Ama-fractures of the joint elbow: izinhlobo, izimpawu, ukwelashwa, ukuvuselelwa

Umhlanganiso we-elbow unzima kakhulu. Ingxenye yemilenze engenhla isakhiwa ngamathambo omsakazo ne-ulnar ahlangene nezicubu zehlombe. Ngaphakathi kwehlangothini lomgodi omkhulu kunezincane ezimbalwa. Ngendawo ehlinzekwayo, kunezinzwa ezinkulu nemithambo yegazi elibhekene nokuhamba kwesigungu sonke. Ngakho-ke, ukwehlukana kwamathambo omhlanganiso we-elbow, ngaphezu kobunzima bokusebenza kwemishini kanye nokuthuthukiswa kwesifo esibucayi se-syndrome, kubhekene nezinkinga eziningi.

Iyiphi uhlobo lwezokwelapha ezisetshenziselwa ukulimaza lolu hlelo? Indlela yokwelapha ama-fractures ehlangothini lwe-elbow? Yini edingekayo yokuvuselelwa? Sizozama ukuphendula imibuzo ehanjisiwe.

Izimbangela zokulimala

Ihlangothini le-elbow lisengozini enkulu yokulimala, ngoba ayikho i-muscle skeleton eqinile, ekwazi ukunikeza ukusekelwa okuthembekile nokuvikelwa kwesigungu esiphezulu semilenze. Ikakhulukazi, le ndawo igxilile ezincane ezisuke zibonisa umsebenzi owedlulele futhi ngokuvamile ziwela ezimweni ezigcwele ukulimala.

Ungathola ukuhlukana komugqa kokubili ngenxa yokuwa, nangenxa yalokho okushiwo ukwethuka okukhulu kule ndawo. Umonakalo ovame kakhulu emathanjeni amathambo ungaphakathi.

Izinhlobo ze-fractures

Kunezinhlobo ezilandelayo zokulimala kwamathambo esitokisi somjoqo wesigqoko:

1. Ukuqhekeka okuvaliwe komjoqo wesigqoko kubonakala umonakalo emathanjeni, emqaleni nasemakhanda. Ngokuvamile kuvame ukuvela njengomthwalo wokulayisha ngokweqile uma uhlala emlenzeni oqondile.
2. Vula ama-fractures ehlangothini lwe- elbow - ngaphezu kokubonakala kwemifantu esakhiweni sethambo, izidumbu zonakalisa izicubu ezithambile. Ezimweni ezimbi, isikhumba siyahlukana, kwakha isilonda esikhukhulayo, okuhambisana nokulahlekelwa okuningi kwegazi.
3. Ukuphulwa kwenqubo ye-coronary kwenzeka ngenxa yemithwalo ephawulekayo yokushaqeka emathanjeni amathambo. Ukulimala okunjalo akuvamile. Ukulimala kwalolu hlelo kubhekene nemiphumela ngendlela yokuthutha kanye nokususwa kwe-forearm.

Futhi, ukwehlukana komhlanganiso we-elbow kuvezwe ngokungafani nokungabi nhlobo. Ngokuvamile ukulimala okunjalo, ithambo elilodwa lihlupheka.

Izimpawu

Izibonakaliso ezilandelayo zingabonisa ukuphuka kwe-elbow:

1. Ubukhona bobuhlungu obunamandla obunzima, obunikeza esihlakaleni nesandla.
2. Ukuhamba okulinganiselwe kwesitho noma ukukhubazeka okuphelele.
3. Ukungahambi kahle, okungahambisani nezinkinga zokuhamba komuntu endaweni yesigxobo se-elbow, isibonelo, esiqondisweni se-lateral.
4. Ukuqala kwe-edema, ukwakheka kwe-bluish hematoma, ukulimala okuncane.
5. Izimpawu ze-neurological - ukuphazamiseka kweminwe kanye nezandla, ukulinganisa kwe-forearm.
6. Ukulimala kwemithambo yegazi, izicubu zomzimba, isikhumba (ukuvuleka okuvulekile komhlanganiso we- elbow).

Isibonakaliso esicacile sokulimala kanzima emhlangothini wesigqoko ubuhlungu obunzima ngemuva kwendonga. Kancane kancane, ifomu lokuvuvukala nokulimaza endaweni yangaphakathi yendawo emelekile. Okulandelayo, ikhono lokugoba isandla lilahlekile. Umlenze olimale ulenga. Uma wenza ukuhamba kwe-forearm, ukuqina komfutho kuyazwakala.

Ngemuva kokuhlukana nokuthutha amathambo, ikhono lokwandisa ingalo lihlala. Noma kunjalo, ukuphakamisa umlenze futhi ukuwujikeleza ezinhlangothini kubangela ukunganaki okukhulu.

Usizo lokuqala

Amasu okusiza lokuqala ekuqhekekeni komhlanganiso we-elbow akhethwe ngokusekelwe kulokho okushiwo yi-lesion kanye nesilinganiso sokuqina kwawo. Yiba noma kunjalo, umsebenzi omkhulu lapha kukhona ukuchithwa okuphelele kwesilungu. Kulokhu kunconywa ukuba usebenzise ukukhathala. Kulesi simo, ingalo igobile ngakwesokudla, okwathi ngemva kwalokho iqiniseke ngokuqinile. Uma kunesidingo sokuqeda isifo esingenakulinganiswa nesifo, ama-analgesics asetshenziswa.

Ukwelapha okuqaphayo

Uma kungabikho ukuhlukumezeka ngendlela evulekile yokuthola ukwelashwa okuqhubekayo. Phakathi nezinsuku zokuqala ezingu-6-7 emva kokuphuka, ngokuvamile kune-edema ye-volumetric. Kuze kube yilapho isibonakaliso sezifo esilahlekile sinyamalalala, ukugqoka kwe-gypsum ende kusetshenziswe esandleni. Gwema umthwalo emlenzeni owonakele kuze kube amasonto amathathu.

Njengoba izicubu zethambo zixhunyiwe, ingalo ikhishwa ngezikhathi ezithile kusukela ku-gypsum ukuthuthukisa ukujoyina. Ngokuhamba kwesikhathi, le bhandeji ishintshwe ngogesi oqinile, onesistimu yokulungisa ukuphakama kokunyakaza.

Ukwelashwa kokusebenza

Vula ama-fractures ehlangothini lwe-elbow, elibhekiswe ekuhambeni kwezingcezu, zidinga ukusebenza. Uma kungenjalo, ikhono le-forearm lokugoba lingase lingabuyiselwa.

Ukuphumelela kokwelashwa okusebenza ngokuqondile kuxhomeke ekunembile kwemisebenzi ye-ohlinzayo-i-traumatologist, ikakhulukazi ukuqhathaniswa kwezingcezu zamathambo ezithambo, ukulungiswa kwazo okuqinisekisiwe endaweni efanelwe kahle. Isikhungo se-traumatology nama-orthopedics sikwazi ukuhlinzeka ngokusebenza okufanayo.

Ngokulimala okuvamile kwisakhiwo sokuphela kwe-ulna, ukwelashwa kuhloswe ukuqinisa izicubu nge-wire wire loop. Ngezinye izikhathi ukulungiswa kwamathambo okwenziwe ngesimo esisodwa namazwi kuyadingeka.

Uma kufanele uphathe izinsalela zangaphakathi zomhlanganiso we-elbow kanye nokwakhiwa kwezingcezu, ukwelashwa kusekelwe epulasitiki yethambo. Ezimweni ezinjalo kunzima ukuqinisa izicubu nge-loop, njengoba lokhu kungaholela ekunciphiseni izakhiwo ezihlangene. Esikhundleni salokho, sebenzisa ukusetshenziswa kwamapuleti ashukumisayo.

