Unyango lwe-Elbow echithwe
Ukutshintsha kwe-elbow kwenzeka xa ingalo engaphezulu kunye ne-forearm ihlukaniswa nesimo sayo esifanelekileyo. Ithambo lesandla esingaphezulu (i-humerus) ngokuqhelekileyo lithinta amathambo ephambili (i-radius kunye ne-ulna). Xa kuqhuma i-elbow, amathambo ayahlukana nokulungelelaniswa okuqhelekileyo. Ukwahlukana kwe-Elbow yinto yesibini exhaphakileyo yokudibanisa, ngokulandela igalelo .
Kukho iintlobo ezimbini ezibalulekileyo zokugqithiswa kweelbow:
- Ukwahlukana okulula kwe-Elbow
Ukutshintshwa kwe-elbow elula kuthetha ukuba akukho ukuphuka kwamathambo ejikelezileyo. Ukugxekwa kwe-elbow ephazamisayo kunokungcono, njengoko kutyunjwa rhoqo ukuba kungabikho unyango. - Ukudibanisa kwe-Elbow Complex
Ukudibanisa i-elbow edibeneyo kuthetha ukuba kukho ukuphuka, okuqhelekileyo kwe-forearm, eyenziwe kunye ne-elbow dislocation. Kwi-elbow dislocation edibeneyo, kufuneka ukuba utyando lukulungele ukulungisa ithambo ephukile ukuze kugcinwe umxube we-elbow kwisikhundla esifanelekileyo.
UkuHlola kwe-Elbow Distlocated
Ukuba umntu ulimaze i-elbow yayo, umxube odibeneyo wokudibanisa kufuneka uthathelwe njengento ebangela ukuba ubuhlungu bentloko bubangele. Iimpawu zesigxina esiphambukileyo ziquka intlungu, ukuvuvukala, kunye nokukwazi ukugoba i-elbow. Kweminye i-elbow dislocation, umonakalo okanye umonakalo wezabizi zegazi unokwenzeka. Zonke iindawo zokungabikho zifuna ukugqithiswa ngokukhawuleza, kodwa abo abanomdla okanye isisulu (inkunkuma yegazi) bafuna ingqalelo ekhethekileyo.
Ngaphambi kokubeka i-elbow kwisithuba (ebizwa ngokuthi "ukunciphisa" i-elbow), kufuneka kwenziwe i-x-ray ukujonga indawo ye-elbow dislocation kwaye ikhangele nayiphi na i-fractures edibeneyo.
Ukunyangwa kwe-Elbow Dislocation
Ukutshatyalaliswa kwendlovu kuphathwa ngokubeka kwakhona amathambo. Ngokuqhelekileyo ukunciphisa kwenziwa phantsi kwe-anesthesia, nangona kunjalo, ukuba isiguli sinako ukuphumla, ukunciphisa kunokwenziwa ngaphandle kwe-anesthesia.
Ngokuqhelekileyo umxube we-elbow uqobo, "uphawule" kwakhona endaweni, kodwa kunokuba nzima ukufikelela ukulungelelana okuqhelekileyo kwingozi eyingozi. Emva kokunciphisa i-elbow, enye i-x-ray kufuneka yenziwe ukuze kuqinisekiswe ukulungelelaniswa okufanelekileyo kokubambisana.
Ukuba i-elbow dislocation elula, emva kokuba umdibaniswane unciphise, umhloli kufuneka anqume ukuzinza kwesigxina somlenze. Ukuba i-elbow ayiyi kuhlala kwindawo, kwaye ihlala iphinda ikhuphe ngaphandle, utyando luya kuba luyimfuneko. Kwiimeko ezininzi, i-elbow ingenakunyuswa kwindawo apho umdibaniso uzinzile. Isikhundla sozinzinzo oluzinzileyo sinokuphakama kwesiguqa, kwaye isandla saphendula isundu.
Ukuchithwa kwe-immobilization kuphelelweyo, njengoko ukukhulelwa kwexesha elide kungenza ubunzima obubalulekileyo bombutho. Izigulane ziqaliswe ngokunyakaza kwexesha elide, ngokuqhelekileyo ngaphakathi kweentsuku okanye ngeveki emva kokulimala. Ukuhamba kuqaliswe kwinqanaba apho i-elbow yomelele kwaye yanda ngokunyuka. Izigulane ezichithwa ngokulula zikwazi ukufumana ukubuyela kwimisebenzi epheleleyo ngaphakathi kweiveki ezi-6 ukuya kwezi-12 zokulimala.
Uphando lwe-Elbow Dislocation
Ukuvuthwa akunakudliwa ngokukhawuleza ukuze kube lula ukuhamba. Ukuvuthwa kuyimfuneko emva kokuba i-elbow idibanise xa i-elbow ingayi kuhlala kunye (malunga ne-1-2% ye-elbow dislocation).
Izifundo ezininzi azibonisanga nzuzo kwi-ligament yokulungiswa emva kokutshatyalaliswa kwe-elbow elula.
Ukuhlinzwa ngokuqhelekileyo kuyimfuneko xa kukho ukungqubuzana okuxutywayo kunye ne-elbow dislocation. Ngaphandle kokuqhaqhaqhaqha koqhaqhoko, kudla kunzima ukugcina ukulungelelaniswa kwendibano yomgca. Ukuvuthwa ngokuqhelekileyo kudinga ukubeka amacwecwe kunye nezikhwebu kumathambo aqhekekileyo ukubuyisela ukulungelelaniswa kwazo.
Imithombo:
Cohen MS, uHastings H. "Ukutshatyalaliswa kwe-elbow ngokucacileyo: ukuhlola nokulawula" J. Am. Acad. IOrpop. Ukugula, uJan 1998; 6: 15 - 23.