Udinga nini ukuhlinzwa ukuphuka?

Ukuphuka ngokuvamile kuhambisana nokulimala kwezinye izingxenye zomzimba. Kuyo yonke inqubo yokwelashwa, iziguli kufanele zelashwe zizonke.

Ukuhleleka Okubalulekile

• Londoloza izimpilo

• Londoloza izitho zomzimba

• Londoloza amalunga

• Umsebenzi wokwakha kabusha

  
  

Ukuhlinzwa okuphuthumayo: izimiso zokwelashwa kokulimala kwe-vascular, ukuphuka okuvulekile nokuphuka okuvaliwe.

• Ukwehliswa okuvulekile nokulungiswa kwangaphakathi ngokushesha ngangokunokwenzeka (ngaphakathi kwe-6h)

• 48h

• 3 ~ 7d: Izokwandisa ukuvela kwe-ARDS nezinye izinkinga.

• I-7 ~ 10d: Ukusabela kwe-Endocrine kwehlile [ukuvuvukala kwehlile, ukuvuvukala kwaphela]

• Ngaphezu kwamaviki ama-2: ubunzima bokusebenza buyanda futhi umsebenzi we-postoperative uyancipha.

Ukuphuka kwe-collarbone

• Lapho i-fracture block ilimaza umthambo we-subclavia, umthambo kanye ne-brachial plexus, kuvunyelwana ngokuthi kuyinkinga enkulu futhi kufanele ihlinzwe ngokushesha.

I-Proximal humeral fracture

• Lapho ukubuya okunwebekayo kwenzeka ngemuva kokwehliswa kwezandla-i-tendon ye-biceps longus, lapho kuvela izimpawu ze-axillary nerve.

Ukuphuka kwe-humeral shaft

• Uma izimpawu zokulimala kwe-radial nerve zitholakala ekuhlolweni ngokomzimba, ukuhlinzwa kuzokwenziwa ngokushesha.

I-distal humeral fracture

• Lolu hlobo lokuphuka lungabangela noma yikuphi ukulimala kwenzwa noma umthambo wegazi odlula ejoyintini lendololwane. 

• Ukuqhekeka kwemithambo yegazi akuvamile, kodwa kungase kube nokushuba noma ukucindezela. 

• I-Fascial space syndrome-i-incision esheshayo kanye ne-decompression.

Ukulimala kwe-olecranon, ikhanda eli-radial kanye nokuhlangana kwendololwane okuyinkimbinkimbi

• Qedela ukusebenza phakathi neviki.

• 1 ~ 2 amaviki ukusebenza taboo isikhathi-myositis ossificans.

• Ukuhlinzwa emavikini angu-2.

  
  

Ukuphuka kwengalo yomphambili kabili

• Noma ukuphuka okuvulekile kufanele kusetshenziswe phakathi kuka-6 ~ 8h ngemva kokulimala.

• Ukusebenza ukubambezeleka kungase kwenyuse ingozi yokwakheka kwebhuloho lethambo phakathi kwe-ulna ne-radius.

Ukuphuka kwerediyasi ekude

• Lapho ukuhlola ngokomzimba kuthola ukuthi ukulimala kwe-extensor pollicis longus tendon kanye nezimpawu zokucindezelwa kwezinzwa ezimaphakathi kwavela-ukuhlinzwa okusheshayo.

Ukuphuka kwesandla

• Ukunciphisa kwangaphambi kwesikhathi kanye nokulungiswa kwangaphakathi kugcizelelwa kokubili ukuphuka okuvulekile nokuvaliwe, ikakhulukazi kulabo abayinkimbinkimbi ngokulimala kwe-vascular, nerve noma i-tendon, ukuhlinzwa kufanele kwenziwe ngokushesha.

  
  

Ukuphuka kwe-pelvic

• Ukuphuka kwe-pelvic kuvame ukuhlanganiswa nokuphuka kwezinye izingxenye, okuzoholela ekungazinzi kwe-hemodynamic.

  
  

• Imodi yokwelapha yokuphuka kwe-pelvic eyinkimbinkimbi: 30min, izinqumo ezi-3

• Ukuhlolwa kokuhlinzwa ngokushesha ukuze kumiswe ukopha

• Ukulungiswa kwe-pelvic (ama-forceps amise okwe-C noma i-fixator yangaphandle) kuqedwa ku-10 ~ 15min.

• Ngemuva kokubheka i-10 ~ 15min, isiguli sisenokungasebenzi kahle kwe-hemodynamic.

• Ezigulini ezine-hemodynamics ezinzile, ukuhlinzwa kufanele kwenziwe phakathi kwezinsuku eziyi-7, noma izinsuku eziyi-7 ~ 14.

I-Proximal femoral fracture-intertrochanteric fracture

• Uma isimo esijwayelekile sesiguli sesilawulwa, ukulungiswa kwangaphakathi, i-DHS, i-DCS ne-PFN, kufanele kwenziwe.

I-Proximal femoral fracture-femoral neck fracture

• Ukuphuka kwentamo ye-Femoral, ikakhulukazi i-intracapsular fracture, kungafaka engozini ukunikezwa kwegazi kwekhanda lesifazane, ngakho-ke kuyadingeka ukuvula ukunciphisa nokulungiswa kwangaphakathi ngokushesha ngangokunokwenzeka.

• Ukulungiswa kwangaphakathi: <iminyaka engu-65 ubudala

• Ukushintshwa okuhlanganyelwe: > iminyaka engu-65 ubudala

• Uma ukuhlinzwa okuphuthumayo kungenakwenzeka, ukubhoboza okuhlangene kanye nokufisa kwe-hematoma ye-intra-articular kungenziwa, futhi ukuhlanganiswa kwe-hip kungagcinwa ku-semi-flexion kanye nokuma kokujikeleza kwangaphandle.

