· Tsarin Halittar Jiki (Atomy)
Tsawon clavicle gaba ɗaya yana ƙarƙashin ƙasa kuma yana da sauƙin gani. Ƙarshen tsakiya ko ƙarshen clavicle yana da kauri, tare da saman haɗin gwiwa yana fuskantar ciki da ƙasa, yana samar da haɗin sternoclavicular tare da clavicular notch na hannun sternal; ƙarshen gefe ko acromion yana da kauri da faɗi, tare da saman acromion articular ɗinsa mai ovoid da waje da ƙasa, yana samar da haɗin acromioclavicular tare da acromion. Clavicle ɗin yana da faɗi a sama kuma an zagaye shi a hankali a tsakiyar gefen gaba. Akwai wani mummunan ligament na costoclavicular a gefen tsakiya a ƙasa, inda ligament na costoclavicular ke mannewa. A gefe zuwa ƙasa akwai ƙoƙon conical da layin oblique tare da ligament na conical na rostroclavicular ligament da haɗin ligament oblique, bi da bi.
· Alamomi
1. Karyar ƙashin ƙugu tana buƙatar yankewa da rage gyarawa a ciki.
2. Ciwon osteomyelitis na yau da kullun ko tarin fuka na clavicle yana buƙatar cire ƙashi da ya mutu.
3. Ciwon da ke cikin ƙwanƙolin mahaifa yana buƙatar a yi masa tiyata.
· Matsayin jiki
Matsayin kwance, tare da kafadu kaɗan a ɗaga.
Matakai
1. Yi yanka a kan tsarin jikin clavicle mai siffar S, sannan a miƙa yanke a gefen sama na clavicle zuwa gaɓar ciki da waje tare da matsayin raunin a matsayin alama, kuma za a ƙayyade wurin da tsawon yankewar bisa ga raunin da buƙatun tiyata (Hoto na 7-1-1(1)).
Hoto na 7-1-1 Hanyar Bayyanar Ƙwaƙwalwa ta Gaba
2. A datse fata, nama na ƙarƙashin ƙasa da kuma zurfin fascia a gefen wurin da aka yanke sannan a 'yantar da fatar daga sama da ƙasa kamar yadda ya dace (Hoto na 7-1-1(2)).
3. A datse tsokar vastus cervicis zuwa saman clavicle, tsokar tana da wadataccen jijiyoyin jini, a kula da electrocoagulation. Ana yanke periosteum a saman ƙashi don a raba ta da ƙasa, tare da sternocleidomastoid clavicle a saman ciki, pectoralis major clavicle a ƙasan ciki, tsokar trapezius a saman waje, da tsokar deltoid a ƙasan waje. Lokacin cire bayan subclavian, ya kamata a yi cirewar sosai a saman ƙashi, kuma mai cirewar ya kamata ta kasance a tsaye don kada ta lalata jijiyoyin jini, jijiyoyi, da pleura na bayan clavicle (Hoto na 7-1-2). Idan an ba da shawarar a shafa sukurori na farantin, kyallen da ke kewaye da clavicle da farko za a kare su da mai cirewar periosteal, kuma ya kamata a juya ramin haƙa a gaba zuwa ƙasa, ba a baya zuwa ƙasa ba, don kada ya cutar da pleura da jijiyar subclavian.
Siffa ta 7-1-2 Bayyana Ƙwaƙwalwar Jijiyoyi
Lokacin Saƙo: Nuwamba-21-2023
