I-clavicle, eyaziwa ngokuba yi-collarbone, idlala indima ebalulekileyo ekudibaniseni ingalo nomzimba. Ngenxa yendawo kunye nokuma kwayo, i-clavicle iyakwazi ukuphuka, enokuthi ibangele izinto ezahlukeneyo ezifana nokulimala kwezemidlalo, ukuwa, okanye iingozi. Kwiimeko apho i-fracture inzima okanye amathambo afuduka, ukungenelela kokuhlinzwa kunokufuneka ukuba uphilise ngokufanelekileyo. Esinye isisombululo esisebenzayo esiqeshwa ngabagqirha bamathambo yiplate yokutshixa i-clavicle, isixhobo esenzelwe ukuqinisa uzinzo kunye nenkxaso ngexesha lenkqubo yokuphulukisa. Kweli nqaku, siza kuphonononga izibonelelo, inkqubo, kunye nokubuyisela okuhambelana nepleyiti yokutshixa i-clavicle.

Intshayelelo

Xa kuziwa kwi-clavicle fractures, unyango olukhawulezayo nolufanelekileyo lubalulekile ukuze kuqinisekiswe ukuphiliswa ngokufanelekileyo kunye nokusebenza kwexesha elide. Iindlela zemveli, ezifana nokunyanzeliswa kunye ne-slings okanye i-braces, zinokuthi zilungele iifracture ezincinci. Nangona kunjalo, kwiimeko ezinzima ngakumbi, ukusetyenziswa kwamacwecwe okutshixa i-clavicle kuye kwavela njengesisombululo esithembekileyo.

Ukuqonda iClavicle Fractures

Ngaphambi kokungena kwiinkcukacha zeepleyiti zokutshixa i-clavicle, makhe sixoxe ngokufutshane ngokuqhekeka kwe-clavicle. I-clavicle iyakwazi ukuphuka ngenxa yendawo eveleleyo kunye nendima yayo ekuxhaseni ukunyakaza kweengalo ezahlukeneyo. Ezi ziqhekeza zinokuthi zenzeke ngenxa yokulimala, njengokuwa, ukulimala kwezemidlalo, okanye iingozi.

Iintlobo zeClavicle Fractures

Iifractures zeClavicle zingahlelwa kwiintlobo ezintathu eziphambili: i-lateral third, middle third, and medial third fractures. Iifractures zesithathu ezisecaleni, ezikufutshane negxalaba, zezona zixhaphakileyo, zilandelwa yizahlulo eziphakathi kwesithathu, ezenzeka kwinxalenye ephakathi ye-clavicle. Iifractures eziphakathi kwesithathu, nangona zingaphantsi rhoqo, zihlala kufuphi ne-sternum.

Iimbangela kunye neempawu

I-Clavicle fractures inokubangelwa yizinto ezahlukeneyo, kubandakanywa impembelelo ethe ngqo, ukuphindaphinda uxinzelelo, okanye ukwenzakala ngokungathanga ngqo. Iimpawu eziqhelekileyo ze-clavicle fractures ziquka intlungu, ukuvuvukala, ububele, ukukhubazeka okubonakalayo, kunye nobunzima bokuhambisa ingalo.

Indima yeClavicle yokutshixa iipleyiti

Iipleyiti zokutshixa i-Clavicle zizixhobo ezikhethekileyo ze-orthopedic ezenzelwe ukuzinzisa kunye nokuxhasa i-clavicle ephukile ngexesha lenkqubo yokuphilisa. Ezi pleyiti ziqhele ukwenziwa ngezinto ezikumgangatho ophezulu njenge-titanium okanye intsimbi engatyiwa, eqinisekisa ukomelela kunye nokuqina. Indlela yokutshixa yala macwecwe inika uzinzo olongezelelekileyo xa kuthelekiswa neepleyiti ezingatshixwanga.

Isishwankathelo seePlati zokutshixa zeClavicle

Iipleyiti zokutshixa zeClavicle ziquka ipleyiti yentsimbi enemingxuma emininzi kunye nezikrufu zokutshixa. Ipleyiti idityaniswe ukuze ihambelane nemilo ye-clavicle kwaye ibekwe kwithambo eliqhekekileyo. I-screws yokukhiya ifakwe kwi-plate kwithambo, ikhusela amaqhekeza kwindawo. Olu buchule buvumela ukuzinza okungcono kunye nokunyanzeliswa, kuququzelele ukuphilisa ngokufanelekileyo.

