Ebusika, inani lokulimala kwinkqubo ye-musculoskeletal landa. Enye yezona ntlobo eziqhelekileyo zomonakalo yintlukwano yomda wengalo.
Ukuphuka kwentloko nentamo yomda wengalo
Ithambo le-radial liyithambo elinqanyulileyo, elide eliphakathi kwe-forearm. Intloko yale thambo yenziwa yinqununu yayo, kwaye ngaphantsi kwentloko intamo - inxalenye encinci yethambo. Ukuqhekeka kwezi nxalenye zethambo kudla ngokubakho ngokuwa kugxininiswe kwisalathisi esilwe.
Xa intloko yerhafu iphukile, i-cartilage ivame ukuba yonakaliswe, kwaye le ngxaki ayifumananga ngandlela-thile. Okwangoku, umonakalo kwi-cartilage ingakhokelela ekunciphiseni ukuhamba ngokubambisana. Ukuqhafaza iintlobo zeentloko ngaphandle kokufuduka, ukuphuka komda wokufuduka, kunye nokuqhekeka okweqhekezayo.
Iimpawu zokuphulwa kwentloko yerejista zi:
- intlungu edibeneyo, ukwanda xa uzama ukuhamba;
- ukuhamba okuncinci;
- ukuvuvukala;
- i-hemarthrosis (ukuphuma egazini).
Imiboniso yeklinikhi yokuphulwa komlomo wesibeleko:
- intlungu ehlangeneyo;
- ukuvuvukala kummandla wesigxina sesigxina;
- ukunyuswa okufutshane.
Izahlulo zomlomo wesibeleko zingaphulaphula i-axis ye-radius kunye ne-congruence (i-articular surfaces) edibeneyo kwintsimbi yesigxina ngaphandle kokuphulwa okunjalo.
Ukuqhekeka kwendawo ejikelezayo yesikrini nesandla
Ukwahlukana kwecandelo le-distal (ezantsi) liqhelekileyo kubasetyhini kwaye lwenzeka, ngokuyinene xa bewela engalo ehlangeneyo kunye nengozi . Izahlulo zomda we-distal we-radius, ngokuxhomekeke kwimeko yokufuduka kweeqhekeza, zihlulwe zibe zimbini iintlobo:
- i-extensor (Collis) - xa ukufuduka kwendawo yokuphela kwendawo yokuphela kwebala kuvela emva;
- i-flexion (Smith) - xa ukufuduka kubonakala kwintendelezo yesundu.
Olu hlobo lokulimala lubonakaliswa yimpawu:
- intlungu kwi-joint joint, ukwanda xa uzama ukuhamba;
- ukungazinzi;
- i-edema kunye nokulungiswa kwesemva kwesandla.
Ukulimala kuGaleazzi
Le ngxaki yintlungu yecala le-radial phezulu kwinqanaba layo eliphakathi, apho iqhekeza elingaphantsi liye lafuduka khona kwaye intloko ye-ulnar ixotshiwe kwisikristsi. Ukuphuka okunjalo kunokwenzeka xa uwela engxenyeni evulekileyo, xa ushaya.
Iimpawu zokulimala kweGaleazzi:
- ukuvuvukala okukhulu, ukukhubazeka kunye nentlungu kwisandla kunye nesithathu esezantsi kwe-forearm;
- ukungakwazi ukunyakaza kwesandla kunye nobunzima.
Ukunyangwa kwephulwa kwerhafu yesandla
Ngenxa yokuphuka ngaphandle kokufuduka kweeqhekeza, unyango olulondolozayo lwenziwa, olubandakanya ukusebenzisa i-gypsum longus ukufezekisa ukuhlaziywa kwama-anatomiki nokulungiswa kweziqhekeza. Ubungakanani besikhokelo iiveki ezi-4.
Ngenxa yokuphuka ngokufuduka, iziqwenga ziyafakwa kuqala (emva kwe-anesthesia). Emva koko, i-gypsum kunye nevili kuyasetyenziswa. Ngomhla wesi-5 ukuya kwe-7, emva kokuba i-edema iyancipha, i-X-ray yenziwa ukujonga ukufuduka kwesekondari.
Ngokwethambo lokufuduka kwesekondari, ukungenelelwa kwintsebenziswano kuqhutyelwa, kwindlela enye ye-osteosynthesis isetyenzisiweyo - kunye neetetho okanye iiplate.
Ukubuyiselwa emva kokuqhekeka kwengalo yomda
Isandla emva kokuqhekeka kwerejista sibuyiselwe malunga
Ekupheleni kwexesha lokuchithwa kwexesha, amanyathelo okubuyisela alandelayo amiselwe:
- benzisa unyango;
- ukusilisa ;
- ifonophoresis.
Emva kwe-fusion, kubhalwa kuhlamba okufudumeleyo-i-coniferous, i-coniferous-ityuwa, njl.