Ngaba waphuka umlenze xa ilungu leqakala lakho latyumkileyo? Masithethe ngePilon Fracture (Tibial Plafond Fracture)!

Khawuthelekelele usebenza kwileli uze ngequbuliso utyibilike uze uwe, okanye usengozini yemoto. Uziva iintlungu ezinganyamezelekiyo eqakaleni lakho, umlenze wakho uvuvukile kakhulu, kwaye usenokubonakala ugobile ngendlela engaqhelekanga. Kubuhlungu kakhulu kangangokuba awukwazi nokubeka umlenze wakho phantsi, ingasathethwa ke ngokuhamba. Kwimeko efana nale, kunokuba yingozi ngaphezu komlenze nje owaphukileyo. Lolo luhlobo lokwaphuka okukhulu esiza kuthetha ngalo namhlanje.

Yintoni kanye kanye iPilon Fracture?

Ngamafutshane, iPilon Fracture (iTibial Plafond Fracture) kukuqhekeka okukhulu kwinxalenye esezantsi yethambo lakho lesifuba (i-tibia), kanye apho lidibana khona neqakala. Kukho amathambo amabini aphambili emlenzeni wethu, elikhulu esilibiza ngokuba yi-`(tibia)` kunye nelincinci esilibiza ngokuba yi-`(fibula)`. KwiPilon fracture, omabini la mathambo anokuqhekeka rhoqo.

Oku kubizwa ngokuba yi-'Pilon' ngesizathu esikhethekileyo. Igama elithi 'Pilon' lithetha 'i-mole' ngesiFrentshi. Kanye njengokuba ugquma into kwi-mortar kunye ne-pestle, oku kuqhekeka kwenzeka ngamandla amakhulu. Khawuthelekelele, ithambo elithi '(talus)' elikwilungu leqakala lakho (ithambo eliqhagamshela kwi-talus) linyuswa ngamandla amakhulu, lityumza isiphelo se-talus. Yiloo ndlela eyenzekayo apha.

Ngaba kukho naziphi na iintlobo zezi khefu?

Ewe, oogqirha basebenzisa iindlela ezahlukeneyo zokwahlulahlula ngokuxhomekeke kubukhali bokwaphuka kwale ngxaki. Indlela elula nesetyenziswa kakhulu yokwahlulahlula ukuze siyiqonde yindlela yokwahlulahlula ethi `Ruedi-Allgower`. Masiyiqonde ngokulula.

• Uhlobo I: Kulapho ithambo liqhekeka khona kwilungu, kodwa iziqwenga zamathambo aphukileyo azikashukumi . Zisesekhona. Olu lolona hlobo lokwaphuka olungenabungozi kangako.
• Uhlobo lwesibini: Apha, iziqwenga zamathambo aphukileyo ziyasuswa kancinci, oko kuthetha ukuba ithambo alikho kwindawo efanelekileyo. Nangona kunjalo, ithambo aliqhekekanga libe ziingceba ezininzi.
• Uhlobo lwesithathu: Eli lelona tyala linzima kakhulu . Kule meko, akuphela nje kokuba iziqwenga zamathambo aphukileyo zisusiwe, kodwa nethambo lityunyuzwe laba ziingceba ezincinci (comminution) . Kukwakho nomonakalo omkhulu kumphezulu wamalungu.

Uhlobo lonyango luxhomekeke kuhlobo lokwaphuka onalo. Ukwaphuka kohlobo lwesithathu phantse ngokuqinisekileyo kufuna utyando.

Zeziphi iimpawu onokuba nazo ukuba into efana nale inokwenzeka kuwe?

Ukuphuka kwe-pilon yimeko ebuhlungu kakhulu. Iimpawu zicacile.

Zithini izizathu zokwahlukana okubi kangaka?

Olu hlobo lokuqhekeka ludla ngokufuna amandla anamandla kakhulu . Izizathu eziqhelekileyo ziquka:

• Iingozi zeemoto: Olu hlobo lokwenzakala lunokwenzeka, ingakumbi kwiingozi zeemoto, iibhayisekile, okanye iingozi zeemoto ezinamavili amathathu.
• Ukuwa ukusuka kwindawo ephakamileyo: Ukuwa ukusuka kwindawo ephakamileyo, njengomthi, ileli, okanye kumgangatho ophezulu wesakhiwo, yimbangela enkulu.
• Iingozi zemidlalo:Iingozi ezinje zinokwenzeka nakwimidlalo ekhawulezayo efana nokuskiya.

Nangona kunjalo, ngamanye amaxesha kunokubakho ukwaphuka okuncinci. Isizathu soku zizifo ezenza amathambo abe buthathaka .

Ngubani osengozini enkulu?

Nangona le ngozi inokwenzeka nakubani na, amanye amaqela asengozini enkulu.

• Amadoda aphakathi kweminyaka engama-25-50 ubudala: Le meko ixhaphake kakhulu kumadoda akweli qela leminyaka ngenxa yokwenzakala ngamandla amakhulu (njengeengozi zeemoto).
• Abafazi abane-osteoporosis: Ingakumbi abafazi abadala, basengozini enkulu yokuqhekeka kwamathambo, nokuba bawile kancinci.
• Abantu abasebenza kwiileli nakwi-scaffolding: Abantu abakwishishini lokwakha basengozini enkulu yokuwa.
• Abantu abadala abawa rhoqo: Abantu abangaphezu kweminyaka engama-65 ubudala, abangenayo ibhalansi esemgangathweni, kwaye abawa rhoqo nabo basengozini enkulu.

Ugqirha uyifumanisa njani le nto?

Xa usiya esibhedlele, ingakumbi iSebe leeNgxamiseko (i-ETU) xa unesilonda esifana nesi, ugqirha wamathambo uza kukuhlola.

1. Uvavanyo lomzimba: Ugqirha uza kuhlola umlenze wakho kunye neqatha ngononophelo, enika ingqalelo ekudumbeni, ukukrweleka, utshintsho kwimilo, kunye nemeko yolusu.

2. I-X-reyi: Olu lolona vavanyo lusisiseko nolubalulekileyo. I- X-reyi ingabonisa ngokucacileyo ukuba ithambo laphukile na kwaye apho laphukile khona.

3. I-CT Scan: Kwiimeko ezininzi zokuqhekeka kwe-pilon, kufuneka i -CT scan ukongeza kwi-X-ray. Oku kungenxa yokuba i-CT scan ibaluleke kakhulu ukuze kubonwe ngokwemilinganiselo emithathu (3D) ukuba ingakanani ithambo elaphukileyo, yintoni umonakalo owenziwe kumphezulu welungu, kunye nendlela iziqwenga ezaphukileyo ezibekwe ngayo. Olu lwazi lubalulekile ekucwangciseni utyando.

Inyangwa njani? Ngaba utyando luyimfuneko?

Unyango lokwaphuka kwe-pilon luxhomekeke kwizinto ezininzi, kuquka uhlobo lokwaphuka, ubungakanani bamathambo aphumileyo, umonakalo kulusu kunye nemisipha, kunye nempilo yakho iyonke.

Amatyala apho utyando lungadingeki (Unyango Olungelulo Utyando)

Oku kunqabile kakhulu. Utyando alufuneki ngaphandle kokuba ukwaphuka kuncinci kakhulu, oko kuthetha ukuba iziqwenga zamathambo aphukileyo azisuswanga kancinci . Kwimeko enjalo, ugqirha wakho unokucebisa olu nyango lulandelayo:

• Ukuphumla:Bakuxelela ukuba uphumze umlenze wakho kwaye uwugcine uphakanyisiwe ixesha elide kangangoko kunokwenzeka.
• Ukufaka isamente okanye isihlangu: Ukuze umlenze ungashukumi kwaye uhlale uzinzile de ithambo liphole, unokufuna ukufaka isamente, i-splint, okanye isihlangu esikhethekileyo.
• Ukusebenzisa iinduku zokusila: Akulunganga ukufaka ubunzima emlenzeni ude uphole, ngoko ke kuya kufuneka usebenzise iinduku zokusila.
• Amayeza: Ngamanye amaxesha amayeza okunciphisa igazi (i-anticoagulants) anokunikwa ukuthintela ukuqhekeka kwegazi kwimithambo yemilenze.
• Unyango Lomzimba: Emva kokuba ithambo liphilile, unyango lomzimba lubalulekile ukuze kubuyiselwe amandla kunye nokunyakaza emlenzeni nasemaqakaleni.

Unyango lotyando

Kwiimeko ezininzi zokuphuka kwePilon , utyando luyimfuneko , kuba kwiimeko ezininzi, amathambo aphumile endaweni yawo aze ahambe.

Kukho iintlobo ezimbini eziphambili zotyando.

