Ingabe ithambo lakho alizange lihlale kahle ngemva kokuliphula? (Ukuphuka kwe-Malunion kanye ne-Nonunion)

O, ukuphuka ithambo kuyinto ongafuni ngisho nokuyicabanga, akunjalo? Kodwa kungenzeka engozini, ukuwa kusuka endaweni ephakeme, noma ngisho engozini yemoto. Esikhathini esiningi, ngokwelashwa okunikezwa odokotela, njengokufaka amabhandeji mhlawumbe neplasta, izingcezu zamathambo aphukile zingahlanganiswa kahle. Kodwa ngezinye izikhathi, lezi zinto azenzeki kalula njengoba ucabanga. Kwenzekani uma zingahlangani kahle, noma uma zingahlangani nhlobo? Namuhla, sizokhuluma ngezimo ezimbili ezinjalo: iMalunion kanye neNonunion .

Yini i-Malunion kanye ne-Nonunion?

Kalula nje, lokhu kubhekisela ezimweni lapho ithambo lingapholi kahle ngemva kokuphuka.

• I-Malunion yilapho amathambo aphukile ehlanganiswa ndawonye, ​​kodwa ngendlela engafanele, endaweni engafanele . Njengezingcezu ezimbili zepuleti eziphukile ezinamathiselwe ndawonye ngendlela engafanele. Amathambo angadonswa, agotshwe, noma afushaniswe.
• Ukungahlangani kulapho amathambo aphukile engakapholi nhlobo, ngisho nangemva kwesikhathi eside. Kufana nezingcezu ezimbili zokhuni eziphukile ezingahlangani nhlobo.

Ngale ndlela, uma ithambo lingaqondile, noma uma lingaqondile ngokuphelele, kungaba nomthelela omkhulu ekuzinzeni nasekusebenzeni kwamathambo omzimba wethu. Cabanga ukuthi kungaba nzima kangakanani ukuhamba uma ithambo elisemlenzeni lingaqondile.

Esikhathini esiningi, amanxeba aphukile aphulukiswa kahle ngokwelashwa okufanele. Uma engaphulukiswa, kumelwe kube nesizathu. Kungaba yinkinga yomshini - okungukuthi, izingcezu eziphukile azizange zihlangane kahle ngesikhathi sokuphulukiswa. Noma kungaba yinkinga yezinto eziphilayo - okungukuthi, umzimba wakho awunazo izinsiza ezanele zokuphulukisa ithambo. Odokotela bacabangela zonke lezi zici lapho belapha lezi zimo.

Yiziphi izinhlobo eziyinhloko zokungahlangani?

Udokotela wakho angase ahlukanise ukungahlangani kwakho ngokuthi ``Hypertrophic'', ``Atrophic'', noma ``Oligotrophic''. Lokhu kuhlukaniswa kusekelwe ebufakazini balokho okubangela ukuba ithambo lingapholi.

• Ukungahlangani kahle kwethambo: Lokhu kwenzeka lapho kwakheka ithambo elisha, kodwa iziphetho zezingcezu zamathambo aphukile azihlanganiswanga kahle. Ngamanye amazwi, ithambo lakho linazo zonke izakhi zebhayoloji (isib. igazi, amaseli) ezidingekayo ukuze zelapheke, kodwa izingcezu zamathambo azibanjwanga kahle ngesikhathi sokwelashwa. Cabanga nje ukuthi unazo zonke izinto ezidingekayo ukwakha indlu, kodwa izindonga aziboshwanga kahle.
• Ukungahlangani kahle:Kulesi simo, akukho ukwakheka okusha okubonakalayo kwamathambo, futhi ithambo alitholi ukunikezwa kwegazi okuhle. Lokhu kusikisela ukuthi ithambo aliphili ngenxa yezizathu zebhayoloji. Njengoba nje isitshalo sibuna ngaphandle kwamanzi nokudla okunomsoco. Ngezinye izikhathi, uma kukhona ukutheleleka ngaphakathi kwethambo (ukungabi nonion kwe-septic), ukunikezwa kwegazi nakho kungaphazamiseka.
• Ukungahlangani kwe-oligotrophic: Kulesi simo, kwakheka ithambo elisha, kodwa aliphelele. Izingcezu zamathambo azikho endaweni efanele. Mhlawumbe izingcezu zamathambo azizange zibekwe kahle kwasekuqaleni, noma kamuva zahlanganiswa. Kungase kube nezinkinga ngokuzinza kwezingcezu zamathambo kanye nezici zezinto eziphilayo.

