· Te Anatomi Whaihua
He mea hanga ki raro i te kiriuhi te roa katoa o te kōiwi, ā, he ngāwari ki te tiro atu. He taratara te pito waenga, te pito sternal rānei o te kōiwi, me tōna mata hononga e anga ana ki roto, ki raro hoki, e hanga ana i te hononga sternoclavicular me te kokoru kōiwi o te kakau sternal; he taratara, he papatahi, he whānui hoki te pito taha, te pito acromion rānei, me tōna mata hononga acromion he porowhita, he waho, he raro hoki, e hanga ana i te hononga acromioclavicular me te acromion. He papatahi te kōiwi i runga ake, ā, he porotaka te āhua i waenganui o te taha o mua. He kōhao taratara o te hononga costoclavicular i te taha waenga i raro, te wāhi e piri ai te hononga costoclavicular. I te taha o raro he pūnga kōniko me te rārangi whakarara me te hononga kōniko o te hononga rostroclavicular me te hononga hononga whakarara.
· Ngā tohu
1. Te whati o te kōiwi waewae e hiahia ana kia tapahia me te whakaiti i te whakapiri o roto.
2. Me tango te wheua mate mō te osteomyelitis mau tonu, te mate kohi rānei o te clavicle.
3. Me tango te pukupuku o te kōiwi.
· Te tūnga o te tinana
Tūnga takoto, me ngā pakihiwi kia paku teitei ake.
Ngā Hipanga
1. Hangaia he tapahi i te taha o te hanganga S-āhua o te kōiwi, ka totorohia te tapahi i te taha o runga o te kōiwi ki ngā taha o roto, o waho hoki, me te tohu i te tūranga o te whara, ā, ka whakatauhia te wāhi me te roa o te tapahi i runga i te whara me ngā whakaritenga pokanga (Pikitia 7-1-1(1)).
Pikitia 7-1-1 Ara Whakakitenga o te Tūtae o Mua
2. Tāia te kiri, te kiko raro i te kiri me te kiko hohonu o te uaua i te taha o te tā, ā, wetekina te kiri kia piki, kia heke hoki i te wā e tika ana (Pikitia 7-1-1(2)).
3. Tāia te uaua vastus cervicis ki te mata o runga o te clavicle, he nui ngā oko toto i roto i te uaua, kia aro ki te electrocoagulation. Ka tāia te periosteum i te mata o te wheua mō te wetewete subperiosteal, ko te clavicle sternocleidomastoid kei te taha o roto o runga, ko te clavicle pectoralis major kei te taha o roto o raro, ko te uaua trapezius kei te taha o waho o runga, me te uaua deltoid kei te taha o waho o raro. I te wetewete i te subclavian o muri, me mahi te wetewete kia piri ki te mata o te wheua, ā, me pumau te tango whakahaere kia kore ai e kino ngā oko toto, ngā io, me te pleura o te clavicle o muri (Pikitia 7-1-2). Mena ka whakaarohia kia whakamahia te whakapiri tīwiri o te pereti, ka tiakina tuatahitia ngā kiko ngohengohe huri noa i te clavicle ki te tango periosteal, ā, me anga te poka keri ki mua ki raro, kaua ki muri ki raro, kia kore ai e whara te pleura me te uaua subclavian.
Pikitia 7-1-2 Te Whakaaturanga i te Clavicle
Wā tuku: Whiringa-ā-rangi 21-2023
