Eminyakeni yamuva, izehlakalo ze-Fractures bezilokhu zanda, zithinta kakhulu izimpilo kanye nomsebenzi weziguli. Ngakho-ke, kuyadingeka ukuthi ufunde ngezindlela zokuvimbela amafractures kusengaphambili.
Ukwenzeka kokuqhekeka kwamathambo
Izici zangaphandle:Ama-Fractures adalwa ikakhulukazi yizici zangaphandle ezifana nezingozi zemoto, umsebenzi omkhulu womzimba noma umthelela. Kodwa-ke, lezi zinto zangaphandle zingavinjelwa ngokuqapha ngenkathi ushayela, ubamba iqhaza kwezemidlalo noma kweminye imisebenzi yomzimba, futhi uthathe izindlela zokuvikela.
Izici zemithi:Izifo ezahlukahlukene zidinga umuthi, ikakhulukazi iziguli ezikhulile ezisebenzisa izidakamizwa njalo. Gwema ukusebenzisa izidakamizwa eziqukethe ama-steroid, njenge-dexamethasone ne-prednisone, okungadala ama-osteoporosis. Ukwelashwa kwe-thyroid Hormone Replacement ngemuva kokuhlinzwa kwe-nodule ye-thyroid, ikakhulukazi emithanjeni ephezulu, kungaholela nase-osteoporosis. Ukusetshenziswa kwesikhathi eside kwezidakamizwa ezi-antiviral ezinjenge-adefovir dipivoxil kungadingeka nge-hepatitis noma ezinye izifo ezibangelwa amagciwane. Ngemuva kokuhlinzwa komdlavuza webele, ukusetshenziswa kwesikhathi eside kwama-aromatase inhibitors noma ezinye izinto ezinjenge-hormone kungadala ukulahleka kwesisindo sethambo. Ama-proton pump inhibitors, izidakamizwa ezinama-antidialetic njengezidakamizwa ze-thiazolidione, futhi ngisho nezidakamizwa ezi-antiepileptic ezinjenge-phenobarbital ne-phenytoin nazo zingaholela e-osteoporosis.
Ukwelashwa kwama-fractures
Izindlela zokwelashwa ezilondoloziwe zokuqhekeka ikakhulukazi zifaka okulandelayo:
Okokuqala, ukuncishiswa kwesandla,esebenzisa amasu anjengokukhohlisa, ukukhohlisa, ukujikeleza, ukugcoba, njll. Ukubuyisa izingcezwana zokuqhekeka ezihlalweni ezihlaselwe esikhundleni sazo esijwayelekile se-anatomical noma isikhundla esilinganiselwe.
Okwesibili,ukulungiswa, okuvame ukubandakanya ukusebenzisa ama-splints amancane, ama-plaster aphonyisi,ama-orthoses, ukugcwala kwesikhumba, noma ukuthambeka kwamathambo ukuze ulondoloze isikhundla sokuqhekeka ngemuva kokuncishiswa kuze kube yilapho seluphulukise.
Okwesithathu, ukwelashwa kwemithi,Ngokuvamile esebenzisa izidakamizwa ukukhuthaza ukujikeleza kwegazi, kudambisa ukuvuvukala nobuhlungu, futhi kukhuthaze ukwakheka nokwelashwa kwe-callus. Izidakamizwa ezibonisa isibindi nezinso, ziqinisa amathambo nama-tendon, zondla i-QI negazi, noma ukukhuthaza ukusakazeka kwe-meridian kungasetshenziselwa ukwenza lula ukululama komsebenzi we-LIMB.
Okwesine, ukuzivocavoca okusebenzayo,Okubandakanya ukuzivocavoca okuzimele noma okusizwayo ukuze ubuyisele uhla oluhlangene lokuhamba, amandla emisipha, futhi uvikele i-atrophy yemisipha kanye ne-osteoporosis, lula zombili ukuphulukiswa kokuphulukisa nokuvuselelwa okusebenzayo.
Ukwelashwa okuhlinza
Ukwelashwa kokuhlinzwa kwama-fractures ikakhulukazi kubandakanyaUkulungiswa kwangaphakathi, Ukulungiswa kwangaphandle, futhiUkubuyiselwa okuhlangene kwezinhlobo ezikhethekile zokuqhekeka.
Ukulungiswa kwangaphandleIlungele ukuphulukiswa okuvulekile futhi okuphakathi nendawo kufaka phakathi izicathulo zokujikeleza noma zangaphandle zokujikeleza kwangaphandle amasonto ayi-8 kuye kwayi-12 ukuvikela ukujikeleza kwangaphandle kanye nokwengeza umlenze othintekile. Kuthatha cishe izinyanga ezi-3 kuye kwezi-4 ukwelapha, futhi kunesibalo esiphansi kakhulu se-nonenion noma i-femord head necrosis. Kodwa-ke, kukhona amathuba okuxoshwa ekuqaleni kokuqhekeka, ngakho-ke abanye abantu bagqugquzela ukusetshenziswa kokulungiswa kwangaphakathi. Ngokuqondene nokulungiswa kwangaphandle kodaka, akuvamile ukusetshenziswa futhi kukhawulelwe ezinganeni ezincane.
Ukulungiswa kwangaphakathi:Njengamanje, izibhedlela ezinezimo zisebenzisa ukuncishiswa okuvaliwe kanye nokulungiswa kwangaphakathi ngaphansi kokuholwa kwemishini ye-X-ray, noma ukuncishiswa okuvulekile nokulungiswa kwangaphakathi. Ngaphambi kokuhlinzwa kwangaphakathi, ukuncishiswa kwencwajana kwenziwa ukuqinisekisa ukuncishiswa kwe-anatomical kokuqhekeka ngaphambi kokuqhubeka nokuhlinzwa.
Osteotomy:I-Osteotomy ingenziwa ngenxa yokuphulukisa noma ukuphazamiseka okudala, njenge-Intertrochantteric Osteotomy noma i-Subtrochantteric Osteotomy. I-Osteotomy inezinzuzo zokuhlinzwa okulula, ukuncishiswa okuncane komlenze othintekile, futhi kuthandeka ngokuphulukiswa kokuphulukisa nokubuyiselwa okusebenzayo.
Ukuhlinzwa okuhlangene:Lokhu kulungele iziguli ezindala ezinomuzwa wentamo wabesifazane. Okwe-nonunion noma i-necrosis ye-avassas yekhanda lowesifazane entanyeni yabesifazane yabesifazane entanjeni, uma i-lesion ikhawulelwe ekhanda noma entanyeni, ukuhlinzwa esikhundleni sowesifazane osekhanda kungenziwa. Uma i-lesion ilimaze i-acetabulum, kudingeka ukuhlinzwa okuphelele kwe-hip esikhundleni.
Isikhathi sePosi: Mar-16-2023
