Ngaba wakha waba nelungu elingalweni okanye emlenzeni wakho elishukuma ngequbuliso okanye elingasetyenziswayo xa udlala okanye emva kwengozi encinci? Sidla ngokulibiza ngokuthi 'lilungu eliphumileyo'. Ngokwezonyango, silibiza ngokuba liphumile . Eli liva elibuhlungu kakhulu neloyikisayo. Yiyo loo nto kubalulekile ukuba uqaphele oku.
Yintoni kanye kanye i-dislocation?
Ngamafutshane, ilungu yindawo apho amathambo amabini emzimbeni wethu adibana khona. Cinga ngeendawo ezifana namahlombe ethu, iingqiniba, namadolo. La malungu ngawona asivumela ukuba sigobe, solule, kwaye sishukumise amalungu ethu.
Ukwahlukana , okanye ukukruneka kwelungu, kuxa amandla ebangela ukuba amathambo kwilungu asuke apho kufanele ukuba abe khona, ehambahamba phambili nangasemva. Oku kuyenzeka rhoqo ngenxa yengozi, ukuwa, okanye ngexesha lemidlalo.
Xa ilungu lityumkile ngolu hlobo, libuhlungu kakhulu kwaye lingenza ilungu lingasebenzi. Ayisiyiyo loo nto kuphela, kodwa inokonakalisa nezicubu ezithambileyo ezijikeleze ilungu. Oku kuthetha:
- Izihlunu zinokutsalwa okanye zikrazulwe.
- Imithambo-luvo inokubambeka okanye yonakale.
- Imisipha inokonakala.
- Imithambo yegazi inokonakala.
Ngoko ke khumbula, ukuba unesikrokro sokuba ukrunekile ilungu, ungaze uzame ukulilungisa ekhaya. Eyona nto ilungileyo onokuyenza kukuya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngokukhawuleza.
Ziziphi iintlobo eziphambili zokutsiba kwamalungu?
Oogqirha bahlulahlula ukuqhekeka kwamalungu abe ziintlobo ezimbini eziphambili, kuxhomekeke ekubeni amathambo asuke kangakanani kwiindawo zawo eziqhelekileyo. Makhe sijonge ukuba zeziphi ezo zinto.
| Uhlobo | Kalula nje... |
|---|---|
| Ukukhubeka ngokupheleleyo / ukuphumla | Okwenzekayo koku kukuba amathambo amabini akwilungu ahlukane ngokupheleleyo aze ahlukane. Oko kuthetha ukuba akukho kudibana phakathi kwamathambo amabini. |
| Ukukhubeka/ukususwa kwenxalenye yesisu | Kulapho ilungu liphuma khona. Oku kuthetha ukuba amathambo asuke kancinci kwindawo yawo eqhelekileyo, kodwa akakaphumi ngokupheleleyo. La mathambo mabini asadibana ngandlela ithile. |
Zithini iimpawu zokudumba kwamalungu kwaye zeziphi iimpawu zokudumba kwamalungu aqhelekileyo?
Ukuqhambuka kwamalungu yinto eqhelekileyo. Nangona naliphi na ilungu emzimbeni wethu linokuqhambuka, kukho amalungu ambalwa achaphazeleka kakhulu yile meko.
- Iminwe
- Amagxa
- Amadolo
- Iingqiniba
- Izinqe
- Umhlathi
Ukuba uneqatha elityumkileyo, ezi zezona mpawu zixhaphakileyo oza kuzibona:
- Intlungu enganyamezelekiyo, enzima .
- Ukudumba kwilungu.
- Ukubona ukukrweleka okanye ukutshintsha kombala wolusu.
- Ilungu libonakala lahlukile, linwebekile endaweni yalo.
- Ukungakwazi ukushukuma, ukugoba, okanye ukusebenzisa elo lungu.
- Ukuziva ngathi ilungu libuthathaka okanye alizinzanga .
Ezi mpawu zinokwahluka ngokuxhomekeke kwilungu elityumkileyo kunye nohlobo lomonakalo.
Izizathu kunye nemingcipheko yeqakala elityumkileyo
Ilungu linokophulwa yiyo nayiphi na into enamandla aneleyo okuhambisa amathambo elilungu ukusuka kwiindawo zalo.
Izizathu eziphambili:
- Iingozi zeemoto: Impembelelo enamandla yeengozi zeemoto inokubangela ukuba amalungu aqhekeke.
- Iingozi zemidlalo: Le ngozi iphezulu kakhulu kwimidlalo efana neragbi nebhola ekhatywayo.
- Ukuwa: Ilungu linokukrwitshwa, nokuba kukuwela ukusuka kwindawo ephakamileyo okanye ukutyibilika nokuwa nje.
Ngubani osengozini enkulu?
Nangona nabani na enokuba nale meko, abanye abantu basengozini enkulu kancinci.
