Ukuqhekeka kwe-forearm: ukulungiswa kunye nokunyangwa

I-forearm ingxenye yengalo, kuquka i-radial, ulna. Enyanisweni, oku kwandiswa kwelungu. Idibaniselwano sihlangene. I-forearm ixhunyiwe kwisalathisi sesandla nge-joint joint. Kwi-ICD, ukuphulwa kwe-forearm kubhalwe ngekhodi S52. Ukuxakeka okunjalo kukulimala kakhulu okubangela ukuba uqhagamshelane ngokukhawuleza nogqirha. Esinye sezigaba ezibalulekileyo zoncedo kukusilela ukungaphumeleli kunye nokuqhekeka kwe-forearm. Kufuneka lwenziwe ngokukhawuleza, ngokufanelekileyo, ngaphandle kokunyusa imeko yesigulane.

Ukuphuka: Izizathu

Ukuqhekeka kubangelwa yingozi yokutyhawula amathambo, izizathu zaso zi:

• Ukungaphumeleli ukuwa;
• Ukubetha ngqo;
• Ingalo ephihliweyo.

Umngcipheko wokufumana i-fracture ye-forearm iphezulu xa isigulane sibonakaliswe ngu:

• Ubudala budala kunomyinge;
• Ubunzima bomzimba;
• Isifo sesifo;
• Umsebenzi wezemidlalo.

Kukho ubukhulu obuphezulu bokuphulwa kwe-forearm kulabo abajongene nogonyamelo okanye abangafumani ukondla okwaneleyo.

U ku krokra

Ngophule oluvulekile / oluvaliweyo lwe-forearm, izigulana zikhalaza:

• Ubuhlungu;
• Ukuvuvukala;
• Ukukhutshwa kwendawo echaphazelekayo.

Ingalo egulayo ayikwazi ukuhamba kwibanga eliqhelekileyo.

Ukuba unempawu ezinjalo, kufuneka ufune umnxeba ngokukhawuleza. Kuviwo oluphambili, uphando luqhuba udliwano-ndlebe lwendulane, ukuqokelela ulwazi kwiimpawu zombini kunye neziganeko zangaphambili eziye zavutha ukuphulwa kwe-forearm. Kwakhona, ugqirha uhlola indawo echaphazelekayo ukwenza i-diagnostic echanekileyo.

Qinisekisa i-fracture

Ukufumanisa ukuphulwa okuvulekileyo / kuvaliwe kwe-forearm, kwindawo yokuqala ukwenza ii-X-rays. Oku kukuvumela ukuba ufumane ulwazi malunga nezakhiwo zangaphakathi zomzimba womntu, unikeza imbono yombuso wamathambo. Ugqirha unokubamba ingxaki kwingingqi.

Enye indlela echanekileyo kunye nechanekileyo yokufumana idatha ibalwa i-tomography. Xa uvavanya, sebenzisa ikhompyutha kunye ne-X-ray enamandla, evumela ukuba ufumane umfanekiso ochanekileyo womonakalo wangaphakathi kunye nesakhiwo samathambo, izicubu zomzimba. I-Tomography ikuvumela ukuba ufumane ingcamango yesimo seetoni, i-cartilage. Ukuba i-fracture ye-forearm iyinkimbinkimbi, ngoko-tomography iba ngumncedisi oyimfuneko ugqirha osebenza ekubuyiseleni amathambo.

Ukujamelana neengxaki, unako

Amachiza anamhlanje akuvumela ukuba uphathe ukuphuka kwamathambo enqwelwana, nangona kunjalo, impumelelo incike kwiyiphi intlungu: ngokuqinisekileyo apho ikhona emzimbeni, kunzima kangakanani. Ngokuqhelekileyo, oogqirha benza izinto ezijoliswe ku:

• Ukubuyela kwamathambo kwindawo yokuqala, edlalwa kunye ne-aneshesia, ukungenelela kwonyango;
• Gcina indawo echaphazelekayo, kuze kube yimihlamba.

Iindlela ezifanelekileyo

Ukuthi ivili eliqhekezayo le-forearm libonakala lisebenza kakuhle, libeka enye yeendlela ezilandelayo:

• Ukugqoka i-Gypsum kusetyenziswe ngaphambi kokusebenza, kunye nakwiimeko xa kungenakudingeka indlela;
• Isitya se-Metal (efakwe ngexesha lokusebenza);
• Izikrini (zifakwe ngokungahambiyo).

