Ukuhlinzwa kwe-Hip fracture

Ukuhlinzwa kwe-Hip fracture kwenziwa ukulungisa ikhefu engxenyeni engenhla yethambo lethanga. Ithambo lamathanga libizwa nge-femur. Kuyingxenye yelungu le-hip.

Ubuhlungu be-Hip yisihloko esihlobene.

Ungathola i-anesthesia ejwayelekile yalokhu kuhlinzwa. Lokhu kusho ukuthi uzobe uqulekile futhi ungakwazi ukuzwa ubuhlungu. Ungaba ne-anesthesia yomgogodla. Ngalolu hlobo lwe-anesthesia, umuthi ufakwa emhlane wakho ukukwenza ube ndikindiki ngaphansi kokhalo lwakho. Ungathola futhi i-anesthesia ngemithambo yakho ukukwenza ulale ngesikhathi sokuhlinzwa.

Uhlobo lokuhlinzwa onalo luxhomeke ohlotsheni lokwephuka onalo.

Uma ukuphuka kwakho kusentanyeni ye-femur (ingxenye engezansi nje kwethambo) ungaba nenqubo yokuphina okhalweni. Ngesikhathi sokuhlinzwa:

• Ulala etafuleni elikhethekile. Lokhu kuvumela udokotela wakho ohlinzayo ukuthi asebenzise umshini we-x-ray ukuze abone ukuthi izingxenye zethambo lesinqe sakho zikleliswe kahle kangakanani.
• Udokotela ohlinzayo usika (usike) omncane ohlangothini lwethanga lakho.
• Izikulufo ezikhethekile zibekwa ukubamba amathambo endaweni yawo efanele.
• Lokhu kuhlinzwa kuthatha amahora amabili kuya kwamane.

Uma unokwephuka kwe-intertrochanteric (indawo engezansi kwentamo ye-femur), udokotela wakho ohlinzayo uzosebenzisa ipuleti lensimbi elikhethekile nezikulufo ezikhethekile zokucindezela ukuyilungisa. Imvamisa, kuphuka ingxenye eyodwa yethambo kulolu hlobo lokwephuka. Ngesikhathi sokuhlinzwa:

• Ulala etafuleni elikhethekile. Lokhu kuvumela udokotela wakho ohlinzayo ukuthi asebenzise umshini we-x-ray ukuze abone ukuthi izingxenye zethambo lesinqe sakho zikleliswe kahle kangakanani.
• Udokotela ohlinzayo wenza ukusika kokuhlinzwa eceleni kwethanga lakho.
• Ipuleti lensimbi noma isipikili kufakwe ngezikulufo ezimbalwa.
• Lokhu kuhlinzwa kuthatha amahora amabili kuya kwamane.

Udokotela wakho ohlinzayo angenza esikhundleni se-hip esinqunyiwe (hemiarthroplasty) uma kunokukhathazeka ukuthi i-hip yakho ayizophola kahle isebenzisa enye yezinqubo ezingenhla. I-Hemiarthroplasty ingena esikhundleni sebhola lengxenye yokuhlangana kwakho kwe-hip.

Uma ukwelashwa kwe-hip kungalashwa, kungadingeka ukuthi uhlale esihlalweni noma embhedeni izinyanga ezimbalwa kuze kuphulukiswe ukuphuka. Lokhu kungaholela ezinkingeni zezempilo ezisongela impilo, ikakhulukazi uma usumdala. Ukuhlinzwa kuvame ukunconywa ngenxa yalezi zingcuphe.

Okulandelayo yizingozi zokuhlinzwa:

• I-Avascular necrosis. Yilapho ukunikezwa kwegazi engxenyeni ye-femur kunqanyulwa isikhathi esithile. Lokhu kungadala ukuthi kufe ingxenye yethambo.
• Ukulimala kwemizwa noma imithambo yegazi.
• Izingxenye zethambo le-hip kungenzeka zingahlangani nhlobo noma endaweni efanele.
• Amahlule egazi emilenzeni noma emaphashini.
• Ukudideka kwengqondo (ukuwohloka komqondo). Abantu abadala asebekhulile abaphuka inqulu bangase babe nezinkinga zokucabanga kahle. Kwesinye isikhathi, ukuhlinzwa kungenza le nkinga ibe yimbi kakhulu.
• Izilonda zengcindezi (izilonda zengcindezi noma izilonda zombhede) kusukela embhedeni noma esihlalweni isikhathi eside.
• Ukutheleleka. Lokhu kungadinga ukuthi uthathe ama-antibiotic noma ube nokuhlinzwa okuningi ukuqeda ukutheleleka.

Kungenzeka ungeniswe esibhedlela ngenxa yokuqhekeka kwesinqe. Cishe ngeke ukwazi ukubeka isisindo emlenzeni wakho noma uvuke embhedeni.

Tshela umhlinzeki wakho wezempilo ukuthi yimiphi imithi oyiphuzayo. Lokhu kufaka phakathi imithi, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela.