Izinto eziluncedo zokutshixa iipleyiti

Iipleyiti zokutshixa zeClavicle zibonelela ngeengenelo ezininzi ngaphezu kokhetho lwesintu lonyango. Okokuqala, babonelela ngokuzinza okuphezulu, ukunciphisa umngcipheko wokungahlanganisi (xa ithambo lihluleka ukuphilisa) okanye i-malunion (xa ithambo liphilisa kwindawo engalunganga). Okwesibini, iiplati zokutshixa zivumela ukuhlanganiswa kwangaphambili kunye nokuthwala ubunzima, ukukhuthaza ukubuyiswa ngokukhawuleza kunye nokubuyisela. Ukongezelela, ezi cwecwe zibonelela ngeendlela ezahlukeneyo ngokweendlela zokuqhekeka, ukuhlalisa iintlobo ezahlukeneyo ze-clavicle fractures.

Indlela iipleyiti zokutshixa ezilomeleza ngayo uzinzo

Izikhonkwane zokutshixa ezisetyenziswe kwiiplati zokutshixa ze-clavicle zenza i-angle-angle constructed, ekhusela ukunyakaza okugqithiseleyo kwindawo yokuphuka. Oku kuzinza kunenzuzo ngakumbi kwiifracture ezinzima okanye iimeko ezibandakanya amaqhekeza amaninzi. Ngokugcina ukulungelelaniswa kunye nokuma kwamacandelo amathambo aphukileyo, iiplate zokutshixa zincedisa kwinkqubo yokuphulukisa kunye nokunciphisa umngcipheko weengxaki.

Inkqubo yoTyando

Xa i-clavicle fracture idinga ukungenelela kokuhlinzwa, ugqirha wamathambo uya kwenza la manyathelo alandelayo:

UVavanyo lwangaphambili

Ngaphambi kokuhlinzwa, ugqirha uya kuqhuba uvavanyo olucokisekileyo, kubandakanywa nokuhlolwa komzimba, i-X-rays, kunye neemvavanyo ezongezelelweyo ze-imaging. Olu vavanyo lunceda ukufumanisa ubunzima bokuphuka kunye nokucwangcisa indlela yotyando.

I-Anesthesia kunye ne-Incision

Utyando ngokuqhelekileyo lwenziwa phantsi kwe-anesthesia jikelele. Emva kokuba isigulane sihlanjululwe, ugqirha wenza i-incision phezu kwe-clavicle ukufikelela kwindawo ephukileyo.

Ukubekwa kwePleti kunye nokulungiswa

Ukusebenzisa izixhobo ezikhethekileyo, ugqirha wotyando ulungelelanisa amaqhekeza amathambo aqhekekileyo kwaye ubeke ipleyiti yokutshixa i-clavicle phezu kwethambo. Ipleyiti ke ikhuselwe kwi-clavicle ngokusebenzisa izikrufu zokutshixa. Inani kunye nokubekwa kwezikrufu kuxhomekeke kwipatheni ethile yokuqhekeka kunye nengqiqo yogqirha wotyando.

Ukuvalwa kunye noNyango lwasemva kotyando

Emva kokuqinisekisa ukulungiswa okufanelekileyo, i-incision ivaliwe nge-sutures okanye i-staples, kwaye isambatho esiyinyumba sisetyenziswa. Emva koko isigulane sijongwa ngokukhawuleza ngexesha lesigaba sokuqala sokubuyisela kwaye sinikwe imiyalelo yokunyamekela emva kokuhlinzwa.

UkuBuyisa kunye nokuBuyiselwa kwisimo sesiqhelo

Ukulandela utyando lokuqhekeka kwe-clavicle ngepleyiti yokutshixa, inkqubo yokubuyisela ibandakanya izigaba ezininzi:

Inqanaba lokuPhilisa lokuQala

Ngexesha lesigaba sokuqala sokuphilisa, esihlala sihlala iiveki ezimbalwa, ithambo liqala ukulungiswa. Isigulana sinokufumana ukungonwabi, ukudumba, kunye nokunyakaza okuthintelweyo ngeli xesha. Amayeza eentlungu kunye neepakethe ze-ice anokunceda ukulawula ezi zimpawu.

Unyango loMzimba kunye neMithambo

Njengoko ithambo liqhubeka liphilisa, ugqirha wamathambo unokuncoma unyango lomzimba kunye nokuzivocavoca ukuphucula uluhlu lwentshukumo, amandla kunye nokuguquguquka. Ezi mithambo zilungelelaniswe ngokweemfuno zomntu ngamnye kwaye zinokubandakanya iintshukumo ezahlukeneyo zengalo kunye nemithambo yokuqinisa amagxa.

Ukubuyela kwiMisebenzi eqhelekileyo

Ixesha elithathayo ukubuyela kwimisebenzi eqhelekileyo liyahluka ngokuxhomekeke kumntu kunye nobukhulu beqhekeza. Ngokubanzi, uninzi lwezigulana zinokuphinda ziqalise imisebenzi elula kwiinyanga ezimbalwa, ngelixa imisebenzi enzima kakhulu yomzimba inokufuna ixesha elide lokubuyisela. Ugqirha wotyando uya kunika isikhokelo xa kukhuselekile ukuqalisa kwakhona imisebenzi ethile.

