Ingaba ithambo lakho alizange lihlale kakuhle emva kokuba liphulwe? (IiMalunion kunye neeNonunion Fractures)

Owu, ukwaphuka kwethambo yinto ongafuni nokuyicinga, akunjalo? Kodwa kusenokwenzeka kwingozi, ukuwa ukusuka kwindawo ephakamileyo, okanye kwingozi yemoto. Uninzi lwexesha, ngonyango olunikezelwa ngoogqirha, njengokufaka iibhandishi mhlawumbi neplasta, iziqwenga zamathambo aphukileyo zinokuhlanganiswa kakuhle. Kodwa ngamanye amaxesha, ezi zinto azenzeki lula njengoko ucinga. Kwenzeka ntoni ukuba azihambelani kakuhle, okanye ukuba azihambelani kwaphela? Namhlanje, siza kuthetha ngeemeko ezimbini ezinjalo: iMalunion kunye neNonunion .

Zithini iiMalunion kunye neeNonunion?

Ngamafutshane, oku kubhekisa kwiimeko apho ithambo lingapholi kakuhle emva kokuqhekeka.

• IMalunion kuxa amathambo aphukileyo edityaniswe, kodwa ngendlela engalunganga, kwindawo engafanelekanga . Njengeziqwenga ezimbini zepleyiti eziqhekekileyo ezincamathiselwe ngokuchanekileyo. Amathambo anokutsalwa, agotywe, okanye afinyezwe.
• I-Nonunion kuxa amathambo aphukileyo engapholanga kwaphela, nokuba sele kudlule ixesha elide. Kufana neziqwenga ezibini zomthi eziphukileyo ezingafanelaniyo.

Ngale ndlela, ukuba ithambo liphazamisekile, okanye ukuba liphazamisekile ngokupheleleyo, linokuba nefuthe elikhulu ekuzinzeni nasekusebenzeni kwamathambo omzimba wethu. Khawuthelekelele indlela ebekuya kuba nzima ngayo ukuhamba ukuba ithambo elisemlenzeni liphazamisekile.

Ixesha elininzi, ukwaphuka kwamathambo kuyaphola kakuhle ngonyango olufanelekileyo. Ukuba akwenzeki njalo, kufuneka kubekho isizathu. Kusenokuba yingxaki yoomatshini - oko kukuthi, iziqwenga ezaphukileyo azizange zihlangane kakuhle ngexesha lokuphiliswa. Okanye inokuba yingxaki yebhayoloji - oko kukuthi, umzimba wakho awunazo izixhobo ezaneleyo zokuphilisa ithambo. Oogqirha baqwalasela zonke ezi zinto xa benyanga ezi meko.

Ziziphi iintlobo eziphambili zokungahambelani?

Ugqirha wakho angachaza ukungahambelani kwakho njenge-"Hypertrophic", "Atrophic", okanye "Oligotrophic". Olu hlu lusekelwe kubungqina bento ebangela ukuba ithambo lingaphili.

• Ukungadibani kwethambo: Kulapho kwakheka khona ithambo elitsha, kodwa iziphelo zamathambo aphukileyo azidibani kakuhle. Ngamanye amazwi, ithambo lakho linazo zonke izinto eziphilayo (umz., ukunikezelwa kwegazi, iiseli) ezifunekayo ukuze kuphiliswe, kodwa amathambo awabanjwanga kakuhle ngexesha lokuphiliswa. Khawuthelekelele ukuba unazo zonke izinto ezifunekayo ukwakha indlu, kodwa iindonga azibotshelelwanga kakuhle.
• Ukungadibani kwe-Atrophic:Kwimeko enjalo, akukho kwakheka kwethambo okutsha okubonakalayo, kwaye ithambo alifumani ukuhanjiswa kwegazi okufanelekileyo. Oku kuthetha ukuba ithambo aliphili ngenxa yezizathu zebhayoloji. Kanye njengokuba isityalo sibuna ngaphandle kwamanzi kunye nesondlo. Ngamanye amaxesha, ukuba kukho usulelo ngaphakathi kwethambo (septic nonunion), ukuhanjiswa kwegazi nako kunokuphazamiseka.
• Ukungadibani kwe-oligotrophic: Kule meko, kwakheka ithambo elitsha, kodwa aliphelelanga. Iziqwenga zamathambo azikho kwindawo efanelekileyo. Mhlawumbi iziqwenga zamathambo azizange zibekwe kakuhle kwasekuqaleni, okanye zadityaniswa kamva. Kusenokubakho iingxaki ngokuzinza kweziqwenga zamathambo kunye nezinto zebhayoloji.

