Ngezinye izikhathi, ngenxa yokuzalwa noma ingozi ngesikhathi esithile empilweni, kungase kube nomehluko omncane ebudeni bezingalo noma imilenze yethu. Kwabanye, lokhu kungathinta imisebenzi yabo yansuku zonke kanye nempilo yabo yengqondo. Ngakho-ke uma nawe ungumuntu ohlushwa yilolu hlobo lwenkinga, namuhla sizoxoxa ngesisombululo sayo. Lokho ukuhlinzwa kokwelula izitho.
Kalula nje, kuyini ukuhlinzwa kokwelula izitho?
Njengoba igama lisho, lena inqubo yokuhlinzwa eyandisa ithambo engalweni noma emlenzeni. Yenziwa ngokucophelela nangokucotha. Odokotela abahlinzayo bangandisa amathambo alandelayo ngale nqubo:
- I-Humerus: Lelo yithambo elingalweni yakho engenhla.
- I-Radius/Ulna: Amathambo amabili aphakathi kwesihlakala sakho nendololwane.
- I-Femur: Ithambo elisethangeni. Leli yithambo elide kunawo wonke emzimbeni wethu.
- I-Tibia: Ithambo lomlenze eliphakathi kwedolo neqakala.
Kukuziphi izimo lapho lokhu kuhlinzwa kunconywa khona?
Lokhu kuhlinzwa kuvame ukwenziwa kubantu abanomehluko omkhulu ngobude bezingalo noma imilenze yabo. Odokotela baphinde bakuncome njengesixazululo sezinye izimo zezokwelapha ezithinta ukukhula kwamathambo. Isibonelo, uma umlenze owodwa umufushane kunomunye futhi uzwa ubuhlungu emhlane, esinqeni, noma edolweni lapho uhamba, lokhu kuhlinzwa kungakunikeza ikhambi.
Lezi ezinye zezimo ezivamile lapho lokhu kuhlinzwa kungadingeka khona:
- Isimila esingeyona umdlavuza ethanjeni lokukhula .
- Izimo ezifana ne- cerebral palsy .
- Izimo zokuzalwa ezifana nethambo elilodwa lethanga (i-femur) elifushane kunelinye ngesikhathi sokuzalwa (ukuntuleka kwe-femoral kokuzalwa) .
- I-Hemihypertrophy yisimo esingavamile lapho uhlangothi olulodwa lomzimba lukhula ngokushesha kunolunye.
- Izimo zofuzo ezifana ne -Skeletal Dysplasia . Lezi zibangela ukukhula kwamathambo okungavamile. Isibonelo, i-dwarfism ingabizwa ngokuthi i-dwarfism.
- Ukuphuka kweplate yokukhula.
- Ukutheleleka kwamathambo njenge- osteomyelitis .
Yini okudingeka uyazi ngaphambi kokuhlinzwa?
Ngaphambi kokuba wenze lokhu kuhlinzwa, udokotela wakho uzothatha ama-X-ray amaningana amathambo akho bese ethatha izilinganiso ezinembile. Lezi zilinganiso zizonquma ukuthi ithambo lidinga ukwandiswa isikhathi esingakanani. Ngokuvamile, ithambo lingandiswa ngamasentimitha angu-2 (cishe amasentimitha angu-5) ekuhlinzweni okukodwa.
Ithimba lakho lezokwelapha lizokunikeza imiyalelo ngaphambi kokuhlinzwa, ikakhulukazi mayelana nokuthi yimiphi imithi okufanele uyithathe futhi uyeke ngaphambi kokuhlinzwa, nokuthi yini okufanele uyidle futhi uyiphuze.Buza ngokucacile ukuthi kufanele uyeke nini.
Into ebaluleke kakhulu ukuba nomuntu ozokusiza ngemva kokuhlinzwa. Ungase udinge usizo lokugqoka, ukulungisa ukudla, nokuya endlini yangasese amasonto ambalwa. Ngakho-ke khuluma nothile ekhaya ngalokhu kusenesikhathi futhi ulungiselele.
Lokhu kuhlinzwa kuvame ukwenziwa ngaphansi kwe-anesthesia ejwayelekile. Ngakho-ke ngeke uzizwe ubuhlungu. Kuzodingeka uhlale esibhedlela cishe izinsuku ezintathu ngemva kokuhlinzwa.
Ukuhlinzwa kwenziwa kanjani?
Kunezinyathelo ezimbili eziyinhloko kulokhu kuhlinzwa.
1. I-Osteotomy: Okokuqala, udokotela ohlinzayo usika ithambo ngokucophelela libe izingxenye ezimbili.
2. Ukufaka idivayisi: Bese kufakwa idivayisi ekhethekile (Idivayisi Yokwelula Izitho) kulezi zingcezu ezimbili zamathambo ezisikiwe.
Kunezinhlobo ezimbili eziyinhloko zala madivayisi okufaka. Ake sibheke umehluko phakathi kwalawa amabili kanje.
| Uhlobo lwedivayisi | Incazelo ngakho |
|---|---|
| I-Fixator Yangaphandle | Kule nqubo, udokotela ohlinzayo unamathisela uhlaka lwensimbi oluncane emathanjeni amabili esebenzisa izikhonkwane noma izintambo. Iningi lohlaka kanye nemishini kungaphandle komzimba. Lokhu kungenza kube nzima ukugqoka izingubo ezithile. Abantu abaningi bagqoka izinto ezinjengamabhulukwe amafushane. Izindawo lapho izikhonkwane zixhunywe khona kudingeka zigcinwe zihlanzekile ngaso sonke isikhathi. |
| Induku Yangaphakathi | Lobu ubuchwepheshe bamuva. Okwenzekayo lapha ukuthi kufakwa idivayisi efana nesikulufo ethanjeni. Ngakho-ke ayibonakali ngaphandle. Kufanele uyilawule ngedivayisi efana nesilawuli kude. Lena indlela elula kakhulu futhi inengozi ephansi yokutheleleka. |
Ithambo likhula kanjani ngemva kokuhlinzwa?
