Lenonyeletso la setsoe le bohlokoa bakeng sa ts'ebetso e tloaelehileng ea letsoho, e lumellang ho sisinyeha ha mefuta e mengata. Leha ho le joalo, likotsi tsa olecranon, tse hlahelletseng ka morao ho setsoe, li ka ama haholo botsitso le ho sisinyeha ha setsoe. Maemong ao ho robeha ha olecranon ho leng matla kapa ho falla, ho ka hlokahala ho kenella ho buuoa ho khothalletsa pholiso e nepahetseng. Tharollo e ’ngoe e sebetsang eo lingaka tsa masapo li e sebelisang ke poleiti e notlelang ea olecranon, e leng sesebelisoa se khethehileng se etselitsoeng ho tsosolosa botsitso le tšebetso ea setsoe. Sehloohong sena, re tla hlahloba melemo, ts'ebetso, le ho hlaphoheloa ho amanang le poleiti ea ho notlela ea olecranon.
Selelekela
Olecranon e bapala karolo ea bohlokoa botsitsong le ts'ebetsong ea lenonyeletso la setsoe. Ho robeha sebakeng sena ho ka etsahala ka lebaka la mabaka a fapaneng, joalo ka ho oa, likotsi tsa lipapali kapa likotsi. Ha fracture e le matla kapa e falla, tšebeliso ea poleiti ea ho notlela ea olecranon ke tharollo e sebetsang ea ho khothalletsa pholiso e nepahetseng le ho tsosolosa botsitso ba setsoe.
Ho utloisisa Fractures ea Olecranon
Ho robeha ha Olecranon hangata ho bakoa ke tšusumetso e tobileng kapa ho oa ha letsoho le otlolohileng. Matšoao a ka 'na a kenyelletsa bohloko, ho ruruha, bonolo, bokooa bo bonahalang, le mefuta e fokolang ea ho sisinyeha ka setsoe.
Lisosa le Matšoao
Ho robeha ha Olecranon ho ka etsahala ka lebaka la mabaka a fapaneng, ho kenyelletsa likotsi tsa lipapali, likotsi tse sithabetsang, kapa ho otla ka ho toba setsoe. Matšoao a ka 'na a kenyelletsa bohloko bo potlakileng, ho ruruha, matetetso, le bothata ba ho tsamaisa letsoho.
Classification of Olecranon Fractures
Li-fractures tsa Olecranon li arotsoe ho latela boima ba tsona le ho falla ha tsona. Li ka tloha ho fractures tse bonolo tse nang le ho falla ho fokolang ho ea ho fractures e fokolang moo lesapo le robehileng likotoana tse ngata. Sehlopha se thusa ngaka ea masapo ho fumana mokhoa o nepahetseng oa phekolo.
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Karolo ea Lipoleiti tsa Locking tsa Olecranon
Lipoleiti tsa ho notlela tsa Olecranon ke lisebelisoa tse khethehileng tsa masapo tse etselitsoeng ho tsitsisa le ho tšehetsa olecranon e robehileng nakong ea pholiso. Lipoleiti tsena hangata li entsoe ka thepa ea boleng bo holimo joalo ka titanium kapa tšepe e sa hloekang, e fanang ka matla le botsitso. Mokhoa oa ho koala oa lipoleiti tsena o fana ka mokhoa o phahameng oa ho lokisa ha o bapisoa le lipoleiti tse sa koalang.
Kakaretso ea Lipoleiti tsa Locking tsa Olecranon
Lipoleiti tsa ho notlela tsa Olecranon li na le poleiti ea tšepe e nang le masoba a mangata a li-screw le likurufu tse notlelang. Letlapa le entsoe contour ho lumellana le sebopeho sa olecranon 'me le behiloe holim'a lesapo le robehileng. Li-screws tsa ho notlela li kenngoa ka poleiti ka har'a lesapo, li boloka likhechana sebakeng sa tsona. Mohaho ona o fana ka botsitso bo ntlafetseng le ho hatella, ho nolofatsa pholiso e nepahetseng.