Zithini iimpawu ze-malonion?

Xa ithambo lingalunganga (malunion), ungabona izinto ezinje:

• Amathambo akho abonakala ethambile okanye egobile.
• Kubonakala ngathi ithambo lijijekile .
• Ithambo libonakala lifutshane kunangaphambili.

Xa usebenzisa ithambo elingalunganga ngale ndlela, unokufumana ezi mpawu zilandelayo:

• Kubuhlungu apho kukho ithambo.
• Kukho ukudumba .
• Ukuqhwalela xa uhamba (ukuba ngumlenze).

Onke amathambo emzimbeni wethu adibene. Ngoko ke xa ithambo libuthathaka kwindawo enye, linokubangela ubunzima obungaphezulu kunye noxinzelelo kwamanye amathambo. Ngoko ke, xa usebenzisa ithambo elonzakeleyo, unokuziva iintlungu kwezinye iindawo zomzimba.

Khawucinge nje, ukuba umthambo okufutshane ucinezelwe okanye utsaliwe ngenxa yamathambo angahambanga kakuhle, ezi ziimpawu ezinxulumene nomthambo onokuzifumana:

• Ukurhawuzelela, ukuziva ngathi ziimbovane zibaleka zijikeleza (i-paresthesia).
• Izihlunu kwindawo eyonzakeleyo ziba buthathaka kwaye ziphele.
• Kuye kwenzeka iintlungu zemithambo-luvo (i-neuropathy).

Zithini iimpawu zomntu ongadibaniyo neqabane lakhe?

Xa ithambo lingadibani (ukungadibani), ungabona iimpawu ezifana nezi:

• Kukho intlungu enzulu nengapheliyo kwindawo ephukileyo.
• Kusekho ubuthathaka kuloo ndawo, ukuziva ungakwazi ukuhamba kakuhle .
• Ngaphandle, ungabona umahluko , mhlawumbi njengeqhina okanye umsantsa.

Ngamanye amaxesha, ukuba kukho usulelo ethanjeni, lunokuhambisana okanye lungabi nazo ezi mpawu:

• Ukudumba
• Ifiva
• Ndiyagodola.

Kutheni le nto ezi ngxaki kunye neengxabano zenzeka?

Xa ithambo liphuka, zininzi izizathu zokuba lingaphili kakuhle okanye lingapholi kwaphela. Makhe sijonge ezinye zezona ziphambili:

• Indlela eyaphukile ngayo, indlela eyaphukile ngayo:Umzekelo, amathambo ajijekileyo (amaqhekeza ajikelezayo) okanye aqhekekileyo abe ziingceba ezininzi (amaqhekeza aqhekekileyo) awanakwenzeka ukuba aphiliswe kakuhle. Kwakhona, ukuba unezilima ezinzima (amanxeba abuhlungu) ezichaphazela ukuhanjiswa kwegazi emathanjeni, oko kuya kuchaphazela ukuphiliswa. Kuba ukunikezelwa kwegazi kubalulekile ukuze ithambo liphile kwaye liphile.
• Ufumana unyango ngokukhawuleza nangendlela ekhawuleza ngayo: Ukuba awubonani nogqirha kwangoko nje ukuba waphule ithambo, lisenokuqala ukuphola ngendlela engafanelekanga. Ngamanye amaxesha, nokuba iziqwenga zethambo zibekwe kakuhle, zisenokuphuma kwindawo yazo. Oku kunokwenzeka ngakumbi ukuba unyango lulibaziseka okanye ukuba unyango alwanelanga.
• Ukuphumla nokuzikhusela ngexesha lokuphiliswa: Kubaluleke kakhulu ukugcina ithambo lisendaweni yalo kwaye likwindawo eyiyo ngelixa liphola. Abanye abantu bathatha ixesha elide kunesiqhelo ukuba ithambo liphole. Kwiimeko ezinjalo, iingxaki zinokuvela ukuba ugqirha ususa isamente kwangethuba okanye ukuba uqala ukusebenzisa ithambo kwangethuba.
• Impilo yakho iyonke kunye nokukwazi kwakho ukuphiliswa: Xa ithambo liphola kancinci, kunokwenzeka ukuba libe yi-malonion okanye lingabi yi-nonion. Abantu abalupheleyo , abaswele izondlo (ingakumbi i-calcium kunye ne-vitamin D), okanye izifo ze-metabolic ezifana nesifo seswekile kunye nesifo se-thyroid banokucothisa okanye bathintele ukuphiliswa kwamathambo. Kubalulekile ukukhumbula ukuba ukusebenzisa icuba kunye ne-nicotine nako kunokwenza amathambo abe buthathaka kwaye kulibazise ukuphiliswa.

