Kupwanya kwechivicvicle: zviratidzo uye kurapa

Kuputsika kwekorolasi inowanzoshungurudza. Iyo inogona kunge iri mugumisiro wekukanganisa zvakananga pairi, asi kazhinji inowanzoitika nekuda kwekuwira pasi paruoko rwakapeteredzwa kana kuti rwakanamatira paheta kana kuti chikamu chechikamu chefudzi. Zvikamu zvakanyanya kunetseka ndezvepakati chetatu chemapfupa uye muganhu pakati payo uye chechipiri chechitatu - iyi ndiyo nzvimbo yakanyanyisa uye yakakomberedzwa.

Kurongwa

Mhando idzi dzinotevera dzakapararira kune vanhu vakuru:

- kudarika;

- Splintered (yakaoma kwazvo, ine nhamba yakawanda yezvimedu, yakasimuka kune imwe neimwe);

- slanting.
Muvana, kuputsika kunowanzoitika kune "green branch" -speriosteal. Mune zvimwe zviitiko, mutsara wemagunha uye dome ye pleura inokuvara, dzimwe nguva chidimbu chinopinza chinodonha ganda.

Nzira yekuziva sei clavicle kuputsika

Iyo inonyanya kuoneka kuputsika is displacement. Kubva pane zvakakanganiswa, mutambo wepafudzi unopedzisira uchienzanisa neumwe uye unofamba mberi. Munhu ane shungu dzakadai anobata ruoko rwakakotama padombo, achimanikidza muromo wake. Ruoko rwunoita ruchireba kupfuura kubva kune rumwe rutivi rwechipiri clavicle. Musoro unofanirwawo mune imwe nzira, kuora ropa uye tumarara zvinoratidzika panzvimbo yekuparara, kuribata zvakarwadza. Muvana, zviratidzo zvechikafu chechivicvicle zvinopedzisira zvichinyorova uye unyoro pazvinonzwa, zvichida kuonekwa kwehematoma. Kuti ave nechokwadi chekuvapo kwechaputsika uye osarudza rudzi rwayo, kuongorora X-ray kunoitwa.

Mushonga we clavicle kuputsika

Mafupa mapfupa anodzoswa panzvimbo yakarurama, achisimudzira mapepa kumusoro uye achiikurira, asi, kugadzirisa chigaro ichi kwakaoma zvikuru. Kunyange zvakadaro, kunyange kana clavicle isingakure pamwe chete, inooneka, inochinja, zvose zvinoshanda uye inofungidzira, kazhinji hazviitike. Izvo chete ndeyekugadziriswa kwenguva refu kwekubatanidzwa kwepafudzi, izvo zvinogona kutungamirira kuoma. Tora kuputika kwechivicvicle nekanyanyisa kutendeuka kana kusasuduka uchishandura b-8-banding, iyo inoshandiswa kune, isati yakasvibiswa ne 20 ml ya 1% novocaine, nzvimbo. Kune vanhu vakuru, mabhanhire anosimbiswa nebandani bhenji, asi vana vanobatwa sevamwe. Kana kukuvara kuri kwakaoma, zvidimbu zvakawanda zvakasununguka kune mumwe nemumwe, thiri yakashandiswa inoshandiswa. Inoumbwa nematairi maviri eCramamer, achiiputira uye akasungwa pamwechete. Chigadziro chakadaro chinogadzirisa zvakasimba chidimbu chepachivi panzvimbo yakakwirira uye zvishoma nezvishoma zvakadzorerwa.

Iyo bhanji inobviswa mushure memasvondo maviri kusvika ma4, zvichienderana nekuoma kwechiremera, kushanda kwechigadziro kwakadzorerwa zvachose mavhiki 4-7 mushure mekuputsika. Panyaya yekudzvinyirira kana kukuvadza kune mishonga yemagetsi, kana kana kune ngozi yekuputsa kukanganisa kwayo, kurapwa kunokurumidzirwa kunoitwa paunenge uchiedza kugadzirisa zvidimbu. Kuvhiya kunoratidzwawo mumatambudziko ane huwandu hwekuparara kwezvimedu. Apo kushandiswa uku kuri kuitwa, clavicle inogadziriswa nekataura kana tsvimbo yesimbi, iyo inobviswa shure kwemwedzi 3-4. Kubviswa kunoitwa pasi peanesthesia yemo. Iko kusungirirwa kunoitwa nokuda kwechinangwa ichi panzvimbo iyo tsananguro yetsvimbo inobviswa.

Kuputsika kwekorovhoni muzvitsva

Pakati pekukuvara kwekuberekwa kwe musculoskeletal system, ndiko kuputsika kwe clavicle inoitika kakawanda. Inenge 3 kubva muzana yevana vose vanoberekerwa nechinetso ichi. Chikonzero chacho chinogona kukurumidza kubereka, nzvimbo isina kururama yemwana uye zvimwe zvikonzero zvinoita kuti zvive nyore kuti mwana apinde nomugero wekubereka. Somugumisiro, mapepa emucheche anoomeswa nemapfupa emapilvic eamai, uye kuputsika kunoitika. Tora varwere vaduku vakadaro, pribintovyvaya kubata kumunhu, kuisa pamba padon pakati pavo. Kwemazuva mashanu kusvika ku5 kuberekwa kwakaberekwa kwakaberekwa kwakakwana zvakanyanya, kufamba kunodzorerwa shure kwekanguva uye hapana chiyeuchidzo chezvakaitika.