N'olu ubu mgbaji ọkpụkpụ: akpata, mgbaàmà, na ịgwọ

Humerus na-enye ohere a onye na-eme ka a otutu ije, njupụta nke nwere ike ịdị iche iche. Ihe ọ bụla mebiri na mpaghara ebe a nwere a na-adịghị mma mmetụta na ọrụ nke ubu-ya, a ike riri n'afọ iri na ụma nke ndụ. Ha pụrụ imetụta akụkụ dị iche iche nke ndị dị otú a na-emebi emebi Ọdịdị. Ọtụtụ mgbe, ndị dọkịta chọpụtara na a mgbaji ọkpụkpụ nke n'olu nke ubu. Banyere atụmatụ na isi ụzọ nke ọgwụgwọ dị otú ahụ unan ga-atụle taa isiokwu.

anatomical akwụkwọ

Humerus - bụ a ogologo tubular Ọdịdị. Ọ na-emi odude n'etiti n'ikpere aka na ubu-ọkiké ebe, na mejupụtara abụọ diaphysis na epiphysis. A ụdị mgbanwe zones n'etiti ndị a n'akụkụ bụ metaphyses. Nke elu njedebe nke ọkpụkpụ na-anọchi anya ya na nkwonkwo isi, nke yiri bọl. Ọ na-emi odude dị n'okpuru ubu anatomical n'olu. Serious fractures na mpaghara ebe a na-adịghị ahụkebe.

Dị n'okpuru n'olu nke ubu bụ nnukwu na obere bumps, nke na-mmasị ka akaị. N'okpuru agba ndị "ókè" na ekewapụ diaphysis nke ọkpụkpụ na ya elu ọgwụgwụ. Ikpeazụ ma mara dị ka "nke ogwugwo n'olu nke ubu." Ọ bụ ebe a na-gụrụ mmerụ ahụ.

Nkewa kọwara fractures abụọ na edemede ukwu emetụgodị. Ha na-ji n'ozuzu adakarị picture. Ya mere, ndị dọkịta kpebiri ikpokọta ha n'ime otu ìgwè - ịwa ahụ n'olu mgbaji ọkpụkpụ nke ubu.

The isi na-akpata mmerụ

Isi kpatara fractures nke uwa na-atụle ga-apụtachaghị ìhè n'ibu ihe. Ihe atụ, mgbe ada na aka ma ọ bụ n'ikpere aka. N'ihi ya, ọ a flexion nke humerus na n'otu oge na-abawanye na nsogbu na ya axially. Na obere okwu, ndị mmebi bụ n'ihi na a kpọmkwem ahụ mmetụta.

Mgbaji ọkpụkpụ nke ịwa ahụ n'olu nke ubu karịsịa nkịtị ke agadi nwanyi. Ladies ihe karịrị afọ 50 na-na elu n'ihe ize ndụ nke trauma ruru ọtụtụ ihe:

• menopause na-emepe emepe na ndabere nke ọkpụkpụ osteoporosis;
• ịgbanwe na ọkpụkpụ Ọdịdị.

Agwa N'ịdị mmebi kpebisiri ike site na ọnọdụ n'oge ọdịda. N'iburu nke a n'uche, olu ubu mgbaji ọkpụkpụ na-impacted, adduktsionnym na mgbatị. Tụlee na-anọchite anya na onye ọ bụla nke embodiments.

impacted mgbaji ọkpụkpụ

N'etiti ihe niile traumatic unan nke ụdị ọ bụ obere nkịtị niile. Mgbe ogwe aka bụ na-anọpụ iche na ọnọdụ, ma nke a na-esonyere n'ibu ihe, chọpụtara transverse mgbaji ọkpụkpụ. Elu ọkpụkpụ mmewere abatakwa n'ime nkwonkwo isi, akpụ ama mmetụta mgbaji ọkpụkpụ nke n'olu nke ubu. Ọ na-mgbe na-emechi.

Adduktsionny mgbaji ọkpụkpụ

Nke a mmerụ na-abụkarị n'ihi nke na-ada na a kpebisiri na ogwe aka. N'otu oge ahụ na n'ikpere aka nrụgide kasịnụ adakarị. N'ihi na agagharị nke ala n'ọnụ nke distal humerus eme ka kacha Mbelata. Ndị ọzọ na-enweghị yiri agagharị, otú peculiar Fulcrum ke n'elu ubu ebe. N'ihi ya na-kpụrụ a menjuobi nke ibu na humerus. Articular isi na-anọgide na ebe n'ihi na nke ọgọdọ-Capsule ngwaọrụ egbochi na eze nke wuru. N'ihi ya, e nwere a mgbaji ọkpụkpụ nke n'olu ubu adduktsionny.

