I-Hip Fractures Inokuthi ikhokele ekunciphiseni komsebenzi opheleleyo
Iziphuku ze-Hip ziphakathi kweentlobo eziqhelekileyo zamathambo aphukileyo , kunye kanye nangaphezulu kweminyaka yobudala engama-65, i-hip ephukile yisizathu esivakalayo sokuba kutheni abantu badinga ukuhlinzwa. Ngelishwa, le ngxaki inzima ihlala ichaphazela izigulane ezibuthathaka kunye nezibuthathaka. Nangona ezinye izilonda zamathambo eziqhelekileyo zenzeke kumntu onamandla kakhulu, abantu abakhutheleyo, uninzi lwamaqabunga aphukile aqhutyelwa kubantu abaninzi, ababuthathaka.
Ngenxa yoko, abaninzi abantu abagcina le nzakala, okanye iintsapho zabo, bakhathazeke malunga nenkqubo yokubuyisela. Ingaba utyando olunzulu luncedo? Ziziphi amathuba okubuyiselwa? Iyiphi indlela engcono kakhulu yokunceda umntu okhulile ophule umlenze?
Unyango lwe-Hip Broken
Phantse bonke abantu abaphula i-hip yabo baya kufuna utyando ukulungisa ingxaki. Kukho iindlela ezahlukeneyo zonyango ezixhomekeke kwindawo yecala eliphukileyo kunye nesigulane esilimele. Okukhethwa ngokukodwa kukuba kulungiswe ithambo ephukile, okanye ukutshintsha yonke into okanye inxalenye yentsebenziswano ye-hip. Uninzi lwamaqhekeza luya kuba neendlela ezikhethiweyo zonyango, nangona kwezinye iimeko ugqirha wakho uza kwenza isincomo apho kunokukhethwa kukho ukhetho olulodwa.
Ngamanye amaxesha iintsapho ziya kuqwalasela unyango olungenakudandalo lwale nzakala. Nangona oko kungenokuba kukho ukhetho lwezigulane ezinobuthathaka okanye ezigula kakhulu, ngokuqhelekileyo akuyiyo into enhle.
Ulwaphulo lwezonyango luqwalaselwa kuphela kwiintlobo zentambo echanekileyo, njengokuthi ukuphuka kukuphela kwecala le-pelvic (kunye neyiyo-femour), ngoko ke unyango olungenakho unyango. Kodwa ininzi yonke i-hip fractures yesifuba sesibini iya kufuna ukuhlinzwa. Ingxaki ngokunyanga okungekho ngonyango kwezona zininzi zeentonga eziphukile kukuba ukuhambisa isigulane ngeqhekeza ephukile kungasondeli.
Kukho iingxaki ezininzi ngokungenakho ukuhambisa umntu owenzakeleyo:
- Kungabangela ezininzi iingxaki. Ukungazinzi kungakhokelela kwiintlobo ezininzi iingxaki kubantu. Uphuhliso lwezinye iimeko zonyango lulunye lweengxaki ezinzulu zokunyanga okungekho unyango lwe-hip fractures. Abantu abangenasiphelo baxhomekeke ekuphuhliseni i- pneumonia , iingubo zegazi kunye nezilonda zokulala . Le miqathango sele ivele imiba kubantu abadala, kwaye ukuba awukwazi ukuhambisa umntu, ithuba lokuphuhlisa enye yeentlobo zeengxaki zikhuphuka kakhulu. Ngenxa yezi zizathu, nakwizigulane ezinobuthakathaka okanye ezigula kakhulu, ukulungiswa kwe-hip fracture kukhuthazwa ngokuqhelekileyo.
- Kunokuba nzima ukunakekela abantu. Ukunyamekela umntu ongakwazi ukuhamba kuyinselele kakhulu. Imisebenzi elula njengokuhlamba kunye nokuhlalisa umntu ongakwazi ukuhamba kunzima. Nangona ukulawula iimpawu ezibuhlungu zentsimbi ephukile kunokufezwa ngokulala umntu, akunakulungele ukunyamekela umntu ngaphandle kokuhambisa. Ngoko ke, nangona iinqabetho eziphukileyo zenzeka kubantu abaxhomekeke ngokupheleleyo kwabanye ekuxhaseni, zilungiswe ngokuvakalayo ukuvumela ukuba le nkathalo ibenzeke.
