I-elbow joint ibalulekile ekusebenzeni okuqhelekileyo kwengalo, ukuvumela uluhlu olubanzi lweentshukumo. Nangona kunjalo, ukulimala kwe-olecranon, ukugqwesa kwamathambo ngasemva kwe-elbow, kunokuchaphazela kakhulu ukuzinza kwe-elbow kunye nokuhamba. Kwiimeko apho i-olecranon fracture inzima okanye ifuduka, ungenelelo lotyando lunokufuneka ukukhuthaza ukuphilisa okufanelekileyo. Esinye isisombululo esisebenzayo esiqeshwa ngoogqirha bamathambo yipleyiti yokutshixa i-olecranon, isixhobo esikhethekileyo esenzelwe ukubuyisela uzinzo kunye nokusebenza kwengqiniba. Kweli nqaku, siza kuphonononga izibonelelo, inkqubo, kunye nokubuyisela okuhambelana nepleyiti yokutshixa i-olecranon.
Intshayelelo
I-olecranon idlala indima ebalulekileyo ekuzinzeni nasekusebenzeni kwe-elbow joint. Ukuqhekeka kulo mmandla kunokwenzeka ngenxa yezinto ezahlukeneyo, njengokuwa, ukulimala kwezemidlalo, okanye iingozi. Xa i-fracture inzima okanye ifuduka, ukusetyenziswa kwe-olecranon yokutshixa ipleyiti isisombululo esisebenzayo sokukhuthaza ukuphulukiswa okufanelekileyo kunye nokubuyisela ukuzinza kwe-elbow.
Ukuqonda i-Olecranon Fractures
I-Olecranon fractures idla ngokubangelwa yimpembelelo ethe ngqo okanye ukuwa kwisandla esoluliweyo. Iimpawu zingabandakanya intlungu, ukuvuvukala, ububele, ukukhubazeka okubonakalayo, kunye noluhlu olulinganiselweyo lokunyakaza kwi-elbow.
Iimbangela kunye neempawu
I-Olecranon fractures ingenzeka ngenxa yezizathu ezahlukeneyo, kubandakanywa ukulimala kwezemidlalo, iingozi ezibuhlungu, okanye ukubetha ngokuthe ngqo kwi-elbow. Iimpawu zinokubandakanya intlungu ekhawulezileyo, ukudumba, ukugruzuka, kunye nobunzima bokuhambisa ingalo.
Ukuhlelwa kweOlecranon Fractures
Iifractures ze-Olecranon zihlelwa ngokusekelwe kubunzima babo kunye nokufuduka. Ziyakwazi ukusuka kwiifractures ezilula kunye nokufuduka okuncinci ukuya kwi-fractures comminuted apho ithambo liphulwa libe ngamaqhekeza amaninzi. Ulwahlulo lunceda ugqirha wamathambo ukuba anqume eyona ndlela ifanelekileyo yonyango.
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Indima ye-Olecranon yokutshixa iipleyiti
Iipleyiti zokutshixa i-Olecranon zizixhobo ezikhethekileyo ze-orthopedic ezenzelwe ukuzinzisa nokuxhasa i-olecranon eyaphukileyo ngexesha lenkqubo yokuphilisa. Ezi cwecwe ngokuqhelekileyo zenziwe ngezinto ezikumgangatho ophezulu ezifana ne-titanium okanye insimbi engenasici, enika amandla kunye nokuzinza. Indlela yokutshixa yala macwecwe inika ukulungiswa okuphezulu xa kuthelekiswa namacwecwe angavaliyo.
Isishwankathelo seePlati zokutshixa ze-Olecranon
Iipleyiti zokutshixa ze-Olecranon ziquka ipleyiti yentsimbi enemingxuma yezikrufu ezininzi kunye nezikrufu zokutshixa. Ipleyiti idityanisiwe ukuze ifane nemilo ye-olecranon kwaye ibekwe kwithambo eliqhekekileyo. I-screws yokukhiya ifakwe kwi-plate kwithambo, ikhusela amaqhekeza kwindawo. Olu lwakhiwo lunika uzinzo oluphuculweyo kunye nokunyanzeliswa, luququzelela ukuphiliswa okuphezulu.
