Zamkatimu
Nthawi zambiri, kusuntha kwa phazi m'moyo watsiku ndi tsiku kumatchedwa mwendo wopindika. Koma mu lipoti lachipatala, dokotala adzalemba mawu ovuta kwambiri - "kuvulaza kwa capsular-ligamentous apparatus of the anklo joint." Amakhulupirira kuti mtundu uwu wa dislocation umapezeka ndi anthu nthawi zambiri. Pafupifupi ulendo wachisanu uliwonse kuchipinda chodzidzimutsa. Kufotokozera ndi kosavuta: bondo limanyamula katundu wa thupi lonse.
Othamanga si okhawo omwe amavutika ndi phazi losweka. Kupunthwa pamene akuthamanga kapena kuyenda, kuyika phazi kosapambana, kukhumudwa ndi kugwa kapena kugwera mopanda bwino pambuyo podumpha - zonsezi zimayambitsa kuvulala. M'nyengo yozizira, pamene ayezi ayamba, chiwerengero cha mafoni omwe ali ndi matendawa amawonjezeka m'zipinda zadzidzidzi. Ndipo ichi ndi chimodzi mwazosokoneza kwambiri pakati pa fashionistas - ndizolakwika za chidendene chapamwamba kapena chidendene.
Zizindikiro za kusuntha kwa mapazi
Chinthu choyamba chimene wodwala angazindikire ndi kusuntha ndi kupweteka pamene akuyesera kuponda pansi. Ngati, kuwonjezera pa kusweka, mitsempha ya m'miyendo imang'ambika, ndiye kuti sangathe kuyenda yekha. Kuonjezera apo, phazi limayamba "kuyenda" m'njira zosiyanasiyana - izi, zingayambitse kuvulala kwatsopano.
Chizindikiro china cha phazi losweka ndi kutupa. Zidzakhala zowoneka bwino. Bondo lidzayamba kutupa chifukwa cha vuto la kayendedwe ka magazi. Pakhoza kukhala mikwingwirima - kuvulaza.
Chithandizo cha dislocation phazi
Iyenera kuchitidwa ndi katswiri. Kudzipangira mankhwala ndi kuvulala koteroko sikuloledwa - izi zingayambitse mavuto.
Diagnostics
Choyamba, dokotala amawunika zowona: ndi mawonekedwe a chiwalo, kusokonezeka kumatha kuzindikirika. Ndiye traumatologist amayesa kukhudza bondo: ndi dzanja limodzi amatenga m'munsi mwendo pamwamba, ndipo wachiwiri amayesa kusintha malo phazi. Amachitanso chimodzimodzi ndi mwendo wathanzi ndikuyerekeza matalikidwe.
Pambuyo pake, wozunzidwayo amatumizidwa kuti akafufuzenso. Izi zikhoza kukhala X-ray, ultrasound, computed tomography (CT), kapena kujambula kwa magnetic resonance (MRI). Ndipo ultrasound imachitika kuti awone momwe mitsempha ilili. Kuthyokako sikungawonekere pazenera, kotero X-ray muzowonetsera ziwiri ikufunikabe.
Mankhwala amakono
Madokotala amachenjeza za kudziletsa. Palibe chifukwa chodikirira ndikuganiza kuti mwendo udzadzichiritsa pakapita nthawi - chirichonse chikhoza kutha ndi kulemala. Lumikizanani ndi traumatology. Palibe chifukwa choopa opaleshoni, njira zamakono zochizira kusuntha kwa phazi zimakulolani kuti mukonze zowonongeka popanda kuchitidwa opaleshoni.
Pambuyo poikanso phazi, wodwalayo amavala mphira - iyenera kuvala kwa masiku 14 oyambirira. Kenako amachotsedwa ndikusinthidwa kukhala orthosis yapadera - iyi ndi bandeji yomwe imatha kuchotsedwa kuti ichitidwe, ndikuyika.
Ndiye traumatologists nthawi zambiri mankhwala odana ndi yotupa mankhwala ndi physiotherapy. Zimaphatikizapo mankhwala a microwave (kapena microwave) - inde, monga chipangizo chapakhomo! Palinso maginito therapy.
Ndikofunika kuvala nsapato zapamwamba kwa miyezi isanu ndi umodzi pambuyo povulala. The jombo ayenera mosamala kukonza olowa. Mkati, muyenera kuyitanitsa insole ya mafupa. Mfundo yofunikira: akatswiri a traumatologists amalangiza kuti nsapato zimakhala ndi chidendene chochepa cha 1-2 cm.
Ngati ligament yong'ambika imachitika panthawi ya kusuntha kwa phazi, opaleshoni ya m'miyendo imafunika. Dokotala amasoka minofu yomwe yawonongeka. Komabe, kudula phazi sikofunikira. Zopumira zimapangidwa ndipo arthroscope imayikidwa. Uwu ndi waya wawung'ono, womwe pamapeto pake ndi kamera ndi tochi - amalola dokotala kuwona chithunzicho kuchokera mkati ndikuchita opaleshoni. Kuchira kumatenga mpaka masabata atatu. Iyi ndi nthawi yochepa.
Ngati palibe arthroscope kapena dokotala pazifukwa zina amalangiza opaleshoni yachikhalidwe, ndiye kuti sichichitika kale kuposa miyezi 1,5 pambuyo pa kuvulala - pamene kutupa ndi kutupa kumadutsa. Pambuyo pa opaleshoni, kuchira kumatenganso miyezi 1,5 - 2.
Kupewa kusuntha kwa mapazi
Okalamba ali pachiwopsezo chifukwa cha kusuntha kwa phazi. Iwo amatha kukhumudwa kapena kusuntha mosasamala. Kuonjezera apo, mitsempha ya minofu pa msinkhu uwu imakhala yochepa kwambiri, ndipo mafupa amakhala osalimba. Choncho, tiyenera kusamala. M'mawu osavuta: yang'anani pansi pa mapazi anu ndipo musapange kusuntha kwadzidzidzi.
Kwa wina aliyense, adokotala amalimbikitsa kuchita masewera olimbitsa thupi, komanso masewera olimbitsa thupi kuti alimbitse minofu ndi mitsempha ya bondo.
Mafunso ndi mayankho otchuka
Mafuta opangira ululu angagwiritsidwe ntchito, koma onetsetsani kuti alibe kutentha. Apo ayi, kutupa kumangowonjezereka.
Yesani kuyika bandeji yolimba yomwe ingakonze phazi pakona yoyenera kupita kumunsi kwa mwendo. Ngati muwona kuti phazi lazizira ndipo linayamba kukhala loyera, ndiye kuti munalilimbitsa kwambiri - kutuluka kwa magazi kunasokonezeka. Oposa 2 hours kusiya bandeji sayenera. Mwachidziwitso, panthawiyi muyenera kukhala m'chipinda chadzidzidzi.
Phapa lotuluka limatha kuwoneka pagulu la akakolo. Ngati kuthyokako kuli kolimba, ndiye kuti chiwalocho chidzatsala pang'ono kutuluka.
Traumatologists amalangiza mu nkhaniyi kuti azisamba ndi coniferous decoction kapena mchere wa m'nyanja. Madzi ayenera kukhala otentha, koma osati otentha. Ndikoyeneranso kupeza zovuta za mayendedwe amisala, omwe ndi okwanira kuchita mukadzuka komanso musanagone. Ngati simukudzidziwa nokha, funsani katswiri wokonzanso.