Amabhondi aphukileyo kubantwana angabangela iingxaki zokukhula
Xa umntwana enesifo sekhefu ephuka kwiplani yokukhula , kukuxhalabisa xa usenza isigqibo sokuba uphathe njani ithambo elaphukile. Amacwecwe okukhula emacaleni amathambo amathambo ahlala apho amathambo amatsha afakwa njengoko abantwana bekhula. Ukunyangwa kwenzalo yokukhula kwendiza kuxhomekeke kwimibandela ebalulekileyo ebandakanya:
- Ukulimala okuthe kratya
- Ubudala bomzimba wesigulane (ubuninzi bokukhula kwethambo buhlala)
- Ubunzima bokulimala
Ukulimala kwamacwecwe okukhula okuncinci, kwaye kwenzeka ngokusondeleyo kwithuba lokuvalwa kweplani yokukhula i-pregnosis. Ukulimala kolukhulu kunokwenzeka kwizigulane ezincinci kufuna ukubonwa kwaye mhlawumbi unyango ukukhusela iingxaki. Xa isalathiso sokukhula sonakaliswe, kunye neziphumo zokukhubazeka, kukho iindlela ezininzi zokonyango.
Ukugxotha
Amagqabi angabikho kwimeko, okanye abathunjiweyo abasemzini, kaninzi banokuphathwa ngamatye. Enyanisweni, unyango oluqhelekileyo lwezinto eziphukileyo kwiintlobo zentambo elula . Uhlobo oluqhelekileyo lwenthambo ephukile ephathwe kwiphithiphu libizwa ngokuba lukhuni .
UkuNcitshiswa okuViweyo kunye nokuKhangela
Xa iplati yokukhula ihambile okanye ingabonakaliswa ngokufanelekileyo, ugqirha wakho unokuthi azalise amathambo aphukile ngokufaka ingcinezelo kwendawo eyalimalayo. Le nkqubo idinga i-anesthesia. Kwiintsana ezincinci, i-sedation idla ngokuyimfuneko, ngelixa abantwana asebekhulile kunye nabantwana abaselula banokunyamezela i-anesthetic yendawo.
Ukunciphisa Kuvaliwe ngePinning
Ngokuqhelekileyo amathambo anokwenziwa ngaphandle kokuhlinzwa kodwa angadinga ukuqiniswa okungeziwe ngexesha lokuphilisa. Kule meko, izikhonkwane zingafakwa ngesikhumba ukuze zibambe amathambo aphukile ngokulungelelaniswa. Izikhonkwane ziyasuswa, ngokuqhelekileyo eofisini, emva kweeveki kamva emva kokuphilisa kuqalile.
Ukulimala okuqhelekileyo okucatshulwayo kukuqhekeka kwe-humerus .
Ukunciphisa ukuVulwa
Ukuncitshiswa okuvulekileyo yindlela enye yokutsho ukutyunjwa kwendabuko - isicatshulwa senziwa phezu kwethambo eliphukile, kwaye amathambo asebenza ngqo. Ukuba kuyimfuneko, iifreyiti, iiplati, okanye izitshixo zingasetyenziselwa ukubamba ithambo kwindawo efanelekileyo.
Ukuncitshiswa okuvulekileyo kudla ngokufunekayo kubantwana xa kuvela ukuphuka, kunye nezicubu ezinothutho ezijikeleze ukuphuka zibopha phakathi kwamathambo. Kule meko, akukho mveliso yokudonsa okanye ukunyusa ingabuyisela ukulungelelaniswa kwamathambo.
Ukukhutshwa kwePlate Plate
Ukubanjwa kokukhula yinkqubo eyenziwa ngokuqhelekileyo kwiphelo elingalimazi. Isimo siza kwenzeka ukuba iplani yokukhula yalimala kwisithambo sesinxele sesinxele esenza ukuba iplani yokukhula ivale ngokukhawuleza, i-bone right shin ingayenza inkqubo yokuyeka ukukhula kwisithambo lesinene. Le nkqubo ibizwa ngokuba yi-epiphysiodesis. Ukubanjwa kokukhula kuthathwa ixesha elide emva kokulimala kokuqala, kuphela xa kunokungahambisani nendawo yokuhamba.
Ukuhlaliswa kweBhara
Ukuba inxalenye yesikhala sokukhula ivalwe kungekudala ngenxa yokulimala kweplate, kodwa intsalela yeplani yokukhula iphilile, indawo yokuvalwa kwangaphambili ingasuswa.
Le nqubo iyakususa inxalenye evaliweyo yecala lokukhula, okuvumela ukuba isilenze siqhubeke sikhula.
I-Osteotomy / Ukunyusa
Ukuba ukulimala kweplate kubangele ukuba i-extremity is angled, okanye ukuba kukho ukukhula okuphawulekayo, kukho inkqubo inokucetyiswa ukulungisa ukukhupha ( osteotomy ) okanye ukwandisa umda.
Yiyiphi Impumelelo?
Unyango olungcono kunyango lokukhula kwekhawu kuxhomekeke kwimeko nganye. Kucacile ukuba, unyango oluncinci lufanelekile kwisigulane, kodwa ukuba unyango olulula aluvumelekile ukubuyisela ukulungelelanisa okwaneleyo kwithambo, kungenjalo unyango olusenokungeniswa.
Imithombo:
Chong A, "Ukulimala kwe-epiphyseal" www.OrthoSeek.com © Wheaton Resource Corp.