Ukuhlanganiswa kwe-sternoclavicular, noma ukuhlanganyela kwe-SC, ukuxhuma kwe-sternum (isifuba) ku-clavicle (i-collarbone). Lokhu kuhlangene kwe-SC kulimale kakhulu, kodwa kungabangela inkinga lapho ukulimala kuqhubeka.
Ukususwa kwe-Sternoclavicular
Umhlanganiso we-sternoclavicular ungasuka endaweni yawo evamile. I-clavicle izoshiya phambili (i-SC extertion disteration) noma ngemuva (i-SC yokuhamba kwesimo esihamba phambili) i-sternum.
Ukushiywa kwe-SC engemuva kwe-SC kuyadabukisa kakhulu ngenxa yezakhiwo ezibalulekile ezitholakala ngemuva kwe-sternum. Lezi zakhiwo zihlanganisa imithi emikhulu yegazi kanye ne-trachea (i-windpipe). Ukulimala kwalezi zingabangela izinkinga ezisongela ukuphila ngegazi nokuphefumula.
Ukuhlukaniswa kokuhlanganiswa kwe-SC ngokuvamile kubangelwa ukulimala ehlombe. Ngokuvamile, i-outer / front of the shoulder ihlaba umxhwele kakhulu, futhi ukuqhuma kwe-SC kwangaphakathi kwenzeka. Kwezinye izimo, amandla aphikisayo ngqo ebusweni angabangela ukuxoshwa kwe-CS engemuva.
Ukuxilongwa
Ukulimala kwe-SC kungaba nzima ukubona ku-x-ray evamile, nakuba kunezindlela zokubona ngeso lengqondo ukuhlanganiswa kwe-SC ngokushintsha indlela i-x-ray eyenziwa ngayo. Uma ukubambisana kwe-SC kubonakala sengathi kulimele, kusetshenzwa ukuskena kwe-CAT ukuze kuhlolwe kangcono uhlobo lokuhlukaniswa.
Izimpawu ze-SC dislocation zixhomeke ekutheni noma cha yini ukuhlukaniswa kwangaphambili noma kokuthunyelwe kwangasese.
Endabeni ye-SC yangaphandle yokuxuba, ungase ubone ukuphela kokuqedwa kwe-clavicle. Iziguli zinebuhlungu nokuvuvukala kule ndawo.
Iziguli ezine-SS ezihamba phambili ezihlangene zingase zibe nokucwiliswa okucashile kwesikhumba phezu kokujoyina kwe-SC, kanye nobuhlungu nokuvuvukala. Ngaphezu kwalokho, iziguli zingaba nokuphefumula kanzima, ukugwinya okubuhlungu, nokuphazamiseka okungavamile okubangelwa ukucindezelwa kwe-trachea, i-esophagus, nemithambo yegazi.
Ukwelapha
I-Minor sprains eya ehlangene ne-SC iphathwa ngemithi yokuthunga kanye nokulwa nokuvuvukala . Lapho ukuhlanganiswa kwe-SC kususwa ngokuphelele, ukuphindaphinda (okuthiwa ukunciphisa okuhlangene) kwehlanganiso ye-SC kungenziwa ukuzama ukudubula isiguli nokudonsa ngomusa ngengalo. Lokhu kungavumela ukuhlanganyela kwe-SC ukuthi 'kulandele' emuva esikhundleni. Ukuhlanganiswa kwe-SC akudingeki ukuthi kubekwe kabusha ngokugcwele ukuze kube nomphumela omuhle wesikhathi eside.
Ukuhlinzwa ukuze kuthunyelwe ukuhlanganiswa kwe-SC kubhekwa ukuxoshwa kwe-SC okungemuva, nokunye okubuhlungu, okuphawulekayo kwe-SC ukuhlukanisa. Uma ukuphindaphinda okungeyona okuhlinzekwa kokujoyina akuphumelelanga, khona-ke ukuhlinzwa kungenziwa ukuhambisa ukujoyina kwe-SC nokulungisa imigqa ehlangene ye-SC.
Lapho ukuhlinzwa kwenziwa nge-SC emisiwe yokuthungula, inqubo yenziwa kokubili i-orthopedic ne-vascular surgeon etholakalayo. Isizathu ukuthi kukhona ithuba lokulimala emithonjeni emikhulu yegazi yesifuba, futhi udokotela ohlinzayo wesibindi kufanele atholakale ngokushesha uma kudingeka.
Kungaba Yini Okunye Okunye?
Kunoma yisiphi isineke esingaphansi kweminyaka engu-25 ubudala, ukuphuka kwesikhala sokukhula kwe -clavicle kufanele kusolwe kunokuba kube nokuhlukaniswa okuhlangene kwe-SC. I-platevic clavicular ukukhula ipuleti yi-plate yokugcina yokugcina ukuvalwa emzimbeni.
Kuyi-plate yokukhula eyalimala, kune-joint SC, ezigulini eziningi ezingaphansi kweminyaka engama-25. Ukwelashwa kwe-clavicular ukukhula kweplate ukuhlukana kufana nokuphathwa kwe-SC dislocation, ngaphandle kokuthi kuyinto engavamile kakhulu lezi ziguli ezincane zidinga ukuhlinzwa.
Imithombo:
UMedvecky MJ, uZuckerman JD. "Ukulimala okuhlanganyelwe kwe-Sternoclavicular kanye nezinkinga" I-Instr Course Lect. 2000; 49: 397-406.