Kuchiza kwa Mwala Wosokonezedwa
Kugwedeza kwa chigoba kumachitika pamene mkono wapamwamba ndi chingwe cham'mwamba chimasiyanitsidwa ndi malo awo abwino. Thupi lakumtunda (humerus) kawirikawiri limakhudza mafupa a chingwe (radius ndi ulna). Pamene kugwedeza kwa chigoba kumachitika, mafupawa amalekanitsidwa ndi kuikidwa kwawo kwachibadwa. Kusokonezeka kwa Elbow ndilo gawo lachiwiri lochotsamo, pakutsata mapewa .
Pali mitundu iwiri yofunikira ya miseche:
- Kuphweka Kwambiri kwa Elbow
Kusiyanitsa kwa mphuno kumatanthawuza kuti palibe kupasuka kwa mafupa kuzungulira chikhodzodzo. Kutsegula kwa dothi losavuta kumangokhala bwino, monga momwe opaleshoni nthawi zambiri safunikila kuchipatala. - Kusokonezeka kwa Elbow Complex
Dislocation yovuta kwambiri imatanthawuza kuti pali kuphwanya, kawirikawiri kansalu kakang'ono, kamene kadzachitika pamodzi ndi chigoba chosokoneza. Mu dislocation yovuta kwambiri, nthawi zambiri opaleshoni imafunika kukonzanso fupa losweka kuti asunge mbali yokhala ndi mphuno.
Kuyang'ana kwa Elbow Ochotsedwa
Ngati wina wapweteka chigoba chawo, chophatikizira chophwanyikacho chiyenera kuonedwa kuti ndi chifukwa chothetsera ululu . Zizindikiro za goli losokonezeka zikuphatikizapo kupweteka, kutupa, komanso kulephera kugwada. Muzitsulo zina zimawonongeka, mitsempha kapena mitsempha ya magazi imatha kuchitika. Kuphwanya konseko kumafuna chithandizo chamankhwala mwamsanga, koma omwe ali ndi mitsempha ya mitsempha kapena mitsempha (kuwonongeka kwa magazi) amafunikira chidwi chapadera.
Asanalowetse golilo (lotchedwa "kuchepetsa" goli), x-ray iyenera kuchitidwa kuti ayang'ane malo a golo dislocation ndikuyang'ana fracture iliyonse yothandizira.
Kuchiza kwa Kusokonezeka kwa Elbow
Kusokonezeka kwa chigoba kumachiritsidwa ndi kubwezeretsa mafupa. Kawirikawiri kuchepetsa kumachitidwa ndi anesthesia, komabe, ngati wodwalayo amatha kupumula, kuchepetsa kungapangidwe popanda kupweteka kwa anesthesia.
Kawirikawiri mgwirizanowo umangokhala "phokoso" kumbuyo, koma kungakhale kovuta kuti mukhale ndi mgwirizano wofanana ndi kuvulala kovuta. Pambuyo pa kuchepetsa golidi, pulojekiti ina iyenera kuchitidwa pofuna kuonetsetsa kuti mgwirizanowu uli woyenera.
Ngati phokoso losavuta lokhazikika lidachitika, mutagwirizanitsa, woyesayo ayenera kutsimikizira kukhazikika kwa gululi. Ngati golide sungakhale pamalo, ndipo nthawi zonse amatha kubwereranso, opaleshoni ikhoza kukhala yofunikira. Nthaŵi zambiri, chigobacho chimatha kusokonezeka pamalo pomwe mgwirizanowo uli wokhazikika. Malo otetezeka kwambiri ali ndi chigoba chowongolera, ndipo dzanja linatembenuza chikondwa.
Kutaya malire kuli kochepa, ngati kuchepa kwa nthawi yaitali kungayambitse kusokonezeka kwakukulu kwa mgwirizano. Odwala amayamba ndi kuyenda koyambirira, kawirikawiri mkati mwa masiku kapena sabata pambuyo pa kuvulala. Kusuntha kumayambika pamtunda pamene chigoba chinali cholimba ndipo pang'onopang'ono chinawonjezeka. Odwala omwe ali ndi magulu osakanikirana amatha kubwereranso ku ntchito yonse mkati mwa masabata 6 mpaka 12 a chovulalacho.
Kuchita Opaleshoni kwa Elbow Dislocations
Kawirikawiri opaleshoni imafunikanso kuti munthu asagwiritsidwe ntchito. Kuchita opaleshoni ndi kofunikira pokhapokha ngati mphuno yosasunthika ikakhala yosagwirizana (pafupifupi 1-2% ya magolosi osokoneza).
Kafukufuku wambiri sanasonyeze phindu lokonzekera mitsempha pambuyo pa kusweka kwa khola lokhazikika.
Kuchita opaleshoni kawirikawiri kumakhala kofunikira ngati pali kuphwanyidwa komwe kumagwirizanitsidwa ndi chigoba chosokonezeka. Popanda kupaleshoni phokoso la fracture, nthawi zambiri zimakhala zovuta kusunga mgwirizano wa gululi. Kuchita opaleshoni kumafuna kuyika mabala ndi zikopa pa mafupa omwe amathyoka kuti asinthe.
Zotsatira:
Cohen MS, Hastings H. "Kusokonezeka kwapadera kwapakhungu: kuyesa ndi kuyang'anira" J. Am. Acad. Orthop. Kupanga., Jan 1998; 6: 15-23.