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The hand in a plaster pains and flows: what to do or make?

Fracture or dislocation of the hand is a big trouble. Not only that, severe pain will be felt not only at the time of injury, but also during the entire time prior to the casting of gypsum and some time after, so also the mobility of the limb will be lost for quite a long time.

What is the composition of gypsum?

hand in plaster

By itself, gypsum is a naturalmineral. Since it is impossible to use it in its pure form, a fine powder is made from it, which is then calcined to completely dry, since the remaining moisture can promote back solidification.

How do they impose a plaster bandage?

On the injured limb is often imposedalready ready gypsum bandages, manufactured by industrial methods. But sometimes you have to do them directly before using the method of rubbing gypsum powder in traditional medical gauze bandages. This is a very labor-intensive process, therefore, whenever possible, try to avoid it.

For applying a cast bandage, usegypsum bandages. First, such a bandage is placed in a container with warm water so that it is completely covered with water. When air bubbles disappear on the surface, it means that the bandage can be removed. In doing so, keep it horizontally and for both ends, otherwise the gypsum will drain into the water.

A bandage is applied to the right areas andis fixed. Soon the solution hardens to the stone state and reliably immobilizes the injured limb. Overlay can be made both uncoated and underlayment.

In the first case, cotton swabs are protected only byplaces where the bones protrude, in the second - a cotton pad between the elastic (bottom) and the usual (top) bandage covers the entire gypsum area. This is a more preferable option, since it is easier to observe the dryness of the skin and avoid the occurrence of pressure sores.

In addition, often apply longures - bandages fromseveral layers of wet gypsum bandage. Longets can be fixed with a regular bandage, rolling it in circular motions. In this case, it is necessary to constantly monitor how the gypsum is applied, so that the dressings completely repeat the contours of the limb, and also, so that no folds are formed. Otherwise, you will very quickly change the bandage to a new one because of irritations and severe pain.

For how long is the cast applied?

plastic plaster on the hand price

The question arises as to how many wear gypsum in a fracturearms? The duration of wearing gypsum depends on the severity of the injury, but the average period of adhesion is from 3 to 10 weeks. The fingers are most likely to part with the plaster, the longest time is to wear it on your forearm. In the case of severe fractures of the fragment type, the doctor may leave the plaster for up to 3-4 months.

The removal of gypsum can also be delayed ifThe patient has problems with the restoration of damaged tissues and bones. Most often this is due to the fact that the hands are most difficult to keep in complete rest (for example, if a plaster cast on the finger is applied), whereas this is what all fractures require. Perhaps, the body lacks the necessary substances for faster healing, then additionally prescribe medicines, vitamins and minerals that contribute to this.

Even in spite of the plaster bandage, wigglefiniteness is impossible, but often it turns out involuntarily, because it is impossible to control reflex movements for a long time. After the gypsum is removed, the patient is still waiting for a long period of rehabilitation, on average takes about six months. How to remove gypsum, as well as other information related to this issue, is contained below.

Complications while wearing gypsum

For the early healing of injured limbsuse gypsum bandages. After applying gypsum, there are often unpleasant moments that need to be carefully monitored and not run to prevent the development of more serious problems.

1. Puffiness. In itself, edema in fractures is a commonthing, and immediately he, of course, will not come down, especially if we consider that the gypsum still squeezes the limb, fixing it. If the dressing is applied correctly, within a few days, a maximum of two weeks, the swelling will subside, and soreness will decrease.

Immediately visit a doctor if:

  • Damaged hand in plaster becomes cold;
  • fingers get a cyanotic, pale or red shade;
  • The arm in a plaster hurts, thus the pain becomes acute or amplifies;
  • there is numbness of the limb, its sensitivity decreases;

Such symptoms are characteristic of the transmittedvessels and nerves, which happens due to severe swelling of the tissues. Violation of blood circulation leads to severe consequences until necrosis and amputation. Therefore, it is necessary to remove gypsum urgently. You can call an ambulance or visit a trauma center. An alarm signal is also a symptom if the arm is numb under the plaster.

