Umxube we-sternoclavicular, okanye iqhagamshelo le-SC, uxhumano lwe-sternum (isifuba) kwi-clavicle (i-collarbone). Idibaniselwano le-SC ayilonakaliswa ngokuqhelekileyo, kodwa inokuba yingxaki xa kunokulimala.
Ukususwa kweSternoclavicular Dislocations
Umxube we-sternoclavicular ungasuka kwindawo eqhelekileyo. I-clavicle iya kushenxiswa phambili (i-SC yangaphambili ingxowankulu) okanye ngasemva (i-SC post post dislocation) i-sternum.
Ukusabalalisa kwe-CS engaphantsi kwezona zinto zixhalabisa ngenxa yezakhiwo ezibalulekileyo ezifumaneka emva kwe-sternum. Ezi zakhiwo ziquka iimitha ezinkulu zegazi kunye ne-trachea (i-windpipe). Ukulimala kwezi zinto kunokubangela iingxaki ezisongela ubomi ngegazi kunye nokuphefumla.
Ukuchithwa kwe-SC ngokubambisana ngokuqhelekileyo kubangelwa kukulimala kwiphepha. Ngokuqhelekileyo, ngaphandle / phambili kwiphepha litshitshiswa ngamandla, kwaye i-SC exterial dislocation iyenzeka. Kwezinye iimeko, amandla aphikisayo ngqo phambi kwesifuba angabangela ukuba iS SC isithuba esingaphandle.
Ukuxilongwa
Ukulimala kwe-SC kunokuba nzima ukuzibona kwi-x-ray rhoqo, nangona kukho iindlela zokujonga ngokubambisana ne-SC ngokutshintsha indlela i-x-ray eyenziwa ngayo. Ukuba iqhagamshelo le-SC libonakala lilimale, i-scan ye-CAT idlalwa rhoqo ukuba ihlolisise uhlobo lokutshintsha.
Izibonakaliso ze-SC dislocation kuxhomekeke ekubeni okanye akunjalo ukutshatyalaliswa kwangaphambili okanye kwangemva.
Kwimeko ye-SC yangaphandle, ukungaqhelanga ukufumana ukuphela kwesicacvicle. Izigulane zibuhlungu kunye nokuvuvukala kule ndawo.
Izigulane ezine-post zangaphandle ze-SC zidibanisa i-dislocation zingabonakali zesikhumba ngokubambisana kwe-SC, kunye nentlungu nokuvuvukala. Ukongezelela, izigulane zinokuphefumula, ukugwinya okubuhlungu, kunye nokuphala okungavamile okubangelwa ukuxinwa kwe-trachea, i-esophagus, nemithambo yegazi.
Unyango
Amancinci amancinci kwi-joint joint yeS SC iphathwa ngokusetyenziswa kwemirhumo kunye nemithi yokuchasa . Xa iqhagamshelo le-SC lichithwa ngokupheleleyo, ukuphindaphinda (okubizwa ukunciphisa umdibaniselwano) wokudibanisa kwe-SC kunokuzama ukuguqula isigulane nokutsala ngenyameko ngengalo. Oku kungavumela ukudibanisa kwe-SC ukuba 'iphinde' ibe yindawo. Umanyano we-SC akufuneki ukuba uphinde ubekwe kwakhona ukuba ube negalelo elide lexesha elide.
Ugqirha wokufudula ukudibanisa kwe-SC kuthathwa njenge-posterior SC ukuchithwa kwamanye amazwe, kunye nolunye lubuhlungu, uphawu lweS SC oluphazamisayo. Ukuba ukuphindaphinda okungekho ukupakisha kokubambisana akuphumelelanga, ngoko utyando luya kwenziwa ukuba lufudule iqhagamshelwano lwe-SC kunye nokulungiswa kwemigqa ehlangeneyo ye-SC.
Xa utyando lwenziwa kwi-CS engaphantsi kwe-CS, inkqubo iya kwenziwa kunye ne-orthopedic ne-vascular surgeon. Isizathu kukuba kukho ithuba lokulimala kwimithambo yegazi emikhulu yesifuba, kwaye udokotela ohlinzayo kufuneka afikelele ngokukhawuleza ukuba kuyimfuneko.
Ngaba Ngaba Yinto Enye?
Kwisiphi isigulane esingaphantsi kweminyaka engama-25 ubudala, ukuphuka kwetafile yokukhula kwe-clavicle kufuneka kukhunjulwe kunokuba i-SC joint joint dislocation. Iiplani zokukhula kweeflavicular ye-clavicular iplani yokugqibela yokukhula ukuvala emzimbeni.
Yile nxalenye yokukhula eyalimalayo, kunokuba idibene kunye ne-SC, kwizigulane ezininzi ezingaphantsi kweminyaka eyi-25. Ukunyangwa kweplavicular split break is afana nonyango lwe-SC dislocation, ngaphandle kokuba kunqabile kakhulu ezi zigulane ezincinane zifuna ukuhlinzwa.
Imithombo:
UMedvecky MJ, uZuckerman JD. "Ukulimala kunye nokuphazamiseka kwe-Sternoclavicular" I-Instr Course Lect. 2000; 49: 397-406.