Whati o te scaphoid: Tohu me Treatment

Piere i roto i te iwi puta maha nui. Ko te tikanga whara alangá. e kore e he riri ki te ora taua piere. I roto i te nuinga o te wā, o ratou maimoatanga me te wā whakaora muri e angitu.

Ko tētahi o nga momo tino noa o wharanga ko te whatinga o te wheua navicular. ICD 10 whakahounga whakaritea tenei S62.0 waehere kino. Ko te taa o reira ko e ko te tino uaua tenei ki te tautuhi i te whati. maha tango tākuta ngawari kino mo te whara faufaa ore, na homai maimoatanga te tika. I roto i te tuhinga o tenei ra ka whakamārama tatou he aha tohumate e haere tahi e te whati o te wheua navicular. Ano, ka tou whakarongo kia te aroaro ki nga tikanga matua o te maimoatanga.

tohutoro kikokiko

Navicular whakaaro te tetahi o nga mea timatanga tino ngaukino o te kawititanga o. Kei runga i te taha koromatua. hiahiatia tona mātauranga navicular ingoa ko ki te hanga i rite i te kaipuke. Ringa fakafofonga'i e waru wheua iti, e hanga e rua rarangi. Ko Ia o ratou i runga i nga mea timatanga wha. Ka taea te palpated wheua Navicular i runga i to ratou ake i roto i te rohe o "snuffbox kikokiko". paetata tēnei wāhi te i waenganui i nga uaua o te koromatua, me te abductor uaua.

Anatomy o nga hononga, me wheua o te ringa, ko tetahi o te uaua tino i roto i te tinana katoa. Ēnei ngā hanganga hanga reira taea ki te mahi i ngā nekehanga i roto i te maha rererangi. I te tahi atu te ringa, tuhonohono whakarato hononga kaha. wheua Navicular te kawenga mō te ruruku me te whakaritenga o te tahi atu hanganga tata. Na reira, pakaru te mahi o te ringa katoa te i tona tahuri.

Ko te take, me ngā pūhanga o te kino

tino maha puta whati o te wheua navicular tika ki te hinga i roto i te ringa. Ko te kupu i reira ko te hyperextension i te kawititanga o. Na reira, taka te nuinga o te pikaunga i runga i te scaphoid. I roto i wā onge te whara pāmamae ko te hua o te rongo tika ki tenei hanganga.

Ko te nuinga o tūroro nui pāngia ki te whati kati o te wheua navicular. Ka taea te meinga te aroaro o discontinuities i roto i te kiri i ngā āhuatanga whētuki. Hei tauira, ka hinga i runga i te mata kohatu.

Tūkino ki te wheua navicular e whakakitea i roto i te maha ngā huarahi. I roto ia ratou Ko te matua e whai ake:

1. ritua hake, e faatupu te hanganga o rua whatiwhatinga ōrite i te rahi.
2. āputa wheua i runga i te mata.
3. Whati, tahi e te hanganga o te tau nui o whatiwhatinga me wheua displacement. Te kore, huaina te mea he comminuted.

Ki te kōrero tatou e pā ana ki te take matua o enei injuries, ratou te tupu pinepine i roto i hākinakina ranei ko te hua o te aituā motokā.

pikitia haumanu

Ko te tino uaua ki te tātari whati o te wheua navicular. he tika ki te ngawari pikitia haumanu tenei. Na he mea nui tonu i muri i whara, rapu tokoni i te tākuta, me te tika i te whakamātautau whānui. Te reira e tauturu te karo i pōauautanga i roto i te heke mai.

Ko te mau faaiteraa matua o te whati navicular ngā:

1. Ko te ahua o huamo i te rohe tukinotia. Neke atu i te wa, ka taea e wherahia ana e ia ki ngā wāhi whānui.
2. Ko te aroaro o te mamae i runga i te dorsum o te kawititanga o. Ko te tikanga kino te hūhi ka toronga tahi, te pēhi ranei i runga i te wāhi kua pā.
3. Tūkinotanga o te ringa mahi tonu.
4. Aroaro o te kanokanototo me bruising tika ki oko whaturama.