Melemo ea ho Locking Plates
Lipoleiti tsa ho notlela tsa Olecranon li fana ka melemo e mengata ho feta likhetho tsa setso tsa kalafo. Ntlha ea pele, ba fana ka botsitso bo ntlafetseng, ho fokotsa kotsi ea ho se kopane (ho hlōleha ho folisa masapo) kapa malunion (pholiso e fosahetseng ea masapo). Ea bobeli, lipoleiti tsa ho notlela li lumella ho bokella pele le mefuta e mengata ea boikoetliso ba ho sisinyeha, ho khothalletsa ho hlaphoheloa kapele le ho tsosolosa. Ho feta moo, lipoleiti tsena li na le mekhoa e fapaneng ea ho robeha, e leng se etsang hore li khone ho sebetsana le fractures e fapaneng ea olecranon.
Kamoo ho Locking Plates ho Matlafatsang Botsitso
Li-screws tse notlelang tse sebelisoang lipoleiting tsa ho notlela tsa olecranon li etsa moaho o tsitsitseng, ho thibela ho sisinyeha ho feteletseng sebakeng sa ho robeha. Botsitso bona bo molemo haholo bakeng sa fractures e nang le phallo e kholo kapa e tsoelang pele. Ka ho boloka botsitso le boemo ba likhechana tsa masapo a robehileng, lipoleiti tsa ho notlela li thusa ho folisa le ho fokotsa kotsi ea mathata.
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Mokhoa oa ho Buoa
Ha ho robeha ha olecranon ho hloka ts'ebetso ea ho buuoa, ngaka ea masapo e tla etsa mehato e latelang:
Tlhahlobo ea Pele ho Ts'ebetso
Pele ho opereishene, ho etsoa tlhahlobo e felletseng, ho kenyelletsa tlhahlobo ea 'mele, X-rays, mohlomong le liteko tse ling tsa litšoantšo. Tlhahlobo ena e thusa ho lekola ho teba ha fracture le ho rera mokhoa oa ho buuoa.
Anesthesia le Incision
Hangata opereishene e etsoa tlas'a anesthesia e tloaelehileng. Hang ha mokuli a khutsitse, ngaka e buoang e etsa sekhahla holim'a olecranon e robehileng ho fumana likaroloana tsa masapo.
Ho bea Plate le ho Lokisa
E sebelisa lisebelisoa tse khethehileng, ngaka e buoang e hokahanya likhechana tsa masapo a robehileng ebe e beha poleiti ea ho notlela ea olecranon holim'a lesapo. Joale poleiti e tiisetsoa ho olecranon ho sebelisoa li-screws tsa ho notlela. Palo le ho behoa ha li-screw li itšetlehile ka mokhoa oa ho robeha le kahlolo ea ngaka.
Tlhokomelo ea ho Koala le Ka mor'a Ho buuoa
Ka mor'a ho netefatsa ho lokisoa ka mokhoa o nepahetseng, ho phunyeha ho koetsoe ka li-sutures kapa li-staples, 'me ho sebelisoa moaparo o hlabang. Mokuli o hlahlojoa ka hloko nakong ea pele ea ho hlaphoheloa, 'me ho fanoa ka litaelo tsa tlhokomelo ea ka mor'a ho buuoa.
Pholiso le Tsosoloso
Kamora ho buuoa ka poleiti e notlelang ea olecranon, mokhoa oa ho hlaphoheloa o kenyelletsa mehato e mengata:
Mokhahlelo oa Pele oa Pholiso
Nakong ea mohato oa pele oa pholiso, oo hangata o nkang libeke tse 'maloa, butle-butle lesapo le qala ho fola. Mokuli a ka 'na a utloa bohloko, ho ruruha, le mefuta e fokolang ea ho tsamaea nakong ena. Meriana ea bohloko le phekolo e batang e ka sebelisoa ho laola matšoao ana.
Phekolo ea 'Mele le Boikoetliso
Ha lesapo le ntse le tsoela pele ho fola, ngaka e buoang ea masapo e ka 'na ea khothalletsa phekolo ea' mele le ho ikoetlisa ho ntlafatsa mefuta e mengata ea ho sisinyeha, matla le mosebetsi. Boikoetliso bona bo etselitsoe litlhoko tse khethehileng tsa motho 'me bo ka kenyelletsa ho sisinyeha ha setsoe ka bonolo, ho otlolla le ho matlafatsa boikoetliso.