Oogqirha bazixilonga njani ezi meko?

Xa efumanisa imeko efana nale, ugqirha uza kuqala akubuze malunga nendlela eyenzeke ngayo ingozi kunye nezinye iimeko zempilo onokuba nazo. Emva koko, uza kwenza uvavanyo lomzimba lomlenze wakho. Uza kujonga izinto ezifana notshintsho onokulubona ngaphandle kunye nendlela oluvakala ngayo xa uwushukumisa. Ngokuxhomekeke ekubeni ukwaphuka kukuphi, banokufuna ukujonga indlela ohamba ngayo okanye ukulinganisa ubude bomlenze.

Emva koko, ewe, imifanekiso yethambo iyathathwa (`imaging`). Oku kungasebenzisa iimvavanyo ezifana ne -X-ray , i -CT scan , okanye i-MRI .

Ugqirha uza kujonga ukuba ithambo lipholile na kwindawo engaqhelekanga, engafanelekanga emzimbeni. Ukuba kunjalo, uza kufumanisa ukuba liyi-malonion.

Ukuba ithambo alipholanga ixesha elide, okanye ukuba alipholanga ngokupheleleyo, libizwa ngokuba yi-'layed union' okanye i-nonion. Ixesha elithathwayo ukuze ithambo liphole linokwahluka ngokuxhomekeke kuhlobo lwengozi, uhlobo lwethambo elaphukileyo, kunye nempilo yakho iyonke. Ngokwesiqhelo, kungathatha iinyanga ezintandathu, ezisithoba, okanye ezilishumi elinesibini ukuba ithambo liphole ngaphandle kokuphola.

Ngaba ezi manyano kunye neemanyano ezingezizo ezinokwenziwa?

Ayizizo zonke ii-malunion okanye ii-nonunion ezifuna ukulungiswa. Kuxhomekeke ekubeni leliphi ithambo elaphukileyo, ukuba ulisebenzisa kangakanani ithambo, nokuba imeko ichaphazela kangakanani ubomi bakho bemihla ngemihla. Kodwa ngamanye amaxesha, ithambo elingapholanga kakuhle linokwenza kube nzima ukuhamba, libangele iintlungu, okanye libangele ezinye iingxaki. Kwimeko enjalo, kunokufuneka utyando ukuze lulungiswe. Ugqirha wakho uza kuqala azame unyango olungelulo utyando aze emva koko acebise ukuba utyando alusebenzi.

Unyango lweMalunion

Unyango olungelulo utyando:

• Ukuxhoma: Ngamanye amaxesha i-brace ekhethekileyo ingasetyenziswa ukunceda ukugcina ithambo likwindawo engcono.
• Ii-Orthotics: Isixhobo sokufaka izihlangu esenziwe ngokukodwa sinokunceda ekulungiseni umahluko wobude bomlenze.
• Unyango lomzimba: Uqeqesho oluthile lunokuqinisa izihlunu ezichaphazelekayo kwaye lunciphise umthwalo emathanjeni.
• Izithomalalisi zentlungu: Kwiintlungu ezibuhlungu ngamanye amaxesha, ungasebenzisa izithomalalisi zentlungu eziqhelekileyo ezifana nee-NSAID.

Unyango ngotyando:

• I-Osteotomy: Kule meko, ugqirha wethambo usika ithambo elingalunganga aze alibuyisele endaweni yalo.
• Utyando lokwandisa amalungu omzimba: Ukuba ingalo okanye umlenze umfutshane, ugqirha angasebenzisa isixhobo esikhethekileyo ukuwukhulisa.