Ukuphuka kwe-distal femoral

• Iziguli ezinokulimala okukhulu kwezicubu ezithambile, ukuphuka okuvulekile, noma ubunzima ekusebenzeni kwangaphambi kwesikhathi-I-Super-articular fixator yangaphandle.

• Ukwelashwa okuphuthumayo kokuhlinzwa kokulimala okukodwa--DCS, i-retrograde intramedullary nail.

  
  

I-Patella Fracture

• Isimo esijwayelekile sesiguli sizinzile, futhi izimo zesikhumba zendawo zivumela, ukuhlinzwa kufanele kwenziwe ngokushesha.

I-Proximal tibial fracture

• Nquma uhlobo lodlame lokulimala

• Ukulimala okukhulu kwamandla ngokuvamile kuhambisana nokulimala okukhulu kwezicubu ezithambile. Ibonakala ngokuvuvuka kwezitho, amabhamuza, ukuhuzuka kwesikhumba kanye nokulimala kwesikhumba. Umsebenzi kufanele uhlehliswe ngalesi sikhathi. Ngesikhathi esifanayo, i-fascial space syndrome kanye nokulimala kwe-vascular and nerve kufanele kukhishwe.

Ukuphuka kwe-Tibial shaft

• Okukhethekile kwe-anatomy-ukubaluleka kokufakwa kwezicubu ezithambile.

• Isigaba sangaphambi kwesikhathi: phakathi kuka-8h

• I-fixator yangaphandle ibhekwa njengenketho yokuqala yokwelashwa kusenesikhathi.

• Ukusekelwa kweGypsum

• I-Calcaneal traction

• Isigaba II: cishe amaviki ama-2.

• Kwakungekho ukutheleleka kwesistimu okusobala kanye nokuhlukumezeka okukhulu.

• Akukho ukuvuvukala noma ukuphuma kwesilonda.

• Ibhamuza lomile, ukuvuvukala kuyehla futhi izimpawu zamathambo zingathintwa.

• Isikhumba esishwabene, kuvela imigqa yesikhumba.

Ukuphuka kwe-distal tibia (pilon)

Umphumela wokwelapha we-Pilon fracture uncike kwikhwalithi yokwakhiwa kabusha kwamalunga kanye nesimo sokumbozwa kwezicubu ezithambile.

Isikhathi esingcono kakhulu sokuhlinzwa sincike esimweni sezicubu ezithambile:

• Isigaba sokuqala: ukuhlinzwa kwenziwa phakathi kuka-6 ~ 8h, okwathatha 2 ~ 3h.

• Ukubambezeleka: Izinsuku eziyi-7 ~ 10, ukuvuvukala kwanyamalala futhi kwavela imibimbi yesikhumba.

Izimiso ezine zendabuko okufanele zilandelwe ekwakhiweni kabusha kokuhlinzwa kwesiteji esisodwa:

• Ukwakhiwa kabusha kwe-fibula

• Ukwakhiwa kabusha kwe-tibial articular surface

• Ukufakwa kwamathambo

• Ukusekelwa kwe-bone plate

Ukuphuka kweqakala

• Ukuphuka kweqakala ukuphuka kwe-intra-articular.

• Inhloso yokwelashwa ukubuyisela isakhiwo esivamile se-anatomical samalunga.

• Isikhathi sokuhlinzwa sincike esimweni sezicubu ezithambile.

• Isikhathi esifanele sokuhlinzwa singaphambi kokuba kuvele i-edema namabhamuza endaweni yokuphuka.

Ukuphuka kwezinyawo

• Kuyitshe lezinyawo ukuthi abantu bame bahambe. Ukubuyisela ukwakheka kwe-anatomical evamile yonyawo kudlala indima ebalulekile ekumeni nasekuhambeni kwabantu.

• Njengokwephuka kweqakala, isikhathi sokuhlinzwa sincike ezingeni kanye nesimo sokuvuvukala kwezicubu ezithambile.

Ukuphuka komgogodla

• Uma umzimba wonke uzinzile, ukuphuka okususiwe kufanele kusetshenziswe ngokushesha uma kunezimpawu zemizwa.

  
  

Ungawathenga Kanjani Ama-Orthopedic Implants kanye Nezinsimbi Zamathambo?

Ngoba I-CZMEDITECH , sinomugqa womkhiqizo ophelele kakhulu wezimila zokuhlinza amathambo nezinsimbi ezihambisanayo, imikhiqizo ehlanganisa izimila zomgogodla, izipikili ze-intramedullary, ipuleti lokuhlukumezeka, ipuleti lokukhiya, i-cranial-maxillofacial, izitho zokufakelwa, amathuluzi amandla, izilungisi zangaphandle, i-arthroscopy, ukunakekelwa kwezilwane kanye namasethi amathuluzi asekelayo.

Ngaphezu kwalokho, sizibophezele ekuthuthukiseni imikhiqizo emisha ngokuqhubekayo nokwandisa imigqa yemikhiqizo, ukuze sihlangabezane nezidingo zokuhlinzwa zodokotela abaningi neziguli, futhi senze inkampani yethu iqhudelane kakhulu kuwo wonke umkhakha womhlaba wonke wokufakwa kwamathambo nezinsimbi.

Sithumela emhlabeni wonke, ukuze ukwazi xhumana nathi ekhelini le-imeyili elithi song@orthopedic-china.com ukuze uthole isilinganiso samahhala, noma uthumele umlayezo ku-WhatsApp ukuze uthole impendulo esheshayo +86- 18112515727 .

Uma ufuna ukwazi okwengeziwe, chofoza CZMEDITECH ukuthola imininingwane eyengeziwe.