Ngosuku lokuhlinzwa:

• Cishe uzocelwa ukuthi ungaphuzi noma ungadli lutho ngemuva kwamabili ngaphambi kokuhlinzwa kwakho. Lokhu kufaka phakathi ushungamu nomoya wokuphefumula. Hlanza umlomo wakho ngamanzi uma uzizwa womile, kodwa ungagwinyi.
• Thatha imithi umhlinzeki wakho akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Uma uya esibhedlela uvela ekhaya, qiniseka ukuthi ufika ngesikhathi esibekiwe.

Uzohlala esibhedlela izinsuku ezintathu kuya kwezi-5. Ukululama ngokugcwele kuzothatha izinyanga ezi-3 kuye kwezi-4 kuya onyakeni.

Ngemuva kokuhlinzwa:

• Uzoba ne-IV (ipayipi, noma ithubhu, efakwa emthanjeni, imvamisa engalweni). Uzothola uketshezi nge-IV uze ukwazi ukuziphuzela wedwa.
• Izitokisi ezikhethekile zokucindezelwa emilenzeni yakho zisiza ukuthuthukisa ukugeleza kwegazi emilenzeni yakho. Lokhu kunciphisa ubungozi bokuthola amahlule egazi, ajwayelekile kakhulu ngemuva kokuhlinzwa kwe-hip.
• Udokotela wakho uzokunika imithi yezinhlungu. Udokotela wakho futhi angakunikeza ama-antibiotic ukuvikela ukutheleleka.
• Ungase ube ne-catheter efakwe esinyeni sakho ukukhipha umchamo. Izosuswa lapho usukulungele ukuqala ukuzichamela wedwa. Isikhathi esiningi, iyasuswa ezinsukwini ezimbili noma ezi-3 ngemuva kokuhlinzwa.
• Ungafundiswa izivivinyo zokuphefumula nokukhwehlela usebenzisa ithuluzi elibizwa nge-spirometer. Ukwenza lezi zivivinyo kuzosiza ukuvimbela inyumoniya.

Uzokhuthazeka ukuqala ukuhamba nokuhamba ngokushesha njengosuku lokuqala ngemuva kokuhlinzwa. Izinkinga eziningi ezithi zivele ngemuva kokuhlinzwa okwephuka kwesinqe zingavinjelwa ukuphuma embhedeni nokuhamba ngokushesha okukhulu.

• Uzosizwa ukuphuma embhedeni uye esihlalweni ngosuku lokuqala ngemuva kokuhlinzwa.
• Uzoqala ukuhamba ngezinduku noma nge-walker. Uzocelwa ukuthi ungabeki isisindo esiningi emlenzeni ohlinzwe kuwo.
• Uma ulele, goba futhi ulule amaqakala akho kaningi ukwandisa ukugeleza kwegazi ukusiza ukuvimbela amahlule egazi.

Uzokwazi ukuya ekhaya lapho:

• Ungazungeza ngokuphepha ngesihamba noma izinduku.
• Wenza izivivinyo ngendlela efanele ukuze uqinise inyonga nomlenze wakho.
• Ikhaya lakho lilungile.

Landela noma imiphi imiyalelo oyinikezwayo yokuthi ungazinakekela kanjani ekhaya.

Abanye abantu badinga ukuhlala isikhashana esikhungweni sokuhlunyeleliswa emuva kokuphuma esibhedlela nangaphambi kokuba baye emakhaya. Esikhungweni sokuvuselela, uzofunda ukuthi ungayenza kanjani ngokuphepha imisebenzi yakho yansuku zonke.

Ungahle udinge ukusebenzisa izinduku noma i-walker amasonto ambalwa noma izinyanga ezimbalwa ngemuva kokuhlinzwa.

Uzokwenza kangcono uma uvuka embhedeni bese uqala ukunyakaza ngokushesha okukhulu ngemuva kokuhlinzwa kwakho. Izinkinga zempilo ezikhula ngemuva kwalokhu kuhlinzwa zivame ukubangelwa ukungasebenzi.

Umhlinzeki wakho uzokusiza uthathe isinqumo sokuthi kuphephe nini ukuya ekhaya ngemuva kwalokhu kuhlinzwa.

Kufanele futhi ukhulume nomhlinzeki wakho ngezizathu zokuwa kwakho nezindlela zokuvimbela ukuwa okuzayo.

Ukulungiswa kwe-inter-trochanteric fracture; Ukulungiswa kwe-Subtrochanteric fracture; Ukulungiswa kokuphuka kwentamo yabesifazane; Ukulungiswa kwe-Trochanteric fracture; Ukuhlinzwa kwe-Hip pinning; I-osteoarthritis - inyonga

• Ukulungisa ikhaya lakho - ukuhlinzwa ngamadolo noma okhalweni
• Ukwephuka kwe-Hip - ukukhishwa

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ILeslie MP, Baumgaertner MR. Ukuqhekeka kwe-hip kwe-intertrochanteric. Ku: Browner BD, Jupiter JB, Krettek C, Anderson PA, ama-eds. I-Skeletal Trauma: Isayensi Eyisisekelo, Ukuphathwa, kanye nokwakhiwa kabusha. Umhlaka 5.IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 55.

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I-Weinlein JC. Ukwephuka nokuhlukaniswa kwesinqe. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 55.