Ngaba wakha waba sengozini enkulu yemoto, okanye wawa kwindawo ephakamileyo, waza waziva iintlungu ezinganyamezelekiyo esinqeni sakho? Ngamanye amaxesha iintlungu zinokuba nzima kangangokuba awukwazi nokushukumisa umlenze wakho. Abantu abaninzi bacinga ukuba, "Owu, isinqe sam saphukile." Kodwa ngamanye amaxesha oku kunokuba nzima ngakumbi kunokuqhekeka kwesinqe nje, kwaye kunokuba kukuqhekeka okufuna ingqalelo eninzi. Le yenye yeemeko ezinzulu esithetha ngazo namhlanje, i-Acetabular Fracture.
Ngamafutshane, yintoni i-Acetabular Fracture?
Ukuze sikuqonde oku, masiqale sijonge indlela elakhiwe ngayo ithambo lethu lesinqe. Cinga ngesinqe sethu njengomxube webhola kunye nesokhethi. Oku kubizwa ngokuba yi-"ball-and-socket".
- Ibhola: Le yinxalenye engqukuva ephezu kwethambo lethu lethanga. Ngokwezonyango, le nxalenye siyibiza ngokuba yi-"Femoral head".
- Isokhethi: Le bhola ingena kwisakhiwo esifana nekomityi kwi-pelvis yethu esibizwa ngokuba yi-acetabulum .
Eli lungu limangalisayo lisinceda ukuba senze zonke iintlobo zeentshukumo, ezinje ngokuhamba, ukubaleka, ukugoba, kunye nokolula imilenze yethu. Ngoko ke, i-Acetabular Fracture kukuqhekeka kwe-socket (Acetabulum) esinqeni. Oku kudla ngokuba kungaphantsi kokuqhekeka kwethambo elingaphezulu lesinqe, kodwa kunokuba yingozi kakhulu ukuba kuyenzeka.
Ziziphi iipateni ezahlukeneyo kunye neentlobo zezi khefu?
I-acetabulum ingaqhekeka ngeendlela ezahlukeneyo, kwiindawo ezahlukeneyo. Oogqirha bahlulahlula la maqhekeka ngokusekwe kwindawo akuyo kunye nendlela aqhekeke ngayo. Makhe sijonge iintlobo eziphambili.
| Uhlobo lokuqhekeka | Ingcaciso elula |
|---|---|
| Ukuqhekeka kodonga olungaphambili | Ukuqhekeka kodonga olungaphambili okanye umda wesokhethi yesinqe. |
| Ukuqhekeka kodonga olungasemva | Ukuqhekeka kodonga okanye umda wecala elingasemva lesokethi yesinqe. |
| Ukuqhekeka okujijekileyo | I-acetabulum iyaphuka ngokuthe tye, kwiqondo lobushushu eliyi-90 degrees. |
| Ukuqhekeka okubangelwa yi-comminuted | Oku kuqatha kancinci. Ithambo laphulwe laziingceba ezingaphezu kwezibini. |
| Ukwaphuka koxinzelelo | Iqhekeza elincinci kakhulu, elithambileyo emathanjeni elibangelwa luxinzelelo oluhlala ixesha elide (umz., kubadlali). |
Uyibona njani into yokuba ukwahlukana kuyingozi kangakanani?
Ngamanye amaxesha eli thambo liyaqhekeka libe ziingceba ezimbini, ngamanye amaxesha liyaqhekeka libe ziingceba. Ugqirha wakho uza kuqwalasela izinto ezininzi ukuze abone ukuba ungakanani na umonakalo owaphukileyo.
- Inani kunye nobungakanani beziqwenga zamathambo aphukileyo: Okukhona iziqwenga zininzi, kokukhona imeko iba mandundu.
- Ukuba iziqwenga zamathambo zisuke kangakanani kwindawo yazo yokuqala: Ukuba uninzi lweziqwenga zamathambo lususiwe, utyando lunokufuneka.
- Ukonakala kwe-cartilage ejoyintini: Ukuba i-cartilage enceda ukusebenza kakuhle kwejoyinti yonakele, iimeko ezifana ne-arthritis zinokwenzeka kwixesha elizayo.
- Ukonakala kwemisipha, imithambo-luvo, kunye nolusu olujikeleze isinqe.
Into enye ekufuneka uyikhumbule kukuqhekeka okuvulekileyo okanye okudibeneyo . Oku kuthetha ukuba iqhekeza lethambo eliphukileyo liqhekekile eluswini kwaye liphuma. Le yimeko embi kakhulu. Kuba kukho amathuba aphezulu okuba iintsholongwane zingangena ethanjeni ngenxeba zize zibangele usulelo olukhulu.
Kutheni kukho ukwahlukana okungaka?
Amathambo ebhanti yethu ye-pelvic, kuquka ne-acetabulum, anamandla kakhulu. Ngoko ke kufuneka amandla amakhulu ukuwaphula. Ezona zinto zixhaphakileyo zeso simo zezi:
- Iingozi ezinzulu: Izinto ezifana neengozi zeemoto nezeebhayisekile.
