Kodi kupasuka kwa metacarpal ndi chiyani?

Mawu Oyamba

Kuphulika kwa metacarpal ndi kuvulala kwamanja komwe kumakhudza mafupa aatali m'manja. Kuzindikira koyenera ndi chithandizo ndikofunikira kuti tipewe zovuta zanthawi yayitali monga kuchepa kwa kuyenda kapena kupweteka kosalekeza. Ngati mukumva ululu wamanja pambuyo pa kupwetekedwa mtima, kuchitapo kanthu panthawi yake ndikofunikira.

Biomechanics ya Metacarpal Fractures

Kuchokera pamawonedwe a biomechanical, mafupa a metacarpal amagwidwa ndi axial loading, kupindika mphamvu, ndi kupsinjika maganizo pakugwiritsa ntchito manja tsiku ndi tsiku. Mphamvu yakunja ikadutsa malire otanuka a fupa, kupasuka kumachitika.

Zinthu zingapo zimakhudza mtundu wa fracture:

• Direction ndi kukula kwa mphamvu

• Kuyika kwa dzanja pakukhudzidwa

• Kuchulukana kwa mafupa ndi zaka

• Minofu imakoka kuchokera kuminofu yamkati ndi kunja kwa manja

Mwachitsanzo, kuthyoka kwa khosi lachisanu la metacarpal nthawi zambiri kumasonyeza kugwedezeka kwa volar chifukwa cha kukoka kosatsutsika kwa interossei ndi minofu ya lumbar.

Zogwirizana nazo: Metacarpal Plate Fixation Systems - CZMEDITECH

Kupunduka Kozungulira - Nkhani Yovuta Koma Nthawi zambiri Imaphonya

Mosiyana ndi kung'ung'udza, kupunduka kozungulira sikungakhale kowonekera pazithunzi za X-ray. Zachipatala, zimazindikirika bwino poyang'ana momwe chala chikugwirizanirana pamene wodwala akumenya nkhonya.

Ngakhale kusinthasintha pang'ono kungayambitse:

• Kulumikizana kwa zala

• Kuchepetsa kugwira bwino ntchito

• Kuwonongeka kwa magwiridwe antchito kwa nthawi yayitali

Pachifukwa ichi, kupunduka kozungulira kumaonedwa kuti ndi chizindikiro champhamvu cha kuwongolera opaleshoni, ngakhale kuti fracture ikuwoneka yosasunthika pang'ono.

Chidziwitso chachipatala ichi chimasiyanitsa kwambiri kuwunika kwa mafupa a akatswiri kuchokera ku kasamalidwe koyambirira kwa fracture.

Zizindikiro Zothandizira Opaleshoni

Ngakhale kuti fractures zambiri za metacarpal zimatha kuchiritsidwa mosamala, opaleshoni ikulimbikitsidwa pansi pazifukwa izi:

• Kukhumudwa kosavomerezeka kupitirira kulolerana kwa ntchito

• Mulingo uliwonse wa kupunduka kozungulira

• Ma fractures ambiri a metacarpal

• Open fractures

• Kuphatikizidwa kwa intra-articular

• Kulephera kuchepetsa kutsekedwa

Cholinga chachikulu cha opaleshoni ndi kugwirizanitsa kwa anatomical ndi kukhazikika kokhazikika, kulola kulimbikitsana koyambirira pamene kuchepetsa zovuta.

Njira Zokonzekera ndi Zolingalira Zachipatala

Plate ndi Screw Fixation

Amapereka kukhazikika kokhazikika komanso kuyanjanitsa bwino, makamaka kwa:

• Kuphwanyidwa kwapang'onopang'ono

• Kuphulika kwa shaft

• Ma fractures angapo

Komabe, mbale zimafunikira kusamalidwa mosamala kwa minofu yofewa kuti zisakhumudwitse tendon.

Kukonzekera kwa Kirschner Wire (K-Wire).

Njira yocheperako yomwe imagwiritsidwa ntchito nthawi zambiri:

• Kuthyoka kwa khosi

• Matenda a ana

• Kukhazikika kwakanthawi

Kukonzekera kwa Intramedullary

Njira yodziwika kwambiri yomwe imalinganiza kukhazikika ndi kusokonezeka kochepa kwa minofu yofewa.

