Uphuke ubambo? Ake sixoxe ngalokhu (Ukuphuka Kwembambo)!

Wake wazizwa ubuhlungu obukhulu esifubeni sakho kanye nobunzima bokuphefumula? Mhlawumbe kungenxa yengozi encane, noma ukuwa ngenkathi udlala, noma ngezinye izikhathi ngisho nalapho ukhwehlela kakhulu. Lokhu yilokho esikubiza ngokuthi ubambo oluphukile, noma njengoba odokotela bekubiza kanjalo, "i-Rib Fracture". Ungakhathazeki, ake sixoxe ngalokhu kalula.

Luyini ubambo? Kungani luphuka?

Kalula nje, ubambo oluphukile luwukuphuka kwethambo elilodwa noma ngaphezulu akha ikheji lakho lezimbambo. Lokhu kuvame ukwenzeka ngenxa yokushaywa kanzima esifubeni ngokuzumayo. Cabanga ngalokhu:

• Izingozi zezimoto: Ingozi eyenzeka ngenkathi ugibele imoto noma ibhayisikili.
• Ukuwa: Ukuwa usuka endaweni ephakeme, noma ukushelela nokuwa ngenkathi wenza imisebenzi yasekhaya.
• Izingozi zemidlalo: Ikakhulukazi uma udlala imidlalo enomthelela omkhulu njenge-rugby nebhola.

Kodwa, akudingeki kube yingozi enkulu ngaso sonke isikhathi. Ngezinye izikhathi:

• Ukukhwehlela okunamandla kakhulu: Ukukhwehlela okuqhubekayo kungacindezela izimbambo futhi kubangele ukuthi ziphuke.
• Izifo ezenza amathambo abe buthaka: Abantu abanezifo ezibangela amathambo abe mancane futhi abe buthaka, njenge-osteoporosis, basengozini yokuphuka izimbambo zabo ngisho nangento encane.
• Ezinye izinhlobo zomdlavuza: Lokhu kungenzeka uma umdlavuza usakazekela emathanjeni.

Into ebaluleke kakhulu ukuthi ikheji lakho lezimbambo liyikheji elivikela izitho eziningi ezibalulekile, njengenhliziyo yakho, amaphaphu nesibindi. Ngakho-ke akuwona umqondo omuhle ukuthatha umonakalo kulokhu kalula.

Ziyini izimpawu zombambo ophukile?

Uma unombambo ophukile, ungase uzizwe izinto ezifana nalezi:

• Ubuhlungu besifuba: Lolu uphawu oluyinhloko. Lobuhlungu bungaba bubi kakhulu , ikakhulukazi uma uphefumula kakhulu, ukhwehlela, uhleka, noma ushukumisa umzimba wakho .
• Kubuhlungu uma kuthintwa: Uma uthinta noma ucindezela indawo ephukile, uzozwa ubuhlungu.
• Ukuguquka kombala noma ukuvuvukala okuluhlaza okwesibhakabhaka/okunsomi: Ngezinye izikhathi isikhumba esizungeze indawo yokuqhekeka singaba luhlaza okwesibhakabhaka, onsomi, noma sivuvuke.

Uma unesinye noma ngaphezulu salezi zimpawu, kufanele nakanjani ubonane nodokotela.

Ingabe kunezinhlobo zokuphuka kwembambo?

Yebo, odokotela bahlukanisa ukuphuka kwezimbambo zibe izinhlobo eziningana, kuye ngokuthi ukuphuka kwenzeke kanjani. Ezinye zezinhlobo eziyinhloko yilezi:

• (Ukuphuka kokucindezeleka): Lokhu kwenzeka lapho kufakwa inani elincane lokucindezela endaweni efanayo ngokuphindaphindiwe, njengalokho okwenzeka kubadlali.
• Ukuphuka kwe-Avulsion: Lokhu kwenzeka lapho umsipha noma i-tendon enamathele ethanjeni idonswa, okubangela ukuba ingxenye encane yethambo iphume.
• Ukuphuka kwethambo: Kulesi simo, ithambo liphuka libe yizicucu eziningana.
• Ukuphuka okuntantayo: Lokhu kungathi sína kakhulu. Ubambo luphukile ezindaweni ezimbili, bese ingxenye ihlukaniswa nengxenye esele yekheji lezimbambo bese "iyantanta" ngendlela engathinta ukuphefumula.

Enye into ebalulekile ukuthi izingcezu zamathambo aphukile zihambile noma cha.

• (Ukuphuka okungasuswanga): Kulokhu, yize ithambo liphukile, izingcezu ezimbili eziphukile azikasuki kakhulu lapho zazikhona. Zisasondelene, ziphelele.
• Ukuphuka okulahlekile: Kulesi simo, izingcezu ezimbili zethambo ziqhelelene kakhulu nendawo yokuphuka, okudala isikhala. Yilapho ukuhlinzwa kuvame ukudingeka khona ukuze kulungiswe izingcezu.

Ubani osengozini enkulu yalokhu kuphuka kwezimbambo?

