Ingabe unethambo eliphukile emlenzeni wakho ongezansi? (Ukuphuka kwe-Tibia ne-Fibula) Ake sixoxe ngalokhu!

Hawu! Kuthiwani uma ushaye umlenze wakho ndawana thize, noma ube nengozi, waphuka ithambo emlenzeni ongezansi? Kunzima ukucabanga lokho, akunjalo? Uma kwenzeka ukulimala okufana nalokhu, isikhathi esiningi, i-tibia kanye nelinye ithambo ohlangothini kungaphuka. Namuhla, sizoxoxa ngalezi zifo ze-tibia kanye ne-fibula . Njengoba lokhu kuyingozi enkulu, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha.

Kuyini ukuqhekeka kwe-Tibia ne-Fibula?

Kalula nje, kunamathambo amabili ayinhloko emlenzeni wakho, ngaphansi nje kwedolo nangaphezu kweqakala. Elinye yi -tibia , eyaziwa nangokuthi ithambo lomlenze. Elinye yi -fibula encane kancane , eyaziwa nangokuthi ithambo lethole. Uma elinye noma womabili la mathambo ephuka, sikubiza ngokuthi ukuphuka kwe-tibia kanye ne-fibula.

Ngokuvamile, la mathambo ayaphuka ngemva kwengozi enkulu, njengengozi yemoto noma ukuwa endaweni ephakeme. Ngenxa yokuthi la mathambo amabili asondelene, kungenzeka kakhulu ukuthi womabili aphuke engozini efanayo. Kodwa-ke, kungenzeka ukuthi elilodwa nje liphuke, okuyinto engavamile. Lokhu ukulimala okukhulu futhi kufanele ufune usizo lwezokwelapha ngokushesha. Ungadinga ukuhlinzwa ukuze kumiswe ithambo, bese kuba ukwelashwa ngokomzimba ukuze kukusize ukuthi uphinde usebenzise umlenze wakho ngendlela evamile. Kodwa ngokuhamba kwesikhathi, i-tibia yakho ne-fibula kufanele zelapheke ngokuphelele.

Izinhlobo zokuqhekeka kwe-tibia ne-fibula

Manje bheka, odokotela bahlukanisa la mathambo ngokwendlela aphuka ngayo. Okusho ukuthi, ngokubheka izinto ezifana nesimo sokuphuka, iphethini yokuphuka, njll.

Izinhlobo ngokwesimo somugqa ophukile:

• Ukuphuka okuphambene: Ukuphuka okuqondile, okuphambene ethanjeni.
• Ukuphuka kwe-Oblique: Ukuphuka kwethambo.
• Ukuphuka kwe-Spiral: Ukuphuka lapho ithambo lijikijelwa khona, ngendlela ejikelezayo. Lokhu kwenzeka sengathi umlenze ujikijelwe ngokuzumayo.
• Ukuphuka kwengxenye: Ithambo liphukile ezindaweni ezimbili, kanti ingxenye ephakathi ihlukene.
• Ukuphuka okuhlanganisiwe: Ukuphuka lapho ithambo liphuka libe yizicucu ezincane, njengokungathi lichotshoziwe.

Izinhlobo ngokuya ngendlela ithambo eliphuke ngayo:

• Ukuphuka okuhlanganisiwe noma ukuphuka okuvulekile: Lokhu kubi kakhulu ngoba ithambo liyaphuka futhi liqhekeke esikhumbeni, okushiya isikhala esengeziwe sokutheleleka.
• Ukuphuka kokucindezeleka: Lokhu akwenzeki ngengozi eyodwa enkulu. Kubangelwa ukucindezela okuncane okuqhubekayo okufakwa ethanjeni, okubangela ukuqhekeka okuncane ethanjeni ngokuhamba kwesikhathi. Lokhu kungenzeka kubagijimi.
• Ukuphuka kwe-Avulvation:Uma umsipha noma umsipha oxhumene nethambo udonswa ngokuzumayo, ingxenye encane yethambo iyahlukana.

