Indololwane egudlukile ibaluleke kakhulu ukwelapheka ngokushesha ukuze ingaphazamisi umsebenzi wakho wansuku zonke kanye nempilo yakho, kodwa okokuqala udinga ukwazi ukuthi kungani indololwane igudlukile ndawonye nokuthi ungayiphatha kanjani ukuze ukwazi ukuyisebenzisa ngokugcwele!
Izimbangela zokugudluka kwendololwane
Isizathu sokuqala iningi labantu abasha futhi kungase kubangelwe udlame olungaqondile.Imvamisa uma umuntu ewa, intende yesandla ihlale phansi futhi indololwane isuke inwetshwe ngokugcwele, leli lungu liba namandla okwandayo, okungase kuholele ekuphumeni kwamalunga kanye nokugudluka kwendololwane.
Isizathu sesibili singaba ukuthi njengoba abantu bekhula, amathambo abanye abantu abala kakhulu futhi kushoda uketshezi lokuthambisa lwamalunga ejoyintini, ngenxa yabantu abahambahambayo kakhulu futhi abangakunaki kakhulu amandla okusetshenziswa kokhiye ngokwejwayelekile. ukuphila.Lokhu kuholela ekwenyukeni kokungqubuzana, okuthi ngokuhamba kwesikhathi kubangele ukugudluka kokuhlangana kwendololwane.
Isizathu sesithathu sithiukususwa ngokuhlanganyelaokubangelwa udlame oluqondile, olungase lubangelwe ingozi ethile empilweni, njengokuthi ingozi yemoto noma ezinye izimbangela zokugudluka kwendololwane, futhi imbangela yesine ukuhlukana kwendololwane, okubangelwa ikhono lokubeka indandatho nxazonke zokunyakaza. ngokweqile.
Ukwelashwa kwamalunga agudlukile endololwaneni
Izinkomba zokuhlinzwa: (1) labo abahlulekile ukumiswa kabusha okuvaliwe, noma labo abangafaneleki ukumiswa kabusha okuvaliwe, lokhu akuvamile, kodwa ikakhulukazi kuhlangene nokulimala okubi kwendololwane, njengokuphuka kwe-ulnar hawkbone ngokuhlukana nokususwa;(2) ukususwa kwendololwane kuhlanganiswe nokuphuka kwe-avulsion ye-epicondyle ephakathii-humer, lapho i-elbow dislocation isethwe kabusha, kodwa i-epicondyle ephakathi ye-humerus namanje ayikasethwa kabusha, ukuhlinzwa kufanele kwenziwe ukuze kusethwe kabusha i-epicondyle ephakathi noma ukulungiswa kwangaphakathi;(3) ukugudluka kwendololwane endala, engafanele ukulingwa (iii) ukugudluka okudala kwendololwane okungafanele ukuncishiswa kuvalwe: (iv) ukugudluka okuthile okuvamile.
Ukumisa kabusha okuvulekile: I-Brachial plexus anesthesia, i-longitudinal cutter ngemuva kwendololwane, ukuchayeka kwe-epicondyle ephakathi ye-humerus nokuvikelwa kwenzwa ye-ulnar.I-lingual incision yenzelwe i-triceps tendon.Ngemva kokuphumela obala kwelunga lendololwane, izicubu ezithambile ezizungezile kanye nezicubu ezibomvu ziyaxetshulwa ukuze kukhishwe i-hematoma, i-granulation kanye nezibazi endaweni ehlangene.Ukuphela kwethambo lesihlanganisi kukhonjwa futhi kubekwe kabusha.Izicubu ze-periarticular ziboshwe.Ukuvimbela ukuphinde kugudluke iphinikhodi ye-kerf ifakwa emlonyeni woklebe iye ekugcineni engezansi ye-humerus futhi isuswe ngemva kweviki elingu-1 kuya kwangu-2.
I-Arthroplasty: Isetshenziselwa kakhulu ukugudluka okudala kwendololwane lapho uqwanga lucekeleke khona, noma lapho ilunga liqinile ngemva kokulimala endololwaneni.Ngaphansi kwe-brachial plexus anesthesia, ukusika indololwane ngemuva, i-triceps tendon iyasikwa futhi iziphetho zamathambo zelunga lendololwane zivele obala.Ingxenye engezansi ye-humerus ikhishwe, ingxenye ye-condyles yangaphakathi ne-lateral ye-humerus iyagcinwa, i-tip of the ulnar eminence kanye nengxenye yethambo le-dorsal iyasikwa, futhi ithiphu lenqubo ye-rostral nayo inqunywe encane, ukulondoloza i-articular cartilage surface.Ikhanda le-radial alisikiwe uma lingathinti ukunyakaza kwamalungu, ngaphandle kwalokho ikhanda le-radial liyasikwa.Uma igebe elihlanganyelwe lincane, ingxenye emaphakathi ye-humerus engezansi ingase isuswe ngo-0.5 cm ukuze kwakhiwe ilungelo lokuhlukanisa.Ibanga elifanele legebe kufanele libe ngu-1 kuya ku-1.5cm.
Ukuvimbela Ukususwa Kwendololwane
Ukwengeza, kufanele kuqashelwe ukuthi iziguli ezinamajoyinti aguqukile kufanele zinyakaze amalunga azo kusenesikhathi futhi zithathe isinyathelo sokwenza imisebenzi yokwandisa nokuguquguquka nokuzungezisa izandla noma zengeze nge-physiotherapy ngemva kokukhululwaukulungiswa, kodwa ukudonsa ngamandla ngokweqile kujwayele ukuba ne-ossifying myositis eduze kwelunga lendololwane.
Othintana naye:
Yoyo
Whatsapp: +8615682071283
Email：liuyaoyao@medtechcah.com
Isikhathi sokuthumela: Mar-13-2023
