Mō te hē o te pakihiwi, pērā i te hiku e tōia pinepine ana, he tika te maimoatanga pokanga. Ko te mea nui ko te whakapakari i te ringaringa o te hononga, te aukati i te hurihanga o waho me ngā mahi tango, me te whakau i te hononga kia kore ai e hē atu.
1、Tautuhi ā-ringa
Me tautuhi anō te nekehanga o te wheua i muri tonu i te nekehanga o te wheua, ā, me whiriwhiri he rongoā whakamoe tika (whakamoe plexus brachial, whakamoe whānui rānei) hei whakangāwari i ngā uaua, hei whakakore i te mamae. Ka taea hoki te whakamahi i te rongoā whakamoe mamae mō ngā kaumātua, mō te hunga ngoikore rānei o ngā uaua (pēnei i te 75~100 mg o te dulcolax). Ka taea te mahi i te nekehanga noa me te kore he rongoā whakamoe. Me ngāwari te tikanga nekehanga, ā, kāore e whakaaetia ngā tikanga taratara hei karo i ngā whara tāpiri pēnei i te whati, te kino rānei o ngā io.
2. Te nekehanga pokanga
He torutoru ngā piko o te pakihiwi e hiahia ana kia pokangahia. Ko ngā tohu ko: te piko o te pakihiwi o mua me te paheke o muri o te pane roa o te uaua biceps. Ko ngā tohu ko: te piko o te pakihiwi o mua me te paheke o muri o te pane roa o te uaua biceps.
3, Te maimoatanga o te nekehanga pakihiwi tawhito
Ki te kore te hononga pakihiwi e neke atu i te toru wiki i muri i te nekehanga o te hononga, ka kiia he nekehanga tawhito. Kī tonu te kōhao hononga i te kiko whara, he piri ki ngā kiko e karapoti ana, kua mimiti ngā uaua e karapoti ana, ā, i roto i ngā whati wheua, ka puta he kiripaka wheua, ka puta rānei he whakaora āhua rerekē, ā, ka ārai ēnei huringa mate katoa i te nekehanga o te hononga.upoko humeral.
Te rongoā mō ngā pakaru pakihiwi tawhito: Mena kei roto i ngā marama e toru te pakaru, he taitamariki, he kaha te tūroro, kei te mau tonu te hononga pakaru, ā, kāore he osteoporosis, ā, he whakapakeketanga o roto, o waho rānei o te hononga i runga i te hihi-X, ka taea te whakamātau i te neke ā-ringa. I mua i te whakahokinga anō, ka taea te kume i te wheua hawk ulnar kua pāngia mō te 1~2 wiki mena he poto te wā pakaru, ā, he māmā te mahi o te hononga. Me mahi te whakahokinga anō i raro i te mate whakamoe whānui, ā, muri iho ka mirimiri pakihiwi me ngā mahi ruku ngawari hei tuku i ngā piri me te whakamamae i te mamae o te uaua, kātahi ka whakahokinga anō maroke. Ka mahia te mahi whakahokinga anō mā te kume me te mirimiri, mā te whakamahi rānei i ngā waewae whakapūmau, ā, ko te maimoatanga i muri i te whakahokinga anō he rite ki te maimoatanga mō ngā pakaru hou.
4, Te maimoatanga o te nekehanga o mua o te hononga pakihiwi
Ko te piko o mua o te hononga pakihiwi ka kitea i roto i ngā taiohi. E whakaponohia ana i te nuinga o te wā ka puta te whara i muri i te piko tuatahi, ā, ahakoa kua tautuhia anō, kāore i te whakatikatikahia, kāore hoki i te okioki pai. Ka ngoikore te hononga nā ngā huringa mate pēnei i te haehae, te tango rānei i te capsule hononga me te kino ki te cartilage glenoid labrum me te monsoon margin me te kore e pai te whakatikatika, ā, ka ōrite te whati o te upoko humerus taha o muri. Muri iho, ka puta pea te piko i raro i ngā kaha iti o waho, i roto rānei i ētahi nekehanga, pēnei i te tango me te hurihanga o waho me te toronga o muri o tengā waewae o rungaHe tino māmā te tautuhi i te hē o te pakihiwi. I te wā e tirotirohia ana te hihi-X, me te tango i ngā kiriata papatahi o mua-muri o te pakihiwi, me tango hoki i ngā hihi-X o mua-muri o te ringa o runga i te tūranga hurihuri ā-roto 60-70°, ka taea ai te whakaatu mārama i te hapa o te pane o muri o te humerus.
Mō ngā hē o te pakihiwi noa, ka tūtohutia kia rongoatia he pokanga mēnā he maha tonu te hē o te hononga. Ko te whāinga he whakapakari i te whakatuwheratanga o mua o te kāpū hononga, he ārai i te nui rawa o te hurihanga o waho me ngā mahi tango, me te whakau i te hononga kia kore ai e hē atu. He maha ngā tikanga pokanga, ko ngā mea e whakamahia whānuitia ana ko te tikanga a Putti-Platt me te tikanga a Magnuson.
Te wā tuku: Hui-tanguru-05-2023
