Ingqiniba ekhutshiweyo ibaluleke kakhulu ukuba uyinyange ngokukhawuleza ukuze ingachaphazeli umsebenzi wakho wemihla ngemihla kunye nobomi bakho, kodwa okokuqala kufuneka wazi ukuba kutheni une-elbow ehluthiweyo kunye kunye nendlela yokuyinyanga ukuze ukwazi ukwenza okuninzi kuyo!
Iimbangela zokushukuma kwengqiniba
Unobangela wokuqala luninzi lwabantu abafikisayo kwaye inokubangelwa bubundlobongela obungangqalanga.Ngokuqhelekileyo xa umntu esiwa, intende yesandla sihlala phantsi kwaye i-elbow joint yandiswa ngokupheleleyo, le ngqungquthela ixhomekeke ekunyuseni ngokukhawuleza kwamandla, okunokuthi kubangele ukudibanisa kunye nokuchithwa kwe-elbow joint.
Isizathu sesibini sinokuthi njengoko abantu bekhula, amathambo abanye abantu abala kakhulu kwaye kukho ukungabikho kwe-joint lubricating fluid kwi-joint, ngenxa yokuba abantu bahambahamba kakhulu kwaye banganikeli ngqalelo kakhulu kumandla okusetyenziswa okungundoqo kwisiqhelo. ubomi.Oku kukhokelela ekukhuhlaneni okwandisiweyo, okunokuthi ngokuhamba kwexesha kubangele ukuchithwa kwe-elbow joint.
Unobangela wesithathu nguukukhutshwa ngokubambisanakubangelwa ubundlobongela obuthe ngqo, obunokuthi bubangelwe yingozi ethile ebomini, njengokutsho kwengozi yemoto okanye ezinye izizathu zokuphazamiseka kwengqiniba, kwaye isizathu sesine kukuqhekeka kwe-elbow dislocation, okubangelwa ukukwazi ukubeka umsesane ujikeleze intshukumo. ngokudlulisile.
Unyango lwamalungu engqiniba aqhawukileyo
Izibonakaliso zotyando: (1) abo baye basilela ukumiswa ngokutsha okuvaliweyo, okanye abo bangafanelekanga ukuvala indawo evaliweyo, oku kunqabile, kodwa ubukhulu becala kudityaniswe nokulimala okunzulu kwingqiniba, njengokuqhekeka kwe-ulnar hawkbone ngokuhlukana kunye nokufuduka;(2) ukuchithwa kwe-elbow kudityaniswe nokuqhekeka kwe-avulsion ye-epicondyle ephakathii-humers, xa i-elbow dislocation isetyenzisiwe, kodwa i-epicondyle ye-medial ye-humerus ayikabuyiselwa, utyando kufuneka lwenziwe ukusetha kwakhona i-epicondyle ephakathi okanye ukulungiswa kwangaphakathi;(3) ukushukuma kwengqiniba endala, engakulungelanga ukulingwa (iii) ukushukuma okudala kwengqiniba okungafanelekanga ukuncitshiswa kwengqiniba: (iv) ukushukuma okuthile okuqhele ukwenziwa.
Ukuvula indawo evulekileyo: i-Brachial plexus anesthesia, i-longitudinal incision emva kwe-elbow, ukuvezwa kwe-epicondyle ephakathi ye-humerus kunye nokukhuselwa kwe-nerve ye-ulnar.I-lingual incision yenziwa kwi-triceps tendon.Emva kokubonisa i-elbow joint, izihlunu ezithambileyo ezijikelezileyo kunye nezicubu ezibomvu ziyaxotyulwa ukuze kususwe i-haematoma, igranulation kunye namanxeba kumngxuma odibeneyo.Isiphelo samathambo esidibeneyo sichongiwe kwaye sibekwe kwakhona.Izicubu ze-periarticular zifakwe i-sutured.Ukuthintela ukuchithwa kwakhona i-kerf pin ifakwe emlonyeni we-hawk ukuya ekupheleni kwe-humer kwaye isuswe emva kwe-1 ukuya kwiiveki ezi-2.
I-Arthroplasty: Idla ngokusetyenziswa kwi-dislocation yakudala ye-elbow joint apho umphezulu we-cartilage utshatyalalisiwe, okanye apho umdibaniso uqinile emva kokwenzakala kwingqiniba.Ngaphantsi kwe-brachial plexus anesthesia, i-posterior elbow incision yenziwa, i-triceps tendon ihlanjululwe kwaye iziphelo zamathambo ze-elbow joint zivezwa.Isiphelo esisezantsi se-humerus sikhutshwe, inxalenye ye-condyles ephakathi kunye ne-lateral ye-humerus igcinwe, i-tip ye-ulnar eminence kunye nenxalenye yethambo le-dorsal ikhutshwe, kwaye incam yenkqubo ye-rostral nayo inqunywe encinci. ukugcina i-articular cartilage surface.Intloko ye-radial ayichithwanga ukuba ayichaphazeli ukunyakaza okuhlangeneyo, ngaphandle koko intloko ye-radial ikhutshwe.Ukuba i-gap entsha edibeneyo incinci, inxalenye ephakathi ye-humer ephantsi inokususwa ngo-0.5 cm ukudala ilungelo lokuhlukana.Umgama ofanelekileyo wesithuba kufuneka ube yi-1 ukuya kwi-1.5cm.
UThintelo lwe-Elbow Dislocation
Ukongeza, kufuneka kuqatshelwe ukuba izigulana ezinamajoyina adityanisiweyo kufuneka zihambise amalungu abo kwangoko kwaye zithathe inyathelo lokuqala lokwenza imisebenzi yolwandiso kunye ne-flexion kunye ne-forearm yokujikeleza okanye ukongeza nge-physiotherapy emva kokukhululwaukulungiswa, kodwa ukutsalwa ngamandla okugqithisileyo kuqhelekile ekubeni i-ossifying myositis ijikeleze umdibaniso wengqiniba.
Uqhagamshelwano:
Yoyo
Whatsapp: +8615682071283
Email：liuyaoyao@medtechcah.com
Ixesha lokuposa: Mar-13-2023
