Ukuze uthole ukukhishwa kwehlombe okuvamile, njengomsila olandelanayo ovamile, ukwelashwa kokuhlinzwa kufanelekile.Umama wabo bonke ulele ekuqiniseni ingalo ye-capsule ehlangene, ukuvimbela ukujikeleza kwangaphandle ngokweqile kanye nemisebenzi yokuthumba, kanye nokusimamisa ilunga ukuze kugwenywe ukuqhubeka nokugudluka.
1, Ukusetha kabusha mathupha
Ukukhishwa kufanele kusethwe kabusha ngokushesha ngangokunokwenzeka ngemva kokukhishwa, futhi i-anesthesia efanele (i-brachial plexus anesthesia noma i-anesthesia ejwayelekile) kufanele ikhethwe ukuze kukhululeke imisipha futhi yenze ukusetha kabusha kungabi nabuhlungu.Abantu asebekhulile noma labo abanemisipha ebuthakathaka bangenziwa futhi ngaphansi kwe-analgesic (njenge-75 ~ 100 mg ye-dulcolax).Ukukhishwa okujwayelekile kungenziwa ngaphandle kwe-anesthesia.Isu lokubeka kabusha kufanele libe mnene, futhi amasu amabi avunyelwe ukugwema ukulimala okwengeziwe njengokuphuka noma ukulimala kwemizwa.
2. Ukuhlelwa kabusha kokuhlinzwa
Kukhona ukususwa kwehlombe okumbalwa okudinga ukuhlelwa kabusha kokuhlinzwa.Izinkomba yilezi: ukugudluka kwehlombe kwangaphambili ngokushelela kwangemuva kwekhanda elide le-biceps tendon.Izinkomba yilezi: ukugudluka kwehlombe kwangaphambili ngokushelela kwangemuva kwekhanda elide le-biceps tendon.
3, Ukwelashwa kokugudluka kwehlombe elidala
Uma ihlombe elihlangene lingazange libekwe kabusha isikhathi esingaphezu kwamasonto amathathu ngemva kokukhishwa, kubhekwa njenge-dislocation endala.Umgodi ohlangene ugcwele izicubu ezibomvu, kukhona ukunamathela nezicubu ezizungezile, imisipha ezungezile iyancibilika, futhi ezimweni zokuphuka okuhlangene, kwakheka ama-scabs amathambo noma ukuphulukiswa okukhubazekile kwenzeka, zonke lezi zinguquko ze-pathological zivimbela ukumiswa kabusha kwesikhumba.ikhanda elimnandi.
Ukwelashwa kokugudluka kwehlombe elidala: Uma ukukhishwa kungakapheli izinyanga ezintathu, isiguli sisencane futhi sinamandla, ilunga elihlukanisiwe lisenohlu oluthile lokunyakaza, futhi akukho ukukhumuzeka kwamathambo kanye ne-intra-articular noma extra-articular ossification ku-x- ray, ukumisa kabusha ngesandla kungazanywa.Ngaphambi kokusetha kabusha, i-ulnar hawkbone ethintekile ingaba yi-traction ye-1 ~ 2 amasonto uma isikhathi sokuxoshwa sisifushane futhi umsebenzi ohlangene ulula.Ukusetha kabusha kufanele kwenziwe ngaphansi kwe-anesthesia ejwayelekile, kulandelwa ukubhucungwa kwehlombe kanye nemisebenzi yokunyakazisa kancane ukuze kukhululwe ukunamathela futhi kukhulule isivumelwano sobuhlungu bemisipha, bese ukusetha kabusha komile.Umsebenzi wokusetha kabusha wenziwa ngokudonsa kanye nokubhucungwa kwezinyawo noma ukunyakaziswa kwezinyawo, futhi ukwelashwa ngemva kokusetha kabusha kuyafana nalokho kokukhishwa okusha.
I-4, Ukwelashwa kokugudluka okujwayelekile kwangaphambili kokuhlangana kwehlombe
Ukugudluka kwangaphambili okujwayelekile kwejoyinti yehlombe kubonakala kakhulu kubantu abadala.Ngokuvamile kukholelwa ukuthi ukulimala kubangelwa ngemva kokukhishwa kokuqala okubuhlungu, futhi nakuba kusetha kabusha, akulungisiwe futhi kuphumule ngokuphumelelayo.I-joint iba i-flaccid ngenxa yezinguquko ze-pathological ezifana nokuklebhula noma ukuvuthwa kwe-capsule ehlangene kanye nokulimala kwe-cartilage glenoid labrum kanye ne-monsoon margin ngaphandle kokulungisa kahle, futhi ukuphuka kwekhanda lokucindezeleka kwe-posterior lateral humeral kuyalingana.Kamuva, ukususwa kungase kwenzeke ngokuphindaphindiwe ngaphansi kwamandla amancane angaphandle noma phakathi nokunyakaza okuthile, njengokuthunjwa kanye nokuzungezisa kwangaphandle kanye nokwandiswa kwangemuvaizitho zangaphezulu.Ukuxilongwa kokugudluka kwehlombe okuvamile kulula.Ngesikhathi sokuhlolwa kwe-X-ray, ngaphezu kokuthatha amafilimu angenalutho angaphambili-posterior ehlombe, i-X-ray yangaphambili-posterior yengalo engenhla endaweni yokujikeleza yangaphakathi engu-60-70 ° kufanele ithathwe, engabonisa ngokucacile ikhanda le-humeral elingemuva. isici.
Ngokugudluzwa kwehlombe okuvamile, ukwelashwa kokuhlinzwa kunconywa uma ukuchithwa kuvame.Inhloso ukuthuthukisa ukuvulwa kwangaphambili kwe-capsule ehlangene, ukuvimbela ukujikeleza kwangaphandle ngokweqile kanye nemisebenzi yokuthumba, kanye nokuzinzisa ilunga ukuze kugwenywe ukugudluka okuqhubekayo.Ziningi izindlela zokuhlinza, ezisetshenziswa kakhulu yindlela kaPutti-Platt kanye nekaMagnuson.
Isikhathi sokuthumela: Feb-05-2023
