Kumwendo wovulala ndi kusamutsidwa: thandizo chithandizo

Mmodzi wa kuvulala ambiri malekezero m'munsi ndi fupa lothyoka la kumwendo ndi kuchepetsa, mankhwalawa chimene chimafuna kubwezeretsa zonse ntchito zake ndipo kuti muyike pena izo. Chosowa chithandizo choyenera mphuno zoopsa ngati zimabweretsa kuwawa yaitali, kusokoneza ntchito bondo olowa, kupanga deforming arthrosis, ndipo pamapeto pake kuti olumala.

Chifukwa chachikulu cha kumwendo wovulala kungakhale kukhota lakuthwa kapena kugwira zophukiranso pa izo ndi chinthu yosamveka. Nthawi zonse, ndi kusamuka kwa mafupa wachibale wina ndi mzake. Magazi pokonza kuvulala amenewa kawirikawiri kwambiri, kotero wovulalayo ayenera chithandizo mwamsanga.

Zikukhudza kumwendo kuchepetsa kungakhale adduktsionnym, one-, lupanga ndi three- bondo. Mtundu woyamba wofanana ndi subluxation phazi kunja kapena mkati. mwakayakaya chithandizo imachitika kawirikawiri ndi ntchito mankhwala ochititsa dzanzi. Pankhaniyi, waukulu fupa lothyoka malo umayamba 2% novocaine njira. Kenako, onetsetsani kuti muyike pena pa bondo umachitika.

Adduktsionny kumwendo wovulala ndi kusamutsidwa mkati amatchedwa Malgenya wovulala. mwakayakaya mankhwala komanso tichipeza mu muyike pena mafupa othyoka ndi njira yapadera ndi umagwiritsidwa ntchito m'munsi kuponya mwendo pulasitala wa wovulalayo.

Mbali yoyamba ya mankhwala a wovulala aliyense ndi kupereka thandizo. Sanamwe, mafupa othyoka akhoza kusuntha, khungu kuonongeka. Zikatero munthu ayenera kulankhula osati za chatsekedwa ndi fupa lothyoka lotseguka. Woyamba chithandizo kuchipatala pa kutulukira kwa mpumulo kumwendo ululu amanena gawo miyendo zowonongeka. Ngati palibe analgesics, ayenera Ufumuyo malo wovulala kapena botolo la madzi oundana ozizira. Tsembwe amalimbikitsa vasoconstriction, utachepa magazi ndi edema, komanso ali ndi pang'ono analgesic zotsatira. Komanso ayenera kuonetsetsa kuti munthu wolakwiridwayo bata, mwendo wake ayenera kwathunthu kuyenda. Madokotala amagwiritsa ntchito ndi cholinga ofanana matayala wapadera. abwino chidutswa cha plywood kapena bolodi chilengedwe m'banja. Kukonza miyendo wosweka unachitikira motere: pa mbali zonse za mwendo m'munsi umagwiritsidwa maziko olimba ndi primatyvaetsya kuti mwendo ndi bandeji.

Zikukhudza kumwendo kuchepetsa Pamafunika mokakamizidwa m'chipatala cha wovulalayo. Mkuluyo zachipatala bungwe zimapangitsa X-ray wa miyendo akhudzidwa ndi Mzimuyo mtundu wa wovulala. Ngati kusamutsidwa bondo la akutsimikiza chiphaso image, mtima uli anatumizidwa ku chipinda cha opareshoni. Dongosolo lonse la mafupa kolowera imagwiridwa pogonekedwa ndi mankhwala ambiri. Pambuyo pa opaleshoni ya mtima pa mwezi uli mu malo supine. Mu nkhani ya kuwonongeka kwambiri kwa fupa pa kuthekera kwa kukonzanso kukondera umagwiritsidwa otchedwa chigoba samatha, chomwe pochita kudzera calcaneus ndi masingano wapadera ndi kusakhulupirira thupi lakelo (12 kg). Ndondomeko amenewa amapewa kukondera ndi zosayenera splice fupa. A mwezi kutambasuka chikutha pulasitala umagwiritsidwa ntchito.

Kumwendo wovulala popanda kusamutsidwa sikutanthauza alowererepo pa opaleshoni. A mtima ndi choipa ofanana pa anavulala mwendo pulasitala umagwiritsidwa ntchito. Terms of fupa kuchira yozungulira kwathunthu pa mtundu wa wovulala ndi osiyanasiyana masabata 8 mpaka 12. Full kukonzanso ntchito zambiri mwa miyezi 2-3.

Kumwendo wovulala nthawi zambiri limodzi ndi kusamutsidwa a zotsala fupa anagunda mu minofu zofewa ozungulira. Zikatero, pansi pa opaleshoni kuvomerezedwa. Pa nthawi ya opaleshoni malo zowonongeka chili mwa zomangira kapena mbale wapadera, ndiye superimposed gypsum (kwa mwezi 1). Patapita chaka chimodzi, opareshoni yachiwiri ikuchitika, cholinga cha ndilo m'zigawo za zida zamankhwala m'thupi la wodwalayo. Chomaliza mankhwala ndi zoika pa zowonongeka kumwendo zotanuka bandeji. Patatha mwezi ndondomeko, mtima amaloledwa mwatsatane pa mwendo wovulala.