Ngaba ithambo lakho elaphukileyo liphole ngendlela engafanelekanga? Okanye alikapholi? Makhe sithethe nge-'(Malunion kunye ne-Nonunion Fractures)'!

Kuqhelekile ukwaphuka ithambo, njengengalo okanye umlenze, ubuncinane kube kanye ebomini bethu. Xa oko kusenzeka, sibona ugqirha ngokukhawuleza, sifake i-plaster cast, size silinde ukuba liphole. Uninzi lwexesha, ngonyango olufanelekileyo, la mathambo aphukileyo aya kuphiliswa kakuhle kwakhona. Nangona kunjalo, kukho amaxesha apho le nkqubo yokuphiliswa ingenzeki kakuhle. Kulapho kufuneka sithethe ngeemeko ezibizwa ngokuba yi -`(Malunion)` (ukungalungelelani) kunye ne -`(Nonunion)` (ukungaphumeleli ukuphiliswa konke konke) . Ezi zinokuba yinto ecaphukisayo kancinci, ngoko ke kubaluleke kakhulu ukuzazi ezi zinto.

Zithetha ukuthini ezi `(Malunion)` kunye `(Nonunion)`? Masiyiqonde ngokulula, akunjalo?

Khawuthelekelele ukuba unethambo elaphukileyo engalweni okanye emlenzeni. Ugqirha ulibeke kakuhle waza wabeka iplasta phezu kwalo. Ngoku, iziqwenga ezibini zethambo elaphukileyo kufuneka ziphinde zihlangane kwaye zilingane kanye njengoko zazinjalo.

• `(Malunion)` - Ukungaqondi:

Ngamafutshane, `(Malunion)` kuthetha ukuba amathambo amabini aphukileyo adibene, kodwa akudibananga kakuhle . Oko kukuthi, ithambo lisenokungalungelelani kakuhle, okanye lijijeke kancinci, okanye libe lifutshane kunokuba kufanele libe njalo. Kufana nokuhlanganisa iziqwenga ezibini eziphukileyo zebumba kwakhona ngendlela engafanelekanga. Lidibene, kodwa alilunganga kakuhle.

• `(Nonunion)` (Nonunion) - Ukulahleka koko kufanelekileyo:

``(Nonunion)`` yimeko embi kakhulu. Okwenzekayo apha kukuba iziqwenga ezibini zethambo ezaphukileyo, nokuba emva kwexesha elide ukuba ziphiliswe, azihlangani konke konke . Oko kukuthi, nokuba emva kweenyanga, akukho nxibelelwano lutsha phakathi kwamathambo amabini. Ngokuchanekileyo, ithambo lisaphukile.

Xa amathambo engapholi kakuhle, oku kunokuba nefuthe elikhulu ekuzinzeni kwamathambo emizimba yethu kunye nemisebenzi eyenziwa ngala mathambo. Khawuthelekelele ukuba ithambo emlenzeni wakho alilunganga kakuhle, ungaqhwalela kwaye uve iintlungu xa uhamba, akunjalo?

Ixesha elininzi, ukwaphuka kwamathambo kuphola kakuhle ngonyango olufanelekileyo. Zimbini izizathu zokuba oku kungenzeki. Esinye 'yingxaki yoomatshini' . Oku kuthetha ukuba iziqwenga ezibini eziphukileyo azizange zihlangane kakuhle ngexesha lokuphiliswa. Esinye 'yingxaki yendalo' . Oku kuthetha ukuba umzimba wakho awunazo izondlo kunye nokunikezelwa kwegazi okufunekayo emathanjeni akho ukuze aphiliswe. Oogqirha baqwalasela zombini ezi zinto xa benyanga ezi meko.

Ziziphi iintlobo eziphambili zezaphuko ezingezizo ezomzimba?

