Zicabange uhamba emgwaqweni, noma mhlawumbe udlala umdlalo, lapho ngokuzumayo uzwa "ukuphuka" okubukhali kanye nobuhlungu obukhulu emlenzeni wakho. Kuyinto eyesabekayo neyikhungathekisayo, akunjalo? Sicela wazi ukuthi ukulimala okufana nalokhu kungenzeka kunoma ubani. Ngakho-ke, kwenzekani ngempela ngesikhathi sokuphuka komlenze, futhi kuyingozi kangakanani? Kwa- Nirogi Lanka , sifuna ukukusiza uqonde le nqubo ngokucacile nangokuzola. Ake sichaze kahle ukuthi kuyini ukuphuka kwethambo nokuthi yini okudingeka ukwazi.
Kuyini ukuphuka komlenze? Kalula nje…
Ukuphuka komlenze kusho ukuthi elinye lamathambo emlenzeni wakho liphukile. Odokotela babiza lokhu ngokuthi ukuphuka . Umlenze wakho uqukethe amathambo amathathu ayinhloko okufanele uwaqonde:
- Ithambo lethanga: Leli yithambo elide kakhulu nelinamandla emzimbeni wakho, elitholakala emlenzeni wakho ongaphezulu.
- I-Tibia (i-Shinbone): Ithambo elikhulu elitholakala ngaphakathi komlenze wakho ongezansi, ngaphansi kwedolo.
- I-Fibula: Ithambo elincane elihamba ngokulingana ne-tibia ohlangothini lwangaphandle lomlenze wakho ongezansi.
Ezimweni zokulimala okukhulu, njengengozi enkulu yemoto, wonke amathambo amathathu angaphuka ngesikhathi esisodwa. Kuvamile futhi ukuthi i-tibia ne-fibula ziqhekeke ndawonye esigamekweni esifanayo.
Uma uzwa ukuphuka, ikakhulukazi ethanjeni elikhulu njenge-femur, ukuhlinzwa kuvame ukudingeka ukuze kuqiniswe ithambo. Kodwa-ke, ezimweni ezingatheni kakhulu, udokotela angase aphathe ukulimala esebenzisa i-cast noma i-splint. Kungakhathaliseki ukuthi iyiphi indlela yokwelashwa, ukwelashwa ngokomzimba kubalulekile uma ithambo selipholile ukuze kubuyiselwe amandla omlenze wakho, ukuguquguquka kwawo, kanye nobubanzi bokunyakaza.
Ingabe kunezinhlobo ezahlukene zokuphuka kwemilenze?
Yebo. Ngaphandle kokuthola ukuthi yiliphi ithambo eliphukile, ochwepheshe bezokwelapha bahlukanisa ama-fracture ngokusekelwe kuphethini yabo ukuze baqonde kangcono ukulimala. Nakuba lawa ngamagama obuchwepheshe, kuyasiza ukuthi uqonde izisekelo:
Ukuphuka kwamathambo kuhlukaniswa ngesimo noma iphethini:
- Ukuphuka okuphambene: Ithambo liphukile liqonde ngqo.
- Ukuphuka kwe-oblique: Ithambo liphukile nge-engela.
- Ukuphuka okujikelezayo: Ukuphuka kuzungeza ithambo, ngendlela indwangu egoqa ngayo uma ikhishwa.
- Ukuphuka kwengxenye: Ithambo liqhekeka libe yizicucu ezimbili noma ngaphezulu ezingeni elifanayo.
- Ukuphuka okuhlanganisiwe: Ithambo liqhekeka libe yizicucu eziningana ezincane.
- Ukuphuka kwebhakede/Ukuphuka okuthintekile: Ingxenye eyodwa yethambo ishayelwa kwenye.
Amanye ama-fracture ahlukaniswa ngendlela okwenzeka ngayo:
- Ukuphuka kokucindezeleka: Ukuphuka kwezinwele okubangelwa amandla aphindaphindayo isikhathi eside, okuvame ukubonakala kubasubathi njengabagijimi.
- Ukuphuka kwethambo: Ingcezu yethambo idonswa yi-tendon noma i-ligament.
Isibonelo, ungase utholakale une-"transverse femur fracture" noma "segmental tibia fracture." La magama athile avumela amaqembu ezokwelapha aseNirogi Lanka ukuthi akhulume ngohlobo oluqondile lokulimala kwakho futhi ahlele ukwelashwa kwakho ngempumelelo.