Bụrụ na nke mmerụ ahụ nke a ọdịdị Central ọkpụkpụ ibe akwụkwọ na-gbanwere n'ihu, na elu - eyi we gaba. n'akuku kpụrụ therebetween nke ga-emepe n'ime.

mgbatị mgbaji ọkpụkpụ

Mmebi dị otú ahụ kwe omume na-ada na ndị kenyere n'aka. The ike nke nsogbu na-eto eto na abụọ ntụziaka n'out oge. Elu ọkpụkpụ mmewere na-akpali n'ime. Ya mpụta onu akpali nloghachi Central ibe akwụkwọ na-akwọ ụgbọala ọnọdụ. Na ndị ikpeazụ bit na-mehieworonụ nsoroụzọ ala ma na-atụ. N'ihi bụ n'akuku emeghe atugharị.

adakarị picture

N'elu nnata nke mgbaji ọkpụkpụ ga-ozugbo kpọtụrụ egbu ngalaba nke kacha nso n'ụlọ ọgwụ. On n'olu nke ubu ihe ọjọọ, na-emekarị na-egosi akpan akpan adakarị picture. The mbụ aja na-ele ihe mgbu na mgbaji ọkpụkpụ ebe. Ọ nwere ike ghara imeri site ot analgesics. Nke a na-achọ enyemaka nke nwere ike ahụ mgbu na ike ga-enwetara naanị na a ọgwụ.

The ubu nkwonkwo nke ebe merụrụ ahụ aka na-efunari ya arụmọrụ, ma flexion ije na n'ikpere aka mgbe ụfọdụ adịgide. The aja mgbe esetịpụ na-enye nsogbu N'ịdị aka. Oge ọ bụla m na-agbalị ime ka a ije, ọ ga-amalite na-enweta n'oké ihe mgbu.

Joint ọdịdị adịghị agbanwe. Mgbe mgbatị mgbaji ọkpụkpụ nwere ike ịbụ ugbu "retraction," dị ka mgbe a ubu na eze. The mmerụ ngwa ngwa tọrọ. Mgbe oge ụfọdụ gasịrị, e nwere a hematoma, nke oji size mgbe ụfọdụ bukwanu akụkụ.

Ike karịsịa agba n'olu ubu mgbaji ọkpụkpụ na ngafe. Na nke a, na nsọtu ọkpụkpụ nwere ike mpikota onu gburugburu anụ ahụ na vaskụla n'ùkwù n'ùkwù, na-eme ndị na-esonụ mgbaàmà:

• owụt nsọtụ edema;
• mkpọnwụ;
• mmepe nke aneurysm;
• neurosis adụ anụ ahụ.

N'ihe banyere mmetụta mgbaji ọkpụkpụ nke na-adakarị picture emekarị lubricated, na ọ dịghị ihe mgbu. N'ihi ya, onye ahụ wee, n'ime ụbọchị ole na ole na-eche na ịdị adị nke mmerụ ahụ na-adịghị ịchọ enyemaka ahụike.

ụzọ nke nchoputa

Ọ bụrụ na ị na-enyo a mgbaji ọkpụkpụ kwesịrị ịkpọtụrụ ndị na-egbu ngalaba nke kacha nso n'ụlọ ọgwụ. Ná mmalite, ndị dọkịta ga-enyocha aja, dokwuo anya na ẹdude mkpesa na ọnọdụ nke ihe ọjọọ. Mgbe e kenyere a ọnụ ọgụgụ nke ndị ọzọ ule maka ezi nchoputa.

Ọtụtụ ihe ọmụma e ji X-ray nke ubu-ọkiké. Pictures bụchaghị rụrụ abụọ projections: na axial na ogologo. Bụrụ na nke na-enyo enyo ihe ọzọ nwere ike ịchọ CT. Ọ bụrụ na ị na-enyo a mgbaji ọkpụkpụ nke intra-họpụtara ultrasound.

mbụ enyemaka

Isi nzube nke mbụ enyemaka ka aja - mgbu enyemaka. Ọ dịkwa mkpa ka na-agbalị ịtụ ndị merụrụ ahụ N'ịdị. Ke akpa idaha, nwere ike ime na-enweghị enyemaka nke analgesics. Fọrọ nke nta ka ọ bụla n'ụlọ ọgwụ kabinet bụ "Keterol", "Analgin" na "Nimesulide". Ọgwụ onunu ogwu ga-gbanwee dị na mmasị ntuziaka ka ndị agwọ ọrịa.