Ziyini izimpawu ze-malonion?

Uma ithambo lingalingani kahle (malunion), ungase ubone izinto ezinjengalezi:

• Amathambo akho abukeka enwebekile noma egobile.
• Kubukeka sengathi ithambo ligobile .
• Ithambo libukeka lifushane kunangaphambili.

Uma usebenzisa ithambo elingahlelekile kahle ngale ndlela, ungase ubhekane nezimpawu ezilandelayo:

• Kubuhlungu lapho kukhona khona ithambo.
• Kukhona ukuvuvukala .
• Ukuxhuga lapho uhamba (uma kungumlenze).

Wonke amathambo emzimbeni wethu axhumene. Ngakho-ke uma ithambo libuthakathaka endaweni eyodwa, lingabeka isisindo esengeziwe futhi licindezele amanye amathambo. Ngakho-ke, uma usebenzisa ithambo elilimele, ungazizwa ubuhlungu kwezinye izingxenye zomzimba.

Cabanga nje, uma inzwa eseduze icindezelwa noma idonswa ngenxa yezingcezu zamathambo ezingahlelekile kahle, lezi yizimpawu ezihlobene nemizwa ongase uzizwe:

• Ukuthintitha, umuzwa ofana nezintuthwane ezigijima nxazonke (i-paresthesia).
• Imisipha endaweni elimele iba buthakathaka futhi iphele amandla.
• Ubuhlungu bemizwa (i-neuropathy) buyenzeka.

Ziyini izimpawu zomuntu ongahlangani?

Uma ithambo lingahlangani (ukungahlangani), ungase ubone izimpawu ezifana nalezi:

• Kukhona ubuhlungu obujulile, obuhlala njalo endaweni ephukile.
• Kukhona ubuthakathaka kuleyo ndawo, umuzwa wokungakwazi ukunyakaza kahle .
• Uma ubheka ngaphandle, ungabona umehluko , mhlawumbe njengefindo noma isikhala.

Ngezinye izikhathi, uma kukhona ukutheleleka ethanjeni, kungase kuhambisane noma kungabi nalezi zimpawu:

• Ukuvuvukala
• Imfiva
• Sengiqala ukubanda.

Kungani kwenzeka la ma-malunion nama-nonunion?

Uma ithambo liphuka, kunezizathu eziningi zokuthi kungani lingase lingapholi kahle noma lingapholi nhlobo. Ake sibheke ezinye zezizathu eziyinhloko:

• Yeka ukuthi yaphuka kanjani, yeka ukuthi yaphuka kanjani:Isibonelo, amathambo asontekile (ama-spiral fractures) noma aqhekeke abe yizicucu eziningi (ama-comminuted fractures) mancane amathuba okuthi aphole kahle. Futhi, uma unezilima ezinzima (ama-traumatic injuries) ezithinta ukunikezwa kwegazi emathanjeni, kuzothinta ukuphulukiswa. Ngoba ukunikezwa kwegazi kubalulekile ukuze ithambo liphile futhi liphole.
• Ukuthi uthola ukwelashwa ngokushesha kangakanani nokuthi uthola ukwelashwa kahle kangakanani: Uma ungamboni udokotela ngokushesha nje lapho uphula ithambo, lingaqala ukuphola ngendlela engafanele. Ngezinye izikhathi, noma ngabe izingcezu zethambo zibekwe kahle, zisengaphuma endaweni yazo. Lokhu kungenzeka kakhulu uma ukwelashwa kubambezeleka noma uma ukwelashwa kunganele.
• Ukuphumula nokuzivikela ngesikhathi senqubo yokuphulukiswa: Kubaluleke kakhulu ukugcina ithambo lisendaweni yalo futhi lisesimweni esifanele ngenkathi liphulukiswa. Abanye abantu bathatha isikhathi eside kunokujwayelekile ukuba ithambo liphole. Ezimweni ezinjalo, izinkinga zingavela uma udokotela esusa ukhonkolo kusenesikhathi noma uma uqala ukusebenzisa ithambo kusenesikhathi.
• Impilo yakho iyonke kanye nekhono lakho lokuphulukisa: Uma ithambo liphola kancane, cishe liyoba yi-malunion noma lingabi yi-nonion. Abantu abagugayo , abaswele ukudla okunempilo (ikakhulukazi i-calcium ne-vitamin D), noma izifo ze-metabolic ezifana nesifo sikashukela kanye nesifo se-thyroid bangenza amathambo aphuze noma avimbele ukuphulukiswa kwawo. Kubalulekile futhi ukukhumbula ukuthi ukusetshenziswa kukagwayi ne-nicotine nakho kungenza amathambo abe buthaka futhi kulibazise ukuphulukiswa.

