I-Distal Ulnar Locking Plate: Ukuqonda Izinzuzo zayo, Izinkomba, kanye Namasu Okuhlinzwa
Uma wena noma othile omaziyo ehlukumezeke ngokuphuka kwe-ulnar ekude, kungenzeka ukuthi ujwayelene negama elithi 'ipuleti lokukhiya i-distal ulnar.' Le divayisi iguqule indlela okuphathwa ngayo ukuphuka kwe-ulnar, okuhlinzeka ngezinzuzo eziningi kunokwelashwa kwendabuko. Kulesi sihloko, sizocubungula ipuleti lokukhiya i-distal ulnar, sihlole izinzuzo zalo, izinkomba, nezindlela zokuhlinza.
1. Yini ipuleti lokukhiya i-distal ulnar?
Ipuleti lokukhiya i-distal ulnar iyisisetshenziswa sezokwelapha esikhethekile esisetshenziswa ekwelapheni ukuphuka kwe-distal ulnar. Yenziwe ngensimbi futhi inezimbobo zezikulufu eziningi ezivumela ukuqina kwethambo. Ipuleti libekwe phezu kwethambo le-ulna, okungelinye lamathambo amabili engalo, futhi liqiniswe endaweni kusetshenziswa izikulufu. Uma ususendaweni, ipuleti inikeza ukuzinza ethanjeni, okuvumela ukuphulukiswa okufanele.
2. Izinzuzo zepuleti lokukhiya le-distal ulnar
Kunezinzuzo ezimbalwa zokusebenzisa ipuleti lokukhiya i-distal ulnar ukwelapha ukuphuka kwe-distal ulnar. Lokhu kubandakanya:
Ukuzinza okuthuthukisiwe: Ipuleti linikeza ukulungiswa okuqinile nokuzinzile kwethambo, okuvumela ukuphulukiswa okuphelele nokunciphisa ingozi yezinkinga.
Isikhathi esifushane sokuphulukisa: Ngenxa yokuthi ipuleti inikeza ukulungiswa okuqinile okunjalo, ithambo liyakwazi ukuphulukisa ngokushesha nangempumelelo, okuvumela isikhathi esifushane sokubuyisela.
Ubuhlungu obuncishisiwe: Ngokuzinza okuthuthukisiwe kanye nesikhathi esifushane sokuphulukisa, iziguli ngokuvamile zithola ubuhlungu obuncane nokungakhululeki ngemva kokuhlinzwa.
Ingozi ephansi yezinkinga: Ukusebenzisa ipuleti lokukhiya i-distal ulnar ukwelapha ukuphuka kwe-distal ulnar kuboniswe ukunciphisa ubungozi bezinkinga ezifana ne-malunion kanye ne-nonnunion.
3. Izinkomba zepuleti lokukhiya le-distal ulnar
Ipuleti lokukhiya i-distal ulnar ngokuvamile lisetshenziselwa ukwelapha ukuphuka kwe-distal ulnar okugudlukile noma okungazinzile. Lokhu kuphuka kungenzeka ngenxa yokuhlukumezeka, njengokuwa, noma ukusetshenziswa ngokweqile, njengakubadlali. Ngokuvamile, ipuleti lokukhiya i-distal ulnar liyanconywa ngenxa yokuphuka okungakwazi ukwelashwa ngezindlela ezingezona zokuhlinzwa, njengokuphonsa noma ukubopha.
4. Izindlela zokuhlinza zepuleti lokukhiya i-distal ulnar
Uma ungumuntu ozongenela ipuleti lokukhiya i-distal ulnar, udokotela wakho ohlinzayo uzokwenza lezi zindlela zokuhlinza ezilandelayo:
Ukuhlela ngaphambi kokuhlinzwa
Ngaphambi kokuhlinzwa, udokotela wakho ohlinzayo uzothatha izivivinyo zokucabanga, njenge-X-ray noma i-CT scans, ukuze ahlole izinga lokuphuka kwakho futhi ahlele ukuhlinzwa.
Ukusika nokuchayeka
Phakathi nokuhlinzwa, udokotela wakho ohlinzayo uzokwenza imbobo encane esikhumbeni phezu kwethambo le-ulna futhi aveze ukuphuka.
Ukubekwa kwepuleti nokulungiswa
Ipuleti lokukhiya i-distal ulnar libe selibekwa ethanjeni le-ulna futhi liqiniswe endaweni kusetshenziswa izikulufu.
Ukuvala
Ekugcineni, i-incision ivaliwe futhi igqokisiwe, futhi i-splint noma i-cast ingasetshenziswa.
5. Ukubuyisela kanye nokuvuselelwa ngemva kokuhlinzwa
Ukululama nokubuyisela esimweni ngemva kokuhlinzwa kuzoncika ezingeni lokuphuka kwakho kanye nendlela yokuhlinza esetshenzisiwe. Ngokuvamile, ungalindela ukugqoka i-splint noma i-cast amasonto ambalwa ngemva kokuhlinzwa. Ukwelashwa ngokomzimba kungase futhi kunconywe ukukusiza ukuthi uphinde uthole amandla nokuhamba engalweni yakho.
6. Izinkinga ezingase zibe khona
Njenganoma iyiphi inqubo yokuhlinzwa, kunezinkinga ezingaba khona ezihlobene nokusebenzisa ipuleti lokukhiya i-distal ulnar ukwelapha ukuphuka kwe-distal ulnar. Lokhu kungase kuhlanganise ukutheleleka, ukulimala kwezinzwa, nokwehluleka kokufakelwa. Udokotela wakho ohlinzayo uzoxoxa nawe ngezingozi nezinzuzo zenqubo ngokuningiliziwe ngaphambi kokuhlinzwa.
7. Isiphetho
Ipuleti lokukhiya i-distal ulnar liyindlela yokwelapha ephumelela kakhulu yokuhlinza i-distal ulnar fracture enikeza izinzuzo eziningi ngaphezu kokwelashwa kwendabuko. Uma wena noma othile omaziyo ehlushwa i-distal ulnar fracture, khuluma nodokotela wakho mayelana nokuthi ipuleti lokukhiya i-distal ulnar lingaba inketho yokwelashwa esebenzayo.
8. Imibuzo Evame Ukubuzwa
Kuthatha isikhathi esingakanani ukululama kusukela ekuhlinzweni ngepuleti lokukhiya i-distal ulnar?
Ingabe zikhona izingozi ezihlobene nokusebenzisa ipuleti lokukhiya i-distal ulnar?
Ingabe ukuphuka kwe-distal ulnar kungaphathwa ngaphandle kokuhlinzwa?
Kwezinye izimo, ukuphuka kwe-distal ulnar kungelashwa ngaphandle kokuhlinzwa kusetshenziswa izindlela ezingahlinzeki njengokuphonsa noma ukubhula. Kodwa-ke, ukuhlinzwa kungase kudingeke ngenxa yokuphuka okugudlukile noma okungazinzile.
