Mafotokozedwe Akatundu
Kufotokozera
| REF | Kufotokozera | Makulidwe | M'lifupi | Utali |
| 5100-2001 | 15 mabowo L | / | / | / |
| 5100-2002 | 15 zibowo R | / | / | / |
| 5100-2003 | 18 zibowo L | / | / | / |
| 5100-2004 | 18 zibowo R | / | / | / |
Chithunzi Chenicheni

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Kuthyoka kwa nthiti ndi kuvulala kofala, komwe mpaka 10% ya milandu yowopsa kwambiri yomwe imayambitsa kuthyoka kwa nthiti. Kuthyoka kwa nthiti kumatha kufooketsa komanso kuyika moyo pachiwopsezo, zomwe zimayambitsa zovuta monga pneumothorax, hemothorax, ndi pulmonary contusion. Ngakhale kuti nthiti zambiri zimathyoka paokha, zina zimafuna kuchitidwa opaleshoni, makamaka pamene kupasukako kumachotsedwa, kusakhazikika, kapena kumaphatikizapo nthiti zambiri. M'zaka zaposachedwa, kugwiritsa ntchito mbale zomangiranso nthiti kwakhala njira yabwino yothandizira milandu yovutayi.
Kuti mumvetse kufunikira kwa nthiti zomangiranso nthiti, m'pofunika kumvetsetsa momwe thupi limagwirira ntchito komanso momwe nthiti zimagwirira ntchito. Nthitiyi imapangidwa ndi nthiti 12, iliyonse yolumikizidwa ku msana ndi sternum. Nthitiyi imateteza ziwalo zofunika kwambiri monga mtima ndi mapapo ndipo imathandizira kupuma komanso kuyenda kumtunda kwa thupi.
Kuthyoka kwa nthiti kungayambitsidwe ndi zochitika zosiyanasiyana zoopsa, monga ngozi za galimoto, kugwa, ndi kugunda mwachindunji pachifuwa. Chizindikiro chofala kwambiri cha kuthyoka kwa nthiti ndi ululu, womwe ukhoza kuwonjezereka ndi kupuma, kutsokomola, kapena kusuntha. Kuzindikira kumaphatikizapo kuyezetsa thupi, X-rays, ndi CT scans.
Nthawi zambiri, kuthyoka kwa nthiti kumadzichiritsa paokha ndi chithandizo chokhazikika, monga kuwongolera ululu ndi kupumula. Komabe, panthawi yomwe fracture imasamutsidwa kapena kusakhazikika, kuchitidwa opaleshoni kungakhale kofunikira. Thandizo lachikale la maopaleshoni limaphatikizapo kuyika nthiti, komwe kumaphatikizapo kugwiritsa ntchito mbale zosatsekera, ndi intramedullary fixation, zomwe zimaphatikizapo kulowetsa ndodo m'kati mwa nthiti.
Matabwa omangiranso nthiti atuluka ngati njira yatsopano yochizira matenda othyoka nthiti. Mambale amenewa amapangidwa ndi titaniyamu ndipo amapangidwa kuti azitha kulowa m’nthiti ndi kuigwira pamene ikuchira. Makina otsekera pa mbale amalola kukhazikika kotetezeka kwa nthiti, kuchepetsa chiopsezo cha kulephera kwa hardware ndi kusamuka.
Kugwiritsiridwa ntchito kwa mbale zomanganso nthiti kuli ndi ubwino wambiri kusiyana ndi njira zachikhalidwe. Choyamba, mbale zokhoma zimapereka kukhazikika kotetezeka kwa nthiti, kuchepetsa chiopsezo cha kulephera kwa hardware ndi kusamuka. Kachiwiri, mbale zotsekera zimalola kulimbikitsana koyambirira ndipo zimatha kusintha magwiridwe antchito am'mapapo pochepetsa ululu wokhudzana ndi kupuma. Pomaliza, mbale zokhoma nthiti zomangiranso nthiti zawonetsedwa kuti zimakhala ndi zovuta zochepa kuposa njira zamankhwala azikhalidwe.
Kachitidwe ka nthiti zokhomanso mbale imaphatikizapo kudula pachifuwa kuti nthiti yothyoka iwonekere. Kenako mbale yotsekerayo imayikidwa pamwamba pa nthitiyo ndikuyimanga ndi zomangira. Wodwalayo nthawi zambiri amatulutsidwa m'chipatala pakangopita masiku ochepa ndipo amatha kuyambiranso ntchito zake pakangotha milungu ingapo.
Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zomwe zimagwirizanitsidwa ndi mbale zomanganso nthiti. Zoopsazi ndi monga matenda, kutuluka magazi, kulephera kwa hardware, ndi kuvulala kwa mitsempha. Komabe, zovuta zonse za mbale zomangiranso nthiti ndizotsika kuposa njira zachikhalidwe.
Matabwa omangiranso nthiti atuluka ngati njira yatsopano yochizira matenda othyoka nthiti. Kugwiritsiridwa ntchito kwa mbalezi kumapereka kukhazikika kotetezeka kwa nthiti, kumalola kulimbikitsana koyambirira, ndipo kumakhala ndi zovuta zochepa kusiyana ndi njira zachizoloŵezi zachikhalidwe. Ngakhale pali zoopsa zomwe zimagwirizanitsidwa ndi ndondomekoyi, ubwino wake umaposa zoopsa zambiri. Odwala omwe ali ndi nthiti zovuta zosweka ayenera kukambirana za kuthekera kwa mbale zomanganso nthiti ndi othandizira awo azaumoyo.
Kodi ndani amene akufuna kupanga nthiti zokhoma mbale?
Odwala omwe ali ndi nthiti zovuta zothyoka, kuphatikizapo zothyoka zosasunthika kapena zosakhazikika zomwe zimaphatikizapo nthiti zingapo, akhoza kukhala oyenerera kukonzanso nthiti zokhoma mbale.
Zimatenga nthawi yayitali bwanji kuti muchiritse opaleshoni yomanganso nthiti?
Nthawi yochira imasiyanasiyana malinga ndi vuto la munthu payekha komanso kuopsa kwa fracture. Nthawi zambiri, odwala amatha kuyambiranso ntchito zanthawi zonse pakatha milungu ingapo.
Kodi pali njira zilizonse zosachita opaleshoni zochizira nthiti zothyoka?
Nthawi zambiri, kuthyoka kwa nthiti kumadzichiritsa paokha ndi chithandizo chokhazikika monga kuchepetsa ululu ndi kupuma. Komabe, nthawi zina pamene kupasuka kumakhala koopsa, opaleshoni ingafunike.
Kodi mbale yotsekera nthiti imakhala nthawi yayitali bwanji mthupi?
The nthiti reconstruction locking mbale anapangidwa kuti akhale m'thupi kwamuyaya.
Ndi zoopsa zotani zomwe zingagwirizane ndi nthiti zomanganso zokhoma mbale?
Zoopsa zomwe zingatheke ndi monga matenda, kutuluka magazi, kuwonongeka kwa hardware, ndi kuvulala kwa mitsempha. Komabe, zovuta zonse za mbale zomangiranso nthiti ndizotsika kuposa njira zachikhalidwe.