I-distal radius fracture yenye yezona zinto zixhaphakileyo zokulimala ngokubambisana kwikliniki, enokuthi ihlulwe ibe yincinci kwaye inzima.Ukunciphisa i-fractures engabonakaliyo, ukulungiswa okulula kunye nokuzivocavoca okufanelekileyo kungasetyenziselwa ukubuyisela;nangona kunjalo, ngenxa yokuqhekeka okukhulu, ukuncitshiswa kwezandla, i-splint okanye i-plaster fixation kufuneka isetyenziswe;ngenxa yokuqhekeka ngomonakalo ocacileyo kunye onzima kwi-articular surface, unyango lotyando luyafuneka.
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Kutheni iradiyasi ekude ithande ukuqhekeka?
Ekubeni isiphelo esikude seradiyasi yindawo yokutshintsha phakathi kwethambo elirhoxisiweyo kunye nethambo elihlangeneyo, libuthathaka.Xa isigulane siwela kwaye sithinte umhlaba, kwaye amandla adluliselwa kwingalo ephezulu, isiphelo esikude se-radius siba yindawo apho uxinzelelo lugxininiswa kakhulu, olubangela ukuphuka.Olu hlobo lokuphuka lwenzeka rhoqo kubantwana, kuba amathambo abantwana abancinci kwaye anamandla ngokwaneleyo.
Xa isihlahla sonzakele kwindawo eyandisiweyo kwaye intende yesandla yenzakele kwaye yaphuka, ibizwa ngokuba yi-extension distal radius fracture (Colles), kwaye ngaphezu kwe-70% yazo yolu hlobo.Xa isihlahla sonzakele kwindawo egobileyo kwaye umva wesandla wonzakele, kubizwa ngokuba yi-flexed distal radius fracture (Smith).Olunye ukukhubazeka kwesihlahla kuqhele ukwenzeka emva kokuqhekeka kweradiyasi ekude, njengokukhubazeka "kwefolokhwe yesilivere", "gun bayonet" ukukhubazeka, njl.
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Ziphathwa njani iifractures zeradiyasi ezikude?
1. Unciphiso olukhohlisayo + ukulungiswa kwe-plaster + ekhethekileyo ye-Honghui yemveli ye-ointment ye-oyile yesicelo
Kuninzi lwezahluko zeradiyasi ezikude, iziphumo ezanelisayo zinokufunyanwa ngokunciphisa okuchanekileyo ngesandla + ukulungiswa kodaka + isicelo samayeza emveli aseTshayina.
Oogqirha bamathambo kufuneka bathathe izikhundla ezahlukeneyo zokulungiswa emva kokunciphisa ngokweentlobo ezahlukeneyo zokuphuka: Ngokuqhelekileyo, iiColles (i-extension type distal radius fracture) iifractures kufuneka zilungiswe kwi-5 ° -15 ° ye-palmar flexion kunye nokuphambuka okukhulu kwe-ulnar;Smith I-fracture (i-flexion distal radius fracture) yayigxininiswe kwi-supination ye-forearm kunye ne-dorsiflexion yesandla.I-dorsal Barton fracture (ukuphuka kwe-articular surface ye-distal radius kunye nokuchithwa kwesandla) yayigxininiswe kwindawo ye-dorsiflexion ye-wrist joint kunye ne-pronation ye-forearm, kwaye ukulungiswa kwe-volar Barton fracture yayikwindawo ukujika kwesandla somdibaniso wesihlahla kunye nokuthotywa kwengalo yomphambili.Uphonononge rhoqo i-DR ukuze uqonde indawo yokuphuka, kwaye ulungelelanise ukuqina kweentambo ezincinci ngexesha lokugcina ukulungiswa okusebenzayo kwencinci encinci.