- Kwabo badlala imidlalo yokudibanisa .
- Kubantu abangaphezu kweminyaka engama-65 ubudala: Njengoko ukhula, ubuthathaka bemisipha kunye nomngcipheko wokuwa uyanda.
- Abantu abaneengxaki ezithile zempilo ezenza buthathaka izicubu (ii-ligaments, imisipha) ezijikeleze amalungu, njenge -Ehlers-Danlos syndrome .
Iingxaki ezinokubakho ngenxa yokutyumka kweqatha
Ilungu elityumkileyo alilothambo nje elihambahambayo, linokubangela umonakalo kwizicubu ezijikelezileyo.
- Ukuxinana kwemisipha
- Ukuqhekeka kwemisipha kunye nemisipha
- Umonakalo wemithambo-luvo
- Imithambo yegazi eyonakeleyo
- Ukuqhekeka kwamathambo
Gqirha, uyixilonga njani le nto?
Xa usiya esibhedlele, into yokuqala ugqirha aza kuyenza kukuxilonga (uvavanyo lomzimba). Ilungu elonzakeleyo kunye nendawo ejikelezileyo ziya kuhlolwa ngononophelo. Ugqirha uza kukubuza ngeempawu zakho kunye nento obuyenza ngaphambi kwengozi.
Emva koko, ungenza uvavanyo olufana nolu ukuze ubone ukuba loluphi kanye kanye umonakalo owenzekileyo ngaphakathi.
- I-X-reyi: Ukujonga ukuba ithambo liphukile na kwaye ilungu lityibilike kangakanani.
- Iskeni se-MRI (Magnetic Resonance Imaging): Ukukhangela umonakalo kwizicwili ezithambileyo ezijikeleze ilungu, ezifana nezihlunu kunye nemisipha.
- Iskeni ye-CT (Computed Tomography): Ukubona ngokucacileyo umonakalo owenzeka emathanjeni.
- Iskeni ye-ultrasound
Uyinyanga njani iqatha elityumkileyo?
Olona nyango lubalulekileyo nolokuqala kwilungu eliphumileyo kukubuyisela ilungu kwindawo yalo yokuqala. Oogqirha babiza oku ngokuthi 'ukususwa' okanye 'ukunciphisa okuvaliweyo'. Ugqirha utsala aze atyhale ilungu eliphumileyo libuyele endaweni yalo.
Ngenxa yokuba oku kubuhlungu kakhulu, ugqirha wakho unokukunika i-painkiller okanye i-sedative ukuze ulale kancinci. Ngamanye amaxesha, i-anesthesia nayo ingasetyenziswa. Ii-X-ray ziya kuthathwa ngaphambi nasemva kokuba ilungu lihlengahlengiswe ukujonga ukuba akukho monakalo emathanjeni.
Eyona nto ibalulekileyo yile: Ungaze uzame ukuzibeka iqatha elikrunekileyo, okanye nomntu ongaqeqeshwanga (umhlobo, umqeqeshi). Ukwenza njalo kuya kuyenza ibe mandundu ingozi kwaye kunokubangela umonakalo omkhulu kwimithambo-luvo nemithambo yegazi ejikelezileyo.
Emva kokuba ilungu liphinde lalungiswa, kufuneka unyango oluninzi de liphole ngokupheleleyo.
- Ukuthintela ilungu ukuba lingakwazi ukuhambahamba: Ugqirha angacebisa ukuba lifakwe i -splint , i-sling , okanye i-brace ukuze ilungu likwazi ukuhambahamba lide liphole.
- Amayeza: Ugqirha wakho uza kukunika amayeza afanelekileyo okunciphisa iintlungu nokudumba. Musa ukuthatha amayeza okudambisa iintlungu rhoqo kangangeentsuku ezingaphezu kwe-10 ngaphandle kokubonisana nogqirha wakho.
- Ukuphumla:Kubaluleke kakhulu ukuphepha nayiphi na imisebenzi ebeka uxinzelelo okanye esebenzisa ilungu elonzakeleyo.
Kunini apho kufuneka khona utyando?
Kwiimeko ezininzi, utyando alufuneki. Nangona kunjalo, ukuba ilungu likhutshiwe kwaye kukho umonakalo omkhulu kwimithambo yegazi ejikelezileyo, imithambo-luvo, okanye iiligaments, kunokufuneka utyando ukuze kulungiswe. Kwakhona, ukuba ilungu alinakubuyiselwa endaweni yalo ngokunciphisa okuvaliweyo, kunokufuneka utyando ukuze kulungiswe.
Kuthatha ixesha elingakanani ukuphola? Ndingatsiba kwakhona?
Ixesha lokuchacha liyahluka ngokuxhomekeke kwilungu elityumkileyo kunye nobunzima bokwenzakala.
