Iyo clavicle, inozivikanwawo se collarbone, inoita basa rakakosha mukubatanidza ruoko nemuviri. Nekuda kwenzvimbo yayo uye chimiro, iyo clavicle inobatwa nekutyoka, izvo zvinogona kuguma kubva kune zvakasiyana siyana sekukuvara kwemitambo, kudonha, kana tsaona. Mumamiriro ezvinhu apo kuputsika kwakanyanya kana mapfupa akadzingwa, kupindira kwekuvhiya kunogona kudiwa kuti kuporesa kwakakodzera. Imwe mhinduro inoshanda iyo vanachiremba vemapfupa vanoshandisa iyo clavicle locking plate, mudziyo wakagadzirirwa kusimbisa kugadzikana uye kutsigirwa panguva yekupora. Muchikamu chino, tichaongorora mabhenefiti, maitiro, uye kudzoreredza kwakabatana neiyo clavicle yekuvhara ndiro.

Nhanganyaya

Kana zvasvika kune clavicle fractures, nekukurumidza uye kwakakodzera kurapwa kwakakosha kuti uve nechokwadi chekurapa kwakakwana uye kushanda kwenguva refu. Nzira dzechinyakare, dzakaita sekusamira nezvipfuramabwe kana mabhureshi, dzinogona kunge dzakakodzera kutsemuka kudiki. Zvisinei, mune dzimwe nyaya dzakaoma, kushandiswa kweplavicle locking plates kwakabuda semhinduro yakavimbika.

Kunzwisisa Clavicle Fractures

Tisati tanyura mune izvo chaizvo zveclavicle locking plates, ngatikurukurei muchidimbu clavicle fractures. Iyo clavicle inobatwa nekutyoka nekuda kwenzvimbo yakafumurwa uye basa rayo mukutsigira kwakasiyana kufambisa kwemaoko. Kutyoka uku kunogona kuitika nekuda kwekushungurudzika, sekudonha, kukuvara kwemitambo, kana tsaona.

Mhando dzeClavicle Fractures

Clavicle fractures inogona kuiswa mumhando mitatu mikuru: lateral yechitatu, yepakati yechitatu, uye yepakati yechitatu kuputsika. Lateral yechitatu fractures, iri pedyo nejojo ​​repafudzi, ndiyo inonyanya kuzivikanwa, inoteverwa nepakati pechitatu kuputsika, kunoitika pakati pechikamu che clavicle. Pakati pechitatu kuputsika, kunyange zvisingawanzoitiki, zviri pedyo ne sternum.

Zvinokonzera uye Zviratidzo

Clavicle fractures inogona kukonzerwa nezvinhu zvakasiyana-siyana, zvinosanganisira kukanganisa kwakananga, kudzokorora kunetseka, kana kushungurudzika kusina kunanga. Zviratidzo zvinowanzoitika zveclavicle fractures zvinosanganisira kurwadziwa, kuzvimba, unyoro, kuremara kunooneka, uye kuoma kwekufambisa ruoko.

Basa reClavicle Locking Plates

Clavicle locking plates inyanzvi yemapfupa emapfupa akagadzirirwa kudzikamisa uye kutsigira iyo yakatsemuka clavicle panguva yekupora. Aya mahwendefa anowanzo kugadzirwa nezvinhu zvemhando yepamusoro senge titanium kana simbi isina tsvina, inosimbisa kusimba uye kusimba. Iyo yekuvhara nzira yeaya mahwendefa inopa kugadzikana kwakawedzera kana ichienzaniswa neasina kukiya mahwendefa.

Mhedziso yeClavicle Locking Plates

Clavicle locking plates ine ndiro yesimbi ine maburi akawanda uye yekukiya screws. Iyo ndiro yakakomberedzwa kuti ienderane nechimiro checlavicle uye inomisikidzwa pabhonzo rakatyoka. Zvisungo zvekuvhara zvinopinzwa neplate mubhonzo, kuchengetedza zvimedu panzvimbo. Iyi tekinoroji inobvumira kugadzikana kuri nani uye kudzvanya, kufambisa kupora kwakanyanya.

