Ingabe ithambo lakho eliphukile liphulukisiwe ngendlela engafanele? Noma alikapholi? Ake sixoxe ngokuthi (Malunion kanye nokuqhekeka okungewona umhlangano)!

Kuvamile ukuphuka ithambo, njengengalo noma umlenze, okungenani kanye empilweni yethu. Uma lokho kwenzeka, sisheshe sibone udokotela, sifake i-plaster cast, bese silinda ukuthi liphole. Isikhathi esiningi, ngokwelashwa okufanele, la mathambo aphukile azophola kahle futhi. Kodwa-ke, kunezikhathi lapho le nqubo yokuphulukisa ingenzeki kahle. Yilapho-ke lapho kufanele sikhulume ngezimo ezibizwa ngokuthi `(Malunion)` (ukungalungi kahle) kanye `(Nonunion)` (ukwehluleka ukuphola nhlobo) . Lokhu kungaba yinto ecasulayo kancane, ngakho-ke kubaluleke kakhulu ukuqaphela lokhu.

Zisho ukuthini lezi `(Malunion)` kanye `(Nonunion)`? Ake sikuqonde kalula, akunjalo?

Ake sithi unethambo eliphukile engalweni noma emlenzeni wakho. Udokotela ulibeke kahle futhi walifaka i-plaster cast. Manje, izingcezu ezimbili zethambo eziphukile kufanele zibuye zihlangane futhi zilingane kahle njengoba zazinjalo.

• `(Malunion)` - Ukungaqondi:

Kalula nje, `(Malunion)` kusho ukuthi amathambo amabili aphukile ahlangene, kodwa hhayi kahle . Okusho ukuthi, ithambo lingase liphambane, noma lisonteke kancane, noma libe lifushane kunalokho okufanele libe yikho. Kufana nokuhlanganisa izingcezu ezimbili zobumba eziphukile ndawonye ngendlela engafanele. Lihlanganiswe, kodwa alilungile kahle.

• `(Okungewona umanyano)` (Okungewona umanyano) - Ukulahlekelwa yilokho okufanelekile:

"(Ukungahlangani)" kuyisimo esibucayi kancane. Okwenzekayo lapha ukuthi izingcezu ezimbili zethambo eziphukile, ngisho nangemva kwesikhathi eside zelapheka, azihlangani nhlobo . Okusho ukuthi, ngisho nangemva kwezinyanga, ukuxhumana okusha akukakhiwa phakathi kwamathambo amabili. Uma sikhuluma iqiniso, ithambo lisaphukile.

Uma amathambo engapholi kahle, kungaba nomthelela omkhulu ekuzinzeni kwamathambo emizimba yethu kanye nemisebenzi eyenziwa yilawo mathambo. Cabanga uma ithambo emlenzeni wakho lingaqondile, ungaxhuga futhi uzwe ubuhlungu uma uhamba, akunjalo?

Esikhathini esiningi, ukwaphuka kwamathambo kuphola kahle ngokwelashwa okufanele. Kunezizathu ezimbili ezenza lokhu kungenzeki. Esinye 'inkinga yomshini' . Lokhu kusho ukuthi izingcezu ezimbili eziphukile azizange zihlangane kahle ngesikhathi sokuphulukiswa. Esinye 'inkinga yezinto eziphilayo' . Lokhu kusho ukuthi umzimba wakho awunazo izakhamzimba kanye nokuhlinzekwa kwegazi okudingeka amathambo akho alulame. Odokotela bacabangela zombili lezi zici lapho belapha lezi zimo.

Yiziphi izinhlobo eziyinhloko zokuqhekeka kwemisipha okungeyona inhlangano?

Uma odokotela behlola umuntu one-non-union, bayihlukanisa ngohlobo oluthile. Lokhu kubasiza baqonde ukuthi kungani ithambo lingapholi nokuthi yiziphi izici ezibangela lokho. Kunezinhlobo ezintathu eziyinhloko:

Kuyini `(i-Hypertrophic nonunion)`?