Izinto eziluncedo zokutshixa iipleyiti
Iipleyiti zokutshixa i-Olecranon zibonelela ngeengenelo ezininzi ngaphezu kokhetho lwesintu lonyango. Okokuqala, babonelela ngokuzinza okuphuculweyo, ukunciphisa umngcipheko wokungahambelani (ukungaphumeleli kokuphulukisa amathambo) okanye i-malunion (ukuphulukiswa kwamathambo okungafanelekanga). Okwesibini, iiplati zokutshixa zivumela ukuhlanganiswa kwangaphambili kunye noluhlu lweendlela zokuzivocavoca, ukukhuthaza ukubuyiswa ngokukhawuleza kunye nokubuyisela. Ukongeza, ezi pleyiti zithatha iipateni ezahlukeneyo zokuqhekeka, zizenza zibeguquguqukayo ekujonganeni neefractures ezahlukeneyo ze-olecranon.
Indlela iipleyiti zokutshixa ezilomeleza ngayo uzinzo
Izikhonkwane zokutshixa ezisetyenziswe kwiipleyiti zokutshixa i-olecranon zenza i-angle-angle constructed, ukuthintela ukunyakaza okugqithisileyo kwindawo yokuphuka. Olu uzinzo luluncedo ngakumbi kwiifractures ezinokususwa okubalulekileyo okanye ukuhanjiswa. Ngokugcina ukulungelelaniswa kunye nokuma kweengcezu zethambo eziqhekekileyo, iiplate zokutshixa zincedisa kwinkqubo yokuphulukisa kunye nokunciphisa umngcipheko weengxaki.
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Inkqubo yoTyando
Xa i-olecranon fracture idinga ukungenelela kokuhlinzwa, ugqirha wamathambo uya kwenza la manyathelo alandelayo:
UVavanyo lwangaphambili
Ngaphambi kotyando, uvavanyo olucokisekileyo lwenziwa, kubandakanywa uviwo lomzimba, i-X-rays, kunye neemvavanyo ezongezelelweyo ze-imaging. Olu vavanyo lunceda ukuvavanya ubunzima bokuqhekeka 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-olecranon ephukileyo ukufikelela kwiinqununu zethambo.
Ukubekwa kwePleti kunye nokulungiswa
Esebenzisa izixhobo ezikhethekileyo, ugqirha wotyando ulungelelanisa amaqhekeza amathambo aqhekekileyo kwaye abeke ipleyiti yokutshixa i-olecranon phezu kwethambo. Ipleyiti ke ikhuselwe kwi-olecranon kusetyenziswa izikrufu zokutshixa. Inani kunye nokubekwa kwezikrufu kuxhomekeke kwipatheni yokuqhekeka kunye nesigwebo sikagqirha.
Ukuvalwa kunye noNyango lwasemva kotyando
Emva kokuqinisekisa ukulungiswa okufanelekileyo, i-incision ivaliwe nge-sutures okanye i-staples, kwaye isambatho esiyinyumba sisetyenziswa. Isigulane sijongwa ngokusondeleyo ngexesha lesigaba sokuqala sokubuyisela, kwaye imiyalelo yokunyamekela emva kokuhlinzwa inikezelwa.
UkuBuyisa nokuBuyiselwa kwisimo sesiqhelo
Ukulandela utyando ngepleyiti yokutshixa i-olecranon, inkqubo yokubuyisela ibandakanya izigaba ezininzi:
Inqanaba lokuPhilisa lokuQala
Ngexesha lesigaba sokuqala sokuphilisa, esihlala sihlala iiveki ezininzi, ithambo liqala ukuphilisa. Isigulana sinokufumana ukungahambi kakuhle, ukuvuvukala, kunye noluhlu oluncinci lokunyakaza ngeli xesha. Amayeza eentlungu kunye nonyango olubandayo lunokusetyenziswa ukulawula ezi mpawu.
