Besingasaba kangakanani uma singavele sigingqike sidlala, sehla izitebhisi, noma engozini encane, bese sizwa ubuhlungu obukhulu nokuvuvukala emlenzeni wethu? Ngokuvamile, lokhu kuwukuphuka komlenze. Kodwa wonke umuntu ucabanga kuphela ngethambo elikhulu emlenzeni (i-fibula). Kodwa kukhona okunye okungaphezu kwalokho. Namuhla sikhuluma ngokuphuka kwe-fibula, ithambo elincane emlenzeni wethu. Njengoba lokhu kuyinto evame kakhulu, kubaluleke kakhulu ukuthi wazi kahle ukuthi iyini.
Okokuqala, ake sibone, iyini le fibula?
Kalula nje, kunamathambo amabili emlenzeni wakho kusukela ngaphansi kwedolo kuya eqakaleni. Elinye yi-tibia, eyaziwa yiwo wonke umuntu. Leli yithambo eliqinile, elijiyile. Elinye yithambo elincane, elide elihamba eduze naleli, ngaphandle komlenze. Yilokho esikubiza ngokuthi i-fibula .
Cabanga ngaleli thambo le-fibula njengensika yokusekela esakhiweni. Nakuba lingasekeli ngqo isisindo somzimba wethu (lisekela kuphela u-10% wesisindo somzimba wethu), lihlinzeka ngokuqina emilenzeni yethu, lisiza ukugcina iqakala lisendaweni yalo , futhi linikeza ukusekelwa okukhulu kwemisipha, imizwa, kanye nemisipha emlenzeni. Ngakho-ke yize leli thambo lincane, liyingxenye ebalulekile yekhono lethu lokuma, ukuhamba, ukugijima, nokugxuma kahle.
Ngakho-ke kuyini ukuqhekeka kwe-Fibular?
Kulula kakhulu. Ukuphuka, ukuqhekeka, noma ukuqhekeka kwaleli thambo okubizwa ngokuthi i-fibula yilokho esikubiza ngokuthi i -Fibular Fracture . Kunezizathu eziningana eziyinhloko zokuthi kungani lokhu kungenzeka:
- Ukukhubeka kweqakala: Leli thambo lingaphuka lapho iqakala liphenduka ngokuzumayo ngaphakathi noma ngaphandle. Lokhu kuvamile ngesikhathi sezemidlalo.
- Ukushaywa okuqondile: Ukushaywa okuqondile ethanjeni kungabangelwa yinto efana nengozi yemoto, ukulwa, noma into enzima ewela emlenzeni.
- Ukuwa: Lokhu kungenzeka uma uwa usuka endaweni ephakeme noma ushelela bese uwa ngenkathi uhamba ngendlela evamile.
- Ukucindezeleka: Abasubathi abagijima futhi bagxume njalo, kanye nalabo abaphakamisa izinsimbi ezisindayo, bangaba nokucindezeleka okwaphukile ngenxa yokucindezeleka isikhathi eside emathanjeni.
- Ubuthakathaka bamathambo: Njengoba sikhula, ikakhulukazi uma sinezimo ezifana ne -osteoporosis, amathambo ethu aba buthakathaka. Lokhu kwandisa ingozi yokuphuka kwethambo ngisho noma liwa kancane.
Ingabe kunezinhlobo ezahlukene zalezi zinhlungu?
Yebo, odokotela bahlukanisa la maphutha ngokususelwa ekutheni avela kuphi, ukuthi aphukile kanjani, nokuthi anzima kangakanani. Ukuze sikunike umbono omncane, ake sibheke izinhlobo ezimbalwa eziyinhloko.
