Sonke sinokwenzeka ukuba saphuke ithambo ngaxa lithile ebomini bethu, akunjalo? Oku kungenzeka xa sikhwela emthini size siwa, ngelixa sidlala, okanye nakwingozi encinci. Uninzi lwexesha, xa siya kugqirha size sifake iplasta (POP cast), iphola ngokupheleleyo kwiintsuku ezimbalwa kwaye ibuyele esiqhelweni. Kodwa... kuthekani ukuba ayisoloko isenzeka? Kuthekani ukuba ithambo elaphukileyo lihlala gwenxa, okanye ukuba alihlali kwaphela nokuba kuthatha ixesha elingakanani? Yiloo nto sithetha ngayo namhlanje. Ngokwezonyango, ezi meko zimbini zibizwa ngokuba yi-`(Malunion)` kunye ne-`(Nonunion)`.
Kalula nje, yintoni iMalunion kunye neNonunion?
Oku kulula kakhulu. Masicinge ngale ndlela.
Malunion: Oku kuthetha ukuba iziqwenga ezibini zethambo lakho elaphukileyo zidibene, oko kukuthi, zidibene, kodwa ngendlela engafanelekanga. Azikho kanye apho zifanele ukuba khona. Zisenokuba zigobile kancinci, zijijekile, okanye zimfutshane kancinci. Khawuthelekelele ukuba udibanisa iziqwenga ezibini zepleyiti ephukileyo kunye neglu, kodwa ezi ziqwenga zimbini azihambelani kakuhle, zigobile kancinci. Ipleyiti inamathelene, kodwa imo yayo ngoku yahlukile. Yiyo leyo into eyiyo 'malunion'.
Umanyano: Kulapho iziqwenga ezibini zethambo eziphukileyo zingadibani, nokuba kudlula ixesha elingakanani. Kusekho umsantsa phakathi kwezi ziqwenga zimbini. Ukuba sithatha umzekelo ofanayo nowangaphambili, kufana neziqwenga ezibini zepleyiti ezinganamatheliyo nokuba uzincamathisela kangakanani.
Kukho izizathu ezibini eziphambili zokuba ithambo lingaphili kakuhle ngale ndlela.
1. Ingxaki yoomatshini: Oku kuthetha ukuba iziqwenga ezibini zethambo azinakubanjwa kunye kwaye zingashukumi ngexesha lokuphiliswa. Ngamanye amaxesha iziqwenga zethambo zinokutshintsha ngaphakathi kwisamente.
2. Ingxaki yebhayoloji: Oku kuthetha ukuba inkqubo yokwakheka kwamathambo amatsha iyaphazamiseka ngenxa yesizathu esithile sangaphakathi emzimbeni wakho. Umzekelo, ukungabikho kwegazi elaneleyo kwindawo leyo, ukungabikho kokutya okunempilo, okanye ezinye iimeko zonyango zinokuchaphazela oku.
Oogqirha baqwalasela zombini ezi zizathu xa benyanga ezi meko.
Ngaba kukho iintlobo zokungahambelani?
Ewe, xa ithambo lingalunganga, oogqirha bayalihlela ukuze bafumane unobangela. Oko kwenza kube lula ukulinyanga.
| Uhlobo olungelulo umanyano | Kalula nje... |
|---|---|
| Ukungahambelani kwe-Hypertrophic | Kwimeko enjalo, umzimba uzama ukwakha ithambo elitsha. Oko kuthetha ukuba umzimba unako ukwakha ithambo kakuhle. Kodwa iziphelo zamathambo amabini aphukileyo azidibani, ngoko ke azinakulungiswa. Kukho ingxaki yoomatshini apha. |
| Ukungahambelani kakuhle | Kwimeko enjalo, umzimba awenzi mzamo wokwakha ithambo elitsha. Isizathu soku kukuba igazi eliya kuloo ndawo liphantsi kakhulu. Kukho ingxaki yebhayoloji apha. Ngamanye amaxesha, oku kunokwenzeka nokuba ithambo sele losulelekile (ukungasebenzi kakuhle kwe-septic). |
| Ukungabikho komanyano lwe-oligotrophic | Oku kukudibanisa ezo zinto zombini. Umzimba uzama ukwakha ithambo elitsha, kodwa alikagqitywa. Kwaye iziqwenga zamathambo azilunganga kakuhle. Ngoko ke kunokubakho izinto ezimbini ezisebenza ngoomatshini kunye nebhayoloji apha. |
Zithini iimpawu zokungalungi kakuhle kwethambo (malunion)?