Kulolu hlobo, kunezimpawu zokwakheka kwamangqamuzana amasha ethambo. Okusho ukuthi, umzimba uzama ukuphulukisa ithambo. Kodwa-ke, iziphetho zezingcezu ezimbili zamathambo aphukile azixhunyiwe kahle. Lokhu kusho ukuthi umzimba unemithombo yezinto eziphilayo, kodwa izingcezu ezimbili eziphukile azibanjwanga kahle futhi aziqhekeki ngesikhathi senqubo yokuphulukiswa. Kufana nokuthi kukhona usimende, kodwa udaka aluhlanganisiwe kahle.

Kuyini `(Atrophic nonunion)`?

Kulesi simo, akukho sibonakaliso sokwakheka kwamathambo amasha. Futhi, ithambo alinawo ukunikezwa kwegazi okuhle. Lokhu kusikisela ukuthi izici zebhayoloji zivimbela ithambo ukuba liphulukiswe. Ngezinye izikhathi, kungenzeka ukuthi kube nokutheleleka ethanjeni, okungenzeka ukuthi kuphazamise ukunikezwa kwegazi. "Ukungahlanganisi" okunokutheleleka okunjalo kubizwa nangokuthi "ukungahlanganisi kwe-Septic" .

Kuyini `(Oligotrophic nonunion)`?

Kulolu hlobo, kuye kwavela ithambo elisha, kodwa aliphelele. Izingcezu ezimbili zethambo azikho endaweni efanele. Mhlawumbe ithambo alizange libekwe kahle lapho libekwa okokuqala, noma kamuva lawa futhi lashintshwa. Zombili izici zokuzinza kanye nezici zezinto eziphilayo zingase zihileleke lapha.

Wazi kanjani ukuthi une-`(Malunion)`? Ziyini izimpawu?

Uma ithambo lingaqondile, elibizwa ngokuthi "i-malunion," ungase ubone noma uzizwe izinto ezinjengalezi:

• Izinguquko ezibonakalayo ngaphandle:
• Ithambo lakho libukeka linwebekile noma ligobile .
• Ithambo libukeka sengathi ligobile , noma sengathi liyajikeleza .
• Ithambo lingase lizwakale lifushane kunakuqala . Isibonelo, umlenze owodwa ungase ube mfushane kancane kunomunye.

• Ukungakhululeki okuvela lapho usebenzisa lelo thambo:
• Kukhona ubuhlungu ethanjeni.
• Kukhona ukuvuvukala lapho.
• Ukuxhuga lapho uhamba (uma kungumlenze).

Wonke amathambo emzimbeni wethu axhumene. Ngakho-ke, uma ithambo libuthakathaka endaweni eyodwa, lingacindezela amanye amathambo kakhulu. Ngakho-ke, noma ngabe akukho ubuhlungu endaweni lapho kukhona khona "i-malunion", uma lelo thambo lisetshenziswa, lingabangela ubuhlungu kwenye ingxenye yomzimba.

• Izinkinga ezihlobene nemizwa:

Ngezinye izikhathi, inzwa eseduze ingacindezelwa noma icindezelwe amathambo angahlelekile kahle. Uma lokhu kwenzeka, ungase ube nezimpawu ezifana nalezi:

• Ukuba ndikindiki noma ukuzwa ukucasuka (`(Paresthesia)`) kuleyo ndawo.
• Ubuthakathaka bemisipha, noma ngokunembile, ukuwohloka kwemisipha.
• Ubuhlungu bemizwa (i-Neuropathy).

Ziyini izimpawu ze-`(Nonunion)`?

