Ukubuyiselwa kwesilathisi esiphukileyo
Ukuqhekeka kwama-Colles kukuphuka kwisithambo somzimba, elinye lamathambo enqwelwana eduze kwesandla. Iqhekeza ngokuqhelekileyo livela xa uwela esandleni sakho eseluliweyo . Xa ufika kwisandla sakho, isiphelo sakho sothambo siphume kwaye siqhutyelwa kwisandla sakho sangaphakathi. Ukuba uwela esandleni sakho kunye nesandla sikwimeko eguquguqukayo, i-radius iyakwazi ukuphuka ize ihambe phambi kwekhanda lakho.
Oku kubizwa ngokuba yiSmith.
Izibonakaliso eziqhelekileyo zokuqhekeka kwamathole
Ukuba unesixinzelelo esibuhlungu kwisandla sakho okanye uwele esandleni sakho okanye nasesandleni sakho, unakho ukuphulwa kwamabala. Impawu eziqhelekileyo kunye neempawu zokuphulwa kwesandla okanye ukuhlukana kwamaColisi ziquka:
- Ubuhlungu
- Ukuvulela ingalo, isandla, okanye isandla
- Ukunyakaza
- Ukulahleka kokuhamba kwiseli
- Ukukhubazeka kwintonga kwinqanaba elingasemva kwesalathisi sakho kufuphi nesandla sakho
I-Treatment yokuqala yoLwahlulo lweeKlebhu
Ukuba uwile kwaye wenzakalisa isandla sakho kunye nesandla kwaye usola ukuba uye wahlulwa iColles, kufuneka ufune unyango ngokukhawuleza. Kha wuleza ugqirha wakho okanye ubike kwiSebe lakho lezengxamiseko . Ukungaphumeleli ukwenza oko kunokubangela iingxaki ezinzulu kunye nokulahlekelwa ngonaphakade kwengalo nokusebenza kwesandla. Ukuxilonga kwephunga lesandla kwenziwe ngumfanekiso we- x-ray .
Ngenxa yentlungu kunye nokuvuvukala okwenzeka ngokuphuka, unokufisa ukubeka iqhwa kwisandla sakho nangesandla uze ufike kwigqirha lakho okanye kwigumbi lexakeka.
Umgaqo we- RICE wokulimala kancinci unokunceda ukugcina ukukhukhumeza phantsi kolawulo kunye nentlungu iyancipha kuze kube ngunyango lonyango lunokunceda unyango.
Uphulo lokuqala lwe-Colles's breaking breaks is to be broken. Yilapho ugqirha wakho ehlala khona ephukile amathambo okanye amathambo kwindawo echanekileyo ukwenzela ukuba ukuphilisa okufanelekileyo kunokwenzeka.
Oku kwenziwa ngokwenza ukuba i-bone ephukile ayishukunyiswa kude. Ukuba i-fracture inzima, inqubo yokucocwa ebizwa ngokuthi ukulungiswa kwangaphakathi ngaphakathi (ORIF) kunokufuneka ukuba ukunciphise ukuphuka.
Xa ukuphuka kwekhanda lakho kuncitshisiwe, kufuneka kuphelelwe amandla. Oku kwenziwa ngephostiki okanye i-brace. Kwakhona unokufuneka ukuba unxibe ingalo yakho kwisikhwama. Unokudinga ukutyelela umphathiswa wenyama ukuze ufunde indlela yokugqoka ngokufanelekileyo umtya wakho. Kubalulekile ukugcina amathambo aphelelwe amandla ukuze ukuphiliswa okufanelekileyo kwenzeke. Qinisekisa ukuba uthethe nodokotela wakho ukuba unemibuzo malunga nokuphosa kwakho, ukubethela okanye ukukhangela.
Ulwaphulo lweMpilo Emva kweNtshukumo yamaKlebhu
Emva kweeyure ezi-ezine ukuya kweyesithandathu, ukugqithisa ugqirha wakho unokususa i-cast and ungathunyelwa kwipilisi. Ezinye zeemeko eziqhelekileyo ukuba umgqirha wakho womzimba angazilinganisa kwaye ahlolisise zibandakanya uluhlu lwezithuthi (ROM) , amandla , intlungu kunye nokuvuvukala. Ukuba unayo i-ORIF yokunciphisa i-fracture, umguqirha wakho wenyama unokuvavanya izicubu zakho zokubala . Unokuphinda ahlalutye isandla sakho, isandla, nesandla somsebenzi.
