Wosweka bondo.

Kuvulala zonse zimakhala chiwerengero chachikulu cha kuvulala mwendo. zachilendo wovulala kumwendo wa.

Kumwendo - ndondomeko imene imagwiritsidwa bondo olowa. olowa tichipeza mapazi awiri: lateral (ili pamwamba kunja kwa tibia) ndi medial (ili pa mbali mkati). Malinga ndi kafukufuku, peresenti makumi awiri kuvulala onse a dongosolo minofu ndi mafupa ndi chabe wosweka bondo.

Chiopsezo chachikulu zoopsazo ndi fupa lothyoka poyera akunja (lateral) bondo (za makumi asanu ndi atatu pa zana a milandu), ndi fifitini kokha - cent pa makumi awiri amavulala medial.

Pali zingapo mitundu ya fractures , malingana ndi makhalidwe okonzera: supinatsionno-akutsogolera pronation-kumaliseche ndi makina. Komanso, magulu osiyana a akutali wovulala akunja mkati m'miyendo, komanso womasuka ndi chatsekedwa fractures, fupa lothyoka kuchepetsa.

Zizindikiro za m'miyendo wovulala - ululu, kutupa, kusintha contours a ntchito olowa ndi mkhutu. Kuti atsimikizire wovulala, komanso kukhazikitsa zimango ake ndi njira kusankha mankhwala ikuchitika X-ray wa bondo olowa.

Chithandizo cha wovulala kumwendo kovuta. Izi makamaka chifukwa chakuti kumwendo dongosolo olowa ndi yovuta kwambiri, fupa ili chabe m'magazi pa luso N'zosavuta chiopsezo. Zimenezi zimathandiza munthu amaposa ya anthu olumala chifukwa cha kumwendo wovulala (peresenti khumi).

Wovulala bondo, amene sichinayambe ankachitira, kumabweretsa kusokonezeka kwa kali articular olowa (olowa congruence). Izi amayambitsa kupweteka zonse ndi likuoneka mapangidwe deforming arthrosis. Matendawa kumabweretsa kuyan'anila za statics ndi mphamvu ya olowa, amene nthawi zambiri umatha ndi olumala.

kumwendo chithandizo wovulala yafupika njira ziwiri zofunika: ndiwofatsa komanso opaleshoni chithandizo. chithandizo ndiwofatsa zikuphatikizapo:

- chatsekedwa pamanja muyike pena, pulasitala immobilization;

- anatseka kuchepetsa ntchito repositioned mu chipangizo, osewera;

- muyike pena samatha kudzudzulidwa kenako. Buku kwambiri ambiri anatseka kuchepetsa ndi imposition a pulasitala lapansi. Pankhaniyi, ndi superposition wa osewera kwa chachitatu chapamwamba za "Nsapato" mtundu tibia.

Zovuta njira ndiwofatsa zochizira

• ndikosatheka kuchepetsa wathunthu anatomic.

• Mu kuponya pali chiopsezo kusamutsidwa sekondale pambuyo kuchepetsa edema.

• zotheka mapangidwe musabise tibiofibular diastasis ndi subluxation phazi.

Ndi kuwonjezeka mu kutupa olowa pali kuthekera kwa mapangidwe pulasitala wa epidermal matuza. Komanso chiopsezo postimmobilizatsionnyh contractures limodzi kukhazikitsa zimene angachite kuti eyiti - khumi miyezi.

Zolinga za chithandizo opaleshoni ndi kufanizitsa molondola makombo, kubwezeretsa Mitsemphayi, kuchotsa makombo a minofu cartilaginous, komanso kumalo a osteosynthesis khola.

Opaleshoni ankachitira kumwendo wovulala ntchito eni (kumizidwa) kapena fixation kunja. Bwino kwambiri zimatheka pamene zomangira osteosynthesis, kuyambira mosiyana masipoko ndi chimake zimenezi zimapangitsa mwayi osteosynthesis enieni ofananira a zotsala zonse fupa. Komabe, ntchito osteosynthesis ndi zomangira sizingatheke kukana magulu panopa pa fupa, choncho m'pofunika ndi imposition zina osewera a.

Wovulala bondo, amene amachita immobilization yaitali kungayambitse mavuto aakulu.