Ukuvalwa okuvaliwe kwethambo eliphukile

Ukwehliswa okuvaliwe kuyinqubo yokusetha (ukunciphisa) ithambo eliphukile ngaphandle kokusika isikhumba esivulekile. Ithambo eliphukile libuyiselwa endaweni yalo, elivumela ukuthi likhule liphinde lihlangane. Isebenza kahle kakhulu lapho yenziwe ngokushesha okukhulu ngangokunokwenzeka ngemuva kokuphuka kwethambo.

Ukwehliswa okuvaliwe kungenziwa ngudokotela ohlinzayo wamathambo (udokotela wethambo), udokotela wegumbi lezimo eziphuthumayo, noma umhlinzeki wokunakekelwa oyinhloko onolwazi lokwenza le nqubo.

Ukwehliswa okuvaliwe kunga:

• Susa ukungezwani esikhunjeni bese wehlise ukuvuvukala
• Thuthukisa amathuba okuthi isitho sakho sisebenze ngokujwayelekile futhi uzokwazi ukusisebenzisa ngokujwayelekile lapho siphola
• Nciphisa ubuhlungu
• Siza ithambo lakho ukuthi liphole ngokushesha futhi liqine lapho liphulukiswa
• Yehlisa ingozi yokutheleleka ethanjeni

Umhlinzeki wakho wezokunakekelwa kwempilo uzokhuluma nawe ngobungozi obungenzeka bokwehliswa okuvaliwe. Eminye yile:

• Izinzwa, imithambo yegazi, nezinye izicubu ezithambile eziseduze kwethambo lakho kungalimala.
• Ihlule legazi lingavela, futhi lingahambela emaphashini akho noma kwenye ingxenye yomzimba wakho.
• Ungaba nokungezwani komzimba nomuthi wezinhlungu owutholayo.
• Kungase kube khona ukuphuka okusha okwenzeka ngokunciphisa.
• Uma ukunciphisa kungasebenzi, ungadinga ukuhlinzwa.

Ingozi yakho yanoma iyiphi yalezi zinkinga inkulu uma:

• Intuthu
• Thatha ama-steroids (njenge-cortisone), amaphilisi okulawula ukubeletha, noma amanye ama-hormone (njenge-insulin)
• Badala
• Yiba nezinye izimo zezempilo ezinjengesifo sikashukela kanye ne-hypothyroidism

Inqubo ivame ukuba buhlungu. Uzothola umuthi wokuvimba izinhlungu ngesikhathi senqubo. Ungathola:

• I-anesthetic yendawo noma ibhulokhi yezinzwa ukunqanda indawo (imvamisa inikezwa njengesibhamu)
• I-sedative yokukwenza ukhululeke kepha ungalali (imvamisa inikezwa nge-IV, noma umugqa we-intravenous)
• I-anesthesia ejwayelekile yokwenza ulale ngesikhathi senqubo

Ngemuva kokuthola umuthi wezinhlungu, umhlinzeki wakho uzobeka ithambo endaweni efanele ngokucindezela noma ngokudonsa ithambo. Lokhu kubizwa ngokuthi yi-traction.

Ngemuva kokuthi ithambo lisethiwe:

• Uzoba ne-x-ray ukuqinisekisa ukuthi ithambo lisendaweni efanele.
• Kuzofakwa ukhonkolo noma isigaxa emlenzeni wakho ukugcina ithambo lisendaweni efanele futhi lilivikele ngenkathi lisalulama.

Uma ungenakho okunye ukulimala noma izinkinga, uzokwazi ukuya ekhaya emahoreni ambalwa ngemuva kwenqubo.

Kuze kube yilapho umhlinzeki wakho eluleka, ungenzi:

• Beka amasongo eminweni noma ezinzwaneni zakho engalweni noma emlenzeni wakho olimele
• Thwala isisindo emlenzeni noma engalweni elimele

Ukwehliswa kokwephuka - kuvaliwe

UWaddell JP, uWardlaw D, uStevenson IM, uMcMillian TE, et al. Ukuphathwa kokuphuka okuvaliwe. Ku: Browner BD, Jupiter JB, Krettek C, Anderson PA, ama-eds. I-Skeletal Trauma: Isayensi Eyisisekelo, Ukuphathwa, kanye nokwakhiwa kabusha. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 7.

I-Whittle AP. Izimiso ezijwayelekile zokwelashwa kokuphuka. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; I-2017: isahluko 53.

• Ihlombe Elisuswe
• Izintanda