I-distal radius fracture ingenye yokulimala okuhlangene okuvame kakhulu ekusebenzeni komtholampilo, okungahlukaniswa kube okuncane futhi kubi.Ukuze uthole ukuphuka okuncane okungasuswanga, ukulungiswa okulula nokuzivocavoca okufanele kungasetshenziswa ukuze kutholakale;kodwa-ke, ngenxa yokuqhekeka okunzima kakhulu, ukuncishiswa kwesandla, ukulungiswa kwe-splint noma ukhonkolo kufanele kusetshenziswe;ngenxa yokuphuka ngomonakalo osobala futhi onzima endaweni ye-articular, Ukwelashwa kokuhlinzwa kuyadingeka.
ISIQEPHU 01
Kungani i-distal radius ijwayele ukuphuka?
Njengoba i-distal end yerediyasi iyiphuzu loshintsho phakathi kwethambo elikhansela kanye nethambo elihlangene, ibuthakathaka ngokuqhathaniswa.Lapho isiguli siwa futhi sithinta umhlabathi, futhi amandla adluliselwa engalweni engenhla, ukuphela okukude kwe-radius kuba iphuzu lapho ukucindezeleka kugxile kakhulu, okuholela ekuqhekekeni.Lolu hlobo lokuphuka lwenzeka kaningi ezinganeni, ngoba amathambo ezingane mancane futhi awanamandla ngokwanele.
Lapho isihlakala silimale endaweni enwetshiwe futhi intende yesandla ilimale futhi yaphuka, kubizwa ngokuthi i-extended distal radius fracture (Colles), futhi angaphezu kuka-70% awo angalolu hlobo.Uma isihlakala silimale endaweni egobile futhi ingemuva lesandla lilimele, kubizwa ngokuthi i-flexed distal radius fracture (Smith).Okunye ukukhubazeka kwesihlakala okujwayelekile kujwayele ukwenzeka ngemuvaama-distal radius fractures, njengokuthi "imfoloko yesiliva" ukukhubazeka, "gun bayonet" ukukhubazeka, njll.
ISIQEPHU 02
Ilashwa kanjani i-distal radius fractures?
1. Ukuncishiswa okukhohlisayo + ukulungiswa kwe-plaster + isicelo esiyingqayizivele se-Honghui yendabuko yokwelapha yaseShayina yamafutha okugcoba
Ngobuningi bokuqhekeka kwe-distal radius, imiphumela egculisayo ingatholwa ngokuncishiswa okunembe ngesandla + ukulungiswa kwe-plaster + isicelo semithi yendabuko yamaShayina.
Odokotela abahlinzayo bama-orthopedic badinga ukwamukela izikhundla ezihlukene zokulungiswa ngemva kokunciphisa ngokusho kwezinhlobo ezahlukene zokuphuka: Ngokuvamile, ama-Colles (uhlobo lokunwetshwa kwe-distal radius fracture) ukuphuka kufanele kulungiswe ku-5 ° -15 ° ye-palmar flexion kanye nokuphambuka okukhulu kwe-ulnar;Smith Ukuphuka (i-flexion distal radius fracture) yayigxilile ekukhoneni kwengalo kanye nokugoba kwesihlakala.I-dorsal Barton fracture (ukuphuka kwe-articular surface ye-distal radius ngokuhlakazeka kwesihlakala) yayigxilwe endaweni ye-dorsiflexionisihlakala esihlangenekanye nokubizwa kwengalo, kanye nokulungiswa kwe-volar Barton fracture kwakusesimweni sokugoba kwesundu sokuhlangana kwesandla kanye nokukhonjiswa kwengalo.Buyekeza ngezikhathi ezithile i-DR ukuze uqonde indawo yokuphuka, futhi ulungise ukuqina kwezintambo ezincane zokuphonswa ngesikhathi ukuze kugcinwe ukulungiswa okusebenzayo kwe-splint encane.