Unyango lwe-Nonunion

Unyango olungelulo utyando:

• Unyango lwezonyango: Kusenokufuneka unyangelwe enye imeko (umz. isifo seswekile), usulelo, okanye ukungondleki kakuhle.
• Ii-Orthoses: I-brace, i-splint, okanye i-cast inokunceda ukugcina ithambo lingashukumi kwaye lincede liphile.
• Isivuseleli samathambo: Ezi zisebenzisa amaza e-ultrasound okanye e-electromagnetic ukukhuthaza ukuphiliswa kwamathambo.
• Iinaliti zebhayoloji: Iinaliti zeeseli ze-stem okanye i-plasma etyebileyo kwiiplatelet zinokukhuthaza ukuphiliswa nokukhula kwamathambo.

Unyango ngotyando:

• Ukususwa kwezicubu: Kule nto, ugqirha wamathambo ususa izicwili ezifileyo ethanjeni.
• Utyando lwemithambo yegazi: Ugqirha wemithambo yegazi unokwenza utyando kwimithambo yegazi yakho ukubuyisela ukuhamba kwegazi entliziyweni yakho.
• Ukufakelwa kwamathambo:Kule meko, ugqirha wamathambo uthatha iqhekeza lethambo kwelinye ilungu lomzimba wakho, okanye kwithambo elinikelweyo, aze alifake kwinxalenye elahlekileyo. Eli thambo lifakelweyo linika isiqalo esihle sokukhula kwethambo elitsha.
• Ukunciphisa okuvulekileyo kunye nokuqina kwangaphakathi: Kule nto, ugqirha wamathambo ulungisa iziqwenga zamathambo aze azilungise kunye nezikrufu kunye neepleyiti okanye izikhonkwane.

Injani imeko emva konyango?

Zombini iindlela zonyango ezingasebenzisi utyando kunye nezotyando zinezinga eliphezulu lempumelelo ekunyangeni ii-malunions kunye nee-nonions. Nangona kunjalo, ukuchacha kunye nokubuyiselwa kwimeko yesiqhelo kuthatha ixesha. Kusenokufuneka usebenzise induku okanye i-walker de uphile. Kusenokufuneka wenze unyango lomzimba okwethutyana. Ngamanye amaxesha, ukuba amathambo awakwazi ukulungelelana ngokufanelekileyo, okanye ukuba ugqirha akanakulawula izinto ezibangela ukuba kubekho isifo, unyango lunokungaphumeleli.

Ukuphuka kwethambo kunokwenzeka nakubani na. Akucaci rhoqo ukuba unethambo elaphukileyo okanye akunjalo. Kodwa ukuba ucinga ukuba unokuba nalo, kungcono ukubona ugqirha ngokukhawuleza. Kuba ukwaphuka kwamathambo kuphola ngcono xa kunyangwa ngokukhawuleza nangendlela efanelekileyo. Ugqirha wakho uza kuhlola ukwenzakala kwakho aze afumanise ukuba yintoni enokubangela ukuba kuphole. Uya kuthi emva koko akucebise ngento onokuyenza ukuze ulincede liphole kakuhle, kunokuba libangele ukungahambelani okanye ukungahambelani.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Musa ukoyika ukuba waphuke ithambo. Kodwa ungalithathi lula. Bona ugqirha ngokukhawuleza uze ufumane unyango olufanelekileyo. Landela imiyalelo kagqirha ngqo. Ukuba unikwe isamente, yigcine ide ikuxelele ukuba uyikhulule. Ukuba ukuxelela ukuba wenze umthambo, yenza kakuhle. Yitya ukutya okunesondlo, ingakumbi ukutya okutyebileyo kwi-calcium kunye ne-vitamin D. Ukuba ungumntu otshayayo, ukuyeka ukutshaya kunceda kakhulu ekuphiliseni. Kuba amathambo asempilweni abalulekile kubomi obusempilweni!

Ukwaphuka kwamathambo , ukungasebenzi kakuhle kwamathambo, ukungadibani kwamathambo, ukuphiliswa kwamathambo, utyando lwamathambo, unyango lwamathambo, ithambo elaphukileyo