Kusho ukuthini ukuphula umlenze? (Umlenze Ophukile) Ake sixoxe ngalokhu ngokuningiliziwe!

Ake ucabange ukuthi uhamba endleleni, uwela esihlahleni, noma udlala ezemidlalo bese umlenze wakho "unqunywa" futhi waphuka. Ubuhlungu nokwesaba owawukuzwa ngaleso sikhathi... kunzima ukukucabanga, akunjalo? Kodwa izinto ezinjengalezi zingenzeka kunoma ubani. Ngakho-ke, kusho ukuthini ngempela ukuphuka umlenze, noma njengoba odokotela bekubiza kanjalo, ukuphuka umlenze? Kubaluleke kangakanani lokhu? Sizokhuluma ngakho konke lokhu kalula namuhla, ngendlela ongayiqonda.

Kusho ukuthini ukuphuka umlenze? Kalula nje...

Umlenze ophukile uwukuthi ithambo emlenzeni wakho, okungukuthi, ithambo, liphuka. Odokotela bakubiza nangokuthi "ukuphuka kwethambo". Kunamathambo amathathu ayinhloko emlenzeni wethu. Kungenzeka ukuthi uke wezwa ngawo:

• I-Femur: Leli yithambo elide kakhulu nelinamandla emzimbeni, elitholakala endaweni yethu yamathanga.
• I-Tibia: Leli yithambo elikhulu elingaphakathi kwethambo lomlenze, ngaphansi kwedolo. Abantu abaningi balibiza nangokuthi "ithambo lomlenze."
• I-Fibula: Lokhu kutholakala eduze kwe-tibia, ngaphandle kwe-shin. Kuncane kancane kune-tibia.

Cabanga nje, uma kukhona `(Ukuhlukumezeka)` okukhulu njengengozi enkulu yemoto, wonke la mathambo amathathu angaphuka ngesikhathi esisodwa. Ngokufanayo, ungabona kaningi `(i-Tibia)` kanye `(i-Fibula)` zihlukana ndawonye engozini efanayo.

Uma uphuka umlenze, ikakhulukazi ithambo elikhulu njenge-femur yakho, kuvame ukuhlinzwa ukuze kulungiswe. Kodwa-ke, ngezinye izikhathi, uma ukuphuka kungekubi kakhulu, ungaqhubeka ngaphandle kokuhlinzwa nge-cast noma i-splint. Kodwa-ke, ngemva kokuba umlenze wakho uphulukisiwe, uzodinga ukwelashwa ngokomzimba ukuze uhlale uqinile futhi ukwazi ukugoba nokwelula kahle.

Zikhona yini ezinye izinhlobo zokuphuka kwemilenze?

Yebo, ngaphezu kokukutshela ukuthi yiliphi ithambo emlenzeni wakho eliphukile, odokotela bahlukanisa ukwaphuka. Lokhu kusiza ukuqonda uhlobo oluqondile lokuphuka. Nakuba lokhu kuyinkulumo yezokwelapha, kuhle ukwazi lezi zinto ukuze kukunike umbono omncane:

Odokotela bahlukanisa ukwaphuka kwezicubu ngokususelwa esimweni noma iphethini yazo:

• Ukuphuka okuphambene: Ukuphuka kwethambo ububanzi bomzimba.
• Ukuphuka kwethambo eligobile: Ukuphuka kwethambo nge-engela.
• Ukuphuka okujikelezayo: Ukuphuka okusontekile, njengendwangu ecindezelwayo.
• Ukuphuka kwengxenye: Ukuphuka kwezingxenye zamathambo ezingaphezu kwezimbili endaweni efanayo.
• Ukuphuka okubangelwa yi-comminuted: Ithambo liqhekeka libe yizicucu eziningi ezincane, njengokungathi lichotshoziwe.
• Ibhakede/Ukuphuka okuthintekile: Ingxenye eyodwa yethambo isunduzela kwenye ingxenye.

Amanye amakhefu ahlukaniswa ngokwendlela okwenzeka ngayo:

• Ukuphuka kokucindezeleka:Ukuphuka okwenzeka lapho ithambo lihlaselwa kaningi isikhathi eside. Lokhu kungenzeka kubagijimi.
• Ukuphuka kwethambo: Ingcezu encane yethambo iyadabuka ngenxa yokudonsa kwemisipha noma imisipha.

