Yini iFemoral Fracture nokuthi iphathwa kanjani

-Delile

• Izinhlobo zokuphuka ku-femur
• Yelashwa kanjani
• 1. Ukulungiswa kwangaphandle
• 2. Isipikili se-Intramedullary
• 3. Ukulungiswa kwangaphakathi
• 4. I-arthroplasty
• Lulama kanjani ekuhlinzweni
• Izimpawu zokuqhekeka okungenzeka

Ukuqhekeka kwe-femur kwenzeka lapho ukuqhekeka kwenzeka ethangeni lamathanga, okuyithambo elide kakhulu futhi eliqine kakhulu emzimbeni womuntu. Ngalesi sizathu, ukuze kuvele ukuphuka kuleli thambo, kudingeka ingcindezi namandla amaningi, okuvame ukwenzeka ngesikhathi sengozi yomgwaqo esheshayo noma ukuwa kusuka ekuphakameni okukhulu, ngokwesibonelo.

Ingxenye yethambo ephuka kalula imvamisa isifunda esiphakathi, esaziwa njengomzimba we-femur, kepha kubantu abadala, abenze buthakathaka amathambo, lolu hlobo lokuphuka lungenzeka nasekhanda le-femur, okuyi isifunda esiveza okhalweni.

Isikhathi esiningi, ukuqhekeka kwesinqe kudinga ukwelashwa ngokuhlinzwa, ukubeka ithambo kabusha nokubeka izingcezu zensimbi ezisiza ukugcina ithambo lisendaweni efanele ngenkathi liphola. Ngakho-ke, kungenzeka ukuthi lowo muntu adinge ukuhlala esibhedlela izinsuku ezimbalwa.

Izinhlobo zokuphuka ku-femur

Ngokuya ngendawo lapho kutholakala khona ikhefu, ukuqhekeka kwe-femur kungahlukaniswa ngezinhlobo ezimbili eziyinhloko:

• Ukuphuka kwentamo yabesifazane: ivela esifundeni esixhuma okhalweni futhi esivame kakhulu kubantu asebekhulile ngenxa yokuba khona kwe-osteoporosis. Njengoba kwenzeka ngenxa yokwehla kwethambo, kungenzeka ngenxa yokujika okulula komlenze lapho uhamba, isibonelo;
• Ukuphuka komzimba wowesifazane: kwenzeka esifundeni esiphakathi kwethambo futhi kuvame kakhulu kubantu abasha ngenxa yezingozi zomgwaqo noma ukuwa kusuka ekuphakameni okukhulu.

Ngaphezu kwalokhu kuhlukaniswa, ama-fractures nawo angahlukaniswa njengokuzinza noma ukufuduka, kuya ngokuthi ngabe ithambo ligcina ukuqondanisa okulungile noma ngabe kuhlanekezelwe kahle. Futhi zingabizwa nangokuthi ziyaphambuka noma zilingane, kuya ngokuthi ukuqhekeka kwenzeka emugqeni ovundlile eduze kwethambo noma uma kuvela kulayini odayagonali, ngokwesibonelo.

Endabeni yokuqhekeka komzimba we-femur, kuyinsakavukela futhi ukuthi ihlukaniswe kube ukwaphuka okusondele, okuphakathi noma okuhlukanisiwe, kuya ngokuthi ikhefu libonakala lisondele yini enqulwini, maphakathi nethambo noma isifunda esiseduze nedolo.

Yelashwa kanjani

Cishe kuzo zonke izimo zokuphuka kwe-femur, kudingeka ukuhlinzwa, kungakapheli amahora angama-48, ukulungisa ikhefu nokuvumela ukwelashwa kwenzeke. Kodwa-ke, uhlobo lokuhlinzwa lungahluka ngokuya ngohlobo nobukhulu bokwaphuka:

1. Ukulungiswa kwangaphandle

Kulolu hlobo lokuhlinzwa, udokotela ubeka ngezikulufo esikhunjeni ezindaweni ezingenhla nangaphansi kokuqhekeka, elungisa ukuqondanisa kahle kwethambo, ukuze ukuphuka kuqale ukuphola kahle.

Esikhathini esiningi, le yinqubo yesikhashana, egcinwa kuze kube yilapho umuntu eba nokuhlinzwa okuningana kokulungiswa, kepha futhi ingasetshenziswa njengokwelashwa kokuqhekeka okulula, isibonelo.

