Ukwaphuka kwe-clavicle: iimpawu kunye nonyango

Ukuqhekeka kwe-collarbone yintlungu engavamile. Kungaba ngumphumo wempembelelo ngqo, kodwa ngokuphindaphindiweyo kwenzeka ngenxa yokuwa kweengalo ezixilwe okanye zibophe kwi-elbow okanye kwicala eliphambili lehlombe. Imimandla ekhuselekileyo iyindawo yesithathu phakathi kwethambo kunye nomda phakathi kwalo kunye nesithathu yesithathu - le ndawo iyindawo efihlakeleyo kunye nephilileyo.

Ukwahlula

Ezi zilandelayo ziintlobo zeentlobo ziyaxhaphaka kubantu abadala:

- ehambayo;

- I-Splintered (eyona nto yinkimbinkimbi, eneenombolo ezininzi, ezifudumeleyo zodwa);

- slanting.
Kubantwana, i-fracture eqhelekileyo yindlela "uhlobo lwegesi" - i-subperiosteal. Kwezinye iimeko, umthwalo we-neurovascular and dam of the pleura wonakaliswe, ngamanye amaxesha iqhekeza elibukhali lihlaba isikhumba.

Indlela yokuqaphela i-clavicle fracture

Ukuqhekeza okulula ngokulula ukuhamba. Ukususela kwicala elilinakileyo, umxhelo wegxala uhle kakhulu xa uthelekiswa kunye nezinye kwaye uhamba phambili. Umntu onobuhlungu obunjalo ugcina ingalo eboshiweyo kwi-trunk, ecinezela ibhokhwe. Ingalo ibonakala ide kunokuba ivela kwicala le-clavicle enempilo. Inhloko ithambekele kwinqanaba elifanayo, ukubola kwesisu kunye nesifo esiqhekezayo kubonakala kwiindawo eziqhekekileyo. Kubantwana, iimpawu ze-clavicle fracture zinciphisa ukuvuvukala nokunyameka xa uziva, mhlawumbi ukubonakala kwe-hematoma. Ukuze uqiniseke ngobungqina bokuba uqhekeza kwaye uzimisele uhlobo lwalo, uvavanyo lwe-X-ray lwenziwe.

Unyango lwe-clavicle fracture

Amathambo esithambo abuyiswa kwindawo echanekileyo, ephakamisa ihlombe aze ayiphinde, kodwa ukulungiswa kwesi sikhundla kunzima kakhulu. Nangona kunjalo, nangona i-clavicle ingakhuli kunye ngokukodwa, utshintsho olubonakalayo, zombini olusebenzayo kunye nobuhle, luvame ukuba lwenzeke. Okukuphela kwexesha ukulungiswa ixesha elide lomxhelo wegxala, oko kunokukhokelela ekuqineni kwayo. Phatha ukuphulwa kwe-clavicle ngokufuduka okanye ngaphandle kokufuduka usebenzisa i-b-8 yokugqoka, esetyenziselwa ukuba, i-anesthetized pre-20 ml ye-1% ye-novocaine, indawo. Kubantu abadala, i-bandage iyomelezwa nge-bandage bandage, ngelixa abantwana baphathwa njengesiqhelo. Ukuba ukulimala kuyinkimbinkimbi, iinqununu ezininzi zinokutshatyalaliswa kakhulu, omnye usondo olukhethekileyo luyasetyenziswa. Yenziwe ngamathaya amabili e- Cramer, ewaguqa kwaye ehlangene kunye. Isisombululo esinjalo silungisa isigxina se-peripheral kwindawo ephakamileyo kunye nokukhishwa kancane.

Ibhanki isuswa emva kweentsuku ezi-2-4, ngokuxhomekeke kwinkimbinkimbi yesilonda, ukusebenza kwesandla kubuye kubuyeke emva kweeveki ezi-4-7 emva kokuphuka. Kwimeko yoxinzelelo okanye umonakalo kwisivuno se-neurovascular, okanye ukuba kukho umngcipheko wokuphulaphula ingqibelelo yayo, unyango olukhawulezayo lwenyango lwenziwa ngelixa lizama ukulungisa iziqhekeza. Uphando luyaboniswa nakwiimeko kunye nokufuduka kwezinto eziqhekezayo. Xa lo kuqhutyelwa kwenziwa, i-clavicle isetyenziswe kwisithethi okanye intonga yentsimbi, esuswa emva kweenyanga eziyi-3-4. Ukususwa kwenziwa phantsi kwe-anesthesia yendawo. Isibhengezo senziwe ngenxa yale njongo kwindawo apho intonga yentonga iqhutywe khona.

Ukuphuka kwe-collarbone kwiintsana

Phakathi kokulimala kokuzalwa kwenkqubo ye- musculoskeletal, yintluko ye-clavicle eyenzeka kakhulu. Phantse ama-3% kubo bonke abantwana bazalwa benokuxilongwa. Isizathu sinokubeleka ngokukhawuleza, isikhundla esingalunganga somntwana kunye nezinye izizathu ezenza kube nzima kumntwana ukuba adlule kwinqanaba lokuzalwa. Ngenxa yoko, amahlombe omntwana athatyathwa ngamathambo e-pelvic yomama, kunye nokuphuka kwenzeka. Ukuphatha izigulane ezincinci, i-pribintovyvaya ukuphatha kumzimba, ukubeka ipotton phakathi kwabo. Kwiintsuku ezingama-5 ukuya kwezi-5 ezifana nokugqithwa okuzalwayo kwangaphambili, ukunyakaza kuya kubuyiselwa emva kwexesha kwaye akukho nto ikhumbuza oko kwenzekayo.