Zicabange usebenza esitebhisini bese ushelela ngokuzumayo uwe, noma usesimeni sengozi yemoto. Uzwa ubuhlungu obungabekezeleleki eqakaleni lakho, umlenze wakho uvuvukele kakhulu, futhi ungase ubonakale ugobile ngendlela engavamile. Kubuhlungu kakhulu kangangokuthi awukwazi ngisho nokubeka umlenze wakho phansi, ingasaphathwa eyokuhamba. Esimweni esinjengalesi, kungaba kubi kakhulu kunomlenze ophukile nje. Yilolo hlobo lokuphuka okukhulu esizokhuluma ngakho namuhla.

Iyini ngempela i-Pilon Fracture?

Kalula nje, i-Pilon Fracture (i-Tibial Plafond Fracture) iwukuphuka okukhulu engxenyeni engezansi yethambo lakho lesifuba (i-tibia), lapho lihlangana khona neqakala. Kunamathambo amabili ayinhloko emlenzeni wethu, elikhulu esilibiza ngokuthi `(tibia)` kanye nelincane esilibiza ngokuthi `(fibula)`. Ekuqhekekeni kwe-Pilon, womabili la mathambo angaphuka kaningi.

Lokhu kubizwa ngokuthi 'Pilon' ngesizathu esikhethekile. Igama elithi 'Pilon' lisho 'mole' ngesiFulentshi. Njengoba nje ushaya into ethile ku-mortar kanye ne-pestle, lokhu kuphuka kwenzeka ngamandla amakhulu. Cabanga nje, ithambo elithi '(talus)' elisesihlalweni sakho seqakala (ithambo elixhuma ne-talus) lisunduzelwa phezulu ngamandla amakhulu, lichoboza ukuphela kwe-talus. Yilolo hlobo lwenqubo eyenzeka lapha.

Zikhona yini izinhlobo zalezi zikhefu?

Yebo, odokotela basebenzisa izigaba eziningana kuye ngokuthi lokhu kuphuka kungakanani. Isigaba esilula nesivame ukusetshenziswa kakhulu ukuthi sisiqonde yisigaba sika-`Ruedi-Allgower`. Masisiqonde kalula.

• Uhlobo I: Yilapho ithambo liphuka khona esibayeni, kodwa izingcezu zamathambo eziphukile azikashukumi . Zisesekhona. Lolu uhlobo lokuphuka oluncane kakhulu.
• Uhlobo II: Lapha, izingcezu zamathambo eziphukile ziyasuswa kancane, okusho ukuthi ithambo alikho endaweni efanele. Kodwa-ke, ithambo aliqhekeki libe yizingcezu eziningi.
• Uhlobo lwesithathu: Lesi yisimo esibi kakhulu . Kulesi simo, akugcini nje ngokususa izingcezu zamathambo eziphukile, kodwa nethambo lichotshoziwe laba yizingcezu ezincane (ukuhlanganiswa) . Kukhona nomonakalo omkhulu ebusweni bamalunga.

Uhlobo lokwelashwa luncike ohlotsheni lokuphuka onalo. Ukuphuka kohlobo lwesithathu cishe kudinga ukuhlinzwa.

Yiziphi izimpawu obungazizwa uma kwenzeka into efana nalena kuwe?

Ukuphuka kwe-pilon kuyisimo esibuhlungu kakhulu. Izimpawu zicacile kakhulu.

Yiziphi izizathu zokuhlukana okubi kangaka?

Lolu hlobo lokuphuka luvame ukudinga amandla amakhulu . Izimbangela ezivamile zifaka:

• Izingozi zezimoto: Lolu hlobo lokulimala lungenzeka, ikakhulukazi ezingozini zemoto, isithuthuthu, noma zamabhayisikili anamasondo amathathu.
• Ukuwa usuka endaweni ephakeme: Imbangela enkulu ukuwa usuka endaweni ephakeme, njengasesihlahleni, esitebhisini, noma esitezi esiphezulu sesakhiwo.
• Izingozi zezemidlalo:Izingozi ezinjengalezi zingase zenzeke nakwezemidlalo ezisheshayo njengokushushuluza eqhweni.

Kodwa-ke, ngezinye izikhathi ngisho nokuphuka okuncane kungavela. Isizathu salokhu izifo ezenza amathambo abe buthaka .

Ubani osengozini enkulu?

Nakuba le ngozi ingenzeka kunoma ubani, amanye amaqembu asengozini enkulu.

