Ngokuvamile, ukuhlukumeza kwe-clavicle kwenzeka kubadlali abanokuhlukunyezwa, futhi futhi lapho beneminyaka engama-20. Ukulimala kwe-clavicle kwenzeka ngokuchayeka ngokuqondile (umthelela), ngokuwa ehlombe, ingalo.
Izimpawu ze-clavicle fracture:
- ubuhlungu endaweni eyalimala, nokuhamba kwesandla;
- ukubonakala kokuvuvukala, ukubola kwesisu;
- umkhawulo wokunyakaza kwesigxobo sehlombe;
- deformation endaweni ye clavicle.
Ukuhlukaniswa kwama-clavicle fractures
Ama-fractures we-clavicle ahluke endaweni yendawo:
- ukuphuka kwe-diaphysis (ingxenye ephakathi);
- ukuphuka kokuphela kwe-acromial (eduze nesifunda sehlombe);
- ukuphulwa komphetho ongunaphakade.
Ngaphezu kwalokho, ukuhlukunyezwa kuhlukaniswa njengokwenziwa komshini, okwe-multi-lobed, ne-oblique noma i-perpendicular fracture line, njalonjalo.
Ukwelashwa kwe-clavicle fracture
Imithi yokwelapha ihlanganisa ukulungisa (ukuvimbela) izandla isikhathi esingamaviki amathathu kuya ku-7 ukuhlanganiswa kwethambo. Kuzoze kube nini ukuphulukiswa kwe-clavicle ukuphulukiswa kuxhomeke ekutheni uhlobo lokuphuka, iminyaka yesiguli. Ukwehlisa imishini kwenziwa nge-bandage bandage noma izindandatho zeDelbe, ezithinta amahlombe eceleni.
Indlela yesibili yokwelapha isebenzayo. Isetshenzisiwe uma, emva kokuphindaphinda (ukulungiswa kwephuka), ukufuduka kwe-clavicle kuhlala kukhulu kunomthamo wethambo noma ngaphezulu kuka-2 cm ubude. Lokhu kubizwa ngokuthi i-osteosynthesis. Ukususwa kwezingcezu kuqedwe, amathambo ahlanganiswe ngosizo lwezakhiwo zensimbi (amapuleti, izikrini, izikhonkwane).
Ngemuva kokusebenza, isandla sinqunywe nge-bandage bandage, singabeka imithi yokwelashwa.
Izinkinga ze-clavicle fracture
Ngendlela yokwelashwa okunamandla, i-clavicle igxuma cishe kuzo zonke izimo. Kodwa-ke, ngezinye izikhathi ukufuduka kwezingcezu akuqedwanga, ubude be-clavicle abuyiselwa, ngakho-ke i-foreleg ingakwazi ukukhubazeka, ifinyelelwe.
Imiphumela engenzeka yokuhlinzeka ukwelapha kwe-collar fracture:
- Ukungabambeleli kwe-clavicle (iphutha lesi simo ngezinye izikhathi kuthiwa ngamalungu angamanga). Ukuhlukunyezwa okunjalo kungaholela ekuqhekekeni okunamandla amaningi, ukukhetha okungalungile kwe-fixator yensimbi, ukusebenza okuphazamisayo.
- Izinkinga ezithathelwanayo yi-osteomyelitis. Ukuvimbela le nkinga, kufanele uhambisane nezidingo ze-asepsis. Umuntu omelekile yi-antibiotic enqunyiwe ukuze kuvikelwe (kwangaphakathi ngaphambi kokusebenza).
Ukubuyiswa (ukuvuselelwa) ngemuva kokuhlukana kwe-clavicle
Umsebenzi wokuhlanganiswa kwehlombe emva kokuphuka okuvamile kweziqephu kancane kancane kubuyiselwa. Ngokuvamile, ukuvinjelwa okuncane kuphela kokunyakaza kuqhubeka, uma nje lezi zingcezu zingavumelani kakhulu.
I-LFK ngemuva kokuphuka kwe-collarbone ngezokwelapha ngokuzimela kungenziwa ngokushesha ngemuva kokunciphisa ubuhlungu. Izakhiwo zezokwelapha zihlanganisa ukuphefumula, ukuthuthukiswa okujwayelekile, kanye nokuzivocavoca kweminwe. Ngemuva kokuphela kwesikhathi sokungasebenzi, phakathi nesikhathi sokwakhiwa kwamathambo, ama-exercises ahlose ukubuyisela umsebenzi wezinhlanganiso ezihlangene. Ukuzivocavoca kwenziwa ngezandla zombili.
Khona-ke kufika isikhathi sokuqeqesha, lapho umthwalo omkhulu uthola ingalo eyonakalisiwe. Uma uthuthukisa isandla ngemuva kokuhlukumeza kwe-clavicle, kubalulekile ukuthi abukho ubuhlungu esilweni esilimele.
Uma isiguli sisetshenziswa, ukwelashwa okusebenzayo kubelwa ngosuku olulandelayo.
Ukushisa ngemuva kokuphuka kwe-clavicle
Ukushisa kwenziwa ngosuku lwesibili ngemva kokuphuka. Ukuphunga umzimba kwenziwa endaweni yokuhlala isiguli. Ingxenye enempilo yesifuba nengemuva ihlushwa kabili ngosuku ngemaminithi angu-8 kuya kwangu-12. Ngesikhathi esifanayo, amasu anjalo asetshenziselwa: ukuxoxwa, ukushaya, ukucindezela. Lapho isikhafu sokulungisa sisusiwe, ukusikhipha okuncane kwesandla esilimele kufakwe.