Mitundu Yosiyana ya Fractures ndi Njira Zothandizira
Kuphulika kwa mfuti kumachitika pokhapokha kugwidwa kwa mafupa awiri a m'mphuno. Mafupa awiri a pamwamba pake ndi radius ndi ulna. Mafupa onsewa ndi ofunikira kuti azitha kuyenda bwino pamlingo ndi minofu, ndipo mafupa onse awiriwa amagwiritsidwa ntchito popanga minofu kumtunda.
Mitundu yofala kwambiri ya fracture imachitika chifukwa cha kugwa pa dzanja, kapena kugwedeza mwachindunji pamphuno (kawirikawiri kumawonekera, kusokoneza masewera, ndi ngozi za galimoto).
Zizindikiro za kuphulika kwa mfuti zimaphatikizapo kupweteka, kutupa, ndi kupweteka kwa chingwe. Kuzindikira kupweteka kwapopopotopu kungapangidwe ndi kuunika koyenera komanso maphunziro a x-ray.
Mphuno ya mfupa yomwe imapezeka m'mphepete mwa chigoba ( kupweteka kwa mutu kumutu ndi kuphulika kwa olecranon ) ndi zomwe zimachitika pafupi ndi dzanja ( chifuwa cha manja ), zimaganiziridwa kwina kulikonse. Kukambitsirana pano ndi mitsempha yamtundu wa radial fractures, fractures ya mthunzi wa ulnar, ndi mafupa a mitsempha yonse.
Mvula Yoyamba Zambiri
Mphuno yotsekemera yokhayokha ndilosavulaza modabwitsa. Kawirikawiri, kupweteka kwa phokoso kumaphatikizapo kuvulala kwa ulna (onaninso 'kupweteka kwa mfupa' m'munsimu) kapena kuvulala ndi mbali imodzi yomwe ili pafupi ndi mkono ( Galeazzi fracture ).
Pakagwa fungo la phokoso lokhalokha, limafunikira opaleshoni pokhapokha ngati kupasuka sikungatheke. Ngati fracture ilibe mphamvu, ndiye kuti zowonongeka zowonjezereka zikhoza kuchepetsedwa pokhapokha ngati fracture ikugwiritsidwa ntchito.
Pachifukwachi, ma fracture ambiri amathiridwa opaleshoni amachitidwa opaleshoni kuti agwiritse ntchito ndikugwira mafupa pamalo abwino.
Ulnar Shaft Fractures
Kuphulika kwapadera kwa ulna, komwe kumatchedwa "nighttick" fracture, kaŵirikaŵiri kumachitika potsutsana. Munthu wodzitetezera akamakweza chitetezo chake, chitetezo cha ulna chimatululidwa ndipo chikhoza kuonongeka ndi kusokonezeka.
Dzina la fracture likuchokera kwa anthu omwe amadzitetezera ku zofooka za apolisi zomwe zimakhala zowonongeka.
Pamene fracture ikugwirizana bwino, ulna wodwala wotsekemera umawonongeka nthawi zambiri. Mphunoyi ikasokonezeka kwambiri, kapena khungu lathyoledwa kutseguka, chithandizo cha opaleshoni chikhoza kulangizidwa.
Mitsempha yonseyi Ikusokoneza Mphuno
Mafupa onse awiriwa amavulala ndi chovulaza chomwe nthaŵi zambiri chimakhala chochita opaleshoni kwa wodwala wamkulu. Popanda kuchitidwa opaleshoni, chowombera chimakhala chosasunthika ndipo palibe mphamvu yothetsera kupweteka kotereku. Kwa ana aang'ono, chithandizo chopanda chithandizo chikhoza kuganiziridwa, komabe ngakhale achinyamata ochita opaleshoni angafunikire kuchitidwa.
Mafupa onsewa amatha kupweteka kwambiri poika mapepala a zitsulo ndi zikuluzikulu pamasana onse ndi mazonda a ulna. Mafupawa amayenera kuyandikira kudzera pamtundu wosiyana, motero mudzakhala ndi zida ziwiri pamphumi lanu. Ochita opaleshoni ena amagwiritsa ntchito ndodo mkati mwa fupa kuti akhalebe ngati mafupa, koma izi sizingakhoze kuchitika mu fractures kumene kulimbikitsa kukhazikika ndi vuto. Choncho, onse awiri mafupa amatha kupweteka amachiritsidwa ndi mbale ndi zikuluzikulu.
Zovuta Zowonongeka ndi Fractures
Zowopsya zomwe zimafala paziphuphuzi zikuphatikizapo:
- Kuchepetsa Kutsika : Kuyenda kochepa kumakhala kofala pambuyo pochiza fractures. Kutsatsa kungakhale kochepetsedwa m'kamwa ndi pamaso, koma nthawi zambiri amadziwika ngati kuchepetsa kuthamanga kwazitsulo (ie kutsegula mtsuko kapena kutsegula chitseko).
- Kuphulika kopanda machiritso : Mafupa a phokoso sangakhale ndi machiritso okwanira omwe amatsogolera ku ululu wopitirira . Izi ndizowona makamaka ndi fractures zapopopayi kumene fupa limatayika chifukwa cha kupasuka kwa thupi (ie tinthu ting'onoting'ono ting'onoting'ono) kapena kutseguka . Kubwerezanso opaleshoni yophatikiza mafupa kungakhale kofunikira pazochitika izi.
- Kutenga : Kutenga kumatha kuchitika pakatha opaleshoni iliyonse. Matendawa akachitika atapangika chingwe cham'mwamba, chopangira chitsulo ndi zikuluzikulu zimafuna kuchotsedwa kuti athe kuchiza matendawa.
- Zojambula Zowawa : Zipangizo zamitengo zomwe zimagwiritsidwa ntchito pa opaleshoni zingamveke pakhungu, ndipo zimakhala zomvetsa chisoni. Ngati iwo amachititsa kuti asakhale ovuta akhoza kuchotsedwa, kawirikawiri chaka chimodzi pambuyo pa opaleshoni.
> Zotsatira:
> Ulendo JL "Matenda ndi Achinyamata Akuyambitsa Mapeto a Fractures: Zopikisana Panopa ndi Zothandizira" J Am Acad Orthop Surg. 2016 Nov; 24 (11): 780-788.
> Schulte LM, Zakudya CG, Neviaser RJ "Kusamalira munthu wamkulu wamkulu wa mafupa a fupa la fupa la mfupa" J Am Acad Orthop Surg. 2014 Jul; 22 (7): 437-46.