Uma ithambo lingahlangani, okungukuthi, kukhona "ukungahlangani", ungase ubone izimpawu ezinjengalezi:

• Kukhona ubuhlungu obujulile nobuhlala isikhathi eside lapho ithambo liphukile khona. Lobuhlungu bungaqhubeka ngisho nangemva kokususwa kwesamente.
• Uma usebenzisa lelo thambo, uzizwa ubuthakathaka noma ukunyakaza okulinganiselwe .
• Ushintsho olubonakalayo, isibonelo, iqhubu noma igebe, lungase lubonakale ngaphandle, njengokungathi ithambo seliphumile.

Ngezinye izikhathi, uma kukhona ukutheleleka ethanjeni, lezi zimpawu zingase zenzeke ndawonye noma ngokwehlukana:

• Ukuvuvukala
• Imfiva
• Ukuzizwa ubanda futhi ubanda (ukugodola)

Kungani ukwaphuka kungapholi kahle futhi kuholele ku-"malunion" noma ku-"nonunion"? Ziyini izimbangela?

Kunezizathu eziningi ezenza ithambo lingapholi kahle. Ezinye singazilawula, ezinye asikwazi. Nazi ezinye zazo:

• Uhlobo kanye nobukhali bokuphuka:

Kukhona amanye amanxeba okunzima ukuwaphola. Isibonelo, amanxeba aqhekekile (lawo aqhekekile ngendlela ephithene) noma amanxeba aqhekekile (lawo aqhekekile abe yizicucu eziningi) , awanawo amathuba okuthi aqine kahle. Futhi, uma ukugeleza kwegazi ethanjeni kuphazamiseka ngenxa yengozi enkulu, lokho kungathinta nokuphola.

• Indlela ukwelashwa okwamukelwe ngayo ngokushesha nangendlela efanele:

Uma ithambo lingelashwa ngokushesha ngemva kokuphuka, lingaqala ukuphola ngendlela engafanele. Futhi, ngisho nangemva kokuba ithambo selibekwe kahle futhi kufakwe i-cast, lisengasuka endaweni yalo. Lokhu kungenzeka kakhulu uma ukwelashwa kubambezeleka noma indlela esetshenzisiwe (isib., amandla e-cast) inganele.

• Ukuthi uphumule kahle futhi wazivikela yini ngesikhathi sokululama kwakho:

Ngesikhathi senqubo yokuphulukiswa, kubaluleke kakhulu ukuthi ithambo eliphukile lingasebenzi futhi lihlale endaweni efanele. Ngezinye izikhathi, kungathatha isikhathi eside kunokujwayelekile ukuphola. Ezimweni ezinjalo, izinkinga zingavela uma udokotela esusa ukhonkolo kusenesikhathi noma uma uqala ukusebenzisa ithambo kusenesikhathi.

• Impilo yakho iyonke kanye namandla angokomzimba adingekayo ukuze ululame:

Uma inqubo yokuphulukisa ihamba kancane, kunethuba elikhulu lokungaxhumani noma ukungaxhumani. Ukuphulukiswa kwamathambo kungabambezeleka noma kungaphelele kubantu asebekhulile , abaswele ukudla okunempilo (ikakhulukazi i-calcium ne-vitamin D), kanye nezimo ze-metabolic ezifana nesifo sikashukela kanye nesifo se-thyroid . Ukusetshenziswa kukagwayi kanye ne-nicotine nakho kuyizinto ezibalulekile ezenza amathambo abe buthaka futhi kulibazise ukuphulukiswa.

Odokotela bazihlonza kanjani ngokunembile lezi zimo ze-`(Malunion)` kanye ne-`(Nonunion)`?

Uma ucabanga ukuthi unenkinga efana nale, udokotela uzoqala akubuze ngengozi kanye nanoma yiziphi ezinye izimo zezokwelapha ongase ube nazo. Ngemuva kwalokho, bazokwenza ukuhlolwa ngokomzimba kwethambo. Bazobheka noma yiziphi izinguquko ezingase zibonakale ngaphandle, futhi bazokubuza ukuthi uzizwa kanjani ngokuhambisa ithambo. Bangase bakucele ukuthi uhambe, noma bangalinganisa ubude bethambo.