Ko te tohu characterizing ringa scaphoid whati, he whānui. Ki te tātaritanga tika, me te whakamātautau tinana tika ki te whakapae he ngāwari te raruraru.

-Āwhina tuatahi

I muri whara ki te pārurenga, ko te hiahia akiaki ki te whakarato āwhina tuatahi. kia tamata ringa Tuatahi ki te immobilize. Toronga mānukanuka uaua pūpū whakapataritari i te displacement o wheua whatiwhatinga ranei. Ratou, i roto i te tahuri, ka taea e kino atu te kopa maeneene. kia waiho te reira i roto i te tūranga noa ki te whakairi i te ringa i runga i kameta wahi o papanga ranei. Takitahi noaa mā te paraihe, me te kore he e tika ana mō takai te tupare. kōwhiringa Tetahi maimoatanga, kahore kōrero i te tākuta kei te tino contraindicated. Kore, ka taea e koe anake kino te pārurenga, nui ki te whakapataritari i te whanaketanga o pōauautanga nui.

Aha e taea te mahi ki te atawhai mamae?

• Āpiti tākai tio ki te wāhi kua pā. Kia mau ki te tipare meangiti kore e waiho atu atu i te 15 meneti, kia rite kore ki te meinga hukapuri. Ka rite ki taea kōpeke whakamahi poraka tio, he pounamu matao o te wai i te wahi o te kai tio ranei. I waenganui reira me te mata o te kiri he tika ki te takoto i te kakahu. E kore e taea e tatou tukua tomo ki o condensate poke ki te marutanga tuwhera.
• Tangohia papa analgesic whakapōauau. Ko te kupu he mea e tika ana ki te whai i nga tohutohu kopakia ana me ki te karo i overdosing. Kore, ka taea e te rongoā meinga poisoning.

Kawe i te pārurenga, rite ki te tikanga, kawea atu i roto i-whare. Ka taea e koe te karanga i te rōpū o ngaio hauora, ki te tika. I raro i kore huru kia reira kia he kaupapa motuhake i runga i te motokā i te tangata e hae i whati o te wheua navicular. Kaha mamae ai te hekenga i roto i te kukū.

tātaritanga Āhuatanga

A, no te kite koe i tētahi, ētahi rānei tohumate o te ngaukino, te hunga kua whakaahuatia tika i runga, kia rapu tonu koutou te tauturu tohu. He pai ki te kōrero i te traumatologist taote ranei.

Ko te taahiraa tātaritanga tuatahi he anamnesis. kia whakaahua i te manawanui te mea mua papaka scaphoid. pea te reira i hinga, hākinakina kaha whawhai kāinga ranei. Ano, Me koutou tākuta ki te mohio e pā ana ki mate whakawhiti i mua o te pūnaha musculoskeletal, injuries o te kawititanga o.

I muri i taua, te tikanga neke te mātanga ki te whakamātautau tinana. I te tahuri whakakitea huamo i roto i te wāhi kua pā, te mamae hūhi i muri i palpation. I te tahi taime ui te manawanui e ki whakapiko i te tahi ringa, i te aufauraa i te whakarongo ki nga nekehanga ngā i roto i te rohe.

Ki te whakapae te tākuta whati o te navicular ringa wheua, kua tonoa te manawanui ki te X-hihi. Kei te tika te tukanga kawea atu i roto i te toru āhuatanga. E kore e te kore o abnormalities kitea i roto i te pikitia te tikanga e kore ratou e te tīariari i roto i te vairaa mau. I roto i tenei take, tono te manawanui e gypsum, e kore e taea te nekehia atu i roto i te rua wiki.