Emva kokuvavanya kwakho okokuqala, umphathiswa wakho wenyama uya kusebenza nawe ukuphuhlisa isicwangciso socwangciso olufanelekileyo sokunceda ukuphucula ukukhubazeka kunye nokunciphisa okusebenzayo .
Qiniseka ukuba ubuze nayiphi na imibuzo xa unayo. I-PT yakho inokumisela inkqubo ethile yokuzilolonga emva kokuphulwa kwamaKlebhu akho .
Ukuhamba kwesindululo . Emva kokuqhekeka kwamaKoleni, unokulahlekelwa ukuhamba okukhulu esandleni, isandla, kunye nelokwe. Igxalaba lakho linokuthi linzima, ngakumbi ukuba unxibe i-sling . Uluhlu lwezenzo zokunyuka kwesandla, isandla, kunye neendlovu zinokumiselwa, kwaye unokwenza uqeqesho lweROM ekhaya.
Amandla . Ukulahlekelwa kwamandla kuqhelekile emva kokuqhekeka kwamaKlebhu. Ukuzivocavoca okujoliswe kwisandla, isandla kunye nesandla seelbow kunokumiselwa. Kwakhona, unokufunwa ukwenza iimvavanyo ekhaya ukuze uthole iziphumo ezilungileyo kumathambo angokwenyama .
Ubuhlungu kunye nokuvuvukala . Emva kokuphuka kwamaKlebhu, unokuba neentlungu kunye nokuvuvukala ecaleni kwesandla sakho nesandla. Umgulana wakho wenyama unokukunika unyango oluthile kunye neendlela zokuncedisa ukunciphisa ukuvuvukala nentlungu.
Isisindo somzimba . Ukuba unayo inqubo ye-ORIF yokunciphisa ukuhlukana kwamaKolisi, kuya kubakho iishubhu ezibomvu eziye zaphuhliswa ngokukhawuleza ukukhangela. Umgulana wakho womzimba angenza i-massage ye-tiscu ebomvu kunye nokukhuthaza ukuphucula ukuhamba kwebala lakho. Inokukufundisa kwakhona indlela yokwenza ngayo wena.
Emva kweeveki ezimbalwa zonyango lomzimba, kufuneka uqaphele ukuba ukuhamba kwakho kunye namandla akho ukuphucula ngelixa intlungu kunye nokuvuvukala kwakho kunciphisa. Unokufumana kulula ukusebenzisa ingalo yakho nesandla ukwenza imisebenzi esebenzayo. Ngoxa i-fracture kufuneka iphilise ngokupheleleyo iiveki ezintandathu ukuya kweebhozo emva kokulimala, usenokuba luncinci ukuya kwiiveki ezi-12 ukuya kwezi-16. Qiniseka ukuba usebenze ngokusondeleyo kunye nogqirha wakho kunye nomzimba wenyama ukuze ukwazi ukuba ulindele ntoni.
Isalathisi esiphukileyo okanye ukuhlukana kwamaKoliti kunokuba ngamava obuhlungu kunye namaxhala. Kungaba nzima ukuba usebenzise isandla sakho nengalo ukwenza imisebenzi eyisiseko efana nokugqoka, ukuzondla okanye ukuxubusha iinwele zakho. Usenokungakwazi ukwenza umsebenzi wakho okanye uhlanganyele kwimisebenzi yokuzonwabisa. Ingcali yakho yomzimba ingakunceda ukuphucula ukuhamba kwakho okusebenzayo ukuqinisekisa ukuba unokukhawuleza ukubuyela kwimisebenzi eqhelekileyo.
Umthombo:
Hertling. , & Kessler, R. (2005). Ulawulo lweengxaki eziqhelekileyo ze-musculoskeletal: imigaqo yonyango kunye neendlela. (4 ed.) ULippincott Williams noWilkins.