Ulwaphulo oluthile lwe-elbow ephukile lunokukunceda ubuyisele uluhlu lwe-motion, amandla kunye nokusetyenziswa ngokubanzi kwesandla sakho. Ukuphuka kwesibhozo kungabangela ukulimala okubuhlungu. Ingakhokelela ekuhlahleni kweengalo, ihlombe kunye nesandla. Ukuqhekeka kwesibhozo kunganciphisa amandla akho okusebenza, wenze imisebenzi yasekhaya, okanye uthathe inxaxheba kwimisebenzi yokuzonwabisa.
Ingqungquthela ibambisene apho isifuba lesengalo (humerus) lidibana namathambo e-forearm (radius kunye ne-ulna). Ukuphela kwebony ye-ulna kuthiwa inkqubo ye-olecranon. Le yithambo ovakalelwa ngayo xa uncikila i -bowbow yakho etafileni. Kukho izikhonkco ezininzi ze-muscular ezikujikelezayo kwinqanaba elikunceda ukuhambisa ingalo yakho, isandla kunye nesandla. Amathambo enqabileyo axhunyiwe kunye nemigqa engxenyeni yangaphakathi nangaphandle yengalo yakho.
Izizathu ze-Elbow Fractures
Ingabonakala ibonakala, kodwa imbangela eqhelekileyo yokuphuka kwe-elbow isifo esiyingozi kwingalo yakho kufuphi nekholeji yakho. Oku kungakho ngenxa yokuwa ekhokheni okanye ingalo eyeluliweyo, izingozi zeemoto okanye ukulimala okunxulumene nemidlalo. Ezi nzakalo zenzeka ngokukhawuleza kwaye ngokuqhelekileyo zibangelwa ibutho elininzi elinikezelwa kwingalo yakho.
Iimpawu ze-Elbow Fracture
Impawu eziqhelekileyo ze-elbow ephukile zibandakanya:
- Ubuhlungu kwintendelezo, ingalo engaphezulu, okanye ingxube
- Ukuvuvukala ngeenxa zonke
- Ukuqhaqhazela okanye ukuguqulwa kweenxa zonke
- Ukulahleka kwesindululo malunga nomgca okanye iphambili
- Ukuguqulwa (njengentsimbi okanye i-bump) kufuphi nomgca okanye ingalo
Ukuba uyakrokrela ukuba uchithekile i-elbow fracture, kufuneka ufune unyango ngokukhawuleza. Ukungaphumeleli ukuxela ugqirha okanye isebe lezantlupheko zengingqi kungabangela umonakalo osisigxina okanye ukulahleka komsebenzi kwisandla sakho nasesandleni.
Ulwaphulo lwe-Elbow lufunyenwe njani kwaye lugqityiwe?
I-x-ray isetyenziselwa ukuxilonga ukuphuka kwe-elbow . I-x-ray ingabonisa ukubekwa kwamathambo kwaye inokukunceda ugqirha wakho anqume indlela engcono yokulungisa i-elbow yakho. Ngamanye amaxesha i-CT isetyenziselwa ukufumana imbono engcono yamathambo enqabileyo yakho kwaye ubone ukuba i-joint joint in your bow is injured.
Emva kokuxilongwa kwendlovu ephukile , udokotela wakho uya kunciphisa ukuphuka . Le yinkqubo apho amathambo akho e -bowbow efakwe kwindawo echanekileyo ukwenzela ukuba ukuphilisa okunokwenzeka kunokwenzeka. Ukunciphisa i-elbow ephukile kungenziwa ngesandla. Ukuba i-fracture ilukhuni, ungadinga inkqubo yokucoca ebizwa ngokuthi ukulungiswa kwangaphakathi ngaphakathi (ORIF) ukunceda ukulungelelanisa amathambo. Ugqirha wakho uya kunceda uqonde indlela efuneka ngayo ukunciphisa i-elbow yakho.
Emva kokuphuka kwebhola lakho liyancishiswa, unokufunwa ukuba unxibe i-brace okanye ityling. Ngezinye izihlandlo ukukhangela kuya kusetyenziswa, nangona kubonakale ukuba ukuchithwa kwe-elbow fracture nge casting kungabangela ubunzima obunzima kunye nokulahleka okungapheliyo kokuhamba.
Ulwaphulo lweMpilo emva kokuphuka kwe-Elbow
Ingxaki enkulu ngophuko lwe-elbow is stiffness enqanda ukuhamba kwesantya.
Ngamanye amaxesha, olu lukhuni luqhubeka lude emva kokuba amathambo aphukile aphilise. Ngako oko, ugqirha wakho unokuthi uqale unyango lomzimba kungekudala emva kokulimala ukunceda ukuzisa isantya sokuqala kwindoda yakho yokuphilisa.
Ingcali yakho yomzimba ingasebenza nawe ukukunceda ubuye usebenzise ngokuqhelekileyo umlenze wakho nengalo. Unokusebenzisa unyango oluninzi lwezonyango kunye neendlela zokuncedisa ukuba ubuyele ngokukhawuleza kwimisebenzi eqhelekileyo. Ezinye iziphazamiso ezinokuthi zisebenze kwiziko lonyango zingabandakanya:
Inkqubo yokunyakaza : Enye yeenjongo eziphambili zonyango lomzimba emva kokuqhaqhazela kwe-elbow ukubuyisela isiqhelo sokuhamba kwesigxina .