Isibonelo, ungase ube nokuphuka kwe-femur okuphambene noma ukuphuka kwe-tibia okuyingxenye. Lawa magama nezinhlobo kusiza odokotela ukuthi basho ngokushesha nangokunembile ukuthi yiliphi ithambo eliphukile nokuthi kwenzekeni kulo.

Kuvame kangakanani ukuphuka kwemilenze?

Njengoba sesishilo kakade, i-femur iyithambo elikhulu nelinamandla kakhulu emzimbeni wethu. Ngakho-ke, ngokuvamile kuthatha ingozi enkulu kakhulu ukuze iphuke. Emhlabeni wonke, kulinganiselwa ukuthi abantu abangaphansi kuka-30 kwabayi-1,000 baphuke i-femur minyaka yonke.

Kodwa-ke, ukuphuka kwe-tibia kanye ne-fibula kuvame kakhulu. Lezi ezinye zezinhlobo ezivame kakhulu zamathambo amade ukuphuka. Akuvamile kakhulu ukuthi i-fibula iphuke yodwa. Esikhathini esiningi, i-fibula iphuka kanye ne-tibia.

Ziyini izimpawu zomlenze ophukile?

Ngokuvamile, uma umlenze uphukile, ubukeka ngendlela ehlukile kunejwayelekile. Ungase uqaphele ukuthi ithambo eliphukile livuvukele futhi lishintshe umbala (oluhlaza okwesibhakabhaka/onsomi). Lokhu kuvuvukala nokuguquka kombala kungasakazeka endaweni ezungezile. Kungase kube neqhubu ongalizwa esandleni sakho, noma iqhubu elibonakalayo. Ezimweni ezimbi kakhulu, ingxenye yethambo eliphukile ingase ivele ngisho nasesikhumbeni. Lokhu kuyingozi kakhulu!

Lezi yizimpawu ezivame kakhulu zomlenze ophukile:

• Ubuhlungu obukhulu: Ubuhlungu bungaba bukhulu kangangokuthi awukwazi ngisho nokunyakaza.
• Ukuvuvukala: Indawo lapho kwaphuka khona ivuvukele kakhulu.
• Ubuhlungu uma ucindezelwa: Uma uthinta noma ucindezela ngesandla sakho, uzozwa ubuhlungu obungabekezeleleki.
• Ukungakwazi ukunyakaza noma ukusebenzisa umlenze: Awukwazi ukufaka isisindo noma ukuhambisa umlenze.
• Ukuphuka noma ukushintsha kombala: amabala aluhlaza okwesibhakabhaka, onsomi.
• Iqhubu (ukukhubazeka): Ukukhula okusha noma ushintsho esimweni, ngokuvamile hhayi emlenzeni.

Uma uke waba nengozi futhi ucabanga ukuthi unethambo lomlenze eliphukile, kufanele uye esibhedlela ngokushesha, ngaphandle kokulibala!

Yiziphi izimbangela eziyinhloko zokuphuka kwemilenze?

Ngokuvamile, imilenze ephukile ibangelwa uhlobo oluthile lwengozi (i-Trauma). Izimbangela ezivame kakhulu yilezi:

• Ukuwa: Ukuwa, ikakhulukazi usuka endaweni ephakeme. Isibonelo, ukuwa usuka esitebhisini, esihlahleni (njengesihlahla sikamango, isihlahla se-jackfruit), noma ophahleni.
• Izingozi zezimoto: Kunobungozi obukhulu bokuphuka imilenze ezingozini zezimoto, amabhayisikili, kanye nezimoto ezinamasondo amathathu.
• Izingozi zezemidlalo:Emidlalweni efana nebhola likanobhutshuzwayo, i-rugby, kanye nekhilikithi, imilenze ingaphuka ngenxa yokushayisana noma ukuwa.

Ubani osengozini enkulu yokuphuka imilenze?