• Amadoda aphakathi kweminyaka engama-25-50 ubudala: Lesi simo sivame kakhulu kwabesilisa abakuleli qembu leminyaka ngenxa yokulimala okunamandla amakhulu (njengezingozi zezimoto).
• Abesifazane abane-osteoporosis: Abesifazane asebekhulile, ikakhulukazi, basengozini enkulu yalokhu kuphuka, ngisho noma bewa kancane.
• Abantu abasebenza ezitebhisini, ezinsikeni, njll.: Abantu abasembonini yokwakha basengozini enkulu yokuwa.
• Abantu asebekhulile abawa njalo: Abantu abangaphezu kweminyaka engu-65, abanokulinganisela okubi, kanye nalabo abawa njalo nabo basengozini enkulu.

Udokotela ukuxilonga kanjani lokhu?

Uma uya esibhedlela, ikakhulukazi uMnyango Wezimo Eziphuthumayo (i-ETU) unokulimala okunje, udokotela ohlinzayo wamathambo uzokuxilonga.

1. Ukuhlolwa komzimba: Udokotela uzohlola ngokucophelela umlenze wakho neqakala, eqaphela ukuvuvukala, ukuklwebheka, izinguquko esimweni, kanye nesimo sesikhumba.

2. I-X-ray: Lolu ukuhlolwa okuyisisekelo nokubaluleke kakhulu. I- X-ray ingabonisa ngokucacile ukuthi ithambo liphukile nokuthi liphukile kuphi.

3. I-CT Scan: Ezimweni eziningi zokuphuka kwe-pilon, kudingeka i -CT scan ngaphezu kwe-X-ray. Lokhu kungenxa yokuthi i-CT scan ibaluleke kakhulu ekuboneni ngezindlela ezintathu (3D) ukuthi lingakanani ithambo eliphukile, ukuthi yimuphi umonakalo owenziwe ebusweni bamalunga, nokuthi izingcezu eziphukile zibekwe kanjani. Lolu lwazi lubalulekile ekuhleleni ukuhlinzwa.

Ilashwa kanjani? Ingabe ukuhlinzwa kuyadingeka?

Ukwelashwa kokuphuka kwe-pilon kuncike ezintweni eziningana, okuhlanganisa uhlobo lokuphuka, inani lezingcezu zamathambo ezisusiwe, umonakalo esikhumbeni nasemisipheni, kanye nempilo yakho iyonke.

Amacala lapho ukuhlinzwa kungadingeki khona (Ukwelashwa Okungahlinzwa)

Lokhu akuvamile kakhulu. Ukuhlinzwa akudingeki ngaphandle kokuthi ukuphuka kuncane kakhulu, okusho ukuthi izingcezu zamathambo aphukile azisuswanga ngisho nakancane (azisuswanga) . Kulesi simo, udokotela wakho angase ancome izindlela zokwelapha ezilandelayo:

• Ukuphumula:Bakutshela ukuthi uphumule umlenze wakho futhi uwugcine uphakeme isikhathi eside ngangokunokwenzeka.
• Ukufaka i-cast noma i-boot: Ukuze umlenze uhlale ungashukumi futhi uwugcine uqinile kuze kube yilapho ithambo selipholile, kungadingeka ufake i-cast, i-splint, noma i-boot ekhethekile.
• Ukusebenzisa izinduku zokusikela: Akukuhle ukufaka isisindo emlenzeni uze uphole, ngakho kuzodingeka usebenzise izinduku zokusikela.
• Imithi: Ngezinye izikhathi imithi yokunciphisa igazi (ama-anticoagulant) inganikezwa ukuvimbela ukujiya kwegazi emithanjeni yemilenze.
• Ukwelashwa Komzimba: Ngemva kokuba ithambo selipholile, ukwelashwa ngokomzimba kubalulekile ukuze kubuyiselwe amandla nokunyakaza emlenzeni nasemaqakaleni.

Ukwelashwa Kokuhlinzwa

Ezimweni eziningi zokuphuka kwe-Pilon , ukuhlinzwa kuyadingeka ngempela , ngoba ezimweni eziningi, izingcezu zamathambo zisuke ziphumile endaweni yazo zahambahamba.

Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa.

