4 izindlela zokwelashwa zokususwa kwamahlombe

Ukuze ukhiphe umsila wehlombe ojwayelekile, njengomsila ojwayelekile wokulandela umkhondo, ukwelashwa okuhlinza kufanelekile. Unina wawo wonke amanga ekuqiniseni ingalo ye-capsule ehlangene, evimbela ukujikeleza okwedlulele kwangaphandle kanye nemisebenzi yokuthambisa, futhi aqinise ukuhlanganiswa ukuze agweme ukwehluka okwengeziwe.

1, ukusetha kabusha kwesandla
Ukuhanjiswa kufanele kusethwe kabusha ngokushesha ngemuva kokungenisa, kanye ne-anesthesia efanelekile (i-brachial plexus anesthesia noma i-general anesthesia) kufanele ikhethwe ukuze uphumule izicubu futhi wenze ukusetha kabusha kungaphansi kokusetha kabusha. Abantu asebekhulile noma labo abanemisipha ebuthakathaka nabo bangenziwa ngaphansi kwe-analgesic (njenge-75 ~ 100 mg ye-DulcoLax). Ukuhlukaniswa okujwayelekile kungenziwa ngaphandle kwe-anesthesia. Indlela yokuphindaphinda kufanele ibe mnene, futhi amasu abi anqatshelwe ukugwema ukulimala okwengeziwe okufana nokuqhekeka noma ukulimala kwezinzwa.

2, Ukuphindisela Kuhlinzwa
Kunezinto ezimbalwa ezisehlombe ezidinga ukubuyiselwa imali okuhlinzayo. Izinkomba yilezi: Ukwangatha kwehlombe elingaphandle nge-slippage engemuva kwekhanda elide le-biceps tendon. Izinkomba yilezi: Ukwangatha kwehlombe elingaphandle nge-slippage engemuva kwekhanda elide le-biceps tendon.

I-3, ukwelashwa kokusatshalaliswa kwehlombe elidala
Uma i-joge ehlanganisiwe ingaphendulwanga isikhathi esingaphezu kwamasonto amathathu i-disloation, kubhekwa njengokudalulwa okudala. I-cavity ehlanganyelwe igcwele izicubu zesilonda, kukhona izicubu ezinezicubu ezizungezile, izicubu ezizungezile zishonile, futhi ezimweni zokuqhekeka okuhlangene, ukwelashwa kwamathambo kuyakhiwa, zonke lezi zinguquko ze-pathological zivimba ukubuyiselwa kweinhloko ekhombayo.
Ukwelashwa kokusatshalaliswa kwehlombe endala: Uma ukuhanjiswa kungakapheli izinyanga ezintathu, isiguli sisebancane futhi siqinile, abikho i-osteoporosis kanye ne-artioporosis noma i-intra-articular arsification ku-X-ray, ukubuyiselwa okubhaliwe kungaqulwa kabusha. Ngaphambi kokusetha kabusha, i-Ulnar Hawkbone ethintekile ingaba yi-traction yamaviki ayi-1 ~ 2 uma isikhathi sokungenisa sifushane futhi umsebenzi ohlanganyelwe ulula. Ukusetha kabusha kufanele kwenziwe ngaphansi kwe-anesthesia ejwayelekile, kulandelwa ama-master ehlombe kanye nemisebenzi emnene yokunyakazisa ukukhulula izikejana futhi kunciphise ukwenziwa kwezinhlungu zemisipha, bese uhlelwa kabusha ngokomisana. Ukusebenza kabusha kwesetha kabusha kwenziwa ngama-traction and massage noma izikebhe zonyawo, kanye nokwelashwa ngemuva kokusetha kabusha kuyafana nalokho ukuhanjiswa okusha.

4, ukwelashwa kokuhlukaniswa kwe-anterior okujwayelekile kwehlombe
Ukuhlukaniswa kwe-anterior okujwayelekile kwehlombe kuhlangana kakhulu kubonwa kakhulu kubantu abadala. Ngokuvamile kuzwakala ukuthi ukulimala kubangelwa ukuhlukaniswa okusobala kokuqala, futhi yize kusethwa kabusha, akuhleliwe futhi kuphumule ngempumelelo. I-Joint iba i-flaccid ngenxa yezinguquko ze-pathological ezifana nokugqekeza noma ukulimala kwe-capsule ehlanganisiwe kanye nomonakalo ku-cartilage glenoid labrum kanye ne-monsoon margin ngaphandle kokuhlupheka kwekhanda okutholwayo ngaphandle kokuhlupha kwekhanda kuyalingana. Kamuva, ukuhanjiswa kungenzeka kaningi ngaphansi kwamabutho angaphandle angemuva noma ngesikhathi sokunyakaza okuthile, njengokuthumba nokujikeleza kwangaphandle kanye nokunwetshwa kwangaphandle kweimilenze ephezulu. Ukuxilongwa kwe-HOUSS AST ukususwa kulula. Ngesikhathi sokuhlolwa kwe-X-ray, ngaphezu kokuthatha amafilimu angemuva angemuva wehlombe, ama-anterior-posterior ama-X-ray wengalo ephezulu endaweni yokujikeleza yangaphakathi engu-60-70 °, ongakhombisa ngokucacile isici senhloko esithobelayo.

Ukuze uthole ukwakheka kwehlombe ehlombe, kunconywa ukwelashwa okuhlinza uma ukuhanjiswa njalo. Inhloso ukuthuthukisa ukuvulwa kwe-anterior kwe-capsule ehlanganisiwe, ukuvimbela ukujikeleza okwedlulele kwangaphandle kanye nemisebenzi yokuthambisa, futhi uzinze ngokuhlanganyela ukugwema ukuhlukaniswa okwengeziwe. Kunezindlela eziningi zokuhlinzwa, ezisetshenziswa kakhulu yindlela ye-putti-platt kanye nendlela ye-magnuson.