Iindlela eziPhambili zoLwazi oluPhezulu lweZiphulo

4 Iindlela zokuMisa amathambo amaBhundi

Ukugqithisa yindlela yokuphatha amathambo aphukileyo (awaziwayo njengamaqhekeza) de ufike kwigqirha. Ukuqhekeka kungenziwa kwinqanaba lezinto ezivela ekhaya okanye kunokuveliswa ngokurhweba ngokukodwa ngokuqhaqhaqhaqha. Kwezinye iimeko, xa umlwane okanye umnwe isetyenziswe, ummelwane ongenakunqandeka unokuba luqhekeko.

Iziplintshi zingasetyenziselwa ukuhlalisa okanye ukuchithwa (ukuphazamiseka kwamalungu, afana negxeni okanye idolo).

Kungakhathaliseki ukuba udibanisa ukuphuka okanye ukuchithwa kunye nokuba usebenzisa into eyenziwe njengebuqaqawuli okanye imfashini ngokwakho kwiintonga, le ngcamango iyafana.

Eqinileyo njengeLiwa

Iingcamango zobuqaqawuli kukunciphisa ukunyakaza kwamathambo okanye amanxeba. Xa ithambo liphukile ngokupheleleyo, uxinzelelo kwizinto eziqhekekileyo lunokubangela ukuba izibonda zethambo zixakeke kwaye ziwonakalise izicubu ezinqabileyo ezijikelezileyo. Kuba amathambo aphuhliweyo, kodwa ahluke ngokupheleleyo, iingcinezelo zangaphandle kwisithambo zingakhokelela kumonakalo okongezelelweyo kwaye mhlawumbi zingabangela ukuba i-bone ephukile ihlukane ngokupheleleyo.

Ukulimala akufuneki kube yintluko. Uxinzelelo lwangaphandle lunokubangela ukuba amajoyina asele awonakaliswe ukuba azinze nakakhulu. Kungakhathaliseki ukuba umonakalo owenziwe ngamathambo anzima njengethambo okanye kwiinkcuphu ezintle ezinzima ezifana nezo zifunyenwe kunye, unyango luxhomekeka kwi-immobilization.

Ukuze ugweme uxinzelelo lwangaphandle olungonakalisekanga ithambo ephukile, kuyimfuneko ukuyikhupha-into eyaziwa ngokuba yi- split- indawo.

Uninzi lwamaqhekeza lwenzeka kwimida (iingalo nemilenze), kodwa kukho amathambo kuwo onke umzimba (malunga ne-206 ngokupheleleyo). Nangona i-bone breaks isingapheli, njengemivimbo okanye i-pelvis, kubalulekile ukuyikhupha kangako kunokwenzeka ukunciphisa amandla okulimala okungakumbi. Ininzi yemizekelo esetyenziswe apha iya kuba yimiba eqhelekileyo.

Izinto ezisisiseko zoBucala

Umgca ogqityiweyo awuyi kusebenza ngaphandle kokuba udibanise ngokupheleleyo ukulimala ngaphakathi kobubanzi. Oko kuthetha ukuba kufuneka ulungelelanise amaqumrhu angentla naphantsi kwesahluko. Ukuba, umzekelo, ingalo iyaphulwa phakathi kwe-forearm, ngaphezu kwe-forearm kufuneka idityaniswe. Ngenxa yokuba isalathisi esihambayo okanye i-elbow iya kubeka uxinzelelo emathanjeni omngqongqo, ikhefu kuloo ndawo ludinga ukukhuphelwa kwesandla kunye neendonga. Ukuba abanako ukuhamba, abayi kuguqula kunye nokwenza i-radius kunye ne-ulna (amathambo engalo engezantsi).

Kwimeko yokutshintshwa okanye ukuchithwa, kungekhona nje kuphela ukuba kufuneka idibeneyo ikhutshwe, kodwa kuya kubakho izakhiwo (ngokuqhelekileyo amathambo) kwicala linye. Kwimeko yamadolo, umzekelo, intamo (femur) kunye nomlenze ongezantsi (tibia kunye ne-fibula) kuya kufuneka iguqulwe ukuze kugxilwe idolo. Abanye bathi ukutshatyalaliswa okunene kunokuba buhlungu kakhulu kunamaqhekeza, kwaye isigulane asikwazi ukuhambisa umda ngaphandle kwesikhuthazo kuzo zonke.

Hlola umsebenzi

Isizathu sokuqhawula ukulimala, ngokukodwa ekupheleni, akuyikuphilisa. Kwiimeko ezininzi, iindawo eziqhekezayo ezinzima ziya kufuna iimfuneko, nokuba zonyango, unyango ukulungisa umonakalo.

