Clavicle mgbaji ọkpụkpụ: Mgbaàmà na Ọgwụgwọ

Clavicle mgbaji ọkpụkpụ - a pụtara ugboro ugboro mmerụ. O nwere ike ịbụ n'ihi na a kpọmkwem igbu ya, ma ndị ọzọ na-ikpe n'ihi ọdịda ke agbatiri ma ọ bụ kpebisiri na n'ikpere aka, na ogwe aka ma ọ bụ n'akụkụ nke ubu. Kacha ngwangwa ebe bụ n'etiti atọ nke ọkpụkpụ, na ókè-ala n'etiti ya na nke abụọ-atọ - a bụ ihe kasị siri na curved oche.

nhazi ọkwa

The kasị okenye na-esonụ a mgbaji ọkpụkpụ:

- cross;

- comminuted (kasị dị mgbagwoju, na ọtụtụ rifọrọ, kpaliri ikwu onye ọ bụla ọzọ);

- oblique.
Na ụmụ, ndị kasị mgbaji ọkpụkpụ bụ ụdị "green alaka" - subperiosteal. Mgbe ụfọdụ, ọ mebiri emebi neurovascular ùkwù na dome nke pleura, mgbe ụfọdụ, nkọ mgbawa amapu anụ.

Esi amata a gbajiri olu

Ihe kacha ụzọ mara ekpochapụ mgbaji ọkpụkpụ. Ebe ọ bụ na mebiri emebi n'akụkụ ubu nkwonkwo ikwu na ndị ọzọ bụ ubé ala na anteriorly. A onye dị otú ahụ na ihe ọjọọ na-eme a kpebisiri ogwe aka na toso, idebe gị elbows. The n'aka na-egosi ogologo oge karịa akụkụ nke a ike olu. N'otu uzo na isi na-weturu, na mgbaji ọkpụkpụ saịtị anya hemorrhage na akpụ-emetụ ya na-egbu mgbu. Na ụmụaka, ihe mgbaàmà nke a clavicle mgbaji ọkpụkpụ iji belata ọkọ na ihe mgbu na palpation, nwere ike ime ka ichihịa. Iji nyochaa ọnụnọ nke fractures na-ekpebi ya ụdị, na-eduzi X-ray nyochaa.

Ọgwụgwọ nke clavicle mgbaji ọkpụkpụ

Ọkpụkpụ iberibe na-laghachi ziri ezi na ọnọdụ, na-eweli ogwe aka elu ma na-enye ya, Otú ọ dị, idozi ọnọdụ a bụ nnọọ ike. Otú ọ dị, ọbụna ma ọ bụrụ na olu srastetsya abụchaghị kpọmkwem, ịrịba mgbanwe, ma ọtọ na aesthetic, na-emekarị anaghị bilie. The naanị wezụga bụ a ogologo oge fixation nke n'ubu nkwonkwo, bụ nke pụrụ iduga isi. Clavicle mgbaji ọkpụkpụ-emeso ya na a nta dechapụ ma ọ bụ ọ dechapụ na 8 ekara bandeeji, nke a na karịrị on a tupu anesthetized iji 20ml 1% novocaine, ebe. Okenye ọrịa bandeeji ike plaster bandeeji, na umu na-emebu na-eri. Ọ bụrụ na a mgbagwoju trauma, ọtụtụ iberibe, ike abụchaghị eziokwu pụrụ iche taya na-eji n'etiti onwe ha. Ọ na-mere nke abụọ na taya Cramer, ekwe na jikọtara. Ndị dị otú ahụ a na ngwaọrụ na ntukwasi-obi gbachiri ndị distal ibe akwụkwọ bụ na a zụrụ ọkwá na a bit tọrọ azụ.

The bandeeji wepụrụ mgbe 2-4 izu, dabere na mgbagwoju nke mmebi arụ ọrụ ogwe aka na-n'ụzọ zuru ezu weghachiri eweghachi mgbe 4-7 izu mgbe mgbaji ọkpụkpụ. Nke a ịpịsi ma ọ bụ emebiri neurovascular ùkwù, ma ọ bụ mgbe a ize ndụ nke iro nke ya ike n'ezi mgbe agbali reposition ọkpụkpụ iberibe a rụrụ mberede n'ịwa ahụ. Ọzọkwa, ịwa na-owụt ke ikpe na ịrịba Ndahie nke ọkpụkpụ iberibe. Na-arụ a mkpachapụ olu ofu via spokes ma ọ bụ ígwè mkpanaka, nke a na-ewepụ mgbe 3-4 ọnwa. Mwepụ a rụrụ n'okpuru obodo Nkụnwụ. The mbepụ maka ọrụ a na-na ebe palpable njedebe nke mkpara.

Clavicle mgbaji ọkpụkpụ a mụrụ ọhụrụ

N'etiti nwa ntụpọ nke nweekwa usoro, ya bụ clavicle mgbaji ọkpụkpụ emee Ọtụtụ. Mkpokọta 3% niile na a mụrụ ụmụaka a nchoputa. Ihe kpatara nwere ike ngwa nnyefe, na-ekwesịghị ịdị na ọnọdụ nke nwa na ihe ndị ọzọ na-eme ka o sie ike na-akwalite nascent nwa site na omumu kanaal. N'ihi ya, na nwa n'ubu squeezed nne pelvic ọkpụkpụ, na e nwere a mgbaji ọkpụkpụ. -Emeso ndị a na-eto eto ndị ọrịa, pribintovyvaya ahụ aka ahu, na nchọ n'etiti owu na mpe mpe akwa. 5-8 ụbọchị a congenital mgbaji ọkpụkpụ agwọ kpamkpam, ije weghachiri eweghachi mgbe oge ụfọdụ ma ọ bụla dị ka ihe merenụ.