O hloka neng go buiwa ga go robega ga mmele?

Go robega gantši go sepedišana le dikgobalo dikarolong tše dingwe tša mmele. Mo tshepedišong ka moka ya kalafo, balwetši ba swanetše go alafša ka kakaretšo.

Tatelano ya Bohlokwa

• Phološa maphelo

• Phološa ditho

• Boloka manonyeletšo

• Mošomo wa go aga lefsa

  
  

Go bua ka tšhoganetšo: melao ya motheo ya kalafo ya go gobala ga methapo, go robega mo go bulegilego le go robega mo go tswaletšwego.

• Phokotšo ye e bulegilego le go tiiša ka gare ka pela ka mo go kgonegago (ka gare ga 6h) .

• 48h

• 3 ~ 7d: E tla oketša go direga ga ARDS le mathata a mangwe.

• 7 ~ 10d: Karabelo ya endocrine e ile ya fokotšega [go ruruga go ile gwa kokobela, go ruruga go ile gwa nyamelela].

• Dibeke tše fetago tše 2: bothata bja go buiwa bo a oketšega gomme mošomo wa ka morago ga go buiwa o a fokotšega.

Go robega ga lerapo la molala

• Ge thibelo ya go robega e gobatša mothapo wa ka fase ga clavian, mothapo le brachial plexus, go dumelelanwe gore ke bothata bjo bogolo gomme bo swanetše go buiwa ka pela.

Kgauswi le go robega ga humeral

• Ge go boela morago ga elastic go direga ka morago ga phokotšo ya seatla-the tendon ya biceps longus, ge dika tša methapo ya axillary di tšwelela.

Go robega ga shaft ya humeral

• Gatee-tee ge dika tša go gobala ga methapo ya radial di hweditšwe tlhahlobong ya mmele, go buiwa go tla dirwa gatee-tee.

Go robega ga humeral ya kgole

• Mohuta wo wa go robega o ka baka kgobalo le ge e le efe ya methapo ya tšhika goba ya methapo ya madi yeo e fetago ka gare ga lelokololo la sekonokono. 

• Go gagoga ga methapo ya madi ke ka sewelo, eupša go ka ba le kgatelelo goba go gatelela. 

• Fascial sebaka syndrome-hang-hang incision le decompression.

Kgobalo ya olecranon, hlooho radial le rarahaneng elbow kopanetsoeng

• Feleletša go buiwa mo bekeng.

• 1 ~ 2 dibeke tshebetso taboo nako-myositis ossificans.

• Go buiwa ka dibeke tše 2.

  
  

Go robega ga letsogo la pele gabedi

• Goba go robega mo go bulegilego go swanetše go šomišwa ka gare ga 6 ~ 8h ka morago ga go gobala.

• Go diega go šoma go ka oketša kotsi ya go bopega ga leporogo la marapo magareng ga ulna le radius.

Go robega ga radius ya kgole

• Ge tlhahlobo ya mmele e hweditše gore go gobala ga tendon ya extensor pollicis longus le dika tša go gatelela methapo ya magareng di ile tša tšwelela-go buiwa ka pela.

Go robega ga seatla

• Phokotšo ya ka pela le go tsepama ka gare di gatelelwa bakeng sa bobedi go robega mo go bulegilego le mo go tswaletšwego, kudu-kudu go bao ba raraganego ka dikgobalo tša methapo, methapo goba ditšhika, go buiwa go swanetše go dirwa ka pela.

  
  

Go robega ga pelvic

• Go robega ga pelvic gantši go kopanywa le go robega dikarolong tše dingwe, e lego seo se tlago go lebiša go se tsepameng ga hemodynamic.

  
  

• Mokgwa wa kalafo wa go robega ga pelvic mo go raraganego: 30min, diphetho tše 3

• Go nyakišiša ka pela ka go bua go emiša go tšwa madi

• Pelvic fixation (C-bōpehileng joaloka forceps kapa ka ntle fixator) e phethoa ka 10 ~ 15min.

• Ka morago ga go lebelela ka 10 ~ 15min, molwetši o sa na le go se tsepame ga hemodynamic-go buiwa.

• Bakeng sa bakuli ba nang le hemodynamics tsitsitseng, tshebetso lokela ho etsoa ka matsatsi a 7, kapa 7 ~ 14 matsatsi a.

Kgauswi le go robega ga femoral-go robega ga intertrochanteric

• Ge boemo bja kakaretšo bja molwetši bo šetše bo laolwa, go tsepama ka gare, DHS, DCS le PFN, go swanetše go dirwa.

Go robega ga femoral mo go lego kgauswi-go robega ga molala wa femoral

• Go robega ga molala wa femoral, kudukudu go robega ga intracapsular, go ka bea kabo ya madi ya hlogo ya femoral kotsing, ka fao go a nyakega go bula phokotšo le go tiiša ka gare ka pela ka mo go kgonegago.

• Fixation ka hare: < 65 lilemo li

• Go tšeelwa legato ga mohlakanelwa: > 65 years old

• Ge e ba go buiwa ga tšhoganetšo go sa kgonege, go phunya manonyeletšo le go aspiration ya intra-articular hematoma go ka dirwa, gomme lelokololo la letheka le ka bolokwa le le boemong bja go koba ka seripagare le bja go dikološa ka ntle.

