Eminyakeni yamuva nje, izigameko zokuphuka ziye zanda, zithinta kakhulu izimpilo nomsebenzi weziguli. Ngakho-ke, kuyadingeka ukuthi ufunde mayelana nezindlela zokuvimbela ama-fractures kusengaphambili.
Isigameko sokuphuka kwethambo
Izici zangaphandle:Ukuphuka ngokuyinhloko kubangelwa izici zangaphandle njengezingozi zezimoto, umsebenzi onzima womzimba noma umthelela. Nokho, lezi zici zangaphandle zingavinjelwa ngokuqapha lapho ushayela, uhlanganyela emidlalweni noma eminye imisebenzi engokomzimba, nokuthatha izinyathelo zokuzivikela.
Izici zokwelapha:Izifo ezihlukahlukene zidinga imithi, ikakhulukazi ezigulini esezikhulile ezivame ukusebenzisa izidakamizwa. Gwema ukusebenzisa izidakamizwa ezine-steroids, njenge-dexamethasone ne-prednisone, ezingadala ukukhumuzeka kwamathambo. Ukwelapha esikhundleni se-hormone yegilo ngemva kokuhlinzwa kwamaqhuqhuva egilo, ikakhulukazi ngemithamo ephezulu, nakho kungaholela ekwandeni kwamathambo. Ukusetshenziswa isikhathi eside kwemithi elwa namagciwane njenge-adefovir dipivoxil kungase kudingeke ngesifo sokusha kwesibindi noma ezinye izifo ezibangelwa amagciwane. Ngemuva kokuhlinzwa komdlavuza webele, ukusetshenziswa kwesikhathi eside kwe-aromatase inhibitors noma ezinye izinto ezifana ne-hormone kungabangela ukulahlekelwa kwethambo. Ama-proton pump inhibitors, izidakamizwa ezilwa noshukela njengemithi ye-thiazolidinedione, ngisho nemithi elwa nesithuthwane njenge-phenobarbital ne-phenytoin nakho kungaholela ekwandeni kwamathambo.
Ukwelashwa kokuphuka
Izindlela zokwelapha ezilondolozayo zokuphuka ngokuyinhloko zihlanganisa okulandelayo:
Okokuqala, ukunciphisa mathupha,esebenzisa amasu anjengokudonsa, ukukhohlisa, ukuzungezisa, ukubhucungwa, njll. ukuze kubuyiselwe izingcezu zokuphuka ezisusiwe endaweni yazo evamile ye-anatomical noma cishe indawo ye-anatomical.
Okwesibili,ukulungiswa, okuvame ukubandakanya ukusebenzisa ama-splints amancane, ama-plaster cast,ama-orthoses, i-skin traction, noma i-bone traction ukuze kugcinwe isikhundla sokuphuka ngemva kokunciphisa kuze kube yilapho sekupholile.
Okwesithathu, ukwelashwa ngemithi,ngokuvamile esebenzisa izidakamizwa ukukhuthaza ukujikeleza kwegazi, ukunciphisa ukuvuvukala nobuhlungu, futhi kukhuthaze ukwakheka nokuphulukiswa kwe-callus. Izidakamizwa eziqinisa isibindi nezinso, eziqinisa amathambo namathenda, zondla i-qi negazi, noma ezikhuthaza ukujikeleza kwe-meridian zingasetshenziswa ukwenza lula ukubuyiswa komsebenzi wezitho.
Okwesine, ukuzivocavoca okusebenzayo,okubandakanya ukuvivinya umzimba okuzimele noma okusizwayo ukuze kubuyiselwe uhla oluhlangene lokunyakaza, amandla emisipha, nokuvimbela i-muscle atrophy kanye ne-osteoporosis, kube lula ukuphulukiswa kokuphuka nokululama kokusebenza.
Ukwelashwa Kokuhlinzwa
Ukwelashwa kokuhlinzwa kwama-fractures ikakhulukazi kuhlanganisaukulungiswa kwangaphakathi, ukulungiswa kwangaphandle, futhiukushintshwa okuhlangene kwezinhlobo ezikhethekile zokuphuka.
Ukulungiswa kwangaphandleifanele ukuphuka okuvulekile naphakathi futhi ngokuvamile kuhilela izicathulo zokudonsa noma ezimelene nokujikeleza kwangaphandle kumaviki angu-8 kuya kwangu-12 ukuvimbela ukujikeleza kwangaphandle kanye nokwehliswa kwesitho esithintekile. Kuthatha cishe izinyanga ezi-3 kuya kwezi-4 ukuphola, futhi kunesigameko esiphansi kakhulu se-nonnunion noma i-femoral head necrosis. Kodwa-ke, kunethuba lokufuduka ekuqaleni kokuphuka, ngakho-ke abanye abantu bakhuthaza ukusetshenziswa kokulungiswa kwangaphakathi. Ngokuqondene nokulungiswa kwangaphandle kwe-plaster, akuvamile ukusetshenziswa futhi kukhawulelwe ezinganeni ezincane kuphela.
Ukulungiswa kwangaphakathi:Njengamanje, izibhedlela ezinemibandela zisebenzisa ukunciphisa okuvaliwe nokulungiswa kwangaphakathi ngaphansi kokuqondisa kwemishini ye-X-ray, noma ukunciphisa okuvulekile nokulungiswa kwangaphakathi. Ngaphambi kokuhlinzwa kokulungiswa kwangaphakathi, ukunciphisa ngesandla kwenziwa ukuze kuqinisekiswe ukuncishiswa kwe-anatomical kokuphuka ngaphambi kokuqhubeka nokuhlinzwa.
I-Osteotomy:I-osteotomy ingase yenzelwe ukuphuka okunzima ukuphulukisa noma amadala, njenge-intertrochanteric osteotomy noma i-subtrochanteric osteotomy. I-Osteotomy inezinzuzo zokuhlinza kalula, ukufinyezwa kancane kwesitho esithintekile, futhi ilungele ukuphulukiswa kokuphuka kanye nokululama kokusebenza.
Ukuhlinzwa ngokuhlanganyela esikhundleni:Lokhu kulungele iziguli esezikhulile ezine-femoral neck fractures. Nge-nonunion noma i-avascular necrosis yekhanda lesifazane ekuqhekekeni kwentamo endala ye-femoral, uma isilonda sinqunyelwe ekhanda noma entanyeni, ukuhlinzwa esikhundleni sekhanda lesifazane kungenziwa. Uma isilonda sonakalise i-acetabulum, ukuhlinzwa okuphelele kokushintshwa kwe-hip kuyadingeka.
Isikhathi sokuthumela: Mar-16-2023
