Ukwelashwa kwe-Elbow ehlukanisiwe
Ukuphazamiseka kwe-elbow kwenzeka lapho ingalo engaphezulu ne-forearm ihlukaniswa nesimo sabo esivamile. Ithambo lesandla elingenhla (humerus) evame ukuthinta amathambo we-forearm (i-radius ne-ulna). Uma kuvela ukugoqa kwe-elbow, la mathambo ahlukaniswa nokulinganisa okujwayelekile. Ukuphazamiseka kwe-Elbow yiyona eyesibili yokuhlukanisa okuvamile, ngokulandela ukuxoshwa kwehlombe .
Kunezinhlobo ezimbili eziyisisekelo zokuhlukaniswa kwe-elbow:
- Ukuhlukaniswa okulula kwe-Elbow
Ukuhlukaniswa kwe-elbow elula kusho ukuthi akukho ukuphulwa kwamathambo azungeze umhlanganiso we-elbow. Ukuchazwa kwe-elbow dislocation elula kungcono, njengoba ukuhlinzwa njalo kungadingeki ukwelashwa. - Ukuhlukaniswa kwe-Elbow Complex
Ukuhlukaniswa kwe-elbow okuyinkimbinkimbi kusho ukuthi kukhona ukuphuka, okuvamile kwe-forearm, okwenzekile kanye nokuhlukaniswa kwe-elbow. Esikhathini esiyinkimbinkimbi yokuhlukanisa i-elbow, kuvame ukuhlinzeka ukuhlinzwa ukuze kulungiswe ithambo eliphukile ukuze kugcinwe umhlanganiso we-elbow endaweni ejwayelekile.
Ukuhlola kwe-Elbow ehlukanisiwe
Uma othile elimaza i-elbow, inhlanganisela ye-elbow ehlukanisiwe kufanele ibhekwe njengesizathu esibangela ubuhlungu be- elbow . Izimpawu zendwangu ehlukanisiwe zihlanganisa ubuhlungu, ukuvuvukala, nokuhluleka ukugoba i-elbow. Kwezinye izimboza ezithengiswayo, umonakalo wamanzi noma umonakalo wegazi ungenzeka. Konke ukuphazamiseka kwe-elbow kudinga ukwelashwa okusheshayo, kodwa labo abanesifo somzimba noma isisulu (umkhumbi wegazi) badinga ukunakwa okukhethekile.
Ngaphambi kokubeka i-elbow esikhundleni (okubizwa ngokuthi "ukunciphisa" i-elbow), kufanele kwenziwe i-x-ray ukubuka isikhundla se-elbow dislocation futhi ubheke noma yikuphi ukuhlukana okuhambisanayo.
Ukwelashwa kwe-Elbow Dislocation
Ukuxoshwa kwe-elbow kuthathwa ngokubeka kabusha amathambo. Ngokuvamile ukunciphisa kwenziwa ngaphansi kwe-anesthesia, noma kunjalo, uma isiguli sikwazi ukuphumula, ukunciphisa kungenziwa ngaphandle kwe-anesthesia.
Ngokuvamile umhlanganiso we-elbow uzovele, "uphinde" uphinde ufike endaweni, kepha kungaba nzima ukuthola ukulungiswa okujwayelekile ezindaweni eziyinkimbinkimbi. Emva kokunciphisa i-elbow, enye i-x-ray kumele yenziwe ukuqinisekisa ukulungiswa okufanele kokujoyina.
Uma i-dislocation e-elbow elula isenzekile, ngemva kokunciphisa umzimba, umhloli kufanele anqume ukuzinza kohlangothini lwesigqoko. Uma isigqoko singeke sihlale esimweni, futhi siqhubeka siphuma, ukuhlinzwa kungase kudingeke. Ezimweni eziningi, i-elbow ingakwazi ukuvimbela indawo lapho ukuhlanganiswa kuzinzile khona. Isimo sokuzinza okunamandla sihambisana nesigqoko, futhi isandla saphenduka.
Ukwehlisa imingcele kunqunyelwe, njengoba ukuchithwa isikhathi eside kungabangela ukuqina okukhulu kombuthano. Iziguli ziqala ngokunyakaza kokuqala, ngokuvamile zingakapheli izinsuku noma isonto ngemuva kokulimala. Ukuhamba kuqaliswa ebangeni lapho i-elbow yayisimeme futhi yanda kancane kancane. Iziguli ezinokuhlukumeza okulula ejwayelekile zifezekisa ukubuyela emsebenzini ogcwele phakathi kwamasonto ayisithupha kuya kwangu-12 okulimala.
Ukuhlinzwa kwe-Elbow Dislocations
Ukuhlinzwa akudingeki ukuba kube nokuhlukana okulula kwe-elbow. Ukwelashwa kuyadingeka kuphela emva kokuhlukaniswa kwe-elbow elula uma i-elbow ingahlali ehlangene (mayelana no-1-2% we-elbow dislocations).
Ucwaningo oluningi alubonisanga nzuzo ekulungiseni i-ligament ngemuva kokuhlukaniswa kwe-elbow elula.
Ukwelashwa kuvame ukudingeka uma kunesifo esivumelana ne-elbow dislocation. Ngaphandle kokuqiniswa kokuhlinzwa kwe-fracture, ngokuvamile kunzima ukugcina ukulungiswa komjoqo wesigqoko. Ukwelashwa ngokuvamile kudinga ukubeka amapuleti nezikulula emathanjeni aphukile ukuze kulungiswe ukulungiswa kwawo.
Imithombo:
I-Cohen MS, uHastings H. "Ukuphazamiseka okuncane kwe-elbow: ukuhlolwa nokuphathwa" J. Am. I-Acad. I-Orthop. Ukuhlinzwa, uJan 1998; 6: 15-23.