Noma ubani angaphuka umlenze, kodwa abanye abantu basengozini enkulu kancane:

• Kulabo abadlala imidlalo ethile: Ikakhulukazi abadlali abadlala imidlalo yokuxhumana.
• Kubantu abaneminyaka engaphezu kwengu-65 ubudala: Ingozi yokuwa iphezulu kule minyaka, futhi amathambo angase abe buthakathaka kancane.
• Kubantu abanezimo zempilo ezithinta ukuminyana kwamathambo: Isibonelo, izifo ezifana `(Izifo zamathambo ezishintsha umzimba)`.
• Abantu abane-osteoporosis kanye ne-osteopenia basengozini enkulu yokuphuka imilenze yabo. I-Osteoporosis yisimo lapho amathambo eba buthakathaka futhi aqhekeke kancane kancane. Abantu abaningi bathola ukuthi banalesi sifo ngemva kokuphuka ithambo. Lokhu kungenxa yokuthi asibangeli zimpawu ezinkulu ekuqaleni.

Odokotela bazi kanjani ngokuqinisekile ukuthi umlenze uphukile?

Udokotela uzoxilonga umlenze ophukile ngokwenza ukuhlolwa ngokomzimba kanye nokuhlolwa kwezithombe. Uma uya egumbini lezimo eziphuthumayo ngemva kwengozi, odokotela balapho bangaxilonga umlenze ophukile.

Hlobo luni lokuhlolwa oluzokwenziwa?

Ukuze uthathe izithombe zokwaphuka, kuzodingeka wenze okukodwa noma ngaphezulu kwalokhu kuhlolwa:

• I-X-ray: I-X-ray ingaqinisekisa noma yikuphi ukuphuka futhi ibonise nokuthi umonakalo owenzekile emathanjeni ungakanani.
• I-Magnetic Resonance Imaging (MRI): Udokotela wakho angase akucele i-MRI. Lokhu kungakunikeza isithombe esiphelele somonakalo emathanjeni, kanye nezicubu ezithambile ezizungezile, i-cartilage, kanye ne-ligaments.
• I-Computed Tomography scan (CT scan): I-CT scan ivumela udokotela noma udokotela ohlinzayo ukuthola isithombe esinemininingwane eminingi ngethambo nezicubu ezizungezile kune-X-ray.

Iyini indlela yokwelapha umlenze ophukile?

Uma udokotela wakho elapha umlenze ophukile, ubheka izinto ezimbalwa, njengokuthi yiliphi ithambo eliphukile nokuthi ngabe unazo yini ezinye izilima.

Ukungasebenzi kahle

Uma ukwaphuka kungekubi kakhulu, okusho ukuthi izingcezu zamathambo azisuswanga (ukuphuka okungasuswanga), ungase udinge kuphela i-cast noma i-splint. Isikhathi osidingayo ukugqoka lokhu sizoncika ohlotsheni lokuphuka. Iningi labantu kuzodingeka lifake i-cast amasonto amaningana. Kuzodingeka futhi wenze ama-X-ray avamile ukuqinisekisa ukuthi ithambo liphola kahle.

Ukuhlinzwa

Amanye amanxeba okuphuka kwemilenze adinga ukuhlinzwa - ikakhulukazi uma ithambo lethanga (i-femur) liphukile, ukuhlinzwa cishe njalo kuyadingeka.

Ukuhlinzwa okuvame kakhulu yilokhuUkunciphisa okuvulekile ngokufakwa kwangaphakathi. Kalula nje, udokotela ohlinzayo uzobuyisela ithambo lakho eliphukile endaweni yalo, alivimbele ukunyakaza kuze kube yilapho liphola futhi liphinde lihlangane. Lokhu kuvame ukuhilela ukufaka amapuleti ensimbi, izikulufo, noma izikhonkwane ethanjeni.

Lezi zingcezu zensimbi zingase zihlale emzimbeni wakho kuze kube phakade. Abanye abantu kungadingeka baphinde bahlinzwe ukuze bazisuse kamuva.

Izinkinga zokuhlinzwa kokuphuka kwemilenze

Izinkinga ezibangelwa ukuhlinzwa kokwaphuka azivamile, kodwa ngezinye izikhathi okulandelayo kungenzeka:

• I-Acute Compartment Syndrome (ACS): Ukucindezela okukhulu ngaphakathi kwemisipha kungavimba ukugeleza kwegazi ezicutshini. Lokhu kungabangela umonakalo ongapheli emisipheni nasezinzwa.
• I-Malunion: Uma izingcezu zamathambo eziphukile zingahlangani kahle lapho ziphola.
• Ukungahlangani: Ukwehluleka kwethambo ukuhlangana ngokuphelele nangokufanele.

Kuthatha isikhathi esingakanani ukuphulukisa umlenze ophukile?

