· Kapangidwe ka Thupi Kogwiritsidwa Ntchito
Kutalika konse kwa clavicle ndi kobisika pansi pa thupi ndipo n'kosavuta kukuona. Mapeto apakati kapena kumapeto kwa clavicle ndi okhwima, ndipo pamwamba pake pakuyang'ana mkati ndi pansi, kupanga cholumikizira cha sternoclavicular ndi notch ya clavicular ya chogwirira cha kumbuyo; mapeto a mbali kapena kumapeto kwa acromion ndi okhwima komanso athyathyathya komanso otakata, ndipo pamwamba pake pa acromion pali ovoid komanso kunja ndi pansi, ndikupanga cholumikizira cha acromioclavicular ndi acromion. Clavicle ndi yathyathyathya pamwamba ndipo yozungulira bwino pakati pa malire akunja. Pali kupindika koyipa kwa ligament ya costoclavicular kumbali yapakati pansi, komwe ligament ya costoclavicular imagwirira. Pansi pake pali node yozungulira ndi mzere wozungulira wokhala ndi ligament yozungulira ya ligament ya rostroclavicular ndi cholumikizira cha ligament yozungulira, motsatana.
· Zizindikiro
1. Kusweka kwa clavicle komwe kumafuna kuduladula ndi kuchepetsa kukhazikika kwa mkati.
2. Matenda a osteomyelitis osatha kapena chifuwa chachikulu cha clavicle amafuna kuchotsedwa kwa fupa lakufa.
3. Chotupa cha clavicle chimafuna kuchotsedwanso.
· Malo a thupi
Malo okhala chagada, ndi mapewa okwezedwa pang'ono.
Masitepe
1. Pangani chocheka motsatira kapangidwe ka clavicle kooneka ngati S, ndikukulitsa chochekacho m'mphepete mwa clavicle mpaka mkati ndi kunja kwa mbali ndi malo a chotupacho ngati chizindikiro, ndipo malo ndi kutalika kwa chochekacho zidzatsimikiziridwa malinga ndi chotupacho ndi zofunikira za opaleshoni (Chithunzi 7-1-1(1)).
Chithunzi 7-1-1 Njira Yowonetsera Clavicular Yam'mbuyo
2. Dulani khungu, minofu ya pansi pa khungu ndi fascia yakuya motsatira kudulako ndikumasula chivundikiro cha khungu mmwamba ndi pansi momwe ziyenera kukhalira (Chithunzi 7-1-1(2)).
3. Ikani minofu ya vastus cervicis pamwamba pa clavicle, minofuyo ili ndi mitsempha yambiri yamagazi, samalani ndi electrocoagulation. Periosteum imadulidwa pamwamba pa mafupa kuti ichotsedwe pansi pa periosteal, ndi sternocleidomastoid clavicle pamwamba pa pakatikati, pectoralis major clavicle pansi pa pakatikati, minofu ya trapezius pamwamba pa kunja, ndi minofu ya deltoid pansi pa kunja. Mukachotsa subclavian ya posterior, kuchotsa kuyenera kuchitidwa mwamphamvu motsutsana ndi fupa pamwamba, ndipo chowongolera chiyenera kukhala chokhazikika kuti chisawononge mitsempha yamagazi, mitsempha, ndi pleura ya posterior clavicle (Chithunzi 7-1-2). Ngati akuganiza kuti pakhale cholumikizira chokulungira mbale, minofu yofewa yozungulira clavicle imatetezedwa kaye ndi chotsitsa cha periosteal, ndipo dzenje lobowola liyenera kutsogozedwa kutsogolo pansi, osati kumbuyo pansi, kuti lisavulaze pleura ndi mtsempha wa subclavian.
Chithunzi 7-1-2 Kuwonetsa Clavicle
Nthawi yotumizira: Novembala-21-2023