Means against puffiness

how to remove gypsum

To swelling more quickly subsided, apply both medicines and traditional medicine:

  • heparin ointment and "Troxevasin" gel;
  • nonsteroidal anti-inflammatory drugs,most often based on ibuprofen. If the hand in the plaster is swelling, a good effect is given by such drugs as "Nimesil", "Naiz", "Mig", "Ibuklin" and ibuprofen itself. Use these funds can be even pregnant and lactating women, of course, following the necessary precautions;
  • compresses based on wormwood, marigold, juniper, golden mustache, cornflower;
  • Baths with pine extract, iodized ordinary or sea salt;
  • infusions of aloe, calendula, chamomile and other herbs that help reduce inflammation. Are accepted inside. The main thing - do not take simultaneously with medicines;
  • blue clay has proven itself as a remedy that effectively removes swelling;
  • infusions of aloe, calendula, chamomile and other herbs that help reduce inflammation. Are accepted inside. The main thing - do not take with medicines at the same time.

Massage, physiotherapy and physical therapy alsohelp to reduce puffiness as soon as possible. It can be electrophoresis with anesthetics, stimulation by an electric current, ultraviolet, various applications, including mud.

As the edema decreases, the casts are usually changed to prevent excessive freedom of the limbs.

2. Bedsores. It is also a place with impaired blood circulation,most often occur where the gypsum is too tightly attached to the skin without a lining, on the protuberances of the bones. A bedsore can provoke crumbs of gypsum, creases or lumps of bandage and cotton wool, used as a lining. After a while, the wound begins to fester, flowing on the gypsum with brown spots, from which an unpleasant smell emanates. In this case, the place of suppuration is washed with an antiseptic, for example chlorhexidine, treated with wound healing ointments, such as levomecol, Vishnevsky ointment, and bandaged with a sterile dressing. Treatment is performed regularly until complete healing.

gypsum bandages

3. Wipes, blisters, dermatitis and eczema are also possible when the hand in the cast is locateda long time. Appear either as a result of allergic reactions, or due to the displacement and friction of the dressings over the skin. The treatment is similar to that used to get rid of pressure sores, only in addition anti-allergic drugs are used, both locally and inward. The doctor should prescribe them on the basis of a picture of the complication. The range of such drugs is huge, so do not self-medicate. In the best case, it just does not help.

4. Very often under a plaster cast appears severe itching. What to do if my hand is scratched under a cast? Many people in such cases try to slip a knitting needle, a pencil, wire and the like. Doctors warn that it is worth doing only in extreme cases, when it is no longer possible to endure.

First, you can damage the skin, which is alreadygets. Secondly, the lining put under the gypsum, from such actions is knocked down, lumps and creases appear on it, which lead to the problems described above.

Itching appears from the fact that the skin is under plastersweats, cells die, flaking occurs. Proceeding from this, it is recommended to keep as much as possible physical rest, avoid exposure to the sun and in hot rooms.

You can try pouring talcum powder on a bandage orbaby powder. After the moisture is gone, the itching will be easier. However, then remove the powder will be problematic, will have to wait for the next change of gypsum. A good result is a jet of cool air from the dryer, while cooling and drying the itching areas.

Good antihistamines help,which are used from insect bites. It is desirable to drink them at night, since many have a pronounced hypnotic effect, and at night, as is known, all unpleasant sensations intensify, that is, they become even more difficult to bear.

Disadvantages of conventional gypsum

Gypsum with a fracture of the hand contributes to the early fusion of the limb.

The most common natural gypsum perfectly fixes and easily overlaps, but has its drawbacks:

  • it is cumbersome and uncomfortable;
  • strongly limits mobility and mobility;
  • quickly becomes dirty, so that the hand in the plaster looks very unaesthetic;
  • it must be protected from moisture, because of this it is very inconvenient to wash, especially with the plaster hand;
  • clothes to pick up is quite difficult, because the limb becomes much thicker due to the superimposed bandage;
  • to make an x-ray to control the healing, you will have to remove the bandage, and then apply a new one, since the rays do not pass through it.

