UMary Allen
Emva kweengozi ezimandundu - nokuba kukungqubana neemoto okanye ukuwa kumphakamo omkhulu - kuhlala kukho ukwenzakala komnqonqo.
Uncedo yokuqala
Uncedo lokuqala kwindawo yengozi kunye nokuthutha isigqibo malunga nesiphelo sezilwanyana: ukuphathwa ngokungakhathali kunokugqiba ukutshabalalisa intambo yomgogodla. Izigulane ke ngoko kufuneka zihanjiswe kumphezulu oqinileyo kangangoko (umzekelo, ibhodi), ukuba kuyimfuneko nokuba ikhuselwe ngeteyiphu yokuncamathelisa okanye iiplasta. Emva kokuzinza kunye nangaphambi kokuhlolwa kokuqala kwe-neurological, umnakekeli kufuneka anike ulwazi malunga nokuba isigulane sisamile okanye sihamba kwindawo yengozi, nokuba kukho ukukhubazeka, ukukhubazeka, okanye intlungu.
Uvavanyo eklinikhi
Ngokucofa ngononophelo isilwanyana, ummandla onomdla okhethekileyo. Emva koko inokuphinda ifakwe kwi-X-reyi yokuqhelaniswa esele iqhotyoshelwe kwisiseko sayo. Kuviwo oluneenkcukacha ezininzi, luya kubekwa kwitafile yoviwo ukwenzela ukuba uvavanyo oluthe ngqo ngakumbi lunokwenziwa lungachatshazelwa lulungiso.
Izilwanyana ezisakwazi ukuma zihlolwe kuqala ngelixa zimile: ingqiqo yokulinganisa, indawo yemilenze, isikhundla kunye ne-posture reflexes, kunye nokukwazi ukulungelelanisa kunokumiselwa ngale ndlela.
Ngaphambi kokuba uhlolisise i-reflexes, ukunyakaza okuzenzekelayo, ukuqonda ngokufanelekileyo, kunye neempendulo zokulungisa zamalungu amane ziyajongwa. Ekugqibeleni, isilwanyana sinokujongwa ngononophelo kusetyenziswa i-table edge probe okanye ukuqhuba ngekiriva ngononophelo. Iziphene ezifunyenweyo zinokuthi zenziwe zasekuhlaleni kakuhle kakhulu ngoncedo lweemvavanyo ze-reflex.
Indawo
Isiphumo sovavanyo lwe-neurological yeyona nto ibaluleke kakhulu yokumisela indawo yomonakalo we-neurological and prognosis. Umonakalo kumqolo kumfanekiso we-X-ray unokugqithiswa kakhulu okanye ungaphantsi. Ngokukodwa emva kokulahlekelwa kwethoni ye-muscle, ukulimala komgogodla kunokunciphisa ngokuzenzekelayo kwaye kubonakale kuqhelekileyo, nangona intambo yomgogodla ibhujiswe ngokupheleleyo.
Ukuhlolwa kwe-X-ray yesiphene esichongiweyo kufuneka sihlale siqhutyelwa kwiindiza ezimbini. Ngamanye amaxesha ama-overlays alishwa kangangokuba ukulimala kakhulu kunokungahoywa, njengoko kuboniswe kumbono we-dorsoventral ngasentla kwinja efanayo. Kuvavanyo lwe-neurological, esi silwanyana sabonisa ukusilela okukhulu.
Ukuba iintsilelo ze-neurological zihambelana nobungqongqo bomonzakalo womgogodla omiselwe ngeradiological, i-prognosis imbi kakhulu kangangokuba unyango olongezelelweyo alunanjongo. Ezi ziquka ukuchithwa kunye nokuqhekeka kunye nokufuduka okubalulekileyo njengoko kuboniswe kumzobo olandelayo. Umnqonqo uhlala unqunyulwe ngokupheleleyo kwezi zilwanyana.
Ukuba iintlungu zentlungu azikanqunyulwa, ukuchithwa okubalulekileyo kusenokuphathwa ngempumelelo ukuba kunokuzinziswa.
unyango
Kwiimeko ezininzi, ukulungiswa okuncinci okubuhlungu ngokwaneleyo kwanele. Le kati yeCarthusian iwele eluphahleni kwaye - xa uyijongisisa - yaphuka i-thoracic vertebra yokugqibela kwi-caudal endplate kunye ne-dorsal vertebral joints. Wayengasenakukwazi ukuma, ebonisa ukubaxiweyo i-reflexes yamalungu angasemva, kodwa wayebonisa ukusabela kweentlungu. Ukuzinziswa kwangaphakathi kunye neengcingo ezimbini ze-Kirschner ezinqamlekileyo, ezibekwe ngasemva ngokunokwenzeka kwimizimba ye-vertebral phantsi kolawulo lwe-X-ray ngenxa yeengqungquthela eziqhekezayo eziqhekezayo, zaxhaswa ngokugcina isigulane kwisigxina esincinci kwiiveki ze-6.
Amaqhekeza amathambo alele kumgudu womgogodla angasuswa ngokuvula ngononophelo i-arches ye-vertebral.
I-caudal vertebral endplate ye-thoracic vertebra isenokuthi ibonwe njengeqhekeza elinomgca kwi-X-ray yokulawula i-lateral.
Ikati yachacha kakuhle. Emva kweminyaka emine, ubonisa ukusebenza ngokupheleleyo kwe-physiological ye-bladder, i-rectum, kunye namalungu angasemva. Ude ahambe kuphahla lwakhe aluthandayo ngovuyo olukhulu.
Nangona kunjalo, akuyomfuneko kwaphela ukunyanga yonke inzakalo yomgogodla ngoqhaqho, ukuba nje uzinzile ngokwaneleyo kwelinye icala kwaye unomkhwa wokuziphilisa ngokwaneleyo kwelinye. Ngokomzekelo, iikati eziwela kwindawo ephakamileyo zihlala zihlupheka ngenxa ye-sacrum-iliac dislocation ukuba zihlala ezinqeni. Ngokuqhelekileyo i-pelvis ngokwayo ayiqhekeki. Nangona kunjalo, ukutshintshwa kwe-1-3 cm ye-cranial, i-sacrum yenza njenge-wedge.
Kukho rhoqo kunye nokuqhuma kwi-facies auricularis ye-sacrum (isangqa). Abaphazamisi imeko yemithambo-luvo okanye ukuphiliswa. Imfuneko yolu nyango ngokuphumla okupheleleyo kwe-cage kwiiveki ezi-4-6 ngokuqinisekileyo yimeko efanelekileyo ye-neurological kuquka ulawulo olupheleleyo lwe-anus kunye ne-bladder.