Ezimweni lapho kunezibonakaliso zokwehlukana kwethambo, isikhungo se-traumatology kanye nama-orthopedics singanikeza isiguli ukuthi sithathe isikhundla sesisindo somzimba nge-prosthesis ekhethekile. Izimila zenziwe ngeplastiki nasensimbi. Ukufakwa kwabo kwenzeka ngokusebenzisa isamente samathambo.

Izinkinga ezingenzeka

Umphumela odumazayo wokuphulwa kombuthano wesigqoko kungase kube ukulahlekelwa okuphelele noma okuncane kwesigungu sokuhamba. Okudingekayo kulokhu kugcina ukunganaki noma ubuhlungu obubabazayo ekupheleni kwendlela yokwelashwa. Gwema lezi zibonakaliso kungaba, ngokulandela izincomo zodokotela oya khona.

Ukuze kuvimbele ukutholakala kwezinkinga ezinganeni, ikakhulukazi ukulahlekelwa ukusebenza komzimba, ukwelashwa kufanele kwenziwe ngaphansi kokuqondiswa kwabantu abadala. Okokuqala, ingalo eyilimele kufanele iphumule ngokuphelele kulo lonke ukwelashwa. Ingane akumele ilayishe isilungu, yenza ukunyakaza okubukhali. Ukwamukelwa kokunganakwa okunjalo kungaholela ekuqhekekeni okuphindaphindiwe.

Ukuvuselelwa

Izenzo ezihlose ukubuyiselwa ukusebenza okunempilo kwesilungu, ziphakamisa:

• Ukubhuka;
• Gymnastics yokwelapha;
• Izinqubo ze-Physiotherapeutic.

Ukuthuthukiswa kokubambisana ngosizo lwezempilo yokwelashwa kungenzeka kungenzeka kakade ngosuku lokuqala emva kokulungisa umlenze nge-bandage ye-plaster. Ngokwemvelo, kulokhu, gwema ukugoqa ingalo esikhaleni. Ukugcizelela okuyinhloko ukuhamba kweminwe nesandla. Umuntu olimele unconywa esikhundleni sokulala ukulimaza inhlamvu eyalimala yikhanda, ukuhlunga imisipha ye-forearm namahlombe. Izixazululo ezinjalo zifaka isandla ekususeni ukuvuvukala ngenxa yokusebenza kwe-lymph ukuphuma kwamathishu.

Uma ubuyekezela ikhono le-joint jointing, kancane kancane ithuthuka. Ukwenza lokhu, ingxenye enkulu ye-cast isusiwe, emva kwalokho ukunyakaza okulinganiselwe, okungahambisani nalokhu kwenziwa. Ekuvuselelweni ngosizo lwezokuvocavoca zokwelashwa akuvunyelwe ukugoba nokuguqula ngokuphelele ingalo, ngoba lokhu kungabangela ukuphazamiseka okuphindaphindiwe.

Ukusikhipha kusetshenziselwa kuphela ukususwa okuphelele kwe-bandage ye-plaster. Futhi umthelela emisipha yebhande lesigxathu futhi emuva kwindlela yokulondoloza. Ukwenziwa njalo kwezinqubo ezinjalo kungabhubhisa ubuhlungu be-syndrome, kuqinise imisipha e-atrophied, welula i-ligament futhi ekugcineni kubuyisele ngokuphelele ukuhamba kwesandla.

Ngokuqondene nezinqubo ze-physiotherapeutic, kunconywa ukuba zenze ezinye izindlela zokuzivocavoca zokwelapha. Lapha sibhekisela ezindleleni ze-UHF, ukwelapha magnetic, i-electrophoresis, ukwelashwa ngodaka olunokwelapha.

Ekuphethweni

Ngenxa yalokho, kufanele kuqashelwe ukuthi isisulu ngemuva kokukhishwa esibhedlela sidinga ukuzicacisa imibuzo embalwa. Kumele kucaciswe ngudokotela oya khona ukuthi enze kanjani ukunyakaza emhlangothini wesigqoko lapho kungenzeka khona ukukala isisindo, ukugwema ukubuyela emuva nokucindezeleka, yini engalindela esikhathini esizayo esiseduze.