Mbale Yopondereza Yotseka ya Distal Clavicle

Distal Clavicle Locking Compression Plate (DCP) ndi njira yopangira opaleshoni yomwe imagwiritsidwa ntchito pochiza kusweka kwa mafupa kapena kuvulala kwina kwa mbali ya clavicle (collarbone). Nayi chithunzithunzi cha opaleshoni yonse: Kuwunika opaleshoni isanachitike: Opaleshoni isanachitike, wodwalayo adzayesedwa bwino, kuphatikizapo kuyezetsa thupi, maphunziro ojambula zithunzi (monga X-rays, CT scans), ndi kuwunikanso mbiri yachipatala. Chisankho chopitiliza ndi opaleshoni ya clavicle plate chidzadalira kuopsa ndi malo a kusweka, thanzi la wodwalayo, ndi zina. Anesthesia: Opaleshoni nthawi zambiri imachitika pansi pa anesthesia wamba, koma nthawi zina, anesthesia yachigawo kapena anesthesia yakomweko yokhala ndi sedation ingagwiritsidwe ntchito. Incision: Kudulidwa kumapangidwa kumapeto kwa mbali ya clavicle kuti awonetse malo osweka. Kutalika ndi malo a incision kumatha kusiyana kutengera zomwe dokotala wa opaleshoni amakonda komanso momwe fracture imakhalira. Kuchepetsa ndi kukonza: Malekezero osweka a clavicle amalumikizidwa mosamala (kuchepetsedwa) ku malo awo oyenera a thupi. Chipangizo chachitsulo cha clavicle chimayikidwa pa clavicle pogwiritsa ntchito zomangira ndi njira zomangira kuti fupa likhazikike bwino. Zomangira zomangira zimapereka kukhazikika bwino pomangirira mbale ndi fupa pamodzi. 5. Kutseka: DCP ikakhazikika bwino pamalo pake, kudulako kumatsekedwa pogwiritsa ntchito suture kapena staples za opaleshoni. Zomangira zosayera zimayikidwa pa bala. Chisamaliro cha opaleshoni: Pambuyo pa opaleshoni, wodwalayo amawunikidwa mosamala pamalo ochira asanasamutsidwe ku chipinda chachipatala kapena kunyumba yotulutsidwa. Mankhwala opweteka ndi maantibayotiki angalembedwe kuti athetse ululu ndikupewa matenda. Kuchiza thupi ndi masewera olimbitsa thupi kungalimbikitsidwe kuti abwezeretse kuyenda ndi mphamvu m'malo olumikizirana mafupa. Ndikofunikira kudziwa kuti tsatanetsatane wa opaleshoniyo ukhoza kusiyana kutengera momwe wodwala alili komanso zomwe dokotalayo amakonda. Dokotalayo adzakambirana mwatsatanetsatane za njirayi, zoopsa, ndi zotsatira zomwe akuyembekezera ndi wodwalayo asanapitirize opaleshoniyo.