Karyawar radius mai nisa shine ɗayan raunin haɗin gwiwa na yau da kullun a cikin aikin asibiti, wanda za'a iya raba shi cikin sauƙi da mai tsanani.Don ƙananan raunin da ba a kwance ba, ana iya amfani da gyare-gyare mai sauƙi da motsa jiki masu dacewa don dawowa;duk da haka, don karaya mai tsanani, ya kamata a yi amfani da raguwar hannu, tsatsa ko gyaran filasta;don karyewa tare da bayyananniyar lahani da mummunar lalacewa ga farfajiyar articular, ana buƙatar magani na tiyata.
KASHI NA 01
Me yasa radius mai nisa yake da saurin karyewa?
Tunda nisan ƙarshen radius shine wurin canzawa tsakanin soke kashi da ƙashin ƙashi, yana da rauni sosai.Lokacin da mai haƙuri ya faɗi kuma ya taɓa ƙasa, kuma ana watsa ƙarfin zuwa hannun sama, ƙarshen ƙarshen radius ya zama wurin da damuwa ya fi maida hankali, yana haifar da karaya.Irin wannan karaya yana faruwa akai-akai a cikin yara, saboda ƙasusuwan yara ƙanana ne kuma ba su da ƙarfi sosai.
Lokacin da wuyan hannu ya ji rauni a cikin matsayi mai tsawo kuma tafin hannun ya ji rauni kuma ya karye, ana kiransa Extended distal radius fracture (Colles), kuma fiye da 70% daga cikinsu suna irin wannan.Lokacin da wuyan hannu ya ji rauni a wuri mai sassauƙa kuma baya na hannun ya ji rauni, ana kiransa ƙwanƙwasa radius fracture (Smith).Wasu nakasassu na wuyan hannu suna da saurin faruwa bayan faɗuwar radius mai nisa, kamar nakasar “cokali mai yatsa na azurfa” nakasar “gun baynet”, da sauransu.
KASHI NA 02
Yaya ake kula da karayar radius mai nisa?
1. Manipulative rage + gyara filasta + musamman Honghui maganin gargajiya na kasar Sin maganin shafawa
Ga mafi yawan raunin radius mai nisa, ana iya samun sakamako mai gamsarwa ta hanyar daidaitaccen raguwar hannu + gyaran filasta + aikace-aikacen magungunan gargajiya na kasar Sin.
Likitocin Orthopedic suna buƙatar ɗaukar matsayi daban-daban don gyarawa bayan raguwa bisa ga nau'ikan ɓarna daban-daban: Gabaɗaya magana, Colles (nau'in tsawa na distal radius fracture) ya kamata a gyara ɓarna a 5 ° -15 ° na ƙwanƙwasa dabino da matsakaicin ulnar;Smith Karyewar (karyewar radius mai jujjuyawa) an gyara shi a bayan hannun hannu da dorsiflexion na wuyan hannu.Karyawar dorsal Barton (karyewar bangon articular na radius mai nisa tare da karkatar da wuyan hannu) an daidaita shi a matsayin dorsiflexion na haɗin gwiwar wuyan hannu da kuma fitowar hannun gaba, kuma daidaitawar ɓarna na volar Barton ya kasance a matsayin jujjuyawar dabino na haɗin gwiwar hannu da jujjuyawar gaba.Yi bitar DR lokaci-lokaci don fahimtar wurin da ya karye, kuma daidaita matsi na ƙananan madauri a cikin lokaci don kula da ingantaccen gyaran ƙananan ƙananan.
2. Gyaran allura na percutaneous
Ga wasu marasa lafiya da rashin kwanciyar hankali, gyare-gyaren filasta mai sauƙi ba zai iya kula da matsayin karyewar yadda ya kamata ba, kuma ana amfani da gyaran allura mai tsauri gabaɗaya.Ana iya amfani da wannan tsarin kulawa azaman hanyar gyarawa ta waje daban, kuma za'a iya amfani dashi a hade tare da filasta ko maƙallan gyaran gyare-gyare na waje , wanda ke ƙara yawan kwanciyar hankali na ƙarshen da aka karya a cikin yanayin rauni mai iyaka, kuma yana da halaye na aiki mai sauƙi. sauƙin cirewa, da ƙarancin tasiri akan aikin majinyacin da ya shafa.
3. Sauran zaɓuɓɓukan magani, irin su raguwar buɗewa, gyaran ciki na farantin, da dai sauransu.
Ana iya amfani da wannan nau'in shirin ga marasa lafiya tare da nau'in nau'i mai rikitarwa da manyan bukatun aiki.Ka'idodin jiyya sune raguwar raunin jiki na jiki, tallafi da gyara ɓangarorin ƙasusuwan ƙashi da aka yi gudun hijira, ƙashin ƙashi na lahani, da taimako da wuri.Ayyukan aiki don mayar da matsayin aiki kafin rauni da wuri-wuri.
Gabaɗaya, ga mafi yawan raunin radius mai nisa, asibitinmu yana ɗaukar hanyoyin kula da ra'ayin mazan jiya kamar ragewa na hannu + gyaran filasta + aikace-aikacen filasta na gargajiya na Honghui na musamman, da sauransu, waɗanda za su iya samun sakamako mai kyau.
KASHI NA 03
Tsare-tsare bayan rage raunin radius mai nisa:
A. Kula da matakin matsewa yayin gyaran ɓarkewar radius mai nisa.Matsayin gyare-gyare ya kamata ya dace, ba maɗaukaki ba ko sako-sako.Idan an gyara shi sosai, zai yi tasiri ga samar da jini zuwa ƙarshen ƙarshen, wanda zai iya haifar da ischemia mai tsanani.Idan gyare-gyaren ya yi yawa don samar da gyarawa, canjin kashi na iya sake faruwa.
B. A lokacin lokacin gyaran gyare-gyare, ba lallai ba ne don dakatar da ayyukan gaba daya, amma kuma ya kamata a kula da aikin da ya dace.Bayan karyewar ya daina motsi na ɗan lokaci, ana buƙatar ƙara wasu motsin wuyan hannu.Marasa lafiya ya kamata su dage kan horo a kowace rana, don tabbatar da tasirin motsa jiki.Bugu da ƙari, ga marasa lafiya tare da masu gyarawa, za a iya daidaita maƙasudin gyare-gyare bisa ga ƙarfin motsa jiki.
C. Bayan an gyara tsagewar radius mai nisa, kula da jin daɗin ƙafar ƙafa da launi na fata.Idan m gaɓoɓi a cikin ƙayyadaddun yanki na mai haƙuri ya zama sanyi da cyanotic, jin dadi yana raguwa, kuma ayyukan suna da iyakacin iyaka, wajibi ne a yi la'akari da ko yana haifar da gyare-gyare mai yawa, kuma wajibi ne a koma asibiti. don daidaitawa cikin lokaci.
Lokacin aikawa: Dec-23-2022
