Kunyumba

Madokotala ochita opaleshoni a mafupa a Mayo Clinic ali ndi ukadaulo wochiza ngakhale ming'oma yovuta kwambiri ya distal.Monga mamembala a machitidwe ophatikizidwa mokwanira, madokotala ochita opaleshoni amagwirizanitsanso ndi akatswiri ena kuti athe kusamalira chisamaliro cha anthu omwe ali ndi comorbidities zomwe zingapangitse kuopsa kwa opaleshoni ya dzanja.

Ku Chipatala cha Mayo, ukadaulo wapamwamba kwambiri umathandizira kujambula kwanthawi yake kwa ma distal radial fractures.Makanema a cone-beam CT amatha kuchitidwa m'chipinda momwe ma cast amayikidwa."Kujambula kumeneku kumatithandiza kuti tiyang'ane mofulumira chilichonse cha chovulalacho, monga fracture ya articular motsutsana ndi fracture yosavuta," akutero Dr. Dennison.

Kwa fractures zovuta, mapulani a chithandizo amaphatikizapo ndondomeko yonse ya chisamaliro chamagulu osiyanasiyana.“Tisanachite opareshoni timaonetsetsa kuti ogonetsa ogonetsa ndi ochiritsa odwala athu akudziwa zofunikira za odwala athu.Timagwiritsa ntchito njira yolumikizirana yokonza fracture ndi kuchira, "akutero Dr. Dennison.

Kusweka kwa distal radius
X-ray ikuwonetsa kusweka kwa distal radius.

Miyezo ya zochitika za odwala ndi momwe dzanja likugwirira ntchito ndizofunikira kwambiri pozindikira chithandizo.Dr. Dennison anati:"Kugwirizana kwa anatomical ndikofunikira kwa anthu omwe akufuna kuyambiranso ntchito zina.Anthu akamakalamba ndipo sachita zambiri, zopunduka nthawi zambiri zimaloledwa bwino.Titha kulola kuwongolera bwino kwa odwala omwe ali ndi zaka za m'ma 70 ndi 80. "

Mbale ndi zomangira zimapereka bata pambuyo pa kukonza kotseguka
X-ray yomwe imatengedwa pambuyo pokonza fracture yotseguka imasonyeza mbale ndi zomangira kuti zikhale zokhazikika mpaka fupa litachiritsidwa.

Odwala omwe amatumizidwa ku opaleshoni yokonzanso amakhala gawo lalikulu la machitidwe a distal radial fracture a Mayo Clinic."Odwalawa akhoza kukhala ndi machiritso osauka chifukwa cha kusalinganika kolakwika kapena vuto la hardware," akutero Dr. Dennison."Ngakhale kuti nthawi zambiri timatha kuthandiza odwalawa, ndi bwino kumawona odwala panthawi yosweka chifukwa nthawi zambiri zimakhala zosavuta kuchiza koyamba."

Kwa odwala ena, kukonzanso pambuyo pa opaleshoni ndi wothandizira pamanja ndi mbali yofunika kwambiri ya chisamaliro.“Mfungulo ndiyo kuzindikira anthu amene amafunikira chithandizo,” akutero Dr. Dennison."Ndi malangizo, anthu omwe adachitidwa maopaleshoni osasunthika kapena ochita masewera olimbitsa thupi azitha kuyenda bwino paokha mkati mwa miyezi 6 mpaka 9 atamaliza kulandira chithandizo.Komabe, chithandizo nthawi zambiri chimathandizira kuti ntchito zitheke - makamaka kwa anthu omwe anali atavala ma pulasitiki kapena ovala maopaleshoni kwa nthawi yayitali - ndipo amatha kuchepetsa mavuto ndi manja ouma ndi mapewa. ”

Chisamaliro cha postoperative chitha kuphatikizanso kutumizidwa ku Endocrinology."Timakonda kuyang'anitsitsa thanzi la mafupa kwa odwala omwe ali pachiopsezo cha fractures zambiri," akutero Dr. Dennison.

Kwa anthu onse omwe ali ndi distal radial fractures, Mayo Clinic imayesetsa kubwezeretsanso momwe dzanja limagwirira ntchito."Kaya kupasukako ndi mbali ya polytrauma yovuta kwambiri kapena chifukwa cha kugwa kwa munthu wachikulire kapena msilikali wa kumapeto kwa sabata, timapereka chithandizo chophatikizana kuti tipeze odwala athu ndi kubwereranso," akutero Dr. Dennison.