Intamo nomlenze ukwaphulwa: oonobangela, iimpawu, isifo kwaye afumane unyango

Ihumerus ivumela umntu ukuba enze eninzi intshukumo, le awo apho zinokwahluka. Nawuphi na umonakalo kule ndawo kuba nefuthe elibi umsebenzi emagxeni, isingqisho nzima ukusoloko ebomini. Ezichaphazela iindawo ezahlukeneyo lwesakhiwo a ethe onjalo. Amaninzi, oogqirha kwafunyaniswa kukho ukwaphuka entanyeni emagxeni. Malunga nemisebenzi kunye neendlela engundoqo unyango yokwenzakala kuya kuxoxwa ngazo kwinqaku yanamhlanje.

reference yokwakheka

Ihumerus - sisigqeba elide tubular. Oku ibekwe phakathi ngengqiniba negxalaba indawo nombhinqo, yaye iquka diaphysis amabini kunye epiphysis. A uhlobo lwemimandla lenguqu phakathi kwezi ndawo ke metaphyses. Isiphelo esisemantla wethambo bubonakaliswe yintloko joint, esifana ibhola. Kubhaliwe ibekwe ngezantsi nje nomlenze entanyeni yokwakheka. Ukophuka kakhulu kule ndawo zinqabile.

ngezantsi nje intamo emagxeni kukho amaqhuma ezinkulu nezincinane, leyo ziqhotyoshelwe imicu. Ngaphantsi kuqhuba 'umda' ukuba esahlula diaphysis amathambo ekupheleni kwayo eliphezulu. Last ngenye eyaziwa ngokuba "entanyeni zoqhaqho emagxeni." Yiyo le ndawo rhoqo baboniswa kukwenzakala.

Ukwahlukana wachaza Ukophuka zibe ziindidi ezimbini tentatively kakhulu. Bona luphawulwa kumfanekiso lwezonyango jikelele. Ngoko ke, oogqirha ugqibe kwelokuba adibanise zibe elinye iqela - steel intamo ukwaphuka emagxeni.

Eyona eziphambili ezibangela yokwenzakala

Unobangela omkhulu kwamathambo kunje kucingwa ukuba isenzo mechanical ngqo. Ngokomzekelo, xa esiwa kwelinye icala okanye ingqiniba. Ngenxa yoko kukho flexion le ihumerus kunye nokwanda ngaxeshanye uxinzelelo phezu kwaso axially. Kwiimeko ezinqabe kakhulu, umonakalo ngenxa yempembelelo ngqo emzimbeni.

Ukwaphuka kwentamo zoqhaqho emagxeni kuqhelekile ngokukodwa abasetyhini abadala. Ladies ngaphezu kweminyaka engama-50 basengozini ephezulu trauma ngenxa yezinto ezininzi:

• kwabadala kunye nokuphuhlisa kwisiqalo kwamathambo amathambo;
• ukutshintsha kubume ithambo.

umonakalo Character yalityatya egqitywe indawo kwi mzuzu sokuwa. Inoku engqondweni, intamo nomlenze ukwaphulwa zichaphazeleke, adduktsionnym nokuxhwilwa. Cinga emela ngamnye embodiments.

zaphuka nomthelela

Phakathi konke ukulimala ebuhlungu olu hlobo lingaphantsi eqhelekileyo yonke. Xa ingalo ukwimo cala, kodwa oku ihamba inyathelo ngomatshini, kwafunyaniswa ukuba zaphuka ezinqamlezayo. isiqalelo bone neuropathy Asikokungena intloko joint, ukwakha ngokwaphulwa ibenefuthe ye entanyeni emagxeni. Yena isoloko ivaliwe.