Uncedo lokuqala oluqhekezayo lusetyenziswa ukufumana isigulane esibhedlele okanye ugqirha. Ngamanye amaxesha, ubuqhekeza bunokuba luncedo ukuhambisa isigulane esilimele, mhlawumbi ngokwenza kube lula ukuhambisa isigulane ngaphandle kokulimala okanye ngokwenza ukuba isigulane sincede.

Nangona uncedo ekufumaneni isigulane ugqirha, kubalulekile ukuba ungenzi izinto zibe zibi nakakhulu. Okokuqala kunye nokugqwesileyo, izibhambano kufuneka zingayi kuqhubeka nokulimala ekupheleni. Ukuchithwa kwezinto ezifanelekileyo ngokuqhelekileyo kuvimbela umonakalo owongezelelweyo kwaye unokulinganiswa ngokuvavanya umsebenzi wephelo. Ukujikeleza, ukuvakalelwa, kunye nokunyakaza ziimpawu zokusebenza kuzo zonke iziphumo.

Qinisekisa ukuba uvavanya umsebenzi wokuphela kweminye. Khangela kanye ngaphambi kokuba kukho nawuphi unyango osetyenziswayo, kwaye emva koko ubuqhekeza buyenziwe. Ukuba kukho nawuphi na umsebenzi (ukusabalalisa, ukuvakalelwa, kunye nokunyakaza) kuye kwanyamalala okanye kwanda ngakumbi, zama ukulungelelanisa-okanye ukususa-ubuqaqawuli. Ukulahleka komsebenzi yinto enkulu enokubangela ukuba umonakalo ongunaphakade xa ungashiywanga.

Ukuhlola ukuhamba kweGazi: Ukuhamba kwegazi kwindawo eyalimalayo (ukusasazwa) kungaphazanyiswa ukuba umonakalo kwizicubu ezijikelezayo ziquka imithwalo yegazi. Nantoni na eyomeleleyo yokwaphula ithambo inamandla ngokwaneleyo ukuphazamisa iirrire, iimvini, kunye nama-capillaries. Ukuvavanya ukujikeleza, uzive umgca kunye newele layo (ukuba ingalo echanekileyo iphukile, thelekisa ingalo engesokunene nengalo yesobunxele) yokufudumala. Isiphelo esilimele kufuneka sifudumele njengelinye icala. Ukuba ipholile, oko kukubonakalisa ukuba ukuhamba kwegazi kwindawo leyo kuphazamisekile.

Thelekisa umbala. I-Purple, eluhlaza okwesibhakabhaka, i-splotchy, okanye intsundu yonke imiqondiso yokuncipha kwegazi ukuya ekupheleni.

Ukuba uyazi ukuba ungathabatha njani umthambo , qhathanisa iipulse ekupheleni kweemida. Ukuba i-pulse yokulimala engabikhoyo okanye engekho buthathaka kakhulu, yinkomba yeengxaki zomjikelezo.

Imilinganiselo yegolide ihlala isetyenziswa ukuzalisa i-capillary (faka ingcinezelo encinci kwiminwe okanye izikhonkwane zokuthi "u-blanch" okanye ucofe umbala kubo kwaye uvumeleke ukuhamba, umbala ufanele ukubuyela ngaphantsi kwemizuzwana emibini), kodwa kukho ubungqina obuncinane bokuthi ukuhlaziywa kwe-capillary yindlela enokuthenjwa.

Ukuvavanya ukuvakalelwa: Ukuvakalelwa ngumlinganiselo wesibini womsebenzi. Kule meko, uvavanyo lulula: "Ngaba ungazivakalelwa?"

Ngaphandle kokuba uvumele isigulane sibone ityhi okanye umnwe osichukumisayo, mcele ukuba akuxelele ukuba yeyiphi na (gcina kulula kwaye usebenzise ii-pinki okanye iinzwane ezinkulu, njengoko iinzwane eziphakathi kunye neminwe akulula ngaso sonke isikhathi izigulana ukuchaza). Ukuba isiguli asinakuva ukuba uthinta umgca (okanye udidekile malunga nento echaphazelayo), kuyisilathisi sokuthi umgca awunakho ukujikeleza okwaneleyo, obangela ukuba izibilini zingasebenzi kakuhle, okanye ukuba kukho umonakalo weentsimbi.

Ukuphonononga ukuhamba: Ukulinganisa kokugqibela komsebenzi kuyisindululo. Ingaba isiguli singashenxisa umda?

Ukulahlekelwa kwesikhalazo kuyisalathisi sokulahleka komjikelezo, ukulimala kwiisithuthi, okanye ukungaphumeleli kwesakhiwo. Iimfono kunye nezihlunu ziyi-lever and pulles ezenzelwe ukwenza izinto zihambe ngendlela ethile. Ukuba uphula isakhiwo esixhasayo, ngamanye amaxesha umatshini awuhambisani nendlela ekufuneka ihambe ngayo.

