Karkataccen gwiwar gwiwar hannu yana da matukar muhimmanci a yi gaggawar magance shi don kada ya shafi aikinku na yau da kullun da kuma rayuwar ku, amma da farko kuna bukatar sanin dalilin da yasa kuka rabu da gwiwar hannu tare da yadda za ku magance shi ta yadda za ku iya cin nasara!
Dalilan karkacewar gwiwar hannu
Dalili na farko shine yawancin matasa kuma yana iya faruwa ta hanyar tashin hankali kai tsaye.Gabaɗaya idan mutum ya faɗi, tafin hannun ya faɗi ƙasa kuma haɗin gwiwar gwiwar ya cika gabaɗaya, wannan haɗin gwiwa yana ƙaruwa da ƙarfi nan take, wanda zai iya haifar da zub da jini a haɗin gwiwa tare da karkatar da haɗin gwiwar gwiwar hannu.
Dalili na biyu na iya zama cewa yayin da mutane suka tsufa, ƙasusuwan wasu suna ƙididdigewa sosai kuma akwai ƙarancin ruwa mai lubricating a haɗin gwiwa, saboda mutane suna yawo da yawa kuma ba su kula da ƙarfin mahimmancin amfani da su na yau da kullun. rayuwa.Wannan yana haifar da ƙarar juzu'i, wanda bayan lokaci zai iya haifar da raguwar haɗin gwiwar gwiwar hannu.
Dalili na uku shinehaɗin gwiwa dislocationtashe tashen hankula kai tsaye, wanda zai iya faruwa a sanadiyyar wani hatsarin rayuwa, kamar a ce hatsarin mota ko wasu abubuwan da ke haifar da wargajewar gwiwar hannu, na hudu kuma shi ne tsagewar gwiwar hannu, wanda ke faruwa sakamakon iya sanya zobe a kewayen motsin. wuce kima.
Maganin ɓarkewar haɗin gwiwar gwiwar hannu
Alamomi ga tiyata: (1) waɗanda suka gaza rufaffiyar repositioning, ko waɗanda ba su dace da rufaffiyar repositioning, wannan abu ne mai wuya, amma mafi yawa a hade tare da tsanani rauni ga gwiwar hannu, kamar ulnar hawkbone fractures tare da rabuwa da kaura;(2) Rage gwiwar hannu haɗe tare da karyewar ɓarna na tsakiyar epicondyle nahumerus, Lokacin da aka sake saita ƙaddamarwar gwiwar gwiwar hannu, amma har yanzu ba a sake saita epicondyle na tsakiya na humerus ba, ya kamata a yi tiyata don sake saita epicondyle na tsakiya ko gyaran ciki;(3) tsohuwar guiwar gwiwar hannu, wanda bai dace da gwaji ba (iii) tsohuwar karkatar gwiwar gwiwar da ba ta dace da raguwar rufaffiyar ba: (iv) wasu ɓarkewar al'ada.
Buɗe sakewa: Brachial plexus anesthesia, ɓata lokaci mai tsawo a bayan gwiwar gwiwar hannu, bayyanar da tsaka-tsakin epicondyle na humerus da kariya daga jijiyar ulnar.Ana yin katsewar harshe don tendon triceps.Bayan fallasa haɗin gwiwar gwiwar hannu, nama mai taushi da ke kewaye da tabo ana barewa don cire hematoma, granulation da tabo daga kogon haɗin gwiwa.An gano ƙarshen haɗin gwiwa kuma an sake mayar da shi.An dinke kyallen na periarticular.Don hana sake dawowa ana sanya fil ɗin kerf daga baki na shaho zuwa ƙananan ƙarshen humerus kuma a cire bayan makonni 1 zuwa 2.
Arthroplasty: Mafi yawa ana amfani da shi don tsofaffin ɓarna na haɗin gwiwar gwiwar hannu inda aka lalata saman guringuntsi, ko kuma inda haɗin gwiwa ya yi tauri bayan rauni ga gwiwar hannu.Ƙarƙashin ƙwayar cuta ta brachial plexus anaesthesia, an ƙaddamar da gwiwar hannu na baya, an yanka jigon triceps kuma an fallasa ƙarshen kasusuwa na haɗin gwiwar gwiwar hannu.Ana fitar da ƙananan ƙarshen humerus, an adana wani yanki na tsaka-tsakin tsaka-tsaki da na gefe na humerus, an cire tip na fiɗar ulnar da wani ɓangare na kashin baya, sannan kuma an yanke ƙarshen aikin rostral. kiyaye farfajiyar guringuntsi.Ba a cire shugaban radial ba idan bai shafi motsin haɗin gwiwa ba, in ba haka ba an cire shugaban radial.Idan sabon ratar haɗin gwiwa ya kasance kunkuntar, ana iya cire ɓangaren tsakiya na ƙananan humerus ta 0.5 cm don ƙirƙirar tsaga dama.Matsakaicin tazara ya kamata ya zama 1 zuwa 1.5cm.
Rigakafin Ragewar gwiwar gwiwar hannu
Bugu da ƙari, ya kamata a lura da cewa marasa lafiya tare da raguwa ya kamata su motsa haɗin gwiwa da wuri kuma su dauki himma don yin tsayin daka da ƙwanƙwasa da jujjuyawar hannu ko kari tare da ilimin motsa jiki bayan an saki.gyarawa, amma wuce gona da iri da ƙarfi ja yana yiwuwa ga ossifying myositis a kusa da gwiwar hannu hadin gwiwa.
Tuntuɓar:
Yoyo
Whatsapp: +8615682071283
Email：liuyaoyao@medtechcah.com
Lokacin aikawa: Maris 13-2023
