkụ.
Maka oke ihe mgbu, NSAIDs (Ketotifen, Diclofenac sodium, Ibuprofen) ka edere ede n'ọnụ, a na-etinye ọgwụ ndị na-agba NSAID (Fastum gel) na mpaghara, nke a na-etinye 1-3 ugboro n'ụbọchị.
A na-eji ọgwụ analgesics Narcotic (Promedol, Omnopon) mee ihe iji belata ọrịa mgbu site na ndenye ọgwụ na nlekọta nke dọkịta.
Site na edema, vitamin C, Rutin, Ascorutin, Quercetin, Troxevasin, Actovegin, Eskuzan, Pentoxifylline ka eji eme ka mgbidi nke okpu meziwanye microcirculation.
Enwere ike ịnye usoro ọgwụgwọ ahụike site na ụbọchị nke atọ mgbe ọnyá gasịrị ma gụnye:
- Mmiri UHF;
- obere ugboro magnetik ubi edinam;
- UFO;
- ọgwụgwọ laser.
N'ihu ihe ịrịba ama nke mkpakọ nke alaka nke ulnar ma ọ bụ median nerves (alaka nke radial irighiri akarị ma ọ bụrụ na mmerụ aka), a na-egbochi mgbochi na ọgwụ eji agwọ ọrịa (Novocaine, Trimecaine) iji ọgwụ anesthetize mpaghara ndị dị n'ime. Maka otu ebumnuche ahụ, a na-eji electro- ma ọ bụ phonophoresis nwere ọgwụ anesthetics na mmiri nke Bernard. Mgbe ụfọdụ, ha na-amalite ịwa ahụ.
Iji kpalite mmụghachi na anụ ahụ mebiri emebi, a na-enye ndị ọrụ anabolic ọgwụ (ihe ndị na-eme ka njikọ protein dịkwuo elu):
- na-abụghị steroidal (methyluracil);
- steroid (Methandrostenolone, Phenobolin).
N'okpuru mmetụta nke steroid nke anabolic, anụ ahụ dị nro na-agwọ ngwa ngwa. Maka otu ebumnuche ahụ, a ga-etinye ihe ndị a na mpaghara:
- ihe na-akpali akpali nke biogenic na-adabere na aloe, rosehip, fir na mmanụ buckthorn mmanụ;
- ointments nwere Actovegin na Solcoseryl;
- compresses dabere na ngwọta nke Dimexide, Novocaine na ethanol.
Iji kpalie hematomas ngwa ngwa n'okpuru nlekọta nke hirudotherapist, enwere ike iji leeches.
Egwuregwu ndị mmadụ maka ọgwụgwọ
3-4 ụbọchị mgbe mmerụ ahụ gasịrị, ihe ndị a ga - enyere aka belata mgbu:
- Ọkụ baths nke nnu mmiri (40 g nke nnu ga-agbaze na 1 lita mmiri; belata aka gị maka nkeji 30).
- Camphor mmanụ ma ọ bụ mmanya tincture nke ọhịa rosemary - ike ga-eji topically 1-2 ugboro n'ụbọchị.
- Ude dabere na mmanụ a honeyụ na aloe - aloe pulp na mmanụ a honeyụ na iwere ke hà quantities.
- Obodo ngwa nke ọgazị abụba.
- Egg yolk ude - raw yolk na 5 g nke nnu na-eri nri, mgbe nke a gasịrị, a na-etinye ngwakọta na akpụkpọ 3-4 ugboro n'ụbọchị.
- Bandeeji na Badyaga - ogbe mmiri ohuru a gbanyere n'ime mmiri n'ime otu na abụọ. A na-etinye ihe mejupụtara na saịtị nke mmebi. A na-agbanwe akwa ahụ ugboro abụọ n'ụbọchị.
- Compresses dabere na:
- Mmanụ oriri, akwukwo nri nri (9%) na mmiri - a na - ewere ihe ndị ahụ na nha otu (na ụbọchị mbụ, a na - eji mpikota onu oyi, bido na ụbọchị 3-4 - nke na - ekpo ọkụ)
- Mmanya horseradish tincture (ruru na oge 1: 1) - oge ntinye akwụkwọ akwadoro gbasara 30 nkeji.
- Crumpled kabeeji akwukwo - a na-eme usoro mgbede tupu ị lakpuo ụra.
- Mpekere Nduku Mpekere - Mpikota onu kwa abali.
Oge mgbake
Ọtụtụ mgbe, oge nhazigharị bụ ụbọchị 9 rue 15. Dabere na oke mmerụ ahụ, ọ nwere ike ịdị iche na izu 1 ruo 6.
Enwere ike nsogbu
A na-achọpụta nsonaazụ nke mmebi nke anụ ahụ dị nro site na oke mmebi, ọrịa ndị na-eso ya, na iru eru nke nlekọta ahụike enyere.
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N'oge mmerụ ahụ, mmebi nke alaka nke etiti ahụ (mgbanwe nke uche site na mkpịsị aka nke mkpịsị aka nke 1-3 na ọkara nke mkpịsị aka mgbanaka) ma ọ bụ irighiri akwara (n'otu n'otu, site n'akụkụ obere mkpịsị aka na ọkara nke mkpịsị aka aka) ga-ekwe omume. Site na nkwonkwo aka nke ọnya, ọbara ọgbụgba n'ime ga-ekwe omume, yana hemarthrosis. Mkpakọ nke akwara irighiri akwara na anatomical canals nwere ike ibute ngosipụta nke ọwara syndrome na carpal tunnel syndrome (neuritis nke median nerve).
Site na ngwepịa nke anụ ahụ dị nro (mbibi dị ukwuu nke anụ ahụ na ọnwụ nke ike ha), necrosis aseptic ha ga-ekwe omume, tinyere mmepe nke mbufụt. Ndinuak mgbe niile dị ize ndụ na-ekwe omume nke a nke abụọ ọrịa.
Nsogbu ndị a na-ahụkarị nke imerụ ahụ site na arụghị ọrụ ruo ogologo oge bụ mgbu ahụ nke aka, osteoporosis, arthrosis na nkwekọrịta (mgbanwe fibrotic na akwara, nkwonkwo na anụ ahụ dị nro). Nkwekorita na-esonyere na nrụrụ aka na mkpịsị aka, nke na-ewepu arụmọrụ nke ọrụ physiological site n'aka. Typesdị nkwekọrịta ndị a bụ:
- aka onye nkwusa;
- clawed ụkwụ;
- enwe ahịhịa.