Ukunciphisa i-syndrome yeentlungu, ii-injections ze-anesthetics zenziwe. Emva kokusebenza, imeko yesigulane ihlolwe rhoqo nge-tomography okanye i-X-ray ukujonga inkqubo yokuphulukisa. Xa kunokwenzeka ukuba ukuthuthwa kwamathambo kungalindelekanga, ngokukhawuleza kunokwenzeka ukuxilonga oku kwaye uthathe amanyathelo afanelekileyo.

Yaye yintoni elandelayo?

Xa uncedo lokuqala lunikezelwa ekuqhekekeni kwe-forearm, umsebenzi wenziwa kwaye isigulane saqhubeka nokulungiswa, kubalulekile ukwenza okuzenzekelayo. Umsebenzi wabo oyintloko kukuqinisa imizimba, ukubuyisela amandla omzimba wokufuduka. Umsebenzi oyintloko wesigulane kunye noogqirha kukubuyisela amandla okusebenza kumagxa, iminwe. Ngokuqhelekileyo, i-physiotherapy imiselwe kwaye imidlalo ayinqatshelwe kwaye nayiphi na imithwalo enzima yomthwalo inqatshelwe.

Ngokuqhelekileyo ukuphuka kwamathambo enqwelwe yonyango iphilisa malunga neveki ezili-10, ngamanye amaxesha - ngokukhawuleza. Ukuba kukho ukuvuleka okanye ukuphulwa kwe-forearm ngokufuduka, ngoko ubude bonyango kunye nokuvuselelwa kuninzi. Kwiimeko ezithile eziyinkimbinkimbi, ukubuyiswa ngokupheleleyo akukwazi ukufezwa. Nangona kunjalo, naziphi na iziganeko, impumelelo yeziganeko ixhomekeke ngokucacileyo ngokucacileyo isigulane silandela imiyalelo yoogqirha. Ukuba aphulwa, ubunzima beengxaki ziphezulu.

Njani ukunqanda?

Kakade ke, ukukwazi ukuncedisa ukuphulwa kwe-forearm kubaluleke kakhulu kwaye kubalulekile, kodwa kunokuba luncedo ngakumbi ukwazi ukuthintela imeko enjalo. Njengeendlela zokukhusela zincoma:

• Gwema imeko ezinobungozi ezingabangela ukulimala;
• Lawula umxholo wevithamini D, i-calcium ekudleni;
• Zisoloko zenza amaqhinga okuqinisa amathambo;
• Ukuqeqesha imisipha;
• Emsebenzini, kwizemidlalo qaphela imithetho yokukhusela.

I-Conservative kunye ne-invasive

I-fracture ye-forearm ingaphathwa ngonyango okanye ngendlela egciniweyo. Inketho yesibini ifumaneka ukuba akukho nto ikhethiweyo okanye ukuba imeko yesigulane yinto yokuba umsebenzi unomngcipheko omkhulu wobomi. Indlela ekhuselekileyo ithatha ixesha elide ukuhlala kwi-bandage ye-plaster, enokubangela ukuxuba okungalunganga. Kwizigulane ezininzi eziye zaphatha ukuphuka, inyathelo elichaphazelekayo lisebenza kakubi ngakumbi kunaphambi kokuphuka. Kukho izibhambano ezingazinzileyo, apho kunzima ukufumana ukulungiswa okuchanekileyo.

Ukusebenza kubonwa ngabaninzi bezonyango njengeyona ndlela eyaziwa kakhulu yonyango ngexesha lethu. Kukho iindlela ezincinci ezingenayo ivumela ukuba isebenze amathambo e-ulnar nama-radial. Ugqirha phakathi kweso siganeko ubeka ukuhlaziywa kwamathambo, amaqhekeza, ukuwabeka ngokufanelekileyo ngokomzimba, aze alungise indawo ngokusetyenziswa kwezixhobo ezizodwa. Ukuhlasela okuncinci kufezwe ngento yokuba iipunctures ezincinci kuphela ezisetyenziselwa ukufezekisa, kwaye zonke iinyathelo zilawulwa nge-X-ray. Amathissu ahlambulukileyo ahlala ephilileyo, ukuphulukana kuthatha ixesha elifutshane, ungashiya esibhedlele ngaphambili. Ukongezelela, ngokuhlinzwa okunjalo, umngcipheko weengxaki ziyancipha.