Kuvame kangakanani ukuphuka kwemilenze?
Njengoba kuphawuliwe, i-femur iyithambo eliqine kakhulu emzimbeni wakho, ngakho-ke ngokuvamile idinga ukulimala okukhulu ukuze iphuke. Izibalo zibonisa ukuthi ukuphuka kwe-femur akuvamile, kuthinta abantu abangaphansi kuka-30 kubantu abayi-1,000 minyaka yonke emhlabeni jikelele.
Kodwa-ke, ukuphuka kwe-tibia ne-fibula kuvame kakhulu. Lokhu kuphakathi kwamathambo amade avame ukuphuka. Ukuphuka kwe-fibula okuhlukile akuvamile; ngokuvamile, i-fibula iyaphuka kanye nokulimala kwe-tibial.
Yiziphi izimpawu zokuphuka komlenze?
Ngokuvamile, umlenze ophukile uzobukeka ngendlela ehlukile kunejwayelekile. Ungase uqaphele ukuvuvukala kanye nokushaqeka (ukushintsha kombala okuluhlaza okwesibhakabhaka/okunsomi) endaweni. Ezimweni ezimbi kakhulu, ithambo lingaze libhoboze isikhumba, okuyisimo esiphuthumayo sezokwelapha esaziwa ngokuthi ukuphuka okuvulekile (okuhlanganisiwe).
Izimpawu ezivamile zifaka:
- Ubuhlungu obukhulu: Ukungakhululeki okukhulu okwenza noma yikuphi ukunyakaza kube nzima.
- Ukuvuvukala: Ukuvuvuka okukhulu okuzungeze ukulimala.
- Ubuhlungu: Ubuhlungu obukhulu lapho indawo ithintwa.
- Ukungakwazi ukunyakaza noma ukuthwala isisindo: Cishe uzothola ukuthi akunakwenzeka ukuma noma ukuhambisa umlenze wakho.
- Ukuphuka: Umbala onsomi noma omnyama obonakalayo.
- Ukukhubazeka: Ukuqunjelwa noma ushintsho olungavamile esimweni semvelo somlenze wakho.
Uma ulimele futhi usola ukuthi umlenze wakho uphukile, ungalindi. Funa usizo oluphuthumayo esibhedlela esiseduze ngokushesha!
Yiziphi izimbangela eziyinhloko zokuphuka kwemilenze?
Ukuphuka kwemilenze okuningi kubangelwa ukulimala. Izimbangela ezivamile zifaka:
- Ukuwa: Ikakhulukazi kusukela ezindaweni eziphakeme, njengezitebhisi, izihlahla, noma ophahleni.
- Izingozi zezimoto: Izingozi zezimoto, izithuthuthu, noma amabhayisikili zandisa kakhulu ingozi yokuphuka kwamathambo.
- Ukulimala kwezemidlalo: Imidlalo yokuthintana njenge-rugby noma ibhola lezinyawo ingabangela ukuphuka ngenxa yokushayisana noma ukuwa okungavamile.
Ubani osengozini enkulu yokuphuka kwemilenze?
Nakuba noma ubani engaphuka umlenze, abantu abathile babhekene nengozi enkulu ngenxa yendlela yokuphila noma izici zezokwelapha.
- Kwabadlali: Ikakhulukazi labo abahlanganyela emidlalweni yokuxhumana enomthelela omkhulu.
- Kulabo abaneminyaka engaphezu kwengu-65: Kule minyaka, ingozi yokuwa iphezulu, futhi amathambo angase abe buthakathaka kakhulu.
- Kulabo abanezinkinga zempilo yamathambo: Njengezifo zamathambo ezithinta ukuqina kwamathambo.
- Izici Zengozi: Abantu abane-osteoporosis noma i-osteopenia basengozini enkulu yokuphuka kwamathambo. I-Osteoporosis yisimo lapho amathambo eba buthaka kancane kancane futhi abe buthaka. Abantu abaningi abaqapheli ukuthi banayo kuze kube yilapho ithambo liphuka, njengoba livame ukungabonakali izimpawu ezibalulekile ezigabeni zokuqala.
Odokotela bakuthola kanjani ukuphuka komlenze?
Odokotela baxilonga ukuphuka komlenze ngokuhlolwa okujulile ngokomzimba kanye nokuhlolwa kwezithombe ezithile. Uma ufika ekamelweni eliphuthumayo ngemuva kwengozi, ithimba lezokwelapha lihlonyiselwe ukuhlonza lokhu kuphuka komlenze ngokushesha.