Uma usuqalile ukululama ngemva kokuhlinzwa, isigaba esibaluleke kakhulu siyaqala. Leso isigaba sokuphazamiseka.Lesi isikhathi eside esingaba yizinyanga ezimbili. Kungalesi sikhathi lapho izingcezu ezimbili zamathambo ezinqunyiwe ziqala khona ukuhamba ziqhelelene kakhulu.
Kunezindlela ezintathu eziyinhloko le nqubo eyenzeka ngazo:
1. Ukulungisa Idivayisi: Kuzodingeka ulungise idivayisi izikhathi eziningana ngosuku, ngamanani amancane kakhulu. Isikhathi ngasinye lapho wenza lokhu, amathambo amabili ayahlukana kancane. Njengoba lesi sikhala sakha, umzimba ukhula ithambo elisha ukuze uligcwalise. Ngedivayisi yangaphandle, kufanele uphendule inkinobho encane. Ngedivayisi yangaphakathi, lokhu kwenziwa ngesilawuli kude.
2. Ukwelashwa Komzimba: Lokhu kuyinto okumele uyenze . Ukwelashwa ngokomzimba kubalulekile ukuze uthole imiphumela emihle kakhulu. Kuzodingeka uye emihlanganweni eminingana ngesonto. Lokhu kuzoqinisa imisipha yakho, kwandise ukuhamba kwamalunga, futhi kusize ekuqiniseni ithambo elisha elakhayo.
3. Ukuhlolwa Okuvamile: Udokotela wakho uzothatha ama-X-ray avamile ukuhlola ukuthi ithambo elisha likhula kanjani. Uma izinga lokukhula lihamba kancane kakhulu noma lishesha kakhulu, uhlelo lokwelashwa lungalungiswa ngokufanele.
Isikhathi lapho ithambo liqina khona (Isigaba Sokuhlanganisa)
Uma ithambo selifinyelele ubude obufunekayo, lidinga isikhathi sokuqinisa, noma "ukuthambisa." Lokhu sikubiza ngokuthi isigaba sokuqinisa . Lokhu kungathatha cishe izinyanga ezintathu. Phakathi nalesi sikhathi, uzoyeka ukulungisa umshini. Kodwa kuzodingeka uqhubeke nokwelashwa ngokomzimba. Kancane kancane, ngeseluleko sikadokotela wakho, ungaqala ukufaka isisindo kulowo mlenze noma engalweni.
Khumbula, ungahambi wedwa kuze kube yilapho udokotela wakho ekuyala. Ukwenza kanjalo kungalimaza ithambo elisha.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi ezithile.
Izinzuzo
- Ukulungisa ubude bezitho kuholela ekuhambeni nasekumeni okufanele.
- Ukuguquguquka okukhulu kanye nobubanzi bokunyakaza kwamalunga.
- Amandla emisipha andayo.
- Ukuqeda ubuhlungu bomhlane, inqulu, kanye nedolo obubangelwa ukuhluka kobude bemilenze.
Izingozi/Izinkinga
- Ithambo elisanda kwakheka alihlanganisiwe kahle .
- Ithambo alifinyeleli ubude obulindelekile.
- Ukulimala kwemisipha noma imizwa ezungezile.
- Ukutheleleka kwesilonda noma ithambo lokuhlinzwa.
- Ukutheleleka ezindaweni zokufaka iphini kubantu abasebenzisa idivayisi yangaphandle.
- Ukuqina kwamalunga noma imisipha yengalo noma umlenze oweluliwe.
Isikhathi sokubona udokotela wakho ngokushesha
Uma uhlangabezana nezimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Imfiva .
- Igazi, ubomvu, noma olunye uketshezi oluphuma ezindaweni zokufaka iphinikhodi yedivayisi.
- Ubomvu nokuvuvukala kwesilonda sokuhlinzwa noma izindawo lapho kwafakwa khona izikhonkwane.
- Ubuhlungu obukhulu noma ukuvuvukala engalweni noma emlenzeni oweluliwe.
- Ukuba ndikindiki noma ukulahlekelwa umuzwa engalweni noma emlenzeni oweluliwe.
- Isicanucanu nokuhlanza .
- Ubuhlungu esifubeni noma ubunzima bokuphefumula (lesi yisimo esiphuthumayo esibucayi kakhulu).
Ukuze lokhu kuhlinzwa kuphumelele, kubalulekile ukuthi ulandele imiyalelo kadokotela wakho ngokucophelela, ube khona emihlanganweni yokwelashwa ngokomzimba, futhi udle ukudla okunomsoco. Nakuba lokhu kungathatha isikhathi nesineke, umphumela wokugcina ungenza umehluko omkhulu empilweni yakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa Kokwelula Izitho kuyindlela ephumelelayo esetshenziselwa ukulungisa umehluko wobude bengalo noma umlenze.
- Lena inqubo ehamba kancane ethatha izinyanga eziningana, ngakho-ke ukubekezela kubaluleke kakhulu.
- Ukwelashwa ngokomzimba kubalulekile ukuze ukwelashwa kuphumelele. Ungakweqi.
- Landela imiyalelo kadokotela wakho ngqo, ikakhulukazi maqondana nokuthwala isisindo kanye nokuzivocavoca.
- Le nqubo manje isilula futhi iphephile kunangaphambili, ngenxa yezinduku ezintsha zangaphakathi.
- Uma unokungabaza noma izimpawu ezingavamile, xhumana nodokotela wakho ngokushesha.
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