Ugqirha Ukulungisa Uhlu Lwahlukileyo
Umxhelo ohlukileyo ngumqathango obangela ukuba i-collarbone (i-clavicle) ihluke kwi-attachment yayo eqhelekileyo ukusuka kwiphepha lehlombe. Ngokuvame ukudideka kunye nokuhluthwa kwegxalaba, ukuhlukana kwegxalaba kukulimala okwehlukile. Ngokuqhelekileyo kubangelwa ukuwela ngaphandle kwengalo yakho okanye ihlombe, abantu abanokuhlukana kwamagxa baya kuphawula intlungu kunye nentlungu phezu kwephepha labo.
I-bump empeleni kubangelwa ukuphela kwe-collarbone ephikisana nesikhumba.
Abantu abaninzi abanamahlombe ahlukeneyo bangakwazi ukulawula ukonakaliswa ngonyango olungenakuvuthwa . Enyanisweni, oogqirha abaninzi bamazinyo bayavuma ukuba yonke uhlobo kunye nohlobo lwemiqathango yokuhlukanisa II lunokulawulwa ngaphandle kokuhlinzwa. Uhlobo lwe-I kunye no-II ukuhlukana kwamagxalaba yiyona nto ixhaphakileyo kakhulu, ngoko, ukungenelela kwongxamnye kuthathwa njengengxenyana encane yale nzakala.
Kukhona ingxabano malunga nokulawulwa kohlu lohlula i-III, ngelixa udidi oluninzi lwe-IV, V, kunye no-VI luhlula ngokuhlinzwa. Umgca ophezulu, abaninzi abantu baya kwenza kakuhle ngaphandle kokuhlinzwa; Ziyodwa kuphela iintlobo ezinzima kakhulu zamahlombe ahlukileyo aphelisa ukufuna utyando unyango.
Izinketho zokuPhepha
Injongo yazo zonke iinkatho zokwelapha ukuhlukana kwamagxa kukubuyisela ukulungelelaniswa okuqhelekileyo kokuphela kwe-collarbone kunye nomda wangaphandle wegxala (i-acromion).
Ekugqibeleni, ithemba liwukubuyisela ukulungelelaniswa kwala mathambo, bawagcine kwindawo ezinzile, kwaye banciphise intlungu kwi-joint acromioclavicular.
Iindlela zokupasa eziphambili ziquka:
Ukulungisa i-AC Joint: Ukulungiswa kwendibano ye-acromioclavicular yenza ingqiqo eninzi. Into ebonakalayo yolu bungozi kukuphazamiseka kokubambisana, kwaye ukulungelelanisa nokubamba iqhagamshelo kwindawo efanelekileyo kwenza ukuba kuninzi.
I-AC iqhagamshelo liqhutyelwa endaweni kunye nezitya zetsimbi okanye izikhonkwane ezibizwa ngokuba yi- Kirschner wires (k-wires). Ingcipheko yolu vavanyo kukuba ihluleka ukujongana nomonakalo we-ligament kwiigamente ezinamandla ezibambe ukuphela kwe-clavicle phantsi. Ukongezelela, ezi zifakelo zetsimbi ezisetyenziselwa ukubamba ukudibanisa kwisikhundla zingabangela intlungu, zifuna ukuba zisuswe, kwaye nangakumbi malunga nokuba kunokwenzeka ukuba ezi zimilo ziyakwazi ukufuduka. Oku kuthetha ukuba bangakwazi ukuhamba ngaphakathi emzimbeni, kwaye kukho iingxelo ezikrakra ze-k-wires ezibekwa kwi-clavicle ephela ngaphakathi kwesikhumba esiphezu kwexesha.
Ukubamba iCollarbone Down: Kukho iindlela ezininzi zokujongana nokulimala kwe-AC ene-collarbone, ezinye zisebenzisa isinyithi, ezinye zisebenzisa i-suture enzima. Ngokuqhelekileyo i-collarbone iqhutywe kwinkqubo yerokhidi, inkohliso yethambo ephambi kwegxala elingaphantsi kwe-collarbone. Ingaba i-screw isenokufakwa kwi-collarbone ibe yi-corocoid, okanye amathambo amabini angabanjiswa ngokuqinileyo nge-sutures. Ingcipheko yalezi zindlela kukuba i-screws ngokubanzi kufuneka isuswe kwaye i-sutures iyakunqumla kwaye iphule ithambo.
Ukulungiswa kwakhona kweLigaments: Udidi lokugqibela lokukhetha ukwakhiwa kwakhona kwemigqaliselo ebambe isiphelo se-clavicle kwindawo efanelekileyo.
Kukho uninzi lweendlela zokwenza le nkqubo, nokuba usebenzisa izicubu zesigulane okanye izicubu zinikelo . Enye yeenkqubo eziqhelekileyo ezenziwa, ezibizwa ngokuba ngu-Weaver-Dunn, uguqula enye yegigamenti emikhulu edibanisa kwi-acromion ekupheleni kwe-clavicle. Oku kugcina i-clavicle kwindawo eqhelekileyo. Ezinye iinketho ziquka ukulungiswa kwakhona kwemigudu ye-coracoclavicular (elaliqwenguliweyo xa ukuxhatshazwa kwegxalaba lenzeke) kunye ne-tendon ephuma emlenzeni wakho okanye i-tendon evela kumnikeli. I-tendon graft ihlanganiswe nge-coracoid enezikhwebu ize ifike kwi-clavicle.
Ngonyango o lukhethwe
Kwiimeko ezininzi, ndikhetha ukuphinda ndivuselele izigulane ezonakalisiweyo. Ukuthuthwa kwemithambo yokufuduka (ukuhamba) kwi-clavicle kukubhekiselele, kwaye ezininzi izigulane azifuni ukuhlinzwa okwesibini ukwenzela ukuba ususwe rhoqo. Ukongezelela, inkqubo yokuvuselela iyona yodwa ejongene nengxaki ephambili - iimbogi eziqhekekileyo ezibambe ukuphela kwe-clavicle. Ndisebenzisa izicubu zinikelo ezijikeleza ikoracodi kwaye zigcinwe kwi-collarbone eneemfono ezithathwa ngumzimba ngokuhamba kwesikhathi. Nangona kunokwenzeka ukuba isebenzise izicubu zomntu, kunokuba izicubu zinikele, abaninzi abantu abafuni ukuhlinzwa ngokufanayo ngexesha labo kunye nemilenze yabo! Ngoko ke, itonon ye-donor yinto efanelekileyo kwaye isebenze kakuhle kumava am.
Konke okuthethileyo, abanye oogqirha baphumelele ngezinye iindlela zokonyango. Kungenxa yokuba omnye ugqirha okhetha uphando oluthile aluthetha ukuba yinto efanelekileyo. Kuthathwa kakuhle ukuba oogqirha baphikisana nale miba kwaye abanokungavumelani noluphi uhlobo olukhethileyo. Qinisekisa ukuba ufumana ugqirha onamava onyango olunyulwayo xa usenza isigqibo sakho.
> Imithombo:
> Simovitch R, Sanders B, Ozbaydar M, Lavery K, Warner JJ. Ukuxhatshazwa ngokuxhatshazwa kwe-acromioclavicular: ukuxilongwa nokuphathwa "J Am Acad Orthop Surg. 2009 Ngo-Apr; 17 (4): 207-19. Uhlolo.