Ezinye izinhlobo ezithile:

• Ukuphuka kwethafa le-Tibia: Kulokhu, i-tibia iphuka eduze kwedolo, okungalimaza nejoyinti ledolo.
• Ukuphuka kwamathambo okususiwe (ukuphuka kwe-tibia okususiwe kanye ne-fibula): Uma ithambo liphuka, izingcezu ezimbili eziphukile ziyahlukana, okudala igebe elikhulu phakathi kwazo. Lokhu kusho ukuthi izingcezu zamathambo azilingani.
• Ukuphuka kwe-tibia ne-fibula okungasuswanga endaweni: Lapha ithambo lisaphukile, kodwa izingcezu eziphukile azikahambi kakhulu, futhi akukho shintsho oluphawulekayo ekuqondeni.
• Ukuphuka okukude: 'Ukuphuka okukude' kubhekisela ekugcineni kwethambo okude kakhulu nesikhungo somzimba wethu (isiqu). 'Ukuphuka kwe-tibia okukude' kuwukuphuka kwe-tibia ngaseqakaleni, okusho ukuthi kuseduze nengxenye engezansi yomlenze.
• Ukuphuka kwe-proximal: 'I-Proximal' ibhekisela ekugcineni kwethambo eliseduze nengxenye ephakathi yomzimba (isiqu). 'Ukuphuka kwe-proximal fibula' kuwukuphuka endaweni lapho ithambo le-fibula lixhuma khona ne-kneecap, okungukuthi, eduze nengxenye ephezulu.

Ziyini izimpawu zalokhu kuphuka?

Kulungile, manje ake sibone ukuthi yiziphi izimpawu ezenzekayo ngalolu hlobo lokuphuka.

• Ubuhlungu obukhulu: Lena yinto eyinhloko. Ubuhlungu bungaba bukhulu kangangokuthi awukwazi ngisho nokunyakaza umlenze wakho.
• Ukuvuvukala (i-edema): Indawo elimele ivuvukala kakhulu.
• Ubumnene: Kubuhlungu kakhulu uma kuthintwa noma kucindezelwa.
• Ukungakwazi ukuhambisa umlenze ngendlela evamile: Ungase ungakwazi ukuma, ukuhamba, noma ngisho nokuhambisa umlenze wakho.
• Ukuphuka noma ukushintsha kombala wesikhumba: Isikhumba endaweni elimele singase sibe luhlaza okwesibhakabhaka noma sibe nsomi.
• Ukukhubazeka noma ukubukeka okufana neqhubu: Ngezinye izikhathi umlenze ungase welulwe ngendlela engavamile, noma ithambo lingase libonakale liphuma njengeqhubu lapho liphuke khona.

Yini ebangela lokhu kuphuka kwamathambo?

Yiziphi izimbangela eziyinhloko zalokhu kuphuka kwamathambo?

Esikhathini esiningi, lokhu kwenzeka ngemva kwengozi enkulu (i-Trauma) . Lokho kusho ukuthi:

• Izingozi zezimoto: Izinto ezifana nezingozi zezimoto nezebhayisikili.
• Ukuwa: Ukuwa usuka endaweni ephakeme, njengokushelela nokuwa.
• Ukulimala kwezemidlalo: Kungenzeka kweminye imidlalo, ikakhulukazi imidlalo yokuthintana.

Enye into ukuthi, uma amathambo akho ebuthakathaka, isibonelo, uma unesifo esifana ne -osteoporosis , ungaphuka kalula ithambo ngisho noma ungawa kancane. I-Osteoporosis yisifo esibangela amathambo ukuba abe mancane futhi abe buthakathaka. Abantu abaningi abazi ukuthi banalesi simo baze baphuke ithambo.

Ungahlonza kanjani ukuphuka kwamathambo?

Uma ulimele kanje, udokotela angaqinisekisa kanjani ukuthi uphukile?

