Ukwaphuka we scapula: izimpawu, ukwelashwa, imiphumela

I humerus ixhunywe clavicle esebenzisa ikhaba. Ukuma ithambo sifana lokwela. It awunika igama lokuthi ingxenye skeleton. Lokwela - amathambo flat. It liqukethe izingxenye eziningana. Kuye ngokuthi yiziphi isici uye abaphukile ikhaba ezilimele, futhi ukwelashwa kuyakhethwa.

Izimbangela waphuka

Le ngxenye skeleton sinqamukile kaningi impela. Ngonyaka ke bhalisiwe akukho kuka 1.5% walo lonke waphuka scapula kuqhathaniswa nezinye amathambo. Kodwa lokhu akusho ukuthi ingxenye lwamathambo kufanele aphathwe kancane.

ukwa scapular akuhileli ukwelashwa eside kanye nokuvuselelwa nzima. Imbangela ezivame kakhulu yokulimala ezifana liyana emuva. Kubaluleke kakhulu futhi kulula ukuthola lolu hlobo ukwa e buhlungu ngqo isiphanga.

izikhathi lapho le waphula thambo esishubile imisipha ngokuhlanganyela ehlombe ngezinye izikhathi wahlangana. Voltage idluliselwa Kulokhu, entanyeni scapula, futhi akuve kudabukisa phansi isisindo amathambo ingalo. Ngokuvamile, inkinga enjalo ezibhekene abasubathi abenza wamshaya ngebhola. Lapho skidding izingalo ukuhlukumezeka ezinjalo zingenzeka emuva ezijulile.

symptomatology lesi sifo

Ukwaphuka we scapula - kuba njalo ubuhlungu, nokuvuvukala. Palpation umzimba ingxenye ukungakhululeki iyakhula e bone indawo indawo. Lapho entanyeni waphuka ngezinye izikhathi udokotela Uyaphenya emaphethelweni abukhali wethambo. Lapho dislocations ehlombe ngokuhlanganyela emaphethelweni ngesikhathi izindwani kukhona lulwimi yindilinga futhi abushelelezi.

Le nhlangano yenkolo yokulwela esandleni ethintekile kunzima, futhi ngenkathi kuzanywa pick it up kukhona ubuhlungu obuhlabayo. Kwezinye izimo, lapho kuthiwa ukulimaza endaweni ukulimala. Bavame avele izinsuku 2-3.

uphawu liyabonakala kuyinto ukuvuvukala esime unxantathu. Kulesi sisekelo udokotela icaciswa ngokushesha nge uphethwe. Kuye uhlobo izimpawu ukwa zingashintsha noma avele wawubonakalisa ubuncane.

Ukwa yenqubo scapula

Nge lolu hlobo kokulimala waphawula ibhande ukusonteka. Khona-ke kukhona ukopha. Ukwa nadplechevogo inqubo ingase ibone udokotela nge palpation. Yena kalula ngokusebenzisa isikhumba inquma izinsalela. Lokhu ukulimala kwenzeka kaningi kakhulu kusukela buhlungu eqinile kusukela phezulu kuya phansi ngqo ehlombe. Ukwa okuthwala nabo nezinye izinkinga.

Futhi hhayi kakhulu ngokuvamile Uqhwaku waphuka amathambo. Kulokhu, kukhona asymmetry okucacile ibhande ehlombe. On palpation ukwanda ubuhlungu. Isici indawo ichichima. Lapho zinamandla isandla noma umzamo ukwenza kube ubuhlungu isenzo izikhathi eziningana iyakhula.

Uqhwaku isithasiselo kungenziwa dengwane ukwa. Lokhu kwenzeka lapho ukudabuka of nemisipha ehlombe ingqwababa. Kanye ukwa yale nqubo ngokuvamile siyenzeka ihlombe dislocated. Lokhu ukulimala kuhlangene, kanye nokwelashwa isifika nezinsuku zokuqala ezingu-7-14 esibhedlela.

Ukwaphuka we entanyeni scapula

Lolu hlobo kuletha yezinkinga nokuhlunyeleliswa eside. ukwa ababhekene nesimo esinje kungabaduduza offset ngaphandle kwalo. Isiguli ngokuvamile umbambe ngesandla lohlaselwayo enempilo futhi ngazo ke esifubeni. Emkhakheni ikhaba uba okusaqanda ukuvuvukala. Ekuqaleni kwawo-entanyeni ngaphandle ezihambayo isiguli engazizwa ubuhlungu endaweni ibhodi lemisindo. It iphendula palpate le ikhwapha.

Esimeni lapho kukhona ukwa scapular nge ukufuduka, zikhona ezinye izimpawu eziningana:

• isandla unikezwa phambili hhayi kubuyiswe;
• joint ehlombe iba ukuma eyindilinga;
• palpation isiguli ekhononda zobuhlungu usendaweni nomthelela;
• yokwenziwa isandla ukunyakaza kungukuthi sezilimele.

