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: Ukuba i-dislocation iphakathi 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, ukubekwa ngokutsha ngesandla kunokuzanywa.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 intloko ye-humeral yangasemva. isiphene.

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.