Okokuqala, udokotela uzokwenza ukuhlolwa ngokomzimba, ahlole ubuhlungu, ukuvuvukala, nokuthi ungakwazi yini ukuhambisa umlenze wakho.

Ngemva kwalokho, ukuhlolwa kwezithombe kwenziwa ngokuqinisekile.

Uma ungeniswa egumbini lezimo eziphuthumayo (ER) lesibhedlela ngemuva kwengozi, ithimba lezokwelapha lapho lizoqala lihlole ukulimala kwakho okusongela impilo bese likubeka phambili ekwelashweni. Kuphela uma isimo sakho sesizinzile lapho bezokwenza khona izivivinyo zokuqinisekisa ukuphuka.

Yiziphi izivivinyo ezenziwayo ngalokhu?

Ukuze wazi ngokuqinisekile ukuthi unesifo sokuphuka kwethambo, kungadingeka ukuthi wenze ukuhlolwa okukodwa noma ngaphezulu kwalokhu:

• Ama-X-ray: Lokhu ukuhlolwa okuvame kakhulu. I-X-ray ingabonisa ngokucacile ukuthi yimaphi amathambo asemlenzeni wakho ongezansi aphukile, ukuthi aphukile kangakanani, nokuthi ngabe kukhona yini izingcezu zamathambo ezisusiwe.
• Ukuskena kwe-MRI (I-Magnetic Resonance Imaging): Lokhu akwenziwa njalo. Kodwa ngezinye izikhathi, uma ufuna ukuhlola ngokugcwele umonakalo emathanjeni nasemisipheni ezungezile kanye nemisipha, udokotela wakho angase akucele ukuba kwenziwe i-MRI.
• I-CT scan (i-Computed Tomography): I-CT scan ingaveza isithombe esicacile nesiningiliziwe samathambo nezicubu ezizungezile kune-X-ray. Lokhu kuwusizo kakhulu kodokotela ngaphambi kokuhlinzwa.

Ukwelashwa kokuphuka kwe-tibia/fibula

Kulungile, manje ake sibone ukuthi singayelapha kanjani le nkinga yokuphuka kwe-tibia/fibula.

Ukwelashwa kuncike ohlotsheni lokuphuka, imbangela, kanye nezinga lomonakalo ethanjeni. Kunezindlela eziningana zokwelapha:

• Ukungashukumi: Uma ukuphuka kungekubi kakhulu, okusho ukuthi izingcezu zamathambo aziqhelelene kakhulu (azihambile), kungadingeka ukuthi ubeke i-splint noma i-cast emlenzeni wakho ukuze unganyakazi. Ngemva kokufakwa kokubili, kuzodingeka uphinde wenze i-X-ray ukuqinisekisa ukuthi amathambo aqondene kahle.
• Ukunciphisa okuvaliwe: Uma ithambo liphukile kakhulu futhi izingcezu zingasekho endaweni, lena inqubo ehilela ukudonsa nokusunduza izingcezu zamathambo aphukile zibuyele endaweni yazo ngaphandle kokuhlinzwa. Bese kufakwa i-cast.
• Ukufakwa kwangaphakathi: Lena inqubo yokuhlinzwa. Udokotela ohlinzayo ubuyisela izingcezu zamathambo eziphukile endaweni yazo bese ezilungisa ndawonye. Lokhu kuhilela ukusebenzisa amapuleti, izikulufo, noma izinduku . Amathambo abe esehlangana futhi aphole.
• Ukulungiswa kwangaphandle:Lapha, udokotela ohlinzayo ufaka izikulufo ethanjeni eliphukile ezinhlangothini zombili bese ebopha izikulufo ohlakeni lwangaphandle (i-brace noma i-bracket). Lokhu kuvame ukwenziwa lapho ithambo liphukile libe yizicucu eziningi noma kunomonakalo omkhulu esikhumbeni.
• Ukwelashwa ngokomzimba: Ngemva kokuhlinzwa, noma ngemva kokususwa kwesamente, kuzodingeka usebenze nodokotela wezokwelapha ngokomzimba ukuze uthole amandla, ukuguquguquka, kanye nokuhambahamba kulowo mlenze.