I muri i tenei wā toutou te pouaka. Hoki 14 ra ki te wa wheua haere i roto i te tukanga o te pineke, a ka nui ake i te āputa i waenganui i nga whatiwhatinga kite he. taea te whakaaro he whatinga taua i runga i te radiograph. I runga i te pūtake o te tātaritanga kua kawea te tākuta i taea te hanga he tātaritanga tika, whakarato tūtohutanga maimoatanga.

therapy momo

Maimoatanga o te whati o te paraihe wheua navicular tei runga i te pakeke o te whara, me te taumata o te mahi o te patunga. E kore e te tūranga iti rawa i roto i tenei takaro e te hiahia o te manawanui ki te ora hohoro.

I te tahuri e whakamahia tikanga te rongo momo kahore displacement. Hoki te maimoatanga i runga i te tahi ringa me te maihao tuatahi tono te raima. Tipare mau hoki e pā ana ki e rua nga marama tae noa kahore he tino srastetsya te whati. tohe ētahi tūroro i runga he pokanga ki te whakaiti i te wa immobilization me te ora hohoro atu taitai. Ko te tonu tenei tikanga o te maimoatanga he mea o te tautohe i roto i tākuta.

Whati o te tuatoru o raro o nga rongoa wheua scaphoid i roto i 4-6 wiki. Ko tēnei wāhanga o te paraihe āhuatanga e te supply toto pai, na te raruraru ki te faaho'iraa mai e kore ngā e puta.

Whati i roto i to waenga te toru ranei i roto i te pou proximal titau te maimoatanga roa. Ēnei wāhi o te scaphoid i te supply toto rawakore. wā Coalescence nuinga tei runga o te manawanui tau, pākia. Wā, e hiahia ana koe ki te haere ki te tākuta mō te mātaki. I roto i ngā kia rapua e-atamira take nui ki te X-ray me scans CT te aromatawai i te whakahaere o te ora o akiaki.

Ahakoa o te rohe motuhake o te gypsum whētuki whati o te wheua navicular te tono ki te tūroro katoa. I mau tapo'io, tūtohu kaiwhakaako:

• te aukati i te nekeneke o te ringa;
• whakarere i te hākinakina;
• kai he kai potupotutatau;
• whai i te tikanga o te mahi, me te okiokinga.

ого быстрее. Kaupapa ki te tūtohutanga i runga ake te whakaora tukanga ka haere th nui tere.

wawaotanga hāparapara

I roto i te displacement tohua o whatiwhatinga wheua mōrearea nui o ranei necrosis avascular tūroro pokanga tūtohutia. Ko tōna whāinga matua - ki te ū te alangá pāngia. Tenei huarahi whakahaere i te faaho'iraa mai wawe o te supply toto ki te wāhi kua pā, whati whakaora.

Kei te nuinga o te wā whakamana pokanga i runga i te kaupapa tūroro ki te whakamahi o te rehunga rohe rohe ranei. I roto i te mahi, te tango i te tākuta displacement o wheua whatiwhatinga ata ratou takahuri (rawatia ētehi). Hei arotake i te hua whiwhi te whakamahi i X-ray ttara.

hanga tapahia i runga i te hoki ranei te taha nikau o te kawititanga o. Ko tōna rahi me te localization motuhake tei runga i te aha wahi o te wheua navicular i waiho i raro ki te whētuki. Wāhikē whakakorea tika ngāwari. Hou scaphoid whati wheua o te ringa te nuinga o whakaritea e te tīwiri roto i te kokoti e pā ana ki 3-5 mm o.

Ki te titau atu taumaha kino sroslos huarahi he. Ko te taote tuatahi hanga he kokoti nui, e taea ai ki te kawe i roto i te osteotomy. I muri iho, puta reira ki anō i te anatomy tika, a ka ata te tīwiri wheua.

A, no te reira he injuries maha, i roto i te pokanga, he uhi motuhake. Ko te putanga waihanga o te wheua kiko. Kei te whakanohoia te reira a tawhio noa te lesion. whakamahia te uhi te ki whakaongaonga tukanga whakaora kiko.

wā whakaora

A, no te e te nuinga ti'aturi i runga i te whakanohonoho pai-whakaritea te tātaritanga o "ngawha paraihe scaphoid" ngā o te maimoatanga. timata ngā tukanga Whakaora ki te akoranga o te mahi therapy. mahi katoa kōwhiria e te tohunga. Ratou whāinga matua - ki te whakakore i pakeke me te contracture. Ka taea te wehea wā Rehabilitation ki toru ngā wāhanga herenga.