Adduktsionny zaphuka

Le ukwenzakala idla ngokuba sisiphumo kokuwela ingalo bent. Ngelo xesha kwi engqinibeni mkhulu iwela uxinzelelo. Ngenxa nokushukumisa kungqameko asezantsi ihumerus distal yenza zokunciphisa eliphezulu. Abanye abanayo ukushukumiseka efanayo, ngoko ke fulcrum bokuhlala kule ndawo igxalaba eliphezulu. Ngaloo abunjwe azisebenzisele leyo usindanisa ihumerus. intloko Articular uhlala endaweni ngenxa lungu-philisi isixhobo kuthintela dislocation sokwenziwa. Ngenxa yoko, kukho ukwaphuka le adduktsionny entanyeni emagxeni.

Xa kukho umdlali olimeleyo elolu hlobo ngqangi ithambo engundoqo ishenxiselwe phambili, kwaye neuropathy - ngaphandle, kwenyusa. angela therebetween luvula ngaphakathi.

nemithathu zaphuka

Umonakalo onjalo kunokwenzeka kunye ukuwa esandleni olinikiweyo. Amandla Uxinzelelo olukhulayo kumacala amabini ngaxeshanye. isiqalelo bone yoluvo enambuzelayo ngaphakathi. edge sayo ichukumisa neengxaki central Isiqwenga endaweni uqhuba. Kwaye ke bit yokugqibela baphambuke phansi phambili. Isiphumo i engile ukuvula olo lwangaphandle enyameni.

picture clinical

Zakuba zifikile ezinjengokwaphuka kufuneka uqhagamshelane ngokukhawuleza isebe olimele kwesibhedlele ekufutshane. Ngomhla entanyeni yokwenzakala igxalaba, ngokuqhelekileyo ibonisa umfanekiso ethile lwezonyango. Ixhoba lokuqala lusiva intlungu kwindawo zaphuka. Alinako koyiswa analgesics eziqhelekileyo. Oku kufuna uncedo ntlungu eziyingozi zingafumaneka kuphela esibhedlele.

Nomlenze indawo odibeneyo esandleni owenzakeleyo uphelelwa ukusebenza kwayo, kodwa intshukumo flexion ingqiniba yakhe maxa wambi ziqhubeke. Ixhoba isoloko ibamba elo lomzimba zengalo kwabagulayo uyafuneka. Ngalo lonke ixesha ndizama ukwenza intshukumo, uqala iintlungu ndityiwa.

ukubonakala Joint akatshintshi. Xa nemithathu ukwa ekhona "isimangalo," njengoko a dislocation egxalabeni. Ukonzakala ngokukhawuleza kakhulu emthanda. Emva kwexesha elithile, kukho hematoma, apho ifumana ubukhulu maxa wambi ineenkalo eninzi.

Ngakumbi nzima ihamba intamo igxalaba ukwaphulwa ne ukufuduka. Kulo mzekelo, ngohlangothi ithambo inokuba compress ezingqonge inyama kunye semithambo iinyanda, ebangela mpawu zilandelayo:

• wavakalisa ingxenye nokudumba;
• ukukhubazeka;
• uphuhliso kwemithambo;
• neurosis inyama ithambile.

Kwimeko ukwaphuka negalelo womfanekiso lwezonyango ngokuqhelekileyo lubricated, yaye akukho ntlungu. Ngenxa yoko, le ixhoba, kwiintsuku nje ezimbalwa akazange usola ubukho yokwenzakala kwaye hayi ukuba ufune uncedo lonyango.

iindlela isifo

Ukuba urhanela ukuba ukwaphulwa kufuneka uqhagamshelane isebe olimele kwesibhedlele ekufutshane. Ekuqaleni, ugqirha kufuneka ahlole ixhoba, ukucacisa izikhalazo kunye neemeko yokulimala ezikhoyo. Emva koko unikwe inombolo leemvavanyo ezongezelelweyo ukuxilongwa.