Ọ bụrụ na ị na-apụghị ime ka nra, na ihe X-ray iji jide n'aka na nke ịdị mkpa nke ihe ọjọọ, tupu na-aga ụlọ ọgwụ na-atụ aro ịtụ ndị N'ịdị. N'ihi nke a si scrap ihe nwere ike arụpụtara kosynochuyu bandeeji. Iji ya ona ọ bụla anụ ahụ ma ọ bụ handikachifu, a ákwà. Na ụdị ya kwesịrị yiri ihe isosceles triangle. Zita bandeeji ga-amanye ndị dị otú ahụ n'ụzọ na-ọ na-akwado ogwe-aka na n'ikpere aka.

ọgwụ Atụmatụ

Gịnị kwesịrị ịbụ nchoputa "mgbaji ọkpụkpụ nke n'olu ubu" ọgwụgwọ, dọkịta kpebie. Na nke a, ọ ga-gaa na akaụntụ ndị ọrịa afọ, ọdịdị nke ya imejọ ya na ọnụnọ nke ọkpụkpụ iberibe ngafe. Ya mere, ọgwụ nwere ike ịbụ na-achọghị mgbanwe ma ọ bụ ịwa ahụ na ikuziri. Ụfọdụ ọrịa na-gwara skeletal traction. Ọgwụgwọ nke mgbaji ọkpụkpụ ndị agadi na ndị ọrịa a obere dị iche iche. Ajụjụ a bụ ihe kwesịrị ekwesị na-atụle iche iche.

mgbaji ọkpụkpụ ọgwụgwọ n'enweghị ihe mgbaàmà echiche ọjọọ

Na-adịghị mgbagwoju mgbaji ọkpụkpụ na-atụ aro outpatient ọgwụgwọ. Akpa, na ebe nke hematoma, dọkịta inserts ihe mgbochi ụfụ, wee gaba imposition nke a plaster splint maka Turner. Eru Immobilization nke agbajikwa aka na ụkwụ na-egbochi mmepe nke contractures. Yi a splint ọ na-atụ aro maka 4 izu.

The ọzọ ogbo nke ọgwụgwọ na-agụnye ochichi nke sedatives na UHF. N'oge ọnwa mbu onye ọrịa na-atụ aro ka nke omume nke static ụdị. N'ihi na a kpọmkwem mmetụta na mgbaji ọkpụkpụ etinye phonophoresis na electrophoresis na ọgwụ.

Mgbe izu anọ nke Immobilization n'ihu n'ọrụ ghara ịgbanwe. N'ihi nke a, i nwere ike gaa ọ bụla ghara ịgbanwe omume center ebe ọkachamara nwere ike ịhọrọ onye omume na-eme. A, ndị na-esonụ usoro na-akwadoro maka-adịghị mgbagwoju mgbaji ọkpụkpụ:

• ịhịa aka n'ahụ;
• laser ọgwụ;
• ngwa na paraffin;
• ọgwụgwọ anụ ahụ;
• UV irradiation;
• balneotherapy;
• DDT.

The ike na-arụ ọrụ mgbe ndị dị otú ahụ mmebi a na-weghachiri eweghachi na 2 ọnwa.

Ọgwụgwọ nke mgbaji ọkpụkpụ na Ndahie

Mgbe ndị dị otú ahụ mebiri na-achọ ọgwụgwọ n'ụlọ ọgwụ gburugburu ebe obibi. N'ọnọdụ ka ukwuu, ọ na-rụrụ site n'aka nke mgbanwe usoro. Doctor eji obodo ma ọ bụ ofụri ofụri ná Nkụnwụ mbụ rụrụ emechi aka reposition. Ọ a rụrụ na agbara direction si mmerụ usoro. Na nke a na-elu mmewere jikọtara ọkpụkpụ iberibe Central.

The usoro onwe ya na-rụrụ ke supine ọnọdụ. The dọkịta na-awa anamde niile n'ụzọ nke aghụghọ na-eduzi omume nke na-enyere aka. Mgbe mmezu nke mebiri emebi N'ịdị bandeeji ma ọ bụ a plaster splint.