Odokotela bazixilonga kanjani lezi zimo?

Uma ethola isimo esinjengalesi, udokotela uzoqala akubuze ukuthi kwenzeke kanjani ukulimala kanye nanoma yiziphi ezinye izimo zezokwelapha ongase ube nazo. Ngemuva kwalokho, uzokwenza ukuhlolwa ngokomzimba komlenze wakho. Uzobheka izinto ezifana nokuthi yiziphi izinguquko ongazibona ngaphandle nokuthi uzizwa kanjani uma uwushukumisa. Kuye ngokuthi ukuphi ukwaphuka, bangase bafune ukubheka ukuthi uhamba kanjani noma balinganise ubude bomlenze.

Bese-ke, vele, kuthathwa izithombe zethambo (`imaging`). Lokhu kungasebenzisa izivivinyo ezifana ne -X-ray , i -CT scan , noma i-MRI .

Udokotela uzohlola ukuthi ithambo selipholile yini endaweni engavamile, engafanele umzimba. Uma kunjalo, uzobona ukuthi liyi-malunion.

Uma ithambo lingapholi isikhathi eside, noma uma lingapholi ngokuphelele, libizwa ngokuthi 'ukuhlangana okulibazisekile' noma ukungahlangani. Isikhathi esithathwayo ukuze ithambo liphole singahluka kuye ngohlobo lokulimala, uhlobo lwethambo eliphukile, kanye nempilo yakho iyonke. Ngokuvamile, kungathatha izinyanga eziyisithupha, eziyisishiyagalolunye, noma eziyishumi nambili ukuba ithambo liphole ngaphandle kokuphola.

Ingabe lawa ma-malunion nama-nonunion angadalwa?

Akuwona wonke ama-malunion noma ama-nonunion adinga ukulungiswa. Kuya ngokuthi yiliphi ithambo eliphukile, ukuthi ulisebenzisa kangakanani ithambo, nokuthi lesi simo sithinta kangakanani impilo yakho yansuku zonke. Kodwa ngezinye izikhathi, ithambo elingapholi kahle lingenza kube nzima ukuhamba, libangele ubuhlungu, noma libangele ezinye izinkinga. Kuleso simo, kungase kudingeke ukuhlinzwa ukuze lilungiswe. Udokotela wakho uzoqala azame ukwelashwa okungewona ukuhlinzwa bese ephakamisa ukuhlinzwa uma kungasebenzi.

Ukwelashwa kwe-Malunion

Ukwelashwa okungeyona eyokuhlinzwa:

• Ukuqinisa: Ngezinye izikhathi i-brace ekhethekile ingasetshenziswa ukusiza ukugcina ithambo lisesimweni esingcono.
• Ama-Orthotics: I-insert yezicathulo eklanywe ngokukhethekile ingasiza ekulungiseni ukungalingani kobude bomlenze.
• Ukwelashwa ngokomzimba: Ukuzivocavoca okukhethekile kungaqinisa imisipha ethintekile futhi kunciphise umthwalo emathanjeni.
• Iziqeda ubuhlungu: Uma uzwa ubuhlungu ngezikhathi ezithile, ungasebenzisa iziqeda ubuhlungu ezivamile njenge-NSAID.

Ukwelashwa ngokuhlinzwa:

• I-Osteotomy: Kulokhu, udokotela ohlinza amathambo usika ithambo elingaqondile bese elibuyisela endaweni yalo.
• Ukuhlinzwa kokwelula izitho: Uma ingalo noma umlenze ufinyeziwe, udokotela ohlinzayo angasebenzisa ithuluzi elikhethekile ukuze awelule.