Yiziphi izivivinyo ezihilelekile?
Ungadinga ukuhlolwa okulandelayo okukodwa noma ngaphezulu ukuze ubone ngeso lengqondo ukwaphuka:
- I-X-ray: Lena yindlela eyinhloko yokuqinisekisa ukuphuka kwethambo nokuhlola ubukhulu bokulimala.
- I-Magnetic Resonance Imaging (MRI): Udokotela wakho angase acele i-MRI ukuze athole umbono oningiliziwe hhayi nje ngamathambo kodwa futhi nezicubu ezithambile ezizungezile, i-cartilage, kanye ne-ligaments.
- I-Computed Tomography (CT) scan: I-CT scan inikeza udokotela wakho noma udokotela ohlinzayo izithombe ezinemininingwane eminingi yamathambo nezicubu ezizungezile kune-X-ray ejwayelekile.
Yiziphi izindlela zokwelapha umlenze ophukile?
Ukwelashwa kuncike ekutheni yiliphi ithambo eliphukile nokuthi ngabe ulimele yini kwezinye izindawo.
Ukungasebenzi kahle
Uma kwenzeka ama-fracture angasuswanga endaweni yawo, lapho izingcezu zamathambo zihlala endaweni yazo yemvelo, i-cast noma i-splint ivame ukwanele. Isikhathi sokungasebenzi kahle sincike ohlotsheni lokuphuka; iziguli eziningi zidinga i-cast amasonto amaningana. Kuzodingeka i-X-ray yokulandelela ukuqinisekisa ukuthi ithambo liphola kahle.
Ukuhlinzwa
Amanye amanxeba adinga ukuhlinzwa— ukuphuka kwethambo lethanga cishe njalo kudinga ukuhlinzwa.
Inqubo evame kakhulu ukuhlinzwa okuvulekile ngokufakwa ngaphakathi . Kalula nje, udokotela ohlinzayo ulungisa kabusha ithambo eliphukile bese eliqinisa ukuqinisekisa ukuthi liyaphola endaweni efanele. Lokhu kuvame ukwenziwa kusetshenziswa amapuleti ensimbi, izikulufo, noma izikhonkwane ezifakwa ngaphakathi kwethambo.
Nakuba ezinye izinto ezisetshenziswayo zingase zihlale emzimbeni wakho unomphela, ezinye iziguli zingadinga ukuhlinzwa kwesibili kamuva ukuze zisuswe.
Izinkinga zokuhlinzwa
Nakuba izinkinga zingavamile, zingafaka:
- I-Acute Compartment Syndrome (ACS): Ukucindezela okwandayo ngaphakathi kwemisipha kungavimbela ukugeleza kwegazi, okungase kubangele ukulimala okungapheli kwemisipha kanye nemizwa.
- I-Malunion: Lapho amathambo ephola endaweni engalungile noma engahlelekile.
- Ukungahlangani: Lapho ithambo lihluleka ukuphola noma ukuhlangana ngokuphelele.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Isikhathi sokuphulukiswa sincike ezintweni eziningana:
- Ithambo elithile elithintekile.
- Imbangela yokuphuka.
- Uhlobo lokwelashwa oludingekayo.
- Ukuba khona kwezinye ukulimala ngesikhathi esifanayo.
Iningi lamathambo aphukile emilenzeni lithatha okungenani izinyanga eziningana ukuze liphole. Xhumana nodokotela wakho noma udokotela ohlinzayo ukuze uthole isikhathi sokululama esifanelana nesimo sakho.
Isikhathi sokululama ngemva kokuphuka komlenze
Ngisho nangemva kokuba ithambo selipholile, ukubuyela emisebenzini yakho evamile kuthatha isikhathi. Isikhathi sokululama sincike ekutheni yiliphi ithambo lomlenze eliphukile.
Iningi leziguli lidinga izinyanga eziningana zokwelapha ngokomzimba . Udokotela wezokwelapha ngokomzimba uzokusiza ukuthi uthole amandla futhi uthuthukise ukunyakaza. Udokotela wakho noma udokotela ohlinzayo uzokunikeza isiqondiso esithile.
Ukuphuka kwe-femur kungathatha isikhathi esingangonyaka ukuze kuphole ngokuphelele. Ukuphuka kwe-tibia (ithambo lesifuba) noma i-fibula ngokuvamile kudinga isikhathi esincane sokululama.