Xa oogqirha behlola umntu one-non-union, bayayihlulahlula ibe luhlobo oluthile. Oku kubanceda baqonde ukuba kutheni ithambo lingapholi kwaye zeziphi izinto ezibangela oko. Kukho iintlobo ezintathu eziphambili:

Yintoni `(Hypertrophic nonunion)`?

Kolu hlobo, kukho iimpawu zokwakheka kweeseli ezintsha zamathambo. Oko kukuthi, umzimba uzama ukuphilisa ithambo. Nangona kunjalo, iziphelo zamathambo amabini aphukileyo azidibananga kakuhle. Oku kuthetha ukuba umzimba unezixhobo zebhayoloji, kodwa la mathambo mabini aphukileyo awabanjwanga kakuhle kwaye awaqhekeki ngexesha lenkqubo yokuphiliswa. Kufana nokuba kukho isamente, kodwa udaka alubotshwanga kakuhle.

Yintoni `(Atrophic nonunion)`?

Kwimeko enjalo, akukho zimpawu zokwakheka kwethambo elitsha. Kwakhona, ithambo alinalo igazi elifanelekileyo. Oku kuthetha ukuba izinto eziphilayo zithintela ithambo ukuba lingaphili. Ngamanye amaxesha, kusenokwenzeka ukuba kubekho usulelo ethanjeni, olunokuthi luphazamise ukuhanjiswa kwegazi. "I-Nonunion" enosulelo olunjalo ikwabizwa ngokuba yi-"Septic nonunion" .

Yintoni `(Oligotrophic nonunion)`?

Kolu hlobo, kuye kwavela ithambo elitsha, kodwa alikagqitywa. Iziqwenga ezibini zethambo azikho kwindawo efanelekileyo. Mhlawumbi ithambo alizange libekwe kakuhle xa lalibekwa okokuqala, okanye kamva lawiswa laza latshintshwa. Zombini izinto ezizinzayo kunye nezinto zebhayoloji zinokuba negalelo apha.

Uyazi njani ukuba une-`(Malunion)`? Zithini iimpawu?

Ukuba ithambo liphazamisekile, elibizwa ngokuba yi-"malunion," ungabona okanye uzive izinto ezinje:

• Utshintsho olubonakalayo ngaphandle:
• Ithambo lakho libonakala lithambile okanye ligobile .
• Ithambo libonakala ngathi lijijekile , okanye ngathi liyajikeleza .
• Ithambo lisenokubonakala lifutshane kunangaphambili . Umzekelo, omnye umlenze usenokuba mfutshane kancinci kunomnye.

• Ukungakhululeki okuvelayo xa usebenzisa elo thambo:
• Kukho intlungu emathanjeni.
• Kukho ukudumba apho.
• Ukuqhwalela xa uhamba (ukuba ngumlenze).

Onke amathambo emzimbeni wethu adibene. Ngoko ke, xa ithambo libuthathaka kwindawo enye, linokubangela uxinzelelo olongezelelekileyo kwamanye amathambo. Ngoko ke, nokuba akukho ntlungu kwindawo apho kukho "i-malunion", xa elo thambo lisetyenziswa, linokubangela intlungu kwenye indawo yomzimba.

• Iingxaki ezinxulumene nemithambo-luvo:

Ngamanye amaxesha, umthambo okufutshane unokucinezelwa okanye ucinezelwe ngamathambo angahambanga kakuhle. Ukuba oku kuyenzeka, unokufumana iimpawu ezifana nezi:

• Ukuba ndindisholo okanye ukurhawuzelela (`(Paresthesia)`) kuloo ndawo.
• Ubuthathaka bemisipha, okanye ngokuthe ngqo, ukuwohloka kwemisipha.
• Intlungu yemithambo-luvo (i-Neuropathy).

Zithini iimpawu ze-`(Nonunion)`?

