Ukubuka konke kweFemoral Neck Fracture of the Hip

-Delile

• Ukubuka konke
• Intamo yesifazane icindezela izimbangela zokuphuka
• Izimpawu zokuphuka kwentamo yabesifazane
• Ukuhlonza ukuphuka kwesinqe
• Ukwelapha ukuphuka kwentamo yesifazane
• Ukulungiswa kwangaphakathi
• Ukushintshwa kwesinqe okuyingxenye
• Ingqikithi yokushintshwa kwenqulu
• Isikhathi sokubuyiselwa kwentamo yesifazane
• Ukudla okudlela endlini
  

Ukubuka konke

Ukuphuka kwentamo yabesifazane kanye nokwaphuka kwe-peritrochanteric kudlange ngokulinganayo futhi kwenza amaphesenti angaphezu kwama-90 okuqhekeka kwamakhosikazi.

Intamo yesifazane iyindawo ejwayelekile kakhulu yokuqhekeka kwesinqe. Isinqe sakho yibhola nesokhethi elihlangene lapho umlenze wakho ophezulu uhlangana khona nesikhumba sakho. Phezulu kwe-femur yakho (okuyithambo lakho lamathanga) yinhloko yesifazane. Leli "ibhola" elihlala esokeni. Ngezansi nje kwekhanda lesifazane kukhona intamo yesifazane.

Ukuphuka kwentamo yabesifazane kungukuqhekeka kwe-intracapsular. I-capsule yindawo equkethe uketshezi oluthambisa futhi ondle ukuhlangana kwe-hip. Ukwahlukana kule ndawo kuhlukaniswe ngezigaba kususelwa endaweni lapho kuqhekeka khona intamo yowesifazane:

• i-subcapital iyinhlanganisela yekhanda nentamo yesifazane
• I-transcervical yingxenye emaphakathi yentamo yesifazane
• i-basicervical iyisisekelo sentamo yesifazane

Yize noma ngubani engaphuka intamo yabo yobufazi, kuvame kakhulu kubantu abadala asebekhulile abanamandla amancane emathambo. Ngaphezu kwalokhu kuqhekeka kwenzeka kubantu abadala kunama-50. Zivame kakhulu kwabesifazane.

Ukuphuka kwentamo yesifazane kungadabula imithambo yegazi futhi kunqume ukunikezwa kwegazi ekhanda lesifazane. Uma ukulethwa kwegazi ekhanda lesifazane kulahlekile, izicubu zethambo zizofa (inqubo ebizwa nge-avascular necrosis), okuholela ekugcineni kokuwa kwethambo.Ukuqhekeka okwenzeka ezindaweni lapho ukunikezwa kwegazi kungaphazanyiswa kunethuba elingcono lokululama.

Ngenxa yalezi zizathu, ukwelashwa kwesiguli esikhulile esinokuphuka kwesifazane okweqile kuzoncika lapho kutholakala khona ikhefu kanye nekhwalithi yokuhanjiswa kwegazi.

Izinga lokunakekelwa kokuqhekeka okushiye indawo lapho kutholakala khona ukuphazamiseka kwegazi kubandakanya ukufaka esikhundleni sekhanda lesifazane (i-hemiarthroplasty noma i-hip arthroplasty ephelele). Uma kungekho ukufuduka, khona-ke ukuhlinza ukuzinzisa ukuphuka ngezikulufo noma enye i-hardware kungenziwa. Kodwa-ke, kusekhona ingozi yokuthi ukutholakala kwegazi kungaphazanyiswa.

Intamo yesifazane icindezela izimbangela zokuphuka

Ukuhlukumezeka kuyimbangela ejwayelekile yokuqhekeka kwentamo yesifazane. Ukuba ngaphezu kweminyaka yobudala engama-50 noma unesimo sempilo esinciphisa amathambo akho, njenge-osteoporosis, kwandisa ingozi yakho yokuqhekeka entanyeni yesifazane. Ukuba nomdlavuza wethambo nakho kuyingozi.

Ukuwa kuyimbangela evame kakhulu yokuqhekeka kwentamo yesifazane kubantu abadala. Kubantu abasha, lokhu kuphuka kuvame ukubangelwa ukuhlukumezeka ngamandla amakhulu, njengokushayisana kwemoto noma ukuwa kusuka ekuphakameni okukhulu.

Ukuphuka kwentamo yabesifazane akuvamile ezinganeni. Ngokuhambisana nokuhlukumezeka kwamandla amakhulu, kungadalwa nawukuxinana kwamathambo okuphansi, njenge-osteopenia noma i-osteoporosis, noma ngezinye izimo ezifana ne-cerebral palsy noma i-muscular dystrophy.

Izimpawu zokuphuka kwentamo yabesifazane

Uphawu oluvame kakhulu lokwephuka kwentamo yesifazane wubuhlungu bomgogodla obuba bubi kakhulu lapho ubeka isisindo okhalweni noma uzama ukushintshanisa inqulu. Uma ithambo lakho libuthakathaka yi-osteoporosis, umdlavuza, noma esinye isimo sezokwelapha, ungahle uzwe ubuhlungu bokuqaqamba okuholela esikhathini sokuphuka.

Ngokuqhekeka kwentamo yesifazane, umlenze wakho ungabonakala ufushane kunomlenze wakho ongalimele, noma umlenze wakho ungashintshaniswa ngaphandle unyawo lwakho nedolo liphendukele ngaphandle.

