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Nhoroondo Yekunze Kugadziriswa

Distal radius fracture ndechimwe chezvakanyanya kukuvara kwekubatana mumakiriniki maitiro, izvo zvinogona kukamurwa kuva zvinyoro uye zvakanyanya.Kune zvinyoro zvinyoro zvisingatamiswi kuputsika, kugadzirisa nyore uye maitiro akakodzera anogona kushandiswa kupora;zvisinei, nokuda kwekuputsika kwakanyanya, kuderedzwa kwebhuku, splint kana plaster fixation inofanira kushandiswa;nokuda kwekutyoka nekukuvara kwakajeka uye kwakanyanya kune articular surface, Kuvhiya kurapwa kunodiwa.

CHIKAMU 01

Nei distal radius ichida kutsemuka?

Sezvo kure kumagumo kweradius iri nzvimbo yekuchinja pakati pekukanzura bhonzo uye compact bone, haina kusimba.Apo murwere anowira pasi uye akabata pasi, uye simba rinotumirwa kuruoko rwepamusoro, kuguma kwekupedzisira kweredhiyo kunova nzvimbo iyo kushungurudzika kwakanyanya, zvichiita kuti kuputsika.Mhando iyi yekuputsika inowanzoitika muvana, nokuti mapfupa evana ane zvishoma uye haana kusimba zvakakwana.

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Kana wrist yakuvadzwa munzvimbo yakatambanudzwa uye chanza cheruoko chakuvadzwa uye chakatsemuka, inonzi yakawedzera distal radius fracture (Colles), uye inopfuura 70% yavo ndeyerudzi urwu.Kana wrist yakuvadzwa munzvimbo yakachinjika uye kuseri kweruoko kwakakuvadzwa, inonzi flexed distal radius fracture (Smith).Kumwe kukanganiswa kwewrist kunowanzo kuitika mushuredistal radius fractures, senge "silver fork" deformity, "gun bayonet" kuremara, nezvimwe.

CHIKAMU 02

Ko distal radius fractures inorapwa sei?

1. Manipulative kuderedza + plaster fixation + yakasiyana Honghui yechinyakare Chinese mushonga chizoro application

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Kune ruzhinji rwe distal radius fractures, mhedzisiro inogutsa inogona kuwanikwa kuburikidza nekunyatso kuderedzwa kwemanyorero + plaster fixation + yechinyakare Chinese mushonga application.

Vanachiremba vemapfupa vanofanira kutora nzvimbo dzakasiyana-siyana dzekugadzirisa mushure mekuderedzwa maererano nemhando dzakasiyana-siyana dzekuputsika: Kazhinji kutaura, Colles (extension type distal radius fracture) fractures inofanira kugadziriswa pa 5 ° -15 ° yepalmar flexion uye yakanyanya kutsauka ulnar;Smith Kutyoka (flexion distal radius fracture) yakagadziriswa mukunyudza kweruoko uye dorsiflexion yeruoko.The dorsal Barton fracture (kutyoka kwearticular surface ye distal radius ne dislocation of wrist) yakagadziriswa panzvimbo ye dorsiflexion yewrist jointuye kududzirwa kwechidzitiro chepamberi, uye kugadziriswa kwevolar Barton fracture yakanga iri panzvimbo yepalmar flexion ye wrist joint uye supination ye forearm.Nguva nenguva ongororai DR kuti unzwisise nzvimbo yekuputsika, uye gadzirisa kusimba kwezvimedu zviduku zvakasungirirwa munguva kuti uchengetedze kugadzirisa kunobudirira kwechidimbu chiduku.

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2. Percutaneous tsono kugadzirisa

Kune vamwe varwere vane kugadzikana kwakashata, purasita yakapfava haigoni kunyatso chengetedza nzvimbo yekutyoka, uye percutaneous tsono inogadziriswa inowanzoshandiswa.Ichi chirongwa chekurapa chinogona kushandiswa senzira yakaparadzana yekunze yekugadzirisa, uye inogona kushandiswa pamwe chete nepurasita kanakunze kugadzirisamabhuraketi , iyo inowedzera kugadzikana kwemagumo akaputsika munyaya yekutambudzika kuduku, uye ine maitiro ekushanda nyore nyore, kubviswa nyore, uye zvishoma zvinokonzerwa nekushanda kwechirwere chemurwere.

3. Zvimwe zvingasarudzwa zvekurapa, zvakadai sokuderedza kuzarura, kugadzirwa kweplate mukati, nezvimwewo.

Rudzi urwu rwechirongwa runogona kushandiswa kune varwere vane mhando dzakaoma dzekutsemuka uye yakakwirira inoshanda zvinodiwa.Misimboti yekurapa ndeye kuderedzwa kweanatomical yekutyoka, tsigiro nekugadzirisa zvidimbu zvebhonzo zvakatamiswa, kubatanidza mapfupa ehurema hwemapfupa, uye rubatsiro rwekutanga.Mabasa ekushanda kuti adzorere chimiro chekushanda pamberi pekukuvara nekukurumidza.

Kazhinji, kune ruzhinji rwe distal radius fractures, chipatara chedu chinotora nzira dzekurapa dzakachengetedzeka senge manual reduction + plaster fixation + yakasarudzika Honghui yechinyakare Chinese mushonga plaster application, nezvimwe, izvo zvinogona kuwana mhedzisiro yakanaka.

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CHIKAMU 03

Chengetedzo mushure mekuderedzwa kwe distal radius fracture:

A. Chenjerera kune mwero wekusimba paunenge uchigadzirisa distal radius fractures.Dhigirii rekugadzirisa rinofanira kunge rakakodzera, kwete rakanyanyisa kana rakasununguka.Kana iyo yakagadziriswa zvakasimba, inokanganisa kugoverwa kweropa kune kureba, izvo zvinogona kutungamirira kune ischemia yakaoma ye distal extremity.Kana kugadzirisa kwakanyanyisa kugovera kugadzirisa, kuchinja kwepfupa kunogona kuitika zvakare.

B. Munguva yekugadzirisa kuputsika, hazvidikanwi kumisa mabasa zvachose, asiwo zvinoda kubhadhara kune kurovedza kwakakodzera.Mushure mekunge kutsemuka kwave kusafamba kwenguva yakati, kumwe kufamba kwechanza kunoda kuwedzerwa.Varwere vanofanirwa kusimbirira pakudzidziswa zuva rega rega, kuitira kuti vave nechokwadi chekuita maekisesaizi.Mukuwedzera, kune varwere vane zvigadziri, kuoma kwezvigadziri zvinogona kugadziriswa maererano nekushanda kwesimba.

C. Mushure mokunge distal radius fracture yakagadziriswa, teerera kumanzwiro emakumbo emakumbo uye ruvara rweganda.Kana makumbo ari kure munzvimbo yakagadziriswa yemurwere achitonhora uye cyanotic, kunzwa kunopera, uye mabasa acho akanyanya kuderera, zvakakosha kufunga kuti inokonzerwa nekugadzirisa zvakanyanya, uye zvakakosha kudzokera kuchipatara. kuitira kugadzirisa nguva.

 

Yoyo

Iyo kambani Sichuan Chenanhui Technology Co., Ltd

Tel/WhatsApp: +8615682071283

Email: liuyaoyao@medtechcah.com


Nguva yekutumira: Jan-06-2023