Ukuba ithambo alihlangani, oko kukuthi, kukho "ukungahlangani", ungabona iimpawu ezifana nezi:

• Kukho intlungu enzulu nehlala ixesha elide apho ithambo liphukile. Le ntlungu ingaqhubeka nokuba sele isusiwe isamente.
• Xa usebenzisa elo thambo, uziva ubuthathaka okanye ushukuma kancinci .
• Utshintsho olubonakalayo, umzekelo, iqhuma okanye umsantsa, lunokubonakala ngaphandle, ngokungathi ithambo liphumile.

Ngamanye amaxesha, ukuba kukho usulelo ethanjeni, ezi mpawu zinokwenzeka kunye okanye ngokwahlukeneyo:

• Ukudumba
• Ifiva
• Ukuziva ubanda kwaye ubanda (ukubanda)

Kutheni ukwaphuka kwamalungu kungapholi kakuhle kwaye kubangele ``malunion`` okanye ``nonunion``? Zithini izizathu?

Zininzi izizathu zokuba ithambo lingaphili kakuhle. Ezinye sinokuzilawula, ezinye asinakuzilawula. Nazi ezinye zazo:

• Uhlobo kunye nobunzima bokwaphuka:

Kukho ezinye izaphuko ekunzima ukuziphola. Umzekelo, izaphuko ezijikelezayo (ezo zaphuke ngendlela egoso) okanye izaphuko eziqhekekileyo (ezo zaphuke zaba ziingceba ezininzi) , azinakwenzeka ukuba zihlale kakuhle. Kwakhona, ukuba ukuhanjiswa kwegazi emathanjeni kuphazamiseka ngenxa yengozi enkulu, oko kunokuchaphazela ukuphiliswa.

• Indlela unyango olukhawulezileyo noluphumelele ngayo:

Ukuba ithambo alinyangwa ngokukhawuleza emva kokuphuka, linokuqala ukuphola ngendlela engafanelekanga. Kwakhona, nokuba ithambo libekwe kakuhle kwaye kufakwe isamente, lisenokuhamba endaweni yalo. Oku kunokwenzeka ngakumbi ukuba unyango lulibaziseka okanye indlela esetyenzisiweyo (umz., amandla esamente) ayanelanga.

• Nokuba uphumle kakuhle kwaye uzikhusele ngexesha lokuchacha kwakho:

Ngexesha lokuphiliswa, kubaluleke kakhulu ukuba ithambo elaphukileyo lingasebenzi kwaye lihlale kwindawo efanelekileyo. Ngamanye amaxesha, kunokuthatha ixesha elide kunesiqhelo ukuphola. Kwiimeko ezinjalo, iingxaki zinokuvela ukuba ugqirha ususa isamente kwangethuba okanye ukuba uqala ukusebenzisa ithambo kwangethuba.

• Impilo yakho iyonke kunye namandla omzimba afunekayo ukuze ubuyele esiqhelweni:

Xa inkqubo yokuphiliswa icotha, kukho ithuba elikhulu lokuba amathambo angasebenzi kakuhle okanye angasebenzi kakuhle. Ukuphiliswa kwamathambo kunokulibaziseka okanye kungaphelelanga kubantu abalupheleyo , abaswele izondlo (ingakumbi i-calcium kunye ne-vitamin D), kunye neemeko ze-metabolic ezifana nesifo seswekile kunye nesifo se-thyroid . Ukusetyenziswa kwecuba kunye ne-nicotine nazo zizinto eziphambili ezenza amathambo abe buthathaka kwaye kulibazise ukuphiliswa.

Oogqirha bazichonga njani ngokuchanekileyo ezi meko `(Malunion)` kunye `(Nonunion)`?

Ukuba ucinga ukuba unengxaki efana nale, ugqirha uza kuqala akubuze ngengozi kunye nezinye iimeko zempilo onokuba nazo. Emva koko, baza kwenza uvavanyo lomzimba lwethambo. Baza kukhangela naluphi na utshintsho olunokubonakala ngaphandle, baze bakubuze ukuba uziva njani ngokushukumisa ithambo. Basenokukucela ukuba uhambe, okanye banokulinganisa ubude bethambo.