1. Ukunciphisa Okuvulekile kanye Nokulungiswa Kwangaphakathi (i-ORIF):

Lokhu kuyindlela yokuhlinzwa evame kakhulu. Kalula nje, okwenzayo ukuthi, udokotela ohlinzayo anqume isikhumba, aye endaweni lapho kwaphuka khona, bese elungisa zonke izingcezu zamathambo ezisusiwe zibuyele ezindaweni zazo zokuqala (ukunciphisa) . Ngemuva kwalokho, kusetshenziswa amapuleti ensimbi akhethekile nezikulufo ukuze kufakwe izingcezu ethanjeni ukuze zingaphinde zinyakaze (i-internal fixation) . Lawa mapuleti nezikulufo ngokuvamile ashiywa emzimbeni impilo yonke.

2. Ukulungiswa Kwangaphandle:

Lena inqubo ehluke kancane. Uma ukuvuvukala emlenzeni kukhulu kakhulu, noma uma kunezilonda zesikhumba ezinzima, ukuhlinzwa kwe-ORIF akukwazi ukwenziwa ngokushesha. Ezimweni ezinjalo, le nqubo isetshenziselwa ukuzinzisa umlenze okwesikhashana. Lapha, udokotela ohlinzayo ubhoboza izinduku eziningana zensimbi emathanjeni bese enamathisela lezi zinduku ohlakeni olungaphandle komzimba . Lolu hlaka lugcina amathambo eqinile ngaphandle kokunyakaza. Uma ukuvuvukala sekuphelile futhi isimo sesikhumba sesithuthukile, uhlaka luyasuswa bese kwenziwa ukuhlinzwa kwe-ORIF okuchazwe ngenhla.

Kuthatha isikhathi esingakanani ukuphulukiswa?

Lena inkinga abantu abaningi abanayo. Ukuphuka kwe-pilon kuthatha isikhathi eside ukuphola. Lokhu kuyinto edinga isineke nokuzinikela.

• Ukuphulukiswa kwamathambo: Ngokuvamile kuthatha izinyanga ezi-3 kuya kwezi-6 ukuthi ithambo liphole ngokuphelele ngemva kokuhlinzwa.
• Ukululama okuphelele: Kodwa-ke, umsebenzi awupheli uma ithambo selipholile. Kungathatha unyaka noma ngaphezulu ukuthola amandla, ukunyakaza, kanye nokusebenza okuvamile emlenzeni.Kungathatha isikhathi.

Ukwelashwa nge-physiotherapy kubalulekile kule nqubo yokuphulukiswa. Kubaluleke kakhulu ukulandela imiyalelo kadokotela kanye nodokotela we-physiotherapist ngqo ukuze ululame ngokushesha.

Kufanele ubonane nini nodokotela?

Uma unezinye zezimpawu ezishiwo kulesi sihloko, ikakhulukazi ngemva kwengozi enkulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha, ngaphandle kokulibala. Uma ungakwazi ukuhamba wedwa, shayela isevisi ye-ambulensi ka-1990.

Uma uba nanoma yiziphi zalezi zimpawu ngesikhathi usekhaya ngemva kokuhlinzwa, kungaba uphawu lokutheleleka. Uma kunjalo, kufanele uye esibhedlela ngokushesha :

• Uma uzizwa ubomvu, ukuvuvukala, noma ukufudumala eduze kwesilonda sokuhlinzwa.
• Uma uketshezi olufana nobovu luphuma enxebeni.
• Uma unomkhuhlane .

Iyini imiphumela yesikhathi eside yalesi simo?

Kunzima ukwelapha ukuphuka kwe-pilon ngoba kuhilela umonakalo ebusweni bamalunga. Ngakho-ke, ngisho nangokwelashwa okungcono kakhulu, kungase kube nezinkinga zesikhathi eside.

• Ubuhlungu Obungapheli: Abanye abantu bangase babe nobuhlungu beqakala ngezikhathi ezithile ngisho nangemva kokululama.
• Ukuqina Kwamalunga: Amandla okugoba nokwelula iqakala ngokuphelele angancipha.
• I-arthritis yangemva kokulimala: Lena inkinga evame kakhulu. Ukulimala kubangela umonakalo ku-cartilage ebusweni bamalunga, okungaholela ku-arthritis ngokuhamba kwesikhathi. Lokhu kubangela ubuhlungu nokuvuvukala.

Ukuze uvimbele noma ulawule lezi zinto, kubaluleke kakhulu ukulandela imiyalelo kadokotela kanye nokwelashwa ngokomzimba ngqo.