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
