4 Amanyathelo oNyango lokuguzulwa kwamagxa

Ukuxhatshazwa kwamagxa aqhelekileyo, njengomsila ojikelezayo rhoqo, unyango lotyando lufanelekile. Umama wabo bonke ulala ekuqiniseni i-forearm ye-capsule edibeneyo, ukuthintela ukujikeleza kwangaphandle okugqithisileyo kunye nemisebenzi yokubamba, kunye nokuzinzisa ukudibanisa ukuphepha ukuchithwa okuqhubekayo.

1, Ukuseta ngokutsha ngesandla
I-dislocation kufuneka ihlaziywe ngokukhawuleza emva kokutshatyalaliswa, kunye ne-anesthesia efanelekileyo (i-brachial plexus anesthesia okanye i-anesthesia jikelele) kufuneka ikhethwe ukukhulula imisipha kwaye wenze ukusetha kwakhona phantsi kobuhlungu. Abantu abadala okanye abo banezihlunu ezibuthathaka nabo banokwenziwa phantsi kwe-analgesic (njenge-75 ~ 100 mg ye-dulcolax). Ukuchithwa okuqhelekileyo kunokwenziwa ngaphandle kwe-anesthesia. Ubuchule bokubuyisela indawo kufuneka buthambile, kwaye iindlela ezirhabaxa azivumelekanga ukunqanda ukwenzakala okongeziweyo okunje ngokuphuka okanye umonakalo kwimithambo-luvo.

2, Ukubekwa ngokutsha kotyando
Kukho ukuchithwa kwamagxa ambalwa okudinga ukulungiswa ngokutsha kotyando. Iimpawu zezi: ukuchithwa kwegxala elingaphambili kunye ne-posterior slippage yentloko ende ye-biceps tendon. Iimpawu zezi: ukuchithwa kwegxala elingaphambili kunye ne-posterior slippage yentloko ende ye-biceps tendon.

3, Unyango lokuguzuka kwamagxa amadala
Ukuba umdibaniso wegxalaba awuzange ubekwe kwakhona ngaphezu kweeveki ezintathu emva kokuchithwa, kuthathwa njenge-dislocation endala. Umdibaniso odibeneyo ugcwele izicubu ezibomvu, kukho ukunamathela kunye nezicubu ezijikelezileyo, izihlunu ezijikelezileyo ziyancipha, kwaye kwiimeko zokuqhekeka okudibeneyo, i-scabs yamathambo yenziwe okanye ukuphiliswa okungahambi kakuhle kwenzeka, zonke ezi zinguqu ze-pathological zithintela ukubuyisela indawo yokulimala.intloko humeral.
Unyango lwamagxa amadala amagxa: Ukuba ukuchithwa kungaphakathi kweenyanga ezintathu, isigulane siselula kwaye sinamandla, i-joint edibeneyo isenoluhlu oluthile lokunyakaza, kwaye akukho i-osteoporosis kunye ne-intra-articular okanye i-extra-articular ossification kwi-x-ray, i-repositioning manual inokuzanywa. Ngaphambi kokusetha kwakhona, i-hawkbone ye-ulnar echaphazelekayo ingaba yi-traction ye-1 ~ 2 iiveki ukuba ixesha lokuchithwa lifutshane kwaye umsebenzi odibeneyo ulula. Ukusetha kwakhona kufuneka kwenziwe phantsi kwe-anesthesia jikelele, ilandelwa yi-massage yegxalaba kunye nemisebenzi yokugungqa ngokuthambileyo ukukhulula ukunamathela kunye nokukhulula isivumelwano sentlungu ye-muscle, kwaye emva koko umise. Umsebenzi wokusetha kwakhona wenziwa ngokutsalwa kunye ne-massage okanye i-foot stirrups, kwaye unyango emva kokusetha kwakhona lufana nolo lokutshatyalaliswa okutsha.

I-4, Unyango lwesiqhelo lwangaphambili lwe-dilocation yegxalaba
Ukukhutshwa okuqhelekileyo kwangaphambili kwegxalaba kubonakala kakhulu kubantu abadala abancinci. Ngokuqhelekileyo kukholelwa ukuba ukulimala kubangelwa emva kokutshatyalaliswa kokuqala okubuhlungu, kwaye nangona isetyenzisiwe, ayilungiswanga kwaye iphumle ngokufanelekileyo. I-joint iba yi-flaccid ngenxa yeenguqu ze-pathological ezifana nokukrazula okanye ukuvuthwa kwe-capsule edibeneyo kunye nomonakalo kwi-cartilage glenoid labrum kunye nomda we-monsoon ngaphandle kokulungiswa kakuhle, kunye ne-posterior lateral humeral intloko yokudakumba ukuphuka kuyalingana. Emva koko, i-dislocation ingenzeka ngokuphindaphindiweyo phantsi kwamandla amancinci angaphandle okanye ngexesha leentshukumo ezithile, ezifana nokuxhwilwa kunye nokujikeleza kwangaphandle kunye nokwandiswa kwe-posterioramalungu aphezulu. Ukuxilongwa kwesiqhelo sokugungqa kwamagxa kulula. Ngethuba lokuhlolwa kwe-X-ray, ngaphezu kokuthatha iifilimu ezicacileyo zangaphambili-ngasemva kwegxalaba, i-X-rays yangaphambili ye-X-ray yengalo ephezulu kwi-60-70 ° indawo yokujikeleza yangaphakathi kufuneka ithathwe, enokuthi ibonise ngokucacileyo i-posterior humeral head defect.

Ukuxhatshazwa kwamagxa aqhelekileyo, unyango lotyando lunconywa ukuba ukuchithwa rhoqo. Injongo kukuphucula ukuvulwa kwangaphambili kwe-capsule edibeneyo, ukuthintela ukujikeleza kwangaphandle okugqithisileyo kunye nemisebenzi yokubamba, kunye nokuzinzisa ukudibanisa ukuphepha ukuchithwa okuqhubekayo. Zininzi iindlela zotyando, ezona zisetyenziswa ngokuqhelekileyo yindlela kaPutti-Platt kunye nekaMagnuson.