Ngemva kwalokho, ukuhlolwa kwezithombe zethambo kuvame ukwenziwa. Lokhu kungafaka:

• `(Ama-X-ray)` (Ama-X-ray): Lokhu ngokuvamile kuyinto yokuqala oyibhekayo.
• `(I-CT scan)` (I-CT scan): Ingathola izithombe ezicacile, ezihlanganisa ithambo.
• `(MRI)` (I-MRI scan): Lokhu kusiza ukubona ukuthi kukhona yini umonakalo ezicutshini ezithambile ezizungeze amathambo, njengemizwa.

Uma udokotela ethola ukuthi ithambo selipholile endaweni engeyona eye-anatomical, uzophetha ngokuthi "liyi-malunion." Uma ithambo lingakaqali ukuphola noma lingapholi ngokuphelele ngemva kwesikhathi sokuphola esifanele, laziwa ngokuthi "ukuhlangana okulibazisekile" noma "ukuhlangana okungahlangani." Isikhathi sokuphola singahluka kuye ngohlobo lokulimala, ithambo elihilelekile, kanye nempilo yakho. Ngokuvamile, libizwa ngokuthi "ukuhlangana okungahlangani" uma lingapholi ngemva kwezinyanga eziyisithupha, eziyisishiyagalolunye, noma eziyishumi nambili.

Ingabe lezi zimo `(Malunion)` kanye `(Nonunion)` zingelapheka? Yiziphi izindlela zokwelapha?

Izindaba ezinhle ukuthi akuwona wonke ama-malunion noma ama-nonunion okudingeka "alungiswe." Kuncike ethanjeni elihilelekile, ukuthi ulisebenzisa kangakanani, nokuthi lithinta kangakanani impilo yakho yansuku zonke. Kodwa-ke, amanye ama-nonunion anganciphisa ukunyakaza kwakho, abangele ubuhlungu, noma aholele kwezinye izinkinga. Kulezo zimo, ukuhlinzwa kungadingeka ukuze kulungiswe inkinga. Odokotela bazozama ukwelashwa ngaphandle kokuhlinzwa kuqala bese besebenzisa ukuhlinzwa uma kungasebenzi.

Ukwelashwa kwe-`(Malunion)` (Amathambo Angaqondani Kahle)

• Ukwelashwa okungeyona eyokuhlinzwa:
• Ukuqinisa: Ungase ucelwe ukuthi ugqoke i-brace ukuze ugcine ithambo lisesimweni esingcono uma ulisebenzisa.
• Ama-Orthotics: Uma umlenze owodwa umfushane, ungasebenzisa i-insert ekhethekile yezicathulo ukuze ulungise umehluko.
• Ukwelashwa ngokomzimba: Lokhu kuhilela ukuzivocavoca okukhethekile okungaqinisa imisipha efanele futhi kunciphise ingcindezi emathanjeni.
• Imithi yokuqeda ubuhlungu: Ama-NSAID (imithi engeyona i-steroidal elwa nokuvuvukala) ukuze kuncishiswe ubuhlungu ngezikhathi ezithileUngasebenzisa imithi yokubulala izinhlungu evamile efana nale.

• Ukwelashwa ngokuhlinzwa:
• I-Osteotomy: Udokotela ohlinzayo angase asike ithambo futhi alungise indawo yalo.
• Ukuhlinzwa kokwelula izitho: Uma ingalo noma umlenze ufinyezwe kakhulu, ukuhlinzwa kungenziwa ukuze welulwe kusetshenziswa idivayisi ekhethekile.