| Uhlobo lokuphuka | Kalula nje... |
|---|---|
| Ukuphuka kwe-Lateral Malleolus | Lolu uhlobo oluvame kakhulu. Luwukuphuka kwethambo ngemuva kweqakala lakho (ingxenye engezansi ye-fibula). |
| Ukuphuka Kwekhanda Le-Fibular | Ukuphuka kwengxenye engenhla ye-fibula, eduze kwedolo. Lokhu akuvamile kangako. |
| Ukuphuka kwe-Avulsion | Uma i-ligament noma i-tendon idonswa, ingcezu yethambo exhunywe kuyo iyaphuma. |
| Ukucindezeleka Okuphukile | Ukuqhekeka okuncane ethanjeni okubangelwa ukuzikhandla ngokweqile. Kuvame kakhulu kubadlali. |
| Ukuphuka Okujikelezayo | Ukuphuka kwethambo okujikelezayo okubangelwa ukusonteka komlenze. |
| Ukuphuka Okuvulekile (Okuhlanganisiwe) | Lokhu kuyingozi kakhulu. Ithambo eliphukile liphuma esikhumbeni. Lokhu kudala isilonda esikhulu. |
Ngingazi kanjani ukuthi nginayo i-Fibular Fracture? Ziyini izimpawu?
Uma unesinye noma ngaphezulu salezi zimpawu ngemva kwengozi, kungenzeka ukuthi i-Fibular Fracture.
- Ubuhlungu obukhulu: Ubuhlungu obukhulu endaweni lapho kwaphuka khona. Ubuhlungu buba bubi nakakhulu uma ushukumisa umlenze wakho ngisho noma kancane.
- Ukuvuvukala nokulunywa:Ngemva nje kwengozi, indawo izoqala ukuvuvukala kakhulu, mhlawumbe ibonakale iluhlaza okwesibhakabhaka/nsomi.
- Ubumnene: Ngisho noma ucindezela indawo ephukile ngomunwe wakho, kubangela ubuhlungu obukhulu.
- Ukungakwazi ukuhamba: Isiguli asikwazi ukuthwala isisindo onyaweni. Ubuhlungu abubekezeleleki uma sizama ukuhamba.
- Ukukhubazeka: Ngezinye izikhathi umlenze ungase ubonakale ukhubazekile, weluliwe, noma uneqhubu elingavamile.
- Ukuba ndikindiki noma ukubanda: Uma izinzwane zakho zizizwa zingandindi noma zibanda kunomunye umlenze, kungasho ukuthi kukhona umonakalo ekugelezeni kwegazi noma emithanjeni.
- Umsindo wokuqhekeka kwethambo: Abanye abantu bezwa umsindo "wokuqhekeka" lapho ithambo liphuka.
Okubalulekile: Ngezinye izikhathi ungahamba ngisho noma une-Fibular Fracture. Lokhu kungenxa yokuthi i-tibia iyithambo eliyinhloko elithwala isisindo emzimbeni wakho. Ngakho-ke, ungacabangi nje ukuthi, "Ngingahamba, ukuze ithambo lingaphuki." Uma unobuhlungu noma ukuvuvukala, qiniseka ukuthi ubona udokotela.
Kunini lapho kudingeka uye esibhedlela ngokushesha?
Uma usola ngisho nokuncane ukuthi kungenzeka ukuthi une-Fibular Fracture, kungcono ukufuna iseluleko sezokwelapha ngokushesha. Ikakhulukazi uma unanoma yikuphi kwalokhu okulandelayo, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
- Uma ithambo liphuke esikhumbeni (i-Open Fracture).
- Uma umlenze ucacile ukuthi weluliwe futhi ushintshe isimo.
- Uma kukhona ukopha okukhulu.
- Uma izinzwane zakho zingaqinile, ziphaphathekile, noma ziluhlaza okwesibhakabhaka.
- Uma kukhona ubuhlungu obungabekezeleleki.
- Uma lokhu kulimala kwenzeke ngenxa yengozi enkulu (isb., ingozi yemoto).
Esimweni esinjengalesi, kuphephile ukushayela isevisi ye-ambulensi (1990).
Dokotela, ungakuqinisekisa kanjani ukuthi lokhu kuphukile?
Uma uya esibhedlela, udokotela uzoqala akubuze ukuthi ingozi yenzeke kanjani bese ehlola umlenze wakho. Uzobheka ngokucophelela ukuvuvukala, amanxeba, kanye noshintsho esimweni.