2. Ukulungiswa kwenaliti ye-Percutaneous
Kwezinye iziguli ezinokuzinza okubi, ukulungiswa kwe-plaster elula akukwazi ukugcina ngokuphumelelayo indawo yokuphuka, futhi ukulungiswa kwenaliti ye-percutaneous ngokuvamile kusetshenziswa.Lolu hlelo lokwelapha lungasetshenziswa njengendlela ehlukile yokulungisa yangaphandle, futhi ingasetshenziswa ngokuhambisana ne-plaster nomaukulungiswa kwangaphandleabakaki , okwandisa kakhulu ukuzinza kwesiphetho esiphukile esimweni sokuhlukumezeka okulinganiselwe, futhi kunezici zokusebenza okulula, ukususwa okulula, kanye nomthelela omncane emsebenzini wesitho esithintekile sesiguli.
3. Ezinye izinketho zokwelashwa, njengokunciphisa okuvulekile, ukulungiswa kwangaphakathi kwepuleti, njll.
Lolu hlobo lwepulani lungasetshenziselwa iziguli ezinezinhlobo eziyinkimbinkimbi zokuphuka kanye nezidingo eziphezulu zokusebenza.Izimiso zokwelapha ukuncishiswa kwe-anatomical kokuphuka, ukusekela kanye nokulungiswa kwezingcezu zamathambo ezisusiwe, ukuxhunyelelwa kwethambo lokukhubazeka kwamathambo, nokusiza ngokushesha.Imisebenzi esebenzayo yokubuyisela isimo sokusebenza ngaphambi kokulimala ngokushesha ngangokunokwenzeka.
Ngokuvamile, ngobuningi bokuqhekeka kwe-distal radius, isibhedlela sethu sisebenzisa izindlela zokwelapha ezilondolozayo ezifana nokunciphisa ngesandla + ukufakwa kwe-plaster + isicelo esiyingqayizivele se-plaster yemithi yendabuko yaseShayina yaseHonghui, njll., engafinyelela imiphumela emihle.
ISIQEPHU 03
Izinyathelo zokuqapha ngemuva kokunciphisa ukuphuka kwe-distal radius:
A. Naka izinga lokucinana lapho ulungisa ukuphuka kweradiyasi ekude.Izinga lokulungisa kufanele libe elifanele, lingampintshi kakhulu noma lixege kakhulu.Uma ilungiswe ngokuqinile, izothinta ukunikezwa kwegazi emkhawulweni we-distal, okungase kuholele ku-ischemia enzima ye-distal extremity.Uma ukulungiswa kukhululekile kakhulu ukunikeza ukulungiswa, ukuguquguquka kwethambo kungase kwenzeke futhi.
B. Ngesikhathi sokulungiswa kwe-fracture, akudingekile ukuyeka imisebenzi ngokuphelele, kodwa futhi udinga ukunaka ukuzivocavoca okufanele.Ngemuva kokuthi ukuphuka kungenakunyakaziswa isikhathi esithile, ukunyakaza kwesihlakala okuyisisekelo kuzodingeka kwengezwe.Iziguli kufanele ziphikelele ekuqeqesheni nsuku zonke, ukuze kuqinisekiswe umphumela wokuzivocavoca.Ngaphezu kwalokho, ezigulini ezinama-fixers, ukuqina kwe-fixers kungalungiswa ngokuvumelana nokuqina kokuzivocavoca.
C. Ngemuva kokuthi i-distal radius fracture isilungisiwe, naka umuzwa wezitho ezikude kanye nombala wesikhumba.Uma izitho ezikude endaweni ehleliwe yesiguli zibanda futhi zi-cyanotic, ukuzwa kuyancipha, futhi imisebenzi ilinganiselwe kakhulu, kuyadingeka ukucabangela ukuthi kubangelwa ukulungiswa okuqinile, futhi kuyadingeka ukubuyela esibhedlela. ukulungisa ngesikhathi.
Yoyo
I-Sichuan Chenanhui Technology Co., Ltd
Ucingo/WhatsApp: +8615682071283
Email: liuyaoyao@medtechcah.com
Isikhathi sokuthumela: Jan-06-2023
