Broken iqakala: indlela okufanele sihambe ngayo ukhonkolo usimende (offset)

Kungaziphi izizathu kungaba a iqakala ephukile? Kanjani ukuhamba ukhonkolo usimende nokuhlukumezeka ezinjalo? On zale mibuzo kanye neminye sizobe uphendule kulesi sihloko kungabesifazane.

ulwazi olujwayelekile mayelana ukulimala

Iqakala ibizwa ngokuthi bone ekwakhekeni, okuyinto Itholakala tibia distal. ukuhambisana enjalo ingase ibe medial kanye lateral (ngamanye amazwi, ngaphandle ngaphakathi).

kwakwakhe Lateral kuyinto distal, ise fibula. Lona main eliletha ukuthula isici iqakala. Ngokuphathelene joint medial, le nqubo ye distal tibial ithambo. Bobabili iqakala emelelwa akha "ekuphambukeni" iqakala. On lokhu kuhambisana kuyinto ukudluliswa isisindo wonke umzimba unyawo.

Broken iqakala (indlela okufanele sihambe ngayo ukhonkolo usimende, sizokutshela ngezansi) iyona Ukulimala okuvame kakhulu of the system zemisipha.

Ukwahlukanisa iqakala waphuka

Indlela kuyinto ukwa iqakala? Kanjani ukuba nihambe usimende nge shift ngaphandle kwalo? Izimpendulo zale mibuzo zaziwa kuphela odokotela abanolwazi. Ngokwe izincazelo ochwepheshe, ophukayo ezifana libhekwa njengoba kulandela:

• uhlobo umonakalo: evulekile, okungukuthi, ne eziyingozi nesilonda ukopha, ivaliwe, okungukuthi, ngaphandle kokuphula kwezicubu ezithambile zangaphandle;
• ukuthumela ukulimala: e iqakala yangaphandle noma yangaphakathi;
• khona ukufuduka: displacement esihlasela amathambo futhi ngaphandle kokuthatha ihlangothi
• bebheke ukwa: ukujikisa, pronation, supinatsionny;
• Ngokuvamile abantu baphuka izinqulu Kuhlanganiswe: ezihilela nezinye amathambo noma dislocated.

Izimbangela ukwa

Kungani uthole iqakala ephukile (indlela okufanele sihambe ngayo ukhonkolo usimende, kuncike ezicini eziningana)? Ngokuvamile, lokhu ngaphansi iziguli ukuhlukumezeka nge kwamathambo. Kodwa ngisho noma amathambo endoda enamandla ngokwanele, ophukayo enjalo ke ungathola ngenxa:

• udedele;
• ukunyakaza abanganaki;
• Ukukhiqizwa ukuhlukumezeka;
• engozini yemoto;
• ukuhlaselwa lobugebengu.

Ubani Lesi sifo siphatha kakhulu ukuba lokho kulimala kuyinto iqakala ephukile? Kanjani ukuhamba ukhonkolo usimende? Izimpendulo zale mibuzo ingatholakala ekuhlukumezekeni. Futhi uma isikhathi sigqoka abathwele Gypsum ancike ezicini eziningana, ke isigaba sabantu ezithandwa waphuka zihlanganisa amaqembu ezilandelayo:

• izingane;
• abasubathi;
• umhlalaphansi.

Izici Main iqakala ukulimala

Kwamanye izimpawu ungabona ukuthi unayo iqakala ephukile? Kanjani ukuhamba ukhonkolo usimende, lapho siyakhukhumala esitho engezansi? Uma, ngemva kokufaka isichibi uzobonakala ubuhlungu noma ukuvuvukala, khona-ke kufanele ngaso sonke isikhathi yazisa udokotela.

Ngokuqondene ezivamile izimpawu ukwa, bese uyifunda kanje:

• ziwe esikhathini yokulimala;
• ubuhlungu obuhlabayo emlenzeni wakhe imvelo ejabhile, okuyinto akukuniki kungenzeka ukulihambisa;
• edema noma hematoma;
• nemilenze komkhawulo motor amakhono;
• bulging amathambo noma izinsalela nge waphuka evulekile;
• ukuhamba nasemilenzeni ephansi, kodwa hhayi emphethweni;
• ezingezona ezemvelo isikhundla imilenze.

Kufanele kuphawulwe ukuthi ngisho nangemva ukhonkolo isuswe, ezinye izimpawu ukuthi aye abonakala esigabeni okucindezelayo kungase kube isikhathi esithile ukuze uqhubeke. By the way, phakathi kwalezi kukhona izimpawu ukuvuvukala.

Uma ukuvuvukala akusho abohle isikhathi eside, yayibhekwa njengenguqulo isimo esibucayi kangaka. Kulokhu, udinga ukuvakashela udokotela. Kufanele kuqashelwe ukuthi yokujama tsi ezingalweni nasemilenzeni aphansi emva waphuka nezinye ukulimala iqedwe ngempumelelo ngosizo Physiotherapy futhi massage.

Broken iqakala: indlela okufanele sihambe ngayo ukhonkolo usimende? (Photo esitho ukhonkolo)

Manje uyazi ukuthi kubhekwa kuhambisana yini ebangela izimpawu ukuhlukumezeka ezinjalo.

Ubani ukuxhumana uma kwakukhona iqakala ephukile? Kanjani ukuhamba ukhonkolo usimende? Lawa imibuzo sizobe uphendule njengamanje.

