Clavicle wovulala: Zizindikiro ndi Chithandizo

Clavicle wovulala - ndi choipa mwachilungamo pafupipafupi. Zingakhale ndi zotsatira za nkhonya mwachindunji, koma nthawi zambiri choncho chifukwa kugwa mu yaitali kapena wopindidwa pa chigongono, mudzikonzere kapena mbali za pamapewa. Madera pachiopsezo ndi wachitatu pakati pa fupa, ndi malire pakati ndi wachiwiri lachitatu - ichi kwambiri wosakhwima ndi yokhota kumapeto mpando.

Gawo

Ambiri akuluakulu otsatirawa wovulala ndi:

- mtanda;

- comminuted (kwambiri zovuta, ndi zidutswa ambiri anasamukira wachibale wina ndi mzake);

- oblique.
Ana, ndi fupa lothyoka ambiri ndi mtundu wa "nthambi wobiriwira" - subperiosteal. Mu zina, kuonongeka ndi mtolo neurovascular ndi mzikiti wa pleura, nthawizina Chip lakuthwa napyoza khungu.

Kodi kuzindikira phewa wosweka

Chophweka njira kuzindikira osamukira wovulala. Popeza zowonongeka mbali phewa olowa wachibale wina ndi pang'ono m'munsi ndi anteriorly. Munthu ndi kuvulazidwa ngati amasunga dzanja wopindidwa pa torso ndi kusunga elbows wanu. dzanja limawonekera yaitali kuposa gawo la phewa wathanzi. Ndi zolinga zofanana ndi mutu linapendekeka, pa fupa lothyoka malo owoneka kukha mwazi ndi chotupa wokhudza izo chopweteka. Ana, zizindikiro za clavicle wovulala kuchepetsa kutupa ndi ululu pa palpation, zikhoza kufinya. Kutsimikizira pamaso pa fractures ndi kudziwa mtundu wake, kuchititsa X-ray bwino.

Chithandizo cha clavicle wovulala

Bone zidutswa adzabwezedwa kwa malo olondola, atakweza dzanja ndi kupereka izo, komabe, kuthetsa vutolo izi ndi zovuta. Komabe, ngakhale phewa srastetsya ndithu ndendende, kusintha kwakukulu, onse zinchito ndi zokongoletsa, kawirikawiri sakhala uka. Yekha ndi yaitali fixation wa olowa phewa, tingayambe stiffness. Clavicle wovulala amaliona ndi pang'ono kuchepetsa kapena ayi kuchepetsa ndi 8 woboola pakati bandeji, amene superimposed pa malo chisanadze zamizidwa ndi kusakhala ntchito 20ml 1% novocaine,. odwala wamkulu kumangirira kulimbikitsa pulasitala nsalu, ndi ana mtengo mwachizolowezi. Ngati zoopsa zovuta, zidutswa ambiri, mwamphamvu nkani wapadera tayala ntchito pakati pawo. Linapangidwa awiri matayala Cramer, kupinda ndi zogwirizana. chipangizo wotero adzatsekeredwa Amatseka ndi mpukutu wapotalikira amene angathe anawuka ndipo pang'ono kuikidwa.

The bandeji amachotsedwa pambuyo masabata 2-4, malingana ndi zovuta kuwonongeka zinkakhudza zida za nkhondo anabwezeretsedwa kwathunthu pambuyo masabata 4-7 pambuyo wovulala lapansi. akamalimbikira ichi kapena sichikupindulitsani neurovascular mtolo, kapena pamene chiopsezo kuswa kukhulupirika kwake pofuna kuti muyike pena zidutswa fupa ikuchitika opaleshoni mwadzidzidzi. Komanso, opaleshoni akusonyeza milandu ndi kusamutsidwa kwambiri makombo fupa. Pogwira izi mpheto phewa atathana kudzera masipoko kapena zitsulo ndodo, amene anachotsa pambuyo 3-4 miyezi. Kuchotsa imagwiridwa pansi mankhwala oletsa ululu pamalopo. Ang'ambe thupilo kwa malonda amenewa kumene palpable mapeto a ndodo.

Clavicle wovulala mu akhanda

Pakati pa vuto lobadwa a dongosolo minofu ndi mafupa, ndicho clavicle wovulala limapezeka nthawi zambiri. Pafupifupi 3% ya ana onse amabadwa ndi matenda izi. chifukwa mwina yobereka mofulumira, pachithunzichi malo mwana ndi zifukwa zina zimene zimapangitsa kovuta kulimbikitsa mwana nascent kudzera m'njira kubadwa. Chifukwa, mapewa mwana cholizira mayi mafupa m'chiuno, ndipo pali wovulala. Kuchiza odwala aang'ono awa, pribintovyvaya chogwirira kwa thupi, akachita pakati pa PAD thonje. masiku 5-8 wovulala kobadwa nako amachiza kwathunthu, kayendedwe kubwezeretsedwa patapita nthawi ndi kanthu ngati zimene zinachitikazo.