Ukuhlonza ukuphuka kwesinqe

Udokotela imvamisa anganquma ukuthi unokwaphuka kwesinqe ngokuya ngesimo sethanga lakho nomlenze wakho, kanye nezimpawu zakho. Ngemuva kokuhlolwa komzimba, udokotela wakho uzosebenzisa i-X-ray ukuqinisekisa ukuthi unokwephuka futhi anqume ukuthi iyiphi ingxenye yesinqe ethintekile.

Ukuqhekeka kwezinwele ezincane noma ukuqhekeka okungaphelele kungahle kungabonakali ku-X-ray. Uma ukuphuka kwakho kungabonakali ezithombeni futhi usenezimpawu, udokotela wakho angancoma ukuskena kwe-CT, noma i-MRI noma ukuskena kwamathambo ukuze kubukeke ngokuningiliziwe.

Ukwelapha ukuphuka kwentamo yesifazane

Ukwelashwa kokuqhekeka kwentamo yesifazane kuvame ukufaka ukuhlinzwa, imithi kanye nokuvuselelwa.

Imithi yezinhlungu inikeza ukukhululeka kwesikhashana ebuhlungwini. Lokhu kungabandakanya imishanguzo yezinhlungu ezingaphezulu kwe-the-counter (OTC), njengezidakamizwa ezingezona ukuvuvukala (ama-NSAID), noma imishanguzo kadokotela, njengama-opioid.

Udokotela wakho angakunikeza ama-bisphosphonates kanye neminye imithi ye-osteoporosis ukusiza ukunciphisa ingozi yokunye ukuphuka kwe-hip, kuye ngeminyaka yakho. Le mithi isiza ukuqinisa amathambo akho ngokwandisa ubukhulu bamathambo akho.

Ukuhlinzwa okuphuthumayo kuvame ukunconywa ngokuphuka kwe-hip ukukhulula ubuhlungu nokubuyisela ukuhamba ngokushesha ngangokunokwenzeka. Kunezinhlobo ezahlukahlukene zokuhlinzwa ezisetshenziselwa ukwelapha ukuphuka kwentamo yesifazane. Uhlobo lokuhlinzwa oludingekayo luzoxhomeka ebucayi bokuphuka kwakho, iminyaka yakho kanye nezimo zezempilo ezingaphansi.

Ukuthi ukuphuka kwakho kubangele ukulimala kwegazi ekhanda lakho lesifazane nakho kuzosiza ekunqumeni ukuthi yiluphi uhlobo lokuhlinzwa oluzodingeka.

Ukulungiswa kwangaphakathi

Ukulungiswa kwangaphakathi kusebenzisa izikhonkwane zensimbi noma izikulufo ukubamba ithambo lakho ndawonye ukuze ukuphuka kuphole. Izikhonkwane noma izikulufo zifakwa ethanjeni lakho, noma izikulufo zinganamatheliswa kupuleti lensimbi eligudla i-femur yakho.

Ukushintshwa kwesinqe okuyingxenye

Le nqubo isetshenziswa uma ukuphela kwamathambo kulimele noma kususwe indawo. Kubandakanya ukususa ikhanda nentamo ye-femur bese uyifaka esikhundleni sendawo yokufakelwa yensimbi.

Ukufakwa esikhundleni se-hip okuncane kunganconywa nakubantu abadala abanezinye izimo ezibucayi zezokwelapha, kunokushintshwa okuphelele kwe-hip.

Ingqikithi yokushintshwa kwenqulu

Ukufakwa esikhundleni se-hip okuphelele kufaka ukufaka i-femur yakho ephezulu kanye nesokhethi nge-prosthesis. Ngokuya ngocwaningo, lolu hlobo lokuhlinzwa lunemiphumela emihle kakhulu yesikhathi eside kubantu abangenempilo abahlala ngokuzimela. Futhi kubiza kakhulu ngoba kuvame ukuqeda isidingo sokuhlinzwa okwengeziwe kamuva.

Isikhathi sokubuyiselwa kwentamo yesifazane

Kuthatha isikhathi esingakanani ukuthi ululame ekuqhekekeni kwentamo yesifazane kuzoncika ebucayi bokuphuka kwakho, isimo sempilo yakho yonke, kanye nohlobo lokuhlinzwa olusetshenzisiwe. Ukutakula kuyehluka kuye ngomuntu nomuntu.

Ukuvuselelwa kuzodingeka uma usuphumile esibhedlela. Ngokuya ngeminyaka yakho nesimo sakho, ungathunyelwa ekhaya noma esikhungweni sokuhlunyeleliswa.

Uzodinga ukwelashwa ngokomzimba ukukusiza ukuthi uphinde uthole amandla akho namandla okuhamba. Lokhu kungathatha izinyanga ezintathu. Iningi labantu abahlinzwa okhalweni ukulungisa ukuphuka bathola kakhulu, uma kungenjalo konke ukuhamba kwabo kulandela ukwelashwa.

Ukudla okudlela endlini

Ukuphuka kwentamo yabesifazane kuvamile kubantu abadala asebekhulile, ikakhulukazi labo abanamathambo abuthaka ngenxa yezinye izimo zezokwelapha.

Ungakwazi ukusiza ukwehlisa ubungozi bakho balezi nezinye izinhlobo zokuphuka ngokwenza izivivinyo ezithwala isisindo ukwakha amandla, nokuthatha izithako ze-calcium ukukhulisa ukuminyana kwethambo lakho.

Khuluma nodokotela uma ukhathazekile ngokuhlukana noma uma uhlangabezana nobuhlungu obungapheli noma ubuhlungu be-hip. Lezi zimpawu zingakhombisa ukuthi usengozini yokuphuka inqulu.