Ngemuva kwalokho, ukuqinisekisa lokhu, kwenziwa i-X-ray ikakhulukazi . I-X-ray ingabona ngokucacile ukuthi ithambo liphukile, ukuthi liphukile kuphi, nokuthi izingcezu zamathambo zisusiwe yini.
Kwezinye izindawo eziqhekekile eziyinkimbinkimbi, ikakhulukazi lezo eziseduze kwamalunga, udokotela angase acele i -CT scan noma i-MRI scan uma edinga ulwazi olwengeziwe.Ukuhlolwa kungacelwa. Lokhu kungabheka umonakalo emathanjeni kanye nasezicutshini ezithambile ezizungezile.
Kuphathwa kanjani? Kuthatha isikhathi esingakanani ukululama?
Indlela yokwelapha incike ohlotsheni, indawo, kanye nobunzima bokuphuka kwakho.
- Ukuphuka Okungasuswanga: Ukuphuka okungasuswanga yilokhu lapho izingcezu zamathambo zingasuswanga khona futhi kungadingi ukuhlinzwa. Udokotela angase anqume ukufaka i-cast , i-splint , noma i-walking boot emlenzeni ukuze uhlale ungashukumi. Angase futhi ancome ukusetshenziswa kwezinduku zokusizwa ukuze kukusize ukunyakaza ngaphandle kokuzibeka isisindo.
- Ukuphuka Kwamathambo Okungahlaliseki/Okuyinkimbinkimbi: Uma izingcezu zamathambo zingasendaweni yazo, noma uma ukuphuka kuthinta iqakala, kungase kudingeke ukuhlinzwa . Lokhu kuhilela ukubuyisela izingcezu zamathambo endaweni yazo nokusebenzisa amapuleti nezikulufo ukuze zibambeke endaweni yazo.
- Ama-Painkiller: Udokotela wakho uzokunikeza imithi edingekayo yokulawula ubuhlungu.
Isikhathi sokuphulukiswa siyahlukahluka kuye ngomuntu nomuntu. Kodwa-ke, ngokuvamile kuthatha cishe amasonto ayi-6-8 ukuthi ithambo liphole kahle. Phakathi nalesi sikhathi, kubaluleke kakhulu ukuphumula njengoba udokotela wakho ekutshela, ungafaki isisindo emlenzeni wakho, bese uya emitholampilo ngesikhathi.
Ngemva kokuba ithambo selipholile, imisipha yemilenze ingaba buthakathaka futhi amalunga angase aqine. Ngakho-ke, udokotela uzokudlulisela ekwelashweni ngokomzimba . Ngokuzivocavoca ngaphansi kweseluleko sochwepheshe wezokwelapha ngokomzimba, uzokwazi ukululama ngokushesha futhi ubuyele emisebenzini evamile.
Umlayezo Wokuya Nawe Ekhaya
- Ukuphuka kwe-fibular kuwukuphuka kwethambo elincane, elingaphandle lomlenze ngaphansi kwedolo. Lokhu kuvame kakhulu kunalokho ongase ukucabange.
- Ukukhuhlana, ukuwa, kanye nezingozi zemidlalo yizona zimbangela eziyinhloko zalokhu.
- Ubuhlungu obukhulu, ukuvuvukala, kanye nobunzima bokuhamba yizimpawu eziyinhloko. Ungacabangi ukuthi "ngoba nje ukwazi ukuhamba, kusho ukuthi ithambo lakho aliphukile."
- Uma ithambo liphuke esikhumbeni, isimo somlenze sishintshile, noma iminwe ingenamizwa, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
- Indlela yokwelapha incike ohlotsheni lokuphuka. Ukulandela imiyalelo kadokotela ngqo kubalulekile ukuze ululame ngokushesha.
- Ngemva kokululama, kubaluleke kakhulu ukuqinisa umlenze ngokwelashwa ngokomzimba.
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