Inkqubo yokugocwa esetyenziselwa ukulungisa i-hip ephukile ingahluka kuye kuxhomekeke kwizinto ezininzi.
Ngokuqhelekileyo, ukuphulwa kwethambo lomthambo wecala, elibizwa ngokuba ngumsilo wesifazane, uphathwa ngokutshintshwa. Ukuba ukuphuka kwentamo yesifazane akuyiyo yonke indawo yokuhlala (ngaphandle kwesimo), ngoko ukulungiswa kwekhefu kunokuqwalaselwa. Iziqhekeza ezantsi kwentamo ye-femur, ebizwa ngokuthi i-intertrochanteric okanye i-peritrochanteric fractures, iphathwa ngokucoca ngokucoca ngeentonga, iiplate, okanye i-screws. Njengoko kubonisiwe, indlela efanelekileyo yokulungisa i-fracture ethile ingahluke ngokuxhomekeke kwipatheni yokuphuka, ukhetho lwezinyango, kunye nesigulane esithile esiphathwe.
Ukubuyisela ngokufanelekileyo kwi-Hip Fractures
Indlela eyona ndlela yokubuyisela kwi-hip break is to move as soon as possible.
Ukungahambi kakuhle kuvulela umnyango kwiimeko ezinokwenzeka. Ngezizathu ezichazwe ngasentla (ukukhusela i-pneumonia, i-clot yegazi, izilonda zebhedlele, njl.), Kubalulekile ukufumana izigulane kwaye zihambe ngokukhawuleza emva kokuhlinzwa. Kukho iindlela ezininzi zokunceda ukufeza le njongo.
Okubaluleke kakhulu, utyando kufuneka lwenziwe kungekudala emva kokulimala. Kukho ukuphikisana malunga nokuba kungekudala ukuhlinzwa kufuneka kulungiswe ngaphambili, kodwa kungakapheli iiyure ezingama-48 zokulimala, kwaye mhlawumbi kungekudala. Izibhedlele ezininzi zixhotyiswe ngakumbi xa zifumana abantu abaqhekezayo kwiindawo zokuqhutyelwa kuyo ngosuku okanye ngosuku emva kokulimala kwabo.
Kukho imeko apho utyando kufuneka lulibaleke, njengokuba kukho ezinye iinkalo ezinkulu zonyango ezifuneka ziqwalaselwe phambi kwenkqubo yokupasa. Enye imeko eqhelekileyo xa umntu egazini legazi elityhula ikhefu. Iimpembelelo zegazi ezincinciweyo zingadinga ukuguqulwa ngaphambi kokuhlinzwa ngokuphepha.
Isinyathelo sesibini kukukhawuleza ukunyuka emva kokuhlinzwa. Kwiiyure kunye neentsuku emva kokuhlinzwa, abahlengikazi kunye nabagqirha baya kusebenza ukufumana abantu kunye nokuhamba. Nokuba ukuguqula isikhundla kunye nokuhlala phezulu esihlalweni kunokunceda ukukhusela ezinye zeengxaki ezinokuthi zenzeke kubantu abanezihlunu eziphukileyo.
Amathuba okubuyiswa
Ngelishwa, ukubuyiswa ngokupheleleyo emva kokuqhaqha umlenze kwenzeka kuphela kwisiqingatha sabo bonke abantu. Esinye isiqingatha siya kuba nokunyuka komsebenzi xa kuthelekiswa nomgangatho wokuqala wokulimala. Ngokudabukisayo, phantse enye yekota yabantu abaphula i-hip abahlali iminyaka epheleleyo emva kokulimala kwabo. Ngelixa eli qela lithatha ukumela abantu ababuthathaka kakhulu abaphula i-hip, inombolo enkulu ephawulekayo.
