4 Uburyo bwo kuvura bwo gutandukanya ibitugu

Kubisanzwe bitandukanya ibitugu, nkumurizo ukurikira, kuvura kubaga birakwiye.Nyina wa byose abeshya mugukomeza ukuboko kwa capsule ihuriweho, gukumira ibikorwa byo kuzunguruka bikabije no gushimuta, no guhuza ingingo kugirango wirinde gutandukana.

1 et Gusubiramo intoki
Dislocation igomba gusubirwamo vuba bishoboka nyuma yo gutandukana, kandi anesthesia ikwiye (brachial plexus anesthesia cyangwa anesthesia rusange) igomba gutoranywa kugirango yorohereze imitsi kandi itume reset iri munsi yububabare.Abantu bageze mu zabukuru cyangwa abafite imitsi idakomeye nabo barashobora gukorwa munsi ya analgesic (nka 75 ~ 100 mg ya dulcolax).Kurangiza akamenyero birashobora gukorwa nta anesteziya.Tekinike yo gusimbuza igomba kuba yoroheje, kandi tekiniki zikaze zirabujijwe kwirinda izindi nkomere nko kuvunika cyangwa kwangiza imitsi.

2 gical Kubaga kubaga
Hano hari ibitugu bike bitandukanya bisaba kubagwa.Ibyerekana ni: gutandukanya urutugu rwimbere hamwe ninyuma yinyuma yumutwe muremure wa biceps tendon.Ibyerekana ni: gutandukanya urutugu rwimbere hamwe ninyuma yinyuma yumutwe muremure wa biceps tendon.

3 Kuvura kuvura ibitugu bishaje
Niba urutugu rwigitugu rutarasubirwamo ibyumweru birenga bitatu nyuma yo kwimurwa, bifatwa nkuwimuwe kera.Umuyoboro uhuriweho wuzuyemo inkovu, hari ibifatika hamwe nuduce dukikije, imitsi ikikije iragabanuka, kandi mugihe habaye kuvunika hamwe, ibisebe byamagufwa birakorwa cyangwa gukira kwahindutse bibaho, izi mpinduka zose zindwara zibuza kwimurwaumutwe wa humeral.
Kuvura ibitugu bishaje: Niba dislokisiyo iri mumezi atatu, umurwayi aracyari muto kandi arakomeye, ingingo yimuwe iracyafite icyerekezo runaka, kandi nta osteoporose na intra-articular cyangwa ossifique idasanzwe kuri x- imirasire, gusubiramo intoki birashobora kugeragezwa.Mbere yo gusubiramo, ulnar hawkbone yibasiwe irashobora gukwega ibyumweru 1 ~ 2 mugihe igihe cyo kwimura ari gito kandi ibikorwa bihuriweho bikaba byoroshye.Gusubiramo bigomba gukorwa munsi ya anesteziya rusange, hagakurikiraho gukanda massage hamwe nigikorwa cyoroheje cyo kunyeganyeza kugirango urekure ibifatika kandi bikureho ububabare bwimitsi, hanyuma byongere byumye.Igikorwa cyo gusubiramo gikorwa no gukwega no gukanda cyangwa gukanda ibirenge, kandi kuvura nyuma yo gusubiramo ni kimwe no kwimurwa gushya.

4 Kuvura uburyo busanzwe bwo gutandukana imbere yigitugu
Imyitwarire yimbere yimbere yigitugu igaragara cyane mubakuze.Muri rusange abantu bemeza ko imvune iterwa nyuma yo kwimuka kwa mbere guhahamutse, kandi nubwo yagaruwe, ntabwo ikosowe kandi iruhutse neza.Ihuriro rihinduka flaccid bitewe nimpinduka ziterwa na patologi nko gutanyagura cyangwa avulisiyo ya capsule hamwe no kwangirika kwa karitsiye glenoid labrum hamwe na monsoon marge itabanje gusanwa neza, kandi kuvunika kwinyuma yumutwe wumutwe wihungabana biba bingana.Ibikurikira, dislocation irashobora kugaragara inshuro nyinshi munsi yingufu ziva hanze cyangwa mugihe runaka, nko gushimuta no kuzunguruka hanze no kwaguka inyuma kwaingingo zo hejuru.Kwipimisha kwimura ibitugu bisanzwe biroroshye.Mugihe cyo gusuzuma X-ray, usibye gufata firime yimbere-yinyuma yigitugu, hagomba gufatwa X-imirasire yinyuma yimbere yo hejuru ya 60-70 ° imbere yo kuzunguruka imbere, bishobora kwerekana neza umutwe winyuma winyuma inenge.

Kubisanzwe bitandukanya ibitugu, kubagwa birasabwa niba dislocation ari kenshi.Ikigamijwe ni ukuzamura imbere yimbere ya capsule ihuriweho, gukumira ibikorwa byinshi byo kuzunguruka hanze no gushimuta, no guhuza ingingo kugirango wirinde gutandukana.Hariho uburyo bwinshi bwo kubaga, uburyo bukoreshwa cyane nuburyo bwa Putti-Platt nuburyo bwa Magnuson.