Ukwa iqakala nge ukufuduka: ukwelashwa zokuqala zosizo

Omunye Ukulimala okuvame kakhulu wemikhawulo aphansi kuyinto ukwaphuka we iqakala nge-offset, ukwelapha edinga ukubuyiselwa egcwele imisebenzi yayo futhi ukuze ubeke kabusha ke. Ukuswelakala kokusebenza ngokuhlanganyela usizo olufanelekile kuhlinzwa e ukuhlukumezeka esinjalo siholela ubuhlungu isikhathi eside, ukuphazamiseka iqakala umsebenzi ngokuhlanganyela, ukuthuthukiswa deforming arthrosis futhi, ekugcineni, yokukhubazeka.

Isizathu esikhulu iqakala ukwa kungenzeka ube esejika noma okuvimba ebuyile kuso ngento blunt. Kuzo zombili lezi zimo, displacement amathambo isihlobo komunye nomunye. Ukopha ekulungiseleleni ukulimala enjalo ngokuvamile abalulekile, ngakho isisulu kudingeka ukuba bathole ukunakekelwa kwezokwelapha ngokushesha.

iqakala Waphuka offset kungaba adduktsionnym, esalisekela, nobujamo futhi amathathu- iqakala. Ukuze uhlobo lokuqala libhekene subluxation senyawo ngaphandle noma ngaphakathi. ukwelashwa ukuhlukumezeka uqhutshwa ngokuvamile ukubulawa kwezinzwa. Kulokhu, lo main ukwa indawo yethulwa isixazululo 2% novocaine. Okulandelayo, qiniseka misa iqakala yomngcwabo.

Adduktsionny iqakala ukwa nge ukufuduka ngaphakathi libizwa Malgenya ukwa. ukwelashwa ukuhlukumezeka futhi liqukethe kabusha lapho eqondisa ithambo eliphukile ngumuntu indlela ekhethekile futhi lisetshenziswa ephansi umlenze ukhonkolo of isisulu.

Esigabeni sokuqala ekwelapheni iyiphi ukwa ukunikeza usizo lokuqala. Uma engekho yayo, lapho eqondisa ithambo eliphukile Ungahambisa, isikhumba ezilimele. Esimweni esinjalo umuntu kufanele sikhulume akumayelana avaliwe futhi ukwa evulekile. Eyokuqala i-medical aid ngesikhathi sekhefu impumuzo iqakala ubuhlungu isikisela ezilimele ingxenye imilenze. Uma kungekho analgesics, kufanele unamathele kuleyo ndawo ukwa noma ibhodlela ice ngamanzi abandayo. Chill ikhuthaza vasoconstriction, kwehle ukopha edema, kodwa futhi kunomphumela kancane analgesic. Ngaphezu kwalokho, kufanele siqinisekise ukuthi ezolile isisulu, umlenze wakhe kufanele yisimo ngokuphelele. Odokotela zisetshenziselwa ezifanayo ngenhloso amathayi ekhethekile. isiqephu sendawo esikahle e plywood noma ibhodi endaweni yasekhaya. Ukubeka nasemilenzeni eziphukile ezobanjwa ngalendlela elandelayo: nhlangothi zombili umlenze aphansi sisetshenziswa kakhulu njengohlelo lwesisekelo esiqinile futhi primatyvaetsya ukuze umlenze ngumuntu ibhandishi.

iqakala Waphuka offset Kudinga esibhedlela okuphoqelekile okwenziwa ezikhungweni isisulu. I uchwepheshe isikhungo sezokwelapha kwenza-X-ray yezingalo nemilenze abathintekayo futhi inquma uhlobo ukwa. Uma displacement we iqakala kuqinisekisa irisidi isithombe, isiguli uthunyelwa egumbini lokuhlinza. Yonke inqubo ithambo-kulungiselelwa wenziwa ngaphansi izinzwa jikelele. Ngemva kokuhlinzwa isiguli enyangeni usesimweni lisalele. Endabeni ka umonakalo ezinzima ethanjeni at kungenzeka kabusha noma ukuchema kuzo sisetshenziswa okuthiwa traction lwamathambo, esakhiwa ekuthwaleni ngokusebenzisa calcaneus izinaliti akhethekile okwesikhashana ngesisindo sakhe (12 kg). inqubo enjalo ugwema luhlangothi lunye kanye nokuthatha okungafanele Splice ithambo. Isandiso ngenyanga isuswe, olukhonkiwe sisetshenziswa.

Iqakala ukwa ngaphandle ukufuduka akudingi kokungenela kuhlinzwa. Isiguli nge ukulimala ezifanayo abalimele umlenze usimende sisetshenziswa. Imigomo ithambo yokutakula incike ngokuphelele uhlobo ukwa futhi uhla 8 kuya ku-12 amasonto. sokubuyiselwa Okugcwele umsebenzi ngokuvamile phakathi kwezinyanga 2-3.

Iqakala ukwa is ngokuvamile ihambisana displacement izinsalela hit e izicubu zomzimba ezithambile ezizungezile. Esimweni esinjalo, kuncike ukuhlinzwa saziso. Ngesikhathi ukusebenza endaweni ezilimele iqinile esebenzisa ngezikulufo noma amapuleti ekhethekile, Gypsum ke is esikhulu (inyanga engu-1). Ngemva konyaka, uzohlinzwa okwesibili Kwenziwa, injongo okuyinto isizinda amathuluzi zezokwelapha umzimba wesiguli. Esigabeni sokugcina uphathwa ukuphoqelela phezu obonakele iqakala ngebhandeshi nokunwebeka. Esikhathini esingangenyanga ngemva inqubo, isiguli uvunyelwe uzoshiya emlenzeni elimele.