Kucacile ukuba, wonke umntu ufuna ukuba ngama-50 ekhulwini labantu abaphinda bafumane umsebenzi wabo opheleleyo. Ukuze wenze njalo, abantu baya kufuneka bafumane oku kulandelayo:
- Ukuhamba: Ukuze amalunga asebenze ngokufanelekileyo, kufuneka ahambe. Idibaniso echithwe kwi-space ingaba nezicubu ezintle zomsila ezijikeleze umdibaniselwano, kodwa ngaphandle kokuhamba ngokufanelekileyo loo misipha ayikwazi ukusebenza ngokufanelekileyo. Ukuhamba kunokunyanzeliswa ngokuphulukana nokuphulukana, ukukhubazeka, ukuveliswa kwezinto eziphathekayo kunye nokubunjwa kwamathambo.
- Amandla : Ukubuyiselwa kwamandla emisipha kubalulekile emva kokuphulwa kwe-hip. Ngokungafani nokubuyiswa kokuhlinzwa ngokutsha, apho umonakalo wemisipha ungancinci, ukuxhatshazwa kokuphuka kwenyama ye-hip kubonakalisa kakhulu umsebenzi we-muscle. Ukuze uvuselele umsebenzi, kubalulekile ukufumana izihlunu zisebenza ngokukhawuleza emva kokuhlinzwa ukuze kuthintele i-atrophy engasigxina yeethambo zomzimba.
- Ukulinganisela : Ukubuyiselwa kwemali kubaluleke kakhulu ekubuyiseleni umsebenzi kodwa nokuthintela ukulimala okungakumbi. Ukulinganisa kubaluleke kakhulu kumsebenzi, kwaye ukuhla kwelo msebenzi kudla ngokuba ngumphumela wokulahlekelwa kwemali. Ukusetyenziswa kwezixhobo ezinokuzenzekelayo (iinqwelo okanye i-walker) kunokuba luncedo, kodwa ukufumana kwakhona ubuchule kunye nokulinganisela kunokunceda ukubuyisela umsebenzi.
Ukuphulukiswa ngokupheleleyo kwintambo ephukile kunokuthatha inyanga ezininzi. Uninzi lwamaqhekeza uthatha iiveki ezili-10-12 zokuphilisa, kwaye amandla omzimba kunye nokuhamba kunokuthatha ixesha elide. Ngokuqhelekileyo, abantu basondela ekubuyiseni kwabo ngokupheleleyo kwiinyanga ezili-6 zokulimala, kodwa kunokuthatha unyaka opheleleyo ukufezekisa ukuphuculwa okuninzi kunokwenzeka. Oko kwathiwa, abantu abanobuqhetseba be-hip bafanelekanga ukulinda iinyanga okanye ixesha elide ukuba babe nefuthe ngeyeza labo. Njengoko ixesha lidlulayo, amathuba okubuya kwakhona emsebenzini ayancipha-ukuzuza okuqinileyo kwenziwa kwangoko kwinkqubo yokubuyisela.
ILizwi
Iimfucu ze-Hip zilimala kakhulu, kwaye ngoxa ukuphucula ngokugcwele kunokwenzeka, akusoloko kufezwa. Enyanisweni, malunga nesiqingatha sabantu abagcina i-hip ephukile baya kunqithwa ngokubanzi emsebenzini nakuba xa amathambo abo ephiliswe ngokupheleleyo. Ngenxa yeso sizathu, ukuhlinzwa ngokukhawuleza, ukulungiswa kwangaphambili kunye nomonde wokubuyiselwa kwexesha elide kubalulekile, kwaye sinethemba lokuba wena okanye umthandayo uya kukwazi ukubuyela kuyo yonke imisebenzi oyithandayo!
> Imithombo:
> Mounasamy V, Guy P, Kates SL. "I-AAOS Iimpawu ezifanelekileyo zokusetyenziswa: unyango lwe-Hip Fractures kwi-Elderly" J Am Acad Orthop Surg. Ngo-2017 ngoMeyi; 25 (5): e105-e108.
> Quinn RH, Mooar PA, Murray JN, Pezold R, Sevarino KS. "Unyango lwe-Hip Fractures kwi-Elderly" J Am Acad Orthop Surg. Ngo-2017 ngoMeyi; 25 (5): e102-e104.
> Quinn RH, Mooar PA, Murray JN, Pezold R, Sevarino KS. "Ukubuyiswa kokubuyiswa komsebenzi we-Low Energy Hip Fractures kwi-Elderly" J Am Acad Orthop Surg. 2017 Jan; 25 (1): e11-e14.