Go robega ga letheka la kgole

• Balwetši bao ba nago le dikgobalo tše šoro tša dinama tše boleta, go robega mo go bulegilego, goba mathata a go buiwa ka pela-Super-articular external fixator.

• Kalafo ya go bua ka pela ya kgobalo yeo e lego lekatana-—DCS, lenala la ka gare ga medullary yeo e boelago morago.

  
  

Go robega ga Patella

• Boemo bja kakaretšo bja molwetši bo a tsepama, gomme maemo a letlalo a lefelong leo a dumelela, go buiwa go swanetše go dirwa ka pela.

Go robega ga tibial mo go lego kgauswi

• Laola mohuta wa dikgaruru tša dikgobalo

• Go gobala ga matla a magolo gantši go sepedišana le go gobala mo gogolo ga dinama tše boleta. E tšoauoa ka setho ho ruruha, makhopho, letlalo abrasion le letlalo laceration. Tshepedišo e swanetše go bušetšwa morago ka nako ye. Ka nako e swanago, fascial space syndrome le dikgobalo tša methapo le methapo di swanetše go kgaphelwa ka ntle.

Go robega ga shaft ya tibial

• The particularity ya anatomy-bohlokwa ba bonolo dinama tse nyenyane tse khupetšo.

• Kgato ya mathomo: ka gare ga 8h

• Fixator ya ka ntle e tšewa bjalo ka kgetho ya mathomo ya kalafo ya ka pela.

• Thekgo ya gypsum

• Go goga ga calcaneal

• Kgato ya II: dibeke tše ka bago tše 2.

• Go be go se na tshwaetšo e lego molaleng ya tshepedišo le kgateletšego e šoro.

• Ga go na go ruruga goba exudation ya lebadi.

• Makhopho a omile, go ruruga go a kokobela gomme maswao a marapo a ka kgongwa.

• Letlalo le wrinkled, mela letlalo hlaha.

Go robega ga tibia ya kgole (pilon) .

Sephetho sa kalafo sa go robega ga Pilon se ithekgile ka boleng bja go agwa lefsa ga manonyeletšo le boemo bja khupetšo ya dinama tše boleta.

Nako e kaone ya go buiwa e ithekgile ka boemo bja dinama tše boleta:

• Early sethaleng: tshebetso ile etsoa ka hare ho 6 ~ 8h, e leng nka 2 ~ 3h.

• Tiego: 7 ~ 10 matsatsi a, ho ruruha nyamela le letlalo wrinkles hlaha.

Melao e mene ya motheo ya setšo yeo e swanetšego go latelwa kagong lefsa ya go bua ya kgato e tee:

• Kagoleswa ya fibula

• Kagoleswa ya tibial articular bokagodimo

• Go hlomesetšwa ga marapo

• Thekgo ya poleiti ya marapo

Go robega ga leqaqailaneng

• Go robega ga leqaqailaneng ke go robega ga intra-articular.

• Morero wa kalafo ke go tsošološa sebopego se se tlwaelegilego sa anatomical sa manonyeletšo.

• Nako ya go buiwa e ithekgile ka boemo bja dinama tše boleta.

• Nako e swanetšego ya go buiwa ke pele ga ge edema le makhopho a tšwelela lefelong leo go robegilego go lona.

Go robega ga leoto

• Ke leswika la maoto la gore batho ba eme le go sepela. Go tsošološa sebopego se se tlwaelegilego sa anatomical sa leoto go kgatha tema e bohlokwa go emeng le go sepela ga batho.

• Go swana le ka go robega ga leqaqailaneng, nako ya go buiwa e ithekgile ka tekanyo le boemo bja go ruruga ga ditlhalenama tše boleta.

Go robega ga mokokotlo

• Ge e ba mmele ka moka o tsepame, go robega mo go hudušitšwego go swanetše go buiwa ka pela ge e ba go e-na le dika tša methapo.

  
  

Tsela ya go Reka Dilo tša go tsenywa ga marapo le Didirišwa tša go alafa marapo!

Ya CZMEDITECH , re na le mola wa sehlahiswa o feletseng haholo wa di-implant tša go bua marapo le diletswa tše di swanetšego, ditšweletšwa go akaretša di-implant tša mokokotlo, manala a ka gare ga medullary, poleiti ya masetla-pelo, poleiti ya go notlela, cranial-maxillofacial ya sefahlego, setho sa maitirelo, didirišwa tša mohlagase, fixators ka ntle, arthroscopy ya marapo, tlhokomelo ya bongaka bja diphoofolo le disete tša bona tša didirišwa tša thekgo.

Go tlaleletša, re ikgafile go tšwela pele go hlabolla ditšweletšwa tše mpsha le go katološa mela ya ditšweletšwa, e le gore re fihlelele dinyakwa tša go bua tša dingaka le balwetši ba bantši, le gape go dira gore khamphani ya rena e be le phadišano kudu ka intastering ka moka ya lefase ka bophara ya go tsenywa ga marapo le didirišwa.

Re romela ntle lefaseng ka bophara, ka fao o ka kgona ikopanye le rena go aterese ya imeile song@orthopedic-china.com bakeng sa setsopolwa sa mahala, goba romela molaetša go WhatsApp bakeng sa karabo ya ka pela +86- 18112515727 .

Ge o nyaka go tseba tshedimošo ye ntši,tobetsa CZMEDITECH go hwetša dintlha tše dingwe.