Ukuqhekeka kweengalo zengalo ngumonakalo omkhulu, ohambelana nomsebenzi omkhulu ongenakukhubazeka we-forearm. Ngokuqhelekileyo, ukulimala ngenxa yexinzelelo engaqhelekanga phakathi kunye ne-distal (esezantsi) yesithathu, ngaphantsi kwesantya-kwindawo ephezulu (phezulu). Oku kubangelwa isakhiwo se-anatomical structure.
Iimpawu zentlaka ze-radius
Ngentsimbi evaliweyo yerhafu, isikhumba asiyonakaliswa. Kwimeko yokuphuka okuvulekileyo, ukuxhatshazwa kwezicubu ezincinci kunye nethambo kwenzeka phantsi kweempembelelo zento enye.
Kukho i-fractures ye-bone yangasese ngaphandle kokufuduka (ukuphulwa okuphazamisayo, ukukhwabanisa) kunye nokwahlukana kwerhasi ngokuhamba. Isiza sokuphuka sinokuba ne-direction or transverse oblique. Ngokulimala ngokuthe ngqo, i-fractures ye-bone radial idla ngokuphindaphindiweyo, kaninzi kangako - ukuhlukana.
Ukuqhekeza okuqhelekileyo kwerhasi ngokuhamba ngokuxhomekeke kwisithuba sesandla ngexesha lokulimala kunoku:
- ukugqithisa - apho ukufuduka kwamathambo esithambo kwenzeka kwinqanaba le-ray kunye nasemva;
- ukugoba-kuvela ngebhayisiki egobileyo, le ngxenyana ishukuthela ecaleni lentendeni.
Ezi ziqhekeza zihlala zingenangqondo, zihlala zihamba kunye nokuhlukana kwenkqubo yeplothidi.
Iimpawu zokuqhekeka kwerhasi ngokufuduka:
- ukuvuvukala;
- ulungiso;
- ukuthintela ukuhamba kwintsebenziswano;
- intlungu, ikhutshwe xa uzama ukuhamba.
Unyango emva kokuphulwa komda
- Okokuqala, i-reposition yenziwe - ukutshatyalaliswa kokutshintshwa kwenziwa phantsi kwe-anesthesia yendawo, ngokusebenzisa izixhobo ezikhethekileyo (Sokolovsky, Ivanov, Edelstein) okanye kwiTable table.
- Ukuqhubela phambili kwi-forearm kunye namathayi e-brush ase-gypsum longots aphezulu. Kule meko, isundu sinikwa i-palmar flexion kunye nesikhokelo esincinci kwi-elbow. Isikhathi sokulungisa sisuka kwiiveki ezi-4 ukuya kwezi-6.
- Xa ubuqhophololo bexhaswa, amathayi aqiniswa ngamabhanki amancinci okanye athatyathwa yileyetyhula yegypsum egqoka.
- Ukulawula ukufuduka kwesekondari, ukuxilongwa kwe-x-ray kwenziwa (iintsuku ezi-5 ukuya kwezi-7 emva kokubeka kwakhona).
Kwezinye iimeko, i-osteosynthesis yenziwa - uxhumano lomsebenzi lwamaqhekeza amathambo. Ukungenelela okunjalo kunceda ukukhusela ukufuduka kunye nokunyuswa okungalunganga, kufutshane ixesha lokubuyiselwa.
Ukuphulwa okungahambi kakuhle kweerhasi
Ukuba ukuxuba kwephuka kwenzeka ngokuphulwa kobude bengalo kunye ne-axis yayo, ngoko ukuchithwa okunjalo kuqhutywe ngokungalunganga. Kule meko, ukuphazamiseka komsebenzi okanye ukukhubazeka kwesilungu senzeke.
Izizathu zokubambelela ngokungalunganga kunoku:
- ukuhlaziywa okungaqinisekanga;
- ukulungiswa kwangaphambili;
- umthwalo ophezulu.
Unyango lwe-fused of fracture of radius yenziwa ngokugqithiseleyo. Ukulungisa i-deformation, i-osteotomy yenziwa - umsebenzi owenziwe ngamathambo oqukethe isisombululo se-bone (ukuphulwa komzimba). Emva koko i-defect ithathelwa indawo yento eyenziweyo kwaye ifakwe kwisitya esikhethekileyo.
Ukubuyiselwa emva kokuqhekeka kwerediyo
Ukubuyiselwa emva kokuqhekeka kwerhafu kufuneka kuqaliswe ngokukhawuleza (ngokukhawuleza ukuba intlungu iyancipha). Ukususela kwiintsuku zokuqala kubalulekile ukwenza ukunyakaza okusebenzayo ngeminwe yakho, kuvunyelwe ukuba wenze umsebenzi wokuzibonela ngokukhawuleza. Emva koko
- inkqubo zomoya;
- ukusilisa;
- I-LFK-umzimba .
Ukuzivocavoca kwe-physiotherapy ukuzibandakanya kuzo zonke iindawo ezikhululekile zesandla esilimele. Ukuqwalaselwa ngokukodwa kukunyuselwa kweminwe. Ezinye izenzo kufuneka zenziwe ngamanzi afudumele ukukhupha umthwalo.
Ukubuyisela ngokupheleleyo umsebenzi wesandla kudinga iinyanga ezi-1.5 ukuya kwezi-2.