Ukwelashwa Kwabangewona Abasebenzi Benhlangano Yezizwe

Ukwelashwa okungeyona eyokuhlinzwa:

• Ukwelashwa kwezokwelapha: Kungase kudingeke welashwe ngesinye isimo (isib. isifo sikashukela), ukutheleleka, noma ukuntuleka kokudla okunempilo.
• Ama-Orthoses: I-brace, i-splint, noma i-cast ingasiza ukugcina ithambo lingashukumi futhi lisize liphole.
• Isikhuthazi samathambo: Lawa asebenzisa amaza e-ultrasonic noma e-electromagnetic ukukhuthaza ukuphulukiswa kwamathambo.
• Imijovo ye-biologic: Imijovo yamaseli e-stem noma i-plasma ecebile ngama-platelet ingakhuthaza ukuphulukiswa nokukhula kwamathambo.

Ukwelashwa ngokuhlinzwa:

• Ukususwa kwezicubu: Kulokhu, udokotela ohlinza amathambo ususa izicubu ezifile ethanjeni.
• Ukuhlinzwa Kwemithambo Yegazi: Udokotela ohlinzayo wemithambo yegazi angenza ukuhlinzwa emithanjeni yegazi yakho ukuze abuyisele ukugeleza kwegazi enhliziyweni yakho.
• Ukufakelwa kwamathambo:Kulokhu, udokotela ohlinza amathambo uthatha ingxenye yethambo kwenye ingxenye yomzimba wakho, noma ethanjeni elinikelayo, bese elifaka engxenyeni engekho. Leli thambo elifakwe kabusha linikeza isiqalo esihle sokukhula kwamathambo amasha.
• Ukunciphisa okuvulekile kanye nokuqina kwangaphakathi: Kulokhu, udokotela ohlinza amathambo uhlela kabusha izingcezu zamathambo bese ezilungisa ndawonye ngezikulufo zokuhlinzwa namapuleti noma izipikili.

Sinjani isimo ngemva kokwelashwa?

Kokubili ukwelashwa okungekona ukuhlinzwa kanye nokwelashwa kokuhlinzwa kunezinga eliphezulu lempumelelo ekwelapheni ama-malunion kanye nama-nonion. Kodwa-ke, ukululama kanye nokuvuselelwa kuthatha isikhathi. Kungase kudingeke usebenzise udondolo noma i-walker uze ululame. Kungase kudingeke futhi ukuthi wenziwe ukwelashwa ngokomzimba isikhashana. Ngezinye izikhathi, uma amathambo engakwazi ukuhambisana kahle, noma uma udokotela engakwazi ukulawula izici eziyisisekelo zebhayoloji, ukwelashwa kungase kungaphumeleli.

Ukuphuka kwethambo kungenzeka kunoma ubani. Akucaci ngaso sonke isikhathi ukuthi unethambo eliphukile noma cha. Kodwa uma ucabanga ukuthi ungase ube nalo, kungcono ukubona udokotela ngokushesha okukhulu. Ngoba ukuphuka kwethambo kuphola kangcono uma kwelashwa ngokushesha nangokufanele. Udokotela wakho uzohlola ukulimala kwakho futhi anqume ukuthi yini engase ikuvimbele ekwelapheni. Uzobe esekweluleka ngalokho ongakwenza ukuze ulisize liphole kahle, kunokubangela i-malunion noma ukungahlangani.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ungesabi uma uphula ithambo. Kodwa ungalithathi kalula. Bona udokotela ngokushesha bese uthola ukwelashwa okufanele. Landela imiyalelo kadokotela ngqo. Uma unikezwa i-cast, qhubeka nayo kuze kube yilapho ekutshela ukuthi uyikhumule. Uma ekutshela ukuthi uvocavoce, yenze ngendlela efanele. Yidla ukudla okunempilo, ikakhulukazi ukudla okucebile nge-calcium ne-vitamin D. Uma ubhema, ukuyeka ukubhema kuwusizo olukhulu ekwelapheni. Ngoba amathambo anempilo abalulekile empilweni enempilo!

Ukuphuka kwamathambo , ukungasebenzi kahle kwamathambo, ukungahlangani, ukuphulukiswa kwamathambo, ukuhlinzwa kwamathambo, ukwelashwa kwamathambo, ithambo eliphukile