Abaxhasi kunye nemiphumo

Ngokuba iifractures of forearms zisebenzisa iintlobo ezahlukeneyo zokulungisa. Enye yezona zibonda ezinempumelelo-intraosteal, ezingenakulungiswa kwindawo yomonakalo kwi-diaphyses. Xa usebenzisa ii-latches, unokufikelela kwiziphumo kunye nomonakalo omncinci we-muscle. Umsebenzi ohamba nofakelo lwabalungiseleli ushiya izikrakra, kodwa zincinci kakhulu, ziphantse zingabonakali kwagqirha.

Olunye uhlobo oluthandwayo lokugcina i-plate, lugcinwe emathanjeni ngama-screws. I-Osteosynthesis yinto "yegolide yegolide" yeyeza. Iimodeli zamaninzi zanamhlanje zivumela ukuba ulungise izicathulo zethambo kwindawo echanekileyo kwaye ubambelele kude kube yilapho iqoqo likhule ndawonye.

Oku kubalulekile!

Kwimeko yokuphuka evulekile, akunakwenzeka ukuphepha ukuhlinzwa. Ukungenelela kubandakanya ukusetyenziswa kwezixhobo ezikhethekileyo ezilungisa i-forearm evela ngaphandle. Oku kukuvumela ukuba uzinzise imeko yesigulane, emva koko ungaqhubela phambili ukwenza imisebenzi eqhubekayo.

Xa isilonda siphulukisa, isistim isuswa kwaye amathambo afakwe ngamacwecwe okanye iintonga. Le ndlela iyanceda ukunciphisa ubunzima beengxaki ezinengxaki.

Qaphela

Ukusebenza kwendawo ye-forearm akuyona into elula. Lo mmandla ucebile kwiimbilini, imithwalo yegazi, umonakalo onokuchaphazela kakubi imeko yesigulane. Ukuba ufumana unobungozi obongezelelweyo, kukho ukuphakama okuphezulu okubangakho ukulahlekelwa ngumsebenzi okanye ukuvaleka kwemoto. Ininzi inokwenzeka ukuba yinto engasebenzi ngayo ibrashi. Ukuze ugweme iingxaki, ugqirha kufuneka acwangcise ngokucophelela kwaye aphumeze ukungenelela.

Ingozi yokuphilisa

I-Diaphysis yomntu omdala uyaphilisa ixesha elide. Emva kokuphelelwa kweeveki ezintandathu, ii-X-ray zendawo eyalimalayo yenziwa ukujonga ukuba khona kwefowuni. Emva kweminye iiveki ezine, uvavanyo luyenziwa kwinqanaba lamandla. Ngokuqhelekileyo, ithambo lifanele lifumane amanqaku angama-80% enqanaba lamandla ngaphambi kokuqhekeka. Ukulungiswa kwakhona kwezicubu kunye nokuphilisa okupheleleyo kuthatha iminyaka.

Njengoko indawo ewonakalisiweyo idibeneyo, isicatshulwa sesimbi sinokususwa. Lo msebenzi awukho mfuneko, kodwa ngamanye amaxesha ubukho bento yensimbi kubangela ukungaphumeleli okanye intlungu, nto ibonisa ukuba ususwe. Iiplati, iintonga zihoxiswa emzimbeni womntu emibini okanye kamva. Isimo esisinyanzelo - kwiimpawu ze-roentgen zokudibanisa kufuneka zicaca.

Ukuqhekeka okuqhelekileyo

Ngokuqhelekileyo umntu oqhelekileyo uyinqabana likaSmith okanye iColles. Ngaloo monakalo wethambo, i-debris ayiyikufuduswa. Emva kokuhlolwa kwe-X-ray, i-bandage ye-plaster isetyenziswe kwisigulane ukuze ikhuphe isithuba esithintekayo. Iphosa ephosa iqala kwiinto ezisezantsi, kwaye iyaqhubeka ibe yintathu yesigxina. Ukunyanzeliswa kwesandla kuqhubeka malunga neenyanga. Xa i-gypsum isuswe, i-physiotherapy imiselwe ukuba kuphuhliswe imisipha yesandla. Ngokuphuhliswa ngokuqhelekileyo kwimeko, ukubuyiswa kuthatha kwiiveki ukuya kwiiveki ezimbini.