Types of gypsum

how much wear gypsum with a fracture of the hand

In his time, new types of materials are coming to him:

  1. Scotchkast - polymer immobilizing bandagehigh degree of rigidity. It is very light, but at the same time it perfectly fixes the fracture, lets the air in, which means it allows the skin to breathe. In addition, this material is waterproof and dries quickly. However, it is still undesirable to wet it, since a cotton-gauze pad, which dries badly, is usually put under it, it can become a source of irritation and unpleasant odor.
  2. Zellakast (softtext) - fiberglass bandage,impregnated with a fast hardening polyurethane resin. Has the same advantages and disadvantages as the Scotch, and also allows you to do X-rays without removing the bandage and without disturbing the place of injury once again. It refers to semi-rigid immobilizers, which avoids partial muscle atrophy. But on complex fractures such gypsum is not imposed precisely because of its partial mobility.
  3. NM-caste is similar to a large-mesh stocking, withDrying perfectly adheres to the skin and repeats the shape of the limb. Easy to use and wear, often used to fix hands. It also uses a special lining, but since the cells of such a lock are large, and the lining is made of synthetic quick-drying materials, it becomes easier to take a shower.
  4. Turbocast - thermoplastic orthosis. The most optimal type of device for treating injured limbs.

Pros and cons of turbo-ballast

gypsum on the finger

If there is a choice, doctors adviseto impose just a plastic gypsum. It appeared quite recently, but it was so convenient and easy to use that it was used very quickly all over the world. How to use plastic gypsum on hand, the price, as well as its properties are detailed below.

  1. Turbocast is a solid material, from which small pieces will not be broken, irritating the skin under the bandage. It does not require a gasket, therefore, the appearance of the wax is eliminated.
  2. Such a gypsum is very light, which is important for maintaining an active lifestyle, especially for children.
  3. Because the plastic can withstand water and nothas a lining, then washing ceases to be a problem, which it always is when wearing ordinary gypsum. In addition, the turbo-box itself retains a neat and presentable appearance for a very long time.
  4. Breathability is a very important factor. The more air, the faster the process of adhesion, the skin under the bandage does not get wet, there are no intertrigo and irritation.
  5. To impose such a gypsum, it is sufficient to heat it up to 400C, and it will become plastic, adjusting to the patient's parameters. After reheating, it returns the original shape, so the turbo-ball is a reusable tool.
  6. Rehabilitation after removal is much faster, and the risk of complications and the emergence of allergies is minimized.

However, there are small disadvantages:

  1. How much does it cost to put plastic plaster on your hand? The price for it starts from about 500 rubles, and this is only the material itself, besides one thing may not be enough. For the procedure of imposing it will be necessary to give an average of 7-9 thousand rubles.
  2. Since the procedure so far is quite new, it has not yet been mastered in all clinics, even paid, so it may not be possible to find a specialist immediately.
  3. Remove or prune such material at home will not work, as it lends itself only to a special file that the medical staff uses to cut plastic gypsum.

Rehabilitation

how to impose a plaster

When and how to remove gypsum, and also whatrecommendations must be followed after this, read below. After removing the gypsum, it will take some time to recover. At many during this period there is a numbness of a hand which has been plastered. Most often this is a temporary phenomenon, which will take place during the week, if you are engaged in physical therapy, apply manual therapy and develop a limb.

It is necessary to eat right, paying specialattention to sufficient intake of vitamins of group B, in particular B12, another name - cyanocobalamin, or cobalamin. It promotes the rapid regeneration of tissues, nerve fibers and organs, supporting them in a full state.

Vitamins in foods

The following products are rich in this vitamin:

  • liver of beef, chicken and pork;
  • kidney beef;
  • seafood;
  • fatty species of sea and ocean fish;
  • mutton;
  • eggs;
  • turkey breast;
  • milk, dairy products and cheeses. They also contain calcium, which is necessary for strengthening bone tissue;
  • soybean;
  • spinach;
  • green onions;
  • sea ​​kale;
  • wheat sprouts.

It should be noted that the content of B12 in plant products is very low, so you can take such additives as, for example, brewer's yeast.

If the numbness does not go away, you shouldconsult your doctor for damage to nerves or blood vessels. In time, the prescribed treatment, as a rule, gives good results, but discomfort can remain forever, especially clearly manifested in stress, illness and a sharp change of weather.

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