Iingxaki ezinokuthi zibekho kunye nemingcipheko

Ngelixa iipleyiti zokutshixa i-clavicle zithathwa njengekhuselekile kwaye zisebenza, njengayo nayiphi na inkqubo yotyando, kukho imingcipheko enokubakho kunye neengxaki ekufuneka uziqaphele. Ezinye iingxaki ezinokwenzeka ziquka:

Usulelo kunye neMiba yokuPhilisa amanxeba

Usulelo lungenzeka kwindawo yotyando, nangona lunqabile. Ukhathalelo olufanelekileyo lwenxeba, kubandakanywa nokugcina inxeba licocekile kwaye lomile, kunokuncedisa ukunciphisa umngcipheko wosulelo. Kwezinye iimeko, ukulibaziseka kwenxeba ukuphiliswa okanye ukucaphuka kwesikhumba nako kunokwenzeka.

Iingxaki ezinxulumene ne-Hardware

Ngamaxesha athile, imiba enxulumene nehardware inokuvela, njengokukhulula ipleyiti okanye isikrufu, ukwaphuka, okanye ukucaphuka. Ezi ngxaki zidla ngokulungiswa ngenkqubo yotyando ukuba kuyimfuneko.

Imibuzo Ebuzwa Rhoqo (FAQs)

1. Umbuzo: Kuthatha ixesha elingakanani ukuba i-clavicle fracture iphilise ngepleyiti yokutshixa?

• A: Ixesha lokuphilisa lingahluka ngokuxhomekeke kumntu, ubunzima bokuphuka, kunye nezinye izinto. Ngokomyinge, kuthatha malunga neeveki ezi-6 ukuya kwezi-8 ukuba ithambo liphole, kodwa ukuchacha ngokupheleleyo nokubuyela kwimisebenzi yesiqhelo kunokuthatha iinyanga ezininzi.

2. Umbuzo: Ngaba iipleyiti zokutshixa i-clavicle zingasuswa emva kokuba ithambo liphilile?

• A: Kwiimeko ezininzi, ukukhutshwa kweplate yokutshixa i-clavicle akuyimfuneko ngaphandle kokuba kubangela ukungahambi kakuhle okanye iingxaki. Isigqibo sokususa ipleyiti senziwa kumntu ngamnye, ngokuqwalasela iimeko ezithile zesigulane.

3. Umbuzo: Ngaba kukho naziphi na izithintelo okanye izilumkiso emva kotyando lokuqhekeka kwe-clavicle ngepleyiti yokutshixa?

• IMPENDULO: Ugqirha wotyando uya kunika imiyalelo eneenkcukacha ngononophelo lwasemva kotyando, kuquka naziphi na izithintelo eziyimfuneko okanye izilumkiso. Kubalulekile ukulandela ezi zikhokelo ukuqinisekisa ukuphiliswa okufanelekileyo kunye nokunciphisa umngcipheko weengxaki.

4. Umbuzo: Ngaba i-clavicle fractures ingaphilisa ngaphandle kokuhlinzwa?

• A: Ewe, i-clavicle fractures inokuphilisa ngaphandle kokuhlinzwa, ngakumbi kwiifracture ezincinci okanye iifractures kubantu abangasebenziyo. Nangona kunjalo, ungenelelo lotyando lunokucetyiswa kwiifractures ezinzima okanye ezifudukayo ukuze kuphuculwe ukuphilisa kunye nokuthintela iingxaki zexesha elide.

5. Umbuzo: Ngaba unyango lomzimba luyimfuneko emva kotyando lokuqhekeka kwe-clavicle ngepleyiti yokutshixa?

• A: Unyango lomzimba luhlala lucetyiswa ukuba luncede kwinkqubo yokubuyisela, ukubuyisela uluhlu lwentshukumo, kunye nokubuyisela amandla. Ubude bexesha elithile kunye nobukhulu bonyango lomzimba luya kuxhomekeka kwimeko yomntu kunye nenkqubela phambili.

  
  

Ukuqukumbela

Iipleyiti zokutshixa i-Clavicle ziye zaguqula unyango lwe-clavicle fractures, ukunika ukuzinza okuphuculweyo, inkxaso, kunye nokubuyela ngokukhawuleza kwimisebenzi eqhelekileyo. Ngokukwazi kwabo ukukhuthaza ukuphiliswa ngokufanelekileyo, ezi cwecwe ziye zaba sisixhobo esibalulekileyo koogqirha bamathambo. Ukuba uye wafumana i-clavicle fracture, qhagamshelana nochwepheshe bezempilo abaqeqeshiweyo ukuze banqume eyona ndlela ifanelekileyo yonyango.