Ho Khutlela Mesebetsing e Tloaelehileng
Nako e nkang ho khutlela mesebetsing e tloaelehileng e fapana ho itšetlehile ka motho ka mong le ho teba ha ho robeha. Bakuli ba bangata ba ka boela ba etsa lintho tse bobebe ka mor'a likhoeli tse 'maloa, athe mesebetsi e boima haholo ea' mele e ka hloka nako e telele ea ho hlaphoheloa. Ngaka e tla fana ka tataiso mabapi le hore na ho bolokehile ho tsoela pele ka mesebetsi e itseng.
Mathata le Likotsi tse ka 'nang tsa E-ba teng
Leha lipoleiti tsa ho notlela tsa olecranon hangata li nkuoa li bolokehile ebile li sebetsa, joalo ka ts'ebetso efe kapa efe ea ho buoa, ho na le likotsi le mathata a ka bang teng a lokelang ho elelloa. Mathata a mang a ka bang teng a kenyelletsa:
Tšoaetso le Mathata a Pholiso ea Maqeba
Tšoaetso e ka etsahala sebakeng sa ho buuoa, le hoja e le ntho e sa tloaelehang. Tlhokomelo e nepahetseng ea maqeba, ho kopanyelletsa le ho boloka leqeba le hloekile ebile le omme, ho ka thusa ho fokotsa kotsi ea tšoaetso. Maemong a mang, ho lieha ho fola ha maqeba kapa ho halefa ha letlalo ho ka boela ha etsahala.
Mathata a amanang le Hardware
Ka linako tse ling, mathata a amanang le hardware a ka 'na a hlaha, joalo ka ho lokolla poleiti kapa screw, ho robeha, kapa ho teneha. Hangata mathata ana a ka rarolloa ka ho buuoa ha ho hlokahala.
Lipotso tse atisang ho botsoa (FAQs)
P: Ho nka nako e kae hore fracture ea olecranon e fole ka poleiti e notlelang?
A: Nako ea ho folisa e fapana ho latela boima ba ho robeha le lintlha tsa motho ka mong. Ka kakaretso, ho nka libeke tse 6 ho isa ho tse 8 hore lesapo le fole, empa ho hlaphoheloa ka ho feletseng le ho khutlela mesebetsing e tloaelehileng ho ka nka likhoeli tse 'maloa.
P: Na poleiti ea ho notlela ea olecranon e ka tlosoa ka mor'a hore lesapo le fole?
A: Maemong a mangata, poleiti ea ho notlela ea olecranon ha e hloke ho tlosoa ntle le haeba e baka khathatso e kholo kapa mathata. Qeto ea ho tlosa poleiti e etsoa ka bomong, ho nahanoa ka maemo a khethehileng a mokuli.
P: Na ho na le lithibelo kapa litemoso ka mor'a ho buuoa ka olecranon fracture ka poleiti e notlelang?
P: Na fractures ea olecranon e ka fola ntle le ho buuoa?
A: Ho robeha ha olecranon habonolo ka ho falla ho fokolang ho ka fola ntle le ho buuoa, ho itšetlehile ka motho ka mong le litšobotsi tsa ho robeha. Leha ho le joalo, bakeng sa ho robeha ho matla kapa ho falla, ho ka hlokahala ho kenella ka ho buuoa bakeng sa pholiso e nepahetseng le ho tsosolosa mosebetsi oa setsoe.
P: Na phekolo ea 'mele ea hlokahala ka mor'a olecranon fracture opereishene ka poleiti e notlelang?
A: Phekolo ea 'mele hangata e khothaletsoa ho thusa ts'ebetsong ea ho fola, ho khutlisetsa motsamao o fapaneng, le ho fumana matla hape. Nako e tobileng le matla a phekolo ea 'mele e tla itšetleha ka boemo ba motho le tsoelo-pele ea hae.
Qetello
Tšebeliso ea poleiti ea ho notlela ea olecranon ke mokhoa oa bohlokoa oa ho buoa kalafo ea fractures ea olecranon. Lipoleiti tsena tse khethehileng li fana ka botsitso bo ntlafetseng, bo lumellang pholiso e nepahetseng le ho tsosolosa mosebetsi oa setsoe. Haeba u kile oa robeha olecranon, buisana le setsebi se tšoanelehang sa tlhokomelo ea bophelo ho fumana mokhoa o nepahetseng oa kalafo.