Iingxowa kunye neNtshontsho

Amathambo aphukile kwiindawo ezahlukeneyo zomzimba afuna iindlela ezahlukeneyo zokuzikhupha. Ukuqala phezulu, makhe sijonge kwiindidi ezahlukileyo kunye nalapho zingasetyenziswa ngokuphambili.

Ukulimala kumbhinqo wesigxina (i-clavicle kunye ne-scapula) okanye kwisandla esingaphezulu (i-humerus) kunokuphathwa ngokuthe ngqo ngokubethelwa kunye ne-sling. Ukulimala kweengalo ezisezantsi kufuneka kutyunjwe ngenye yezindlela ezingezantsi, kodwa kusenokuba kufakwe kwisalathisi ukukunceda ukulawula ukulimala. Kwakhona kulula ukuba isigulane sihambe ngeenxa zonke ukuba ingalo edibeneyo isesigxina.

Isalathisi sisona sikhonkco sengalo yakho. Inika inkxaso ethile ngesisindo seengalo kunokuba ivumele ukuba idibanise kwaye idonsa amathambo kunye namaqhosha awonzakeleyo. I-swath isetyenziselwa ukumbamba ingalo, kusasa kwi-sling, kumzimba wesigulane.

Izitya ziyakwenziwa ukuveliswa kwezorhwebo (ngokuqhelekileyo emva kokuhlinzwa) okanye zinokukhishwa kwi-bandage yesigxina okanye nokuba nomsila omude.

Iibhodi zeCardboard Splints

Iyona nkcenkcesha yoshishino kuyo yonke idibanti yezohwebo ikhadibhodi . Ikhadibhodi eqaqambileyo yinto nje isandi, i-splint eyenziwe yekhadibhodi kwaye yenzelwe ukusetyenziswa kwexesha lokuqala. Ukudibanisa kwekhadibhodi kunokukhangela nakweyiphi na ibhokisi edibeneyo. Ngomqwengqo wekhadibhodi, umqulu weetape, ithawula, kunye neesisisi, phantse naziphi na iziphene ezigqityiweyo.

Ukudibanisa kwekhadibhodi kunokuba nzima kwaye kunzima ukufaka isicelo, kunye kunye nabo abasebenzi xa befumana imanzi. Kwakhona, i-cardboard eqaqambileyo ingenza kube nzima ukubona umxhesho owenzakeleyo ukwenzela ukuba uphinde usebenze okanye uphathe amanxeba avulekileyo kwaye ulawule ukuphuma kwegazi.

IAluminium Splints

Iingqamlezo zeluminiyamu ezinokutsha zivame ukuza kwi-roll, kodwa nazo zingena kwiinguqu ezicwangcisiweyo, eziguquguqukayo. Iingqungquthela zeAluminium zinokubunjwa ukuze zilungele umxhelo owonzakeleyo kakhulu kwaye zibambe ngendlela yazo kwimvula. Ziyabiza ngaphezu kwekhadibhodi, kodwa zithatha igumbi elingaphantsi kwaye zingasetyenziswa ngokulula kwaye zininzi kakhulu xa ziqhotyoshelweyo.

Ngokuziqhelanisa, ukugqitywa kwe-aluminium kungasetyenziswa ngokukhawuleza, ngaphandle kokufihla ubuninzi bokuphela kwekhadibhodi. Iingqamlezo ze-aluminium nazo zisetyenziselwa ukugqithiswa komnwe kwaye ziza kwiiphakheji ezincinci ezilungiselelwe.

Imithwalo

Ukulimala kwe-Ankle kungaqhathaniswa ngokuchanekileyo kungekho nto ngaphezu komsila wombhede kunye nomqulu weetape . umsila ohloniphekileyo (phantsi nje awusebenzi ngokwenene kule nto) unokugutywa ngenyawo kwinqanawa elenzakalisiweyo kwaye wathintela emlenzeni. Yenza ngokuphumelelayo i-'boot' elithambileyo ukubamba iqhosha elimazileyo.

I-width ngokwaneleyo ingasetyenziselwa ukuxhamla ingalo okanye ukulimala kweenyawo ezisezantsi, nangona kungengcono.

> Umthombo:

> Grey K, Briseno MR, Otsuka NY. Ubudlelwane phakathi kwexesha lokuzalisa i-capillary kunye nokuhamba kwamanzi kwisigxina esiphezulu sezingane. J Pediatr Orthop B. 2008 Sep; 17 (5): 257-60. i-doi: 10.1097 / BPB.0b013e32830b6209.