Kudzoreredza manhamba

Kudzoreredza manhamba kuvhiya kuti ubatanidze zvakare zvigunwe kana zvigunwe zvakatemwa (kudimburwa).

Kuvhiya kunoitwa nenzira inotevera:

• General anesthesia ichapihwa. Izvi zvinoreva kuti munhu anenge akarara uye asingakwanise kunzwa kurwadziwa. Kana enesthesia yedunhu (musana uye epidural) ichapihwa kudzikamisa ruoko kana gumbo.
• Chiremba anovhiya anobvisa nyama dzakakuvara.
• Iwo magumo emapfupa akachekwa.
• Chiremba anovhiya anoisa chigunwe kana chigunwe (chinonzi digit) panzvimbo. Iwo mapfupa akasunganidzwa newaya kana ndiro uye sikuruu.
• Tendon inogadziriswa, inoteverwa netsinga uye tsinga dzeropa. Tsinga uye kugadziriswa kwemidziyo yeropa ndiyo nhanho yakakosha pakubudirira kwemaitiro. Kana zvichidikanwa, zvinyama zvine tsinga uye tsinga dzeropa kubva kune chimwe chikamu chemuviri zvinoshandiswa.
• Ronda rakavharwa nemastitch uye bhandiji.

Kuvhiya kunoitwa kana zvigunwe kana zvigunwe zvadamburwa uye zvichiri mune mamiriro anozobvumira kudyarwa patsva.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji zvinosanganisira:

• Reaction kumishonga, matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, hutachiona

Ngozi dzekuvhiya uku dzinosanganisira:

• Rufu rwezvinyama zvakadzokororwa
• Yakaderedzwa nerve basa kana kufamba mune yakadzokororwa manhamba
• Kurasikirwa kwekunzwa mumatomu akadzorerwa
• Kuomarara kwenhamba
• Marwadzo anoenderera mushure mekuvhiyiwa
• Mamwe kuvhiya kunodiwa kune iyo yakadzokororwa manhamba

Kuchengetwa kwakanyanya kuchazotorwa iwe uri muchipatara kuti uve nechokwadi chekuti ropa rinoyerera zvakanaka kuchikamu chakabatanidzwa. Ruoko kana gumbo richachengetwa rakasimudzwa. Imba yacho inogona kuchengetwa inodziya kuti ive nechokwadi chekuyerera kweropa kwakakodzera. Chikamu chakabatikaniswa chichatariswa kazhinji kuve nechokwadi chekuti pane kuyerera kweropa kwakanaka.

Mushure mekusunungurwa kubva muchipatara, ungangoda kupfeka simbi yekuchengetedza munwe kana chigunwe. Chiremba anovhiya anogona kupa mishonga-yekuchekesa ropa kudzivirira ropa.

Kuchengetedza kwakakodzera kwechikamu chakatemwa kana zvikamu zvakakosha kwazvo pakubudirira kudyara patsva. Pasi pemamiriro ezvinhu akakodzera, pane mukana wakanaka wekuti kuvhiyiwa kunogona kudzorera kushandiswa kwechigunwe kana chigunwe. Iwe uchazoda kushanya kwekutevera-pamwe neako mupi wezvehutano, uyo anoenderera mberi nekutarisa kuyerera kweropa munzvimbo yekuvhiya.

Vana vari nani vavhoterwa pakuvhiya patsva nekuda kwekugona kwavo kukuru kupora uye kudzosera munyama.

Kudzoreredzwa kwechikamu chakatemwa chinonyanya kuitwa mukati maawa matanhatu mushure mekukuvara. Asi kudzvara zvakare kunogona kubudirira kana chikamu chakatemwa chadzorwa kwemaawa makumi maviri nemana mushure mekukuvara.

Iwe hauzove neakafanana kuchinjika mumunwe kana chigunwe mushure mekuvhiyiwa. Marwadzo uye manzwiro ekuchinja anogona kuenderera.

Revascularization yeakagurwa manhamba; Kubatanidzwazve kweminwe yakatemwa

• Chigunwe chakatemwa
• Kudzoreredza manhamba - akateedzana

Higgins JP. Kudzorerazve. Mune: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Green's Inoshanda Ruoko Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsuwa 42.

Klausmeyer MA, Jupiter JB. Kudzorerazve. Mune: Browner BD, Jupiter JB, Krettek C, Anderson PA, eds. Skeletal Trauma: Basic Science, Management, uye Kuvakazve. 6th ed. Philadelphia, PA: Elsevier; 2020: chits. 51.

Rose E. manejimendi ekudimburwa. Mune: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts uye Hedges 'Clinical Maitiro muEmergency Medicine uye Acute Kuchengeta. 7th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 47.