Emva koko, uvavanyo lwethambo lwenziwa ngemifanekiso . Olu vavanyo lungabandakanya:

• `(Ii-X-reyi)` (Ii-X-reyi): Le yinto yokuqala oqala ukuyijonga.
• `(CT scan)` (CT scan): Inokufumana imifanekiso ecacileyo, enqamlezileyo yethambo.
• `(MRI)` (I-MRI scan): Oku kunceda ukubona ukuba kukho nawuphi na umonakalo kwizicubu ezithambileyo ezijikeleze amathambo, njengemithambo-luvo.

Ukuba ugqirha ufumanisa ukuba ithambo lipholile kwindawo engeyiyo eyakhe, uza kugqiba kwelokuba "liyi-malunion." Ukuba ithambo alikaqali ukuphola okanye alikapholi ngokupheleleyo emva kwexesha elifanelekileyo lokuphola, laziwa ngokuba yi- "libazisekile umanyano" okanye "i-nonunion." Ixesha lokuphola linokwahluka ngokuxhomekeke kuhlobo lokwenzakala, ithambo elichaphazelekayo, kunye nempilo yakho. Ngokwesiqhelo, libizwa ngokuba yi-"nonunion" ukuba alikapholi emva kweenyanga ezintandathu, ezisithoba, okanye ezilishumi elinambini.

Ngaba ezi meko `(Malunion)` kunye `(Nonunion)` zinokunyangwa? Zithini iindlela zonyango?

Iindaba ezimnandi zezokuba ayizizo zonke ii-malonion okanye ii-nonunion ekufuneka "zilungiswe." Kuxhomekeke kwithambo elichaphazelekayo, ukuba ulisebenzisa kangakanani, kwaye lichaphazela kangakanani ubomi bakho bemihla ngemihla. Nangona kunjalo, ezinye ii-nonunion zinokuthintela intshukumo yakho, zibangele iintlungu, okanye zikhokelele kwezinye iingxaki. Kwezo meko, utyando lunokufuneka ukulungisa ingxaki. Oogqirha baza kuzama unyango olungelulo utyando kuqala baze emva koko basebenzise utyando ukuba alusebenzi.

Unyango lwe-`(Malunion)` (Amathambo Angalungelelananga)

• Unyango olungelulo utyando:
• Ukuxhoma: Usenokucelwa ukuba unxibe isixhaso ukuze ugcine ithambo likwindawo engcono xa ulisebenzisa.
• Ii-Orthotics: Ukuba umlenze omnye mfutshane, ungasebenzisa isihlangu esikhethekileyo sokufaka umva ukuze ulungise umahluko.
• Unyango lomzimba: Oku kubandakanya umthambo okhethekileyo onokuqinisa izihlunu ezifanelekileyo nokunciphisa uxinzelelo emathanjeni.
• Izithomalalisi zentlungu: ii-NSAID (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal) ukuze kuthomalaliswe ukungonwabi ngamanye amaxeshaUngasebenzisa amayeza okudambisa iintlungu aqhelekileyo afana nala.

• Unyango ngotyando:
• I-Osteotomy: Ugqirha angasika ithambo aze alungise indawo elikuyo.
• Utyando lokwandisa amalungu omzimba: Ukuba ingalo okanye umlenze ufutshane kakhulu, utyando lunokwenziwa ukuze luwolulwe kusetyenziswa isixhobo esikhethekileyo.