Buza udokotela wakho njalo uma kuphephile ukuqala imisebenzi yomzimba. Nakuba kufanele ugcine umlenze wakho uhambahamba (ngaphakathi kwemingcele ebekiwe) ukuze uvimbele ukuqina ngesikhathi sokululama, ungazibandakanyi kwezemidlalo, ekuzivocavoceni okunzima, noma ekusebenziseni kakhulu kuze kube yilapho uthola imvume yezokwelapha evela kumhlinzeki wakho wezempilo waseNirogi Lanka.
Ingabe ukuphuka komlenze kungavinjelwa?
Nakuba izingozi eziningi zingalindelekile, unganciphisa ingozi yakho ngokulandela lezi zinyathelo zokuphepha ezijwayelekile:
- Gqoka ibhande lakho lesihlalo njalo uma usemotweni.
- Sebenzisa izingubo zokuzivikela ezifanele kuyo yonke imisebenzi kanye nemidlalo.
- Gcina ikhaya lakho nendawo yakho yokusebenza ihlelekile futhi ingenazo izinto eziningi ezingadingekile ukuze ugweme ukukhubeka noma ukuwela wena noma abanye.
- Sebenzisa amathuluzi noma imishini efanele njalo uma uthatha izinto ekhaya. Ungalokothi ukhwele ezihlalweni noma ematafuleni.
- Landela uhlelo lokudla nokuzivocavoca olusekela futhi lugcine impilo enhle yamathambo.
- Uma uneminyaka engaphezu kwengu-65 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 uvakashele nini igumbi lezimo eziphuthumayo?
Uma usola ukuthi umlenze uphukile, funa usizo lwezokwelapha oluphuthumayo esibhedlela ngokushesha, ikakhulukazi uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo:
- Ubuhlungu obukhulu.
- Ukungakwazi ukuhambisa umlenze wakho.
- Umlenze ubonakala ukhubazekile noma ungekho endaweni yawo.
- Ithambo eliveziwe eliphuma esikhumbeni.
- Ukuvuvukala okukhulu.
- Ukulimala okusha okuhambisana nalezi zimpawu.
Yimiphi imibuzo okufanele uyibuze udokotela wakho?
Nazi ezinye zemibuzo ebalulekile ongayibuza umhlinzeki wakho wezempilo:
- Yiliphi ithambo emlenzeni wami eliphukile?
- Ingabe ngizodinga ukuhlinzwa?
- Kuyoze kube nini ngidinga ukuba seqenjini?
- Ngizodinga isikhathi esingakanani ukwelashwa ngokomzimba?
- Ngizokwazi nini ukuqhubeka nemisebenzi yomzimba?
Kubaluleke kangakanani umlenze ophukile?
Umlenze ophukile uwukulimala okukhulu. Ukulimala okukhulu okubangela ukuphuka komlenze kungase kuhlanganise nezinye izinkinga ezisongela ukuphila.
Uma usola ukuthi umlenze uphukile, kubalulekile ukuya emnyangweni wezimo eziphuthumayo ngokushesha. Uma ukulimala kwakho kusheshe kwatholakala futhi kwelashwa, kulapho amathuba akho okululama ngokugcwele eba ngcono khona. Buza udokotela wakho noma udokotela ohlinzayo ukuthi yini ongayilindela ngesikhathi senqubo yokuphulukiswa.
Ungakwazi yini ukuhamba ngomlenze ophukile?
Uma uphuke ithambo lakho lethanga noma i-tibia (ithambo lesifuba), ngeke ukwazi ukuma, ukuhamba, noma ukufaka isisindo emlenzeni.
Abanye abantu bangase babe nomuzwa wokuthi bangahamba ngokuphuka kwe-fibula ngoba akuyona ithambo elithwala isisindo eliyinhloko. Kodwa-ke, ngoba i-fibula ayivamile ukuphuka yodwa, akufanele uzame ukuhamba kuyo noma ukuyisebenzisa.
Udokotela wakho noma udokotela ohlinzayo uzokunikeza imiyalelo ethile yokuthi ungama kanjani ngokuphephile, uhambe, futhi uhambe kanjani ngenkathi ugqoke i-cast noma ululama ngemva kokuhlinzwa.
