Kwimikhwa yokukhubeka kwegxalaba rhoqo, njengomsila olandela emva rhoqo, unyango lotyando lufanelekile. Eyona nto iphambili kukuqinisa ingalo ye-capsule yamalungu, ukuthintela ukujikeleza okugqithisileyo kwangaphandle kunye nemisebenzi yokuhlutha, kunye nokuzinzisa ilungu ukuze kuthintelwe ukukhubeka okungakumbi.
1, Ukuseta kwakhona ngesandla
Ukususwa kwemisipha kufuneka kuqalwe ngokutsha ngokukhawuleza emva kokususwa kwemisipha, kwaye kufuneka kukhethwe i-anesthesia efanelekileyo (i-brachial plexus anesthesia okanye i-general anesthesia) ukuze kuphumzwe izihlunu kwaye kwenziwe ukususwa kwemisipha ngaphandle kwentlungu. Abantu abadala okanye abo banezihlunu ezibuthathaka nabo banokwenziwa phantsi kwe-analgesic (njenge-75 ~ 100 mg ye-dulcolax). Ukususwa kwemisipha rhoqo kungenziwa ngaphandle kwe-anesthesia. Indlela yokubuyisela imisipha kufuneka ibe mnene, kwaye iindlela ezirhabaxa azivumelekanga ukuthintela ukwenzakala okongezelelweyo okufana nokuqhekeka okanye ukonakala kwemithambo-luvo.
2, Ukutshintshwa kwendawo yotyando
Kukho iindawo ezimbalwa zokukhubeka kwamagxa ezifuna ukutshintshwa ngotyando. Iimpawu zezi: ukukhubeka kwamagxa angaphambili kunye nokutyibilika kwangasemva kwentloko ende ye-biceps tendon. Iimpawu zezi: ukukhubeka kwamagxa angaphambili kunye nokutyibilika kwangasemva kwentloko ende ye-biceps tendon.
3. Unyango lokukhubeka kwamagxa amadala
Ukuba ilungu legxalaba alizange libekwe kwakhona kangangeeveki ezingaphezu kwezintathu emva kokusuka, kuthathwa njengokusuka kwakudala. Umqolo welungu uzaliswe zizicwili, kukho ukunamathelana kwizicubu ezijikelezileyo, izihlunu ezijikelezileyo ziyancitshiswa, kwaye kwiimeko zokuqhekeka okudibeneyo, kuvela amabala ethambo okanye ukuphiliswa okungalunganga kwenzeka, zonke ezi nguqu zesifo zithintela ukutshintshwa kwendawo yelungu.intloko ye-humeral.
Unyango lokuphuma kwamagxa amadala: Ukuba ukuphuma kwamagxa kungaphakathi kweenyanga ezintathu, isigulana siselula kwaye sinamandla, ilungu eliphumileyo lisenoluhlu oluthile lokuhamba, kwaye akukho osteoporosis kunye nokuphuma kwamagxa ngaphakathi okanye ngaphandle kwe-articular kwi-x-ray, ukutshintshwa kwesandla kunokuzanywa. Ngaphambi kokuseta kwakhona, i-ulnar hawkbone echaphazelekayo inokuba yi-track kangangeeveki ezi-1 ukuya kwezi-2 ukuba ixesha lokuphuma lifutshane kwaye umsebenzi welungu ulula. Ukuseta kwakhona kufuneka kwenziwe phantsi kwe-anesthesia jikelele, kulandelwe yi-shoulder massage kunye nemisebenzi yokushukuma kancinci ukukhulula ukunamathela kunye nokunciphisa ukuqiniswa kwentlungu yemisipha, uze emva koko ubuyisele kwakhona. Umsebenzi wokuseta kwakhona wenziwa ngokuxhuzula kunye nokuhlikihla okanye i-foot stirrups, kwaye unyango emva kokuseta kwakhona lufana nolo lokuphuma okutsha.
4. Unyango lokukhubeka kwegxalaba ngaphambili rhoqo
Ukuqhekeka kwegxalaba okuqhelekileyo kubonakala kakhulu kubantu abadala abancinci. Ngokuqhelekileyo kukholelwa ukuba ukwenzakala kubangelwa emva kokuqhekeka kokuqala okubuhlungu, kwaye nangona kubuyiselwe, akulungiseki kwaye akuphumli ngokufanelekileyo. Ilungu liyajika ngenxa yotshintsho lwe-pathological olufana nokukrazuka okanye ukuqhekeka kwe-capsule yelungu kunye nomonakalo kwi-cartilage glenoid labrum kunye nomda we-monsoon ngaphandle kokulungiswa kakuhle, kwaye ukwaphuka kwentloko engasemva kwe-humeral head depression kuyalingana. Emva koko, ukuqhekeka kungenzeki ngokuphindaphindiweyo phantsi kwamandla amancinci angaphandle okanye ngexesha leentshukumo ezithile, ezifana nokubanjwa kunye nokujikeleza kwangaphandle kunye nokwandiswa kwangasemva kwelungu.amalungu angaphezulu. Ukuxilongwa kokukhubeka kwegxalaba rhoqo kulula. Ngexesha lovavanyo lwe-X-ray, ukongeza ekuthathweni kweefilimu ezicacileyo zegxalaba elingaphambili nelingasemva, kufuneka kuthathwe ii-X-ray zangaphambili nelingasemva zengalo ephezulu kwindawo yokujikeleza yangaphakathi engama-60-70°, nto leyo enokubonisa ngokucacileyo isiphene sentloko engasemva.
Kwimikhwa yokukhupha amagxa rhoqo, unyango lotyando luyacetyiswa ukuba ukukhubeka kwenzeka rhoqo. Injongo kukuphucula ukuvulwa kwangaphambili kwekhaphu yamalungu, ukuthintela ukujikeleza okugqithisileyo kwangaphandle kunye nemisebenzi yokuhlutha, kunye nokuzinzisa ilungu ukuze kuthintelwe ukukhubeka okungakumbi. Kukho iindlela ezininzi zotyando, ezona zisetyenziswa kakhulu yindlela kaPutti-Platt kunye nendlela kaMagnuson.
Ixesha lokuthumela: Feb-05-2023
