Hannun rikicewa - haddasawa, magani da yiwuwar rikitarwa

Banƙarar hannu rauni ne na rufewa ga laushin laushin ta. Raunin hannu daga tasiri ko daga faɗuwa ya fi yawa. Babu lalacewar kashi ko fata. Dangane da ICD-10, lambar cutar ita ce S60.2.

Bambanci tsakanin rauni da karaya

Idan rauni, ana kiyaye aikin hannu. An goyi bayan karaya ta:

• Dubawa data:
• • raguwa mai yawa a cikin kewayon yiwuwar motsi: rashin iya ɗaukar wani abu, yin jujjuya juyawa, lanƙwasa ko ƙwanƙwasa hannu, dogaro kan hannu da ya ji rauni;
  • motsi na al'ada da / ko nakasa hannu;
  • jin jiki na motsa jiki akan motsi.
• Sakamakon binciken X-ray.

Dalilin

A cikin ilimin ilimin halittar mutum, rawar rawar da ake samu ta:

• faduwa (daga keke ko yayin wasan kwallon raga);
• naushi (lokacin yin karate);
• Hadarin hanya;
• clamping hannu (a ƙofar);
• wasanni na wasanni (yakin 'yan dambe, wani rauni na yau da kullun shi ne raunin wuyan hannu).

Rabawa

A wurin rauni, ana rarrabe raunuka:

• masana'antu (lokacin da kayan aiki masu nauyi suka buge su);
• gida;
• wasanni.

Ta hanyar sarrafawa, ana rarrabe raunuka:

• wuyan hannu;
• yatsun hannu;
• dabino;
• wuyan hannu

Dangane da tsananin, ƙujewa sune:

• huhu (an ɗan yanke jan fata a wurin rauni);
• matsakaici (ana iya ganin zubar jini a ƙarƙashin jikin mutum, kayan kyallen takarda masu taushi sun kumbura);
• mai tsanani (mummunan edema da hematomas mai yawa).

Tsananin zafin nama yana daidaita da tsananin zafi. Don mummunan rauni, causalgia halayyar ne - zafi na ƙarfi mai ƙarfi, yana haskakawa zuwa gaban hannu da kafaɗa. Matsakaicin motsi a cikin causalgia na iya iyakance.

Cutar cututtuka

Alamomin gama gari na irin wannan raunin sun hada da:

• zafi a cikin hannu, sau da yawa radiral zuwa gaban hannu ko yatsunsu (tare da mummunan rauni);
• cutananan jini na jini (ya bayyana bayan awanni 2-3) da hematomas;
• ciwo lokacin yin motsi (yana iya zama da wuya a dunƙule yatsun ka cikin dunkulallen hannu);
• kumburi;
• jin motsin rai, tare da raguwar nau'ikan nau'ikan ji na ƙwarai;
• hyperemia (redness) na fata.

Tare da zubar jini a cikin kitse mai subcutaneous, abin da ke faruwa na "fure-fure masu rauni" halayya ce, wacce launinta ya kan canza launin shudi-kore bayan kwanaki hudu zuwa biyar, sannan kuma ya zama rawaya (saboda karfin jikin mutum wanda yake dauke da jinin jini).

Tare da mummunan rauni, hematomas da aka sarrafa akan farfajiyar hannun, a wasu yanayi, ya kai manyan girma. Fata a wurin sarrafawa na iya zama shuɗi. Wani lokaci fata na fiddawa, yana yin kumfa tare da abubuwan da ke zubar da jini.

Ciwon ciwo mai tsanani na iya haifar da raguwar hauhawar jini, haɓakar aiki tare ko gigicewar rauni.

Taimako na farko da yadda ake bandeji na haɗin gwiwa

Idan ana zargin rauni, nan da nan (aƙalla cikin mintuna 15) ana nuna aikace-aikacen damfara mai sanyi zuwa yankin da aka lalace.

Ice da aka saka a cikin leda kuma an nannade shi a cikin zane shi ne mafi kyau.

Abu na gaba, wurin da aka cutar da shi ana wanke shi da ruwan sanyi, bayan haka sai a yi amfani da bandeji, sannan har zuwa lokacin da za a tuntuɓi masanin cututtukan cututtuka don tabbatar da ganewar asali, dole ne a riƙe hannun a cikin wani matsayi mai ɗaukaka.

