Dislocation wa phewa: kusala Yothetsera

Ntchafu phewa - Ngozi ya chiyambi zosiyanasiyana, omwe ndi ofala kwambiri ku mankhwala amakono. Choyamba, izo ziyenera zikhulupiriro kuti kudwala ili yodziwika ndi structural wakuswa pamalo mating wa M'mimbamo glenoid wa tsamba ndi mutu wa humerus ndi, chifukwa cha ndondomeko pathological kapena nkhanza. Komabe, si lofanana ndi subluxation ntchafu phewa, chifukwa Zikatero, ngakhale kukanika kwa congruence anati pamalo mating kukhudzana.

Chifukwa sprains zimachitika? Pali zifukwa zambiri koma wamkulu akali kugwa kapena kwambiri thupi mphamvu pa dzanja yoikidwayo. Nkofunika kukumbukira kuti pamene phewa ntchafu musati amapatula dislocations mobwerezabwereza amene ali kale kumeneko, popanda chiwawa kwambiri, ndipo nthawi zina ngakhale kuchitika mu loto. anomaly limeneli limatchedwa "kabwerebwere dislocation."

yosiyanasiyana matenda chithunzi cha phewa ntchafu, zizindikiro ndi zambiri zofanana pa magawo onse a anomalies amenewa. Ambiri, odwala akudandaula ululu ndi kusokonezeka kwa ntchito mwachizolowezi wa olowa phewa, zimachitika chifukwa cha kuvulala. Wozunzidwayo sangathe dzanja lake pa mbali wakukuwazwa ule, kukonza mu malo zochepa chopweteka. Komanso, monga X-ray, kufufuza mapindikidwe bwino mwina olowa phewa.

Ngati phewa dislocation wakhala analandira kwa nthawi yaitali, kapisozi olowa wasindikizidwa zayamba, kukhala thicker ndi kutaya elasticity kale. Olowa makulidwe anaona ulamuliro wa minofu fibrous, amene osati chimakwirira pamalo articular komanso chimadzaza malo ufulu. M'minofu periarticular wa atrophic ndi dystrophic amachuluka kusintha mu dongosolo la. Akulu ntchafu phewa, m'pamenenso mwapang'onopang'ono mafuta alibe, fibrosis, chichereŵechereŵe alibe, synovial sclerosis ndipo ngakhale ossification ya olowa, zikubweretsa mapangidwe matumba aakulu a kudwala kuti amafuna yomweyo alowererepo pa opaleshoni.

Ngati phewa dislocation anapezeka ndi X-ray, mankhwala ayenera kukhala yake. Choyamba, katunduyo akhudzidwa mukufuna mofulumira limbitsani yomweyo pambuyo matenda. Apa pakubwera mu ochititsa dzanzi ambiri, amene kwambiri facilitates wovulalayo njirayi chopweteka. sanamwe imatengedwa zachipatala chosasamala, chifukwa mwai amenewa amafuna pazipita minofu zosangalatsa.

Lero amadziwika njira 50 Kupha kuphwanya lapansi. Komabe, chifukwa nkhani ya mankhwala oletsa ululu pamalopo ndi Meshkov, salembedwa zotheka dongosolo iwo m'magulu atatu waukulu, kuphatikizapo Rychagova ndi njira thupi, komanso kupereka wambiri njira imene akamanena za mbuyomu - kukankhira mutu wa humerus mu malo olowa. mwakayakaya odziwa ayenera Choncho kukhala ndi maluso ofanana ndi mwaluso kuphatikiza njira zonse zilipo.

Koma nthawi zina zimachitika kuti zimenezi ndi operewera, chifukwa olowa sizitheka kubwezeretsa. chodabwitsa wotero amatchulidwa traumatology nevpravimym dislocations phewa zimene zimachitika ndi maziko a kugwa pakati minofu kulankhula ndege. Choncho chopinga akhoza anawerama ndi chinang'ambika m'mphepete olowa kapisozi, kuonongeka minofu tendon, zinthu fupa. Zikatero, ndi imposition wa basi, komanso kulolerana wa mankhwala analgesics kamwedwe, UHF kuchita masewera olimbitsa thupi mankhwala ndi ntchito mwakhama mfundo za burashi lapansi. Ambiri, mapewa dislocation ndi kusintha ndipo sachedwa matenda zina kugwira ntchito gawo kuonongeka.