- Ukuwa usuka kwindawo ephakamileyo: Ukuwa usuka kwindawo ephakamileyo, njengomthi okanye isakhiwo.
Kodwa akufuneki ukuba kube yingozi enkulu rhoqo. Ezi zaphuko zinokwenzeka nakubantu abanamathambo abuthathaka , ingakumbi abo bane-osteoporosis, isifo esibangela ukuba amathambo abe mancinci njengoko sikhula.Umntu omdala onesi sifo unokufumana ukwaphuka okukhulu ngolu hlobo nokuba angatyibilika aze awe ekhaya.
Zithini iimpawu zoku?
Uphawu oluphambili nolucacileyo lokuqhekeka kwe-acetabular yintlungu enganyamezelekiyo, eqatha kwindawo yesinqe. Le ntlungu iba mandundu ukuba uzama ukuhambisa umlenze.
Ukongeza, ukuba ukwaphuka konakele imithambo-luvo ekufutshane, unokufumana iimpawu ezifana nezi:
- Ukuba ndindisholo okanye ukuziva ngathi kukho umbane otshonileyo emlenzeni.
- Ukuba ndindisholo okanye ubuthathaka emlenzeni.
Ukuba unale mpawu, kuya kufuneka uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
Ugqirha uyixilonga njani le nto?
Ugqirha okuhlolayo uza kuqala ahlolisise isinqe sakho, izinqe zakho kunye nemilenze yakho ngononophelo. Kwakhona,
- Uza kucelwa ukuba ushukumise amaqatha neenzwane zakho ukuze ujonge umonakalo wemithambo-luvo.
- Ngokuxhomekeke kuhlobo lwengozi , nezinye iingozi ziyajongwa.
Emva koko, ukuqinisekisa uhlobo oluchanekileyo lokwaphuka kunye nokuqonda ubukhali bako, kwenziwa uvavanyo olufana nolu:
- I-X-reyi: Oku kungabonisa ukuba ngawaphi amathambo esinqeni aphukileyo kunye nendlela ezibekwe ngayo iziqwenga.
- I-CT scan: Oku kungathatha imifanekiso ye-cross-sectional ye-hip. Oku kubaluleke kakhulu ukuqonda ubunzima kunye nepatheni enzima yokwaphuka.
Inyangwa njani? Ngaba utyando luyimfuneko?
Indlela yonyango ixhomekeke kwindlela kunye nobunzima bokuqhekeka kwakho.
Amatyala apho utyando lungadingeki
Ngamanye amaxesha, ukuba ukwaphuka akukubi kakhulu, oko kuthetha ukuba iziqwenga zamathambo azikahambi kakhulu ukusuka apho zazikhona (ukuqhekeka okuzinzileyo), ugqirha unokugqiba ekubeni anyange ukwaphuka ngaphandle kotyando. Kwiimeko ezinjalo, oku kulandelayo kunokucetyiswa:
- Iintonga okanye isixhobo sokuhamba : Awuyi kuvunyelwa ukuba ubeke umlenze wakho phantsi de ithambo liphole ngokupheleleyo, nto leyo ethatha malunga neeveki ezili-12.
- Izixhobo zokuthintela imilenze: Sebenzisa umqamelo wokukhupha okanye umqamelo wokuthintela idolo ukuze uthintele isinqe ukuba singashukumi ngendlela engaqhelekanga.
- Iipilisi zokunciphisa iintlungu: Uza kunikwa amayeza okulawula iintlungu.
- Izinto ezilwa nokugabha igazi: Ekubeni ungakwazi ukuhamba nokuhlala kwindawo enye, kukho umngcipheko wokuba igazi ligabhe kwimithambo yemilenze yakho. La mayeza anikwa ukuthintela oku.
Amatyala apho kufuneka utyando
Enyanisweni, uninzi lwee-fractures ze-acetabular zifuna ukulungiswa ngotyando.
Ngokuxhomekeke kuhlobo lokwaphuka, ugqirha uza kukhetha enye yezi ndlela zilandelayo:
1. Ukunciphisa Okuvulekileyo Nokulungiswa Kwangaphakathi (ORIF): Ngamafutshane, oku kuquka ukuhambisa iziqwenga zamathambo aphukileyo ngotyando zibuyele kwiindawo zazo zokuqala uze usebenzise iipleyiti kunye nezikrufu ukuzibamba kunye. Ezi zihlala ngaphakathi emzimbeni de amathambo aphile ngokupheleleyo.
2. Ukutshintshwa kweSinqe Siphela: Ukuba i-acetabulum ibuthathaka kakhulu okanye yonakele ukuba ingalungiswa, ugqirha wakho angacebisa olu tyando. Oku kubandakanya ukususa lonke ilungu lesinqe kunye ne-cartilage kwaye endaweni yalo kufakwe ilungu lokwenziwa .