Xa ithambo lingalungelelananga kakuhle, iimpawu zinokubonakala ngamehlo nangohlobo lokungonwabi.
Indlela ebonakala ngayo ngaphandle
- Kubonakala ngathi ingalo okanye umlenze wakho ukrunekile .
- Ingalo okanye umlenze ubonakala ngathi ujijekile .
- Loo ngalo okanye umlenze ubonakala umfutshane kancinci xa uthelekiswa nolunye icala.
Iimvakalelo zokungonwabi
- Kubuhlungu xa usebenzisa loo ngalo okanye umlenze.
- Kukho ukudumba apho.
- Ukuba isemlenzeni, iyaxhuzula xa uhamba.
Khawuthelekelele ukuba ithambo emlenzeni wakho alilunganga kakuhle. Xa uhamba, umzimba wakho ubeka ubunzima obungakumbi ezinqeni zakho, emadolweni, okanye emqolo ngokuzenzekelayo ukuze ubuyisele ubunzima. Emva kwexesha elithile, asingomlenze wakho kuphela obuhlungu, kodwa nakumanqe akho nasemqolo.
Ngamanye amaxesha, iziqwenga zamathambo ezingalungelelananga kakuhle zinokucinezela umthambo. Ukuba oku kuyenzeka, unokufumana iimpawu ezifana nezi:
- Ukurhawuzelela, imvakalelo yokurhawuzelela (i-paresthesia)
- Ubuthathaka bemisipha, ukuwohloka kwemisipha (`(atrophy)`)
- Intlungu yemithambo-luvo enzulu kunye nokuvuvukala (i-neuropathy)
Zithini iimpawu zomntu ongadibaniyo neqabane lakhe?
Xa ithambo lingapholi ixesha elide, unokufumana ezi mpawu:
- Intlungu enzulu, engapheliyo evela kwithambo elaphukileyo.
- Bubuthathaka okanye ukungakwazi ukusebenzisa ingalo okanye umlenze ngokufanelekileyo.
- Ukukhubazeka okubonakalayo, umzekelo, iqhuma elifana nethumba, okanye umngxuma ofana nomngxuma.
Ukongeza, ukuba ithambo lisulelekile, iimpawu ezifana nezi:
- Ukudumba
- Ifiva
- Ukungcangcazela ngenxa yokubanda
Kutheni amathambo ephazamiseka okanye ephazamiseka ngolu hlobo?
Kusenokuba nezizathu ezahlukeneyo zoku.
- Uhlobo lokwaphuka: Ezinye izaphuko zintsonkothile kakhulu. Ukuba ithambo lityunyuzwe libe ziingceba (comminuted fracture) okanye lijijekile (spiral fracture), kunzima ukuzidibanisa kwakhona. Kwakhona, ukuba imithambo yegazi enika ithambo igazi yonakele kwingozi, inkqubo yokuphiliswa icotha kakhulu.
- Unyango: Ukuba ithambo elaphukileyo alinyangwa ngugqirha ngoko nangoko, ithambo liya kuqala ukungahambi kakuhle. Ngamanye amaxesha, nokuba sele kufakwe isamente, iziqwenga zamathambo zinokuphuma. Unyango olulibazisekileyo okanye olungafanelekanga yimbangela enkulu yoku.
