Dhaawac saameen. trauma Multiple oo marka la isku daro

dhaawac saameen ku jira noocyo kala duwan oo ogaanshaha, dabeecad u ah ee ka badbaaday waxyeelada argagaxa daran on xubnaha iyo meelaha jidhka badan. Halkan, ugu horreeya oo dhan lesions go'doonsan taas oo, ay la socdaan adag dhaawac madaxa iyo xubnaha gudaha yihiin xadgudubyo halis ah ee nidaamka muruqyada.

Sababaha ugu muhiimsan ee loo helo xamilo dhibaato weheliso

dhaawac saameen inta badan waxa keena dhaawacyo halis ah, dhaco ka height weyn ama sababta oo ah falalka rabshadaha. Sida laga soo xigtay tirakoob niyad jab, bulk of dhaawacyo la xiriira ee daran ku dhacaa, ka qaybgalayaasha shilka on foot. Isla mar ahaantaana, kiisaska ugu badan ee dhimashada arkay dayrta ka height a.

Haddii aan ka hadlo oo ku saabsan dhibanayaasha rabshada, ka dibna xaaladaha noocan ah waxaa lagu gartaa trauma cranial iyo wajiga u daran, oo ay la socdaan dhaawacyo laf-dhabarta, xubnaha gudaha.

sawir clinical

dhaawac marka la isku daro kala duwanaan karaan noocyo kala duwan oo calaamadaha, taas oo ugu horrayn waxay ku xiran tahay meesha uu dhaawac ugu muhiimsan, joogitaanka hemorrhage, xaaladaha lama filaan argagaxa leh, xanuunada, maskaxda, cudurada qalbiga ku jira, habka neefsashada.

Sawirka guud ee daaweynta ee diyaarinta dhaawacyo la xiriira ku salaysan yahay dhaawac keentay, joogitaanka kaas oo khatar ku ah nolosha. Si kastaba ha ahaatee, waxaa jira xaalado marka ay jirto in ka badan siman ee burburka weyn darnaanta.

Noocyada dhaawacyo la xiriira

Waxaa jira kala soocidda fudud polytrauma adag marka la isku daro, kuwaas oo ugu habboon haddii go'aanka ku haboon oo ahaa darajadii degdeg ah dhakhaatiirta dhaawac.

Iyada oo ku saleysan nooca dhaawac ee dhaawacyada la xiriira Wakaas tilmaamay sida soo socota:

• dhaawaca maskaxda furan ama xiran iyo dhaawacyada cranial lala nooc la mid ah meelaha kale ee jirka sida thoracic, waaxda cøliaki, addimada, miskaha;
• xabadka dhaawac furan ama xiran, oo ay weheliso dhaawac maskaxda;
• saabka furan ama xiran cøliaki dhaawac, madaxa, dhabarka, addimada,
• dhaawac lafdhabarta u adag oo ay weheliso dhaawac ah qaybaha kale: maskaxda, caloosha, miskaha, xabadka;
• dhaawac miskaha halis ah, oo ay weheliso maskaxda, cøliaki, dhaawacyo thoracic.

trauma Multiple oo marka la isku daro

Joogitaanka dhaawacyo badan ay dhacdo in joogitaanka miyir dhibbanaha waxay keeni kartaa in formation of loogu yeero dhaawac psevdodominantnyh. xaaladda noocan oo kale ah ayaa inta badan sababa bukaanka in ay diiradda saaraan dhaawacyada yar daran, ay uga baxaan dhakhtarka cudurka saxda ah.

Hortago qaladaad lagu ogaanayo in diyaarinta degdegga ah ee dhaawacyada badan u ogolaanaya baaritaan X-ray Buugga iyo fulinta ee lafaha oo dhan.

Maqnaanshaha miyir wax soo saarka ee polytrauma badan sahanka koowaad waxaa la sameeyay joogitaanka lesions in thorax, dhabarta, caloosha, dhaladii iyo miskaha. Isla mar ahaantaana, sababta ay u qabtaan cudurka X-ray noqon kartaa qaadmay joogitaanka addinka, edemas, hematomas, motility addinka gobolka deggan uncharacteristic.

daryeelka degdegga ah

dhaawac saameen culus waxaa loola jeedaa dhaawac kaas oo xasilinta ee gobolka dhaawac waa xiran xawaaraha degdeg ugu horeysay. Waayo, gaadiidka bukaanka ay dhacdo in dhaawacyo la xoojiyey ee u baahan bareelo adag, oon ku gaari kara yaraynta suuraggalnimada xirmidda marin-haweed ee dhiiga, mataga, iyo in ay ka fogaadaan luqadda ama feedhuhu ee mandible ah. In isku midka ah, ee gobolka of bacaraarka nadiifiyaa faashad ama dheecaan soo nuugid caafimaad. dhaawacyada daran marka la isku daro waxay u baahan yihiin waxaa laga yaabaa in furitaanka gaarka ah ee hungaaeada afka.

Dheeraad ah, haddii ay dhacdo of failure waa ay fududahay in ay soo saaraan Neefta macmal ah afka-ka-afka ama iyada oo loo marayo unugga Ki-ZM. Marka degdeg ah, degdeg ah, iyo ugu muhiimsan, gargaarka saxda ah iyada oo loo marayo fulinta hawlaha kor ku xusan, dhibbanaha uu ka soo kabsanayo neefta, ka dib markii taas oo sida caadiga ah dhacdaa xaalad miyir qabo.

Ka dib dhalmada si qol la xiriira dhaawacyada ay saameeyeen, si loo xasiliyo hawlaha jidhka muhiim u baahan tahay maamulka poliglyukina, prednisolone, hydrokortisoni. In joogitaanka dhaawacyo daran addimada halbowlayaasha dhiig dhacdo suunka superimposed.

dhaawac saameen carruurta, ama qof in xaalad aad u daran taas oo ay jirto cadaadis dhiig oo hooseeya iyo waxay u baahan tahay maamulka duro insulin galay xididka 40% th halka quudinta hormone poliglyukina glucose.

Haddii ay dhacdo in heerka garaaca wadnaha durugsan iyo xasilinta cadaadiska of 80 mm Hg. Art. in ay dhacdo isku jab addinka laguma talinayo in ay waqti in rogida ee taayirada qaataan. Halkii, diiradda xoogga saaraysaa ka hortagga failure ee xubnaha muhiimka ah.