Cabanga ukuthi ulimale waphuka ithambo engalweni noma emlenzeni. Yeka okuhlangenwe nakho okwesabekayo! Ngakho-ke, udokotela uyafika athi, "Lokhu kudinga ukuhlinzwa kanye nezintambo zangaphakathi namapuleti ukuze kulungiswe." Kuvamile ukuzizwa wesaba kakhulu ngaleso sikhathi. Kodwa ungesabi. Namuhla sikhuluma nge-ORIF, ukuhlinzwa okukhethekile okusetshenziselwa ukubuyisela amathambo aphukile kakhulu.
Kuyini ukuhlinzwa kwe-ORIF? Ubani okudingayo?
Incazelo ephelele ye-ORIF i- Open Reduction kanye ne-Internal Fixation . Nakuba igama lingase lizwakale liyinkimbinkimbi kancane, incazelo ilula kakhulu.
- Ukunciphisa Okuvulekile: Lokhu kusho ukuthi udokotela ohlinzayo usika isikhumba, asivule, athathe izingcezu zamathambo eziphukile azibuyisele endaweni yazo efanele, njengokuhlanganisa izingcezu zengilazi eziphukile.
- Ukuqina Kwangaphakathi: Lokhu kusho ukuthi izingcezu zamathambo ezibekwe endaweni efanele ziqiniswa ndawonye ngaphandle kokunyakaza, futhi ziqiniswa ngokufaka izingxenye zensimbi (isibonelo, izikulufo, amapuleti, izinduku, noma izintambo) ngaphakathi.
Akuwona wonke umuntu onethambo eliphukile odinga lolu kuhlinzwa. Ngezinye izikhathi i-cast ingasetshenziswa ukwelapha ukuphuka. Kodwa-ke, uma kwenzeka ukuphuka okukhulu, ukuhlinzwa kwe-ORIF kuyadingeka.
| Uhlobo lokuphuka | Incazelo elula |
|---|---|
| Ukuqhekeka Okuhlanganisiwe/Okuvulekile | Uma ithambo eliphukile liphuma esikhumbeni, kuba sengozini enkulu yokutheleleka. |
| Ukuqhekeka Okuhlanganisiwe | Ngezinye izikhathi ithambo liyaqhekeka libe yizicucu eziningi, njengempuphu. Lokhu kunzima ukukuhlanganisa ndawonye. |
| Ukuphuka Okulahlekile | Lezi yizimo lapho izingcezu ezimbili zamathambo eziphukile zihlukaniswa khona, okudala igebe elikhulu phakathi kwazo. Lezi ngeke zelaphe zodwa. |
Kwenzekani ngaphambi kokuhlinzwa?
Iningi lamathambo aphuka ngokuzumayo, njengokuwa, ingozi yemoto, noma ukulimala kwezemidlalo. Ngakho-ke asikho isikhathi sokuhlela lokhu kuhlinzwa kusenesikhathi. Ngemva kokuba ulethwe eMnyangweni Wezimo Eziphuthumayo (i-ETU), umsebenzi wokuqala wethimba lezokwelapha ukuhlola isimo sakho esisongela impilo, ukuphatha lezo zimo, nokukuzinzisa.
Ngemuva kwalokho, kwenziwa i-X-ray ukuqinisekisa ukuphuka. Ngezinye izikhathi, udokotela angase anqume ukwenza i -CT scan noma i-MRI scan ukuze abheke ngokuseduze ukuphuka kanye nanoma yimuphi umonakalo emisipheni ezungezile.
Kwenzekani ngesikhathi sokuhlinzwa?
Ngaphambi kokuba ukuhlinzwa kuqale, uzonikezwa i-anesthesia ukuze ungezwa ubuhlungu. Kuye ngesimo sakho kanye nohlobo lokuhlinzwa, udokotela we-anesthesia uzokunikeza i-anesthesia ejwayelekile, ekwenza ulale ngokuphelele, noma i-anesthesia yesifunda, eqeda kuphela indawo lapho ithambo liphukile khona.