- Iimpazamo ezenziwa ngexesha lokuphiliswa: Ukuba usika kwaye ususa iplasta ngaphambi kokuba ugqirha atsho, okanye ukuba ubeka ubunzima emlenzeni owaxelelwa ukuba ungabubeki ubunzima kuwo, kwanethambo ebelifanele ukuba lihlale kakuhle linokuhlala ngokuchanekileyo okanye lingahlali kakuhle.
- Impilo yakho iyonke: Ukuphiliswa kwamathambo kuyehla njengoko ukhula. Abantu abaneengxaki ezifana nesifo seswekile, isifo se-thyroid, kunye nokunqongophala kokutya nabo basengozini enkulu. Ukutshaya nokusebenzisa i-nicotine ziintshaba ezinkulu zokuphiliswa kwamathambo. Zinokunciphisa ukuhamba kwegazi emathanjeni, nto leyo enokuthintela inkqubo yokuphiliswa.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha, uza kulandela la manyathelo.
1. Ukucela iinkcukacha: Okokuqala, baza kukucela ulwazi oluneenkcukacha. Baza kubuza yonke into ekufuneka uyazi, njengokuthi ingozi yenzeke njani, yenzeke nini, zeziphi iingxaki ojongene nazo ngoku, zeziphi ezinye izifo onazo, kunye namayeza owasebenzisayo.
2. Uvavanyo lomzimba: Emva koko, indawo ihlolwa kakuhle. Bajonga nakuphi na ukudumba okanye ukukhubazeka okubonakalayo, nokuba amalungu alingana ngobude, nokuba amalungu asebenza kakuhle na. Basenokukucela ukuba uhambehamba.
3. Uvavanyo lomfanekiso: Kuphela emva koko uvavanyo lwenziwa.
- I-X-reyi: I-X-reyi idla ngokutyhila okuninzi. Ingabonisa ngokucacileyo ukuba amathambo alungelelene, alungelelene kakuhle, okanye akalungelelananga konke konke.
- I-CT scan okanye i-MRI scan:Ngamanye amaxesha, ukuba kufuneka iinkcukacha ezingaphezulu, ezifana nokubona umonakalo kwizicubu ezithambileyo ezijikeleze ithambo, kunokuyalelwa ukuba kwenziwe i-CT scan okanye i-MRI scan.
Ukuba i-X-ray ibonisa ukuba amathambo ahambelani kakuhle, ibizwa ngokuba yi-'Malunion'. Ukuba amathambo awahambelani kakuhle emva kwexesha elide (umzekelo, iinyanga ezi-6, ezi-9, ezili-12), ibizwa ngokuba yi-'Nonunion'.
Ngaba ezi meko zingalungiswa? Zithini iindlela zonyango?
Ewe, ezi ngokuqinisekileyo zinokulungiswa. Kodwa ayizizo zonke ii-malunion ekufuneka zilungiswe. Ukuba azinampembelelo ingako kubomi bakho bemihla ngemihla, okanye ukuba azibuhlungu, ugqirha wakho angakuxelela ukuba ungenzi nto ngazo. Kodwa ukuba zikubangela intlungu okanye ukungakhululeki, kufuneka ufumane unyango.
Iindlela zonyango zingahlulwahlulwa zibe ziindidi ezimbini: ezingasebenzisi utyando kunye nezo zingasebenziyo.
