Ulna: kapangidwe, zosiyanasiyana fractures, njira mankhwala

Kuyambira kuvulala (mikwingwirima, sprains ndi fractures), palibe amene sangayesedwe. Zidzachitika chifukwa cha overloads amphamvu, madontho, zodabwitsa. Lero, tikambirana mitundu ndi zizindikiro za fupa lothyoka la ulna lapansi. Koyambirira kuti choipa zimenezi sizikuchitika nthawi zambiri. Koma ulna wosweka amafuna chisamaliro chapadera, monga mwina kuvutika dzanja kuyenda.

Kodi wovulala?

Wovulala otchedwa tampering chigoba fupa minofu malo chifukwa cha ntchito makina, pamene katundu pa fupa upambana mphamvu yake. Iwo akhoza kukhala wangwiro kapena tsankho, ndi kusamuka kwa njira fupa popanda iye. Nthawi zina ananena kuti palibe fupa lothyoka, chabe mng'alu. Koma ichi ndi kulakwitsa! Osokoneza - ndi chosakwanira wovulala fupa, chifukwa okhulupirika ake akadali chakhungu.

Fractures ndi zoopsa kapena pathological. kuvulala Mantha zimachitika chifukwa cha mphamvu zakunja ndi pathological - monga chotsatira cha chikoka zolakwika za matenda Mwachitsanzo, ndi zotupa kapena chifuwa chachikulu.

Kapangidwe ka ulna ndi

Wachiwiri ndi wachitatu wa utali wozungulira cha ali zolumukizidwa ndi mnzake ndi kupanga mkono. Mafupa ndi kufanana. ulna thupi pang'ono motalikira. Komanso, Mumbali awiri ndi projecting zokhudzana: ulnar ndi coronal (pamwamba) ndi subulate (pansi). Njira anasiyanitsidwa trochlear mphako, umene uli pafupi ndi chipika phewa fupa. Olecranon wa ulna wa - kuchita ogwiritsa malo triceps ndi minofu chigongono. Coronoid ndondomeko amapereka olowa ulna ndi utali wozungulira. Styloid wayima pansi pa fupa ndi mosavuta zimadziŵika pamwamba polumikizira. Ife anapeza mafupa yaitali pakati pa mfundo ziwiri;

• pamwamba - chigongono;
• Pansi - dzanja.

Ulna ndi utali wozungulira ali linanena mu njira yomwe imapereka pronation ndi supination wa mkono ndi. Pronation - amatha atembenuza ndi mkono m'dzanja pamene akuyang'ana pansi. Supination - atembenuza outwards pamene kanjedza atawakweza m'mwamba.

Kapangidwe ka ulna ndi yovuta kwambiri. Vutoli (fupa lothyoka) angayambe gawo lirilonse.

Mitundu ya fractures a ulna ndi

ulna nthawi zambiri kuonongeka mu mpikisanowo, ana ndi okalamba. chifukwa ndi losavuta. Othamanga pansi mafupa overloads amphamvu, amaika sayenda wa ana, ndi mafupa awo kwathunthu otukuka. Koma amuna zakale zofooketsa chifukwa makhalidwe zaka. mafupa awo bwinobwino zambiri ankaona kuti alibe kashiamu ndi kukhala lofooka. Ngakhale kupanda kashiamu kumaonjezera ngozi ya choipa pa magulu onse a anthu.

Mu mankhwala, olekanitsidwa mitundu yambiri ya fupa wovulala chigongono:

1. Kuwonongeka kwa olecranon lapansi. Kawirikawiri chifukwa ngati fupa lothyoka - choipa. Ndi akuponya chigongono kapena molunjika nkhonya. The wovulala kungakhale slanted kapena mtanda. Malinga ndi matenda a minofu zingaoneke madigiri osiyanasiyana ndondomeko kusamutsidwa.
2. Wovulala Malgenya. Ngati choipa amenewa amapezeka ndondomeko wovulala ndi dislocation a mafupa a mkono wa. Dzanja amatenga udindo kumamyata, makhwatha akukumana patsogolo. Olowa yatupa ndi opunduka. Komanso zoopsa ayenera anaitanidwa ana katswiriyu kapena neurosurgeon (ngati mwana zowawa).
3. Vutoli pa zimene dislocation mutu wa mtengo wa. dzina lina - wovulala Montedzhi. Zimakhala lotseguka kapena lotseka. The kuyenda kwa olowa ndi kwambiri zochepa. Mkono zikuwoneka wamfupi ndi dzanja wovulala. Zikavuta opaleshoni chofunika. Ulna wovulala Montedzhi akhoza kuonongeka mu mitundu iwiri - ndi flexor kapena extensor. Mtundu kuwonongeka zimatengera chimake fixation.
4. Wovulala chigongono. Mmodzi wa kuvulala ambiri. Movement mu olowa n'zochepa kwambiri. Ululu chimafikira kwa phewa ndi dzanja chapamwamba. Pali kutupa, nuchoka anapanga.
5. Diaphyseal wovulala. Diaphysis - m'chigawo chapakati cha mafupa yaitali. makombo a kukondera n'zochepa. Zimenezi kumathandiza utali wozungulira wawo. Pali dzanja chilema.

zizindikiro Common

ulna ndi penapake olumala vuto la kuwonongeka (fupa lothyoka). Zofewa minofu kuzungulira kutupa, kayendedwe zovuta ndi limodzi ndi zomverera chopweteka. Zizindikiro za wovulala ndi zingasiyane, iwo amadalira subspecies choipa.

matenda a wovulala

Pamene kugwa, mmene kapena kugwedezeka mwadzidzidzi, ululu kwambiri, muyenera mwamsanga ngati traumatologist. Wovulala ulna wofu- mavuto aakulu. Popewa izi, m'pofunika kulandira thandizo yake.

Traumatologist amachita kuyendera zithunzi nthambi akhudzidwa, ndi kumene ndi X-ray. Malinga ndi X-ray dokotala kudziwa mtundu wa wovulala. Komanso akhoza kuona ngati zimene ulna ankatembenukira malo kuvulazidwa. Izo zimatengera izi wovulala mankhwala njira. Zikavuta opaleshoni chofunika wovulalayo.

chithandizo

Matendawa imachitika traumatologist, limasonyeza zovuta vuto. Ngati wovulala ulna, kapena mafupa a chigongono olowa ndi kumva kosangalatsa, wodwalayo ntchito ndi pulasitala bandeji ndipo amawalimbikitsa bandeji-mpango. A sabata pambuyo kuponyera assignable ulamuliro X-ray kuonetsetsa panalibe kuchepetsa. Osewera atachotsedwa palibe kale kuposa masabata 3.

Pankhani ya zidutswa fupa ntchito kusamutsidwa imagwiridwa munthu wodwala. Izi akhoza resected proximal mpukutu kapena ogwiritsa mbale ndi zomangira kwa fixation wa anavulala fupa. Pakuti immobilization ya nthambi pambuyo opaleshoni ntchito pulasitala splint.

Kubwezeretsa sayenda pambuyo wovulala Kwalamulidwa zofikisa, physiotherapy ndi ntchito yapadera.