Ukuqhekeka kwe-distal radius kungenye yezinto ezilimele ezihlangene kakhulu emtholampilo, ezingahlukaniswa zibe mnene futhi zinzima. Ukuphazamiseka okungekho emxoshweni, ukulungiswa okulula kanye nokuzivocavoca okufanelekile kungasetshenziselwa ukululama; Kodwa-ke, ukuqhekeka okususwa kakhulu, ukuncishiswa kwencwajana, ukulungiswa kokulungiswa kufanele kusetshenziswe; Okokuphazamiseka okunomonakalo osobala nolunzima endaweni yezimangaliso, ukwelashwa kokuhlinzwa kuyadingeka.
Ingxenye 01
Kungani i-distal radius ithambekele ekuqhekekeni?
Njengoba ukuphela kwe-distal ye-radius yindawo yokushintsha phakathi kwethambo elikhanyiselwe kanye nethambo elihlanganisiwe, kubuthakathaka kakhulu. Lapho isiguli siwela futhi sithinta umhlabathi, futhi amandla adluliselwa engalweni engenhla, ukuphela kwe-distal ye-radius kuba iphuzu lapho ukucindezela kugxilwe kakhulu khona, okuholela ekuqhekekeni kakhulu, okuholela ekuqhekekeni kakhulu. Lolu hlobo lokuphuka kwenzeka kaningi ezinganeni, ngoba amathambo ezingane ancanyana futhi aqine ngokwanele.
Lapho isihlakala silinyazwa esimweni eseluliwe futhi intende yesandla ilimele futhi yaphazamiseka, ibizwa ngokuthi yi-distal radius radius fracture (collses), futhi bangaphezulu kwama-70% abo abalolu hlobo. Lapho isihlakala silimele esimweni esiguquguqukayo kanti emuva kwesandla kulimele, kubizwa ngokuthi i-distal radius discius fracture (Smith). Ezinye izilima ezijwayelekile ze-wrist zithambekele ezenzeke ngemuva kokuqhekeka okude kude kakhulu, njenge- "streen fork" deformaty, "Gun bayonet" deformaty, njll.
Ingxenye 02
Iphathwa kanjani distal radius fractures?
1. Ukuncishiswa okukhohlisayo + Ukulungiswa kokulungisa okungu-Honorher Chinese Chinese Chinese Chinese
Ngeningi le-distal radius radius fractures, imiphumela egculisayo ingatholakala ngokunciphisa ukuncishiswa kwencwajana + okunembile + ukulungiswa kocingo lwendabuko + Isicelo sendabuko saseChina.
Odokotela abahlinzayo be-Orthopedic badinga ukwamukela izikhundla ezihlukile zokulungiswa ngemuva kwezinhlobo ezahlukahlukene zokuqhekeka: ngokuvamile ukukhuluma, ukushayisana (Uhlobo lokunwebeka i-distal radius fracture) ama-fractures kufanele alungiswe ku-5 ° - Ukuphambuka okuphezulu kwe-ulnar; Smith the fracture (Flexion distal radius fracture) yahlelwa ngokuhlasela ingalo ne-dorsiflexion yesihlaka. I-Dorsal Barton Fracture (i-Fracture of arturar radius ye-distal radius ngokusatshalaliswa kwesandla) yalungiswa esikhundleni se-doriflexion ye-dorifle Ngezikhathi ezithile ubuyekeze uDkt ukuqonda indawo yokuphuka, futhi ulungise ukuqina kwemichilo emincane yokuqhenya ngesikhathi ukuze ulondoloze ukulungiswa okusebenzayo kwe-splint encane.
2. Ukulungiswa kwenaliti eqondile
Kwezinye iziguli ezinokuzinza okungalungile, ukulungiswa kokulungiswa kokulungisa okulula akukwazi ukugcina isikhundla sokuphuka, kanye nokulungiswa kwenaliti okuphelele kuvame ukusetshenziswa. Lolu hlelo lokwelashwa lungasetshenziswa njengendlela ehlukile yokulungiswa kwangaphandle, futhi lungasetshenziswa ngokuhlanganiswa nodaka noma kubakaki abangemuva kwangaphandle, okukhulisa kakhulu ukuqina kokuphela okulimazayo, futhi kunesici sokusebenza okulula, okususwa kalula, kanye nomthelela omncane ekusebenzeni kweziguli ezithintekile zesiguli.
3. Ezinye izinketho zokwelashwa, njengokuncishiswa okuvulekile, ukulungiswa kwangaphakathi kwepuleti, njll.
Lolu hlobo lwecebo lungasetshenziselwa iziguli ezinezinhlobo eziyinkimbinkimbi zokuqhekeka kanye nezidingo ezisebenzayo. Imigomo yokwelashwa ingukuncishiswa kwe-anatomical of fractures, ukusekelwa kanye nokulungisa kwezingcezwana zamathambo ezihanjisiwe, ukuthathwa kwamathambo okulimazeka kwamathambo, nosizo lwakuqala. Imisebenzi esebenzayo yokubuyisa isimo esisebenzayo ngaphambi kokulimala ngokushesha okukhulu.
Ngokuvamile, iningi lemisebe ye-distal radius fractures, isibhedlela sethu samukela izindlela zokwelashwa ezilondoloziwe ezifana nokunciphisa okwenziwa ngesandla + ukulungiswa kokulungiswa kwe-honhui Chinese Chinese Chinese, njll., Okungathola imiphumela emihle.
Ingxenye 03
Izindlela zokuphepha ngemuva kokuncishiswa kwe-distal radius fracture:
A. Naka iziqu zokuqina lapho ulungisa ama-distal radius fractures. Izinga lokulungiswa kufanele lilingane, noma liqine kakhulu noma likhululeke kakhulu. Uma ihlelwe ngokuqinile, izothinta ukunikezwa kwegazi emaphethelweni aphezulu, okungaholela ekutheni i-Ischemia enzima ye-distal decicity. Uma ukulungiswa kukhululeka kakhulu ukuhlinzeka ngokulungiswa, ukuguquka kwamathambo kungenzeka futhi.
B. Ngesikhathi sokulungiswa kokuphuka, akudingekile ukuyeka imisebenzi ngokuphelele, kodwa futhi kudingeka futhi unake ukuzivocavoca okufanele. Ngemuva kokuthi ukwaphuka kungasebenzi isikhathi esithile, okunye ukunyakaza kwesihlaselwa esiyisisekelo kuzodinga ukungezwa. Iziguli kufanele zigcizelele ekuqeqesheni nsuku zonke, ukuze kuqinisekiswe umphumela wokuzivocavoca. Ngaphezu kwalokho, ezigulini ezinokulungiswa, ukuqina kokulungiswa kungashintshwa ngokuya ngokuqina kokuzivocavoca.
C. Ngemuva kokuphuka kwe-distal radius kulungisiwe, naka umuzwa we-distal lerbs nombala wesikhumba. Uma izitho zangaphansi endaweni ebekiwe yesiguli zibanda futhi i-cyanotic, umuzwa uyawohloka, futhi imisebenzi ikhawulelwe kakhulu, kuyadingeka ukubheka ukuthi kungukuhlelwa okuqinile kakhulu, futhi kuyadingeka ukubuyela esibhedlela ukuze kulungiswe ngesikhathi.
Isikhathi sePosi: Dece-23-2022