Ukuqhekeka okulula kunzima ngokufudukayo kudinga ukutsalathisa xa amathambo eguquka, edonsa ingalo eyalimalayo. Esi siganeko sifuna i-anesthesia-yangaphakathi, eqhubayo. Ugqirha oncedisayo uyirhuqa ibrashi, omnye umcebisi uyakrhola isalathiso esecaleni, ephethe ibhokhwe. Ngokuthe ngcembe, zolule iinqanawa zethambo, zenze umgama phakathi kwazo, kwaye ugqirha ngokubeka zonke iindawo ezidakalayo endaweni, ecinezela ukuba athathe isikhundla esifanelekileyo.

Yaye yintoni elandelayo?

Xa i-reposition igqityiwe, yenza i-bandage ngaphandle kwe-gypsum, ukugcina ingxube yeengalo ukuze ugweme ukutshintshwa kwakhona. Xa i-gypsum idibene, ukuxhatshazwa kwehla kwancipha.

Ukuba kwakungeke kwenzeke ukutshintsha ngempumelelo iinqununu okanye kufumaneke ukuba i-fracture ihamba kunye nenani elikhulu kakhulu, ukuba i-dislocation okanye i-joints ibonakala ngokuphindaphindiweyo, ngoko kusebenza ngokukhawuleza. I-osteosynthesis yenziwa, i-fixators isetyenziswe kwisinyithi, kwaye i-bandage ye-plaster isetyenziswa. Ngokuqhelekileyo, ngokuchithwa okunjalo kwi-plaster, kufuneka uchithe inyanga okanye isiqingatha, kwaye ukuvuselelwa kuthatha iiveki ezi-2-4.

Ukuphuka: iziphumo

Ukuqhekeka kukuphazamisa iziphumo zokuhluka kanzima. Zixhomekeke kwindawo yokulimala kunye nokuxakeka kwayo. Ukuba i-fracture ilula, ngoko yonke into iyaphilisa ngokukhawuleza kwaye ingashiyi imbonakalo ebonakalayo, ayiyikukhupha iingxaki. Kodwa ukufuduswa kweziqhekeza ngumqondiso weengozi eyongeziweyo yeengxaki ezongezelelweyo. Ukuba i-fracture evulekile kunye ne-offset ifunyaniswa, ngoko imeko ichazwa njengento enzima kakhulu.

Ngokuqhelekileyo zigcina iziphumo ezilandelayo:

• Ukungasebenzi kwemisipha;
• Osteomyelitis;
• Ukubumba;
• I-Pathology of splicing;
• Ukuhlamba.

Ukuxhamla kokugqibela kubakho ngokuqhelekileyo kwaye kubangelwa yingozi yokwenyuka kwezicubu. Ubunzima obuninzi kukuba buphakathi, kwaye bubonakala bubuhlungu okanye bungabonakali kwiso. Ugqirha kufuneka athathe ingqalelo ukuba iinqununu zethambo zingalimaza imithana yegazi, izicubu ezinotsho.

Ukuphuma kwegazi ngokuqhelekileyo kuhamba kunye neentambo ezivaliweyo zokufuduka. Ngamaqhekeza avulekile, umonakalo we-vascular ubaluleke kakhulu, ekubeni iinqununu zitshintshwe ngamandla kwaye kuphuma igazi langaphandle.

Ukuphulwa komsebenzi wesantya

Esi siphumo senkqubela senzeke ngokuqhelekileyo kwaye sichazwa nje kunzima kakhulu. Kucatshulwa kukuba ithambo lonakalisa umonakalo kwinqanaba leentsimbi ezisondele kumathambo. Umonakalo ogqithiseleyo umonakalo ulungelelaniswa ukuba ukuphulukana nokufuduka kuvulekile. Ngomzuzu xa ithambo lonakaliswe, ngokuchukumisayo lithintela iinqununu ezikufutshane, ngenxa yokuba zilahlekelwa umsebenzi wazo oqhelekileyo.

Ukuphulwa komsebenzi weentlanzi kubonakalisa ukulahlekelwa kukuqonda, kuquka intlungu kunye nokushisa. Ukongeza, iminwe okanye i-brush yonke ilahlekelwa ukuhamba, inqwelwana iyahluma, imisebenzi edibeneyo ivaliwe.