Ukuqhekeka kwengqikithi yengalo kungumonakalo omkhulu kakhulu, okuhlobene nokusebenza okukhulu kwe-forearm. Ngokuvamile, lezi zingozi zibangelwa ukuhlukumezeka okungaqondile phakathi nendawo nokuphambene (okuphansi) okwesithathu, okuncane kakhulu - ekulandeleni (phezulu). Lokhu kubangelwa isakhiwo se-anatomical morphological.
Izici ze-fractures ye-radius
Ngendawo evulekile yokuphuka, isikhumba asilimazanga. Endabeni yokuvuleka okuvulekile, ukuhlukumezeka kwezicubu ezithambile nethambo kwenzeka ngaphansi kwethonya lesici esifanayo.
Kukhona ukuqubuka kwethambo lomzimba ngaphandle kokufuduka (ukuphazamiseka okuphazamisayo, ukuphahlazeka) kanye nokwahlukana kwendawo engenawo ukuhamba. Indiza ye-fracture ingaba nesiqondiso esiphezulu noma se-oblique. Ngokulimala okuqondile, ukwehlukana kwethambo lomzimba ovame ukuguqulwa, ngokuvamile ukuhlukaniswa.
I-radius ye-fracture ejwayelekile ngokuhamba ngokuya ngesimo sesandla ngesikhathi sokulimala kungaba:
- i-extensor - lapho ukufuduka kwezingxenyana zamathambo kwenzeka khona ekuqondeni kwe-radi futhi kuya emuva;
- Ukugoba - kuvela nge-brush eboshiwe, ngakho-ke le fragment ishukumisela ohlangothini lwesandla.
Lezi fractures zivame ukungena ngaphakathi, ngokuvamile zihambisana nokuhlukaniswa kwenqubo ye-styloid.
Izimpawu zokwahlukana kwengqikithi ne-displacement:
- ukuvuvukala;
- i-deformation;
- ukuvinjelwa kokunyakaza kokujoyina;
- ubuhlungu, bukhuni lapho uzama ukuhamba.
Ukwelashwa ngemuva kokuhlukana kwendawo
- Okokuqala, kwenziwa i-reposition - ukuchithwa okuguquguqukayo kwenziwa ngaphansi kwe-anesthesia yendawo ngesandla, besebenzisa izixhobo ezikhethekile (Sokolovsky, Ivanov, Edelstein) noma etafuleni le-Kaplan.
- Okuqhubekayo phezu kwe-frontarm kanye namathrekhi okuxubha avela kuma-longy gypsum aphezulu. Kulesi simo, isundu sinikwa i-palmar flexion kanye nokuhola okuncane ku-elbow. Isikhathi sokulungisa sisuka emavikini angu-4 ukuya kwangu-6.
- Lapho ukukhukhumeza kudlula, amathayi aqiniswa ngama-bandages athambile noma ashintshwe nge-circular gypsum dressing.
- Ukulawula ukufuduka kwesibili, ukuxilongwa kwe-x-ray kwenziwa (izinsuku ezinhlanu kuya kwezingu-7 emva kokuphindaphinda).
Kwezinye izimo, i-osteosynthesis yenziwa - ukuxhumeka kokusebenza kwamathambo. Ukungenela okunjalo kusiza ukuvimbela ukufuduka nokuhlanganiswa okungalungile, kufinyelele isikhathi sokuvuselelwa.
I-radius yokuphulwa okungalungile
Uma i-fusion ye-fracture yenzeka ngokuhlukumeza ubude bengalo kanye ne-axis yayo, khona-ke ukuphuka okunjalo kuhlanganiselwe ngokungalungile. Kulesi simo, ukuphazamiseka kokusebenza noma ukukhubazeka kwesilungu kwenzeka.
Izimbangela zokunamathela okungalungile kungaba:
- i-repositioning enganelisi;
- ukulungiswa kusengaphambili;
- ukulayisha kwesandla ngokweqile.
Ukwelashwa kwengqikithi engafanelekanga ehlukunyeziwe yendawo kungenziwa ngokuhlinzwa. Ukuze silungise le deformation, i-osteotomy yenziwa - umsebenzi wama-orthopedic ohlanganisa i-bone dissection (ukuphazamiseka kokufakelwa). Khona-ke isici sithatha indawo yento eyakhiwe futhi ihlanganiswe nepuleti ekhethekile.
Ukubuyiselwa ngemuva kwendawo ehlukaniswayo
Ukuvuselelwa ngemuva kokuhlukumeza kwendawo okumele kuqalwe kuyo kufanele kuqaliswe ngokushesha ngangokunokwenzeka (ngokushesha nje lapho ubuhlungu behla). Kusukela ezinsukwini zokuqala kubalulekile ukwenza ukunyakaza okusebenzayo ngeminwe yakho, kuvunyelwe ukwenza umsebenzi wokuzimela okhanyayo. Ngemuva kwalokho
- izinqubo ezishisayo;
- ukusikhipha;
- I-LFK-umzimba .
Ukuzivocavoca umzimba we-physiotherapy umzimba kuhlanganisa zonke izingxenye zamahhala zesandla esilimele. Kunakekelwa ngokukhethekile ukufudumala kweminwe. Ukuzivocavoca okunye kufanele kwenziwe emanzini afudumele ukukhulula umthwalo.
Ukubuyisela ngokugcwele umsebenzi wesandla kudinga izinyanga eziyi-1.5 - 2.