Ukulimala kwiThambo kunye neTyunus Soft Tissue kunye noKhuseleko lweKhumba
Ukuqhekeka okuvulekileyo yiphunga eliphukile elingena esikhumbeni. Oku kubaluleka kubalulekile kuba xa i-bone ephukile ingena esikhwameni kukho imfuno yonyango olukhawulezileyo, kwaye kufuneka kusebenze ukuba kucocwe indawo yokuphuka. Ukongezelela, ngenxa yengozi yokusuleleka, kukho ezininzi iingxaki ezinxulumene nokuphilisa xa ikhefu livulekile kwesikhumba.
Iimfucu ezivulekileyo zibangelwa ukulimala kwamandla amakhulu ezifana nokuphazamiseka kwemoto, ukuwa, okanye ukulimala kwezemidlalo. UJoe Theismann, umdlali webhola webhola, wayeziqhenya ngokugqithiseleyo umsebenzi wakhe kunye nokuvuleka okuvulekileyo kwithelevishini kazwelonke.
Ubunzima bokuqhekeka okuvulekileyo ngokuqhelekileyo kufakwa ngokwemigaqo ebizwa ngokuba yi- Gustilo-Anderson evulekileyo yokuhlukanisa inkqubo . Le nkqubo yohlulo inikezela ngolwazi malunga nokusulelwa kwintsholongwane kunye nexesha elilindelekileyo lokuphulukiswa kwephulwa evulekile.
Usulelo kunye neFree Fractures
Zonke iziqheko ezivulekile zibhekwa zingcolile ngenxa yokunxibelelana phakathi kwendawo yokuphulwa kunye nommandla ongaphandle komzimba. Nangona iqondo langempela lokungcola lingahluka, zonke iintlobo ezivulekileyo zimele zicatshangelwe zingcolisiwe. Ubungozi bokuthi iibhaktheriya zangena kwindawo yokuqhekeka kuxhomekeke kwinani lezinto eziguqukayo eziquka ubunzima bokulimala, umonakalo kwizicubu ezithambileyo kunye nommandla apho kwenzeka khona ukulimala.
Iibhaktheriya ezinokwenzeka ukuba zingcolise isilonda yi-bhakteria evamile efumaneka kwiphepha lomzimba wakho. Yingakho ininzi yezifo ezithintekayo ezivulekileyo zihlambulukile ngeStap okanye Strep infections. Ukuvuleka kweziqhekeza ezinyaweni kunokubandakanya ezinye iibhaktheriya. Ukongezelela, ukuvuleka okuvulekileyo kwimihlaba ethile kungakhokelela ekuhleni kwiibhaktheriya ezithile.
Ngokomzekelo, abalimi abagcina izifucu ezivulekileyo ezingcoliswe yintsimi yeefama zineentlobo ezahlukeneyo zokusuleleka ezinokufuna unyango oluthile lwamachiza.
Unyango lweeFractures ezivulekileyo
Ukuvulwa kwamafayibhule kufuna ukuhlinzwa ngokukhawuleza ukucoca indawo yokulimala. Ngenxa yokuphuka kwesikhumba, i-debris kunye nosulelo luyakwazi ukuhamba kwindawo eyahlukileyo, kwaye lukhokelela kwizinga eliphezulu lokusuleleka kwithambo. Emva kokuba usulelekileyo usulelekile, inokuba yinkinga enzima ukuyicombulula.
Isikhathi sokuhlinzwa singumxholo weengxoxo, njengoko oogqirha bamazinyo zithethe bacebisa ukuhlinzwa emva kweeyure ezintandathu zokulimala. Ngoku kutshanje, enye idatha ixhasa ukuhlinzwa okwenziwa ngokukhawuleza, kodwa kungakapheli iiyure ezingama-24 zokulimala.
Ukongezelela ekucoceni kokutyunjwa kwesilonda, unyango lufanele lubandakanye i-antibiotiki ezifanelekileyo kunye nokuzinza kwephulwa. Izigulane kufuneka zitholwe i- tetanus shot if they are not up-to-date okanye ingazi imeko yabo yokugoma.
Unyango lwamayeza olusisiseko lwamathambo lufuna ukuhlinzwa kangangoko, unyango lwexesha elide kunye neengxaki zexesha elide. Ngoko ke, yonke imizamo yenzelwe ukukhusela le ngxaki enokuyinyanga yokuqala.
Nangona kukho unyango lokuqala, izigulane ezinokuqhekeka okuvulekile ziyakwazi ukufumana izifo ezithintekayo.
Ukubuyisela kwi-Open Fracture
Ukuvulwa kwamafayibhule ngokuqhelekileyo kuthatha ixesha elide ukuphilisa ngenxa yokulimala kwithambo kunye nezicubu ezincinci. Iintlobo ezivulekileyo zinezinga eliphezulu leengxaki ezifana nokusuleleka kunye nokungabambisani . Ukwelashwa ngexesha elifanelekileyo kunokunceda ukuphepha iingxaki ezichaphazelekayo. Ukunyamekela kwangxamisekileyo kuya kubandakanya i-antibiotics, ukucoca kwendawo yokuqhawuka, kunye nokuzinza kwamathambo.
Ngaphandle kwezi nyathelo ezifanelekileyo zonyango, ukuphilisa ukuvuleka okuvulekileyo kuthatha ixesha elide kunye nokulimala okuqhathaniswayo kwintlungu.
Ngokomzekelo, ukuba i-tibia fracture iyingozi yokuvalwa, kungathatha iinyanga ezi-3 zokuphulukisa apho ukuphuka okuvulekileyo kungathabatha iiveki ezi-4 ukuya kude nangona ipropati yefracture ifana. Njengoko ubunzima beqhekeza evulekile, ukwanda kweengxaki, kunye nobude bexesha lokuphulukisa, kwandisa ngokwaneleyo.
ILizwi
Vula amaqhekeza okanye ukulimala kakhulu okufuna unyango oluphuthumayo. Nangona kukho ukuhluka kwiprotocol efanelekileyo yokulawulwa kwephulwa evulekile, ngokubanzi baya kuhlala befuna ukulawulwa kwee-antibiotics kunye nokucoca ukucoca. Ukongezelela, ukuxela okulandelayo emva kokuqhekeka okuvulekileyo kuxhomekeke kubuqili bokulimala kwezicubu. Ngokubanzi, umngcipheko wenkcenkceshe kuquka ukusuleleka kunye nokulibazisa ukuphulukiswa kuphakamileyo xa ukulimala kwezicubu ezincinci kunzima kakhulu.
Imithombo:
> Halawi MJ, MP MP. Ulawulo oluPhambili lweeFractures ezivulekileyo: UkuHlola okuSebenzisiweyo "I-Orthopedics. 2015 Nov; 38 (11): e1025-33.