Ukuphuka kwemilenze kungaba okwesabisayo futhi kube nzima. Ngesikhathi sokululama kwakho, kungadingeka ukuthi uzivumelanise nezindlela ezahlukene zokuhamba okungenani izinyanga eziningana. Lesi sikhathi sibalulekile. Ukuphuka kwemilenze eminingi kuphola kahle ngaphandle kwezinkinga zesikhathi eside.
Ukwelashwa ngokomzimba kuyinqubo ende neyinselele. Zinike isikhathi sokugubha nokuziqhenya ngentuthuko oyenzayo kuzo zonke izinyathelo zohambo lwakho lokululama.
Uma udinga i-cast, buza udokotela wakho noma udokotela ohlinzayo mayelana nokunakekelwa okufanele. Bazokunikeza isiqondiso esiqondile mayelana nokuphatha imisebenzi yansuku zonke njengokugeza nokugqoka.
Izinto Ezibalulekile Okufanele Uzithathe (eNirogi Lanka)
Ngamafuphi, nanka amaphuzu abaluleke kakhulu okufanele uwakhumbule:
- Umlenze ophukile uwukuphuka kwelinye lamathambo emlenzeni wakho.
- Izimpawu ezifana nobuhlungu obukhulu, ukuvuvukala, kanye nokungakwazi ukuhambisa umlenze zisikisela ukuthi uphukile. Funa usizo lwezokwelapha ngokushesha.
- Ukuwa, izingozi zezimoto, kanye nokulimala kwezemidlalo yizona zimbangela eziyinhloko.
- Ukwelashwa kuhluka kusukela ekufakweni kwe-cast kuya ekuhlinzweni, njengoba kunqunywe udokotela wakho.
- Ukululama kuthatha izinyanga eziningana, futhi ukwelashwa ngokomzimba kubalulekile.
- Ukulandela izinqubo zokuphepha kungasiza ekuvimbeleni izingozi.
- Izimo ezifana ne-osteoporosis zingenza amathambo abe sengozini yokuphuka kalula, ngakho-ke hlala umatasa ngempilo yakho.
Khumbula, hlala uzolile, futhi ufune iseluleko sezokwelapha ngokushesha uma usola ukuthi kukhona ukuphumula. Ngokwelashwa okufanele, ungaphinde ululame futhi ubuyele esimisweni sakho. Sikufisela ukululama okusheshayo!
👩🏽⚕️ Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa)
💬 Ngingazi kanjani ukuthi nginomlenze ophukile ekhaya?
Ngokuvamile, ungase uzwe umsindo ohlukile othi 'snap' noma 'pop' ngesikhathi sokulimala. Cishe uzozithola ungakwazi ukuthwala noma yisiphi isisindo emlenzeni, futhi ungase uzizwe ukhubazekile ngokuphelele. Bheka izimpawu ezibonakalayo njenge-engeli engavamile noma ukukhubazeka kwesitho, ithambo eliphuma ngaphansi kwesikhumba, noma ezimweni ezimbi kakhulu, ukuphuka okuvulekile lapho ithambo lidabule khona esikhumbeni.
💬 Yiluphi usizo lokuqala okufanele ngilunikeze ngaphambi kokuya esibhedlela?
Ungalokothi uzame 'ukuqondisa' noma ukudonsa isitho esilimele! Gcina umlenze usendaweni owuthole kuyo, bese usebenzisa i-splint—njengebhodi eliqinile kanye nemichilo yendwangu—ukuze uhlale ungashukumi. Uma kukhona ukopha, faka ingcindezi eqinile ngendwangu ehlanzekile. Faka iphakethe leqhwa ukuze uphathe ubuhlungu nokuvuvukala, bese ucela izinsizakalo eziphuthumayo noma uthuthelwe esibhedlela esiseduze ngokushesha.
💬 Isibhedlela sizoyiphatha kanjani imilenze yami ephukile?
Udokotela wakho uzoqala nge-X-ray ukuhlola ukuphuka. Uma izingcezu zamathambo ziqondene kahle, zingase zibekwe ngesandla (ukunciphisa) futhi zingasebenzi nge-cast noma i-fiberglass splint izinyanga eziningana. Kodwa-ke, uma ithambo liphukile noma lisusiwe kakhulu, kuzodingeka ukuhlinzwa ukuze kulungiswe ithambo kusetshenziswa amapuleti, izikulufo, noma izinduku.
INirogi Lanka: Ukuphuka komlenze, ukuphuka kwamathambo, ukuphuka komlenze, ubuhlungu bomlenze, ukuvuvukala, ukunakekelwa kwamathambo, i-physiotherapy
