Tsage jijiyoyin da kafada hadin gwiwa: Bayyanar cututtuka da kuma Jiyya

Idan muka tsaya ga ka'idar cewa aiki ne Ya sanya daga biri mutum, mataki na farko a cikin wannan dogon da wuya hanya nasa ne da kafada hadin gwiwa. Shi ya na musamman tsarin da ta samu ta muhimmi segments daga cikin manya reshe don saya da sauran m dabbobi masu shayarwa aikin fasali.

Bi da bi, muhimmanci fadada ta ayyuka daga mere support lokacin da motsi, mutum hannayensu, suka zama daya daga cikin mafi traumatized sassa na jiki. A wannan batun, da raunin da kafada abin ɗamara, wanda sau da yawa tafiya tare da an tsãge jijiyoyin da kafada hadin gwiwa, dake a yankin na musamman da hankali na clinicians. Kuma da tushen wannan - yiwu asarar ikon aiki, da kuma abin da yake mafi sharri, mutum da tawaya yadda ya kamata, ko ba dace warke lalacewa.

Brief ilimin Halittar Jiki reference

The musamman da suka bambanta da kafada hadin gwiwa da aka bayyana a matsayin wani rabo daga ta gaskiya articular saman. A samuwar kwarangwal abubuwa suna kai tsaye da hannu biyu ƙasũsuwa: da ruwa da kuma humerus. A articular surface na humerus aka wakilta mai siffar zobe shugaban. Game da concave surface na glenoid rami m ruwa yanki shi ne game da hudu sau karami fiye da yankin m da ball.

Bace daga cikin lamba ruwa da aka biya diyya guringuntsi zobe - m connective tsarin, da ake kira articular lebe. Yana da wannan fibrous kashi, tare da kwantena kewaye da hadin gwiwa, da kuma damar da shi ya zama a cikin daidai ilimin Halittar Jiki gwargwado, kuma a lokaci guda ya yi da m kewayon motsi, wanda shi ne zai yiwu a mirgina stock dukan sauran hadin gwiwa.

Retaining cikin hadin gwiwa jijiyoyin da tsokoki kunna motsi

Ya taimaka bakin ciki synovium hadin gwiwa kwantena ta riƙe da ilimin Halittar Jiki tsarin iko rostral-humeral jijiya. Tare da shi a cikin hadin gwiwa mikawa riƙe karin-articular kwantena bloat biceps agara (biceps) da kuma subscapularis tsokoki. Wadannan uku connective igiyar da kuma wahala idan akwai wani katsewa na jijiyoyin da kafada hadin gwiwa.

Subscapularis, deltoid, above- da podkostnaya, babban da kananan zagaye, kazalika da pectoralis manyan da latissimus dorsi ba da hadin gwiwa da fadi da kewayon ƙungiyoyi kusa duka uku da gatura. Biceps a cikin ƙungiyoyi daga kafada hadin gwiwa ba shiga.

Raunin da kafada hadin gwiwa da kuma Sanadin raunin

Daga cikin mafi kowa raunin da kafada hadin gwiwa saki bruises. Zai yiwu sprains hadin gwiwa tare da wani m ko cikakken katsewa ko ba tare da shi. Sāke wuri hadin gwiwa, ciki ko karin-articular avulsion karaya, niƙaƙƙun gaɓãɓuwa (a cikin abin da aka makala jijiyoyin) suna daga cikin mafi tsanani samu rauni.

Babban Sanadin lalacewar da kafada hadin gwiwa ne da wani kai tsaye, ko kai tsaye ba da sakamako a kan ta inji tsarin. Wannan na iya zama kai tsaye hit da kuma fadowa dantsenka mai iko a gaba. Sharp wuce kima tsoka tashin hankali, matsar da hadin gwiwa, ko kwatsam motsi na babban kundin iya sa a matsayin sprain ko sāke wuri na hadin gwiwa. Yawancin lokaci tare da su tsage jijiyoyin da kafada hadin gwiwa (hoto da aka nuna a kasa), shi na bukatar ba kawai yi wa mafi raunin, amma kuma mayar da mutunci da jijiya na'ura.

Ãyõyin jijiya katsewa

Rauni na iya faruwa a lokacin da akwai wani fall a cikin majalisa ta zauna mika gaba ko zuwa gefen hannu. Shi ne kuma zai yiwu jijiya katsewa saboda kaifi motsi a cikin iyakar halatta har ko rataye ko a hannu, misali a lokacin da ya ragu daga tsawo.