Zvakanakira Kukiya Plates

Clavicle locking plates inopa akati wandei mabhenefiti pamusoro pechinyakare nzira dzekurapa. Kutanga, vanopa kugadzikana kwepamusoro, kuderedza dambudziko rekusava nekubatana (apo pfupa rinokundikana kupora) kana malunion (apo pfupa rinoporesa munzvimbo isina kururama). Chechipiri, mahwendefa ekuvhara anobvumira kuunganidza kwekutanga uye kutakura uremu, kukurudzira kukurumidza kupora uye kugadzirisa. Pamusoro pezvo, mahwendefa aya anopa kuita kwakasiyana-siyana maererano nekutyoka mapatani, anogara akasiyana marudzi eclavicle fractures.

Kuvhara Plate Kunowedzera Kugadzikana

Iyo yekukiya screws inoshandiswa mu clavicle locking plates inogadzira yakagadziriswa-angle yekuvaka, iyo inodzivirira yakawandisa kufamba panzvimbo yekutyoka. Uku kugadzikana kunonyanya kubatsira kune yakaoma mafractures kana makesi anosanganisira akawanda zvidimbu. Nekuchengetedza kurongeka uye nzvimbo yezvikamu zvemapfupa akaputsika, kuvhara mahwendefa anobatsira mukugadzirisa uye kuderedza dambudziko rematambudziko.

Kuvhiya Maitiro

Kana clavicle fracture inoda kupindira kwekuvhiya, chiremba wemapfupa achaita zvinotevera:

Preoperative Evaluation

Asati avhiyiwa, chiremba anovhiya achaita ongororo yakakwana, kusanganisira kuongororwa kwemuviri, X-rays, uye pamwe nekuwedzera mimwe miedzo yekufungidzira. Kuongorora uku kunobatsira kuona kuoma kwekutyoka uye kuronga nzira yekuvhiya.

Anesthesia uye Incision

Kuvhiyiwa kunowanzoitwa pasi peanesthesia. Kana murwere achinge agara, chiremba anovhiya anoita incision pamusoro pe clavicle kuti awane nzvimbo yakaputsika.

Plate Placement uye Fixation

Achishandisa zviridzwa zvine hunyanzvi, chiremba anovhiya anogadzirisa zvimedu zvemapfupa akatyoka uye anoisa iyo clavicle yekuvhara ndiro pamusoro pebhonzo. Iyo ndiro inozochengetedzwa kune clavicle uchishandisa yekukiya screws. Nhamba uye kuiswa kwe screws zvinoenderana neiyo chaiyo yekutyoka pateni uye nekugona kwachiremba wekuvhiya.

Kuvhara uye Postoperative Care

Mushure mekusimbisa kugadzirisa kwakakodzera, iyo incision yakavharwa ne sutures kana staples, uye kupfeka kusina kuchena kunoshandiswa. Murwere anobva atariswa zvakanyanya panguva yekutanga kupora uye anopiwa mirairo yekutarisirwa kwepashure.

Kudzorera uye Kugadzirisa

Kutevera kuvhiyiwa kweclavicle kuputsika nendiro yekukiya, maitiro ekudzoreredza anosanganisira akati wandei matanho:

Chekutanga Healing Phase

Munguva yekutanga kupora, iyo inowanzogara kwemavhiki mashoma, pfupa rinotanga kugadzirisa zvishoma nezvishoma. Murwere anogona kunzwa kusagadzikana, kuzvimba, uye kurambidzwa kufamba panguva iyi. Mishonga yemarwadzo uye ice packs inogona kubatsira kubata zviratidzo izvi.

Physical Therapy uye Exercises

Sezvo pfupa richiramba richipora, chiremba wemapfupa angakurudzira kurapwa kwepanyama uye maitiro ekuvandudza mararamiro ekufamba, simba, uye kushanduka. Aya maekisesaizi akakwenenzverwa kune zvinodiwa nemunhu uye anogona kusanganisira kufambisa kwemaoko kwakasiyana uye mapfudzi ekusimbisa maekisesaizi.

Kudzokera kune Zvakajairika Mabasa

Nguva inotora kudzokera kumabasa emazuva ose inosiyana zvichienderana nemunhu uye kuoma kwekuputsika. Kazhinji, varwere vazhinji vanogona kutangazve mabasa akareruka mukati memwedzi mishoma, nepo zvimwe zvinhu zvinoda muviri zvingada nguva yakareba yekupora. Chiremba anovhiya achapa gwara rekuti pazvinenge zvakachengeteka kuti utangezve mabasa chaiwo.

