Eminyakeni yamuva nje, ukwanda kokuqhekeka kwamathambo kuye kwanda, okuthinta kakhulu izimpilo kanye nomsebenzi weziguli. Ngakho-ke, kubalulekile ukufunda ngezindlela zokuvimbela ukuqhekeka kwamathambo kusenesikhathi.
Ukwenzeka kokuphuka kwamathambo
Izici zangaphandle:Ukuphuka kwamathambo kubangelwa kakhulu yizici zangaphandle njengezingozi zezimoto, umsebenzi onzima womzimba noma ukushayisana. Kodwa-ke, lezi zici zangaphandle zingavinjelwa ngokuqaphela ngenkathi ushayela, uhlanganyela kwezemidlalo noma eminye imisebenzi yomzimba, kanye nokuthatha izinyathelo zokuzivikela.
Izici zemithi:Izifo ezahlukahlukene zidinga imithi, ikakhulukazi ezigulini ezindala ezivame ukusebenzisa izidakamizwa. Gwema ukusebenzisa izidakamizwa eziqukethe ama-steroid, njenge-dexamethasone ne-prednisone, okungabangela i-osteoporosis. Ukwelashwa kokushintsha ama-hormone e-thyroid ngemva kokuhlinzwa kwe-thyroid nodule, ikakhulukazi ngemithamo ephezulu, nakho kungaholela ku-osteoporosis. Ukusetshenziswa isikhathi eside kwemithi yokulwa namagciwane njenge-adefovir dipivoxil kungadingeka ngenxa ye-hepatitis noma ezinye izifo ezibangelwa amagciwane. Ngemva kokuhlinzwa komdlavuza webele, ukusetshenziswa kwesikhathi eside kwama-aromatase inhibitors noma ezinye izinto ezifana nama-hormone kungabangela ukulahlekelwa kwamathambo. Ama-proton pump inhibitors, imithi yokulwa nesifo sikashukela njengemithi ye-thiazolidinedione, ngisho nemithi yokulwa nesifo sokuwa njenge-phenobarbital ne-phenytoin nakho kungaholela ku-osteoporosis.
Ukwelashwa kwamathambo aphukile
Izindlela zokwelapha ezilondolozayo zokuphuka kwamathambo zifaka phakathi okulandelayo:
Okokuqala, ukunciphisa ngesandla,esebenzisa amasu anjengokudonsa, ukugudluza, ukujikeleza, ukubhucunga, njll. ukubuyisela izingcezu zokuphuka ezisusiwe endaweni yazo evamile yomzimba noma cishe endaweni yazo yomzimba.
Okwesibili,ukulungiswa, okuvame ukuhilela ukusebenzisa ama-splint amancane, ama-plaster casts,ama-orthoses, ukubambelela kwesikhumba, noma ukubambelela kwamathambo ukuze kugcinwe indawo yokuphuka ngemva kokuncipha kuze kube yilapho sekupholile.
Okwesithathu, ukwelashwa ngemithi,ngokuvamile esebenzisa izidakamizwa ukukhuthaza ukujikeleza kwegazi, ukunciphisa ukuvuvukala nobuhlungu, nokukhuthaza ukwakheka nokuphulukiswa kwe-callus. Izidakamizwa eziqinisa isibindi nezinso, eziqinisa amathambo nemisipha, ezondla i-qi negazi, noma ezikhuthaza ukujikeleza kwegazi kwe-meridian zingasetshenziswa ukwenza lula ukubuyiselwa komsebenzi wemilenze.
Okwesine, ukuzivocavoca umzimba,okubandakanya ukuvivinya umzimba okuzimele noma okusizwayo ukubuyisela ukunyakaza kwamalunga, amandla emisipha, nokuvimbela ukuwohloka kwemisipha kanye ne-osteoporosis, okusiza kokubili ukuphulukiswa kokuphuka kanye nokululama kokusebenza.
Ukwelashwa Kokuhlinzwa
Ukwelashwa kokuhlinzwa kwamathambo aphukile kuhlanganisa kakhuluukulungiswa kwangaphakathi, ukulungiswa kwangaphandle, futhiukushintshwa kwamalunga ezinhlobo ezikhethekile zokuphuka kwamalunga.
Ukuqina kwangaphandleifanelekela ukwaphuka okuvulekile nokuphakathi nendawo futhi ngokuvamile ihilela izicathulo zokudonsa noma zokujikeleza ezilwa nokuqhekeka kwangaphandle amasonto angu-8 kuya kwangu-12 ukuvimbela ukujikeleza kwangaphandle kanye nokufakwa kwesitho esithintekile. Kuthatha cishe izinyanga ezi-3 kuya kwezi-4 ukuphulukiswa, futhi kunesilinganiso esincane kakhulu se-nonion noma i-femoral head necrosis. Kodwa-ke, kungenzeka ukuthi kususwe esiteji sokuqala sokuqhekeka, ngakho-ke abanye abantu bakhuthaza ukusetshenziswa kwe-internal fixation. Ngokuphathelene ne-plaster external fixation, ayisetshenziswa kakhulu futhi ikhawulelwe ezinganeni ezincane kuphela.
Ukulungiswa kwangaphakathi:Njengamanje, izibhedlela ezinezimo eziphuthumayo zisebenzisa ukunciphisa okuvaliwe kanye nokulungisa kwangaphakathi ngaphansi kokuqondiswa kwemishini ye-X-ray, noma ukunciphisa okuvulekile kanye nokulungisa kwangaphakathi. Ngaphambi kokuhlinzwa kokulungisa kwangaphakathi, ukunciphisa ngesandla kwenziwa ukuqinisekisa ukunciphisa komzimba kokuphuka ngaphambi kokuqhubeka nokuhlinzwa.
Ukuhlinzwa Kwamathambo:I-Osteotomy ingenziwa uma kwenzeka ama-fracture okunzima ukuwaphola noma ama-fracture amadala, njenge-intertrochanteric osteotomy noma i-subtrochanteric osteotomy. I-Osteotomy inezinzuzo zokuhlinzwa okulula, ukunciphisa ukufinyezwa kwesitho esithintekile, futhi ilungele ukuphulukiswa kwama-fracture kanye nokululama kokusebenza kahle.
Ukuhlinzwa Kokufakelwa Kwamalunga:Lokhu kufaneleka ezigulini esezikhulile ezinezimpaphe zentamo ye-femoral. Uma kune-necrosis engahlangene noma e-avascular yekhanda le-femoral ezimpapheni zentamo ye-femoral endala, uma isilonda sinqunyelwe ekhanda noma entanyeni, ukuhlinzwa kokushintsha ikhanda le-femoral kungenziwa. Uma isilonda sonakalise i-acetabulum, kudingeka ukuhlinzwa kokushintsha isinqe okuphelele.
Isikhathi sokuthunyelwe: Mashi-16-2023
