Wovulala scapula kuti: zizindikiro, chithandizo, zotsatira

humerus The chikugwirizana ndi clavicle njira tsamba. Mawonekedwe a fupa akufanana ndi fosholo. Iwo anapereka dzina la gawo la mafupa a. Fosholo - lathyathyathya fupa. Amakhala ndi magawo angapo. Malinga ndi chiti wathyola pa tsamba zowonongeka, ndiponso chithandizo amusankha.

Zimayambitsa fractures

gawo ili la mafupa wasweka zambiri. M'chaka cha izo mayina zosaposa 1.5% ya fractures scapula poyerekeza ndi mafupa ena. Koma izi sizikutanthauza kuti ndi chigawo chimodzi cha mafupa ayenera ankachitira mopepuka.

scapular wovulala kumatanthauza yaitali mankhwala ndi konzanso kovuta. Chifukwa ambiri a choipa chotero chikugwa kumbuyo. Ndi kosavuta kupeza mtundu uwu wa wovulala mu nkhonya mwachindunji kwa tsamba mapewa.

nthawi iti pamene anathyola fupa mwa mavuto minofu ya olowa phewa zina anakumana. Voteji imafalikira mu nkhani iyi khosi scapula, ndipo zimaswa pansi tizivutika ndi mafupa dzanja. Nthawi zambiri, vuto anakumana ndi othamanga amene zikugwira kuponya mpirawo. Pamene skidding manja zoopsa ngati angayambe kumbuyo kwambiri.

symptomatology matendawa

Wovulala scapula - izo nthawizonse ululu ndi kutupa. Palpation thupi gawo kusapeza nakweza mu fupa malo malo. Pamene khosi fractures zina dokotala probes m'mbali zakuthwa fupa. Pamene dislocations wa phewa olowa m'mbali pa masamba ndi theka-zozungulira ndipo yosalala.

Kayendedwe ka dzanja akhudzidwa ndi zovuta, ndipo poyesa kukatola pali kupweteka kwambiri. Nthawi zina, pali nuchoka pa malo kuvulazidwa. Kawirikawiri kuonekera mu masiku 2-3.

Kuzindikira chizindikiro ndi chotupa mu mawonekedwe a makona a. Pa mfundo imeneyi dokotala mwamsanga anatsimikiza ndi matenda. Malinga mtundu zizindikiro wovulala angasinthe kapena kuoneka mu mawonekedwe yochepa.

Wovulala ndondomeko scapula

Ndi mawonekedwe avulala ananena lamba mapindikidwe. Ndiye pali kukha magazi. Wovulala nadplechevogo ndondomeko angathe kudziwa dokotala kudzera palpation. Iye mosavuta kudzera pakhungu Mzimuyo makombo. kuvulala Izi zimachitika nthawi zambiri kuchokera nkhonya amphamvu kuchokera pamwamba mpaka pansi mwachindunji paphewa. Wovulala akhoza kukwaniritsa nawo ndi mavuto ena.

Komanso sinthawi ya mlomo zikukhudza fupa. Pankhaniyi, pali asymmetry bwino ndi lamba phewa. Pa palpation ululu umachuluka. Khalidwe malo kutupikana. Pamene voteji dzanja kapena pofuna kuti izo ndi ululu kanthu kangapo ukuwonjezeka.

Mlomo zakumapeto akhoza osamukira wovulala. Izi zimachitika pamene chophukacho wa Mitsemphayi phewa ndi phewa. Pamodzi ndi wovulala ndondomeko izi kawirikawiri anati phewa ntchafu. Izi ophatikizana choipa, ndi chithandizo inadzachitika woyamba masiku 7-14 kuchipatala.

Wovulala khosi scapula ndi

Izi mtundu wa kumabweretsa mavuto ndipo nthawi yaitali konzanso. wovulala akhoza kuchepetsa popanda izo. Wodwala kawirikawiri akugwirizira dzanja wovulalayo wathanzi ndi amayikanikiza kuti pamtima. M'dera la tsamba amachita ngati chowulungika kutupa. Kumayambiriro kwa khosi popanda kusuntha wodwala safuna kumva ululu m'dera mkono. Umakaphatikizana kuti palpate ndi armpit.

Ngati pamene pali scapular wovulala ndi kusamutsidwa, pali zizindikiro zina zingapo:

• dzanja anapatsidwa patsogolo osati retracted;
• phewa olowa amakhala mawonekedwe ozungulira;
• palpation wodwala anadandaula ululu ali pamalo mmene;
• manja chabe osati akulephera.