2. Ukulungiswa kwenaliti yePercutaneous
Kwezinye izigulane ezinozinzo olubi, ukulungiswa kwe-plaster elula akukwazi ukugcina ngokufanelekileyo indawo yokuphuka, kwaye ukulungiswa kweenaliti ze-percutaneous kusetyenziswa ngokubanzi.Esi sicwangciso sonyango singasetyenziselwa njengendlela eyahlukileyo yokulungiswa kwangaphandle, kwaye ingasetyenziselwa ukudibanisa kunye ne-plaster okanye izibiyeli zokulungiswa kwangaphandle, okwandisa kakhulu ukuzinza kwesiphelo esaphukileyo kwimeko yokulimala okulinganiselwe, kwaye ineempawu zokusebenza okulula, ukususwa ngokulula, kunye nefuthe elincinci kumsebenzi welungu elichaphazelekayo lesigulane.
3. Ezinye iindlela zonyango, ezifana nokunciphisa okuvulekileyo, ukulungiswa kwangaphakathi kweplate, njl.
Olu hlobo lwesicwangciso lungasetyenziselwa izigulane ezineentlobo ezinzima zokuphuka kunye neemfuno eziphezulu zokusebenza.Imigaqo yonyango kukuncitshiswa kwe-anatomical of fractures, ukuxhasa kunye nokulungiswa kwamaqhekeza amathambo afudukayo, ukuxutywa kwethambo lokukhubazeka kwamathambo, kunye noncedo lokuqala.Imisebenzi esebenzayo yokubuyisela imeko yokusebenza ngaphambi kokulimala ngokukhawuleza.
Ngokubanzi, kuninzi lwezahlulo zeradiyasi ezikude, isibhedlele sethu samkela iindlela zonyango ezilondolozayo ezifana nokunciphisa ngesandla + ukulungiswa kwe-plaster + ekhethekileyo ye-Honghui yendabuko ye-China yesicelo sodaka, njl., enokufikelela kwiziphumo ezilungileyo.
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Izilumkiso emva kokunciphisa i-distal radius fracture:
A. Nika ingqalelo kwiqondo lokuqina xa ulungisa iifractures zeradius distal.Iqondo lokulungisa kufuneka lifaneleke, lingaqini kakhulu okanye likhululeke kakhulu.Ukuba ilungiswe ngokuqinileyo, iya kuchaphazela ukunikezelwa kwegazi kwi-distal extremity, enokuthi iholele kwi-ischemia enzima ye-distal extremity.Ukuba ukulungiswa kukhululekile kakhulu ukubonelela ukulungiswa, ukuguqulwa kwamathambo kunokuphinda kwenzeke kwakhona.
B. Ngethuba lexesha lokulungiswa kwe-fracture, akuyimfuneko ukuyeka imisebenzi ngokupheleleyo, kodwa kwakhona kufuneka ubeke ingqalelo ekusebenzeni okufanelekileyo.Emva kokuba i-fracture ingakwazi ukuhamba ixesha elide, enye intshukumo yesandla esisisiseko iya kufuneka yongezwe.Izigulane kufuneka zigxininise ekuqeqesheni yonke imihla, ukwenzela ukuba kuqinisekiswe umphumo wokuzivocavoca.Ukongeza, kwizigulana ezinezilungisi, ukuxinana kwezilungisi kunokulungiswa ngokuhambelana nokuqina komthambo.
C. Emva kokuba i-distal radius fracture igxininiswe, nikela ingqalelo kwimvakalelo yamalungu ahlukeneyo kunye nombala wesikhumba.Ukuba izitho ezikude kwindawo emiselweyo yesigulane ziba zibanda kunye ne-cyanotic, imvakalelo iyancipha, kwaye imisebenzi iyancipha kakhulu, kuyimfuneko ukuqwalasela ukuba kubangelwa ukulungiswa okuqinileyo, kwaye kuyimfuneko ukubuyela esibhedlele. ukulungelelanisa ixesha.
Ixesha lokuposa: Dec-23-2022
