Okwamanje, ukusetshenziswa kweamabakaki okuqinisa angaphandleekwelapheni ukwaphuka kungahlukaniswa ngezigaba ezimbili: ukulungiswa kwangaphandle kwesikhashana kanye nokulungiswa kwangaphandle okuhlala njalo, futhi izimiso zokusetshenziswa kwazo nazo zihlukile.
Ukulungiswa kwangaphandle kwesikhashana.
Ifanele iziguli ezinezimo zomzimba nezendawo ezingavumeli noma ezingakwazi ukubekezelela ezinye izindlela zokwelapha. Uma kungekho ukwaphuka okubangelwa ukusha, zifaneleka noma zibekezelelwa kuphela ukufakelwa okwesikhashana ngama-bracket okuqinisa angaphandle. Ngemva kokuba izimo zomzimba noma zendawo sezithuthukile, i-ukulungiswa kwangaphandleisusiwe. Ukubethelwa kwezipikili ngepuleti noma ngaphakathi kwe-medullary, kodwa kungenzeka futhi ukuthi lokhu kulungiswa kwangaphandle kwesikhashana kuhlala kungashintshi futhi kube ukwelashwa kokuqeda ukuphuka.
Ifanele iziguli ezinezimpaphe ezivulekile kakhulu noma ezilimele kakhulu ezingafaneleki ukufakwa ngaphakathi. Uma kunzima ukukhetha indlela engcono yangaphakathi yokulimala okunjalo, ukufakwa ngaphandle kuyindlela engcono yokufaka.
Ukuqina kwangaphandle okuhlala njalo.
Uma usebenzisa i-confiction yangaphandle ehlala njalo ukwelapha ukwaphuka, kubalulekile ukuqonda izici zemishini zama-scaffolds asetshenzisiwe kanye nomthelela wazo enkambisweni yokuphulukiswa kokuphuka, ukuze kuqinisekiswe ukuthi ama-scaffolds okuqinisa angaphandle asetshenziswa kuyo yonke inqubo yokuphulukiswa kokuphuka, futhi ekugcineni athole ukuphulukiswa okwanelisayo kwamathambo, kanye nezinkinga ezihlobene ezingase zivele phakathi nenqubo, njengokutheleleka kwenaliti kanye nokungakhululeki kwendawo, nazo kudingeka zicatshangelwe.
Uma usebenzisaukulungiswa kwangaphandleNjengendlela ehlala njalo yokwelapha ukuphuka okusha, kufanele kusetshenziswe i-stent enamandla okuqina kwangaphandle, futhi ukuqina kwasekuqaleni nokuzinzile kunganikeza indawo engcono kakhulu yezicubu ezithambile zasendaweni kanye nokuphulukiswa kokuphuka kwasekuqaleni. Kodwa-ke, isikhathi salokhu kuqina kwangaphakathi okuqinile akufanele sigcinwe isikhathi eside kakhulu, ngoba kuzovimba ukucindezeleka kwendawo kokuphuka futhi kubangele i-osteoporosis, ukuwohloka noma ukungahlangani endaweni yokuphuka. Ingxenye ephukile kancane kancane ithwala umthwalo, okuzuzisa ukukhuthaza nokukhuthaza inqubo yokuphulukiswa kwamathambo endawo kuze kube yilapho ukuphuka sekuphulukiswe ngokuqinile. Ngokwezokwelapha, uma kwenzeka into yokuphulukiswa kwamathambo endawo, indawo yokuqhekeka kwasekuqaleni kwakheka, futhi kancane kancane ukuthwala umthwalo kungashintsha i-callus yokuqala ibe yi-callus yokuphulukisa. Lokhu kucindezela okumsulwa noma ingcindezi ye-hydrostatic ekugcineni kokuqhekeka kungakhuthaza ukuhlukaniswa kwamaseli angaphakathi, okudinga ukuhlinzekwa kwegazi okwanele kwasendaweni, ngaphandle kwalokho kuzothinta inqubo yokuphulukisa amathambo. Izici ezithinta inqubo yokuphulukisa amathambo zifaka phakathi ukuhlinzekwa kwegazi lasendaweni endaweni yokuqhekeka kanye nezindlela zangaphandle ze-Fixed njalo njalo.
Ekwelapheni ukulungiswa kwangaphandle kwama-fracture, kufanele kutholakale ukulungiswa okuqinile kwendawo, bese kuthi amandla okulungiswa ancishiswe kancane kancane ukuze kuvunyelwe ukuphela kokuphuka ukuthi kuthwale umthwalo futhi kukhuthazwe inqubo yokuphulukiswa kwamathambo ukuze kutholakale ukuvumelana, kodwa kuthatha isikhathi esingakanani ukushintsha amandla okulungiswa ukuze kuvunyelwe ukuphela kokuphuka? Isikhathi esifanele sokuqala ukuthatha umthwalo sicacile ngokuphelele. Ukulungiswa kwama-fractures yi-fixator yangaphandle uhlobo lokulungiswa okuguquguqukayo. Isimiso salokhu kulungiswa okuguquguqukayo siyisisekelo sepuleti lokukhiya lanamuhla. Isakhiwo saso sifana nokulungiswa kwangaphandle, okuhlanganisa ukusebenzisa amapuleti amade nezikulufo ezimbalwa ukuze kutholakale imiphumela engcono. Umphumela wokwelapha: Isikulufu sikhiyiwe ku-ipuleti lensimbiukufeza umphumela wokulungisa owusizo.
Ngokusekelwe esimisweni esifanayo, i-stent efana nendandatho ifinyelela ukuqina kokuqala ngokusebenzisa intambo yenaliti enezindlela eziningi. Ekuqaleni, ukuthwala isisindo kuyancishiswa ukuze kugcinwe ukuqina kwendawo. Kamuva, ukuthwala isisindo kuyandiswa kancane kancane ukuze kwandiswe ama-axial fretting futhi kuhlinzekwe ukukhuthazwa ekugcineni kokuphuka ukuze kukhuthazwe ukuphulukiswa nokuqiniswa kokuphuka. Uhlaka ngokwalo luqinile futhi luzinzile, futhi umphumela ofanayo utholakala ekugcineni.
Isikhathi sokuthunyelwe: Juni-02-2022
