Ko te whati o te hononga tawhiti tētahi o ngā whara hononga tino kitea i roto i te mahi haumanu, ka taea te wehewehe ki te ngawari me te kino. Mō ngā whati kāore i te nekehia, ka taea te whakamahi i te whakatikatika ngāwari me ngā mahi whakangungu tika hei whakaora; heoi, mō ngā whati kua nekehia rawatia, me whakamahi te whakaiti ā-ringa, te whakapiri i te whitiki, te whakapiri rānei i te pāreti; mō ngā whati he kino kitea, he kino hoki te mata o te hononga, me rongoā pokanga.
WĀHANGA 01
He aha i ngāwari ai te whati o te radius distal?
Nā te mea ko te pito tawhiti o te radius te pūwāhi whakawhiti i waenga i te wheua cancellous me te wheua kiato, he ngoikore rawa. Ina hinga te tūroro ka pā ki te whenua, ā, ka tukuna te kaha ki te ringa o runga, ka noho te pito tawhiti o te radius hei pūwāhi e tino kaha ana te ahotea, ka hua ake he whati. He maha ake te puta o tēnei momo whati i roto i ngā tamariki, nā te mea he iti noa ngā wheua o ngā tamariki, ā, kāore i te tino kaha.
Ina whara te ringaringa i te tūnga totoro, ā, ka whara, ka whati te nikau o te ringa, ka kiia he whati toronga o te radius distal (Colles), ā, neke atu i te 70% o rātou he momo pēnei. Ina whara te ringaringa i te tūnga piko, ā, ka whara te tuara o te ringa, ka kiia he whati toronga o te radius distal (Smith). Ko ētahi o ngā āhua rerekē o te ringaringa ka puta i muri i tengā whati o te radius distal, pērā i te āhua o te "māka hiriwa", te āhua o te "bayonet pū", me ētahi atu.
WĀHANGA 02
Me pēhea te rongoā i ngā whati o te radius distal?
1. Whakaiti whakarerekētanga + whakapiringa pāreti + paninga hinu rongoā Hainamana tuku iho a Honghui
Mō te nuinga o ngā whati o te radius distal, ka taea te whakatutuki i ngā hua pai mā te whakaiti ā-ringa tika + te whakapiri i te pāreti + te whakamahi i te rongoā tuku iho Hainamana.
Me whakamahi ngā taote pokanga wheua i ngā tūranga rerekē mō te whakatika i muri i te whakaiti i runga i ngā momo whati rerekē: I te nuinga o te wā, me whakatika ngā whati Colles (momo whati toronga radius distal) i te 5°-15° o te piko o te nikau me te peka ulnar mōrahi; Smith I whakatikahia te whati (te whati piko radius distal) i te whakarunga o te ringaringa me te piko o te ringaringa. Ko te whati Barton dorsal (te whati o te mata hononga o te radius distal me te nekehanga o te ringaringa) i whakatikahia i te tūranga piko o tehononga ringaringame te whakapūtanga o te ringaringa, ā, ko te whakapūtanga o te whati Barton volar i te tūranga piko o te hononga ringaringa me te whakapūtanga o te ringaringa. Arotakehia te DR i ia wā kia mārama ai ki te wāhi o te whati, ā, whakatikatikahia te piri o ngā whitiki whitiki iti i te wā tika kia mau tonu ai te whakapūtanga whai hua o te whitiki iti.
2. Te whakapiri ngira ā-kiri
Mō ētahi tūroro he ngoikore te pumau, kāore e taea e te whakapiripiri noa i te pāreti te pupuri i te tūranga whati, ā, ko te whakapiripiri ngira ā-kiri te tikanga e whakamahia ana. Ka taea te whakamahi i tēnei mahere maimoatanga hei tikanga whakapiripiri motuhake mō waho, ā, ka taea te whakamahi tahi me te pāreti, te pāreti rānei.te whakapiri o wahongā whāiti, e tino whakanui ana i te pumau o te pito whati mēnā he iti noa te whara, ā, he ngāwari te whakahaere, he ngāwari te tango, ā, he iti ake te pānga ki te mahi a te peka e pāngia ana e te tūroro.
3. Ētahi atu kōwhiringa maimoatanga, pērā i te whakaiti tuwhera, te whakapiri ā-roto o te pereti, me ētahi atu.
Ka taea te whakamahi i tēnei momo mahere mō ngā tūroro he whati uaua, he nui hoki ngā whakaritenga mahi. Ko ngā mātāpono maimoatanga ko te whakaiti i ngā whati i roto i te tinana, te tautoko me te whakau i ngā kongakonga wheua kua nekehia, te tāpiri wheua ki ngā hapa wheua, me te āwhina wawe. Ngā mahi mahi hei whakaora i te āhua mahi i mua i te whara i te wā e taea ai.
I te nuinga o te wā, mō te nuinga o ngā whati o te radius distal, ka whakamahia e tā mātou hōhipera ngā tikanga maimoatanga ā-ringa pēnei i te whakaiti ā-ringa + te whakapiri i te pāreti + te whakamahinga pāreti rongoā Hainamana tuku iho a Honghui, me ētahi atu, ka taea ai te whakatutuki i ngā hua pai.
WĀHANGA 03
Ngā whakatūpato i muri i te whakaiti i te whati o te radius distal:
A. Kia tūpato ki te nui o te piripono i te wā e whakatika ana i ngā whati o te radius distal. Me tika te nui o te piripono, kaua e tino piripono, kaua hoki e tino wetekina. Ki te tino piripono, ka pā ki te rere o te toto ki te pito distal, ka arahi pea ki te ischemia kino o te pito distal. Ki te tino wetekina te piripono, kāore e taea te piripono, ka puta anō pea te nekehanga wheua.
B. I te wā e whakatikatika ana i te whati, kāore e tika kia mutu rawa ngā mahi, engari me aro hoki ki te whakakorikori tinana tika. Kia mau te whati mō tētahi wā, me tāpiri ētahi nekehanga taketake o te ringaringa. Me tohe tonu ngā tūroro ki te whakangungu i ia rā, kia pai ai te hua o te whakakorikori tinana. Hei tāpiri, mō ngā tūroro e mau ana i ngā whakakorikori tinana, ka taea te whakarite i te piri o ngā whakakorikori tinana kia rite ki te kaha o te whakakorikori tinana.
C. I muri i te whakatikatika i te whati o te radius distal, kia aro ki te pānga o ngā peka distal me te tae o te kiri. Mena ka mātao, ka parauri ngā peka distal o te wāhi pumau o te tūroro, ka heke te kare, ā, ka tino whakawhāitihia ngā mahi, me whakaaro mēnā he tino piri te hononga, ā, me hoki ki te hōhipera kia whakatikatikaina i te wā tika.
Yoyo
Te Kamupene Hangarau o Chenanhui o Sichuan
Waea/WhatsApp: +8615682071283
Email: liuyaoyao@medtechcah.com
Wā tuku: Hanuere-06-2023
