Iqakala Broken.

Kuzo zonke ukulimala hlala ingxenye enkulu esitho ukulimala. ukwa Abaningana impela ezivamile iqakala.

Iqakala - inqubo esakha joint iqakala. Leli lunga siqukethe namaqakala ezimbili: lateral (esisogwini ebusweni elingaphandle le tibia) kanye medial (etholakala ohlangothini kwangaphakathi). Ngokwezibalo, amaphesenti amabili konke ukulimala of the system zemisipha nje iqakala eziphukile.

Ubungozi enkulu ukubheduka ukwa wadalula yangaphandle (lateral) iqakala (mayelana ayisishiyagalombili amaphesenti amacala), kanye nanhlanu kuphela - phesenti amabili ziyalimala medial.

Kunezinhlobo eziningana izinhlobo waphuka , kuncike izici Mechanics: supinatsionno-ehola, pronation-ukuxoshwa kanye yokunyathelisa. Ngaphezu kwalokho, amaqembu ehlukene ukwa iqakala angawodwa zangaphandle kwangaphakathi, kanye ovulekile futhi avaliwe waphuka, ukwa offset.

Izimpawu ze-ukwa iqakala - ubuhlungu, ukuvuvukala, ushintsho wabuka umsebenzi ngokuhlanganyela kanye kahle. Ukuze uqinisekise ukwa, kanye ukusungula Mechanics yayo kanye indlela Ukukhetha indlela yokwelapha eyenziwa-X-ray of the joint iqakala.

Ukwelashwa nokuvikelwa ukwa iqakala kunzima kakhulu. Lena ngokuyinhloko ngenxa yokuthi iqakala isakhiwo ngokuhlanganyela luyindida kakhulu, ithambo elise yokuzenzisa egazini ubuciko sengozini lula ngempela. Lokhu kuholela iphesenti eliphezulu labantu ukukhubazeka ngenxa i ukwa iqakala (amaphesenti ayishumi).

Ukwaphuka we iqakala, okuyinto engakaze iphathwa, kuholela ukuphazamiseka articular evele ngokuhlanganyela (congruence ngokuhlanganyela). Lokhu kubangela ubuhlungu njalo futhi akwethuse ngokuthi ukwakheka deforming arthrosis. Lesi sifo kuholela ukwephula statics kanye namandla okubakhona ngokuhlanganyela, okuyinto ngokuvamile sigcina onokukhubazeka.

iqakala ukwelashwa ukwa kuyehla kube amasu ezimbili eziyisisekelo: ukwelashwa ngoludala futhi kuhlinzwa. ukwelashwa okulondoloza kuhlanganisa:

- esivaliwe ngesandla misa, usimende immobilization;

- valiwe ukunciphisa usebenzisa tibekwe esimeni idivayisi, ukhonkolo;

- kabusha traction ukulungiswa kamuva. Leli bhukwana obanzi kunayo ivaliwe ukunciphisa nge ukunqunywa ukhonkolo. Kulokhu, a superposition ukhonkolo lesithathu engenhla "ukuqalisa" uhlobo tibia.

Nemiphumela ethile engathandeki izindlela olandelanayo ukwelashwa:

• nakwenzeka ephelele ukuncishiswa ezicacile zomzimba.

• Esikhathini yabalingisi kunobungozi eliphezulu ukufuduka yesibili ngemva nokwehlisa edema.

• Ukwakheka okungenzeka umuntu uyahluleka uma elwa diastasis tibiofibular futhi subluxation senyawo.

Nge ukwanda ukuvuvukala ngokuhlanganyela kukhona kungenzeka ekwakhekeni yabalingisi olukhonkiwe epidermal umkhovu. Ngaphezu kwalokho, ingozi eliphezulu postimmobilizatsionnyh contractures ngokuhlanganyela, ukuvuselelwa okungase kuthathe eziyisishiyagalombili - izinyanga eziyishumi nambili.

Le migomo yokwelashwa kuhlinzwa kukhona ukuqhathanisa olunembile izingcezwana, nemisipha nokubuyisela, ukususwa imvuthuluka kwezicubu cartilaginous, kanye imihlangano a osteosynthesis esitebeleni.

Surgically iphathwa iqakala ukwa Usebenzisa yangaphakathi (ukucwiliswa) noma nenkanuko edlulele zangaphandle. Impumelelo enkulu kuba yipumelelo lokha osteosynthesis ngezikulufo, kusukela, ngokungafani spokes, lokhu samuntu kudala ithuba osteosynthesis ofanayo esiqondile wonke izingcezwana ithambo. Nokho, ukusetshenziswa osteosynthesis nge ngezikulufo akunakwenzeka sidudule zamanje ithambo, ngakho-ke kuyadingeka kwafakwa ezengeziwe ukhonkolo.

Ukwaphuka we iqakala, okuyinto wenza immobilization isikhathi eside kungaholela eziyingozi.