Fractures of the Clavicle
Iro collarbone, iyo inonziwo clavicle, ndiyo pfupa pamusoro pebhokisi rako, pakati pemafupa ako (sternum) uye mapepa (scapula). Zviri nyore kunzwa chine clavicle, nokuti kusiyana nemamwe mapfupa ayo akafukidzwa nemasumbu, ganda rinongofukidza chikamu chikuru chefupa.
Zvitsvuku zvinoputika zvinowanzozara. Bhuku rakaputsika rinowanikwa mumucheche (kazhinji panguva yekuzvarwa), vana nevechiri kuyaruka (nokuti clavicle haisi kupedzisa kubudirira kusvika pakupera kwevechiri kuyaruka), vatambi (nekuda kwezvipingamupinyi zvekurohwa kana kuwira), kana panguva yemhando dzakawanda dzezviitiko nekuwira.
Chirwere chechirasika chinokonzera pakati pe2 ne5% yezvese zvakaputsika.
Zviratidzo zveBroken Collarbone
Kazhinji kazhinji, varwere vane kuputika kwechirvicle vanonyunyutira kurwadziwa kwemafudzi uye kunetseka kutamisa ruoko rwavo. Zviratidzo zvinozivikanwa zvekukuvara uku zvinosanganisira:
- Pain over the collarbone
- Kushata kwekoloni
- Kuzvimba uye kuputika pasi pefudzi. Nokufamba kwenguva, kuputika kunogona kupfuurira pasi muchipfuva uye chikwama.
- Kuoma kukura ruoko kubva kune rumwe rutivi
- Unhu uye kuungudza kunogona kuitika pasi pemaoko
Pahofisi yechiremba kana mune imwe nzvimbo yekukurumidzira, x-ray ichawanikwa kuti iongorore rudzi rwechipiri rwechipiri. Chiremba wako achaitawo kuongororwa kuti ave nechokwadi kuti mitsipa nemidziyo yeropa zvakapoteredza clavicle hazvina kumira. Mitsipa nemidziyo hazviwanzokuvadzwa nekuda kwekamurasi yakaputsika asi mumatambudziko makuru, izvi zvinokuvadza zvinogona kuitika.
Mhando dzeClavicle Fractures
Kazhinji, chidimbu chinoputika chinoparadzaniswa kuva zvitatu zvekukuvara zvichienderana nenzvimbo yekuparara:
- Mid-Shaft Clavicle Fractures (75%)
Rudzi rwakanyanya kufanana rwe clavicle kuputsika ruri mukati rechitatu refupa. Izvi zvinokuvadza zvinogona kunge zviri nyore kubuda mumapfupa, kana kuti zvisina kusimba. Zvinonyanya kuitika kana pane zvipembenene zvakasiyana-siyana mumapfupa (segmental fractures), zvakanyanya kushandiswa (kupatsanurwa), kana kupfupisa kwehurefu hwepafupa.
- Kusiyana neChirvicle Fractures (20%)
Zvisikwa zvakajeka zvinoputika zvinowanikwa pedyo nechekuguma kwegorosi pamusangano wepafudzi. Iyi chikamu chepfudzi inonzi "acromioclavicular (AC)" pamwe chete, uye distal clavicle fractures inowanzova nemishonga yakafanana yekurapa seC AC joint injury . - Mapoka eClavicle Fractures (5%)
Nhengo dzepakati dzemapapiro dzinoputika hazviwanzozivi uye dzinowanzova noukama hwekukuvadza kumusangano we sternoclavicular . Imwe yekupedzisira mahwendefa ekuwedzera kuvhara mumuviri ndeyekuguma kwemuviri we clavicle, uye naizvozvo, kukura kweplate fractures ye clavicle kunogona kuonekwa kusvika pakupera kwevechidiki uye kutanga kwe makumi maviri.
