Kubatana kwegokora kwakakosha pakushanda kweruoko, zvichibvumira kufamba kwakasiyana-siyana. Nekudaro, kukuvadzwa kune olecranon, iyo bony mukurumbira kumashure kwegokora, inogona kukanganisa zvakanyanya kugadzikana kwegokora uye kufamba. Muzviitiko apo iyo olecranon kuputsika kwakanyanya kana kubviswa, kupindira kwekuvhiya kungave kwakakosha kukurudzira kuporeswa kwakakodzera. Imwe mhinduro inoshanda iyo vanachiremba vemapfupa vanoshandisa iyo olecranon yekukiya ndiro, mudziyo wakasarudzika wakagadzirirwa kudzoreredza kugadzikana uye kushanda kwegokora. Muchinyorwa chino, isu tichaongorora mabhenefiti, maitiro, uye kudzoreredza kwakabatana neiyo olecranon yekuvhara ndiro.
Nhanganyaya
Iyo olecranon inoita basa rakakosha mukugadzikana uye kushanda kwegokora rejoini. Kutsemuka kunharaunda ino kunogona kuitika nekuda kwezvikonzero zvakasiyana, sekudonha, kukuvara kwemitambo, kana tsaona. Kana kuputsika kwakanyanya kana kubviswa, kushandiswa kwe olecranon locking plate ndiyo mhinduro inoshanda yekusimudzira kupora kwakakodzera uye kudzorera kugadzikana kwegokora.
Kunzwisisa Olecranon Fractures
Olecranon fractures inowanzoitika kubva pakukanganisa kwakananga kana kudonha paruoko rwakatambanudzwa. Zviratidzo zvinogona kusanganisira kurwadziwa, kuzvimba, kunyorova, kuremara kunooneka, uye kuganhurwa kwekufamba mugokora.
Zvinokonzera uye Zviratidzo
Olecranon fractures inogona kuitika nekuda kwezvikonzero zvakasiyana, kusanganisira kukuvara kwemitambo, tsaona dzinoshungurudza, kana kurohwa kwakananga kugokora. Zviratidzo zvinogona kusanganisira kurwadziwa kwepakarepo, kuzvimba, mavanga, uye kuomerwa nekufambisa ruoko.
Kurongeka kweOlecranon Fractures
Olecranon fractures inorongwa zvichienderana nekuoma kwavo uye kutama. Dzinogona kubva pazvimedu zvakapfava nekutamuka kudiki kusvika kune mafractures apo bhonzo rinotsemuka kuita zvidimbu zvakawanda. Kurongeka kunobatsira chiremba wemapfupa kuti aone nzira yakakodzera yekurapa.
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Basa reOlecranon Locking Plates
Olecranon yekuvhara mahwendefa inyanzvi yemapfupa emidziyo yakagadzirirwa kudzikamisa uye kutsigira iyo yakatsemuka olecranon panguva yekupora. Aya mahwendefa anowanzo gadzirwa zvemhando yepamusoro setitanium kana simbi isina tsvina, inopa simba uye kugadzikana. Iyo yekuvhara nzira yeaya mahwendefa inopa kugadzirisa kwepamusoro kana ichienzaniswa neasina kukiya mahwendefa.
Mhedziso yeOlecranon Locking Plates
Olecranon locking plates ane ndiro yesimbi ine multiple screw holes nemakona ekukiya. Iyo ndiro yakakomberedzwa kuti ienderane nechimiro cheolecranon uye yakaiswa pane bhonzo rakatyoka. Zvisungo zvekukiya zvinopinzwa mundiro mubhonzo, kuchengetedza zvimedu panzvimbo. Ichi chivakwa chinopa kwakawedzera kugadzikana uye kumanikidza, kufambisa kupora kwakanyanya.
Zvakanakira Kukiya Plates
Olecranon yekuvhara mahwendefa inopa akati wandei mabhenefiti pamusoro pechinyakare marapirwo sarudzo. Kutanga, vanopa kugadzikana kwakagadziridzwa, kuderedza dambudziko rekusava nekubatana (kukundikana kwepfupa rekuporesa) kana malunion (zvisina kunaka kuporesa kwepfupa). Chechipiri, mahwendefa ekuvhara anobvumira kuunganidza kwekutanga uye huwandu hwemitambo yekufambisa, kukurudzira kukurumidza kupora uye kugadzirisa. Pamusoro pezvo, mahwendefa aya anogara akasiyana siyana ekutyoka, achiita kuti aite zvakasiyana-siyana mukugadzirisa akasiyana olecranon fractures.
Kuvhara Plate Kunowedzera Kugadzikana
Iyo yekukiya screws inoshandiswa muolecranon yekuvhara mahwendefa inogadzira yakagadziriswa-ekona yekuvaka, kudzivirira zvakanyanya kufamba panzvimbo yekutyoka. Kugadzikana uku kunonyanya kubatsira kune mafractures ane akakosha kutama kana comminution. Nekuchengetedza kurongeka uye nzvimbo yezvimedu zvemapfupa akaputsika, kuvhara mahwendefa anobatsira mukugadzirisa uye kuderedza dambudziko rematambudziko.