Don rage kumburin ciki, zubar jini na ciki da hana motsi, an bandeji. Zaɓuɓɓukan tufafi masu yuwuwa:

• mitten;
• a hannu da wuyan hannu (ba tare da yatsun hannu ba);
• akan hannu da yatsa;
• a hannu da yatsu kamar safar hannu.

Lokacin amfani da bandeji, tuna cewa aƙalla haɗuwa biyu dole ne su zama masu motsi. An yarda da amfani da taya ko Cramer ta taya. A wannan yanayin, abubuwan taya zasu shiga cikin fata tare da fata don gujewa damuwa. Don yin wannan, dole ne a fara nade su da bandeji.

Tare da mummunan rauni, lokacin saka bandejin gyara zai iya zama kwanaki 14.

Yadda ake bunkasa hannu

A rana ta uku bayan rauni, don kaucewa ɓarnatar da tsokoki na hannu, ana ba da shawarar fara yin waɗannan ayyukan:

• sa hannunka a kan tebur ka buga yatsun hannunka a samansa;

• ninka tafin hannunka, kaɗa su kamar metronome;

• sanya tafin hannunka akan tebur, latsa yatsunka zuwa farfajiya (aikin motsa jiki shine kokarin ɗaga su sama);

• a hankali matse mai faɗaɗawa ko ƙwallon tare da yatsun hannun da ya ji rauni;

• ballsauki ƙwallo biyu a tafin hannunka ka juya su a hannunka a agogo da kuma agogo. Kyakkyawan, bai kamata su yi karo ba.

Babu wani dalili da yakamata kuyi motsi kwatsam ko aiwatar da motsa jiki don shawo kan ciwo.

Yana da kyau a tsara yin tausa ko tausa kai, wanda ya haɗa da sauƙin tausa hannun da ya ji rauni daga ɓarkewar yatsun hannu zuwa sassan hannun na kusa.

Hakanan ana magance mummunan rauni na hannu tare da zaman acupuncture.

Abin da za a iya yi a gida a lokuta daban-daban

Idan aka cire karaya, za a iya gudanar da magani bisa tsarin kula da marasa lafiya a karkashin kulawar likitan da ke halarta.

A cikin awanni 24 na farko bayan tashin hankali (da sannu mafi kyau), ya kamata a sanya sanyi mai sanyi a yankin da ya lalace ba zai wuce minti 10 a kowane awa 2 ba. Ana iya amfani da man shafawa mai sa kai a shafa kai. Bayan awanni 72 zuwa 96, za a iya amfani da zafi don hanzarta ƙudurin cutar.

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Za a iya yin dumi ta amfani da:

• aljihunan gishiri mai zafi (busassun zafi);
• aikace-aikacen paraffin;
• baho mai dumi.

Don ciwo mai tsanani, an sanya NSAIDs (Ketotifen, Diclofenac sodium, Ibuprofen) a baki, sannan ana amfani da man shafawa na NSAID (Fastum gel) a cikin gida, wanda ake shafawa sau 1-3 a rana.

Ana amfani da magungunan maganin narcotic (Promedol, Omnopon) don sauƙaƙe cututtukan ciwo ta hanyar takardar sayan magani kuma ƙarƙashin kulawar likita.

Tare da bayyana edema, bitamin C, Rutin, Ascorutin, Quercetin, Troxevasin, Actovegin, Eskuzan, Pentoxifylline ana amfani dasu don ƙarfafa ganuwar capillaries da haɓaka microcirculation.

Za'a iya ba da umarnin hanyoyin motsa jiki daga rana ta uku bayan rauni kuma sun haɗa da:

• Hanyoyin UHF;
• low magnetic filin aiki;
• UFO;
• laser far.

A gaban alamun matsawa na rassan ulnar ko jijiyoyi na tsakiya (rassan jijiyar radial ba kasafai suke takurawa ba idan rauni ya yi rauni a hannu), toshewa tare da amfani da magungunan kashe kuzari (Novocaine, Trimecaine) ana iya amfani da su don sa yankunan da ke ciki. Don wannan maƙasudin, ana amfani da lantarki- ko phonophoresis tare da maganin kashe kuzari da igiyoyin ruwan Bernard. Wani lokacin sukan koma tiyata.

Don haɓaka farfadowa a gaban lalacewar kyallen takarda, an tsara magungunan anabolic (abubuwan da ke haɓaka haɓakar furotin):

• maras steroidal (methyluracil);
• steroid (Methandrostenolone, Phenobolin).

Arƙashin tasirin magungunan anabolic, ƙwayoyin taushi suna warkar da sauri. Don wannan dalili, ana iya amfani da waɗannan a cikin gida:

• biogenic stimulants dangane aloe, rosehip, fir da kuma man buckthorn mai;
• man shafawa dauke da Actovegin da Solcoseryl;
• compresses dangane da maganin Dimexide, Novocaine da ethanol.

Don haɓaka saurin hanzarin hematomas a ƙarƙashin kulawar hirudotherapist, ana iya amfani da leɓe.

Magungunan gargajiya don far

3-4 kwanaki bayan rauni, mai zuwa zai taimaka rage zafi:

• Dankunan wanka na gishirin teku (dole ne a narkar da gishiri 40 a cikin lita 1 na ruwa; rage hannunka tsawon minti 30).
• Kafur mai ko tincture na rosemary daji - ana iya amfani dashi sau 1-2 a rana.
• Ana shafawa mai hade da zuma da aloe - bagade na aloe da zuma daidai yawansu.
• Aikace-aikace na gida na kitse.
• Kayan shafawar kwai - danyen gwaiduwa da g 5 na gishirin da ake ci ana hada su, bayan haka ana amfani da hadin ga fata sau 3-4 a rana.
• Bandeji tare da Badyaga - ruwan fure na soso, wanda aka tsarma shi a ruwa kashi daya zuwa biyu. Ana amfani da abun da ke cikin shafin lalacewa. Ana canza sutura sau biyu a rana.
• Ressuntatawa dangane da:
  • Man kayan lambu, ruwan inabin (9%) da ruwa - ana ɗaukar sinadaran daidai gwargwado (a kwanakin farko, ana amfani da damfara mai sanyi, farawa daga kwanaki 3-4 - mai ɗumi).
  • Tincture mai maye na giya (rabo tare da ethanol 1: 1) - lokacin aikace-aikacen da aka ba da shawarar kusan minti 30 ne.
  • Crumpled kabeji ganye - ana yin aikin ne da yamma kafin lokacin kwanciya.
  • Yankakken Dankalin Turawa - Damfara shima da daddare.

Lokacin dawowa

Yawancin lokaci, lokacin gyarawa shine kwanaki 9 zuwa 15. Dogaro da tsananin raunin, zai iya bambanta daga mako 1 zuwa 6.

Matsaloli da ka iya faruwa

Sakamakon lalacewa ga kyallen takarda mai taushi na hannu an yanke shi ne ta yawan lalacewa, cututtuka masu haɗuwa, gami da isa da kulawar likita da aka bayar.

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A lokacin rauni, lalacewar rassan tsakiyar (canje-canje a hankali daga farfajiyar farfajiyar yatsun 1-3 da rabin yatsan zobe) ko jijiyoyin ulnar (bi da bi, daga gefen ɗan yatsan da rabi na yatsan zobe) yana yiwuwa. Tare da raunin haɗin gwiwa na hannu, zubar jini na ciki yana yiwuwa, tare da hemarthrosis. Matsawa na kututtukan jijiyoyi a cikin hanyoyin canjin jikin mutum na iya haifar da bayyanar cututtukan rami da cututtukan rami na rami (neuritis na jijiyar tsakiya).

Lokacin da aka murkushe kyallen takarda mai laushi (lalacewar kyallen takarda tare da asarar tasirinsu), necrosis na aseptic dinsu yana yiwuwa, tare da ci gaban kumburi Rushewa koyaushe yana da haɗari tare da yiwuwar kamuwa da cuta ta biyu.

Rikice-rikicen da ke tattare da yin rauni tare da rashin aiki na tsawon lokaci shi ne ɓarnar tsoka, osteoporosis, arthrosis, da kuma kwangila (canje-canjen fibrotic a cikin jijiyoyi, haɗin gwiwa da kayan laushi) Kwangila yana tare da nakasa hannu da yatsu, wanda ya keɓance aiwatar da ayyukan ilimin lissafi da hannu. Nau'in kwangilar gama gari sune:

• hannun mai wa'azi;
• ƙafafun kafa;
• goga biri.