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Хірургія.методички / ТЕМА_2 / 3_КУРС_АНГЛИЙСКИЙ_2.doc
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Bandages on a dactyl (spiral, spica)

The bandage on a dactyl begins with an annular coil at the basis of a dactyl, then the bandage is spent on a dorsum of a brush to a wrist around of which carry out a fixativing coil, and returned revertively to the basis of a dactyl. In process of bandaging a dactyl from an end (last phalanx) the technique of a spiral bandage downwards is used, and at the approach to the basis of a dactyl and transition to a back part of a brush she is substituted on spica, shaping incomplete "glove".

Triangular bandage on the upper extremity

The triangular bandage on a brush - a kerchief is spread on a table, its basis wrap up one or two times so that the strong girdle in breadth 1-2 see. Then on a kerchief was formed seat an hand by a palm upwards or downwards depending on localization of damage so that dactyls have been referred to vertex of a kerchief. And then the upper angle of a kerchief is rejected, covering a brush. At the correct standing of an hand he should is behind a radiocarpal joint. After that the ends of a kerchief are turned and crossed above radiocarpal to a joint, occluding an arm from both side, are wound around of a hand and are knotted. For fastening a bandage it is possible to extend a little from under a knot vertex of a kerchief and to bind it to one of the free ends. At such bandage it is possible to abandon free a major dactyl, dilating that functionalities of an arm.

The triangular bandage on a forearm - a kerchief overlaps on a forearm and is tightly reeled around of it. The free ends are anchored by pins or a sticking plaster.

The triangular bandage on an elbow - an arm ranges on spreed, on a table to a kerchief so that the forearm was on the basis of a kerchief, and an apex on a back surface of a brachium. The free ends of a kerchief are turned on a palmar surface of a forearm and crossed at a level of a ulnar fold. Further they rotate around of a brachium, pressing down an apex of a kerchief, and are knotted above a ulnar fold. Knots on the most ulnar flexure can cause an edema.

The triangular bandage on a brachium is shaped of one or two kerchiefs. At use of one kerchief she overlaps on an exterior surface of a brachium so that the apex of a kerchief has been referred to a neck. Both of its ends are got under an axillary field where they are crossed and output upwards. Above a shoulder joint the ends are knotted, and for hardening a bandage one of them can be fastened also with an apex of a kerchief. But such bandage even if she it is correct and compactly is bound, can slide off, therefore it often anchor by means of a loop from шнурка or the bandage thrown around of a neck and adhered to an apex of a kerchief.

At use of two kerchiefs one of them serves for a bandage as it is featured above, another is converted in a strip and applied to its fastening. Thus it can be made two expedients. The middle of this kerchief ranges under the armpeet of other arm, and the ends are upset through a trunk and bound to the free apex of the first kerchief, or, on the contrary, the middle of the second kerchief covers a bandage on shoulders, the free ends are fastened in axillary field, and an apex of the first are anchored with second by means of a pin.

Triangular bandage which sustains the upper extremity. The defective arm{hand} is incurvated in an elbow at right angle and seats below the middle of a kerchief which apex is referred aside an elbow, and the basis ranges on a surface of a thorax on an axis of a body. The inferior angle of a kerchief bends around a forearm and rises obliquely upwards on the same brachium. The upper angle rises on an opposite brachium. The standing of an arm is checked, and both of the ends are knotted behind on a neck. The apex of a kerchief bends around an elbow and is fixed in front by means of a pin. A little modifying this reception, it is possible to hang the defective arm more highly. Thus the basis of a kerchief ranges sidelong in relation to an axis of a body, and the apex is referred downwards. The ends of a kerchief are similarly fastened behind on a neck, and the apex bends around a forearm and is fixed around of the same brachium by a pin.

Bolstering bandage by means of a square kerchief. The square kerchief is imposed in front on a thorax under the defective arm. The upper angles are knotted above an opposite{a counter} brachium, is closer to a neck. The back inferior end bends around a brachium of the defective arm and is stretched in front back under an opposite axillary trough. The forward end wreathes a forearm and rises upwards on a brachium of a healthy arm where both of the ends are knotted.

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