Izinkinga ezingase zenzeke ngesikhathi sokwelashwa

Uma welapha ukuphuka kwethambo, ikakhulukazi uma kuhilela ukuhlinzwa, kungase kube nezinkinga ezithile. Masiqaphele nalokho futhi.

• I-Acute Comppartment Syndrome (ACS): Ukucindezeleka ngaphakathi kwemisipha yemilenze kuyanda, kunqamule ukugeleza kwegazi. Lokhu kungabangela umonakalo ongapheli emisipheni nasezinzwa. Lesi yisimo esiphuthumayo.
• I-Malunion: Uma amathambo aphukile ephola, angase angahlangani kahle, okubangela ukuba umlenze ufinyezwe noma ugobe.
• Ukungahlanganisi: Ngezinye izikhathi izingcezu zamathambo zingase zingahlangani ngokuphelele, noma ukuhlanganiswa kungase kubambezeleke kakhulu.
• I-Osteomyelitis: Uma une-break evulekile, okusho ukuthi lapho ithambo liphuke khona esikhumbeni, usengozini enkulu yokuthola ukutheleleka ngamagciwane.
• Okunye ukulimala kwangaphakathi: Ukuphuka kungalimaza nemisipha, imizwa, imithambo yegazi, imisipha, kanye nemisipha ezungeze indawo elimele.

Yini ongayilindela ngesikhathi sokululama nokuthi kuzothatha isikhathi esingakanani ukululama

Ngemva kokwelashwa, izimpawu zakho zingase zithuthuke kancane kancane ngemva kwamasonto ambalwa. Kuye ngohlobo lokuhlinzwa olwenzile nokuthi amathambo amabili emlenzeni wakho ongezansi aphukile yini, ungase ukwazi ukuhambisa umlenze wakho uhambe futhi phakathi namasonto ambalwa. Uma ubuhlungu bungapheli noma buqhubeka, bona udokotela wakho ngokushesha. Iningi labantu liyalulama ngokuphelele kulolu hlobo lokuphuka.

Kuthatha isikhathi esingakanani ukuthi lokhu kuphuka kuphole?

Kuya ngokuthi ukuphuka kwakho kukhulu kangakanani kanye nokwelashwa okutholile. Ngokuvamile kuthatha izinyanga ezine kuya kweziyisithupha ukuthi ukuphuka kwe-tibia noma i-fibula kuphole ngokuphelele.

Kodwa-ke, kunezinye izici eziningi ezingathinta ukuthi umzimba wakho uphola ngokushesha kangakanani, ngakho-ke kungcono ukubuza udokotela wakho noma udokotela ohlinzayo mayelana nesikhathi sokululama esifanele isimo sakho.

Unganciphisa kanjani ingozi yokuphuka kwamathambo?

Kunezinto eziningana esingazenza ukunciphisa ingozi yalezi zingozi:

• Gqoka ibhande lesihlalo njalo uma ugibele imoto.
• Uma udlala noma yimuphi umdlalo noma wenza noma yimuphi umsebenziGqoka imishini yokuzivikela efanele.
• Gwema ukubeka izinto ekhaya lakho noma endaweni yokusebenza ezingakubangela ukuba ushelele futhi uwe. Gcina indawo yakho icocekile.
• Uma uthatha okuthile endlini , sebenzisa amathuluzi afanele. Ungalokothi ukhwele ezihlalweni noma ematafuleni ukuze uqoqe izinto.
• Uma uneminyaka engaphezu kwengu-50 ubudala, noma uma othile emndenini wakho ene-osteoporosis, khuluma nodokotela wakho mayelana nokuhlolwa kokuqina kwamathambo .
• Uma unenkinga yokuhamba noma usengozini enkulu yokuwa, sebenzisa induku noma i-walker.

