I-Femur Ephukile

-Delile

• Ziyini izimpawu zesifazane esiphukile?
• Iphuka kanjani i-femur?
• Ukuxilongwa kwe-femur ephukile
• Uphathwa kanjani owesifazane ophukile?
• Ukuhlinzwa
• Imithi
• Ngabe kukhona ubunzima obukhona nezinsikazi eziphukile?
• Ukuphatha i-femur ephukile ngemuva kokuhlinzwa
• Umbono

Ukubuka konke

I-femur - ithambo lakho lamathanga - yithambo elikhulu kunawo wonke futhi eliqine kakhulu emzimbeni wakho. Lapho i-femur iphuka, kuthatha isikhathi eside ukuphola. Ukwephula i-femur yakho kungenza imisebenzi yansuku zonke ibe nzima kakhulu ngoba ingelinye lamathambo amakhulu asetshenziswa ukuhamba.

Ziyini izimpawu zesifazane esiphukile?

• Uzwa ubuhlungu obusheshayo, obukhulu.
• Awukwazi ukubeka isisindo emlenzeni olimele.
• Umlenze olimele ubonakala ufushane kunomlenze ongalimele.
• Umlenze olimele ubonakala ugobile.

Iphuka kanjani i-femur?

I-femur iyithambo elikhulu kakhulu, eliqinile okunzima ukuliphula. I-femur ephukile ivame ukubangelwa yingozi enkulu; izingozi zezimoto zingenye zezimbangela eziyinhloko.

Abantu abadala asebekhulile bangaphuka femur yabo kusukela ekuweni ngoba amathambo abo ajwayele ukuba buthakathaka. Ngokuya ngokuthi ikhefu lisondele kangakanani esinqeni, kungabizwa ngokuthi ukuqhekeka kwesinqe esikhundleni sokuqhekeka kwesifazane.

Ukuxilongwa kwe-femur ephukile

Ezimweni eziningi, udokotela wakho uzoqala nge-X-ray. Uma kudingeka eminye imininingwane, bangahle ba-ode ukuskena kwe-CT (computed tomography). Ngaphambi kokuncoma ukwelashwa okuthile, udokotela wakho uzonquma ukuthi unhloboni yekhefu. Izinhlobo ezivame kakhulu yilezi:

• Ukuphuka okuguqukayo. Ikhefu lingumugqa oqondile oqondile.
• Ukuphuka kwe-Oblique. Ikhefu linomugqa we-angled.

• Uphathwa kanjani owesifazane ophukile?

  Ngoba i-femur iyithambo elinamandla kangako, i-femur ephukile (ngaphandle kwe-hip fractures) ayivamile. Inqubo yokuphulukisa imvamisa ithatha izinyanga eziyisithupha, idlula ngezigaba ezine:

  1. Umzimba uqala inqubo yokwelashwa.
  2. Umzimba uhlangabezana nokuvuvukala.
  3. Umzimba uvuseleleka ngokukhula kwethambo okusha.
  4. Ukulungiswa komzimba ngamathambo avuthiwe kufakwa ithambo elisanda kwakhiwa.

  Iningi lamakhosikazi aphukile adinga ukuhlinzwa nemithi.

  Ukuhlinzwa

  Kunokuhlinzwa okuhlukahlukene, kungaba ngaphakathi noma ngaphandle, ukubamba amathambo endaweni ngenkathi esaphulukiswa. Ukuhlinzwa okuvame kakhulu kowesifazane ophukile kubizwa ngokuthi yi-intramedullary nailing. Lokhu kuhlinzwa kufaka induku ebangeni lobude bethambo ngezikulufu ngaphezulu nangaphansi ukuyibamba ime endaweni yayo.

  Imithi

  Ngaphambi kokuhlinzwa nangemva kokuhlinzwa, udokotela wakho angakusiza ukuphatha ubuhlungu bakho ngemithi ongayithenga kanye nemithi kadokotela, efana nale:

  
  
  • acetaminophen
  • izidakamizwa ezingezona ukuvuvukala (ama-NSAID)
  • gabapentinoids
  • ukuphumula kwemisipha
  • ama-opioid
  • imishanguzo yezinhlungu

  Ngabe kukhona ubunzima obukhona nezinsikazi eziphukile?

  Izinkinga zingavela ngamakhefu e-femur.

  • Ukuhlelwa okufanele. Uma i-femur ingasethiwe kahle, kunethuba lokuthi umlenze uzoba mfushane kunomunye futhi kungadala ubuhlungu be-hip noma idolo eminyakeni eminingi kamuva. Ukuqondaniswa kabi kwethambo le-femur nakho kungaba buhlungu.
  • Ukulimala komngcele. Ikhefu lingalimaza nemisipha, imisipha, imisipha, nezinzwa zomlenze.
  • Izinkinga zokuhlinzwa. Ezinye izinkinga ezihlobene nokuhlinzwa zifaka ukutheleleka kanye namahlule egazi.

  Ukuphatha i-femur ephukile ngemuva kokuhlinzwa

  Ngemuva kwekhefu le-femur, lapho ithambo selibuyiselwe endaweni yalo efanelekile futhi lizinzile, udokotela wakho cishe uzoncoma ukwelashwa ngokomzimba ukuqinisa imisipha ezungeze ithambo. Ukuzivocavoca ukuqinisa ithanga kuzosiza nokubuyela ekuguqukeni nasekusebenzeni okujwayelekile komlenze.

  
  

  Umbono

  I-femur ephukile imvamisa izoba nomthelela omkhulu empilweni yakho, kepha okwesikhashana. Ukuhlinzwa kuvame ukusebenza ngempumelelo futhi abantu ngokwejwayelekile bayakwazi ukuphola ngokuphelele kusuka kowesifazane ophukile. Eziningi zezinsikazi eziphukile, iziguli zibuyela endleleni yokuphila ejwayelekile.