I te wā tuatahi e whai ana LFK te mahi e whai ake nei:

• whakangā o uaua i roto i te wāhi kua pā;
• whakakorenga o te mamae;
• whakakorenga o toto;
• Whakapūnoa te tohanga o fluids lymphatic;
• faaho'iraa mai o ngā tukanga pūkoro tinana.

tukua ēnei whāinga ki a koutou te tiki i te mahi whai hua tino. Ka rite ki te tikanga, whakamahia maihao flexion me toronga, porohita me te tautau kaupapa paraihe. pumau tenei wāhanga whakaora e pā ana ki 14 nga ra.

Mai i te toru o wiki o te mahi e rave rahi whakarerekē. Na hāngai taka porepore i alangá whakaora mahi, me te whānui tahi o te nekehanga. Ki tenei mutunga, reira tūtohutia ngā complexes ki paoro gymnastic me i te mīhini.

I te toru o nga wā o ngā whāinga mahi therapy e ki te whakaara i te āhua o te rauropi katoa, te whakapai ake te tūāhua pāngia. whakaaetia tūroro e mahi uaua: pana-ups, wahia-ake, me pera i runga i.

I muri whati te wheua scaphoid me te tango i tua tuutika whakaritea (UHF, massages, parawini pati) te maka. He tikanga pai-i whiriwhiri o whakanohonoho taea whakahoki tino te nekeneke me te kakama o te e alangá whara.

te mau hopearaa taea

Ko te tino nui tātaritanga tika o te whara no taea reira ki a koutou te ārai i te whanaketanga o hopearaa ino. I tua atu, e kore koutou e taea e waiho i waho therapy whati o te wheua navicular. kawea te maimoatanga i te mutunga, te whakawehi ahua o pōauautanga. I roto e whakaaro ratou te tino kino ko:

1. Osteoarthritis o te tahi ringa. haere tahi ana tēnei māuiuitanga e te mauiui rahi, me te iti nekeneke i roto i te wahi. I roto i te wā tino nui, arata'i te reira ki te hauātanga.
2. whakaora wheua hē. I roto i te wā onge, tauta te pakaru whatiwhatinga i te koki paku. Te manawanui i roto i tenei take e te faaruru kaha hūhi mamae. e taea te whakatika te raruraru rite anake ki te awhina o te mahi hou. I roto i te pokanga i mahi re scrapping wheua tīaroaro o ngā huānga katoa. I muri i taua, puta ki te transplant wheua.
3. Necrosis. Ko māmālie ki te whakamārama o te supply toto rawakore ki te wheua mate i roto i. Ka rite ki te hua o te whakawhanake i te tukanga inflammatory, a i roto i te wā matatau e taea whakatika kikohangatia. Hei whakakore i tenei mate maha titau te tapuhia oti o te ringa. whakawhanake ngā iroiti puka necrosis āta. I roto i te wāhanga tuatahi e kore e taea ki te kite, ara i runga i te radiograph. 2-3 marama i muri i whakakitea wharanga tohu korerotia o disorders. Tino maha, whakaorangia te wheua he reira kore taea.

Hei whakarāpopoto

E ai ki ngā tatauranga, he maha whati o te scaphoid rawa hia. Na reira, tenei mate he ahua tūturu o ngā pōauautanga. He matua ki te whakaora angitu tātaritanga wā, me te maimoatanga mātau. I roto i tenei take, te whakamahi i te tukanga tika o te whakanohonoho e taea kore tino whakahoki i te taumahinga o te e alangá.

Doctors whakatupato e te whati o te wheua navicular (ICD-10 - S62.0) Ko te mate tino nui. Whakakino a te tau'a ore e kore e ona faaiteraa kia. Tūkino ki tetahi wheua iti maha ngā i roto i te rangirua o te kawititanga o katoa.