Ukwelashwa kwe-`(Nonunion)` (amathambo angahlangani ndawonye)

• Ukwelashwa okungeyona eyokuhlinzwa:
• Ukwelashwa kwezokwelapha: Uma kukhona isifo esithinta umzimba wonke (isib. isifo sikashukela), ukutheleleka, noma ukungondleki kahle, lokho kufanele kuqale kwelashwe.
• Ama-Orthoses: I-brace, i-splint, noma i-cast isetshenziselwa ukusiza ithambo ukuthi liphole futhi lingaliwi.
• Isikhuthazi samathambo: Lawa amadivayisi akhethekile asebenzisa amaza e-ultrasonic noma amaza kagesi ukuze akhuthaze ukuphulukiswa kwamathambo.
• Imijovo yezinto eziphilayo: Amaseli e-stem noma i-plasma ecebile ngama-platelet ingafakwa ethanjeni ukuze kukhuthazwe ukuphulukiswa nokukhula.

• Ukwelashwa ngokuhlinzwa:
• Ukususwa kwezicubu: Udokotela ohlinzayo ususa izicubu ezifile, ezingapholi ethanjeni.
• Ukuhlinzwa Kwemithambo Yegazi: Uma ukuhlinzekwa kwegazi kuphazamiseka, ukuhlinzwa kwemithambo yegazi kungenziwa ukuze kubuyiselwe esimweni sako.
• Ukufakelwa kwamathambo: Udokotela ohlinzayo uthatha ingxenye yethambo kwenye ingxenye yomzimba wakho (njengethambo lakho lesinqe) noma ethanjeni elinikelayo bese elifaka engxenyeni engekho. Lokhu kunikeza isiqalo esihle sokukhula kwamathambo amasha.
• Ukunciphisa okuvulekile kanye nokuqina kwangaphakathi: Udokotela ohlinzayo ubeka kabusha izingcezu zamathambo bese esebenzisa izikulufo zokuhlinzwa, amapuleti, noma izipikili ukuze azibambe ndawonye.

Kunjani ukululama ngemva kokwelashwa?

Kokubili ukwelashwa okungekona ukuhlinzwa kanye nokwelashwa kokuhlinzwa kunezinga eliphezulu lempumelelo ekwelapheni i-malunion kanye ne-nonion. Lezo yizindaba ezinhle. Kodwa-ke, kungathatha isikhathi ukuphulukiswa ngokuphelele nokubuyela esimweni esijwayelekile (ukuvuselelwa). Kungase kudingeke usebenzise induku noma i-walker ukuze uhambe uze ululame. Ungase udinge nokwelashwa ngokomzimba.

Ngezinye izikhathi ukwelashwa kungahluleka. Lokhu kungenzeka uma ithambo lingakwazi ukubanjwa endaweni efanele, noma uma odokotela bengakwazi ukulawula izici zebhayoloji esikhulume ngazo (njengokunikezwa kwegazi nokudla okunempilo).

Izinto ezibaluleke kakhulu okudingeka sizikhumbule (Umyalezo Wokuya Ekhaya)

Ukuphuka ithambo kungenzeka kunoma ubani. Ngezinye izikhathi asiqapheli ngisho nokuqaphela ngokushesha ukuthi siphuke ithambo. Kodwa-ke, uma unesinsolo esincane ongase ube naso, kungcono ukubona udokotela ngokushesha bese uhlolwa.

• Ukuphuka kwamathambo kuphola kangcono uma kuthola ukunakekelwa kusenesikhathi, okusezingeni eliphezulu .
• Udokotela wakho uzohlola inxeba lakho futhi athole noma yiziphi izinto ezingase ziphazamise ukuphola.
• Bazokweluleka ngendlela engcono kakhulu yokuzinakekela ukuze uvimbele i-`(Malunion)` noma i-`(Nonunion). Kubaluleke kakhulu ukulandela leyo miyalelo ngokucophelela.

Ngakho-ke, ngithemba ukuthi lolu lwazi luwusizo kuwe. Uma unethambo eliphukile, ungesabi futhi ungakhohlwa ukulandela iseluleko esifanele sezokwelapha. Lokhu kungavimbela izinkinga ezinjengalezi ukuthi zingabi khona.

Ukuphuka , i-malunion, ukungahlangani, i-malunion, ukwelashwa kwamathambo, ukuhlinzwa kwamathambo