BAROMADANI USTUHON

BAROMADANI USTUHON (Luxatio), bejoshavii ustukhon, ikhtiloli butunii bandho va bejo shudani nugi bugumhoi ustukhon. B. u. modarzodi va gayrimodarzodi meshavad. Bejoshavii gayrimodarzodii ustukhon dar natijai sadama yo yagon bemori ba vujud meoyad. Az rui darajai ikhtilol B. u. purra va nopurra meshavad. Hangomi purra baromadani ustukhon nugi ustukhonho az hamdigar tamoman judo megardand; hini nopurra baromadani ustukhon boshad, nugi onho ba hamdigar andak rasida meistad. B. u.-ro, ki dar mavridi on pusti boloi bandho oseb meyobad (jarohate, ki to band merasad), kushoda va agar pusti boloi band oseb nayofta boshad, pushida menomand. Ustukhonero baromada medonand, ki az band kame dur boshad. Mas., hangomi baromadani ustukhoni bandi kitf dar borai baromadani kitf, dar asnoi baromadani ustukhoni kosu ron dar khususi baromadani ron sukhan meravad.
Bejoshavii modarzodii ustukhon. Bejoshavii modarzodii ustukhoni ron baso mamul ast. On ba inkishofi nomukammali bandi kosu ron vobastagi dorad. Ba in illat aksaran dukhtarchaho giriftor meshavand. Bejoshavii modarzodii ustukhoni ron, odatan, yaktarafa ast, vale bazan az du taraf baromadani on niz mushohida meshavad.
Bejoshavii modarzodii roni navzodho va kudakoni shirmakro faqat dukhtur muayyan karda metavonad. Dar in sinnu sol bejoshavii modarzodii ronro az rui farqiyati joi chinhoi hardu ron (az tarafi daruni onho), to haddi okhir ba du taraf pahn karda natavonistani poyho, ba tarafi pesh purra yozonda natavonistani poy va bazan az rui kutohii poy pay burdan mumkin ast. Hangomi paydo shudani gumoni bejoshavii modarzodii ustukhon favran ba dukhtur murojiat boyad kard, chunki mohhoi avvali hayot onro biduni jarrohi bartaraf kardan imkon dorad.
Vaqte ki kudak ba qadamguzori shuru kard, alomathoi bejoshavii modarzodii ustukhon ravshan zohir megardand (langidan, az tarafi ustukhoni baromada kutoh budani poy). Dar mavridi az hardu taraf B. u. rohgardii kudak gashti murgobiro ba khotir meorad. Agar bejoshavii modarzodii ron badi 2-solagii kudak oshkor gardad, durust kardani on faqat bo rohi jarrohi mumkin ast.
Bejoshavii sadamavi. Odatan dar natijai harakati barziyod yo harakati noqulay, bazan az zarb khurdani band yo ba on sakht fishor ovardan, ba amal meoyad. Hangomi B. u.-e, ki sababi on zarbulat ast, bandakho va bugum niz oseb meyoband (gayr az B. u.-i jogi poyon). Hini bejoshavii sadamavi (alalkhusus dar bandi bozu) mumkin ast raghoi khun sakht fishurda va hatto kanda shavand.
Dar vaqti B. u. shakli band tagyir meyobad, dard paydo meshavad, junbondani uzv gayriimkon ast. Hangomi junbonidan band yakbora sakht dard mekunad. Agar dar mavridi lat khurdan dard tadrijan avj girad, hangomi B. u. ikhtiloli harakati bandho favran ba amal meoyad. Bejoshavii sadamavii ustukhonro bo rohi jo ba jo kardan (nughoi bandhoi ustukhonhoro jo ba jo memonand) va shikastabandi (ba muddate, ki baroi sihat shudani bandaku khaltachai band zarur ast) muolija mekunand. Kushishi nouhdabaroyona durust kardani ustukhon boisi vaznintar shudani holati mariz megardad. Bo maqsadi rasondani yorii avvalin hangomi B. u. dast yo poi baromadaro shikastabandi kardan lozim ast (vazi khudi band betagyir memonad). Ba joyash darovardani ustukhon va tabobati minbadai onro dukhtur dar darmongoh yo bemorkhona bajo meorad. Zarardida ba tabobatgoh har qadar zudtar rasonda shavad, jo ba jo kardani ustukhoni baromada hamon qadar osontar ast. Agar B. u. dar davomi 2 – 3 hafta jo ba jo karda nashavad, boftahoi narmi band gusht megirand, dar on surat baroi durust kardani chunin bejoshavii «kuhnashuda», odatan, jarrohi lozim meoyad. Dar mavridi hangomi B. u. oshkor gashtani alomathoi osebi raghoi khun favran ba dukhtur murojiat kardan zarur ast.
Bejoshavii sadamavii kitf, bozu, angushton, ron va jogi poyon beshtar duchor meshavand.
Baromadani ustukhoni bozu beshtar az nisfi tamomi bejoshavihoi sadamavii ustukhonro tashkil medihad. Ba on dardi sakht va nojunbonii kullii bandi bozu, tagyir yoftani shakli on khos ast. Bozui osebyofta ba nazar daroz menamoyad va, odatan, az tan dur meshavad. Bemor ba tarafi illatyofta kham shuda, orinj yo bozuyashro doshta meistad. YOrii avvalin: dastro bo ruymol ba gardan ovekhta, favran ba dukhtur (bungohi shikastabandi) murojiat kardan lozim ast.