2. Isipikili se-Intramedullary

Le ngenye yamasu asetshenziswe kakhulu ukwelapha ukuqhekeka esifundeni somzimba we-femur futhi kufaka ukufaka induku yensimbi ekhethekile ngaphakathi kwethambo. Uzipho uvame ukususwa ngemuva kokuphela kokuphulukiswa, okungathatha unyaka owodwa ukwenzeka.

3. Ukulungiswa kwangaphakathi

Ukulungiswa kwangaphakathi kuvame ukwenziwa ekuqhekekeni okuyinkimbinkimbi kakhulu noma ngamakhefu amaningi lapho kungenakwenzeka khona ukusebenzisa isipikili se-intramedullary. Ngale ndlela, udokotela ohlinzayo ufaka izikrini nezinsimbi ngqo phezu kwethambo ukuligcina lizinzile futhi liqondaniswe kahle, livumela ukwelashwa.

Lezi zikulufo zingasuswa ngokushesha lapho ukuphulukiswa sekuqedile, kepha njengoba kudingeka ukuhlinzwa okuqhubekayo, kuvame ukugcinwa endaweni yokuphila, ikakhulukazi uma kungabangeli ubuhlungu noma ukukhawulela ukunyakaza.

4. I-arthroplasty

Lolu uhlobo lokuhlinzwa olungasetshenziswa kakhulu oluvame ukubekelwa izimo zokuphuka eduze kwesinqe ezithatha isikhathi ukuphola noma eziyinkimbinkimbi kakhulu. Ezimweni ezinjalo, udokotela angase asikisele i-arthroplasty, lapho ijoyini le-hip lisuswa ngokuphelele futhi lifakwe endaweni yokufakelwa.

Bona okuningi ngalolu hlobo lokuhlinzwa, ukuthi kunjani ukululama nokuthi kwenziwa nini.

Lulama kanjani ekuhlinzweni

Isikhathi sokululama singahluka kakhulu ngokuya ngohlobo lokuhlinzwa okwenziwe, noma kunjalo, kujwayelekile ukuthi umuntu alaliswe esibhedlela phakathi kwezinsuku ezintathu kuya kwelesonto elilodwa ngaphambi kokuba akhishwe abuyele ekhaya. Ngaphezu kwalokho, ukuphuka okuningi kwenzeka ngenxa yezingozi, kungathatha isikhathi esiningi ukwelapha ezinye izinkinga njengokuphuma kwegazi noma amanxeba, isibonelo.

Ukuphulukiswa kokuqhekeka kuvame ukuthatha phakathi kwezinyanga ezintathu kuya kwezi-9, futhi ngaleso sikhathi kunconywa ukugwema imisebenzi ebeka isisindo esiningi emlenzeni othintekile.Yize ukuzivocavoca umzimba kungenziwa, kubaluleke kakhulu ukugcina ukunyakaza kwesitho, hhayi nje ukuthuthukisa ukujikeleza kwegazi, kepha nokuvikela ukulahleka kwemisipha nokunyakaza ngokuhlanganyela. Ngakho-ke, udokotela uvame ukuncoma ukwenza ukwelashwa ngokomzimba.

Izimpawu zokuqhekeka okungenzeka

Ezimweni eziningi, ukuphuka kwe-femur kubangela ubuhlungu obukhulu kakhulu obukuvumela ukuthi ubone ukuthi kuqhekekile ukwenzeka. Kodwa-ke, lapho ukuphuka kuncane kakhulu, ubuhlungu bungaba bukhulu futhi, ngakho-ke, kunezinye izimpawu ezingakhombisa ukuphuka, njenge:

• Kunzima ukuhambisa umlenze;
• Ubuhlungu obukhulu lapho ubeka isisindo emlenzeni;
• Ukuvuvukala komlenze noma ukuba khona kwemivimbo.

Ngaphezu kwalokho, kungenzeka ukuthi izinguquko ekuzweleni komlenze zingavela, futhi kungahle kubonakale ukuzwa noma ukushisa.

Noma nini lapho kusolwa ukwephuka, kubaluleke kakhulu ukuya ngokushesha ekamelweni labezimo eziphuthumayo uyokwenza i-X-ray bese uthola ukuthi kukhona yini ukuphuka emathanjeni okudinga ukwelashwa. Ngokuvamile, lapho kulungiswa ukwaphuka kokuqala, ithambo lophola kalula.