Kurapa kweClavicle Fractures
Kurapa kwechichavicvicle kuputsika kunoitwa kana kubvumira kuti pfupa ropore, kana kuita chirongwa chekuvhiya kudzorera kugadzikana kwakakodzera kwepafu uye kuchiisa panzvimbo. Kusiyana nedzimwe dzakawanda dzakaputsika, dzimwe mishonga inowanzoitwa nemapfupa akavhunika haafaniri kujekesa fractures. Kushandisa kuputika kwechisimba hakuiti. Mukuwedzera, kudzorerazve pfupa (inonzi kuderedza kupfigwa) hakuiti nokuti hakuna nzira yekubata pfupa muhutano pasina kuita chirwere.
Mukuita sarudzo pamusoro pekuvhiyiwa, zvimwe zvezviitiko zvinotevera zvinogona kutorwa nehanya nechiremba wako:
- Nzvimbo yekuparara uye chidimbu chekuparadzanisa kwepafu (nondisplaced, kana kuti zvishoma nezvishoma zvakasununguka, fractures inofanira kutarisirwa pasina chirwere)
- Zvimwe kukuvadzwa kungave kwakamboitika (varwere vane kukuvadzwa kwepamusoro kana kuti kuputsika kwakasiyana kunogona kurapwa pasina chirwere)
- Zera remurwere (vaduku vaduku vane unyanzvi huri nani hwekuwana kubva kune fractures pasina chirwere)
- Zvatinotarisira murwere (kana kukuvara kuchibatanidza uye mutambi, mushandi anorema, kana kuti chinonyanya kukwirira, pangava nechikonzero chikuru chokuvhiya)
Chiremba wako anogona kuita nhaurirano newe pamusoro pezvakanaka uye kurapa kwekuvhiyiwa. Kunyange zvazvo ruzhinji rwemafivicle fractures inogona kutarisirwa pasina kuvhiyiwa, kune dzimwe mamiriro ezvinhu apo kuvhiyiwa kunogona kupa mamiriro ekunze.
Mhando dzakasiyana-siyana dzezvigadzirwa zvinoshandiswa pakurapwa kusina kupikisa kwe clavicle fractures. Izvi zvinosanganisira shingiriri kana kuti-chi-8-brace. Kazhinji, ndinosarudza sling, sezvo nhamba-ye-8 brace isina kuratidzirwa kuti inokanganisa kukanganiswa kwekuputsika, uye varwere kazhinji vanowana simboti yakanyanyisa.
Kuporesa Broken Collarbone
Chirwere chechikara chinofanira kupora zvachose mukati memavhiki gumi nemaviri, asi marwadzo anowanzopera mukati mavhiki mashomanana. Kazhinji varwere vanodzokera kumabasa akazara masvondo gumi nemaviri apfuura, kunyanya nevarwere vaduku. Kukanganiswa kunowanzodiwa kunze kwemavhiki mashomanana uye panguva iyoyo, basa rakatadza uye kufamba kwakanyanyisa kunogona kutanga.
Somutungamiri mukuru wekudzoka kumabasa, hapana chinofanira kukonzera kurwadziwa. Kana kusapfeka chipfuramabwe kunokonzera kurwadziwa, kupfeka siringi. Kana kutyaira kuchikuvadza fracture site, usafambisa. Kana kukanda bhora kunorwadza, usarasa. Kana imwe nguva basa risingakonzeri kurwadziwa kukuru, kudzoka zvishoma nezvishoma kunogona kuedzwa.
Kudzorera kunowanzozadziswa, uye kudzorerwa kwakakwana kunotarisirwa. Varwere vanogona kuona chigamba chinoramba chiripo apo kuputsika kwaiva (kazhinji kwemwedzi kana kupfuura), asi izvi hazvifaniri kunge zvichishungurudza.
Sources:
Jeray KJ. "Yakakura Midshaft ChiSlavicular Fracture" J Am Acad Orthop Surg April, April vol. 15 no. 4 239-248