Uninzi ulwazi luphawulwa X-ray umbhinqo emagxeni. Umfanekiso ngokuyimfuneko lwenziwa uqikelelo ezimbini: i yezihlunu kunye tye. Kwimeko iziphumo akrokrisayo Ukongezelela kungafuna CT. Ukuba urhanela ukwaphuka le ultrasound intra-elimisiweyo.

uncedo lokuqala

Eyona Injongo uncedo kwixhoba yokuqala - ntlungu. Kuyimfuneko ukuba uzame ukuba yenze lo mlenze owenzakeleyo. Kwimeko yokuqala, akakwazi ukwenza ngaphandle koncedo analgesics. Phantse wonke emithi ekhaya 'Keterol "," Analgin "yaye" Nimesulide ". Amayeza idosi kufuneka zilungiswe ngokungqinelana nemiyalelo eziqhotyoshelwe medicament.

Ukuba akukwazi ukwenza ntlawuliso iyenye, kunye X-ray ukuze siqiniseke ubunzulu wokwenzakala, ngaphambi kokuba aye esibhedlele kucetyiswa ukuba yenze lo mlenze. Ukulungiselela le njongo ngezinto ezilahliweyo unako kuveliswa kosynochuyu bandage. Kuye sihambelane naliphi izihlunu okanye itshefu, intwana impahla. Xa ifomu kufuneka lisikwa unxantathu isosceles. ngebhandishi unxantathu kufuneka ebekwe ngendlela yokuba ixhasa ingalo uyibhekise.

Iimpawu therapy

kufuneka ibe yintoni uxilongo "ukwaphuka entanyeni igxalaba" unyango, ugqirha isigqibo. Kulo mzekelo, kufuneka uthathe ingqalelo ubudala yesigulane, uhlobo kukwenzakala kwakhe kunye nobukho ithambo iziqwenga ukufuduka. Ngoko ke, unyango kunokuba orientation endala okanye yotyando. Ezinye izigulane bacetyiswa imoto skeletal. Unyango lwe zaphuka kubantu abalupheleyo ezahlukeneyo kancinci. Lo mbuzo kufanelekile ukuba siqwalasele ngokwahlukeneyo.

unyango ukwa kungekho zimpawu bias

Xa zaphuka ayinzima kucetyiswa unyango kwesibhedlele. Okokuqala, endaweni hematoma, ugqirha ufaka ndindisholo, uze uqhubeke kwanyanzeliswa umhlabelo, udaka for Turner. immobilization abanobuchule kwamalungu omzimba eyaphukileyo ithintela uphuhliso contractures. Ukuthwala umhlabelo, kucetyiswa ukuba iiveki-4.

Inqanaba elilandelayo unyango lubandakanya zolawulo nadlamkisayo kunye UHF. Kwinyanga yokuqala isigulane abuyise ibekwe beemvavanyo lohlobo static. Kuba nefuthe ngqo kwi ezinjengokwaphuka isicelo phonophoresis kunye electrophoresis kunye namayeza.

Emva kweeveki ezine immobilization kuphuma ukuya ekolulekweni esebenzayo. Ukulungiselela le njongo, ungaya naliphi na iziko lonyango kwisimo apho iingcali ungakhetha imisebenzi program ngamnye. Ngokuqhelekileyo, ezi nkqubo zilandelayo ngokwaphulwa-gingxi:

• massage;
• laser therapy;
• izicelo neparafini;
• ukwandiswa kwendawo yokuhlala;
• zokukhanya UV;
• balneotherapy;
• DDT.

Ukukwazi ukusebenza emva kokuba loo monakalo ubuyiselwa iinyanga ezi-2.

Unyango zaphuka ne ukufuduka

Xa loo umonakalo kufuna unyango kwindawo esibhedlele. Kwiimeko ezininzi, oku kwakhona kwenziwa lwendlela angqingqwa. Doctor usebenzisa zomzimba okanye jikelele owenza yokuqala ivaliwe ngesandla besa. Kuliwa kwicala umva ukusuka indlela kukwenzakala le. Kulo mzekelo element peripheral lu dityanisiwe ngamaqhekeza ithambo engundoqo.

Le nkqubo ngokwayo lwenziwa kwindawo lisalele. Ugqirha owenza zonke izigaba yokuntlokothiswa kwaye nezenzo kwabancedisi. Emva kokugqitywa iqhiya umlenze eyonakeleyo okanye umhlabelo, udaka.