Ingqungquthela yinto edibeneyo evumela ukuba ugobe ingalo yakho okanye uphendule isandla sakho. Ukusebenza ekubuyiseleni uhla olupheleleyo lwe-elbow kunye ne-frontarm kubaluleke kakhulu ukuphinda usebenzise ngokuqhelekileyo ingalo yakho.
Ukuba uluhlu lwakho lokulahleka kokunyuka luyingozi, umgulana wakho womzimba unokuthi unxibe ubuqaqawuli obunamandla. Lo ngumthwalo ogqithwe entwasahlobo oguguweyo ngalo lonke usuku olunikeza umthwalo ongezantsi umthwalo wakho wokudibanisa ukukunceda ukuphucula uluhlu lwezithuthi. Ubuqhekeza bungasetyenziselwa ukuphucula i-flexion (ukuguqa) okanye ukongezwa (ukulungiswa) kwebhola lakho.
Amandla : Emva kokuqhaqhazela kwe-elbow, intlungu kunye nokuvuvukala kwinqanaba lakho kunokukugcina ungasebenzisi ingalo yakho. Unokufuneka ukuba unxibe ingalo yakho kwisikhwama, ngaloo ndlela unciphise ukusetyenziswa kwesalathisi sakho, isandla kunye nesandla. Ukuba unayo i-ORIF yokunciphisa i-elbow fracture, izihlunu ezijikeleze ukutyunjwa kweso sigulo zingadinga ixesha lokuphilisa. Eli xesha lokusetyenziswa kakubi kunokubangela ukulahleka okukhulu kwamandla okujikeleza umlenze wakho, ihlombe, isandla kunye nesandla.
Umgulana wakho wenyama unokufundisa ukuba ukhuthaze umzimba wakho wegxala kunye neelbow. Unako kwakhona ukunikezela izakhono zokunceda ukuphucula isandla kunye nesandla somandla esinokukunceda ukuba uphinde usebenzise ingalo yakho.
Ukuba unxibe i-sling , umphathiswa wakho wenyama unokukufundisa indlela efanelekileyo yokugqoka isalathisi kwaye unokuqinisekisa ukuba ihambelana ngokufanelekileyo. Unako kwakhona ukunikezela izandla zesandla sakho ukuqinisekisa ukuba amandla akho okubuyisela abuyela kumanqanaba akho okulimala.
Ubuhlungu kunye nokuvuvukala: Emva kokuqhekeka kwe-elbow, unakho ukuvuvukala ecaleni lakho. Umgulana wakho womzimba unokukunceda ukuphatha intlungu kunye nokuvuvukala ngeendlela ezahlukeneyo ezifana nokuvuselela ugesi kunye neqhwa . Ingxelo yamva nje yakuthatywayo ifumene ukuba ukulawula i-elbow fracture kunye ne-shortweve diathermy
Isiqwenga somzimba : Ukuba unayo i-ORIF yokunciphisa i-elbow fracture yakho, ugqirha wakho womzimba unokukunceda ukulawula izicubu ezibomvu ezinokuthi zibe khona ngenxa yokuhlinzwa. I-Scar tissue massage kunye nokubambisana kunokufuneka ukuba uncede ukuphucula ukuhamba kwebala. Ingcali yakho yomzimba ingakufundisa iindlela zokuzicoca umzimba ongayenza ekhaya.
Ukubuyela Kuqhelekileyo
Ukuqhekeka kwesibhakabhaka sakho kufuneka siphulukiswe ngokupheleleyo malunga neenyanga ezimbini emva kokulimala kwaye kufuneka usebenzise ngokuqhelekileyo ingalo yakho malunga neenyanga ezintathu emva kokulimala. Kuqhelekile ukuba ufumane ukulahleka okulula kokuhamba emva kolu xesha, ngoko kubaluleke kakhulu ukuqhubela phambili uluhlu lweziphakamiso kunye nokusebenza kwamandla owazifundela kunyango. I-ounce yokuthintela ifanelekile iipilisi yokunyanga, ngoko qhubeka uhamba neprogram yakho yasekhaya emva kokuba iP PT isondele. Qiniseka ukuba uxoxe nodokotela wakho ukuba yintoni isiphumo esilindelekileyo kwiimeko zakho kunye nephulo lakho.
ILizwi
Ulwaphulo olwenziwe emva kokuqhekeka kwe-elbow lungakunceda ekukhuseleni ukuhamba kwangaphambili. Inokukunceda ukuba ubuyisele amandla oqhelekileyo kwaye usebenze ngengalo yakho ngelixa unceda ukulawula intlungu kunye nokuvuvukala onokukufumana. Ukusebenza ngokusondeleyo kunye nogqirha wakho kunye nomzimba wonyango kunokukunceda ngokukhawuleza kwaye ubuyele ngokusemthethweni kwimisebenzi eqhelekileyo emva kokuqhekeka kwe-elbow.
Imithombo:
I-Draper, D kunye ne-Veazey, E. I-pudsed shortwave diathermy kunye ne-joint mobilizations ibuyisela i-elbow-ephahliweyo i-elbow eneempembelelo zetsimbi ukuhamba ngokubanzi. Heighpubs Journal of Novel Physiotherapy kunye nokuvuselelwa. 2107; 1: 020-026.
> Hertling & Kessler, R. (2005). Ulawulo lweengxaki eziqhelekileyo ze-musculoskeletal: imigaqo yonyango kunye neendlela. (4 ed.) ULippincott Williams noWilkins.