Kumayambiriro a mtundu umenewu Vuto angafunike opaleshoni. Iwo kawirikawiri ntchito, koma ali 100% kufunika ofunika.

Mtundu ulionse kuvulazidwa amafuna kufufuza kuchipatala ndi mankhwala mwamsanga. Wodwala akumva kupweteka kwambiri pamene pali wovulala scapula lapansi. Zizindikiro Kenako stuhayut, ndi munthu akamalowa ndi kuvulaza mpaka mukumana ndi mavuto a matenda. Choncho ngati mukukayikira kuti munthu wovulala, pomwepo kuchipatala.

choyamba-chithandizo

Ngati panali munthu ndi zizindikiro likunena za wovulala tsamba, ndiye amafunika thandizo ambulansi kapena kunyamula wodwalayo kuchipatala okha;

• perekani mapiritsi aliyense painkiller ( "Analgin", "Spazmalgon" "Ibuprofen" pansi maganizo kosati amaloledwa kugwiritsa ntchito "Ketanovom");
• mu armpit ndi kuika PAD ka thonje ubweya kapena wodzigudubuza wa nsalu angapo zopotoka;
• ku malo kuvulala kuti ozizira iliyonse (chakudya kuchokera mufiriji kuti anagwira mwa thewera kapena mapepala, kuti frostbitten khungu);
• ndi chigamba cha nsalu kuika chikukonzekera bandeji manja unkagunda pamtima, kotero adzatha kupewa choipa china mitsempha ndi mitsempha chomenyedwa fupa;
• kuchipatala kunyamula odwala ochepa okha mu malo mosapumira.

malamulo amenewa angathandize kupewa mavuto zina ndi ululu kwa munthu anakhudzidwa.

matenda a matenda

Wovulala scapula ndi chosowa kwambiri, koma akhoza chimatanthauza zoopsa kapena opaleshoni. Odwala anakumana palpation wa mfundo mmene, ndi zimene ndi kufotokoza za zotengeka wovulalayo kale anapanga chithunzi cha matenda ndi dokotala.

Kuti atsimikizire mfundo madokotala anachita X-ray tione zolosera awiri. Zotsatira mungathe 100% zimasonyeza kapena kukana akudwala matenda waukuluwo.

zochiritsira

Mu mtundu uliwonse wa wovulala ndi poyamba zofunika anesthetize malo kuvulazidwa. Kunyumba, muyenera kutenga mankhwala mankhwala ochititsa. Chipatala akhoza kupanga jekeseni "Novocain" mu fupa lothyoka malo.

Ndiye kuthamanga bandeji ntchito ndi wodzigudubuza pansi mkono. Mu njira iyi wodwala amayenda masabata 3-4. Yokonza zimachokeradi mu masabata osachepera 5-6.

Zikavuta opaleshoni imagwiridwa ndi kuvulala pamodzi. Njira imeneyi si ntchito kawirikawiri, pamene anapezeka ndi fupa lothyoka scapular. Kuchiza ndi konzanso pambuyo ndi zovuta zambiri ndi wautali.

mitundu ya immobilization

Akukonzekera manja udindo wapadera kumathandiza ogwirizana tsamba bwino. Kodi chofunika mu immobilization wa fractures a mmera? Kukondetsa ndi pulasitala tsopano ntchito kwambiri kawirikawiri.

Lofanana yamakono ya immobilization ngati zambiri yabwino. Khungu pansi pake amapuma, ndipo palibe totupa thewera, makamaka m'chilimwe. Komanso, pamene overlaying bandeji mtima amakhala zochepa ululu komanso ululu. Ndondomeko mwamsanga. Woterowo yabwino bandeji kavalidwe ndi muziyendayenda.

Choncho, kusapeza anakumana ndi odwala atavala kochepa. Mogwirizana ndi kuvala nsalu desault yoikidwiratu olimbitsa chamankhwala manja. Nthawi zambiri izo ikuchitika kwa mafupa a manja ndi mawondo.

Kumayambiriro kwa khosi umachitika mu njira ena angapo immobilization. Zagwiridwa chikukonzekera dzanja akuthawira kudzera basi. Mu kusamutsidwa khomo lachiberekero amapezeka woyamba chigoba anatambasula. njirayi limatenga 4 masabata. Pambuyo dzanja ili aikidwa pa pilo mwapadera ndi kuchita olimbitsa wina masabata 2. chithandizo Izi kwambiri yotopetsa wodwala ndipo konzanso anachedwa kwa masabata 5-6.