Ubude ukwa immobilization offset nama iinyanga ezi-2. Ugqirha kufuneka esweni inkqubo yokubuyisa ixesha ekuphulukenwe nalo. Ukuze benze oku, isigulane kufuneka linye njalo, kuqhuma. Ehlawulweyo X-ray ikuvumela ukuba ukufumana iziphumo ngoko nangoko. The free zonyango Amaziko picture ukuba uyichole ngosuku olulandelayo. Nokuqashwa idla ubuyela yesiqhelo emva kweeveki ezili-10.

Iimpawu ukunyanga ukwaphula abadala

Kwiimeko ezininzi, ukususwa intamo igxalaba ukwaphulwa kubantu abalupheleyo isicelo iindlela angqingqwa. Xa adduktsionnoy ukwenzakala ubonisa nitrogen yokuqala izitho iiveki-4. Xa run izenzo umonakalo nokuxhwilwa kuqala ibambelele, uze uqhubeke ukuya immobilization. Kwezinye iimeko, kufuneka uqhaqho.

Njengoko yokukhawulelana intlungu kummandla ochaphazelekayo, kukho kwakhona ezinye zithintelo. Umzekelo, ukuba idosi ndindisholo kufuneka ukhethe liphantsi. Kungenjalo, ukuba kungenzeka ibe nkulu ka reactions icala ekhobokisayo njengoko hypotension okanye nesiyezi. Unyango ikwabandakanya ukuqeshwa zonke izigulane ngaphandle kokukhetha, iqela iziyobisi. Okokuqala, oko amalungiselelo calcium kunye namayeza ukuphucula kwegazi. Isiphumo emihle kubo kubonakala xa iqala coalesce ukwaphuka entanyeni emagxeni.

abantu abadala babe nexesha ukuchacha emva yokwenzakala gingxi akhawunti iinyanga malunga 2-3. Ubude kwethuba kwimo luqinisekiswa kakhulu yimeko lulonke isigulana, umsebenzi ngokwaneleyo emzimbeni. Eli binzana linyuke kakhulu ukuba ixhoba kukho iingxaki zempilo ezinzulu. Phakathi ezimbi ezininzi ezingapheliyo ingozi enkulu seswekile.

ungenelelo Surgical lunqabe wabelwa ukuba izigulane abadala babe ukwaphuka nomlenze entanyeni kubonakele. Kwimo kwaye kule meko kwanele elide. Ngokuqhelekileyo, oko kwithuba leenyanga ezintathu. Xa olu hlobo longenelelo ngoncedo kakhulu kwandisa umngcipheko iingxaki esosulelayo. Kukuvela thromboembolism kweli phakade kudla ngokuphumela ekufeni.

Ukwaphuka entanyeni emagxeni kunye neziphumo zawo

Iingxaki ezivela ukwenzakala olu hlobo - yinto Kuyaziwa kakhulu. Abe ngenxa yonyango olunganelanga (engalunganga accrete ngokwaphulwa, pseudarthrosis). Ngamanye amaxesha imiphumela emibi trauma ezibangwa kukungakhuseleki ukuya kwindawo egxalabeni. Umzekelo, kwizaphuko ngokufuthi ezonakeleyo nemisipha kunye imisipha, izihlunu kunye luvo. Ngenxa yoko, ukopha apho, ukuphazamiseka komsebenzi okanye luvo kwi kwesebe ochaphazelekayo.

Ukunciphisa amathuba aphezulu kwezi iingxaki, oko kuyimfuneko kwiimeko yokwenzakala olukrokrelwayo khawuleza ufune uncedo lonyango lobungcali. Emva abapasa iimviwo, ugqirha angakunika unyango olwaneleyo, ukuba kuyimfuneko. ingqalelo ekhethekileyo kufuneka ihlawulwe inkqubo yesiqhelo. Kwizaphuko nzima kungcono ukuba sibuyele iziko ezizodwa zonyango kwisimo, apho iingcali uya kukwazi ukukhetha inkqubo kakhulu ukuba kuqheleke kwezandla.