Unyango lwe-`(Nonunion)` (amathambo angadibaniyo)

• Unyango olungelulo utyando:
• Unyango lwezonyango: Ukuba kukho isifo esichaphazela umzimba wonke (umz. isifo seswekile), usulelo, okanye ukungondleki kakuhle, oko kufanele kunyangwe kuqala.
• Ii-Orthoses: I-brace, i-splint, okanye i-cast isetyenziselwa ukunceda ithambo liphile kwaye lingawi.
• Isishukumisi samathambo: Ezi zizixhobo ezikhethekileyo ezisebenzisa amaza e-ultrasound okanye amaza e-electromagnetic ukukhuthaza ukuphiliswa kwamathambo.
• Iinaliti zebhayoloji: Iiseli ze-stem okanye i-plasma etyebileyo kwiiplatelet zinokufakwa ethanjeni ukuze kukhuthazwe ukuphiliswa nokukhula.

• Unyango ngotyando:
• Ukususwa kwezicubu: Ugqirha ususa izicwili ezifileyo, ezingapholiyo emathanjeni.
• Utyando lwemithambo yegazi: Ukuba ukunikezelwa kwegazi kuphazamiseka, utyando lwemithambo yegazi lunokwenziwa ukuze lubuyiselwe kwimeko yalo.
• Ukufakelwa kwamathambo: Ugqirha uthatha iqhekeza lethambo kwelinye ilungu lomzimba wakho (njengethambo lesinqe sakho) okanye kwithambo elinikelweyo aze alifake kwinxalenye elahlekileyo. Oku kunika isiqalo esihle sokukhula kwamathambo amatsha.
• Ukunciphisa okuvulekileyo kunye nokuqina kwangaphakathi: Ugqirha ubeka kwakhona iziqwenga zamathambo aze asebenzise izikrufu, iipleyiti, okanye izikhonkwane zotyando ukuze azibambe ndawonye.

Injani imeko yokuchacha emva konyango?

Zombini iindlela zonyango ezingasebenzisi utyando kunye nezotyando zinezinga eliphezulu lempumelelo ekunyangeni i-malonion kunye ne-nonion. Ziindaba ezimnandi ezo. Nangona kunjalo, kungathatha ixesha ukuphiliswa ngokupheleleyo nokubuyela kwisiqhelo (ukuvuselelwa). Kusenokufuneka usebenzise intonga okanye i-walker ukuhamba de uphile. Kusenokufuneka nonyango lomzimba.

Ngamanye amaxesha unyango lunokungaphumeleli. Oku kunokwenzeka ukuba ithambo alinakubanjwa kwindawo efanelekileyo, okanye ukuba oogqirha abakwazi ukulawula izinto zebhayoloji esithethe ngazo (njengokunikezelwa kwegazi kunye nesondlo).

Izinto ezibalulekileyo ekufuneka sizikhumbule (Umyalezo Wokuya Ekhaya)

Ukuphuka kwethambo kunokwenzeka nakubani na. Ngamanye amaxesha asiqondi kwaoko ukuba siphuke ithambo. Nangona kunjalo, ukuba unesikrokro esincinci onokuba naso, kungcono ukubona ugqirha ngoko nangoko uze uhlolwe.

• Amaqhekeza eentsimbi aphiliswa ngcono xa efumana unyango olusemgangathweni nolusemagqabini kwangethuba .
• Ugqirha wakho uza kuhlola inxeba lakho aze achonge naziphi na izinto ezinokubangela ukuba lingaphili.
• Baza kukucebisa ngeyona ndlela ilungileyo yokuzinyamekela ukuze uthintele `(Malunion)` okanye `(Nonunion). Kubaluleke kakhulu ukulandela loo miyalelo ngononophelo.

Ngoko ke, ndiyathemba ukuba olu lwazi luluncedo kuwe. Ukuba unethambo elaphukileyo, ungoyiki kwaye ungalibali ukulandela iingcebiso zonyango ezifanelekileyo. Oku kunokuthintela iingxaki ezinje ukuba zingabikho.

Ukwaphuka kwamathambo , ukungasebenzi kakuhle kwethambo, ukungadibani, ukungasebenzi kakuhle kwethambo, unyango lwamathambo, utyando lwamathambo