Kusankhidwa kwa kukonza kumadalira chitsanzo cha fracture, zokonda za opaleshoni, ndi mlingo wa ntchito ya odwala.

Kasamalidwe ka Postoperative and Hand Therapy

Zotsatira za opaleshoni yopambana zimadalira kwambiri kukonzanso pambuyo pa opaleshoni. Kuyenda koyang'aniridwa koyambirira kumathandiza kupewa kuuma komanso kumamatira kwa tendon.

Protocol yokonzanso yokhazikika imaphatikizapo:

• Kuwongolera edema

• Zochita zolimbitsa thupi pang'onopang'ono

• Kulimbitsa mwapang'onopang'ono

• Kuphunzitsanso ntchito

Kulumikizana kwapafupi pakati pa dokotala wa opaleshoni ndi wothandizira pamanja ndikofunikira kuti achire bwino.

Mfundo Zapadera M'magulu Odwala Osiyana

Othamanga

Nthawi zambiri othamanga amafuna:

• Kubwerera mwachangu kukasewera

• Kukhazikika kokhazikika komwe kumalola kuyenda koyambirira

• Chitetezo chokhazikika pa nthawi ya kuchira

 Ogwira Ntchito Pamanja

Kwa ogwira ntchito omwe amadalira mphamvu zogwira, chithandizo chimayika patsogolo:

• Kukhazikika kwamakina

• Kukhalitsa kwanthawi yayitali

• Kupewa kupweteka kosalekeza

Odwala Okalamba

Ubwino wa mafupa ndi comorbidities zimakhudza kusankha kwamankhwala komanso nthawi ya machiritso.

Zotsatira Zanthawi Yaitali ndi Zomwe Zimayambitsa

Ndi kasamalidwe koyenera:

• Odwala ambiri amayambiranso kugwira ntchito zamanja zomwe zinali zachilendo

• Mphamvu zogwira zimabwerera ku> 90% ya zoyambira

• Kupunduka kwa nthawi yayitali sikozolowereka

Zotsatira zoyipa nthawi zambiri zimagwirizanitsidwa ndi kuchedwa kuzindikiridwa, kupunduka kozungulira kopanda chithandizo, kapena kukonzanso kosakwanira.

Chifukwa chiyani Metacarpal Fracture Management Imafuna Ukatswiri Wapadera

Ngakhale kuti fractures ya metacarpal ndi yofala, kasamalidwe kake kamafuna kumvetsetsa bwino kwa thupi ndi kulingalira bwino. Zolakwika zazing'ono pamalumikizidwe zitha kukhala ndi zotsatira zokulirapo pakuchita kwa manja.

Ichi ndichifukwa chake chisamaliro chamakono chovulala chikugogomezera:

• Kuwunika kolondola

• Kukonzekera kozikidwa pa umboni

• Kusonkhanitsa koyambirira

FAQ Gawo

Ndi zizindikiro ziti zosweka zomwe zimawonetsa kwambiri kukhazikika kwa opaleshoni?

Kukonzekera kwa opaleshoni kumasonyezedwa makamaka ndi kupunduka kozungulira, kusakhazikika kosasunthika, kukhudzidwa kwa metacarpal kangapo, fractures yotseguka, intra-articular extension, kapena kulephera kwa kuchepetsa kutsekedwa. Mwa izi, kusayenda bwino kozungulira kumawonedwa ngati kofunika kwambiri pantchito.

Kodi kung'ung'udza kotani komwe kumavomerezeka pakuphwanya kwa metacarpal?

Kuwongolera kovomerezeka kumasiyanasiyana ndi manambala. Nthawi zambiri, kukhumudwa kwakukulu kumaloledwa mu ulnar metacarpals kuposa ma radial metacarpals. Komabe, mlingo uliwonse wa kupunduka kozungulira sikuvomerezeka, mosasamala kanthu za kulolerana kwa angulation.

Nchifukwa chiyani kusinthika kwa kasinthasintha kumaonedwa kuti ndikofunika kwambiri kuposa kukhumudwa?

Kupunduka kozungulira kumabweretsa kuphatikizika kwa chala panthawi yopindika, zomwe zimasokoneza kwambiri zimango ndi manja. Ngakhale kusinthasintha pang'ono kungayambitse kuwonongeka kwa magwiridwe antchito ndipo sikulipidwa bwino ndi mfundo zoyandikana.

Kodi maubwino otani a kukhazikika kwa mbale mu fractures ya metacarpal?

Plate fixation imapereka:

• Kukhazikika kolimba

• Kukhazikika kwabwino kwa anatomical

• Kusonkhanitsa koyambirira

• Kuchepetsa chiopsezo chakusamuka kwachiwiri

Ndizothandiza makamaka pakuthyoka kwa shaft, machitidwe ophatikizika, ndi kuvulala kosiyanasiyana kwa metacarpal, ngakhale kusamala mosamala minofu yofewa kumafunika kuti muchepetse kukwiya kwa tendon.

Kodi mawaya a Kirschner amakonda bwanji?

Kukonzekera kwa K-waya kumagwiritsidwa ntchito kwambiri:

• Metacarpal khosi fractures

• Mitundu yocheperako yosweka

• Kukhazikika kwakanthawi

• Matenda a ana kapena osowa kwambiri

Ngakhale zimasokoneza pang'ono, mawaya a K nthawi zambiri amafunikira kusasunthika kwanthawi yayitali poyerekeza ndi kukonza mbale.

Kodi kukonza kwa intramedullary kumagwira ntchito yanji pamankhwala amakono a metacarpal fracture?

Kukonzekera kwa intramedullary kumapereka mgwirizano pakati pa kukhazikika ndi kusokonezeka kochepa kwa minofu yofewa. Imalola kusuntha koyambirira kuposa kuyika kwa percutaneous ndikupewa zovuta zina zokhudzana ndi mbale, ndikupangitsa kuti ikhale yoyenera kusankha shaft ndi khosi.

Kodi kusonkhanitsa koyambirira kumakhudza bwanji zotsatira za nthawi yayitali?

Kusonkhanitsa kolamuliridwa koyambirira kumachepetsa:

• Kulimba kwapakati

• Kugwirizana kwa tendon

• Atrophy ya minofu

Kukonzekera kokhazikika komwe kumalola kusuntha koyambirira ndi chinthu chofunikira kwambiri chothandizira kuchira, makamaka kwa odwala omwe akufuna kwambiri.

Kodi ndi zovuta zotani zapambuyo pa opaleshoni zomwe madokotala ayenera kuyang'anitsitsa mosamala?

Zovuta zomwe zimafala ndi:

• Malunion kapena nonunion

• Hardware kuyabwa

• Kukhazikika kwa tendon

• Kuchepetsa mphamvu yogwira

• Infection mu fractures lotseguka

Zofooka zambiri zogwira ntchito kwa nthawi yayitali zimagwirizanitsidwa ndi kusalinganika kosakwanira kapena kuchedwa kukonzanso.

Kodi njira zamankhwala zimasiyana bwanji kwa othamanga ndi ogwira ntchito zamanja?

Kwa othamanga ndi ogwira ntchito zamanja, choyambirira chimaperekedwa ku:

• Kukhazikika kokhazikika

• Kubwerera koyambirira kuntchito

• Kukhalitsa kwanthawi yayitali

Mipata ya opaleshoni ikhoza kukhala yocheperapo mwa anthuwa chifukwa cha kuchuluka kwa magwiridwe antchito.

Ndi zinthu ziti zomwe zimakhudza kwambiri magwiridwe antchito anthawi yayitali?

Zifukwa zazikulu zolosera ndi:

• Kulondola kwa kuchepetsa fracture

• Kukhazikika kwa kukonza

• Kukonzanso koyambirira

• Kusakhalapo kwa kusinthika kozungulira

Zinthuzi zikakonzedwa bwino, odwala ambiri amapeza ntchito yamanja yanthawi zonse.