Zovuta pambuyo kuvulala

Zinthu zinasintha wa tsamba si zabwinobwino monga izo zikuwoneka. Pa mankhwala, angayambe mafupa ntchafu ya mkono wa. Ichi ndi chifukwa sungathe kukumbukira makombo a tsamba mutu wa fupa dzanja.

Pa kuvulala izi zowawa chichereŵechereŵe mu olowa phewa. M'kupita kwa nthawi, mtima m'malo ano angathe nyamakazi. Osamukira wovulala nkhope ya tsamba mapindikidwe. Ndiye fupa sanayende momasuka nthiti. Iwo limodzi ndi ululu ndi zosasangalatsa crunch.

Opaleshoni zikhoza:

• sprains aakulu;
• minofu ya manja;
• intercostal neuralgia;
• stiffness mu gulu dzanja.

Koma ngati nthawi wosachita ntchito, munthu akhoza kwathunthu kutaya Mwachangu ndi kukhala olumala. Nkofunika kuchita mu nthawi wovulala scapula lapansi. Zotsatira za khalidwe zoipa ndiye adzakhala yafupika yochepa.

Nthawi yaikulu - Kukonza

Kuyambira masiku oyambirira a immobilization ndi zothetsera physiotherapy. Pankhaniyi, sayambitsa mavuto obwera chifukwa cha tsamba wosweka phewa. Konzanso ayenera kuchitidwa ndi akatswiri. Paokha osati pofuna safuna, kapena inu zikhoza kuwonongeka kwa fupa akhudzidwa.

Kuyang'aniridwa la dokotala wa maso n'kofunika amathera magawo angapo. Ndiye mukhoza kupitiriza Zochita kunyumba. Muyenera kuyamba ndi Zochita ochepa zala. njira yonse zimagwiridwa ndi katundu mosathamanga pang'onopang'ono.

Mu nthawi ino, m'pofunika kukhala zochepa flexion ndi kutambasuka kwa zala. Mukhozanso kuchita zoyenda zozungulira ndi burashi. Chitani ayenera Kutalika kwa osachepera 15 Mphindi. Pa tsiku kuchita 4-5 reps.

masiku 10 pambuyo zifukwa mungathe chitani Zochita, kwa minofu phewa. Pakuti ichi pang'onopang'ono kwezani manja mwanu ululu. Nthawi zina, pambuyo masabata 2 wovala nsalu desault kanasinthika kwa mtundu kosynochny wa fixation. Pankhaniyi, mndandanda wa masewera olimbitsa thupi kuti penapake kukodzedwa.

Pa kuvala desault atavala dokotala angakupatseni ndimeyi physiotherapy. Pankhaniyi, ntchito UHF ndi mankhwala maginito. Njira kuthandiza kuthetsa kutupa ndi kuchotsa ululu. Komanso, fupa machiritso ndi zambiri mofulumira.

Kuchira pambuyo kuchotsa immobilization

Mu nthawi imeneyi konzanso ndi sing'anga-mwamphamvu zolimbitsa thupi patsogolo. Ngati nthawi konzanso ndi molondola, luso ntchito kuchira kwathunthu mwa masabata ochepa.

masewera olimbitsa thupi mwamphamvu nthawi zonse kukula, ndi kulimbikitsa ntchito zida masewera:

• mipira;
• matabwa ndi pulasitiki nkhuni;
• masewera chingamu;
• zochulukitsira;
• mipira mphira yaing'ono zolimbitsa thupi dzanja ndi zala.

konzanso onse cholinga kubwezeretsa ntchito minofu wofooka ndi mafupa. Welcome phunziro m'madzi. Motero, wodwalayo amakhala sakhala ndi nkhawa komanso konzanso akhoza akupempha mphindi 40.

Choyamba, ndi bwino kugwira kokoka bafa, mu madzi ofunda. Pankhaniyi, steamed minofu ndi mosavuta kutambasula ndi chidule. Chigawo ochepa mukhoza kuyamba kusambira mu dziwe kapena dziwe m'chilimwe.

Musaphwanye woyamba kupereka nkhawa kwambiri m'thupi. Cholinga chachikulu - ayambe mwapang'onopang'ono magulu onse minofu ndi mafupa.