Zvinogona Kunetsa uye Njodzi

Nepo maplate ekuvhara clavicle achiwanzoonekwa akachengeteka uye anoshanda, senge chero nzira yekuvhiya, kune njodzi dzinogona kuitika uye matambudziko ekuziva. Zvimwe zvinokonzeresa zvinosanganisira:

Utachiona uye Maronda Ekuporesa Maronda

Zvirwere zvinogona kuitika panzvimbo yekuvhiya, kunyange zvazvo zvisingawanzoitiki. Kuchengetedzwa kwakakodzera kwemaronda, kusanganisira kuchengetedza kuchekwa kwakachena uye kwakaoma, kunogona kubatsira kuderedza njodzi yehutachiona. Mune zvimwe zviitiko, kunonoka kupora kweronda kana kushatirwa kweganda kunogonawo kuitika.

Matambudziko Anoenderana Ne Hardware

Pano neapo, nyaya dzine chekuita nehardware dzinogona kumuka, dzakaita sekusunungura ndiro kana sikuruuru, kuputsika, kana kushatirwa. Zvinetso izvi zvinowanzogadziriswa kuburikidza nekuvhiya kana zvichidikanwa.

Mibvunzo Inowanzo bvunzwa (FAQs)

1. Mubvunzo: Zvinotora nguva yakareba sei kuti clavicle fracture ipore nendiro yekukiya?

• A: Nguva yekuporesa inogona kusiyana zvichienderana nemunhu, kuoma kwekuputsika, nezvimwe zvinhu. Paavhareji, zvinotora mavhiki matanhatu kusvika masere kuti pfupa ripore, asi kupora zvachose uye kudzokera kumabasa akajairwa kunogona kutora mwedzi yakati wandei.

2. Mubvunzo: Ko clavicle locking plates inogona kubviswa mushure mekunge pfupa rapora?

• A: Kazhinji, kubviswa kwe clavicle locking plate hakudiwi kunze kwekunge kuchikonzera kusagadzikana kwakanyanya kana matambudziko. Chisarudzo chekubvisa ndiro inoitwa pamunhu mumwe nomumwe, tichifunga nezvemamiriro ezvinhu chaiwo omurwere.

3. Mubvunzo: Pane here zvirambidzo kana dziviriro mushure mekuvhiyiwa kweclavicle fracture nendiro yekukiya?

• A: Chiremba anovhiya achapa mirairo yakadzama pamusoro pekutarisirwa kwepashure, kusanganisira chero zvirambidzo zvinodiwa kana kudzivirira. Zvakakosha kutevera mazano aya kuti uone kupora kwakakodzera uye kuderedza dambudziko rematambudziko.

4. Mubvunzo: Ko clavicle fractures inoporesa pasina kuvhiyiwa?

• A: Hongu, clavicle fractures inogona kuporesa pasina kuvhiyiwa, kunyanya kune zviduku zviduku kana kuputsika muvanhu vashoma kushanda. Nekudaro, kupindira kwekuvhiya kunogona kukurudzirwa kune zvakanyanya kuomarara kana kutamiswa fractures kuti uwedzere kuporeswa uye kudzivirira kunetsa kwenguva refu.

5. Mubvunzo: Kurapa kwemuviri kunodiwa here mushure mekuvhiyiwa kweclavicle fracture nendiro yekukiya?

• A: Physical therapy inowanzokurudzirwa kubatsira mukugadzirisa maitiro, kudzoreredza mararamiro ekufamba, uye kuwanazve simba. Iyo chaiyo nguva uye kusimba kwekurapa kwemuviri kuchaenderana nemamiriro emunhu uye kufambira mberi.

  
  

Mhedziso

Clavicle locking plates akachinja marapirwo eclavicle fractures, achipa kugadzikana kwakawedzera, tsigiro, uye kukurumidza kudzoka kumabasa akajairwa. Nekugona kwavo kusimudzira kuporeswa kwakanaka, mahwendefa aya ave chishandiso chakakosha chevanachiremba vemapfupa. Kana iwe wakambosangana nekutyoka kweclavicle, bvunza nyanzvi yehutano ine hunyanzvi kuti uone nzira yekurapa yakakodzera.