I-Broken Top ye-Shin Bone iquka i-Knee Joint
Ukuqhekeka kwetayalal plateau kwenzeka kwiphezulu yesifuba shin kwaye kubandakanya indawo yokuqhayisa emadolweni . Ngenxa yokuba ezi ziqhekeza zenzeka ngeenxa yokuguqa ngamadolo, kufuneka ziphathwe ngendlela eyahlukileyo kunezohlukuko ze - shabi ze-shaft ezaxutyushwa ngaphambili.
Xa kuvela i-break in or around a joint joint, loo mdibaniso usemngciphekweni omkhulu wokuphucula i-arthritis ngenxa yokulimala.
Ngelishwa, nangona i-bone kunye ne-cartilage yendawo ihlanganiswe ngokugqibeleleyo, kusekho umngcipheko wokwenza i- knee arthritis ngenxa yokulimala kwiiseli ze-cartilage.
Unyango lweTialal Plateau Fractures
Unyango lwezityalo ze-tibial fractures zixhomekeke kubaluleke kakhulu ngendlela ehambelana kakuhle ngayo i-knee joint cartilage. Kwizigulane ezingenakho ukufuduka kweqhekeza okanye i-cartilage, kunendima yokulawulwa kweengcaphephe. Kwiimeko apho ithambo okanye i-cartilage ayilungelelanise kakuhle, unyango oluphambili lubonwa rhoqo.
Ukongezelela kokulungelelaniswa kwephulo, enye imeko ebalulekileyo enceda ukunqandwa unyango ngumqathango weetyhuse ezithambileyo ezijikelezayo. Kuchochololoko kuqhutyelwa xa kukho ukuvuleka okuvulekileyo (ithambo elingaphakathi kwesikhumba), kanti ukuvuvukala okukhulu kunokuba sisizathu sokubambezela ukuhlinzwa kwiindawo ezahlukileyo apho isikhumba sinyanzele kodwa i -tissue-tisses inobungozi kakhulu .
I-Non-Displaced Tibial Plateau Fractures
Izifucu ezingezange-displaced ziyaqhekeka kwithambo ebonwe kwi-x-ray, kodwa ngamathambo asele kwindawo yawo eyiyo kunye nokulungelelaniswa. Uninzi lwama-fractures ye-tibial angaphunyezwa ngaphandle kwendlela yokuhlinzwa, kodwa zidla ixesha elide (ukuya kwiinyanga ezi-3) zokukhusela ekuhambeni.
Ezinye iifractures ezingezange-displaced zisengozini yokufuduka (ukuguquka kwesimo) kwiintsuku kunye neveki emva kokulimala, ngoko ke le nzakala kufuneka ibukele ngokugqithiseleyo ngugqirha wakho wamazinyo. Ukuba ukufuduka kubakho, ukuhlinzwa kungadingeka ukubuyisela iziqhekeza zethambo kwaye uzibeke kwindawo.
I-Displaced Tibial Plateau Fractures
Ukuqhekeka kwezinto eziqhekezayo zidla ukufuna ukuhlinzwa ukuze zibuyisele amathambo kwaye zibuyisele ukuzinza nokulungelelaniswa kwamadolo. Kukho iindlela ezininzi zokugonywa ekwenzeni unyango lwe-tibial plateau; ukukhetha uhlobo lwenkqubo kuxhomekeke kwipateni yokuphuka - ezinye iintlobo zezahlulo zinakho okanye zingenakulungeleka unyango oluthile uhlobo lotyando.
Utyando oluphambili ludla lubandakanya ukufakwa kwezicwenga kunye namacwecwe kwithambo ephukile. Ukuba amathambo afakwe kakuhle, le nkqubo inokuphathwa ngeendlela ezincinci usebenzisa i-x-ray ukudibanisa amathambo. Ukuba kukho ukufuduka kwamanye amaqhekeza amathambo, kuya kubakho ukukhutshwa okukhudlwana ukudibanisa ndawonye iziqhekeza.
Ukubamba iinqununu zethambo endaweni, mhlawumbi iifloyi zodwa okanye iiplate kunye nezikhongo zingasetyenziswa. Iifreyi zodwa ziqhelekileyo zisetyenziswe xa elinye iqheba lesithambo liye laphuka kwaye linokufakwa ngokulula.
Ukuba i-tibial fracture fracture idinga inkxaso eyongezelelweyo, isitya siza kufakwa kwisithambo ukuze sisize ukuxhasa iziqhekeza ngexesha ukuphilisa kwenzeka.
Rehab kusuka kwi-Plateau Fractures
Ukubuyiselwa kwi-tibial plateau fracture ingathatha inyanga eziliqela. Ngenxa yokuba indawo yokubambisana yombutho udibeneyo, idolo limele likhuseleke kwisisindo kude kube yilapho iphuka liphilile. Okuqhelekileyo izigulane ziya kuvunyelwa ukuba zihambise idolo, kodwa zingabi nesisindo emlenzeni malunga neenyanga ezintathu. Ubude obude bexesha lokunciphisa kuya kuhluka kwihlobo lokuphuka kunye nenani lokuphulukisa elenzekayo.
> Imithombo:
> Koval KJ & Helfet DL. "I-Tibial Plateau Fractures: Uvavanyo kunye noPiliso" J Am Acad Orthop Surg ngoMashi 1995; 3: 86-94.