Rakiya da lalacewar da katsewa na kwantena na kafada hadin gwiwa jijiyoyin cututtuka ne halin da kaifi zafi a lokacin da rauni, da kuma cewa shi ne musamman gagarumin ga discontinuity, ga ƙungiyoyi maimaita inji rauni. Bugu da ari tasowa edema yanki na lalacewa cewa ya musanya masa a matsanancin hadin gwiwa sanyi. Bugu da kari ga edema, busa a cikin samuwar iya shiga jerarrun daga lalace jini a kusa da tendons, tsokoki, ko jini.

Ƙarin hanyoyin da kimantawa da tsananin ciwo

Daga cikin asibiti bincike hanyoyin, kyale traumatologist domin sanin ko akwai wani m katsewa da jijiyoyin da kafada hadin gwiwa ko total lalacewa, tsaye ultrasonic bincike da kuma Magnetic rawa Dabarar. Duka hanyoyin kada ku yi haƙuri radial kaya, amma da manya-manyan ƙuduri. A musamman, MRI damar matsakaicin AMINCI domin sanin ganewar asali da kuma zabi na magani.

Radiography ko lissafta tomography suna da za'ayi domin kauce wa kashi raunuka: samu karaya (ciki har da baucoci), dislocations, conjugated tare da wani karaya da kuma sāke wuri na kafada hadin gwiwa. Sau da yawa amfani arthrocentesis. Arthroscopy yi a da ake zargi da degenerative canje-canje na connective nama Tsarin na hadin gwiwa ko breakage na kwantena. A wasu lokuta, amfani arthrography.

A mataki na tsanani daga rauni

A gargajiya rabuwa da sauki, matsakaici to mai tsanani rauni, da kuma amfani da kan tsage jijiyoyin. By kadan rauni daga cikin kafada hadin gwiwa, mun gwada jijiyoyin, sun hada da mikewa da m lalacewar da jijiyoyin na zaruruwa, yayin da rike da mutuncin jini, jijiyoyi da tsoka. Halin da wani m talakawan mataki na fiber hawaye na tendons, tsokoki kewaye da suka ji rauni rabo da hannu a cikin tsari, da hadin gwiwa kwantena za a iya lalace. A farko da dangantaka da digiri sprain, na biyu - stretchability m discontinuity.

Mai tsananin lalacewar tare da wani cikakken warwarewarsu agara mutuncin tsarin (jijiya) - discontinuity kafada hadin gwiwa jijiyoyin gida jijiyoyin bugun gini lalacewa, da kuma jijiya hannu na lahani a cikin hadin gwiwa kwantena. A wannan har zai yiwu da kuma intraarticular avulsion samu karaya, hadin gwiwa hemorrhage (hemarthrosis).

A lura hanya

Dangane da matakin da tsananin lalacewar da kafada hadin gwiwa jijiya na'ura, ra'ayin mazan jiya, ko gudanar da jiyya za a iya amfani da su. Idan akwai wani m katsewa na jijiyoyin da kafada hadin gwiwa, magani ne iyakance ga ra'ayin mazan jiya hanyoyin. Aiyuka analgesia da immobilization (immobilization). Zai yiwu tsawwala bintovoy ko filastar simintin gyaran kafa, dangane da tsananin, da yanayi na rauni da kuma girma na shafa Tsarin. Bintovuyu ko plaster immobilisation orthesis iya maye gurbin (makada) na kafada hadin gwiwa ko wani m kam matsakaici.

A cikakken hutu, musamman tare da lalacewar da tsokoki da kuma hadin gwiwa capsules, amfani da tiyata. A aka azabtar yana bukatar asibiti rauni profile da kuma kara tsawon lokaci fi bayan sallama daga asibiti.

Aiki Laifi dawo da jagora

A jima da gyara rata na kafada hadin gwiwa jijiyoyin aiki za a yi amfani, da mafi alhẽri chances for cikakken dawo da hadin gwiwa aiki da kuma runtse da yawan rauni rikitarwa. M gyara na wani lalace jijiya (agara) m tsoka, kuma kawar da lalace jijiyoyin bugun gini aibi kwantena rage zuwa ga crosslinking.

Karkashin janar maganin sa barci (narcosis) kai tsaye dama da aka sanya a kan lalace wuri layerwise dissection da kuma rabuwa da gangar jiki. Lahani iske sutured. The rauni aka rufe a yadudduka. A farkon postoperative zamani ta amfani da wani plaster jefa immobilization da taga for postoperative dinki.

Dates plaster immobilization da kuma asibiti magani aka ƙaddara da ƙara na shafa Tsarin. An muhimmanci factor ga yawan gado-kwana ne da shekaru na haƙuri, da yanayin aikinsa, kuma co-morbidities.

