Waddada Muujinaysa Kala-goysyada Hore

· Habdhiska La Adeegsaday

Dhererka oo dhan ee lafta waa mid hoosaadka ah waana mid si fudud loo arki karo. Dhammaadka dhexe ama dhammaadka lafta waa mid qallafsan, iyadoo dusha sare ee lafta ay u jeeddo gudaha iyo hoos, taasoo sameysa kala-goysyada sternoclavicular oo leh lafta clavicular ee gacanta lafta; dhammaadka lateral ama dhammaadka acromion waa mid qallafsan oo fidsan oo ballaaran, iyadoo dusha sare ee acromion articular uu yahay mid u eg iyo dibadda iyo hoos, taasoo sameysa kala-goysyada acromioclavicular oo leh acromion. Lafta waa mid siman oo si cad u wareegsan bartamaha lafta hore. Waxaa jira marin qallafsan oo ka mid ah lafta costoclavicular ee dhinaca dhexe ee hoose, halkaas oo lafta costoclavicular ay ku dhegto. Dhinaca hoose waxaa ku yaal lafta koonka iyo xariiq qalloocan oo leh lafta koonka ee lafta rostroclavicular iyo ku-xidhka lafta oblique, siday u kala horreeyaan.

· Tilmaamayaasha

1. Jabka kala-goysyada oo u baahan jeexitaan iyo yareynta hagaajinta gudaha.

2. Cudurka osteomyelitis-ka ee daba-dheeraada ama qaaxada qanjidhada ayaa u baahan in lafaha dhintay laga saaro.

3. Burada Kala-goysyada waxay u baahan tahay in la gooyo.

· Booska jirka

Jawiga jiifa, iyadoo garbaha si yar loo kor u qaaday.

Tallaabooyinka

1. Samee jeexitaan ku teedsan qaab-dhismeedka S ee clavicle-ka, oo jeexitaanka ku teedsan geeska sare ee clavicle-ka ilaa dhinacyada gudaha iyo dibadda iyadoo booska nabarku yahay calaamad, goobta iyo dhererka jeexitaankana waxaa lagu go'aamin doonaa iyadoo loo eegayo nabarka iyo shuruudaha qalliinka (Jaantuska 7-1-1(1)).

Jaantuska 7-1-1 Waddada Muujinta Kala-goysyada Hore

2. Maqaarka, unugyada hoose iyo fascia qoto dheer ku rid meesha la jeexay oo fur maqaarka kor iyo hoos sida ku habboon (Jaantuska 7-1-1(2)).

3. Muruqa ilmo-galeenka vastus u jar dusha sare ee clavicle-ka, muruqu wuxuu hodan ku yahay xididdada dhiigga, fiiro gaar ah u yeelo electrocoagulation-ka. Periosteum-ka waxaa lagu gooyaa dusha sare ee lafaha si loo kala gooyo subperiosteal, iyadoo sternocleidomastoid clavicle uu ku yaal qaybta sare ee gudaha, pectoralis major clavicle-ka qaybta hoose ee gudaha, muruqa trapezius-ka qaybta sare ee dibadda, iyo muruqa deltoid-ka qaybta hoose ee dibadda. Marka la jarayo subclavian-ka dambe, jarista waa in si adag loogu sameeyaa dusha sare ee lafaha, qalabka xakamaynta waa inuu ahaadaa mid deggan si uusan u dhaawacin xididdada dhiigga, neerfayaasha, iyo pleura-da ee clavicle-ka dambe (Jaantuska 7-1-2). Haddii la soo jeediyo in la mariyo hagaajinta boolal ee saxanka, unugyada jilicsan ee ku wareegsan clavicle-ka marka hore waxaa lagu ilaaliyaa qalabka jarista periosteal, godka qodistana waa in loo jeediyaa xagga hore ee hoos, ee maaha xagga dambe ee hoos, si aan loo dhaawacin pleura-da iyo xididka subclavian.

 Jaantuska 7-1-2 Soo Bandhigidda Kala-goysyada