Izindandatho zigqithiselwe ukuba zikhumbuze, ngokuqhelekileyo zifanekisela umcimbi obalulekileyo. Nangona iinqununu zomtshato, iintambo zokubambisana, okanye nayiphi na enye ingcongolo ithetha ukuba ube yingxenye yakho, akutsho ukuba uthathe umunwe wakho. Qinisekiswa: iyakwazi. Ukulimala kwiminwe, ebizwa ngokuba yingozi yokulimala, ingaba yingozi, ibe iholele ekulahlekelweni komnwe.
Ngokuvakalayo ukulimala okubangelwa ukuvuswa kweendandatho akubukeli kakubi okokuqala, kodwa kwanokulawulwa ngogqirha, kunokukhokelela ekutshitsheni . Kubalulekile ukuba naliphi na ixesha lokulimala lwenzeka komnye weminwe yakho ngelixa uthabathe ingqungquthela, kodwa ukuvavanya okufanelekileyo kunye neengcali zonyango ziyafumaneka ngexesha elifanelekileyo.
Ukulimala kweeVulsion Vulsion
Ukulimala kwe-ring avulsion kwenzeka xa isalathiso esagqunywe ngomnwe sitshitshiswa ngamandla eminwe ebangela umonakalo kwizicubu ezithambileyo zomnwe. Ngokuphindaphindiweyo amaxesha, ukulimala kubonakala kuncinci, mhlawumbi ukulimala kancinci okanye kungabi nesikhumba, kodwa ubunzima bokulimala bunokuba bunzima kakhulu. Okugqithiseleyo, imida encinci yegazi yomnwe ingonakaliswe ekubangela ukuba umunwe uphulukane negazi.
Ezi nzakala zivela ngenxa yabantu abasebenzisa umatshini obamba isalathisi, okanye umntu owela aze afikelele ekuqondeni into kuphela ukumbamba ingcongolo.
Ngokomzekelo, umculi uJimmy Fallon utshanje ukulimala apho wahlutha umbhoxo waza wambamba indondo yakhe, ekugqibeleni efuna ukuhlinzwa okude kweeyure kunye nokuvuselelwa.
Ukulimala kwe-avulsion kudibanisa kulandelwa ngolu hlobo lulandelayo:
- Iklasi I: ukujikeleza okwaneleyo
- Iklasi II: ukusasazwa okwaneleyo
- Iklasi ye-III: ukugqiba isigwebo
Njengoko kubonisiwe, inkxalabo ephambili kukuba ukuphuma kwegazi kuya kwidijithi. Ukongezelela ukulawula ukulimala kwe-vascular, i-thrombosis ye-arterium iyakhula ngeeyure okanye iintsuku emva kokulimala. Imithambo yegazi ingonakaliswe ngelixa i-bone kunye neethambo zingazange zenzakaliswe, kwaye isikhumba sinokuthi siphume. Ngoko ke, nangona umnwe ugoba kwaye ungagxothwa, ukulimala kwindleko yokuvuswa kufuneka kuhlolisiswe ngokucophelela kwaye kujongwe.
Unyango
Ukunyangwa kwengozi ekhunjulwayo yokulimala kufuneka kubandakanye uvavanyo ngunyango lwezonyango olungakwazi ukuvavanya ngokufanelekileyo ukuba kwenzeke ukulimala kwamathambo. Ukongezelela, ulusu, izibilini, iintambo, iigaments, kunye namathambo kufuneka zihlolwe ukuba zenze ukuba unyango luyimfuneko. Xa unyango luyadingeka, ukulungiswa kwe-microvascular yonyango oluqhelekileyo. Oku kuqhutyelwa ngunyango wesandla okanye uphando lobugcisa beplastiki . Ukulimala kweKlasi III kunokucatshangelwa ukuhluthwa (ukufakwa kwakhona) komnwe , kodwa oku kutyunjwa ukuba akunakwenzeka ngokuxhomekeka kwinqanaba le-tissue tissue.
Kubalulekile ukuba uqaphele, ukuba nangona unyango olufanelekileyo, ukulimala kweCandelo II kunokwenzeka ukuba i- ischemia yomnwe (ukungeneli kwegazi okwaneleyo), oko kungadinga ukukhishwa.
Nangona xa ubunzima bokubandezeleka bubonakala kwangaphambili, kwaye unyango olufanelekileyo luqalisiwe, iimethambo zegazi eziphinda zilungele ukusebenza ngokuqhelekileyo.
Ngenxa yobunzima bezinto ezimele, indawo ezininzi zokusebenzela zifuna abasebenzi ukuba basuse amasongo phambi kokusebenza. Oku kubaluleke kakhulu kubasebenzi abasebenzela uomatshini okanye izixhobo ezinokubamba okanye ukubambelela kumunwe onqabileyo. Abantu abanandipha imisebenzi yokuphucula ekhaya okanye imisebenzi yezemidlalo kufuneka baqaphele kwaye basuse izindandatho ngaphambi kwezi zinto. Ngokuqinisekileyo, abadlali bezemidlalo basusa lolu hlobo lwezinto zobungcweti ngaphambi kokuba badlale imidlalo yemidlalo okanye yokunxibelelana.
Umngcipheko wokulimala unganakwenzeka, kodwa ukususa nje indandatho eminwe kunokuthintela inkathazo enobungozi.
ILizwi
Yibhanti yomtshato, kunye neengxoxo zokubambisana, ikhonkco yeklasi, okanye nayiphi na enye ingubo egqithwe ngomnwe, kunokubakho ingxaki enkulu ngenxa yokulimala ngelixa uvale ingcongolo eminwe. Into ekhuselekileyo ukuyenza kukuba uzame ukususa iigugu ngaphambi kokuba wenze nayiphi na imisebenzi efana nemidlalo yokuqhagamshelana okanye ukuphakamisa okunzima. Ukuthatha amanyathelo amancinci kunokuthintela ukulimala kwingozi. Xa ukulimala kwenzeka emnineni xa ugqoke isalathisi, qiniseka ukuba umunwe uvavanywa kwimiva, imithana yegazi kunye nezinye iiscuphu ezithambileyo zisebenza ngokuqhelekileyo. Susa umtya ngokukhawuleza kunokwenzeka ukukhusela nayiphi na umonakalo kwizicubu ezithambileyo. Ukuba kukho nayiphi na umbuzo wobunzima, funa ingqwalaselo yonyango ngokukhawuleza njengoko unyango olunyanzelisiweyo lunokubangela iziphumo ezingaphezulu.
Imithombo:
Crosby N, et al. "Ukulimala kwintonga yomnwe: ukulandelelana kwexesha elide" Isandla se-2014 Sep; 9 (3): 274-81.