Lalacewar da jijiyoyin da gwiwar hannu

Yana da nadira a gidan yanayi, da rauni ne mafi hali na sana'a da 'yan wasa, a lokacin da yin amfani da aiki da kuma kaifi kalaman hannunka, lankwasa a gwiwar hannu. Hadarin kungiyar hada da, na farko, tanis 'yan wasa, golfers, Handball, baseball, da kuma ruwa Polo.

Mafi sau da yawa suka ji rauni annular jijiya daga cikin radius, ulna tabbaci jijiya, ko radial. Yana da wata ãyã daga lalacewar da zafi, da kara a lokacin motsi. Halin da edema, hemorrhage cikin kewaye nama. Chance na hemarthrosis. Idan akwai wani cikakken katsewa na jijiyoyin, za a iya dan kadan biya diyya hannu da dantse ƙasũsuwa a cikin hadin gwiwa.

Radiography damar bambance da karaya na sāke wuri. MRI zai nuna inda sarrafa katsewa na jijiyoyin da gwiwar hannu. Jiyya na m, kuma bai cika ba katsewa na wani ra'ayin mazan jiya. Shafi immobilization for makonni da dama. A cikakken hutu da aka yi da roba m lalace jijiyoyin.

Brief ilimin halittàr jiki da tsintsiyar hannu hadin gwiwa

Complex a tsarin kafa hadin gwiwa articular guringuntsi surface na radiation farantin karfe kuma ulna ta hannu da dantse da scaphoid, lunate da triangular gefen goga. Pisiform kashi ne dake cikin ciki na jijiya da kuma kai tsaye sa hannu a cikin samuwar na hadin gwiwa ba ya yarda.

Karfafa hadin gwiwa biyar jijiyoyin. Dabino ne gwiwar hannu da kuma wuyan hannu jijiya daga baya surface - baya na wani gungu na goga. A tarnaƙi ne a kaikaice palmar (a gefe na thumb) da kuma ulnar (Ƙaramin yatsana gefen) jijiyoyin.

Lalacewar da jijiyoyin da wuyan hannu ne sosai rarer fiye da tsage jijiyoyin da kafada hadin gwiwa. Amma fiye da da gwiwar hannu jijiyoyin.

Karya da wuyan hannu jijiyoyin

Ginshikai na aukuwa raunin hade da wani fall a cikin gaba da fallasa hannu ko wani naushi ga lankwasa ko mike goga. A matsayi na hannunka a lokacin da rauni ne kai tsaye dacewa a tantance abin da na jijiya iya lalace. Mafi yawa daga dukkan ji rauni connective m cikin Musulunci tsarin da goga.

Top fasali na jijiya lalacewar: zafi, edema, illa hadin gwiwa aiki da kuma taushi nama hematoma. Idan akwai zafi a kan motsi a cikin yatsunsu ko hannunka da shi qara sharply a nuna a cikin hadin gwiwa, shi iya da ake zargi tsage jijiyoyin da wuyan hannu hadin gwiwa. Alamun suna complemented bincike a cikin ganewar asali hardware: X-ray - ware kashi samu karaya, duban dan tayi da kuma / ko MRI. Su zama dole domin sanin yanayin da lalacewa da jijiyoyin da sauran taushi tsokoki kewaye da hadin gwiwa.

Kamar yadda a wani hali, idan akwai wata rata jijiyoyin da wuyan hannu hadin gwiwa, da magani zai dogara ne a kan mai tsanani daga cikin rauni. A m da kuma matsakaici mai tsanani ya shafi ra'ayin mazan jiya a karkashin nauyi - sarrafawa dabarun.

Ko da kuwa abin da irin lalacewar faru, abin da yanayi na cin mutuncin hadin gwiwa Tsarin, wani hadin gwiwa ne suka ji rauni, wuyan hannu, gwiwar hannu, ko akwai wani m ko cikakken katsewa da jijiyoyin da kafada hadin gwiwa, magani ya kamata ko da yaushe a gudanar da wani gwani. M shawara a profile daki (karaya asibitin da rauni a asibiti ko a cikin karɓa a sashen na asibiti traumatological). Wannan Gaskiya ne, na yarantaka rauni, kamar yadda a cikin matasa, marasa lafiya, akwai wani yawan shekaru da alaka da siffofin da cewa zai iya sake kama wani rauni. Kuma jinkirta neman m taimakon likita zai iya kai ga mummunan dogon lokacin da sakamakon.