Isikhathi esithathayo ukuze umlenze wakho ululame sincike ezintweni eziningana:

• Yiliphi ithambo elaphukile?
• Iyini imbangela yokuhlukana?
• Hlobo luni lokwelashwa obeludinga?
• Ingabe kukhona okunye ukulimala oke waba nakho?

Iningi lamathambo emilenzeni aphuka lithatha okungenani izinyanga eziningana ukuze liphole. Buza udokotela wakho noma udokotela ohlinzayo ngesikhathi esifanele isimo sakho.

Isikhathi sokululama ngemva komlenze ophukile

Ngisho noma ithambo lakho liphola, kungathatha isikhathi ngaphambi kokuba ululame ngokugcwele futhi ungaqhubeka nemisebenzi yakho evamile. Isikhathi esithathayo sincike ekutheni yiliphi ithambo emlenzeni wakho eliphuke.

Abantu abaningi abaphuka imilenze bazodinga izinyanga eziningana zokwelapha ngokomzimba. Udokotela wezokwelapha ngokomzimba uzokusiza ukuthi uthole amandla futhi ushukumiseke (ukuthi ungashukumisa kangakanani umlenze wakho). Udokotela wakho noma udokotela ohlinzayo uzokutshela okwengeziwe ngalokhu.

Ukuphuka kwe-femur kungathatha isikhathi esingangonyaka ukuphola. Ukuphuka kwe-tibia kanye/noma i-fibula kuvame ukuthatha isikhathi esincane ukuphola.

Buza udokotela wakho ukuthi ungaqhubeka nini nomsebenzi womzimba. Kufanele ushukumise umlenze wakho kancane ukuze ungaqini ngenkathi ululama, kodwa ungaqali ukudlala imidlalo, ukuzivocavoca, noma ukwenza noma yini edinga umsebenzi omningi wemilenze kuze kube yilapho udokotela wakho ethi ungakwenza.

Ungakwazi yini ukuvimbela umlenze ophukile?

Ungase ungakwazi ukuvimbela ukuphuka komlenze, njengoba lokhu kuvame ukuba yizingozi ezingahleliwe. Kodwa-ke, unganciphisa umonakalo obangelwa yizingozi ngokulandela lawa macebiso okuphepha ajwayelekile:

• Gqoka ibhande lakho lesihlalo njalo uma ushayela.
• Gqoka imishini yokuphepha efanele kuyo yonke imisebenzi nemidlalo.
• Gcina ikhaya lakho nendawo yakho yokusebenza icocekile futhi ingenazo izinto ezingadingeki ezingakukhubekisa noma zikhubeke kwabanye.
• Sebenzisa amathuluzi noma imishini efanele ngaso sonke isikhathi ukuze ufinyelele izinto eziphakeme ekhaya lakho. Ungalokothi ukhwele ezihlalweni noma ematafuleni.
• Landela uhlelo lokudla kanye nokuzivocavoca olusiza ekugcineni amathambo enempilo enhle.
• Uma uneminyaka engaphezu kwengu-65 ubudala noma unomlando womndeni we-osteoporosis, khuluma nodokotela wakho mayelana nokuhlolwa kokuqina kwamathambo.
• Uma unenkinga yokuhamba noma usengozini enkulu yokuwa, sebenzisa induku noma i-walker .

Kufanele ngiye nini egumbini lezimo eziphuthumayo?

Uma ucabanga ukuthi uphuke umlenze, ikakhulukazi uma unezinye zalezi zimpawu, hamba uye esibhedlela ngokushesha:

• Ubuhlungu obukhulu kakhulu.
• Uma ungakwazi ukuhambisa umlenze wakho.
• Uma ukubukeka komlenze wakho kushintshile, noma uma kubonakala sengathi ugxume endaweni yawo.
• Uma ubhoboza isikhumba sakho bese ubona ithambo liphuma.
• Ukuvuvukala.
• Uma kuvela imivimbo emisha kanye nalezi zimpawu.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Nazi ezinye imibuzo ongayibuza udokotela wakho:

• Yiliphi ithambo emlenzeni wami eliphukile?
• Ingabe kuzodingeka ngihlinzwe?
• Kuzodingeka ngigqoke i-plaster cast isikhathi esingakanani?
• Kuzothatha isikhathi esingakanani ukwenza ukwelashwa ngokomzimba?
• Ngingaqala nini futhi umsebenzi womzimba?

