Concomitant rauni. Mahara da kuma hada rauni

Concomitant rauni hada da wani iri-iri na diagnoses, halayyar domin tsira da tsanani traumatic effects a kan m gabobin da kuma yankunan na jiki. A nan, na farko na dukkan ware raunuka a cikinsa, tare da hadaddun raunin da kai da kuma kayan ciki ne tsanani take hakki na musculoskeletal tsarin.

Babban dalilai domin samun hade traumas

Concomitant rauni mafi sau da yawa lalacewa ta hanyar tsanani hatsarori, da dama daga mai girma tsawo ko saboda ayyukan tashin hankali. Bisa ga m statistics, da girma da hade raunin a cikin tsanani da dama a kan mahalarta da hadarin da ƙafa. A daidai wannan lokaci, da mafi m lokuta na mutuwa lura a wani fall daga tsawo.

Idan muka magana game da wadanda ke fama da tashin hankali, sa'an nan irin wannan yanayi ne halin da tsanani girman da fuska rauni, tare da laka raunuka, ciki gabobin.

asibiti hoto

Hada rauni na iya bambanta a fadi da dama cututtuka, wanda ya dogara da farko a kan wurin da mafi m lalacewa, gaban hemorrhage, traumatic buga yanayi, cuta, kwakwalwa, cuta na zuciya, numfashi tsarin.

A] aukacin asibiti hoto a shiri na Associated raunin dogara ne a kan manyan rauni, gaban wanda boyewa wata barazana ga rayuwa. Duk da haka, akwai lokuta idan akwai fiye da daidaita a mai tsanani babbar lalacewa.

Nau'in na Associated raunin

Akwai sauki rarrabuwa na hadaddun hada polytrauma, wanda shi ne mafi dace idan dace tabbatar da dalilin da mataki na lalacewa likitoci gaggawa.

Bisa ga yanayin da lalacewa hade rauni jagorancin classified kamar haka:

• bude ko rufe kwakwalwa rauni da kuma girman raunin da ya faru a tare da tare da wannan irin sauran yankunan na jiki kamar thoracic, celiac sashen, kuma wata gabar jiki, kafafuwa.
• bude ko rufe rauni kirji, a hade tare da traumatic kwakwalwa rauni.
• bude ko rufe rauni celiac rami, shugaban, kashin baya, wata gabar jiki.
• rikitarwa kashin baya rauni a hade tare da raunin da na sauran sassan: kwakwalwa, ciki, kafafuwa, kirji.
• tsanani pelvic rauni, a hade tare da kwakwalwa, celiac, thoracic raunin.

Mahara da kuma hada rauni

A gaban mahara raunin idan akwai gaban azabtar sani iya kai ga samuwar ake kira psevdodominantnyh lalacewa. Irin wannan yanayin sau da yawa yana sa da mãsu haƙuri a mayar da hankali a kan kasa mai tsanani raunin da ya faru, distracting daga likita daidai ganewar asali.

Hana bincike kurakurai a cikin shirye-shiryen da mahara rauni gaggawa damar manual da kuma gudanar da X-ray jarrabawa na dukan kwarangwal.

A rashin sani a samar da mahara polytrauma farko binciken da aka gudanar for gaban raunuka a thorax, kashin baya, ciki, kwanyar da kafafuwa. A lokaci guda, dalilin yin X-ray ganewar asali iya zama reshe gaban abrasions, edemas, hematomas, uncharacteristic barga jihar reshe motility.

Da farko gaggawa kula

Tã concomitant rauni yana nufin lalacewa a cikin abin da karfafawa da suka ji rauni a jihar ne sun fi mayar dogara a kan gudun da farko gaggawa. Ga harkokin sufuri na haƙuri a hali na hada raunin bukatar wuya gadon ɗauka maras lafiya, game da shi, rage da alama na airway toshewa a jini, aman, da kuma kauce wa harshen ko karyata na kashin dadashinsu. A a layi daya, da yankin na nasopharynx tsabtace gauze ko likita tsotsa ruwaye. Mai tsanani a hade rauni iya bukatar musamman budewa baki gag.

Bugu da ari, idan akwai gajiyarwa, yana da sauki, don samar da wucin gadi numfasawa bakin-to-bakinka ko ta hanyar naúrar KI-ZM. Lokacin nan da nan, da gaggawa, da kuma mafi muhimmanci, da daidai taimako ta hanyar aiwatar da sama ayyukan, aka azabtar recovers numfashi, bayan wanda yakan auku a m jihar.

Bayan isar da shafi daki hade rauni don daidaita m jikin ayyuka na bukatar bayar da poliglyukina, prednisolone, hydrocortisone. A gaban mai tsanani raunin wata gabar jiki jijiya zub da jini da ya faru superimposed kayan doki.

Concomitant rauni a yara, ko da wani mutum a wani sosai tsanani yanayin a cikin abin da akwai wani low jini da kuma bukatar gwamnatin insulin allura a cikin wani jannayẽnsa 40% th yayin ciyar da glucose poliglyukina hormone.

Lokacin da na gefe bugun jini ya auku a matakin karfafawa na matsin 80 mmHg. Art. a yanayin saukan reshe samu karaya haduwa ba da shawarar a kashe lokaci a cikin danniyan daga tayoyin. Maimakon haka, mayar da hankali ne mayar da hankali a kan hana da gazawar da muhimmanci gabobin.