Ukulimala ebonakalayo. umothuko Multiple nezidibeneyo

ingozi ebonakalayo iquka iintlobo iSifo, uphawu ngenxa nabaseleyo neziphumo kakhulu ezibuhlungu kumacandelo amaninzi kunye neendawo umzimba. Apha, okokuqala zonke izilonda yodwa apho, kunye entsonkothileyo ukwenzakala entloko kunye nezibilini Kukwaphula kakhulu kwinkqubo musculoskeletal.

Izizathu eziphambili ukuze bafumane ezibuhlungu zidibene

Ukwenzakala ebonakalayo amaninzi okubangelwa ziingozi ezinzulu, ukuwa ukusuka kumphakamo enkulu okanye ngenxa yezenzo zobundlobongela. Ngokwe-manani kuyadumaza, ubuninzi yokwenzakala ezinxulumene yilahleko iwela nxaxheba ingozi ngeenyawo. Ngelo xesha linye, amatyala ezininzi rhoqo ukufa ugcinwe ukuwa ukusuka ephakamileyo.

Ukuba sithethe amaxhoba obundlobongela, ngoko iimeko ezinjalo luphawulwa umothuko kakhulu cranial yobuso, kunye ukonzakala umnqonqo, nezibilini.

picture clinical

ukwenzakala Ludityanisiwe ingahluka iintlobo ngeentlobo iimpawu, leyo ixhomekeke ubukhulu becala kwi indawo owona monakalo mkhulu kakhulu, ubukho legazi, iimeko umothuko esibuhlungu, ukuphazamiseka, ingqondo, ukuphazamiseka zentliziyo, isixokelelwano sokuphefumla.

Lo mfanekiso kwezonyango jikelele kumalungiselelo yokwenzakala ezinxulumeneyo isekelwe phezu ehamba ukwenzakala, ubukho apho senyathi isoyikiso kubomi. Nangona kunjalo, kukho iimeko apho kukho ngaphezu elilinganayo umonakalo enkulu ubungnqongqo.

Types of ukulimala ezinxulumene

Kukho kudidi elula polytrauma ezinzima odityanisiweyo, leyo esifanelekileyo ukuba nokuzimisela olufanelekileyo iqondo umonakalo koogqirha likaxakeka.

Ngokusekelwe uhlobo umonakalo trauma ezinxulumene okukhokelela zihlelwa ngolu hlobo lulandelayo:

• ukwenzakala ubuchopho okanye ivaliwe kunye nokwenzakala cranial ngentsebenziswano uhlobo olufanayo kwezinye iindawo zomzimba ezifana thoracic, isebe celiac, imilenze, isinqe;
• ivulwe okanye ivalwe ukwenzakala esifubeni, kudityaniswe nenkxwaleko engqondweni ebuhlungu;
• ivulwe okanye ivalwe ukwenzakala celiac kwisisu, intloko, umqolo, imilenze;
• elukhuni kukwenzakala spinal obudibene ukwenzakala kwezinye iindawo, ingqondo, isisu, isinqe, esifubeni;
• ingozi embi zangasese, kudityaniswe ingqondo, celiac, ukonzakala thoracic.

umothuko Multiple nezidibeneyo

Ubukho yokwenzakala ezininzi xa phambi ezingqondweni ixhoba kungakhokelela ukuyilwa ekuthiwa-umonakalo psevdodominantnyh. Loo imeko kubangela isigulane ukuba baqwalasele ukulimala ngaphantsi kakhulu, imisindo evela kugqirha uphethwe echanekileyo.

Nqanda iimpazamo zokuxilonga ekulungiseleleni multiple trauma yonxunguphalo ivumela uviwo X-ray manual nasekuqhutyweni kwe wonke umzimba.

Xa engekho ezingqondweni ekuvelisweni polytrauma ezininzi zophando lokuqala luqhutywa ubukho ukwenzakala Isifuba, emqolo, isisu, yaba lukakayi, isinqe. Kwangaxeshanye, isizathu sokuba enze X-ray Uxilongo babe abrasions yalityatya ubukho, edemas, hematomas, uncharacteristic urhulumente ozinzileyo lomzimba motility.

ukunakekela First olungxamisekileyo

Ukwenzakala Heavy ebonakalayo ibhekisa umonakalo apho nokuzinziswa karhulumente owenzakeleyo ixhomekeke kakhulu kwisantya yonxunguphalo yokuqala. Kuba ukuthuthwa isigulane xa iingozi oludibeneyo zifuna lokukhwelisa nzima, oku kunciphisa amathuba okuba ngokuma isithintelo egazini, emhlanzweni, kwaye uphephe ulwimi okanye isimangalo le mandible. Ngaxeshanye, kummandla nasopharynx icocwe igozi okanye sokufunxa ulwelo zonyango. umothuko ezimandundu ezidityanelweyo kufuna ukuvulwa ekhethekileyo gag emlonyeni.

Ngaphezu koko, xa kukho ukusilela kulula ukuvelisa internal ukungavani umlomo-to-emlonyeni okanye iyunithi KI-ZM. Xa ngoko nangoko, belibukhali, kwaye okona kubaluleke kakhulu, uncedo echanekileyo ngokusebenzisa ukuphunyezwa misebenzi ingentla, ixhoba kwakhona umoya, emva koko ngokuqhelekileyo kwenzeka urhulumente oqotho.

Emva kokuba unikezelo kwi gumbi enxulumene nokwenzakala abachaphazelekayo ukuze kuzinziswe imisebenzi umzimba ebalulekileyo kufuna esiwusebenzisayo poliglyukina, prednisolone, hydrocortisone. Phambi yokwenzakala kakhulu amalungu omzimba emithanjeni ezophayo ukwenzeka ikwenze kongezwe kulo.

yokwenzakala ebonakalayo kubantwana, okanye umntu zikwimeko embi kakhulu apho kukho uxinzelelo lwegazi eliphantsi kwaye ifuna ulawulo isitofu insulin emthanjeni-40% th ngelixa ukondla iswekile poliglyukina hormone.

Kwimeko apho kukho izinga ukubetha peripheral imo kwi xi 80 mm HG. Art. kwimeko lomzimba Ukophuka lwendibaniso ayikhuthazwa ukuchitha ixesha nokubekwa amavili. Endaweni yoko, ujoliso kuqwalasele kakhulu ekuthinteleni ukungaphumeleli amalungu abalulekileyo.