Nthawi zambiri chitsulo chimapangidwa ndi opaleshoni ya mafupa kuti akonze mafupa osweka , m'malo mwake amalowetsa ziwalo zolemala, kapena maonekedwe olakwika a chigobacho. Odwala ambiri amaganiza kuti chitsulocho ndi champhamvu kwambiri kuposa fupa. Komabe, chitsulo chimatha, ndipo chinachake chiyenera kuthandizidwa pa zitsulo zosweka. Pano tikukambirana zomwe zingayambitse zitsulo zosweka zitsulo komanso zomwe ziyenera kuchitidwa.
N'chifukwa Chiyani Kusweka kwa Zitsulo?
Metal imakhala ndi mphamvu zambiri. Mphamvu ya chitsulo imadalira zinthu zingapo kuphatikizapo mtundu wa chitsulo (zowonjezereka zitsulo zomwe zimagwiritsidwa ntchito pochita opaleshoni zimaphatikizapo chitsulo chosapanga ndi titaniyamu), momwe chitsulo chinapangidwira, ndi kukula kwake. Mitengo yachitsulo ikhoza kuswa. Kawirikawiri amaswa chifukwa cha kutopa. Izi zikutanthauza kuti chitsulo sichimathyoledwa chifukwa cha modzidzidzimutsa, komabe pamapeto pake pamakhala kusokonezeka maganizo.
Taganizirani zojambula pamapepala. Ngati mumatsindika zitsulo za pepala, zimatha kupirira mphamvu yaikulu-ingagwede, koma nthawi zambiri sichidzasweka. Komabe, ngati pulogalamu ya pepala ikugwedezeka mobwerezabwereza, nthawi zambiri, nthawi zambiri imatha. Mapulogalamu a zitsulo angathenso mofanana ngati atapanikizika mobwerezabwereza.
Zifukwa za Zipangizo Zowonongeka
Mitundu ya magetsi imapangidwa pofuna kuthandizira matendawa mpaka thupi likhoza kuthandizira kuvutika maganizo popanda kuthandizidwa.
Thupi liri ndi phindu lalikulu, kuti thupi lanu likhoza kupanga fupa latsopano kuti liwathandize bwino zovuta zomwe zimakumana ndi ntchito. Ngati fupa lathyoledwa, zitsulo zingagwiritsidwe ntchito pothandizira mafupa, koma chitsulocho chinapangidwa kuti chichirikize mafupawo mpaka mafupawo atachiritsidwa.
- Mitsempha Yosaoneka ( Pali Nonunions): Pali zifukwa zambiri zomwe zathyola fupa sangathe kuchiza kapena kuchiza pang'onopang'ono. Ngati bongo losweka likugwiritsidwa ntchito ndi chitsulo sikuchiritsa, chithandizo chomwe chimaperekedwa ndi chitsulo chingakhale chosakwanira.
- Zosakaniza Zosakaniza: Mapulaneti omwe ali otayika amakhala ndi nkhawa zazikulu kusiyana ndi zopangidwa mwakhama. Izi zikhoza kuchitika ndi hardware lotayirira kuchokera kumalo okonza fracture kapena chosakaniza chophatikizidwa m'malo.
- Mphamvu Zosakwanira Zokonzekera: Kusokonezeka kwa fupa losweka kumasowa kumafunika thandizo lochepa pakakonzedwa. Mphamvu zosakwanira za kukonzanso zingayambitse kulephera kwa chitsulo chothandiza fupa.
- Chida Chophwanyika Choyembekezeredwa: Pali zochitika zingapo zomwe zitsulo zosweka zingaganizidwe. Mwachitsanzo, nthawi zina kuvulala kwagunda kumakonzedwa ndi chitsulo. Chifukwa mitsempha yambiri imasunthira, ngakhale mosasunthika, chitsulo chomwe chimagwiritsidwa ntchito kuti chigwiritse ntchito mimbayi chikhoza kutha. Kukonzekera kwa Syndesmosis pamakumbo nthawi zambiri kumapangitsa kuti phokoso litheke pamene likukonzekera ndi zitsulo zamkuwa.
Opaleshoni Yambiri?
Kaŵirikaŵiri mapuloteni osweka amagwiritsa ntchito opaleshoni yowonjezereka, koma osati nthawi zonse. Ngati vuto silinayankhidwe, monga wosweka mafupa omwe sanachiritsidwe, ndiye kuti chitsulo chiyenera kuchotsedwa ndikukonzanso katsopano. Komabe, ngati zowonongeka zitsulo sizingayambitse vuto, ndiye kuti nthawi zambiri zimasiyidwa m'thupi.
Pali zina zomwe sizikupezekapo pamene chitsulo chosweka kapena chosweka chimatha kuyenda mkati mwa thupi. Izi zimakhudza makamaka pamene chitsulo chiri pafupi ndi chifuwa kapena mimba, ndipo kawirikawiri sichimawopsya pamene chitsulo chiri pamapeto.
Muyenera kukambirana ndi dokotala wanu ngati palibenso opaleshoni yowonjezera ngati mukuphwanya zitsulo m'thupi lanu.
Mawu Ochokera
Zipangizo zamakono zamatenda zakonzedwa kuti zikhalebe m'thupi kwamuyaya. Komabe, pali zochitika zomwe hardware zingafunike kuchotsedwa. Pankhani ya hardware yosweka, kawirikawiri, ndicho chizindikiro cha vuto ndi hardware kapena fupa lochirikiza. Ngakhale nthawi zina hardware yosweka imayembekezeredwa, kawirikawiri ndi chizindikiro cha vuto la machiritso. Pofuna kuthetsa vutoli mokwanira, chifukwa cha vutoli chiyenera kudziwika musanayambe kusweka kwa hardware.
> Zotsatira:
> Wagoner MR, Creech CL, Nolan CK, Meyr AJ. "Pictorial Review ndi Basic Principles za Foot and Ankle Hardware Extraction" Foot Ankle Spec. 2015 Aug; 8 (4): 305-13.
> Hak DJ, McElvany M. "Kuchotsa zipangizo zosweka" J Am Acad Orthop Surg. 2008 Feb; 16 (2): 113-20