Zosankha Zoyendetsa Mabonja Opasuka
Kugwedezeka mafupa ndi chimodzi mwa kuvulala kwa mafupa kawirikawiri. Fractures amafuna mankhwala omwe angakhale ophweka ngati kupumula, kapena ngati ovuta ngati opaleshoni. Pali zifukwa zambiri zomwe ziyenera kuganiziridwa kuti zithetse kuchipatala osweka monga:
- Malo osweka mafupa
- Kugwirizana kwa fracture
- Zoyembekeza za woleza mtima
Zina mwa mankhwala omwe amagwiritsidwa ntchito mobwerezabwereza akufotokozedwa apa.
Kupanda malire
Mtundu wowonongeka kwambiri umene ukuwonongeka uli ndi kusokonezeka. Pali mitundu yambiri yosasokoneza kuphatikizapo kuphulika, ubongo, kuponya, sling, ndi ena.
Kutaya malo osokoneza bongo ndi njira yowonjezereka kwambiri pamene zinthu (makamaka pulasitala kapena fiberglass) zikulumikizidwa pamapeto ovulazidwa ndipo zimaloledwa kuumitsa. Zomwe zimabwera zimakhala ndi maonekedwe ndi kukula kwake kosatha ndipo zimafuna kusamalidwa bwino .
Mavuvu omwe amachitilidwa ndi kutayika ayenera kukhala oyenera kulandira machiritso ndi zotsatira zabwino. Ngati kugwirizana kwa fracture sikukwanira, chithandizo choonjezera chidzafunika.
Kuchepetsa (Kupumula) Thupi Losweka
Njira yothetsera kuchepa kwa thupi , kapena kuchepetsa kupasuka , ndiyo njira yothandizira kuti zigwirizane bwino ndi mafupa osweka. Kuchepetsa kuchepa kungachititse ngati kuchepetsa kutsekedwa (kosamveka) kapena kutsegula kwachinsinsi (opaleshoni).
Kupatula kuchepetsa kutsekedwa kumachitika mwina popereka mankhwala osokoneza bongo kumalo osweka a mafupa kapena anesthesia wambiri , motsogozedwa ndi kayendetsedwe ka kayendedwe kake pofuna kuyesa kusinthana fupa losweka. Pambuyo pa kuchepetsa kutsekedwa, kugumuka kapena kuponyedwa kungagwiritsidwe ntchito kuti mafupa apangidwe bwino.
Kuthamanga
Kutsegulira ndi mawonekedwe akale omwe amagwiritsidwa ntchito molakwika omwe amagwiritsidwa ntchito mochuluka masiku ano. Komabe, pali zochitika zina zomwe kutsekemera kungakhale njira yothandizira kwambiri.
Kuthamangitsidwa kumaphatikizapo kuchotsa mofulumira mapeto a kugwirizanitsa mafupa. Kawirikawiri pini yachitsulo imayikidwa m'fupa kumbali yakutali ya fracture, izi zimatchedwa chigoba chogwedeza. Zingwe ndi zolemera zimamangirizidwa pa pini kuti pang'onopang'ono azikoka zidutswa za mafupa.
Kuthana ndi khungu ndi lingaliro lofanana, koma mmalo mwa pini poikidwa mu fupa, kuthamanga kumangokhala kungokwera kunja kumapeto. Kutsekemera kwa khungu sikungakhoze kukoka ndi mphamvu yowonjezera monga chigoba chogwiritsira ntchito, kotero ngati kugwiritsira ntchito kumagwiritsidwa ntchito kwa nthawi yochuluka, kawirikawiri chigoba chimagwiridwa.
Miyendo
Zikodzo zimagwiritsidwa ntchito kuti zikhazikitse mafupa ang'onoang'ono (manja ndi mkono, mwachitsanzo) pamene kuchepetsa kutsekedwa kungagwiritsidwe ntchito pokonza kukonza, koma kuponyedwa sikukwanira kugwira mafupa m'malo.
Mapiritsi amapezeka kupyolera mu khungu mwa njira yomwe imatchedwa kuchepetsa kutsekedwa ndi pinning percutaneous (CRPP). Zingwezo zimayikidwa m'chipinda chogwiritsira ntchito, koma nthawi zambiri amachotsedwa ku ofesi ya udokotala ndipo palibe vuto lalikulu mu njira zotsatila zotsamba. Ngati palibe vuto, kuchotsedwa kungathe kuchitidwa mu chipinda chogwiritsira ntchito.
Kukonzekera Kwakunja
Kukonzekera kunja kumagwiritsanso ntchito zikhomo zomwe zimalowetsa khungu koma zimagwiritsidwa palimodzi kunja kwa thupi ndi chimango chokhala ndi mgwirizano. Kukonzekera kunja ndi njira yabwino kwambiri yomwe imakhala ndi vuto lalikulu pamene ingagwiritsidwe ntchito mofulumira, ingasinthidwe ngati pakufunika, ndipo imalola kuti zitha kukhudza zilonda za khungu ndi zofewa. Kukonzekera kunja kumagwiritsidwanso ntchito ndi ziphuphu zotseguka .
Kukonzekera kunja kungathandizenso ngati pali kutupa kwakukulu komwe kungachititse opaleshoni kukhala yoopsa kwambiri. Kupuma kwake kumatha kuchepa, ndipo kutupa mkati kumatha kuganiziridwa panthawi ina.
Tsegulani Kuthetsa ndi Kukhazikika Kwambiri
Kutsegula kotseguka kumatanthawuza kufalitsa malo a fracture, kugwirizanitsa zidutswa za fupa, ndiyeno kuzigwira. Mitundu yowonjezereka ya mkati ndizitsulo ndi zitsulo, ngakhale pali zipangizo zambiri zomwe zingagwiritsidwe ntchito kuti zikhazikitse mitundu yosiyanasiyana ya fracture.
Tsegulani kuchepetsa ndi kukonzekera mkati (ORIF) ndi chithandizo chovomerezeka cha mitundu yosiyanasiyana ya fractures:
- Mphuno yomwe imathamangitsidwa
- Mafractures omwe sanagwirizane bwino
- Mphuno yamphongo yozungulira yomwe ili ndi kuwonongeka kwakukulu
Kudziwa ngati kuperewera kwayenera kugwiritsidwa ntchito ndi chisankho chovuta chomwe chiyenera kuganizira mitundu yambiri kuphatikizapo mtundu, malo, ndi kufooketsa kwa fractures, komanso ziyembekezo za wodwalayo. Nthawi zina, zida zitsulo ziyenera kuchotsedwa patsiku lomaliza.
Intrameduallary Rodding
Intramedullary (IM) rodding ndi njira yopaleshoni yokhala wosasunthika pang'onopang'ono mwa kuika ndodo yachitsulo mumtsinje wa medallary. Gawo ili la fupa (komwe mafupa ali) lingagwiritsidwe ntchito kugwira ndodo ndikulola kuyenda koyambirira ndi kulemera kwake.
IM rodding nthawi zambiri ndi mankhwala omwe amavomereza kupweteka kwa m'munsi mwa mafupa aakulu omwe sali pafupi ndi mafupa (mafupa). Pazochitikazi, odwala angayambirenso kuyenda mofulumira kusiyana ndi njira zina zochiritsira.