Dislocation phazi - Zizindikiro, Chithandizo

Pogwira dislocations pafupipafupi maphunziro chinapezeka kuti dislocation ya phazi mu maonekedwe ake angwiro ali osowa ndi pafupifupi 14-15 1 chiwerengero cha dislocations. Nthawi zambiri iwo pamodzi ndi ena kuvulala mwendo angayambenso wovulala kapena dislocation bondo ndi, mankhwala mu nkhani iyi ndi zambiri zovuta.

Nthawi zina subtalar dislocation phazi, ndi ntchafu mu olowa yopingasa, dislocation ya chala. Nthawi zimachitika ntchafu talus ndi navicular fupa priplyusny, pamene mafupa ena sprains n'zochepa kwambiri. dislocations Full n'zochepa, kwenikweni pali subluxations osiyanasiyana mu olowa phazi.

Kodi kuchitira phazi ntchafu.

Onse amakhala ndi dislocations anamnesis kuvumbula okwana, mtundu waukulu wa mankhwala ndi chotheratu ndi chokhalitsa fixation pambuyo pansi ochititsa dzanzi chifukwa dislocation likuchotsedwa. Atamaliza njira ya mankhwala wodwala adzakhala adakali motalika kokwanira kusokoneza ululu kuti akhozanso kukopeka ndi kutupa ndipo ngakhale kupunduka. Akatswiri onse amalangiza kuti anthu amene zowawa dislocation phazi, pamene tabu ntchito mafupa instep.

Subtalar dislocation phazi kumachitika kawirikawiri. Pamene mtundu wa choipa, iye talus sizimawasuntha, ndi kusamuka kwa a calcaneus ndi navicular ndi mafupa cuboid wa ku Tariso wa. dislocations zimenezi zikuchitika chifukwa kugwa kuchokera kumwamba, pamene pali kudalira mulu apangidwe. Nthawi zambiri ali mkati ndi posteromedial, nthawi zambiri limodzi ndi wovulala mutu wa talus ndi fupa navicular.

Zizindikiro za kuvulala ndi chinaneneratu edema hindfoot ndipo mofulumira zikamera hematoma. Ngati panali dislocation mkati, phazi ndi pang'ono ankatembenukira mkati. Kagulu kalikonse pambuyo kuvulala amenewa ndi chopweteka kwambiri ndi zochepa kwambiri, pafupifupi sinkapezeka thandizo ntchito ya phazi akhudzidwa. Ngati kumene sprain ali pamodzi kusamutsidwa phazi, ndiye zowoneka ndinawona kuwonjezeka kwambiri chidendene. Pofuna kukhazikitsa matenda okhazikika m'pofunika kucheza zolosera awiri X-ray.

Mankhwala a mtundu uwu wa dislocation ndithu nthawi yambiri ndipo amafuna muyike pena yomweyo, yomwe ikuchitika pogonekedwa ndi mankhwala ambiri. Quickness kuthetsa dislocation n'kofunika chifukwa pali kukha mwazi ndi kutupa chifukwa adzakhala kungafoole kuchepetsa. Pambuyo kuthetsa vuto woyikidwa kuponyedwa kwa zala ndi fixation bondo olowa, amene akuyesetsa pa makona 150 °. Pambuyo pake, ulamuliro wa ikuchitika X-ray bwino. Patapita masabata 3-4 ya fixation chikutha ndipo kwenikweni amafuna kugwiritsa ntchito mankhwala thupi ndi kutikita apeze zonse za malekezero ntchito wovulala. Izo analimbikitsanso kuvala instep gawo mpaka miyezi 6. Kutukula wayamba kuchira palibe kale kuposa miyezi 2.

Dislocation mu yopingasa tarsal olowa phazi kumachitika chifukwa mwachindunji choipa makina. kuvulala kawirikawiri amapezeka motorcyclists amene zimachitika moumiriza flexion wa forefoot lapansi. Chotero dislocation ndi kawirikawiri limodzi ndi wovulala phazi kapena cuboid mafupa navicular.

Zizindikiro za mtundu uwu wa nsautso khungu ndi mavuto kudutsa dorsum phazi, mapindikidwe ake, komanso edema ndi ululu. Pamene akufufuza mpata limasonyeza wa kusamuka kwa fupa navicular. Kwa matenda lolondola ndi zofunika kuchita X-ray mu zolosera awiri.

Kuposa kale kuthetsa dislocation ili bwino. Ngati palibe contraindications, opaleshoni imagwiridwa pogonekedwa ndi mankhwala ambiri. Ngati munthu contraindicated mankhwala, njirayi ikuchitika ntchito mankhwala ochititsa intraosseous.

Pambuyo pothetsa dislocation phazi chili, ndipo pulasitala atachotsedwa mu miyezi 1,5-2. Kubwezeretsa magwiridwe likukhudza physiotherapy.