Kubaluleke kangakanani umlenze ophukile?

Ukuphuka ithambo emlenzeni wakho kuyingozi enkulu. Ingozi enkulu ngokwanele ukuphuka umlenze ingaholela kwezinye ukulimala, okusongela ngisho nokuphila.

Uma ucabanga ukuthi umlenze wakho uphukile, kubaluleke kakhulu ukuya ekamelweni lezimo eziphuthumayo ngokushesha. Uma ukulimala kwakho kusheshe kwatholakala futhi kwelashwa, kulapho amathuba okuthi kuphulukiswe kahle khona maningi. Buza udokotela wakho noma udokotela ohlinzayo ukuthi yini ongayilindela.

Ungakwazi yini ukuhamba ngisho noma umlenze wakho uphukile?

Uma ithambo lakho lethanga elithi "Femur" noma ithambo lesifuba elithi "Tibia" liphukile, ngeke ukwazi ukuma, ukuhamba, noma ukubeka isisindo emlenzeni wakho.

Abanye abantu bangahamba ngemva kokuphuka i-fibula yabo, ngoba akuyona ithambo elithwala isisindo (okusho ukuthi ayisekeli isisindo somzimba wakho uma umi noma uhamba). Kodwa-ke, akuvamile kakhulu ukuthi i-fibula iphuke yodwa, ngakho akufanele uzame ukuhamba noma ukuyisebenzisa.

Udokotela wakho noma udokotela ohlinzayo uzokukhombisa ukuthi ungama kanjani, uhambe kanjani, futhi uhambe kanjani ngokuphephile ngenkathi ugqoke i-cast noma ngemva kokuhlinzwa.

Umlenze ophukile ungaba ukulimala okwesabekayo nokubi kakhulu. Ngesikhathi ululama, kuzodingeka ujwayele ukuma nokuhamba ngendlela ehlukile okungenani izinyanga ezimbalwa. Leso sikhathi siyakufanelekela. Imilenze eminingi ephukile iphola kahle ngaphandle kwezinkinga zesikhathi eside.

Ukwelashwa ngokomzimba kuyinqubo ende nenzima. Zinike isikhathi sokujabula nokuziqhenya ngentuthuko oyenzayo kuzo zonke izinyathelo zohambo lwakho lokuphulukiswa.

Uma kufanele ugqoke i-cast, buza udokotela wakho noma udokotela ohlinzayo ukuthi ungayinakekela kanjani. Bazokunikeza imiyalelo yemisebenzi yansuku zonke, njengokugeza nokugqoka.

Umyalezo Wokugcina Wokuya Nasekhaya

Kulungile, ngakho ake sikukhumbuze futhi ngamaphuzu abaluleke kakhulu kulokho esikhulume ngakho:

• Umlenze ophukile uwukuphuka kwethambo emlenzeni. Lokhu kubizwa nangokuthi "ukuphuka kwethambo".
• Uma uzwa izimpawu ezifana nobuhlungu obukhulu, ukuvuvukala, noma ukungakwazi ukuhambisa umlenze wakho, kungaba ukwaphuka. Uma kunjalo, bona udokotela ngokushesha.
• Ukuwa, izingozi zezimoto, kanye nezingozi zemidlalo yizona zimbangela eziyinhloko.
• Izinketho zokwelapha zingasukela ekusebenziseni i-plaster cast kuya ekuhlinzweni. Udokotela uzonquma.
• Kuthatha izinyanga eziningana ukuphulukiswa, futhi ukwelashwa ngokomzimba kuyadingeka.
• Izingozi zingancishiswa ngokulandela izinyathelo zokuphepha.
• Amathambo angaphuka kalula ngenxa yezimo ezifana ne-osteoporosis, ngakho-ke qaphela nalokho.

Khumbula, into ebaluleke kakhulu uma uphuke umlenze ukungesabi futhi ufune iseluleko sezokwelapha ngokushesha. Ngokwelashwa okufanele, ungabuyela esimweni sakho sangaphambilini. Sikufisela ukululama okusheshayo!

Umlenze ophukile, ithambo eliphukile, ukuphuka komlenze, ubuhlungu bomlenze, ukuvuvukala komlenze, ukwelashwa kwamathambo, ukwelashwa ngokomzimba