Khawuthelekelele ukuba wenze ingozi waza waphuka ithambo engalweni okanye emlenzeni. Hayi indlela eyoyikekayo ngayo loo nto! Ngoko ke, ugqirha uyeza athi, "Oku kufuna utyando kunye neengcingo zangaphakathi kunye neepleyiti ukuze kulungiswe." Kuqhelekile ukuziva usoyika ngakumbi ngelo xesha. Kodwa ungoyiki. Namhlanje sithetha nge-ORIF, utyando olukhethekileyo olusetyenziselwa ukubuyisela amathambo aphukileyo kakhulu.
Yintoni utyando lwe-ORIF? Ngubani oludingayo?
Intsingiselo epheleleyo ye-ORIF yi -Open Reduction kunye ne-Internal Fixation . Nangona igama lisenokuvakala liyinkimbinkimbi, intsingiselo ilula kakhulu.
- Ukunciphisa Okuvulekileyo: Oku kuthetha ukuba ugqirha uyasika ulusu, aluvule, athathe iziqwenga zamathambo aphukileyo aze azibuyisele endaweni yazo efanelekileyo, njengokubuyisela iziqwenga zeglasi eziphukileyo.
- Ukulungiswa Kwangaphakathi: Oku kuthetha ukuba iziqwenga zamathambo ezibekwe kwindawo efanelekileyo ziqiniswe kunye ngaphandle kokushukuma, kwaye ziqiniswe ngokufaka iindawo zesinyithi (umzekelo, izikrufu, iipleyiti, iintonga, okanye iingcingo) ngaphakathi.
Ayinguye wonke umntu onethambo elaphukileyo ofuna olu tyando. Ngamanye amaxesha i-cast ingasetyenziselwa ukunyanga ukwaphuka. Nangona kunjalo, kwezinye iindawo ezaphukileyo kakhulu, utyando lwe-ORIF luyimfuneko.
| Uhlobo lokuqhekeka | Ingcaciso elula |
|---|---|
| Ukuqhekeka Okudibeneyo/Okuvulekileyo | Xa ithambo eliphukileyo liphuma eluswini, kukho umngcipheko omkhulu wokosuleleka. |
| Ukuqhekeka Kwamaqhekeza | Ngamanye amaxesha ithambo liyaqhekeka libe ziingceba ezininzi, njengomgubo. Ezi zinto kunzima ukuzihlanganisa kwakhona. |
| Ukwaphuka Kwamalungu Angaphandle | Ezi ziimeko apho amathambo amabini aphukileyo ahlukana khona, nto leyo edala umsantsa omkhulu phakathi kwawo. La mathambo awayi kuphola ngokwawo. |
Kwenzeka ntoni ngaphambi kotyando?
Uninzi lwaphuka ngenxa yokulimala kwenzeka ngequbuliso, njengokuwa, ingozi yemoto, okanye ukwenzakala kwezemidlalo. Ngoko ke akukho xesha lokuceba olu tyando kwangaphambili. Emva kokuba usiwe kwiSebe leNgxamiseko (i-ETU), umsebenzi wokuqala weqela lezonyango kukuvavanya imeko yakho esongela ubomi, ukulawula ezo meko, kunye nokuzinzisa.
Emva koko, kwenziwa i-X-ray ukuqinisekisa ukwaphuka. Ngamanye amaxesha, ugqirha unokugqiba ekubeni enze i -CT scan okanye i-MRI scan ukuze ajonge ngakumbi ukwaphuka kunye nomonakalo kwimisipha ejikelezileyo.
Kwenzeka ntoni ngexesha lotyando?
Ngaphambi kokuba utyando luqale, uza kunikwa i-anesthesia ukuze ungabi nantlungu. Ngokuxhomekeke kwimeko yakho kunye nohlobo lotyando, ingcali ye-anesthesia iza kukunika i-anesthesia eqhelekileyo, ekwenza ulale ngokupheleleyo, okanye i-anesthesia yengingqi, evala kuphela indawo apho ithambo laphukile khona.
Emva koko ugqirha otyandayo ulandela la manyathelo:
1. Ukusikwa kwesikhumba: Ulusu lunqunyulwa phezu kwethambo eliphukileyo luze luye ezantsi apho kukho ithambo.
2. Ukunciphisa: Iziqwenga zamathambo eziphukileyo neziphumileyo zisuswa ngononophelo kwaye zibekwe kwakhona ngokwendawo yazo yokuqala.
3. Ukulungiswa Kwangaphakathi: Ngoku, ukuthintela ukuba iziqwenga zamathambo zingaphinde zitshintshe, ziqiniswa kunye nezikrufu zesinyithi, iipleyiti, okanye iintonga. Umzekelo, ukuba i-tibia yaphukile, intonga ende ye-titanium ingafakwa embindini wethambo. Ukuba iqatha laphukile, iipleyiti zesinyithi zingafakwa kumacala omabini zize ziqiniswe ngezikrufu.
4. Ukuthunga inxeba: Nje ukuba ithambo lilungiswe, inxeba elisikiweyo liyathungwa lidityaniswe.
5. Ukungashukumi: Okokugqibela, kufakwa isamente okanye i-splint engalweni okanye emlenzeni ohlinzwayo ukuthintela intshukumo.
Olu tyando ludla ngokuthatha iiyure ezininzi, kuxhomekeke kuhlobo lwethambo elaphukileyo kunye nobunzima bokwaphuka kwalo.
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kusiwa kwigumbi lokuchacha. Apho, iqela lezonyango liza kukunyamekela kakuhle ude uphile ngokupheleleyo kwi-anesthesia kwaye liqiniseke ukuba akukho ngxaki zimbi. Nangona abanye abantu bekwazi ukuya ekhaya ngaloo mini inye, uninzi lwabantu kuya kufuneka bahlale esibhedlele usuku olunye okanye ezimbini. Oku kuya kugqitywa ngugqirha wakho ngokusekelwe kwimeko yakho.
Eyona nzuzo iphambili yotyando lwe-ORIF kukuba ithambo elophuke kakhulu liyaguqulwa lize libekwe ngendlela eyiyo nefanelekileyo.Ukulungelelaniswa kwakhona. Ithambo elingalungelelaniswanga kakuhle lisengozini enkulu yokuqhekeka kwakhona kwixesha elizayo.
Utyando lwe-ORIF ludla ngokuba yimpumelelo enkulu, nokuba kukwaphuka okungaqhelekanga nokuntsonkothileyo.
Ziziphi iingxaki ezinokubakho?
Njengakwezinye iintlobo zotyando, utyando lwe-ORIF alunakubangela iingxaki. Akukho nto yokoyika, kodwa kubalulekile ukukwazi oku.
| Ingxaki | Ingcaciso elula |
|---|---|
| Usulelo | Iintsholongwane zinokwenzeka, ingakumbi xa ulusu luphukile kwaye ithambo libonakala (ukuqhekeka okuvulekileyo). |
| IMalunion | Iziqwenga zamathambo azihlangani kakuhle ngexesha lokuphiliswa. |
| Umanyano olungekho phantsi komanyano | Iziqwenga zamathambo azifanelani ngokupheleleyo. |
| Amahlwili egazi | Ukungasebenzisi mandla emva kotyando kwandisa umngcipheko wokuqhekeka kwegazi, ingakumbi kwimithambo yegazi yemilenze. |
| Isifo se-Acute Compartment Syndrome | Uxinzelelo oluphezulu kwimisipha kunye nokuphazamiseka kokunikezelwa kwegazi. Le yimeko engxamisekileyo. |
Kuthatha ixesha elingakanani ukuchacha?
Ixesha eliza kuthathwa ukuze uphile ngokupheleleyo liya kwahluka ngokuxhomekeke kuhlobo lokwaphuka kwakho. Amanye amaqhekeza ayaphola kwiiveki ezimbalwa, ngelixa amaqhekeza anzima ngakumbi anokuthatha iinyanga okanye unyaka ukuze aphile.Kungathatha ixesha. Kuya kufuneka unxibe isamente kangangeeveki ezimbalwa. Zinyamekele ezi zinto ngelixa uphola.
- Phakamisa ingalo/umlenze: Nanini na xa kunokwenzeka, gcina ingalo/umlenze ohlinzweyo uphezulu ngaphezu kwenqanaba lentliziyo usebenzisa imiqamelo. Oku kuya kunciphisa ukudumba.
- Gcina inxeba licocekile: Ukuthintela usulelo, gcina inxeba licocekile kwaye ligqunyiwe njengoko kuyalelwe ngugqirha wakho. Mamela ngononophelo imiyalelo yendlela yokutshintsha ibhandishi yenxeba kunye nexesha onokuhlamba ngalo.
- Unyango Lomzimba: Njengoko ithambo liphola, unyango lomzimba lubalulekile ukuqinisa izihlunu kunye namalungu ajikelezileyo. Kusenokufuneka usebenzise izixhobo zokuncedisa ezifana neenduku zokusila.
Ungayilawula njani intlungu?
Kuqhelekile ukuba uzive iintlungu emva kotyando, ingakumbi kwiiveki zokuqala ezimbalwa. Ugqirha wakho uza kukunika amayeza entlungu ukunceda ukulawula iintlungu. Kubalulekile ukuthatha amayeza ngedosi efanelekileyo nangexesha elifanelekileyo. Ukuba iintlungu azinyamezeleki, yazisa ugqirha wakho ngoko nangoko.
Ingaba iindawo zesinyithi (izikrufu, iipleyiti) zifakwe ngokusisigxina?
Le yingxaki kubantu abaninzi. Kwabanye abantu, la malungu esinyithi ahlala emizimbeni yabo ubomi babo bonke. Iipleyiti kunye nezikrufu, ingakumbi ezo zibekwe kumalungu afana neqakala, azisuswa kuba zinika amandla angakumbi nokuba ithambo selipholile. Nangona kunjalo, kwezinye iimeko (umzekelo, ukuba zibangela ukungakhululeki okanye zifakwe emathanjeni akhulayo ebantwaneni), zisuswa kamva ngotyando oluncinci. Kungcono ukubuza ugqirha wakho ngale nto uze umchazele yona.
Ixesha lokufuna ingcebiso yezonyango ngokukhawuleza
Ukuba ufumanisa naziphi na kwezi mpawu zilandelayo ngexesha lokuchacha kwakho, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe.
- Intlungu ebuhlungu esifubeni.
- Ubunzima bokuphefumla (i-Dyspnea).
- Ubushushu obungaphezu kwama-38° ngokukaCelsius (101° Fahrenheit).
- Ukopha kakhulu kwinxeba lotyando.
- Iimpawu zosulelo kwindawo yenxeba (ukukhupha ubovu, ukudumba okugqithisileyo, ukutshintsha kombala, ivumba, okanye ukuziva ushushu kakhulu).
- Intlungu ebuhlungu engenakulawuleka nokuba usebenzisa amayeza okudambisa iintlungu.
Ukuphula ithambo ngamava abuhlungu kakhulu. Kungokwemvelo ukoyika xa usiva ngotyando kunye neziqwenga zesinyithi ezifakwa emzimbeni wakho. Kodwa khumbula, utyando lwe-ORIF yeyona ndlela ilungileyo nekhuselekileyo yokuphilisa ngokuchanekileyo ukwaphuka okukhulu. Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo.
Umyalezo Wokuya Ekhaya
- Utyando lwe-ORIF lubandakanya ukuvula nokwakha kwakhona amathambo aphukileyo kakhulu, ulusu, nokufaka iindawo zesinyithi ngaphakathi.
- Olu tyando lunceda ithambo liphile liqine kwaye likwindawo eyiyo.
- Ixesha kunye nenkqubo yokuphiliswa ziyahluka kumntu nomntu, kwaye kufuna umonde nokuzinikela.
- Ukulawula iintlungu, ukhathalelo lwamanxeba, kunye nonyango lomzimba zizinto ezibalulekileyo kwinkqubo yokuphiliswa.
- Ukuba unamathandabuzo okanye uloyiko, okanye ukuba kuvela naziphi na iimpawu ezilumkisayo, qhagamshelana nogqirha wakho ngoko nangoko.
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