Ithambo elixhuma i-scapula ne-sternum libizwa ngokuthi i-clavicle. Uthola amandla amakhulu kuneminyaka engama-20 kuphela, ngakho-ke, ukulimala kule ndawo kuyimpawu, ikakhulukazi ezinganeni ezisanda kuzalwa (ngenxa yokuhamba komgudu wokuzalwa) kanye nabadlali abasha. Kodwa abantu abadala bavame ukufuna usizo ngokuxilongwa njenge-clavicle ephukile ne-shift ngenxa yokuwa engalweni noma engozini yemoto.
Ukuhluka kokuphulwa kwe-clavicle nokufuduka
Ngaphezu kokuhlelwa yi-fracture zone (i-diaphysis, ukuphela kwe-acromial noma yangaphandle yethambo), ukulimala kuyahlukaniswa ngezigaba ezilandelayo:
- ishintshiwe;
- multi-lobed;
- nelayini lokuhlukana okuphambene;
- ne-oblique fracture line.
Kuncike kulolu hlu, uhlelo lokwelapha oluhle lukhethiwe.
Ukuqhekeka kwe-clavicle ne-displacement - ukwelashwa
Indlela yokuzimela iqukethe ukusilela ngokuphelele kwethambo elonakalisiwe ngosizo lwe-gypsum, ukubopha amabhandeshi noma izindandatho ze-Delbe. Inhloso yalokhu kuvivinya ukuvimbela ihlombe nengalo isikhathi eside - kusukela emavikini amathathu ukuya kwangu-8. Phakathi nalesi sikhathi ithambo likhula ndawonye ngokuzimela ngokubuyiselwa ubude balo obuvamile.
Ukuphulwa kwe-clavicle evulekile evulekile nge-displacement akuyona njalo kungenzeka ukuphulukisa ngokufanele. Esikhathini sesithambo sokwehlukanisa ummbila kubonakala: ukuqina okubonakalayo endaweni yokulimala. Ngaphezu kwalokho, kukhona ukukhishwa kwe-clavicle ngenxa yendawo engalungile yezingcezu nezingcezu, naphezu kwezenzo zikadokotela. Ezimweni ezinjalo, ukungenelela kokuhlinzwa kunconywa.
Ukuqhekeka kwe-clavicle nokuhamba-ukusebenza
Le nqubo ibizwa ngokuthi i-osteosynthesis, iqukethe ekuqedeni ngokuphelele kwe-bone deformation kanye nokuthuthwa kwezingcezu, emva kwalokho i-clavicle igxilwe ngesakhiwo sezinto ezikhethekile. Kuncike ekutheni isimo nesilinganiso somonakalo, amapuleti ahlanganiswe nezikuluzi ziyasetshenziswa, noma
Ukuhlukunyezwa kwe-clavicle ne-displacement - imiphumela
Uma, emva kokulimala, izingcezu zethambo azikwazanga ukutholakala kahle futhi ukuhlanganiswa kwenzeka nge-reposition of 2 noma ngaphezulu kwamentimitha, ukukhubazeka okuqinile kwehlombe kubonakala. Kulesi simo, ingalo eyodwa ebonakalayo ibonakala kunamanye, ama-blade atholakala ezindaweni eziphakeme. Ngaphandle kweziphambeko zokuzithokozisa, lezi zifo ezibangelwa ukukhubazeka zibangela ukungakhululeki uma zihamba futhi zenza umsebenzi olula nsuku zonke.