Kufanele uye nini egumbini lezimo eziphuthumayo?

Uma ucabanga ukuthi unethambo eliphukile emlenzeni wakho ongezansi, noma elinye ithambo, kufanele ubonane nodokotela ngokushesha okukhulu. Uma unezinye zezimpawu ezilandelayo, iya ekamelweni lezimo eziphuthumayo ngokushesha:

• Ubuhlungu obukhulu.
• Ukungakwazi ukuhambisa umlenze ngendlela evamile.
• Uma umlenze ubukeka ungajwayelekile, noma uma kubonakala sengathi ugxume endaweni yawo.
• Uma isikhumba sibhoboziwe futhi ithambo libonakala.
• Ukuvuvukala.
• Lezi zimpawu zihambisana nokuvela kwemivimbo emisha.

Uma uke waba nengozi enkulu (ukulimala), nakanjani hamba uye egumbini lezimo eziphuthumayo ngokushesha.

Imibuzo okufanele uyibuze udokotela

Uma ubona udokotela wakho, kungaba usizo ukubuza imibuzo efana nale:

• Yiliphi ithambo eliphukile?
• Uhlobo luni lokuphuka enginalo?
• Ingabe ngidinga ukuhlinzwa?
• Kuzothatha isikhathi esingakanani ukuphulukiswa?
• Ngingaqala nini ukusebenza nokudlala imidlalo ngendlela evamile futhi?

Ungakwazi yini ukuhamba phezu kwethambo le-tibia noma le-fibula eliphukile?

Uma ithambo elisemlenzeni ongezansi liphukile, ukuthi ungakwazi yini ukuhamba noma ukuhambisa umlenze wakho kuncike ekutheni yiliphi ithambo eliphukile, uhlobo luni lokuphuka, nokuthi ingozi yenzeke kanjani.

I-fibula yakho, ithambo elincane ohlangothini lwethambo lakho lesifuba, akuyona ngempela ithambo elithwala isisindo. Yingakho abanye abantu bengahamba ne-fibula ephukile. Kodwa-ke, ungabunaki ubuhlungu bomlenze noma ezinye izimpawu. Ngisho noma ungahamba, kufanele ubone udokotela noma uye egumbini lezimo eziphuthumayo ngokushesha ukuze uhlolwe ukulimala.

Kodwa-ke, uma i-tibia yakho iphukile, cishe ngeke ukwazi ukuma, ukuhamba, noma ukubeka isisindo emlenzeni wakho. Lokhu kungenxa yokuthi i-tibia iyithambo eliyinhloko elithwala isisindo emzimbeni. Ngakho-ke, ungabunaki ubuhlungu noma ungazinaki izimpawu.

Uma uke waba nengozi futhi uhlangabezana nalezi zimpawu, hamba uye ekamelweni lezimo eziphuthumayo ngokushesha.

Okokugcina, izinto okufanele uzikhumbule

I-tibia ephukile (ithambo lesifuba) noma i-fibula (ithambo lesifuba ohlangothini oluphambene) ivame ukwenzeka engozini, njengokuwa. Kungaba ukushaqeka kwangempela, ikakhulukazi uma ungakwazi ukuma, ukuhamba, noma ukusebenzisa umlenze wakho ngendlela evamile. Ungadinga ukuhlinzwa, kulandelwe ukwelashwa ngokomzimba, kanye nesikhathi sokululama. Kodwa qiniseka, abantu abaningi bayalulama ngokuphelele ethanjeni eliphukile. Into ebaluleke kakhulu ukufuna usizo lwezokwelapha ngokushesha uma unengozi nokulandela imiyalelo kadokotela njengoba nje bencoma.

Ukuphuka kwe - Tibia, Ukuphuka kwe-Fibula, Ukuphuka komlenze, Izinhlobo zokuphuka, Ukwelashwa kokuphuka, Ukuhlinzwa kwamathambo, Ukwelashwa ngokomzimba