Kuwa Kunogona Kuguma Munharaunda Ino Yese Kuparara kunenge Kusina Kurapa
Kuwira pane ruoko rwakatambanudzwa kunogona kuita kuti uwane marwadzo kana chema. Kuwa kwakadaro kunogona kukonzera kuputsika kwetambo (navicular) bone muhomwe. Iri pfupa duku nderimwe remapfupa masere emapapiro ari muchiuno. Iko dzimwe nguva kunonzi bhokisi rinoputika kuputika sezvo izwi iroro rinoshandiswa panzvimbo ino yekristani.
Chikonzero nei Kuparara kweSaphoid Ishoma Kuporesa
Iyo saphofu inogara pasi pechigunwe, uye yakaumbwa sehadzi yehvo.
Ikopa rakaoma rine ropa rakasiyana uye rakakwana rinopa ropa rinogona kuvhiringidzwa nyore nyore nekuputsika. Sopa rekutsvaga kweropa rinobva mumudziyo muduku unopinda muchikamu chekure zvikuru chefupa uye unoyerera kuburikidza nefupa kuti upe chikafu kumasero epafu. Nokuti pane imwe chete iyi, ropa shoma, kuputsika pakati pepfupa kunogona kuvhara ropa richienda kune chikamu chinowedzera chefupa. Nokuda kwechikonzero ichi, chirwere chinonzi scaphoid chikafu chinodiwa nokukurumidza kuongororwa uye kurapwa. Sopaphoid fractures inogona kupora zvishoma nezvishoma kana kuti isingaporese zvachose.
Scaphoid Fracture Diagnosis
Kana iwe uine marwadzo kana kuputika zvakaderera pachigunwe-chechipiri chekristani, kazhinji kana uchinge wawa pane ruoko rwakatambanudzwa, iwe unogona kunge uine kuputika kwepaphoid. Zvimwe zviratidzo zvinosanganisira kuvhara muhomwe, kuoma kunobata zvinhu, uye unyoro kana kurwadziwa mubhokisi rekuchenesa rematomical (nzvimbo yakasviba pakati pezvinyorwa zvekristani).
Varwere vazhinji vanoonekwa kuti vane ruoko rwemaoko pavanenge vaputsika. Kuongororwa kwakaoma nokuti kuputsika kazhinji hakuoneki pa-ra-ray kusvika mavhiki mashure mushure mekuporesa kwave kwatanga. Nemhaka yeizvi, zvakajairika kuti vanachiremba vararame kukuvadzwa kwemaoko sokunge kwaiva kupera kwechigodhi pakutanga, uye zvakare kudzokorora x-ray mumavhiki maviri.
Scaphoid Fracture Treatment
Kana iri nyore, kusagadzikana kwemafuro, vanachiremba vemazino kazhinji vanobata kukuvadzwa nematokisi ekudzivirira kuti vaone kana kuputsika kuchiporesa panguva yakakodzera. Dzokorora x-rays inotorwa kwemavhiki akawanda kana mwedzi, uye chiremba anogona kutarisa kuporesa kwakakodzera, izvo zvinogona kutora masvondo gumi kusvika ku12. Kana ikasaporesa, chirwere chinogona kuonekwa.
Kana chirwere chinoputika chichibva kune imwe nzvimbo, dambudziko rekusabatanidzwa rakakwirira, uye chiremba wako anogona kukurudzira chirwere chekutanga kuti agadzire mapfupa. Uyewo, kana kuputsika kusingaporeri kurapwa (kurasikirwa), kuvhiyiwa kuchakurudzirwa. Mhando iyi yekuvhiya inosanganisira kuvhara pfupa panzvimbo pamwe chete nemagetsi. Dzidzo itsva dzekuvhiya dziri kuumbwa nokuda kwesafufuti, kusanganisira chirwere che arthroscopic. Dzimwe nguva pfupa refupa rinogona kushandiswa zvakare, uye tsvakurudzo iri kuitwa mukushandisa Bone Morphogenic Proteins (BMP). A cast inoshandiswa kugadzirisa pfupaidhi mushure mekuvhiyiwa.
Kuvandudzwa Pashure peSpaphoid Kuputsika
Kuvandudza chikamu chikamu chinokosha chekuporesa nekuda kwenguva refu yekudzivirira inodiwa yekurapa mazhinji fapidhi fractures. Range-of--kufamba-shandisa maitiro nokuda kwekona kunogona kutangwa mushure mekudzivirira, kunoteverwa nekusimbisa maitiro ekudzivirira mafiritsi uye kupera.
Kuongorora, kududzira, uye kubata maitiro kunofanira kuwedzerwawo.
Nzira Yekudzivirira Simba reScaphoid
Nzira yakanakisisa yekudzivisa kuputika kwechigodhi ndeyokushandisa gadziriro yakakodzera yekudzivirira chero nguva zvichibvira. Wadhiri varindi vanonyanya kukosha panguva yemitambo yakadai se rollerblading, snowboarding uye vazhinji vanotamba mitambo.
Kubva:>
Scaphoid Kuputsana kweWrist, OrthoInfo, American Academy of Orthopedic Surgeons, March, 2016.