Ekuqa- lolu hlobo inkinga kungase kudingeke ukuhlinzwa. It is kuyaqabukela esetshenziswa, kodwa kudingeke 100% we isidingo.

Noma yiluphi uhlobo yokulimala kudinga ukucwaninga esibhedlela futhi ukwelashwa ngokushesha. Isiguli ezwe ubuhlungu obuhlabayo uma kukhona ukwaphuka we scapula. Izimpawu ke kancane kancane stuhayut, futhi umuntu uhamba ngenxa yokulimala ku uze nazo ngenxa yezinkinga sifo. Ngakho-ke, uma usola ophukayo, ngokushesha afune usizo lwezokwelapha.

zosizo lokuqala

Uma kwakuba khona umuntu izimpawu ezisikisela ophukayo ka ikhaba, khona-ke udinga usizo phambi ambulensi noma ukuthutha isiguli esibhedlela bebodwa:

• ukunikeza noma yimuphi amaphilisi painkiller ( "Analgin", "Spazmalgon" "ibuprofen" ngaphansi imizwa okungabekezeleleki abavunyelwe ukusebenzisa "Ketanovom");
• ku ikhwapha ufake pad elincane uhala noma ahambise isondo amabhandeshi eziningana ezisontekile;
• kusayithi ukulimala ukwenza noma yiluphi abandayo (ukudla efrijini ukuba wayenethonya ngokusebenzisa inabukeni noma amashidi, hhayi yiqhwa zaqina isikhumba);
• nge indwangu ukubeka izandla kokungathembeki ngebhandeshi yayicindezele esifubeni, ngakho uyokwazi ukugwema ukulimala ngokwengeziwe ukuba imithambo yegazi nezinzwa imfucumfucu bone;
• esibhedlela ukuze baphathe iziguli kuphela kumngane awulutho kuNkulunkulu.

Le mithetho kuzosiza ligweme izinkinga ezingase zivele eyengeziwe kanye nezinhlungu ezinzima kumuntu abathintekayo.

sitholakele isifo

Ukwaphuka we scapula ivelakancane, kodwa ungakwazi ukuchaza noma iyiphi ukuhlukumezeka noma ukuhlinzwa. Iziguli kwavele palpation iphuzu nomthelela, futhi ukusabela futhi incazelo emizweni isisulu kakade kwakheka isithombe kwesifo ngudokotela.

Ukuqinisekisa imibono odokotela-X-ray nokuhlolisiswa projection ezimbili. Ezenye can 100% qinisekisa noma ukunqabela ukuxilongwa ukuthethwa kwecala.

zokwelapha

Kunoma yikuphi uhlobo ukwa ekuqaleni ezidingekayo anesthetize isayithi yokulimala. Ekhaya, udinga ukuthatha imithi ebulala izinzwa iphilisi. Isibhedlela ungenza umjovo "Novocain" kule site ukwa.

Khona-ke ingcindezi ngebhandeshi isicelo nge roller ngaphansi ingalo. Ngale ndlela isiguli sihambahamba 3-4 amasonto. Ukulungiswa ingekho isikhathi esingaphansi kwamasonto 5-6.

Ezimweni ezimbi kakhulu, ukuhlinzwa wenziwa nge ukulimala kuhlanganiswe. Le ndlela alisetshenziswa ngokuvamile kunjalo, lapho ethola ukuthi unesifo ukwa scapular. Ngelashwa ngemva kokuba ziyinkimbinkimbi kakhulu futhi isikhathi eside.

izinhlobo immobilization

Ukubeka izandla esikhundleni esikhethekile kuyasiza ezivumelana ikhaba kahle. Yini edingekayo immobilization ka waphuka of ikhaba? Nenkanuko edlulele ngodaka manje esetshenziswa kakhulu kuyaqabukela.

Okulingana yesimanje ye immobilization ezinjalo kuba zibelula. Isikhumba ngaphansi kwalo uphefumula, futhi akukho ukuqubuka inabukeni, ikakhulukazi ehlobo. Futhi, lapho nekwendlala isiguli ngebhandeshi ahlangabezane ukungakhululeki kancane futhi ubuhlungu. Inqubo kuyashesha. Nge elula ngebhandeshi ingubo enjalo bese ukuhambahamba.

Ngakho, ukuqaleka olutholwa iziguli ugqoke kahle. Ngokuhlanganyela egqoke amabhandeshi desault esimisiwe yokuzijwayeza yezokwelapha izingalo. Ivame ukutholakala eyenziwa amathambo ngesandla indololwane.

Ekuqaleni kwawo-entanyeni esiqhutshwa ngayo ngezinye izindlela eziningana immobilization. Kwasetshenziswa kokungathembeki ingalo ekuphunyukeni kuzo nge ibhasi. Ngo ukufuduka wesibeletho kwenzeka kuqala lwamathambo ngilulekela. Le nqubo ithatha mayelana 4 amaviki. Ngemva kwalokhu isandla ubekwe umcamelo eziklanyelwe futhi ngacula yokuzijwayeza kwenye amasonto 2. Lokhu kwelashwa kakhulu kokuzama isiguli kanye nokuvuselelwa imisiwe amasonto 5-6.