Ziziphi iingxaki ezinokuvela ngenxa yokuqhekeka?
Ngenxa yokuba oku kukwenzakala okukhulu, kukho umngcipheko weengxaki ezithile. Kubaluleke kakhulu ukuzazi ezi zinto.
| Ingxaki | Ingcaciso elula |
|---|---|
| I-arthritis emva kwesifo esibuhlungu | Ukuqhekeka konakalisa i-cartilage ejoyintini. Oku kunokukhokelela kwi-arthritis ngokuhamba kwexesha. |
| Ukulahlekelwa ligazi emathanjeni (i-Avascular necrosis) | Ukuqhekeka kungonakalisa imithambo yegazi ehambisa igazi emathanjeni. Xa igazi lilahlekile, iiseli zamathambo ziyafa kwaye ithambo liqala ukubola. |
| Usulelo | Usulelo lunokwenzeka phezu komphezulu okanye ngaphakathi kwinxeba lotyando. Usulelo olunzulu lunokufuna utyando ukuze kucocwe inxeba. |
| Amahlwili egazi | Ukuhlala kwindawo enye emva kotyando kunciphisa ukuhamba kwegazi ukuya emilenzeni kwaye kukho umngcipheko wokwakheka kwamahlwili egazi. |
| Ukulimala kwemithambo-luvo ye-sciatic | Ngenxa yokuba le mithambo-luvo ibaleka emva kwelungu lesinqe, ingonakalisa ngenxa yokwaphuka okanye utyando. Oku kunokukhokelela kwimeko ebizwa ngokuba yi "foot drop" (ukungakwazi ukuphakamisa iqatha kunye neenzwane xa uhamba). |
| Ukukhula kwamathambo okungaqhelekanga (i-Heterotopic ossification) | Imeko apho ithambo elitsha likhula khona kwizicubu ezithambileyo, ezifana nezihlunu ezijikeleze isinqe. |
Inkqubo yokuphiliswa kunye nokuchacha
Intlungu iqhelekile emva kotyando. Ugqirha uza kukunika amayeza okudambisa iintlungu afunekayo.
Ngokuqinisekileyo uza kufuna iintonga okanye isixhobo sokuhamba xa uqala ukuhamba kwakhona. Uya kukwazi ukuthwala ubunzima emlenzeni wakho emva kweeveki ezi-6-8. Nangona kunjalo, kuya kuthatha iinyanga ezininzi ukuhamba ngokupheleleyo.
Unyango lomzimba luyinxalenye ebaluleke kakhulu kolu hambo. Ukuzilolonga kuyimfuneko ukuze kubuyiselwe ukunyakaza esinqeni nasekuqiniseni izihlunu. Ekuhambeni kwexesha, ugqirha wakho uya kukucebisa ukuba utshintshele kwimithambo engenampembelelo ingako, efana nokudada okanye ukukhwela ibhayisekile ungashukumi. Nangona kunjalo, kuya kufuneka ulinde malunga neenyanga ezi-6 ukuya kwezi-12 ngaphambi kokuba wenze imisebenzi enzima nenzima.
Khumbula, ukuba ungumntu otshayayo, inkqubo yokuphiliswa kwamathambo ihamba kancinci kakhulu. Kwaye umngcipheko weengxaki nawo uphezulu. Kungoko ke, kubaluleke kakhulu kwimpilo yakho ukuba ungayitshayi ngokupheleleyo ngeli xesha.
Ukuchacha kwakho ngokupheleleyo kuxhomekeke kwizinto ezininzi, kuquka ubukhali bokwaphuka kwamathambo, ubudala bakho, kunye nempilo yakho iyonke. Nangona abanye abantu benokukwazi ukubuyela kwinqanaba labo langaphambili lomsebenzi, abanye basenokungakwazi ukubuyela kwinqanaba labo langaphambili lomsebenzi. Ngoko ke, kubalulekile ukuba nomonde kwaye ulandele imiyalelo kagqirha wakho.
Umyalezo Wokuya Ekhaya
- Ukuqhekeka kwe-acetabular kukuqhekeka kwesokethi ebambe ibhola yesinqe. Le yimeko embi kakhulu edla ngokubangelwa yingozi enkulu.
- Uphawu oluphambili ziintlungu ezinganyamezelekiyo kwindawo yesinqe.
- Ukuba kwenzeka ingozi efana nale, kufuneka uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko ngaphandle kokulibazisa.
- Kudla ngokufuneka utyando ukuze kulungiswe la manxeba aqhekekileyo, kwaye inkqubo yokuphiliswa ithatha iinyanga eziliqela.
- Unyango lomzimba lubaluleke kakhulu kwixesha lokuchacha.
- Soloko ulandela imiyalelo oyinikwe ngugqirha wakho kunye nonyango lomzimba ngokuchanekileyo. Ngomonde nonyango, ungaphila ubomi obuhle kwakhona.
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