Unyango loMzimba kunye neMithambo
Njengoko ithambo liqhubeka liphilisa, ugqirha wamathambo unokuncoma unyango lomzimba kunye nokuzivocavoca ukuphucula uluhlu lwentshukumo, amandla kunye nomsebenzi. Ezi mithambo zilungelelaniswe ngokweemfuno zomntu ngamnye kwaye zinokubandakanya iintshukumo ezithambileyo zengqiniba, ukuzolula, kunye nemithambo yokuzomeleza.
Ukubuyela kwiMisebenzi eqhelekileyo
Ixesha elithathayo ukubuyela kwimisebenzi eqhelekileyo liyahluka ngokuxhomekeke kumntu kunye nobukhulu beqhekeza. Uninzi lwezigulana zinokuphinda ziqalise ukwenza izinto ezilula kwiinyanga ezimbalwa, ngelixa imisebenzi enzima kakhulu emzimbeni inokufuna ixesha elide lokuchacha. Ugqirha wotyando uya kunika isikhokelo xa kukhuselekile ukuqalisa kwakhona imisebenzi ethile.
Iingxaki ezinokuthi zibekho kunye nemingcipheko
Ngelixa iipleyiti zokutshixa i-olecranon zibonwa zikhuselekile 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 olululo 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)
Umbuzo: Kuthatha ixesha elingakanani ukuba i-olecranon fracture iphole ngepleyiti yokutshixa?
A: Ixesha lokuphilisa liyahluka ngokuxhomekeke kubunzima bokuphuka kunye nezinto ezizimeleyo. Ngokuqhelekileyo, kuthatha malunga ne-6 ukuya kwiiveki ezi-8 ukuba ithambo liphole, kodwa ukuchacha ngokupheleleyo kunye nokubuyela kwimisebenzi yesiqhelo kunokuthatha iinyanga ezininzi.
Umbuzo: Ngaba ipleyiti yokukhiya i-olecranon inokususwa emva kokuba ithambo liphilile?
A: Kwiimeko ezininzi, i-olecranon yokutshixa ipleyiti ayifuni ukuba isuswe ngaphandle kokuba ibangela ukungahambi kakuhle okanye iingxaki. Isigqibo sokususa ipleyiti senziwa kumntu ngamnye, ngokuqwalasela iimeko ezithile zesigulane.
Umbuzo: Ngaba kukho naziphi na izithintelo okanye izilumkiso emva kotyando lokuqhekeka kwe-olecranon ngepleyiti yokutshixa?
Umbuzo: Ngaba i-olecranon fractures ingaphilisa ngaphandle kokuhlinzwa?
A: I-olecranon fractures elula kunye nokuhamba okuncinci kunokuphilisa ngaphandle kokuhlinzwa, kuxhomekeke kumntu kunye neempawu zokuphuka. Nangona kunjalo, ngenxa yeefracture ezinzima okanye ezifudukayo, ungenelelo lotyando lunokuba luyimfuneko ekuphulukiseni ngokufanelekileyo kunye nokubuyiselwa komsebenzi we-elbow.
Umbuzo: Ngaba unyango lomzimba luyimfuneko emva kotyando lokuqhekeka kwe-olecranon kunye nepleyiti 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
Ukusetyenziswa kwepleyiti yokutshixa i-olecranon yindlela ebalulekileyo yotyando kunyango lwe-olecranon fractures. Ezi cwecwe ezikhethekileyo zinika uzinzo oluphuculweyo, okuvumela ukuphiliswa ngokufanelekileyo kunye nokubuyiselwa komsebenzi we-elbow. Ukuba ufumene i-olecranon fracture, qhagamshelana nochwepheshe bezempilo abaqeqeshiweyo ukuze banqume eyona ndlela ifanelekileyo yonyango.