Eqinisweni, noma ubani angaphula ubambo. Esikhathini esiningi, lokhu kulimala kubangelwa izingozi. Kodwa-ke, abanye abantu basengozini enkulu kancane:

• Kubantu abanezifo ezenza amathambo abe buthaka, njenge -osteoporosis .
• Kulabo abadlala imidlalo yokuxhumana.
• Kubantu asebekhulile, ngoba banamathuba amaningi okuwa.
• Ngokumangalisayo, izingane ezincane azivamile ukuphuka izimbambo kunabantu abadala. Lokhu kungenxa yokuthi amathambo azo asaguquguquka.

Ingabe ubambo oluphukile lungabangela izimo eziyingozi?

Yebo, ngezinye izikhathi ubambo oluphukile lungabangela izinkinga ezinkulu. Yingakho sithi ungakuthathi kalula.

Ukulimala kwezitho zangaphakathi

Ngaphakathi kwekheji lakho lezimbambo kukhona izitho ezibaluleke kakhulu. Cabanga ngenhliziyo yakho, amaphaphu, isibindi, izinso, kanye ne-spleen. Uma ubambo luphuka, lezo zingcezu ezibukhali zethambo zingangena ngaphakathi zilimaze, zibhoboze, futhi zivuvuzele lezi zitho. Lokhu kuyingozi kakhulu.

Ubunzima bokuphefumula (Izinkinga zamaphaphu)

Ukuphefumula ngembambo ephukile kuyinto ebuhlungu kakhulu. Uma ungaphefumuli ngokwanele ngenxa yalobu buhlungu, ungaba nezifo zamaphaphu kanye nezimo ezifana ne-pneumonia.

Ngezinye izikhathi, ubambo oluphukile lungalimaza iphaphu, okubangela iphaphu eliwile (i-pneumothorax noma iphaphu eliwile). Lesi futhi yisimo esidinga ukwelashwa okuphuthumayo.

Udokotela ukubona kanjani lokhu?

Uma uya kudokotela, bazoqala bakubuze ukuthi kwenzekeni, bese bekuhlola. Bazobheka izinto ezifana nokuthi ubuhlungu bukuphi, ukuthi kukhona yini ukuvuvukala, nokuthi kuzwakala kanjani uma uphefumula.

Ngaphezu kwalokho, ukuhlolwa okulandelayo kungenziwa ukuze kuqinisekiswe futhi kutholakale ukuthi izitho zangaphakathi zonakele yini:

• I-X-ray: Lokhu kungasiza ekunqumeni ukuthi amathambo aphukile yini nokuthi umonakalo ongakanani owenzekile.
• Ukuskena kwe-MRI (I-Magnetic Resonance Imaging - i-MRI): Lokhu kungasiza ekuhloleni kangcono umonakalo hhayi emathanjeni kuphela, kodwa nasezicutshini ezithambile ezizungezile njengemisipha nama-tendon.
• I-CT scan: Lokhu kunganikeza isithombe esicacile nesiningiliziwe samathambo nezicubu ezizungezile. Lokhu kubaluleke kakhulu kudokotela ohlinzayo uma kudingeka enze ukuhlinzwa.

Uphatha kanjani ubambo oluphukile?

Esikhathini esiningi, ubambo oluphukile aludingi ukwelashwa okuningi. Ukuphumula, ukupholisa indawo ngeqhwa, kanye nemithi yobuhlungu (njenge-NSAID, njenge-aspirin noma i-ibuprofen) yizona zindlela zokwelapha eziyinhloko. Udokotela wakho uzokutshela ukuthi kufanele uyifake kangaki ngosuku nokuthi kufanele uyifake isikhathi esingakanani. Ngokuvamile, ungakwenza cishe imizuzu engama-20, izikhathi eziningana ngosuku.

Okubalulekile: Ukubopha noma ukubopha isifuba akusakhuthazwa ngoba kungenza kube nzima ukuphefumula kahle futhi kwandise ingozi ye-pneumonia.

Kubalulekile futhi ukwenza izivivinyo zokuphefumula nokukhwehlela ngamabomu njalo emahoreni ambalwa. Lokhu kusiza ukuvimbela ukutheleleka kwamaphaphu futhi kugcine amaphaphu esebenza kahle. Ukuze unciphise ubuhlungu lapho ukhwehlela, ungabamba umcamelo esifubeni sakho.

Kunini lapho kudingeka khona ukuhlinzwa?

Ukuhlinzwa kwezimbambo eziphukile akuvamile kakhulu. Ukuhlinzwa kuyadingeka kuphela ezimweni ezilandelayo:

• Uma kukhona umonakalo omkhulu ezithweni zangaphakathi.
• Uma izingcezu zamathambo ziqhelelene kakhulu (ukuphuka okuphazamisekile kakhulu).
• Uma ithambo eliphukile lingapholanga kahle (lokhu kubizwa ngokuthi `ukungahlangani` noma `malunion`).
• Uma kuyisimo esibucayi njengokuthi 'isifuba esintantayo'.