Umzekelo, ukuba ukruneka umnwe, kungathatha malunga neeveki ezintathu ukubuyela esiqhelweni. Kodwa ukuba ukruneka ilungu elikhulu njengegxalaba lakho, kungathatha iinyanga ezininzi okanye nangaphezulu ukuba liphole ngokupheleleyo. Ugqirha wakho uza kukuchazela oku.
Eyona nto ibalulekileyo kukuphepha imidlalo kunye nokuphakamisa izinto ezinzima de ilungu liphole ngokupheleleyo. Ngaphandle koko, ukuba uqala ukwenza imisebenzi enjalo kwangethuba, umngcipheko wokuphinda ulimaze ilungu uphezulu kakhulu.
Ukuba ukruneka ilungu, ingakumbi idolo okanye igxalaba, kube kanye, unamathuba amaninzi okukruneka kwakhona kwixesha elizayo. Ke ngoko, ukunxiba isixhobo sokukhusela esifana nesixhaso xa uzilolonga okanye udlala imidlalo kunokunciphisa lo mngcipheko. Kubalulekile ukufumana unyango lomzimba ukuze uqinise izihlunu ezijikeleze ilungu.
Singenza ntoni ukuthintela ukuba ilungu lingaphumi?
Ukuqhekeka kwemisipha kudla ngokuba yimiphumo yeengozi, ngoko ke akunakuthintelwa nge-100%. Nangona kunjalo, kukho izinto ezimbalwa esinokuzenza ukunciphisa umngcipheko.
Xa udlala imidlalo kwaye uzilolonga...
- Nxiba izixhobo zokhuseleko ezifanelekileyo kumdlalo owudlalayo.
- Ukuba ufumana intlungu kwilungu ngelixa uzilolonga okanye udlala imidlalo, yeka "ukudlala ngentlungu."
- Fudumeza umzimba wakho kakuhle ngaphambi kokuba uzilolonge. Pholisa umzimba wakho kakuhle emva kokuzilolonga.
- Nika umzimba wakho ixesha olifunayo lokuphumla nokuchacha emva komsebenzi onzima.
Ukhuseleko ngokubanzi...
- Ukuba unezinto ezingabalulekanga ekhayeni lakho okanye emsebenzini ezinokubangela ukuba utyibilike uze uwe, zisuse uze uzigcine zicocekile.
- Xa uthatha into evela phezulu , sebenzisa isixhobo esifanelekileyo endaweni yokukhwela ezitulweni okanye etafileni.
- Ukuba unengxaki yokuhamba okanye usemngciphekweni omkhulu wokuwa, sebenzisa induku/i-walker.
Izinto onokuzibuza ugqirha wakho
Xa ubona ugqirha, ungalibali ukubuza le mibuzo. Ngale ndlela, ungafumana ukuqonda okupheleleyo.
- Luhlobo luni lokuphuma kwam emqolo? (Ndiyi-Subluxation okanye ndiyi-Full?)
- Zeziphi ezinye iindlela zonyango endizidingayo?
- Kuza kuthatha ixesha elingakanani ukuchacha ngokupheleleyo?
- Ilungu lifanele lingasebenzi ixesha elingakanani (kwi-splint/sling)?
- Ngaba ndiza kufuna utyando?
- Ndingaqala nini ukudlala imidlalo nokuzilolonga kwakhona?
Iqatha elikrunekileyo liyinto eyoyikisayo. Kunokuba yinto eyoyikisayo ukubona okanye ukuva iqatha elikrunekileyo. Kodwa eyona nto ingcono onokuyenza kukungaphakuzeli uye ngqo kwigumbi likaxakeka (ETU) lesibhedlele ngaphandle kokuzama ukulilungisa ngokwakho. Iindaba ezimnandi zezokuba uninzi lwabantu luyaphila ngokupheleleyo ngonyango olufanelekileyo kwaye banokubuyela kwimisebenzi yabo yesiqhelo kunye nemidlalo.
Umyalezo Wokuya Ekhaya
- Ukuqhekeka kwamalungu kukwenzakala okukhulu apho amathambo elungu asuswa kwindawo yawo eqhelekileyo.
- Ungaze , nangayiphi na imeko, uzame ukuseta ilungu eliphumileyo ngokwakho okanye ngoncedo lomntu ongengogqirha. Oku kungayenza imeko ibe mandundu.
- Ukuba ukrokrela ukuba iqatha lakho lityumkile, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
- Landela imiyalelo kagqirha ngokuchanekileyo. Phumla ngokwaneleyo ude uphile. Ukuba kufuneka unyango lomzimba, lwenze ngokuchanekileyo.
- Ukuphepha ukubuyela kwezemidlalo okanye kwimisebenzi enzima ngaphambi kokuba iphiliswe ngokupheleleyo kunokunceda ukuthintela ilungu ukuba lingaphindi lenzakale.
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