Baromadani ustukhoni soid dar bayni bejoshavii sadamavii ustukhonho joi duyumro megirad. Alomati on dardi bandi orinj ast, ki bazan ba panjaho meguzarad. Soid ovezon meshavad va bemor onro bo dasti solim doshta meistad. SHakli bandi orinj tagyir meyobad, on varam karda, bazan surkh meshavad. Kabud gashtan yo rangparidagii panjayu angushton, ki alomati khavfnoki fishor khurdani raghoi khuni orinj ast, az ehtimol dur nest.
B. u.-i soidi kudakoni khurdsol hangomi az dasti onho sakht kashidan, dagalona va beehtiyot pushondan yo kashidani libos ruy medihad.
Baromadani ustukhoni angushtoni dast bo dardi shadid, gayritabii budani holati angusht va az band baromada istodani on zohir megardad. Angusht beharakat ast. Beshtar narangushti dast mebaroyad. Hangomi kushoda budani B. u.-i angusht chun yorii avvalin onro bo bandinai aseptiki mebandand. Hangomi B. u.-i pushida yorii avvalin vaqte lozim meshavad, ki imkoniyati ba dukhtur zud murojiat kardan nest. Dar chunin mavrid holati angushti baromadaro tagyir nadoda, panjaro bo qabati gafsi pakhta mepechonand va dokapech mekunand (bari az zarba hifz kardan).
Ustukhoni ron binobar sakht zarb yoftan mebaroyad. Alomathoi on dardi shadid dar qismi bandi kosu ron, beharakati, tamoman az kor mondani poy meboshand. Zonui poi osebdida ba tarafi darun andak moil va ba poi solim nazdik meshavad; bazan poy ba tarafi berun tob khurda, az poi solim dur meistad. Bemor ba takhtapusht yo ba pahlui solim mekhobad.
YOrii avvalin: guzoshtani shinahoi simii standarti (onhoro qat karda va vazi poyro tagyir nadoda, dokapech kardan mumkin). Agar chunin shina naboshad, hangomi B. u.-e, ki poy ba tarafi darun kaj shudaast, poi baromadaro ba poi solim jafs karda mebandand. Sipas bemorro ba zanbar rubolo khobonda, ba bemorkhona mebarand. Dar mavridi B. u.-e, ki ron ba tarafi berun dur shudaast, shinaguzori imkonnopazir ast, binobar on bemorro ba zanbarhoi sakht (chaparak) khobonda mebarand. Baroi kam shudani dard analgin (0,5 g), amidopirin (0,25g) dodan mumkin ast.
Hangomi dar mavsimi sarmo ba muassisai tabobatii dur burdani bemore, ki ustukhoni bandhoi kaloni dastu poyash baromadaast, kushidan lozim to uzvi zarardida garm nigoh doshta shavad, tamini khun khalal nayobad (makhsusan hangomi baromadani ustukhoni bozu) va joi zarardidaro sarmo nazanad
Ustukhoni jogi poyon az yak yo du taraf mebaroyad. Sababi on az had kalon kushodani dahon (hangomi khamyoza, porai kaloni khurokro gazidan va g.) ast. Alomathoi dutarafa bejo shudani ustukhoni jogi poyon chuninand: kalon boz mondani dahon, pesh baromadani jog, dushvor gashtani furu burdani khurok. Dar asnoi yaktarafa bejo shudani ustukhoni jog dahon nimboz memonad (on guyo kaj meshavad).
YOrii avvalin: dahonro bo ruymol mepushand to ki ba rohi nafas hasharot yo jismhoi begona (pashsha, chang va g) nadaroyand; bemorro nazdi dukhtur mefiristand.
Bejoshavii odati. Muntazam baromadani ustukhoni hamon yak bandro bejoshavii odati menomand. B.u. az on sabab odati meshavad, ki hangomi tabobati yakum ba khato roh doda shudaast (nodurust jo ba jo kardani ustukhon, to muhlati zaruri nigoh nadoshtani shikastabandi, barvaqt sar kardani harakat) yo az sababi ba dukhtur der murojiat kardan, muolija dushvor gashtaast. Ustukhonbaroie, ki mavridi on bandakhoi bugum sakht oseb didaand, hatto badi muolijai durust ham, metavonad odati shuda monad. Dar hamaguna holatho badi bori avval bejo shudani ustukhon illati bandakhoi bugum boqi memonad, az in ru ustukhon az andak sabab metavonad takroran baroyad. CHunonchi, B. u.-i kitf, ki hodisai mamul ast, hangomi bardoshtani bori vazin, az yagon harakati noqulayi dast (bazan hatto dar khob) va andak takon khurdan takror meyobad. Bejoshavii odatii angushti kaloni dast va jogi poyon ahyonan mushohida megardad. YOrii avvalin hangomi bejoshavii odati va zarbulati yak khel ast; bazeho ustukhoni baromadai angushtro (agar on odati boshad) khud jo ba jo mekunand. Zud – zud B. u. (makhsusan ustukhoni kitf) baroi bemor nihoyat garon buda, muolijai on faqat bo rohi jarrohi va barqaror namudani boftahoi vaslkunandai band imkonpazir ast.