Ukubambisana kwamagxa aqokelelwe apho amathambo amathathu ahlanganisana khona: ithambo lesangqa (i-humerus), i-collarbone (i-clavicle), kunye nehlombe (i-scapula kwi-glenoid). Xa umntu exhasa ukuphulwa kwegxa, naliphi na elinye lala mathambo linokulimala. Ukuqwala unyango olungcono kuncike kwenzakalo ethile. Apha ungafunda malunga neentlobo ezahlukeneyo zefayili, kunye nantoni na enokuyenza kunyango lwale nzakala.
I-Humerus Proracimal Fractures
Uninzi lwabantu abathetha ngokuphuka kwamagxa luchaza ukuphuka kwe-humerus ehamba phambili. I-humerus yokuqhaqhaqhaqhaqhaqhaqhaqha yenzakalo yongxoworha yesalathisi yesalathisi (i-humerus), eyenza ibhola ye-ball-and-socket joint joint. I-properimal humer fractures ingenzeka kwizigulane ezincinci ngenxa yokulimala okubuhlungu, kwaye zenzeke kubantu asebekhulile ngenxa ye- osteoporosis .
Iiprosiza ze-humerus ziyahlukana kwiintlobo ezininzi, kwaye unyango lunokuluhlula kwi-sling elula, kwi- optic operation . Ngoko ke, kubalulekile ukuxoxisana nodokotela wakho wamazinyo ngokulindelekileyo malunga nomsebenzi wakho wefayili ukuze ukwazi ukufumana ukhetho olungcono kunyango.
IClavicle Fractures
Amaqhekeza e-Clavicle ayenzixhaphaka kakhulu, kwaye inokwenzeka nakwixesha elide elivela kwiintsana ukuya kwabalupheleyo. Ubuninzi bezahlulelo ze-clavicle ziphathwa ngokuphumula okulula kunye nokusetyenziswa kwe-sling, kodwa kukho ezinye iinguqu ezinokudinga unyango olungakumbi.I-Glenoid Fractures
Ukuhlukana kwama-glenoid akuqhelekanga. I-glenoid yenza i-socket yomxhelo wegxala, kwaye inxalenye yecala lehlombe (scapula). Iintlobo ze-glenoid zinokuthi zidibaniswe nokuxhatshazwa kwegxalaba , kwaye ngokuqhelekileyo zikhokelela ekuzinzekeni kwamagxa xa kungashiywanga.
Izahlulo zeScapular
I-scapula igama ligxalaba. Umgca wegxala likhulu, elithambo elincinci, elenza i-socket ye-ball-and-socket joint joint (ebizwa ngokuba yi-glenoid).
Icala lehlombe libaluleke kakhulu ekuqhutyeni kwegxala eliqhelekileyo, malunga ne-1/3 yesigxina segxala eliqhelekileyo livela kwisitrafti eshukunyayo kwi-cage cage, enye i-2/3 ibhola kunye ne-socket.
Iintlobo ze-scapular fractures zidla ngokudibanisa nexinzelelo elikhulu. Ngenxa yokuba indawo yecala lehlombe, abantu abahlala beqhekeza i-scapular fracture nabo kufuneka bahlolwe ngokuxhatshazwa kwesifuba .
Ukwahlukana-Ukwahlukana
Ukutshatyalaliswa kwephulo kuyenzeka xa kukho kokubili ithambo ephukile kunye nokutshatyalaliswa kokubambisana. Uhlobo oluqhelekileyo lokuqhaqhaqhaqhaqhaqhaqhaqhaqhaqo luvela kunye nokuxhatshazwa kwegxala kunye nokulimala okwenziweyo kwibhola yebhola kunye ne-socket ebizwa ngokuba yi- Hill-Sachs .
Ezinye iintlobo zezahlulo zinokuthi zenzeke ngokuxhatshazwa kwegxalaba kuquka ukuhlutha kwe-humerus kunye ne-glenoid rim fractures. Umxholo oqhelekileyo nazo zonke ezi nzakala kukuba ukungazinzi kwexanduva kungenzeka ukuba ukuphulwa kwegazi kuphilisa kwindawo ephosakeleyo.
Unyango lweeNgqungquthela zeNkunzi
Nabani na okhankanyiswayo okonakalisa amathambo ejikeleziweyo kunye nomxhelo kufuneka ahlolwe ngugqirha. Iimpawu zeentlobo zentlungu zingabandakanya:
- Ukuqhaqhazela ngeenxa zonke kwiphepha (lingadlula ingalo ngexesha elithile)
- Ukuvuvuka kwegxala kunye nengalo
- Ubunzima obuhamba ngokunyuka kwamahlombe
- Ukuguqulwa komdibaniselwano
Ukuba unayo le mpawu, i-x-ray iya kufumaneka ukuba ichonge uhlobo kunye nobukhulu bokulimala. Ukuba ubungakanani bokulimala abucaci, iimvavanyo ezongezelelweyo zinganceda ukuhlola imeko.
Ukunyangwa kwamafabhethi ehlombe kuyahlukahluka ukusuka ekungabikho kwemimandla elula ukuya kwiinkqubo zoqhagamshelwano ezinzima. Kufuneka uxoxe ngamanyathelo enyango kunye nodokotela wakho ogqirha onokukucebisa ngeengxaki kunye neendleko zeendlela ezahlukeneyo zonyango.
Imithombo:
Nho SJ, et al. "Ukulungiswa koLawulo lwe-Humerus Fractures" e-Displaced Proximal Proracimal Fractures "J Am Acad Orthop Surg January 2007. 15 no. 1 12-26
Jeray KJ. "Ulwaphulo oluqhelekileyo lwe-Midshaft I-Clavicular Fracture" J Am Acad Orthop Surg u-Apreli 2007 vol. 15 no. 4 239-248