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Kuvhiya Maitiro
Kana olecranon kuputsika kunoda kupindira kwekuvhiya, chiremba wemapfupa achaita zvinotevera:
Preoperative Evaluation
Kuvhiyiwa kusati kwaitwa, kuongororwa kwakakwana kunoitwa, kusanganisira kuongororwa kwemuviri, X-rays, uye zvichida mamwe maedzo ekufungidzira. Kuongorora uku kunobatsira kuongorora kuoma kwekutyoka uye kuronga nzira yekuvhiya.
Anesthesia uye Incision
Kuvhiyiwa kunowanzoitwa pasi peanesthesia. Kana murwere achinge agara, chiremba anovhiya anoita incision pamusoro peolecranon yakaputsika kuti awane zvimedu zvemapfupa.
Plate Placement uye Fixation
Achishandisa zviridzwa zvine hunyanzvi, chiremba anovhiya anoenzanisa zvidimbu zvebhonzo zvakatyoka uye anoisa iyo olecranon yekukiya ndiro pamusoro pebhonzo. Iyo ndiro inozochengetedzwa kune olecranon uchishandisa yekukiya screws. Nhamba uye kuiswa kwe screws zvinoenderana nekutyoka pateni uye kutonga kwechiremba.
Kuvhara uye Kuchengetwa Kwepashure
Mushure mekusimbisa kugadzirisa kwakakodzera, iyo incision yakavharwa ne sutures kana staples, uye kupfeka kusina utachiona kunoshandiswa. Murwere anonyatsotariswa panguva yekutanga kupora, uye mirairo yekuchengeta mushure mekushanda inopiwa.
Kudzorera uye Kugadzirisa
Kutevera kuvhiyiwa neplate yekuvhara olecranon, maitiro ekudzoreredza anosanganisira akati wandei:
Chekutanga Healing Phase
Munguva yekutanga yekuporesa chikamu, icho chinowanzogara kwemavhiki akati wandei, pfupa rinotanga kupora zvishoma nezvishoma. Murwere anogona kunzwa kusagadzikana, kuzvimba, uye kushomeka kwekufamba panguva iyi. Mishonga yemarwadzo uye kurapwa kunotonhora kunogona kushandiswa kugadzirisa zviratidzo izvi.
Physical Therapy uye Exercises
Sezvo pfupa rinoramba richipora, chiremba wemapfupa anogona kukurudzira kurapa kwepanyama uye maitiro ekuvandudza mararamiro ekufamba, simba, uye basa. Aya maekisesaizi akarongedzerwa kune zvinodiwa nemunhu uye anogona kusanganisira zvinyoro-nyoro magokora, kutambanudza, uye kusimbisa maekisesaizi.
Kudzokera kune Zvakajairika Mabasa
Nguva inotora kudzokera kumabasa emazuva ose inosiyana zvichienderana nemunhu uye kuoma kwekuputsika. Varwere vazhinji vanogona kutangazve mabasa akareruka mukati memwedzi mishoma, nepo zviitiko zvinonetsa muviri zvingada nguva yakareba yekupora. Chiremba anovhiya achapa gwara rekuti pazvinenge zvakachengeteka kuti utangezve mabasa chaiwo.
Zvinogona Kunetsa uye Njodzi
Nepo olecranon locking plates achiwanzoonekwa akachengeteka uye anoshanda, senge chero nzira yekuvhiya, pane zvinogona kuitika njodzi 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)
Mubvunzo: Zvinotora nguva yakareba sei kuti olecranon fracture ipore nendiro yekukiya?
A: Nguva yekuporesa inosiyana zvichienderana nekuoma kwekuputsika uye zvinhu zvega. Kazhinji, zvinotora mavhiki matanhatu kusvika masere kuti pfupa ripore, asi kupora zvachose uye kudzokera kumabasa enguva dzose kunogona kutora mwedzi yakati wandei.
Mubvunzo: Ko olecranon locking plate inogona kubviswa mushure mekunge pfupa rapora here?
A: Kazhinji, iyo olecranon yekuvhara ndiro haidi kubviswa kunze kwekunge ichikonzera kusagadzikana kwakanyanya kana matambudziko. Chisarudzo chekubvisa ndiro inoitwa pamunhu mumwe nomumwe, tichifunga nezvemamiriro ezvinhu chaiwo omurwere.
Mubvunzo: Pane here zvirambidzo kana zvidziviriro mushure mekuvhiyiwa kweolecranon kuputsika nendiro yekukiya?
Mubvunzo: Ko olecranon fractures inogona kuporesa pasina kuvhiyiwa?
A: Nyore olecranon fractures ine zvishoma kutamiswa inogona kuporesa pasina kuvhiyiwa, zvichienderana nemunhu uye hunhu hwekutyoka. Zvisinei, nokuda kwekuputsika kwakanyanya kana kubviswa, kupindira kwekuvhiya kunogona kudiwa kuti kuporesa kwakakwana uye kudzorerwa kwebasa regokora.
Mubvunzo: Kurapa kwemuviri kunodiwa here mushure mekuvhiyiwa kweolecranon 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
Kushandiswa kwe olecranon locking plate inzira yakakosha yekuvhiya mukurapa olecranon fractures. Aya mahwendefa akasarudzika anopa kugadzikana kwakawedzera, achibvumira kupora kwakanyanya uye kudzoreredza kwegokora basa. Kana iwe wakambosangana nekutyoka kwe olecranon, bvunza nyanzvi yehutano ine hunyanzvi kuti uone nzira yakakodzera yekurapa.
