Ulwazi malunga neNyango yokuPhulwa kweSizwe
Isalathisi ephukile siphakathi kwezona zixhaphakileyo. Enyanisweni, i-crystal fractures yizona zixhaphaka kakhulu izigulane ezingaphantsi kweminyaka engama-65 ubudala (emva kwaloo minyaka, i- hip fractures iba yinto exhaphakileyo yithenda ). Malunga ne-1 kwezi-6 eziqhekezayo eziphathwe ngamagumbi aphuthumayo yintambo yokuqhekeka kwesandla.
Ngokuqhelekileyo, xa ugqirha echaza ukuphuka kwesandla, ubhekisela ekuqhekekeni kwerhasi (enye yamathambo amabini).
Kukho ezinye iintlobo zamathambo aphukileyo ayenzi kufuphi nesandla, kodwa ukutshatyalaliswa kwesandla ngokuqhelekileyo kuthetha ukuba ukuphela kwethambo lesangqa liphuliwe. Amanye amathambo angakwazi ukuphula eduze kwesikhonkwane somnxeba kuquka i-scaphoid kunye ne -ulna .
Iimpawu zeSandla esiBhukileyo
Ukuqhekeka kwesandla kufuneka kukhunjulwe xa isigulane silimaza idilesi kunye kunye nentlungu kule ndawo. Izimpawu eziqhelekileyo zokuphulwa kwesandla ziquka:
- Intlungu yesandla
- Ukuvuvukala
- Ukuguqulwa kwesandla
Xa isigulane sifika kwigumbi eliphuthumayo nentlungu yesandla, kunye nobungqina bentsimbi ephukileyo, i-x-ray iya kufumaneka kwindawo eyalimalayo. Ukuba kukho isalathisi ephukileyo, i-ray-ray iya kuhlolisiswa ngokucophelela ukuqinisekisa ukuba i-fracture isesikweni esifanelekileyo, kwaye ukuvavanya ukuzinza kweziqhekeza zethambo.
Ukwelashwa kweSandla seNkcazo
Ngokuqhelekileyo, izibilini eziphukileyo zingaphathwa kwi-cast . Isikristhi sisinye sendawo yomzimba wakho onokulungiswa kakhulu ukunyanga.
Ukuba amathambo aphethwe kwindawo efanelekileyo, ngoko kusetyenziswe i- sedation okanye i- anesthesia yendawo ukuze ugqirha wakho abuyele kwakhona . Oku kubizwa ngokuthi 'ukunciphisa' ukuhlukunyezwa kwesandla, kwaye ngokwenza uhambo oluthile, ugqirha wakho unokukwazi ukuguqula isandla esiphukileyo.
Yisiphi isiqhaqho sokuqhaqhaza esidinga ukuphanda unyango?
Lo ngumbuzo onzima ukuphendula, kwaye kufuneka ukhankanywe kwimeko ngamacala.
Kwanokuthi ngamnye, ama-orthopedists angahluka ngokwawo ngolu hlobo lwezonyango olungcono kwi-fracture.
Ezinye zezi zinto zibalulekileyo zibalulekile ekuqaliseni ukuba ingekho utyando olufunekayo kwisandla esaphukileyo:
- Izidingo zomdala kunye neemfuno zesigulane
Ukuba isigulane siselula kwaye siyasebenza, yonke inzame iya kwenziwa ukwenzela ukubuyisela isikrini kwisiqhelo. Kwezinye iintambo zesikhumba, oku kunokukunceda ukukhusela iingxaki kwiminyaka ezayo. Nangona kunjalo, ukuba isigulane asifuni iimfuno ezinzima zesandla, okanye ukuba isigulane sisebekhulile, ukubuyiswa ngokuthe tye kwamathambo aphukile kungabi mfuneko. - Umgangatho weThambo
Ukuba ithambo lincinci kwaye libuthathaka, oku kuthetha ukuba umntu une- osteoporosis , ngoko utyando lungaba luncedo. Ukuba iiplati kunye nezikrini zisetyenziselwa ukulungisa ukuphuka, umgangatho wethambo makanele ngokwaneleyo ukukhusela izikrini. Ugqirha lubuhlungu kwithambo, kwaye ngamanye amaxesha inqanaba elifanelekileyo lokuthatha isenzo kukunciphisa umonakalo omkhulu kwithambo kwaye uphathwe kwi-cast. - Indawo yecala
Ukuba i-fracture ifaka i-cartilage ye-joint joint, ngoko utyando lunokuba lunokwenzeka. Nangona ithambo liyakwazi ukulungiswa ngokuhamba kwexesha, i-cartilage ebusweni yesandla somnxeba ayikwazi. Ukuba i- cartilage engaphezulu ayinakulinganiswa ngokunciphisa (ukulungiswa kwakhona) ukuqhuba, ngoko utyando lunokuqwalaselwa.
- Ukufuduswa kwephuka
Ukuba amathambo ahlukumezekanga, ngoko utyando luya kwenziwa ukuze lubekwe ngokufanelekileyo iziqhekeza. Oku kuvame ukulingwa ngaphandle kokuhlinzwa, kodwa kunokwenzeka ukuba i-muscle ne-tendon ibanjwe kwaye ibambe ukulungiswa kwakhona. Ukongezelela, ezinye iintsimbi zingenakuzinza kwaye zingabi zikhundleni nokuba zifakwe kakuhle. Ezi zingadinga ukuhlinzwa ukuze zibeke ngokwaneleyo ukuhlukana. - Ukulingana kolawulo olungagqirha
Ukuba i-fracture ichithekile, ngokuqhelekileyo isigulane sinokuzama ukunciphisa okanye ukubeka kwakhona ithambo ephukile. Ngamanye amaxesha kunzima ukubeka amathambo ngaphandle kokuhlinzwa. Ngamanye amaxesha, ukubeka indawo kuyanelisayo, kodwa ukulahla kungabikho ukuphulwa kweso sikhundla. Utyando luyakwenziwa rhoqo naziphi na kwiiveki ezimbini zokuqala emva kokuphuka ukubuyisela amathambo kwindawo efanelekileyo.
Njengoko kushiwo ngaphambili, ukuhlinzwa akuyidingi imfuneko yokuba isalathisi siqhekeke, kodwa sinokuqwalaselwa kwezinye iimeko. Ukuba utyando lwenziwa, kukho iindlela ezininzi zokonyango. Ezinye iintsimbi zingakhuseleka ngezikhonkwane zokubamba iziqhekeza ezikhoyo. Olunye ukhetho luyi- fixator yangaphandle , isixhobo esisebenzisa izikhonkwane ngaphakathi kwesikhumba kunye nesixhobo ngaphandle kwesikhumba ukutsala iinqununu kwindawo. Ekugqibeleni, iiplati kunye neentloko zingasetyenziselwa ukubeka i-fracture ngokufanelekileyo.