He mea tino nui kia tere te rongoā i te tuke kua motu, kia kore ai e pā ki tō mahi me tō oranga o ia rā, engari me mōhio tuatahi koe ki te take i motu ai te tuke, me pēhea hoki te rongoā kia pai ai te whakamahi!
Ngā take o te nekehanga o te tuke
Ko te take tuatahi ko te nuinga o te hunga taiohi, ā, tera pea nā te tutu ā-kore. I te nuinga o te wā, ina hinga te tangata, ka tau te nikau o tōna ringa ki te whenua, ā, ka totoro katoa te hononga tuke, ka tere te piki o te kaha o tēnei hononga, ka puta pea te rerenga o te hononga me te nekenekehanga o te hononga tuke.
Ko te tuarua o ngā take, i te kaumātuatanga o te tangata, ka nui te whakapūkara o ngā wheua o ētahi tāngata, ā, kāore he wai whakahinuhinu hononga i roto i te hononga, nā te mea he nui te nekeneke haere o te tangata, ā, kāore e aro nui ki te kaha o te kī e whakamahia ana i roto i te oranga o ia rā. Ka piki ake te waku, ā, ka roa pea te wā ka hē te hononga tuke.
Ko te tuatoru o ngā takete nekenekehanga o te honongai puta mai i te tutu tika, ka puta pea i tētahi aituā o te ao, pērā i te aituā motuka, i ētahi atu take rānei o te piko o te tuke, ā, ko te tuawhā o ngā take ko te piko o te tuke wehe, e puta ai i te kaha ki te whakanoho nui i te mowhiti ki te nekehanga.
Te maimoatanga o ngā hononga tuke kua pakaru
Ngā tohu mō te pokanga: (1) te hunga kua kore e pai te nekeneke ā-kati, te hunga rānei kāore e tika ana mō te nekeneke ā-kati, he onge tēnei, engari ko te nuinga ka honoa ki ngā whara kino ki te tuke, pērā i te whati o te wheua hawkbone ulnar me te wehenga me te nekehanga; (2) te nekeneke o te tuke me te whati o te avulsion o te medial epicondyle o tepūkahukahu, ina hoki anō te piko o te tuke, engari kāore anō kia hoki anō te piko o te humerus, me mahi he pokanga hei whakahoki anō i te piko o te humerus, te whakau ā-roto rānei; (3) te piko tawhito o te tuke, kāore e tika mō te whakamātautau (iii) ngā piko tawhito o te tuke kāore e tika mō te whakaiti kati: (iv) ētahi piko noa.
Te whakatūnga tuwhera: Te whakangote i te plexus brachial, te tapahi roa i muri i te tuke, te whakaatu i te epicondyle medial o te humerus me te tiaki i te io ulnar. Ka mahia he tapahi reo mō te uaua triceps. Whai muri i te whakaatu i te hononga tuke, ka tihorea te kiko ngohengohe me te kiko whara e karapoti ana hei tango i te haematoma, te granulation me te whara mai i te kōhao hononga. Ka tautuhia te pito wheua o te hononga ka whakatūngia anō. Ka tuia ngā kiko periarticular. Hei ārai i te hekenga anō, ka whakatakotoria he pine kerf mai i te ngutu o te kāhu ki te pito o raro o te humerus, ā, ka tangohia i muri i te 1 ki te 2 wiki.
Te Whakatōtōrangapū: E whakamahia ana mō ngā nekehanga tawhito o te hononga tuke i te wāhi kua pakaru te mata o te kiriuhi, i te wāhi rānei e pakari ana te hononga i muri i te whara o te tuke. I raro i te whakamoenga o te plexus brachial, ka tapahia te tuke o muri, ka tapahia te uaua triceps, ā, ka kitea ngā pito wheua o te hononga tuke. Ka tangohia te pito o raro o te humerus, ka tiakina tetahi wāhanga o ngā condyles medial me lateral o te humerus, ka tangohia te pito o te eminence ulnar me tetahi wāhanga o te wheua dorsal, ā, ka tapahia hoki te pito o te tukanga rostral kia iti ake, kia tiakina ai te mata o te kiriuhi hononga. Kāore e tangohia te pane radial mēnā kāore e pā ki te nekehanga o te hononga, ki te kore ka tangohia te pane radial. Mēnā he whaiti te āputa hononga hou, ka taea te tango i te wāhanga waenga o te humerus o raro mā te 0.5 cm hei hanga i te wehenga matau. Ko te tawhiti āputa pai me 1 ki te 1.5 cm.
Te Ārai i te Nekehanga o te Tuke
Hei tāpiritanga, me mōhio ko ngā tūroro kua motumotuhia ngā hononga me neke wawe i ō rātou hononga, ā, me mahi i ngā mahi toronga me te piko me te hurihanga o te ringaringa, me tāpiri atu rānei ki te whakaora tinana i muri i te tukunga o tete whakapūmau, engari ko te kukume kaha rawa ka pāngia te hononga o te tuke e te ossifying myositis.
Whakapā mai：
Yoyo
Waeaatu: +8615682071283
Email：liuyaoyao@medtechcah.com
Wā tuku: Maehe-13-2023