Duration mgbaji ọkpụkpụ Immobilization dechapụ bụ mkpokọta 2 ọnwa. The dọkịta kwesịrị inyocha mgbake usoro. Iji mee nke a, onye ọrịa kwesịrị oge ofufe gbaa. Ugwo X-ray-enye gị ohere na-ntabi-arụpụta. The free ọgwụ oru picture nwere ike ekemende na-esote ụbọchị. Employability emekarị laghachi nkịtị mgbe 10 izu.

Akụkụ nke ọgwụgwọ nke fractures na ndị agadi

N'ọnọdụ ka ukwuu, mwepụ nke n'olu ubu mgbaji ọkpụkpụ ndị agadi na ndị ọrịa etinyere mgbanwe ụzọ. Mgbe adduktsionnoy mmerụ na-egosi n'oge fixation nke aka na ụkwụ maka 4 izu. Mgbe mbụ mgbatị mmebi omume traction, wee gaba Immobilization. Mgbe ụfọdụ, ọ na-achọ ịwa ahụ.

Ma mgbu enyemaka nke emetụtara ebe, e nwekwara ụfọdụ mgbochi ide. Ka ihe atụ, dose nke anestetiiki kwesịrị ịhọrọ kasị ala. Ma ọ bụghị ya, ụba likelihood nke ekwesighi n'akụkụ Jeremaya mere ka hypotension ma ọ bụ dizziness. Ọgwụgwọ gụnyekwara nhọpụta nke niile ọrịa na-enweghị isịneke, a ọnụ ọgụgụ nke ọgwụ ọjọọ. Mbụ niile, ọ bụ calcium preparations na ọgwụ ka mma ọbara ekesa. The mmetụta dị mma nke ha na-aghọ ìhè mgbe ọ na-amalite coalesce mgbaji ọkpụkpụ nke n'olu nke ubu.

Ndị agadi nwere oge nke mgbake mgbe adịghị mgbagwoju unan ajụjụ maka banyere 2-3 ọnwa. Na oge nke ghara ịgbanwe oge na-n'ụzọ dị ukwuu kpebisiri ike site n'ozuzu ọnọdụ onye ọrịa, zuru ezu emega ahụ. Nke a na okwu na-budata ụba ma ọ bụrụ na aja na e nwere oké nsogbu ahụ ike. N'etiti ọtụtụ-adịghị ala ala pathologies kasị ukwuu ize ndụ bụ ọrịa shuga.

Ịwa ahụ aka na-adịkarịghị kenyere agadi ọrịa ndị nwere a mgbaji ọkpụkpụ nke n'olu ubu e achọpụtara. Ghara ịgbanwe na na nke a na ọ bụ iji na ogologo. Dị ka a na-achị, ọ bụ a oge nke ọnwa atọ. Mgbe ụdị aka budata enwekwu ihe ize ndụ nke na-efe efe nsogbu. The omume nke thromboembolism n'oge a na-eme ọnwụ.

Mgbaji ọkpụkpụ nke n'olu nke ubu na ya pụtara

Nsogbu si unan nke ụdị - ọ bụ a nnọọ nkịtị onu. Ha nwere ike ịbụ a na-esi na ya erughị eru omume (na-ezighị ezi accrete mgbaji ọkpụkpụ, pseudarthrosis). Mgbe ụfọdụ, mmetụta ọjọọ nke trauma mere site ikpughe na ubu ebe. Ihe atụ, na fractures mgbe mebiri emebi akwara na akwara, mọzụlụ na irighiri akwara. N'ihi ya, e na-agba ọbara, ọtọ ma ọ bụ akwara ozi ọrịa na otụk N'ịdị.

Iji kpochapụ elu puru ndị a nsogbu, ọ dị mkpa na ikpe nke-enyo enyo na mmerụ ozugbo-achọ ọkachamara enyemaka ahụike. Mgbe-agafe ule, dọkịta nwere ike nye iwu ka ezigbo ọgwụgwọ, ma ọ bụrụ na ọ dị mkpa. Akpan akpan ntị ga-akwụ ụgwọ iji ghara ịgbanwe usoro. Na mgbagwoju anya fractures dị mma na-atụgharị a pụrụ iche na etiti nke ghara ịgbanwe omume, nke ndị ọkachamara ga-enwe ike ịhọrọ ihe kasị irè usoro maka normalisation nke aka.