Njengamanje, ukusetshenziswa kweabakaki bokulungisa bangaphandleekwelapheni ukuphuka kungahlukaniswa ngezigaba ezimbili: ukulungiswa kwangaphandle kwesikhashana kanye nokulungiswa kwangaphandle unomphela, futhi izimiso zabo zokusebenza nazo zihlukile.
Ukulungiswa kwangaphandle kwesikhashana.
Ifanele iziguli izimo zazo zesistimu nezendawo ezingakuvumeli noma ezingakwazi ukubekezelela okunye ukwelashwa.Uma kungabikho ama-fractures anokushisa, afaneleka kuphela noma abekezelelwe ukulungiswa kwesikhashana ngamabakaki okulungisa angaphandle.Ngemuva kokuthi izimo zesistimu noma zendawo ziba ngcono, iukulungiswa kwangaphandleiyasuswa.I-Plate noma i-intramedullary nailing, kodwa futhi kungenzeka ukuthi lokhu kulungiswa kwangaphandle kwesikhashana kuhlala kungashintshile futhi kuba ukwelashwa kokugcina kokuphuka.
Ifanele iziguli ezinokuphuka okukhulu okuvulekile noma ukulimala okuningi okungafanelekile ukulungiswa kwangaphakathi.Uma kunzima ukukhetha indlela engcono yangaphakathi yokulimala okunjalo, ukulungiswa kwangaphandle kuyindlela engcono yokulungisa.
Ukulungiswa kwangaphandle okungunaphakade.
Uma usebenzisa ukulungiswa kwangaphandle unomphela ukwelapha ukuphuka, kuyadingeka ukuqonda nokuqonda izici zemishini yama-scaffolds asetshenzisiwe kanye nomthelela wabo enqubweni yokuphulukisa ukuphuka, ukuze kuqinisekiswe ukuthi ama-scaffolds okulungisa angaphandle asetshenziswa kuyo yonke inqubo yokuphulukisa ukuphuka, futhi ekugcineni uzuze ukuphulukiswa kwamathambo okwanelisayo., kanye nezinkinga ezihlobene ezingase ziphakame phakathi nenqubo, njengokutheleleka ngenaliti kanye nokungakhululeki kwendawo, nazo zidinga ukucatshangelwa.
Uma usebenzisaukulungiswa kwangaphandlenjengendlela ehlala njalo yokwelapha ukuphuka okusha, i-stent enamandla okulungisa angaphandle kufanele isetshenziswe, futhi ukulungiswa kwangaphambi kwesikhathi okuqinile futhi okuzinzile kungase kunikeze indawo engcono kakhulu yezicubu ezithambile zendawo kanye nokuphulukiswa kokuqala kokuphuka.Kodwa-ke, isikhathi salokhu kulungiswa kwangaphakathi okuqinile akufanele sigcinwe isikhathi eside, ngoba sizovimbela ukucindezeleka kwendawo yokuphuka futhi kubangele i-osteoporosis, ukuguqulwa noma ukungahambisani nendawo endaweni yokuphuka.Ukuphela okuphukile kancane kancane kuthwala umthwalo, okuzuzisa ukuvuselela nokukhuthaza inqubo yokuphulukisa amathambo wendawo kuze kube yilapho ukuphuka kuphulukiswa ngokuqinile.Ngokomtholampilo, uma kwenzeka ukuphulukiswa kwamathambo wendawo, indawo yokuqala yokuphuka kwe-callus iyakhiwa, futhi kancane kancane ukuthwala umthwalo kungashintsha i-callus yokuqala ibe i-callus yokuphulukisa.Lokhu kucindezela okumsulwa noma ukucindezela kwe-hydrostatic ekugcineni kokuphuka kungashukumisa ukuhlukaniswa kwamaseli angaphakathi, okudinga ukunikezwa kwegazi okwanele kwendawo, ngaphandle kwalokho kuzothinta inqubo yokuphulukisa amathambo.Izici ezithinta inqubo yokuphulukisa amathambo zihlanganisa ukunikezwa kwegazi lendawo endaweni yokuphuka kanye nezindlela zangaphandle Ezilungisiwe nokunye.
Ekwelapheni ukulungiswa kwangaphandle kwama-fractures, ukulungiswa okuqinile kwendawo kufanele kufinyelelwe, bese amandla okulungisa kufanele ancishiswe kancane kancane ukuze uvumele ukuphela kwe-fracture ukuthwala umthwalo futhi kukhuthaze inqubo yokuphulukisa amathambo ukuze uthole ukuvumelana, kodwa isikhathi esingakanani thatha ukushintsha amandla okulungisa ukuze uvumele ukuphela kokuphuka?Iwindi lesikhathi esifanele sokuqala ukuthatha umthwalo licace ngokuphelele.Ukulungiswa kwama-fractures yi-fixator yangaphandle kuwuhlobo lokulungiswa okuguquguqukayo.Isimiso salokhu kulungiswa okuguquguqukayo kuyisisekelo sepuleti lokukhiya lanamuhla.Isakhiwo sawo sifana nokulungiswa kwangaphandle, okuhlanganisa ukusebenzisa amapuleti amade nezikulufu ezimbalwa ukuze kuzuzwe imiphumela engcono Umphumela wokwelapha: Isikulufu sikhiyelweipuleti lensimbiukufeza umphumela wokulungisa owusizo.
Ngokusekelwe kumgomo ofanayo, i-stent emise okweringi ifinyelela ukulungiswa okuqinile kokuqala ngokulutshwa kwezinaliti ezinezinhlangothi eziningi.Ekuqaleni, ukuthwala isisindo kuyancishiswa ukuze kugcinwe ukulungiswa okuqinile kwendawo.Kamuva, ukuthwala isisindo kancane kancane kwanda ukuze kwandiswe i-axial fretting futhi kunikeze ukugqugquzela ekugcineni kwe-fracture ukukhuthaza ukuphulukiswa kwe-fracture nokulungiswa.Uhlaka ngokwalo luqinile futhi luzinzile, futhi umphumela ofanayo ufinyelelwa ekugcineni.
Isikhathi sokuthumela: Jun-02-2022