Unyango lwe-malonion
| Indlela yonyango | Inkcazo |
|---|---|
| Unyango olungelulo utyando | |
| Ukuxhasa ngenkxaso | Ukunxiba i-brace ukuze ithambo lihlale likwimeko engcono. |
| Amathambo | Ukuba umlenze mfutshane, kukho into ekhethekileyo efakwa ngaphakathi kwesihlangu ukuze ihlawulele loo nto. |
| Ulungiso lwenyama | Ukuzilolonga okuqinisa izihlunu ezijikeleze ithambo nokunciphisa umthwalo emathanjeni. |
| Unyango lotyando | |
| I-Osteotomy | Ugqirha uyayisika kwakhona ithambo elingalunganga, alilungise, aze alilungise ngeepleyiti nezikrufu. |
| Utyando lokwandisa amalungu omzimba | Ukuba ingalo okanye umlenze ufutshane, kufakwa isixhobo esikhethekileyo kwaye ithambo liyandiswa kancinci kancinci. |
Unyango lomntu ongengombutho
| Indlela yonyango | Inkcazo |
|---|---|
| Unyango olungelulo utyando | |
| Unyango lwezonyango | Ukunyanga imeko yezonyango efihlakeleyo, efana nesifo seswekile, ukunqongophala kokutya, okanye izifo. |
| Isivuseleli samathambo | Isixhobo sangaphandle esivuselela ukuphiliswa kwamathambo sisebenzisa amaza e-ultrasound okanye e-electromagnetic. |
| Unyango lotyando | |
| Ukususwa kwenkunkuma | Ukususa izicwili ezifileyo kwiziphelo zamathambo amabini, kudala umphezulu wamathambo omtsha. |
| Ukufakelwa kwamathambo | Iqhekeza lethambo elithathwe kwenye inxalenye yomzimba wakho (umz., ithambo lakho lesinqe) okanye iqhekeza lethambo elivela kumntu onikelayo lifakwa kwindawo evulekileyo. Oku kuqala ukukhula kwethambo elitsha. |
| Ukulungiswa kwangaphakathi | Ukuqinisa kubandakanya ukulungelelanisa iziqwenga ezibini zethambo nokuzibamba kunye ngeengcingo, iipleyiti, iiphini, okanye iintonga. |
Iza kuba njani imeko emva konyango?
Uninzi lwexesha, olu tyando kunye nezinye iindlela zonyango ziphumelela kakhulu. Kodwa kuthatha ixesha ukuba uphile. Kusenokufuneka usebenzise iintonga iinyanga ezimbalwa emva kotyando. Kwakhona, unyango lomzimba lubalulekile ukuze ubuyisele amandla emisipha alahlekileyo kunye nokubuyisela ukuhamba kwamalungu.
Nangona kunjalo, ukuba ezinye izifo, ezifana nesifo seswekile, azilawulwa ngokufanelekileyo, ukuba ukutshaya akuyekwa, okanye ukuba ithambo eliqinileyo liyaphinda libe buhlungu, kukho ithuba elincinci lokuba unyango aluyi kuphumelela.
Ngoko ke khumbula, ukuba unesikrokro sokuba ithambo lakho liphukile, ungathandabuzi ukubona ugqirha. Ukufumana unyango oluchanekileyo ngokukhawuleza kunokunceda kakhulu ekuthinteleni ezi ngxaki.
Umyalezo Wokuya Ekhaya
- Ukuba uphuke ithambo kwaye intlungu nokudumba kuqhubeka ixesha elide, okanye ukuba ilungu lakho libonakala liqinile, musa ukulithatha lula. Kwakhona, thetha nogqirha wakho ngalo mba.
- I-`Malunion` ithetha xa ithambo elaphukileyo lingalungelelananga kakuhle. I-`Nonunion` ithetha xa lingalungelelananga konke konke.
- Izinto ezifana nesifo seswekile kunye nokutshaya icuba zinokuba yimiqobo emikhulu ekupholeni kwamathambo. Ukuthetha nogqirha wakho ngezi zinto nokuzilawula kubalulekile ukuze unyango luphumelele.
- Kukho iindlela zonyango ezingasebenzisi utyando kunye nezo zingasetyenziswa ngotyando. Ugqirha wakho uya kugqiba ukuba yeyiphi ekulungeleyo.
- Ukulandela imiyalelo kagqirha emva konyango, ingakumbi imithambo yonyango lomzimba, kubaluleke kakhulu ukuze uphile ngokukhawuleza.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho