Wake waba sengozini enkulu yemoto, noma wawa usuka endaweni ephakeme, wazizwa ubuhlungu obungabekezeleleki ethangeni lakho? Ngezinye izikhathi ubuhlungu bungaba bukhulu kangangokuthi awukwazi ngisho nokunyakaza umlenze wakho. Abantu abaningi bacabanga ukuthi, "O, ithangeni lami liphukile." Kodwa ngezinye izikhathi lokhu kungaba yinkimbinkimbi kakhulu kunokuphuka kwethangeni okulula, futhi kungaba ukuphuka okudinga ukunakwa okukhulu. Leso ngesinye sezimo ezibucayi esikhuluma ngazo namuhla, i-Acetabular Fracture.
Kalula nje, kuyini ukuqhekeka kwe-Acetabular?
Ukuze siqonde lokhu, ake siqale sibheke ukuthi ithambo lethu lesinqe lenziwa kanjani. Cabanga ngesinqe sethu njengelunga elihlanganisa ibhola nesokhethi. Lokhu kubizwa ngokuthi ilunga "lebhola nesokhethi".
- Ibhola: Lena yingxenye eyindilinga engenhla kwethambo lethu lethanga. Ngokwezokwelapha, lokhu sikubiza ngokuthi "ikhanda lesifazane".
- Isokhethi: Leli bhola lingena esakhiweni esifana nendebe esinqeni sethu esibizwa ngokuthi i-acetabulum .
Leli lunga elimangalisayo lisisiza ukuba senze zonke izinhlobo zokunyakaza, njengokuhamba, ukugijima, ukugoba, nokwelula imilenze yethu. Ngakho-ke, i-Acetabular Fracture iwukuphuka kwe-socket (i-Acetabulum) esinqeni. Lokhu ngokuvamile akukubi kangako njengokuphuka kwengxenye ephezulu yethambo lesinqe, kodwa kungaba kubi kakhulu uma kwenzeka.
Yiziphi izinhlobo nezinhlobo ezahlukene zalezi ziqephu?
I-acetabulum ingaphuka ngezindlela ezahlukene, ezindaweni ezahlukene. Odokotela bahlukanisa la ma-fracture ngokusekelwe endaweni yawo kanye nephethini yokuphuka. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo Lokuphuka | Incazelo elula |
|---|---|
| Ukuphuka kodonga lwangaphambili | Ukuphuka kodonga olungaphambili noma umngcele wesokhethi lesinqe. |
| Ukuphuka kodonga lwangemuva | Ukuqhekeka kodonga noma umngcele wengxenye engemuva yesokhethi yesinqe. |
| Ukuphuka okuphambeneyo | I-acetabulum iphuka ngokuvundlile, kuma-degree angu-90 ngqo. |
| Ukuphuka okubangelwa yi-comminuted | Lokhu kukhulu kancane. Ithambo liphukile libe yizicucu ezingaphezu kwezimbili. |
| Ukuphuka kokucindezeleka | Ukuqhekeka okuncane kakhulu, okuthambile ethanjeni okwenzeka ngenxa yokucindezeleka okuqhubekayo okuqhubekayo (isb., kubadlali). |
Unquma kanjani ukuthi ukuhlukana kuyingozi kangakanani?
Ngezinye izikhathi leli thambo liyaphuka kabili, ngezinye izikhathi liyaphuka libe yizicucu. Udokotela wakho uzocabangela izici eziningana ukuze anqume ukuthi ukuphuka kwakho kungakanani.
- Inani nosayizi wezingcezu zamathambo eziphukile: Uma izingcezu ziningi, isimo siba sibi kakhulu.
- Ukuthi izingcezu zamathambo zisuke kangakanani endaweni yazo yokuqala: Uma izingcezu eziningi sezisusiwe, kungase kudingeke ukuhlinzwa.
- Ukulimala kwe-cartilage esithweni samalunga: Uma i-cartilage esiza ukusebenza kahle kwamalunga yonakele, izimo ezifana ne-arthritis zingase zenzeke esikhathini esizayo.
- Ukulimala kwemisipha, imizwa, kanye nesikhumba esizungeze inqulu.
Into eyodwa okufanele uyikhumbule ukuphuka okuvulekile noma okuhlanganisiwe . Lokhu kusho ukuthi ingxenye yethambo eliphukile iphukile esikhumbeni futhi iyaphuma. Lesi yisimo esibi kakhulu. Ngoba kunethuba elikhulu lokuthi amagciwane angangena ethanjeni ngenxeba futhi abangele ukutheleleka okukhulu.
Kungani kukhona ukuhlukana okungaka?
Amathambo ebhande lethu le-pelvic, okuhlanganisa ne-acetabulum, empeleni anamandla kakhulu. Ngakho-ke kudinga amandla amakhulu ukuwaphula. Izimbangela ezivame kakhulu zalesi simo yilezi:
- Izingozi ezinkulu: Izinto ezifana nezingozi zezimoto nezithuthuthu.
- Ukuwa usuka ezindaweni eziphakeme: Ukuwa usuka endaweni ephakeme, njengesihlahla noma isakhiwo.
Kodwa akudingeki kube yingozi enkulu ngaso sonke isikhathi. Lokhu kuphuka kwemisipha kungenzeka nakubantu abanamathambo abuthakathaka , ikakhulukazi labo abane-osteoporosis, isifo esibangela amathambo ukuba mancane njengoba sikhula.Umuntu osekhulile onalesi simo angase aphuke kabi kanje ngisho noma eshelela futhi awe ekhaya.
Ziyini izimpawu zalokhu?
Uphawu oluyinhloko nolusobala kakhulu lokuphuka kwe-acetabular ubuhlungu obungabekezeleleki, obukhulu endaweni yesinqe. Lobuhlungu buyaqina uma uzama ukuhambisa umlenze.
Ngaphezu kwalokho, uma ukwaphuka kulimaze imizwa eseduze, ungase ube nezimpawu ezifana nalezi:
- Ukuba ndikindiki noma umuzwa wokushaqeka ngogesi emlenzeni.
- Ukuba ndikindiki noma ubuthakathaka emlenzeni.
Uma unalezi zimpawu, kufanele uye e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
Udokotela uhlonza kanjani lokhu?
Udokotela okuxilongayo uzoqala ngokuhlolisisa i-pelvis yakho, izinqe, kanye nemilenze. Futhi,
- Uzocelwa ukuthi uhambise amaqakala nezinzwane zakho ukuze uhlole umonakalo wemizwa.
- Kuye ngohlobo lwengozi , nezinye izingozi ziyahlolwa.
Bese kuthi, ukuqinisekisa uhlobo oluqondile lokuphuka kwethambo nokuqonda ubukhali balo, kwenziwe izivivinyo ezinjengalezi:
- I-X-ray: Lokhu kungabonisa ukuthi yimaphi amathambo esinqeni aphukile nokuthi izingcezu zibekwe kanjani.
- I-CT scan: Lokhu kungathatha izithombe zesinqe ezihlukaniswe ngezigaba. Lokhu kubaluleke kakhulu ukuqonda ubunzima kanye nephethini eyinkimbinkimbi yokuphuka.
Ilashwa kanjani? Ingabe ukuhlinzwa kuyadingeka?
Indlela yokwelapha incike kuphethini kanye nobukhali bokuqhekeka kwakho.
Amacala lapho ukuhlinzwa kungadingeki khona
Ngezinye izikhathi, uma ukwaphuka kungekubi kakhulu, okusho ukuthi izingcezu zamathambo azikasuki kude kakhulu nalapho zazikhona (ukuphuka okuzinzile), udokotela angase anqume ukwelapha ukwaphuka ngaphandle kokuhlinzwa. Ezimweni ezinjalo, okulandelayo kunganconywa:
- Izinduku zokusibekela noma i -walker : Ngeke uvunyelwe ukubeka umlenze wakho phansi kuze kube yilapho ithambo selipholile ngokuphelele, okungaba amasonto ayi-12.
- Amadivayisi okuvimba imilenze: Sebenzisa umcamelo wokukhipha isisu noma i-knee immobilizer ukuze umise isinqe ukuthi singanyakazi ngendlela engavamile.
- Ama-Painkiller: Uzonikezwa imithi yokulawula ubuhlungu.
- Ama-Anti-coagulant: Njengoba ungakwazi ukuhamba nokuhlala endaweni eyodwa, kunengozi yokuthi igazi liqhekeke emithanjeni yemilenze yakho. Le mithi inikezwa ukuvimbela lokhu.
Amacala lapho kudingeka khona ukuhlinzwa
Eqinisweni, iningi lama-fracture e-acetabular lidinga ukulungiswa kokuhlinzwa.
Kuye ngohlobo lokuphuka, udokotela ohlinzayo uzokhetha enye yalezi zindlela:
1. Ukunciphisa Okuvulekile Nokulungiswa Kwangaphakathi (i-ORIF): Kalula nje, lokhu kuhilela ukuhambisa izingcezu zamathambo eziphukile ngokuhlinzwa zibuyele ezindaweni zazo zokuqala bese kusetshenziswa amapuleti nezikulufo ukuze zibambe ndawonye. Lokhu kuhlala ngaphakathi emzimbeni kuze kube yilapho amathambo ephulukisiwe ngokugcwele.
2. Ukufakwa Kwesinqe Esiphelele: Uma i-acetabulum ibuthakathaka kakhulu noma yonakele ukuthi ingalungiswa, udokotela wakho ohlinzayo angase akuncome lokhu kuhlinzwa. Lokhu kuhilela ukususa lonke ilunga le-hip kanye ne-cartilage bese ulifaka ilunga lokwenziwa esikhundleni salo.
Yiziphi izinkinga ezingavela kulokhu kuqhekeka?
Ngenxa yokuthi lokhu ukulimala okukhulu, kunengozi yezinkinga ezithile. Kubaluleke kakhulu ukuzazi lezi.
| Inkinga | Incazelo elula |
|---|---|
| I-arthritis yangemva kwenhlekelele | Ukuphuka kulimaza i-cartilage emalungeni. Lokhu kungaholela ekuqaqambeni kwamalunga ngokuhamba kwesikhathi. |
| Ukulahlekelwa kwegazi emathanjeni (i-Avascular necrosis) | Ukuphuka kungalimaza imithambo yegazi ehambisa igazi ethanjeni. Lapho igazi lilahleka, amangqamuzana ethambo ayafa futhi ithambo liqala ukuwohloka. |
| Ukutheleleka | Ukutheleleka kungavela ebusweni noma ngaphakathi kwenxeba lokuhlinzwa. Ukutheleleka okujulile kungadinga ukuhlinzwa ukuze kuhlanzwe inxeba. |
| Amahlule egazi | Ukuhlala endaweni eyodwa ngemva kokuhlinzwa kunciphisa ukugeleza kwegazi emilenzeni futhi kunengozi yokwakheka kwamahlule egazi. |
| Ukulimala kwemizwa ye-sciatic | Ngenxa yokuthi le nzwa igijima ngemuva kwejoyinti lesinqe, ingalimala ngokuphuka noma ukuhlinzwa. Lokhu kungaholela esimweni esibizwa ngokuthi "ukuwa kwezinyawo" (ukungakwazi ukuphakamisa iqakala nezinzwane ngenkathi uhamba). |
| Ukukhula kwamathambo okungavamile (i-Heterotopic ossification) | Isimo lapho ithambo elisha likhula khona ezicutshini ezithambile, njengemisipha ezungeze isinqe. |
Inqubo yokuphulukiswa kanye nokululama
Ubuhlungu buvamile ngemva kokuhlinzwa. Udokotela uzokunikeza imithi yokudambisa ubuhlungu edingekayo.
Uzodinga izinduku zokusibekela noma i -walker uma uqala ukuhamba futhi. Uzokwazi ukuthwala isisindo esithile emlenzeni wakho ngemva kwamasonto ayisithupha kuya kwayisishiyagalombili. Kodwa-ke, kuzothatha izinyanga eziningana ukuhamba ngokugcwele.
Ukwelashwa ngokomzimba kuyingxenye ebaluleke kakhulu yalolu hambo. Ukuzivocavoca umzimba kuyadingeka ukuze kubuyiselwe ukunyakaza esinqeni futhi kuqiniswe imisipha. Ngokuhamba kwesikhathi, udokotela wakho uzokweluleka ukuthi ushintshele ekuzivocavoceni okungenamthelela omkhulu, njengokubhukuda noma ukugibela ibhayisikili ungashintshi. Kodwa-ke, kuzodingeka ulinde cishe izinyanga eziyi-6 kuya kweziyi-12 ngaphambi kokuzibandakanya emisebenzini enzima nenzima.
Khumbula, uma ubhema, inqubo yokuphulukiswa kwamathambo ihamba kancane kakhulu. Futhi ingozi yezinkinga nayo iphakeme. Ngakho-ke, kubaluleke kakhulu empilweni yakho ukuthi ugweme ngokuphelele ukubhema phakathi nalesi sikhathi.
Ukululama kwakho ngokugcwele kuncike ezintweni eziningi, okuhlanganisa nobunzima bokuphuka, ubudala bakho, kanye nempilo yakho iyonke. Nakuba abanye abantu bengase bakwazi ukubuyela ezingeni labo langaphambilini lomsebenzi, abanye bangase bangakwazi ukubuyela ezingeni labo langaphambilini lomsebenzi. Ngakho-ke, kubalulekile ukuba nesineke futhi ulandele imiyalelo kadokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuphuka kwe-acetabular kuwukuphuka kwe-socket ebamba ibhola lesinqe. Lesi yisimo esibi esivame ukwenzeka ngenxa yengozi enkulu.
- Uphawu oluyinhloko ubuhlungu obungabekezeleleki endaweni yesinqe.
- Uma kwenzeka ukulimala okufana nalokhu, kufanele uye ngokushesha e-Emergency Treatment Unit (ETU) yesibhedlela ngaphandle kokulibala.
- Ngokuvamile kudingeka ukuhlinzwa ukuze kulungiswe la manxeba aphukile, futhi inqubo yokuphulukiswa ithatha izinyanga eziningana.
- Ukwelashwa ngokomzimba kuyingxenye ebaluleke kakhulu yesikhathi sokululama.
- Landela njalo imiyalelo enikezwe udokotela wakho kanye nodokotela wezokwelapha ngokomzimba. Ngokubekezela nokwelashwa, ungaphila impilo enhle futhi.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment