Ngokuqhelekileyo, i-clavicle i-fractures iyenzeka kwiimbaleki ezinexinzelelo, kunye nangeminyaka eyi-20 ubudala. Ukulimala kwe-clavicle kwenzeka ngokubonakala ngokuthe ngqo (impembelelo), ngokuwa ehlombe, ingalo.
Iimpawu zefracvicle fracture:
- intlungu kwindawo eyalimalayo, ngokuhamba kwesandla;
- ukubonakala kokuvuvukala, ukubola;
- ukunciphisa ukunyakaza kwamanyathelo;
- ukutshintsha kwendawo ye-clavicle.
Ukwahlula kweefracvicle fractures
Iintlobo ze-clavicle ziyahluka kwindawo yendawo:
- ukuphulwa kwe-diaphysis (inxalenye ephakathi);
- ukuphulwa kwesiphelo se-acromial (kufuphi nommandla wephepha);
- ukuphulwa kwesiphelo esingunaphakade.
Ukongezelela, i-fractures ihlelwe njengento eguqulwayo, i-multi-lobed, kunye nomgca oblique okanye we-perpendicular fracture line, njalo njalo.
Unyango lwe-clavicle fracture
Unyango olulondolozayo luquka ukulungiswa (ukuchithwa kwezandla) izandla kwixesha leentsuku ezi-3 ukuya kwezi-7 ukuhlanganiswa kwethambo. Kuza kube nini i-clavicle yokuphulukana nokuphulukiswa kuxhomekeke kuhlobo lokuphuka, iminyaka yesigulane. Ukuchithwa kwempahla kuqhutyelwa ngoncedo lwebhanki ye-bandage okanye izindandatho zeDelbe, ezolula amahlombe ecaleni nasemva.
Indlela yesibini yokwelapha isebenza. It isetyenziswe ukuba, emva kokubeka kwakhona (ukulungiswa kwephuka), ukufuduka kwe-clavicle kuhlala kukhulu kunokuba ububanzi bethambo okanye ngaphezu kwe-2 cm ubude. Lo msebenzi ubizwa ngokuba yi-osteosynthesis. Ukugxothwa kweeqhekeza kupheliswa, ithambo lixhomekeke ngoncedo lwezakhiwo zetsimbi (amacwecwe, izikrini, izikhonkwane).
Emva kokusebenza, isandla sisigxina nge-bandage bandage, sinokumisela imithi yeentlungu.
Iingxaki ze-clavicle fracture
Ngendlela yokwenza unyango, i-clavicle ifaka phantse kuzo zonke iimeko. Nangona kunjalo, ngamanye amaxesha ukufuduka kweziqhekeza akupheli, ubude be-clavicle abuyi kubuyiselwa, ngoko-ke i-foreleg inokukhubazeka, ifutshane.
Imiphumo engenzekayo yonyango lophulo lwe-collar fracture:
- Ukungabambeleli kwe-clavicle (ngokungahambiyo le meko ngamanye amaxesha kuthiwa ngamalungu angamanga). Ukwenjenjalo okunjalo kungabangela ukuphulwa kwamatye amaninzi, ukukhetha okungalungileyo kwesilungiso sesinyithi, ukusebenza okuphazamisayo.
- Iingxaki ezithintekayo yi-osteomyelitis. Ukuthintela le ngxaki, kufuneka uhambisane neemfuno ze-asepsis. Umntu olimele unikwe i-antibiotics ukwenzela ukuthintela (kwangaphambili ngaphambi kokusebenza).
Ukubuyisela (ukuvuselelwa) emva kokuqhaqhazela kwe-clavicle
Umsebenzi wendima yexheba emva kokuqhekeka okuqhelekileyo kweengcezu kubuyiselwa kancane kancane. Ngokuqhelekileyo, kuphela umqobo omncinci wokunyakaza ohleliyo, ngaphandle kokuba iziqhezu zingenakucala.
I-LFK emva kokuba i-collarbone yahlukana neyonyango ekhuselekileyo ingaqaliswa ngokukhawuleza emva kokunciphisa intlungu. Inkqubo yonyango iquka ukuphefumula, ukuphuhliswa ngokubanzi, kwakunye nokuzivocavoca kweminwe. Emva kokuphela kwexesha lokunciphisa, ngexesha lokubunjwa kwethambo, i-exercised ejolise ekubuyiselweni komsebenzi wendibano yegxina yenziwa. Ukuzivocavoca kwenziwa ngezandla zombini.
Emva koko kufika ixesha lokuqeqesha, xa umthwalo omkhulu ufumana ingalo eyonakalisiweyo. Xa uhlakulela isandla emva kokuqhekeka kwe-clavicle, kubalulekile ukuba akukho ntlungu kwilungu elenzakalisiweyo.
Ukuba isigulane siyasebenza, unyango luyalunikwa ngomhla olandelayo.
Ukuhlalisa emva kokuphuka kwe-clavicle
Ukuhlambalaza kwenziwa ngosuku lwesibini emva kokuphuka. Ukuzihlaziya kwenziwa kwiindawo zokuhlala zesigulane. Inxalenye enempilo yesifuba nomva ixiliswa kabini ngemini imizuzu eyi-8 ukuya kwe-12. Ngexesha elifanayo, ezo ndlela zisetyenziselwa: ukuxolela, ukuxubha, ukucima. Xa isaliti yokulungisa isuswe, ukuxilwa komnxeba wesandla esilimele kunamathele.