Izinkinga ngemva ukulimala

Izinto zashintsha ka ikhaba akuyona ingozi njengamabhu kubonakala. Phakathi ukwelashwa, singenzeka amathambo dislocated we ibhodi lemisindo. Lokhu kungenxa ukungakwazi ukugcina izinsalela ikhanda udwani ithambo ingalo.

Kulezi walimala uqwanga emalungeni ehlombe. Ngokuhamba kwesikhathi, isiguli kule ndawo ingaqala Arthritis. Zixoshwe ukwa Ubuso ukusonteka blade. Khona-ke ithambo Awukwazi ukuhambisa ngokukhululekile izimbambo. It kuhambisana ubuhlungu futhi ziwe edabukisayo.

Ukuhlinzwa kungadala:

• Ukwenyela ezingamahlalakhona;
• imisipha yoma;
• neuralgia intercostal;
• ukuqina ukunyakaza ingalo.

Kodwa uma isikhathi akusho afeze ukuhlinzwa, umuntu kungenzeka ukuthi ulahlekelwe ngokuphelele kahle futhi bahlale ekhubazekile. Kubalulekile ukuba asabele ngesikhathi ukwaphuka we scapula. Imiphumela uhlamvu ezimbi ke uzobe kuyehla kube sezingeni eliphansi.

The main isikhathi - Ukuvuselelwa

Kusukela ezinsukwini zokuqala immobilization kuyadingeka ukubhekana Physiotherapy. Kulokhu, akakubangeli imiphumela emibi eziphukile isiphanga. Ukuvuselelwa kufanele sigcwaliswe ngochwepheshe. Ngokuzimela kungekho umsebenzi akudingeki, noma kungase kubangele ukulimala ithambo ethintekile.

Ngaphansi kweso kudokotela onolwazi oluthé kuyadingeka ukuchitha kwamaseshini ambalwa. Ungabese uqhubeke izivivinyo ekhaya. Kufanele uqale nge umzimba ambalwa ukuze iminwe. Zonke izinqubo kuyenziwa futhi umthwalo ngejubane kancane.

Kulesi sikhathi, kudingeka ukuba flexion elinganiselwe nokwandiswa iminwe. Ungase futhi enze a motion isiyingi nge ibhulashi. Ukuzivocavoca kufanele singeqi amaminithi hhayi ngaphansi kuka 15. Ngosuku ukwenza 4-5 rep.

izinsuku ezingu-10 ngemva ukulimala ungakwazi uqhubekele izivivinyo sokuba imisipha ehlombe. Ngenxa yalesi kwenziwa kancane izandla zenu uma uzwa ubuhlungu. Ngezinye izikhathi, ngemva 2 amaviki egqoke amabhandeshi desault kwashintsha ukuba uhlobo kosynochny of nenkanuko edlulele. Kulokhu, uhla umsebenzi kungenziwa kancane ukunwetshwa.

Phakathi ukugqoka desault egqoke Udokotela angase anikeze isiguli Physiotherapy ndima. Kulokhu, sebenzisa UHF kanye therapy magnetic. Izinqubo ukusiza ukuze akhulule ukuvuvukala bese ususa ubuhlungu. Futhi, ithambo ngokuphilisa isheshe.

Yokutakula emva ukususwa immobilization

Kule nkathi ukuvuselelwa naphakathi-amandla umsebenzi busobala. Uma isikhathi ukuvuselelwa kanye kahle, ikhono ukusebenza alulame ngokugcwele phakathi namasonto ambalwa.

umsebenzi umfutho sikhulela njalo, futhi wakhuthaza ukusetshenziswa imishini ezemidlalo:

• amabhola;
• ngezinduku futhi plastic;
• ezemidlalo gum;
• Wegazi;
• amabhola amancane enjoloba isandla umsebenzi neminwe.

Zonke nokuvuselelwa ihlose ukubuyisela umsebenzi imisipha buthaka futhi amalunga omzimba. Siyakwamukela sifundo emanzini. Ngakho, isiguli sibe ukucindezeleka kuyancipha nokuhlunyeleliswa singase siwathole ukuba imizuzu 40.

Okokuqala, kungcono ukubamba umzimba egumbini lokugezela, emanzini afudumele. Kulokhu, imisipha steamed futhi kulula yokwelula nokuncipha. Emva kwamaseshini ambalwa ungaqala ukubhukuda echibini noma echibini ehlobo.

Asikho isidingo sokuqala ukunikeza ukucindezeleka eqinile emzimbeni. The main umgomo - nokuvulwa kancane kancane zonke amaqembu kwemisipha namalunga.