1. Ukunciphisa okuVulekileyo kunye nokuLungiswa kwangaphakathi (i-ORIF):

Olu lolona tyando luqhelekileyo. Ngamafutshane, into oyenzayo kukuba, ugqirha ohlinzayo anqumle ulusu, aye kwindawo apho kwaqhekeka khona, aze alungise zonke iziqwenga zamathambo ezisusiweyo zibuyele kwindawo yazo yokuqala (ukunciphisa) . Emva koko, kusetyenziswa iipleyiti zesinyithi kunye nezikrufu ukulungisa iziqwenga ethanjeni ukuze zingaphinde zishukume (i-internal fixation) . Ezi pleyiti kunye nezikrufu zihlala zishiywa emzimbeni ubomi bonke.

2. Ukulungiswa Kwangaphandle:

Le yinkqubo eyahlukileyo kancinci. Ukuba ukudumba emlenzeni kukhulu kakhulu, okanye ukuba kukho izilonda eziqatha eluswini, utyando lwe-ORIF alunakwenziwa ngoko nangoko. Kwiimeko ezinjalo, le nkqubo isetyenziselwa ukuzinzisa umlenze okwethutyana. Apha, ugqirha ugqogqa iintonga ezininzi zesinyithi emathanjeni aze azincamathisele kwisakhelo esingaphandle komzimba . Le sakhelo igcina amathambo ezinzile ngaphandle kokushukuma. Nje ukuba ukudumba kuthomalale kwaye imeko yolusu iphucukile, isakhelo siyasuswa kwaye utyando lwe-ORIF oluchazwe apha ngasentla lwenziwa.

Kuthatha ixesha elingakanani ukuphiliswa?

Le yingxaki abantu abaninzi abanayo. Ukwaphuka kwe-pilon kuthatha ixesha elide ukuphola. Le yinto efuna umonde nokuzinikela.

• Ukuphiliswa kwamathambo: Kudla ngokuthatha iinyanga ezi-3 ukuya kwezi-6 ukuba ithambo liphole ngokupheleleyo emva kotyando.
• Ukuchacha ngokupheleleyo: Nangona kunjalo, umsebenzi awupheli xa ithambo lipholile. Kungathatha unyaka okanye ngaphezulu ukufumana amandla, intshukumo, kunye nokusebenza okuqhelekileyo emlenzeni.Kungathatha ixesha.

Unyango lwe-physiotherapy lubalulekile kule nkqubo yokuphiliswa. Kubaluleke kakhulu ukulandela imiyalelo kagqirha kunye neyonyango lwe-physiotherapy ngqo ukuze uphile ngokukhawuleza.

Ufanele uye nini kugqirha?

Ukuba unayo nayiphi na kwezi mpawu zikhankanyiweyo kweli nqaku, ingakumbi emva kwengozi enkulu, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko, ngaphandle kokulibazisa. Ukuba awukwazi ukuya wedwa, fowunela inkonzo ye-ambulensi ka-1990.

Ukuba ufumana naziphi na ezi mpawu ngelixa usekhaya emva kotyando, oko kungaba luphawu losulelo. Ukuba kunjalo, kuya kufuneka uye esibhedlele ngoko nangoko :

• Ukuba uziva ubomvu, ukudumba, okanye ukufudumala okujikeleze inxeba lotyando.
• Ukuba ulwelo olufana nobovu luphuma enxebeni.
• Ukuba unomkhuhlane .

Zithini iziphumo zexesha elide zale meko?

Ukuphuka kwePilon yimeko enzima ukunyanga kuba ibandakanya umonakalo kumphezulu welungu ngokwalo. Ke ngoko, nokuba kukho unyango olungcono, ezinye iingxaki zinokwenzeka ixesha elide.

• Iintlungu Ezingapheliyo: Abanye abantu basenokuba neentlungu zeqakala ngamanye amaxesha nangona besaphila.
• Ukuqina Kwamalungu: Amandla okugoba nokwandisa iqatha ngokupheleleyo anokuncitshiswa.
• I-post-traumatic arthritis: Le yeyona ngxaki ixhaphakileyo. Ukulimala kungonakalisa i-cartilage kumphezulu welungu, nto leyo enokubangela i-arthritis ngokuhamba kwexesha. Oku kubangela iintlungu nokudumba.

Ukuthintela okanye ukulawula ezi zinto, kubaluleke kakhulu ukulandela imiyalelo kagqirha kunye nonyango lomzimba ngokuchanekileyo.