Udokotela ohlinzayo ube eselandela lezi zinyathelo:
1. Ukusikwa kwesikhumba: Isikhumba siyasikwa phezu kwethambo eliphukile bese sehlela phansi lapho kukhona khona ithambo.
2. Ukunciphisa: Izingcezu zamathambo eziphukile neziphumile zisuswa ngokucophelela bese zibekwa kabusha ngokwendawo yazo yokuqala.
3. Ukuqina Kwangaphakathi: Manje, ukuze kuvinjelwe izingcezu zamathambo ukuthi zingaphinde zishintshe, ziqiniswa ndawonye ngezikulufo zensimbi, amapuleti, noma izinduku. Isibonelo, uma i-tibia iphukile, induku ende ye-titanium ingafakwa phakathi kwethambo. Uma iqakala liphukile, amapuleti ensimbi angafakwa kuzo zombili izinhlangothi futhi aqiniswe ngezikulufo.
4. Ukuthunga inxeba: Uma ithambo selilungisiwe, inxeba elisikiwe liyathungwa lihlanganiswe ndawonye.
5. Ukungasebenzi: Ekugcineni, kufakwa insimbi noma i-splint engalweni noma emlenzeni ohlinzwayo ukuze kuvinjelwe ukunyakaza.
Lokhu kuhlinzwa ngokuvamile kungathatha amahora amaningana, kuye ngohlobo lwethambo eliphukile kanye nobunzima bokuphuka kwalo.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzoyiswa ekamelweni lokululama. Lapho, ithimba lezokwelapha lizokunakekela kahle uze ululame ngokuphelele ekubulaweni kwe-anesthesia futhi liqiniseke ukuthi azikho ezinye izinkinga. Nakuba abanye abantu bekwazi ukuya ekhaya ngalolo suku, iningi labantu kuzodingeka lihlale esibhedlela usuku olulodwa noma ezimbili. Lokhu kuzonqunywa udokotela wakho ngokusekelwe esimweni sakho.
Inzuzo eyinhloko yokuhlinzwa kwe-ORIF ukuthi ithambo eliphukile kakhulu liyashintshwa bese libekwa esimweni esifanele.Ukulungiswa kabusha. Ithambo elingakahleleki kahle lisengozini enkulu yokuphuka futhi esikhathini esizayo.
Ukuhlinzwa kwe-ORIF kuvame ukuphumelela kakhulu, ngisho nasezifweni ezingavamile neziyinkimbinkimbi.
Yiziphi izinkinga ezingaba khona?
Njenganoma yikuphi ukuhlinzwa, ukuhlinzwa kwe-ORIF akuvamile ukubangela izinkinga. Akukho okufanele ukwesabe, kodwa kubalulekile ukuqaphela lokhu.
| Inkinga | Incazelo elula |
|---|---|
| Ukutheleleka | Ukutheleleka ngamagciwane kungavela, ikakhulukazi ezimweni lapho isikhumba siphukile futhi ithambo livezwa (ukuphuka okuvulekile). |
| I-Malunion | Izingcezu zamathambo zihlangana kabi ngesikhathi sokuphulukiswa. |
| Inhlangano Engeyona Inyunyana | Izingcezu zamathambo azihlangani ngokuphelele. |
| Amahlule egazi | Ukungenzi lutho ngemva kokuhlinzwa kwandisa ingozi yokuqhekeka kwegazi, ikakhulukazi emithanjeni yegazi yemilenze. |
| I-Acute Compartment Syndrome | Ukwanda kwengcindezi emisipheni kanye nokuphazamiseka kokunikezwa kwegazi. Lesi yisimo esiphuthumayo. |
Kuthatha isikhathi esingakanani ukululama?
Isikhathi esithathayo ukuze ululame ngokugcwele sizohluka kuye ngohlobo lokuphuka kwakho. Amanye amanxeba ayaphola emavikini ambalwa, kanti amanxeba amabi kakhulu angathatha izinyanga noma ngisho nonyaka ukuze alulame.Kungathatha isikhathi. Kuzodingeka ugqoke i-cast amasonto ambalwa. Nakekela lezi zinto ngenkathi ululama.