Ekuqaleni kwawo-emkhawulweni aphansi ngokushesha kumele uxhumane egunjini labadinga usizo oluphuthumayo. Ngemva Ukuhlola ukuhlukumezeka isiguli singenakukwazi ulithumele-X-ray. Yokuhamba amathambo banciphisa onguchwepheshe, ngemva kwalokho isandla elungisa. Lokhu nenkanuko edlulele kuyadingeka ukuze amathambo izicubu etshalwa ndawonye waphinde kwemilenze noma.

Indlela aphathe iqakala ephukile? Kanjani ukuhamba ukhonkolo usimende? ukwa Zixoshwe zidinga eside ukuguga amabhandeshi. Le nkathi incike ngobucayi ukulimala, ukuthi injani, izinhlobo kanye nanoma yiziphi izinkinga.

Ochwepheshe bathi ngaphandle displacement amathambo iqakala eziphukile ukuba igqoke usimende amasonto ayisikhombisa. Isikhathi obuncane amasonto 4-5.

Ngokuphathelene ukulimala nge-offset, idinga egqoke amabhandeshi izinyanga 4. Uma umonakalo tibia ethintekile, ukuqopha ephelele emkhawulweni engezansi kufanele kuthathe izinsuku ezingu-100.

Uma ukwa lula, ithambo kuyehla izinyanga 1,5-2.

Izici egqoke usimende nge iqakala ephukile

Kuthiwani uma ukulimala sibucayi kakhulu? Kuthiwani uma elithambile izicubu ukudabuka esihambisana a iqakala ephukile? Kanjani ukuba nihambe usimende waphonsa ngemva kokuhlinzwa? Odokotela bathi akuyona kuphela amathambo fuse ndawonye amanani angalingani isikhathi, kodwa izicubu ingabuyiswa eside kakhulu.

Esimweni esejwayelekile we ezicubwini eza kuye ngokuthi indawo kanye nohlobo imigqa ephezulu nephansi. A indima enkulu lapha eyadlalwa yobudala isiguli, kanye izinqubo ezenzeka izitho zakhe zangaphakathi.

Ngemva kokuhlinzwa ekululameni kwezingane isiguli udlala isimo kubalulekile indima amasosha omzimba. Uma isiguli linesisindo ngokwanele, khona-ke uyoba wakwazi ukubhekana kangcono nale ukuhlukumezeka kunalokho ngokushesha. Ngakho-ke, kubalulekile ukugcina indlela yokuphila enempilo futhi ukuthatha izakhiwo multivitamin, okuhlanganisa uvithamini D, phosphorus kanye calcium.

bafake isikhathi Ukwandiswa Gypsum. Kungaphansi kwaziphi izimo?

Khonka nge iqakala ephukile kumele igqoke kuze olandelayo ze-X ray. Uma isithombe emkhawulweni aphansi abonisa ukuthi bone izicubu ayikahlanganiswa tho, kubalulekile ukuba bahlehlise inqubo ukususa amabhandeshi namanje isikhathi esithile.

Ekuqaleni kwawo-iqakala X ray ngokuvamile kwenziwa kuze kube kathathu nge PERIODICITY ezithile. Inqobo nje uma udokotela wezinyawo uyaqiniseka ukuthi une konke ngokulandelana, ngeke kususe olukhonkiwe. By the way, zenzele wena is hhayi Kunconywa. Ukuze afeze le nqubo kumele kube onguchwepheshe.

Inqubo ukuphulukiswa accretion futhi amathambo aphukile nzima zonke izinhlobo zezifo. Ngokwesibonelo, kukubi kakhulu ukubuyiselwa izicubu ehlaselwe isifo sikashukela, ukukhumuzeka kwamathambo nakwezinye izifo. Ngokuvamile, lezi iziguli bayaphoqeleka ukuthi bahambe ngezinyawo nge usimende isikhathi eside. Uma kukhona ezimweni ezibucayi ikakhulukazi, isikhathi egqoke amabhandeshi kabili.

egqoke isikhathi Gypsum incike indlela kokungathembeki yayo noma okubekwe ngaphezulu. Odokotela abaningi abakuvumeli amabhandeshi enjalo amajika emphethweni. Ibhandishi kufanele basakaza ngokunembile futhi ngokulinganayo. Ngokweyame timo letifanele ukwa luyokhula ndawonye ngokushesha.

Labo izingxenye zomzimba ukuthi uzobe kabusha, ochwepheshe agcizelele izingqimba ezingeziwe usimende. Lokhu kungase kube kuphela, futhi emalungeni. Uma umunwe ukwa khona, kodwa stop lilimele, ke ndlela yokuhlasela yokuhlanganisa izihlangu akuyona usimende, azishiye nakusolwa. Lokhu kuvumela ukunqunywa okwashiwo njalo ukuziphatha esitho ngaphansi yokusakaza. Ngaphezu kwalokho, iminwe kungukuthi enikeziwe kahle ngegazi, nezinye izitho zomzimba. Yingakho kubalulekile ukuba Gypsum.

Kushiwo ngamuphi umqondo ukuthi inqubo Gypsum egumbini lezimo eziphuthumayo?

Njengoba kushiwo ngenhla, izindlela bandaging of usimende kuthinte kwesikhathi zokuguga. Gypsum ngaphandle pads sisetshenziswa ngqo isikhumba. Ngaphambi lokhu ke Athambisa amafutha akhethekile (isib ketshezi upharafini). ngebhandeshi ezinjalo esikhathini esingeside kakhulu.

Ngokuqondene usimende enezingxenye yoboya, uklanyelwe isikhathi esengeziwe. Isikhathi egqoke avale enjalo kungaba azimisele kuphela udokotela.