Ingqiniba ephumileyo ibaluleke kakhulu ukunyangwa ngokukhawuleza ukuze ingachaphazeli umsebenzi wakho wemihla ngemihla nobomi bakho, kodwa kuqala kufuneka wazi ukuba kutheni unengqiniba ephumileyo kunye nendlela yokuyinyanga ukuze ukwazi ukuyisebenzisa kakuhle!
Izizathu zokukhubeka kwengqiniba
Isizathu sokuqala kukuba uninzi lwabantu abakwishumi elivisayo luhlala lulutsha kwaye lunokubangelwa lugonyamelo olungangqalanga. Ngokuqhelekileyo xa umntu ewa, intende yesandla iwela emhlabeni kwaye i-elbow joint yolulwe ngokupheleleyo, eli lungu lifumana amandla angakumbi ngoko nangoko, nto leyo enokukhokelela ekuphumeni kwamalungu kunye nokuqhekeka kwe-elbow joint.
Isizathu sesibini sisenokuba njengoko abantu bekhula, amathambo abanye abantu ayaqina kakhulu kwaye kukho ukunqongophala kolwelo lokuthambisa amalungu kwilungu, ngenxa yokuba abantu bahambahamba kakhulu kwaye benganikeli ngqalelo ingako kumandla okusetyenziswa okubalulekileyo kubomi bemihla ngemihla. Oku kukhokelela ekukhuhlaneni okwandileyo, okunokuthi ngokuhamba kwexesha kubangele ukukhubeka kwelungu lengqiniba.
Isizathu sesithathu kukubaukukhubeka kwamalunguokubangelwa lugonyamelo oluthe ngqo, olunokubangelwa yingozi ethile ebomini, efana nengozi yemoto okanye ezinye izizathu zokukhubeka kwengqiniba, kwaye unobangela wesine kukukhubeka kwengqiniba eqhekekileyo, okubangelwa kukukwazi ukubeka iringi ijikeleze intshukumo ngokugqithisileyo.
Unyango lwamalungu engqiniba aphumileyo
Iimpawu zotyando: (1) abo bangazange baphumelele ekubekweni kwakhona okuvaliweyo, okanye abo bangafanelekanga ekubekweni kwakhona okuvaliweyo, oku kunqabile, kodwa ikakhulu kudibana nokwenzakala okukhulu kwingqiniba, njengokuqhekeka kwethambo le-ulnar hawk kunye nokuhlukana kunye nokufuduka; (2) ukuqhekeka kwengqiniba kudibene nokuqhekeka kwe-medial epicondyleihumerus, xa ukukhubeka kwengqiniba kuphinde kwasekwa, kodwa i-medial epicondyle ye-humerus ingakasekwa, kufuneka kwenziwe utyando lokuseta kwakhona i-medial epicondyle okanye i-internal fixation; (3) ukukhubeka kwengqiniba endala, akufanelekanga ukuvavanywa (iii) ukukhubeka kwengqiniba endala okungafanelekanga ukunciphisa okuvaliweyo: (iv) ukukhubeka okuthile okuqhelekileyo.
Ukubekwa kwakhona kwesithuba: I-brachial plexus anaesthesia, ukunqunyulwa kwesithuba eside emva kwengqiniba, ukuvezwa kwe-medial epicondyle ye-humerus kunye nokukhuselwa kwe-ulnar nerve. Kwenziwa ukusika kolwimi kwi-tendon ye-triceps. Emva kokuvezwa kwesigxina, izicubu ezithambileyo ezijikelezileyo kunye nezicubu zesilonda ziyaxotyulwa ukuze kususwe i-haematoma, i-granulation kunye nezibazi kwi-joint cavity. Isiphelo sethambo sesigxina siyachongwa kwaye sibekwe kwakhona. Izicubu ze-periarticular ziyathungwa. Ukuthintela ukuphinda kususwe, i-kerf pin ibekwa emlonyeni we-hawk ukuya kwisiphelo esisezantsi se-humerus kwaye isuswe emva kweveki e-1 ukuya kwezi-2.
I-Arthroplasty: Isetyenziswa kakhulu ekukhutshweni kwelungu lengqiniba endala apho umphezulu we-cartilage utshatyalalisiwe, okanye apho ilungu liqinile emva kokwenzakala kwingqiniba. Phantsi kwe-brachial plexus anesthesia, kwenziwa i-posterior elbow incision, i-triceps tendon iyasikwa kwaye iziphelo zamathambo zelungu le-elbow ziyavezwa. Isiphelo esisezantsi se-humerus siyasikwa, inxalenye ye-medial kunye ne-lateral condyles ye-humerus iyagcinwa, incam ye-ulnar eminence kunye nenxalenye yethambo le-dorsal ziyasikwa, kwaye incam yenkqubo ye-rostral nayo iyasikwa ibe ncinci, igcina umphezulu we-articular cartilage. Intloko ye-radial ayisikwa ukuba ayichaphazeli intshukumo yamalungu, kungenjalo intloko ye-radial iyasikwa. Ukuba umsantsa omtsha welungu uncinci, inxalenye ephakathi ye-humerus esezantsi ingasuswa nge-0.5 cm ukwenza ukwahlukana ngasekunene. Umgama ofanelekileyo wesithuba kufuneka ube yi-1 ukuya kwi-1.5 cm.
Ukuthintela ukuKhubeka kwengqiniba
Ukongeza, kufuneka kuqatshelwe ukuba izigulana ezinamalungu aphumileyo kufuneka zishukumise amalungu azo kwangethuba kwaye zithathe inyathelo lokwenza imisebenzi yokwandisa nokujikeleza imilenze okanye ukongeza kwi-physiotherapy emva kokukhululwa kwe-ukulungiswa, kodwa ukutsala ngamandla kakhulu kunokukhokelela ekuqhekekeni kwe-myositis ejikeleze i-elbow joint.
Qhagamshelana:
I-Yoyo
I-Whatsapp：+8615682071283
Email：liuyaoyao@medtechcah.com
Ixesha lokuthumela: Matshi-13-2023
