Kunowanzoonekwa Nekakavhiringidzwa Wrist, Inodei Kuvhiya?
Kuputsana kwekono kunogona kusanganisira mapfupa akasiyana-siyana akapoteredza chibatanidzo. Rudzi rwakanyanya kunyanya kuputsika kwemaoko runopera kumagumo emusara weropa wepamberi, iyo inonzi distal radius fractures . Nharaunda yakasiyana-siyana inoputika inenge inenge 1 pa6 mapfupa akavhuniwa anoonekwa mumakamuri ekukurumidzira.
Inenge hafu yemharasi yeparalus fracture inowanzobatana neulnar mapepa fractures.
Iti pennynete iri kumagumo eimwe saga remberi , the ulna. Kunyange zvazvo ruzivo rwemahara runenge ruchida kazhinji runoda kukanda kana kuvhiyiwa, pennynete yegunyu inowanzotaurirwa mukurapa.
Ulnar Styloid Fractures
Ulnar mapepa anoputsika haawanzodi kurapwa paanoitika musangano neparal radius fracture. Iyo yakasarudzwa ndeye apo kubatana pakati pemapfupa aya, mutauro weparal radioulnar (kana DRUJ), hauna kugadzikana. Apo DRUJ isisina kugadzikana, penitoriyumu yegunyu inogona kudiwa kurapwa kwakasununguka.
Zvisinei, ruzivo rwakasiyana-siyana rwunopararira runoputirana nehutnar penetroid fractures hunoitika pasina DRUJ kusagadzikana. Kuongorora kwechangobva kuongororwa kwakaongororwa varwere vaiva neparal radius fractures uye vakaona kuti kufungidzira kwavo kwakanga kusingabatanidzwi nekuvapo kana kusavapo kwekunyora kwepenitiro kuputsika.
Non-Union yeUnnar Styloid Fractures
Ichi chidzidzo chakawanawo kuti kunyange kana chirwere chepenetari chinoputsika chakanga chisina kusimba (chakasununguka), kana kana chirume chepenicidhe chisina kuporesa ( nonunion ), hazvina kukanganisa kurapwa kwemurwere.
Zvakare, izvi zvose zvinofungidzira kuti DRUJ yakagadzikana.
Zvigumisiro zvechidzidzo ichi zvinoreva kuti kurapwa kwemazuva ose kunopera (kana zvichiitika neparal radius fracture) hazvidiwi. Zvisinei, chiremba wenyu anofanirwa kuongorora DRUJ yenyu kuti ive isina kugadzikana, uye kana izvozvo zvikaonekwa kuti ndizvo zvazviri, yako ulnar mapepa ekuparara inogona kudiwa kurapwa.
Akaita Chiremba Wako "Miss" Kukuvara
Nemhaka yekuti ulnar mapepa anoputsika haashandise kurapwa kwechiremera chemaoko, mumamiriro ezvinhu akawanda, vanachiremba vemajoka kazhinji vanokundikana kubvuma kuti pane kuputsika kwechipiri, kunze kwekuparara kwemaharasi kure. Ichi chisina kukanganisa vanachiremba vanoita majoka vakadzidza kudzivisa, sezvo kunokonzera kunetseka kuti varwere vanonzwa kunzwa kwavo kukuvadza kwakakwana "kwakashaikwa." Sechirwere chechiremba anoita mhosho iyi kanopfuura kamwe chete, ndinoedza kunyatsongwarira kuti ndizive zvizere varwere vangu uye ndivanotsanangurire kuti nei ndisisiri kubata chirwere chepenicroid kuputsika.
Kana iwe ukaona kukuvadza, kwakadai sealnar penic fracture, iyo isina kubvunzurudzwa newe, usatya kutya kubvunza chiremba wako nezvayo. Ingonzwisisa kuti kukuvara kwacho kwaisakanganwiki - haisi kuchinja mushonga, uye chiremba wako anonyanya kufunga nezvekukuvara kunoda kurapwa.
Shoko Rinobva
Ulnar mapepa anoputsika anowanzobatanidzwa neparal radius fractures; Chaizvoizvo, inenge hafu yemharasi yeparalus fractures inobatanidza urnar styloid kuputsika. Nhau dzakanaka, ndeyokuti inowanzoita chirwere chinoputika chirwere chinoda kurapwa mukati mega. Pane kudaro, chisarudzo chekurapa chinobva pakukuvadzwa kweropa remafupa, uye hazvibatsirwi nekuvapo kwekukuvara kumapuritiid epine.
Kunobva:
Pollack, P. "Mapurothiyamu anoputsika angasazokanganisa migumisiro yeparalus fractures." AAOS Zvino; Vol 4, Kwete 1. January 2010.