Ukulungiswa kwezinzwane zesando

Uzwane lwesando uzwane oluhlala endaweni egobile noma eguqukayo.

Lokhu kungenzeka ezinzwaneni ezingaphezu kwesisodwa.

Lesi simo sidalwa:

• Ukungalingani kwemisipha
• Isifo samathambo
• Izicathulo ezingalingani kahle

Izinhlobo eziningi zokuhlinzwa zingalungisa uzwane lwesando. Udokotela wakho wamathambo noma unyawo uzoncoma uhlobo oluzokusebenzela kangcono kakhulu. Okunye ukuhlinzwa kufaka:

• Ukususa izingxenye zamathambo ezinzwane
• Ukusika noma ukufaka kabusha imisipha yezinzwane (imisipha ixhuma amathambo emisipha)
• Ukuhlanganisa ilunga ndawonye ukwenza inzwane iqonde futhi ingasakwazi ukugoba

Ngemuva kokuhlinzwa, izikhonkwane zokuhlinza noma ucingo (i-Kirschner, noma i-K-wire) zisetshenziselwa ukubamba amathambo ezinzwane lapho izinzwane zakho ziphola. Uzocelwa ukuthi usebenzise isicathulo esihlukile ukuhamba ukuvumela izinzwane zakho ukuthi ziphole. Izikhonkwane zizokhishwa emasontweni ambalwa.

Lapho uzwane lwesando luqala ukukhula, usengakwazi ukuqondisa uzwane lwakho. Ngokuhamba kwesikhathi, uzwane lwakho lungabambeka endaweni egobile futhi ungabe usakwazi ukuluqondisa. Uma lokhu kwenzeka, ummbila obuhlungu, obuqinile (isikhumba esijiyile, esingenalo ucingo) ungakha phezulu nangaphansi kozwane lwakho bese uhlikihla esicathulweni sakho.

Ukuhlinzwa ngozwane akuzenzelwa nje ukwenza uzwane lwakho lubukeke lungcono. Cabanga ngokuhlinzwa uma uzwane lwakho lubhajwe endaweni eguquguqukayo futhi lubangela:

• Ubuhlungu
• Ukuthukuthela
• Izilonda ezingaholela ekutheleleni
• Izinkinga zokuthola izicathulo ezilinganayo
• Ukutheleleka kwesikhumba

Ukuhlinzwa kungenzeka kungeluleki uma:

• Ukwelashwa ngama-paddings nemisebenzi yokubopha
• Usengakwazi ukuqondisa uzwane lwakho
• Ukushintshela ezinhlotsheni ezahlukahlukene zezicathulo kunganciphisa izimpawu

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela emithini
• Izinkinga zokuphefumula
• Ukopha
• Ukutheleleka

Izingozi zokuhlinzwa kwezinzwane ngesando yilezi:

• Ukuqondanisa kabi kozwane
• Ukulimala kwemizwa okungadala ukuba ndikindiki kuzwane lwakho
• Isibazi sokuhlinzwa esibuhlungu lapho sithintwa
• Ukuqina kuzwane noma kuzwane okuqonde kakhulu
• Ukunciphisa inzwane
• Ukulahleka kwegazi ezinzwaneni
• Izinguquko ekubukeni kwezinzwane zakho

Hlala utshela umhlinzeki wakho wezempilo ukuthi yimiphi imithi oyiphuzayo, ngisho nemithi, izithasiselo, noma amakhambi owathengile ngaphandle kwencwadi kadokotela.

• Ungacelwa ukuthi uyeke ukuthatha imithi eyenza kube nzima ngegazi lakho ukuminyana. Lokhu kufaka phakathi i-aspirin, ibuprofen, (Advil, Motrin), naproxen (Naprosyn, Aleve), nezinye izidakamizwa.
• Buza umhlinzeki wakho ukuthi imiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.
• Uma ubhema, zama ukuyeka. Cela usizo kumhlinzeki wakho. Ukubhema kunganciphisa ukwelashwa.
• Ngaso sonke isikhathi vumela umhlinzeki wakho azi nganoma imuphi umkhuhlane, umkhuhlane, imfiva, noma esinye isifo ongaba naso ngaphambi kokuhlinzwa kwakho.
• Ungacelwa ukuthi ungaphuzi noma ungadli lutho amahora ayisithupha kuya kwayishumi nambili ngaphambi kokuhlinzwa.

Uma unesifo sikashukela, isifo senhliziyo, noma ezinye izimo zezokwelapha, udokotela wakho ohlinzayo uzokucela ukuthi ubone umhlinzeki okuphatha ngalezi zimo.

Iningi labantu liya ekhaya ngosuku olufanayo lapho lihlinzwa khona izinyosi. Umhlinzeki wakho uzokutshela ukuthi ungazinakekela kanjani ekhaya ngemuva kokuhlinzwa.

Isivumelwano senzwane

IChiodo CP, Intengo MD, iSangeorzan AP. Izinhlungu nezinyawo. Ku: Firestein GS, Budd RC, Gabriel SE, Koretzky GA, McInnes IB, O'Dell JR, abahleli. Incwadi kaFirestein & Kelly yeRheumatology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 52.

IMontero DP, iShi GG. Uzwane lwesando. Ku: Frontera, WR, Silver JK, Rizzo TD Jr, ama-eds. Okubalulekile Kwemithi Yomzimba Nokuvuselelwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 88.

UMurphy GA. Ukungajwayelekile kwezwane. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; I-2017: isahluko 83.

UMyerson MS, uKadakia AR. Ukulungiswa kokukhubazeka kwezinzwane okuncane. Ku: Myerson MS, Kadakia AR, eds. Ukuhlinzwa Kwezinyawo Namaqakala Okuvuselelwa: Ukuphathwa Kwezinkinga. 3rd ed. IPhiladelphia, PA: Elsevier; 2019: isahluko 7.