- Phakamisa ingalo/umlenze: Noma nini lapho kungenzeka, gcina ingalo/umlenze ohlinzwe uphakeme ngaphezu kwezinga lenhliziyo ngokuwubeka emicamelweni. Lokhu kuzonciphisa ukuvuvukala.
- Gcina inxeba lihlanzekile: Ukuze uvimbele ukutheleleka, gcina inxeba lihlanzekile futhi limboziwe njengoba kuqondiswe udokotela wakho. Lalela ngokucophelela imiyalelo yokuthi ungayishintsha kanjani ibhandishi lenxeba nokuthi ungageza nini.
- Ukwelashwa Komzimba: Njengoba ithambo liphola, ukwelashwa ngokomzimba kubalulekile ukuqinisa imisipha namalunga azungezile. Kungase kudingeke usebenzise amadivayisi okusiza njengezinduku zokusibekela.
Ungalawula kanjani ubuhlungu?
Kuvamile ukuzwa ubuhlungu ngemva kokuhlinzwa, ikakhulukazi emasontweni ambalwa okuqala. Udokotela wakho uzokunikeza imithi yobuhlungu ukusiza ukulawula ubuhlungu. Kubalulekile ukuthatha imithi ngesilinganiso esifanele nangesikhathi esifanele. Uma ubuhlungu bungabekezeleleki, yazisa udokotela wakho ngokushesha.
Ingabe izingxenye zensimbi (izikulufo, amapuleti) zifakwe unomphela?
Lokhu kuyinkinga kubantu abaningi. Kwabanye abantu, lezi zingxenye zensimbi zihlala emizimbeni yabo impilo yabo yonke. Amapuleti nezikulufo, ikakhulukazi lawo afakwa emalungeni afana neqakala, awasuswa ngoba anikeza amandla engeziwe ngisho nangemva kokuba ithambo selipholile. Kodwa-ke, kwezinye izimo (isibonelo, uma zibangela ukungakhululeki noma zifakwa emathanjeni akhulayo ezinganeni), zisuswa kamuva ngokuhlinzwa okuncane. Kungcono ukubuza udokotela wakho ohlinzayo ngalokhu bese umchazela ngakho.
Isikhathi sokuthola iseluleko sezokwelapha ngokushesha
Uma uba nanoma yiziphi izimpawu ezilandelayo ngesikhathi sokululama kwakho, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ubuhlungu obukhulu esifubeni.
- Ubunzima bokuphefumula (i-Dyspnea).
- Ukushisa okungaphezu kuka-38°C (101° Fahrenheit).
- Ukopha ngokweqile okuvela enxebeni lokuhlinzwa.
- Izimpawu zokutheleleka endaweni yenxeba (ukuphuma kobomvu, ukuvuvukala okukhulu, ukushintsha kombala, iphunga, noma umuzwa wokushisa okukhulu).
- Ubuhlungu obukhulu obungenakulawuleka ngisho nangemithi yobuhlungu.
Ukuphula ithambo kuyinto ebuhlungu kakhulu. Kungokwemvelo ukwesaba uma uzwa ngokuhlinzwa kanye nezingcezu zensimbi ezifakwa emzimbeni wakho. Kodwa khumbula, ukuhlinzwa kwe-ORIF kuyindlela engcono kakhulu nephephile yokwelapha ukuphuka okukhulu. Khuluma ngokukhululekile nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-ORIF kuhilela ukuvula nokwakha kabusha amathambo nesikhumba esiphukile kakhulu, nokufaka izingxenye zensimbi ngaphakathi ukuze zilungiswe.
- Lokhu kuhlinzwa kusiza ithambo ukuthi liphole liqine futhi libe sesimweni esifanele.
- Isikhathi kanye nenqubo yokuphulukiswa kuyahlukahluka kumuntu nomuntu, futhi kudinga isineke nokuzinikela.
- Ukulawula ubuhlungu, ukunakekelwa kwamanxeba, kanye nokwelashwa ngokomzimba kuyizingxenye ezibalulekile zenqubo yokuphulukisa.
- Uma unokungabaza noma ukwesaba, noma uma kuvela izimpawu eziyisixwayiso, xhumana nodokotela wakho ngokushesha.
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