Ngesikhathi sokuhlinzwa, udokotela ohlinzayo ubuyisela izingcezu zamathambo aphukile endaweni yazo bese ezilungisa ndawonye. Lokhu kubizwa ngokuthi "i-Internal fixation". Ngokuvamile, kusetshenziswa amapuleti ensimbi nezikulufo noma "izikhonkwane nezintambo". Ngezinye izikhathi, "i-Bone grafting" nayo ingadingeka. Lokhu kusho ukwengeza ithambo elengeziwe endaweni ephukile ukuze iphole.

Kuthatha isikhathi esingakanani ukuphulukiswa?

Iningi labantu lithatha okungenani inyanga ukuphulukiswa ngenxa yombambo ophukile. Kodwa-ke, lokhu kuncike ezintweni eziningi, njengohlobo lokuphuka kwakho, ubudala bakho, kanye nempilo yakho jikelele. Kungathatha isikhathi eside. Udokotela wakho uzokutshela ukuthi kuzothatha isikhathi esingakanani.

Isikhathi ongeke ukwazi ukuya emsebenzini noma esikoleni sizohluka kuye ngesimo sakho. Uma umonakalo ungemkhulu kakhulu, ungase ukwazi ukubuyela emisebenzini evamile zingakapheli izinsuku ezimbalwa. Kodwa-ke, kungase kudingeke uyeke ukwenza imisebenzi enzima noma ezemidlalo isikhashana.

Yini engenziwa ukuvimbela ukuphuka kwezimbambo?

Nakuba singenakukwazi ukulawula izingozi, singenza okulandelayo ukunciphisa ingozi:

• Gqoka ibhande lakho lesihlalo njalo uma ugibela izimoto.
• Uma udlala imidlalo, gqoka izinto zokuzivikela ezifanele lo mdlalo.
• Susa futhi uhlele izinto ezingase ziwe ekhaya lakho noma endaweni yokusebenza.
• Uma uthatha okuthile okuvela phezulu, sebenzisa okuthile okufanelekile, njengesitebhisi, esikhundleni sokukhwela ezihlalweni noma ematafuleni.
• Yidla ukudla nokuzivocavoca okusiza ukugcina amathambo akho eqinile.
• Uma uneminyaka engaphezu kwengu-50 ubudala, noma uma othile emndenini wakho ene-osteoporosis,Kungumqondo omuhle ukuthola ukuhlolwa kokuqina kwamathambo.
• Uma unenkinga yokuhamba noma usengozini yokuwa, sebenzisa izinduku zokusibekela noma i -walker .

Kufanele ngimbone nini udokotela ngokushesha okukhulu?

Uma ucabanga ukuthi unembambo ephukile, noma elinye ithambo, bona udokotela ngokushesha okukhulu. Yiya esibhedlela ngokushesha, ikakhulukazi uma unezinye zalezi zimpawu:

• Ubuhlungu abubekezeleleki.
• Uma unenkinga yokuphefumula, uma uzizwa sengathi uyacinana.
• Uma ungakwazi ukuhambisa ingxenye yomzimba wakho, ungayihambisa ngokujwayelekile.
• Uma ingxenye yomzimba ibukeka ingajwayelekile, sengathi inwetshiwe.
• Uma isikhumba siphukile futhi ithambo libonakala (lokhu kubizwa ngokuthi "ukuphuka okuvulekile", lokhu kuyingozi kakhulu futhi kungaholela ekuthelelekeni).
• Uma ivuvukele kakhulu.
• Uma imivimbo emisha nokuvuvukala sekuqalile kanye nalezi zimpawu.
• Uma uke waba nengozi enkulu (ukulimala), hamba esibhedlela ngokushesha, noma ngabe azikho ezinye izimpawu.

Izinto ezibaluleke kakhulu okufanele uzikhumbule

Kulungile, manje usuyazi okuningi ngezimbambo eziphukile. Okokugcina, khumbula lokhu:

• Ubambo oluphukile aluyona ihlaya. Lungaba nzima kakhulu kusukela ekuqhekekeni okuncane kusukela ekukhwehleleni okunzima kuya ekulimaleni okukhulu ngenxa yengozi enkulu.
• Uma uzwa ubuhlungu esifubeni noma ubunzima bokuphefumula, ungangabazi ukubona udokotela.
• Landela imiyalelo kadokotela ngqo. Phumula, uphuze imithi, bese uvivinya umzimba njengoba kuqondiswe.
• Hlala kude nomsebenzi onzima nemisebenzi eyingozi uze ululame.
• Qaphela ukuthi amathambo akho aqinile.

Uma uneminye imibuzo mayelana nalokhu, ungesabi ukubuza udokotela wakho. Uzokuchazela konke. Ngikufisela ukululama okusheshayo!

Izimbambo eziphukile, ubuhlungu besifuba, ukuphelelwa umoya, ukuphuka kwamathambo, izingozi, usizo lokuqala, impilo yamathambo