Dislocation kwenyawo - Iimpawu, Treatment

Ekwenzeni dislocations izifundo rhoqo kwafunyanwa ukuba dislocation ye unyawo kwifomu yalo olusulungekileyo enqabileyo nama-14-15 1 inani elipheleleyo dislocations. Kaninzi oku kudityaniswe nezinye zokonzakala umlenze inokuba ukwaphulwa okanye dislocation le iqatha, unyango kule meko inzima kakhulu ngakumbi.

Ngamanye amaxesha subtalar dislocation le yonyawo, kunye angenzakali ngendlela edibeneyo ezinqamlezayo, dislocation yeminwe. Njengoko kudla ngokwenzeka talus Ndikhuphe kunye ithambo navicular priplyusny, lo gama ezinye amathambo komsipha zinqabile kakhulu. dislocations ngokupheleleyo zinqabile, sigcine kukho subluxations ezahlukeneyo odibeneyo unyawo.

Indlela yokuphatha unyawo Ndikhuphe.

Bonke ubonakala ngokuba dislocations anamnesis ekubhentsiseni mfumba, uhlobo olungundoqo lwe unyango i nitrogen epheleleyo kunye luhleli emva phantsi zomzimba ngenxa dislocation iyapheliswa. Emva kokugqiba ikhondo unyango isigulane liya kuba lide ngokwaneleyo ukuze ukuphazamisa intlungu ukuze zikhatshwe ukudumba kunye ekuqhwaleleni. Zonke iingcali bacebisa ukuba abantu abaye ubunzima dislocation yonyawo, lo gama i-tab-ukusetyenziswa instep wamathambo.

dislocation Subtalar kwenyawo lwenzeka kunqabile. Xa olu hlobo yokwenzakala, yena talus na ukuhamba, kwaye ukubana of the calcaneus kunye navicular kunye namathambo cuboid le waseTarso. dislocations ezinjalo kwenzeka ngenxa bawe kubude, xa kukho ukuthembela phezu kwawo lisongiwe. Amaninzi ke lwangaphakathi posteromedial, soloko ilandelwa yi ukwaphuka yintloko talus kunye ithambo navicular.

Iimpawu wokwenzakala elithile nokudumba hindfoot ngokukhawuleza kokuhluma hematoma. Ukuba kwakukho dislocation yangaphakathi, unyawo ishenxiselwe kancinci ngaphakathi. Nayiphi na intshukumo emva zokulimala ibuhlungu kakhulu kwaye abambalwa kakhulu, phantse engekho kwaukubakho umsebenzi inkxaso yonyawo achaphazelekayo. Kwimeko apho kukho enyelisa sele edibene ukubana le yonyawo, ngoko abangaboniyo ziphawule ukwanda okubonakalayo isithende. Ukuze amise isifo esichazayo kuyimfuneko ku tirhisa uqikelelo ezimbini X-ray.

Unyango olu hlobo dislocation kakhulu ixesha elide kwaye ifuna misa ekhawulezileyo, oluqhutywa phantsi Ukubulawa jikelele. Quickness ukuphelisa dislocation kuyimfuneko kuba kukho legazi, kwaye ukudumba sisiphumo kuphazamise unciphiso. Emva ekusombululeni ingxaki wabeka ndoyilahla iinzwane kunye nitrogen welungu idolo, nto leyo uSathana uzimisele kwi-engile ° 150. Emva koko, ulawulo yenziwa iimviwo X-ray. Emva kweeveki 3-4 se nitrogen isusiwe kwaye ngokuyimfuneko ifuna ukusetyenziswa unyango emzimbeni yokuthanjiswa sokubuyisela ngokupheleleyo komsebenzi ingxenye owenzakeleyo. Kukwacetyiswa kwakhona ukuba ukunxiba instep idipozithi ukuya kutsho kwiinyanga ezi-6. Serviceability iqala ukubuyisa ngaphambi iinyanga ezi-2.

Dislocation ekwenzeni ezinqamlezayo tarsal elunyaweni kwenzeka ngenxa yokulimala ngqo ngoomatshini. Le ukwenzakala kudla kwenzeka elezithuthuthu ngubani ntoni flexion ngokucinezela ngamandla forefoot. Loo dislocation Idla yi ukwaphuka unyawo okanye amathambo cuboid navicular.

Iimpawu zesi hlobo yesikhumba ukonzakala kakhulu kwempixano ngaphesheya dorsum yonyawo, deformation wayo, kwakunye nokudumba kunye neentlungu obukhulu. Xa zokuhlola ibonisa ngokucacileyo ukubana wethambo navicular. Kuba uphethwe echanekileyo kubalulekile ukuze aqhube X-ray in uqikelelo ezimbini.

Kunangaphambili ukuphelisa le dislocation, ngcono. Ukuba akukho Izimo, umsebenzi lwenziwa phantsi Ukubulawa jikelele. Ukuba umntu contraindicated zomzimba, le nkqubo ikhutshwa phandle usebenzisa iintlungu ofaka.

Emva ekupheliseni dislocation kwenyawo Iqinisekile, kwaye udaka isusiwe ngeenyanga 1,5-2. Ukuze ukubuyisela ukusebenza kuyasebenza ukuyifundisa.