Ukulungisa Amakhefu Amakhulu Amathambo nge-Open Reduction Internal Fixation Surgery

-Delile

• Ukubuka konke
• Ukuhlinzwa kwe-ORIF
• Yini ongakulindela ukulandela inqubo
• Isikhathi sokutakula i-ORIF
• Ukuhamba ngemuva kokuhlinzwa kwe-ankle ye-ORIF
• Izingozi nemiphumela emibi evela ekuhlinzweni kwe-ORIF
• Abaqokelwe kahle ukuhlinzwa kwe-ORIF
• Ukudla okudlela endlini

Ukubuka konke

Ukulungiswa okuvulelekile ngaphakathi (i-ORIF) ukuhlinzwa ukulungisa amathambo aphuke kakhulu.

Isetshenziselwa kuphela ukuphuka okungathí sina okungenakulashwa nge-cast noma i-splint. Lokhu kulimala kuvame ukuphuka okushiyiwe, okungazinzile, noma okubandakanya ukujoyina.

“Ukwehliswa okuvulekile” kusho ukuthi udokotela ohlinzayo wenza imbobo ukuze aqondanise kabusha ithambo. "Ukulungiswa kwangaphakathi" kusho ukuthi amathambo abanjwa ndawonye ne-hardware njengezikhonkwane zensimbi, amapuleti, izinduku noma izikrini. Ngemuva kokuphulukiswa kwethambo, le hardware ayisusiwe.

Ngokuvamile, i-ORIF ukuhlinzwa okuphuthumayo. Udokotela wakho angancoma i-ORIF uma ithambo lakho:

• break ezindaweni eziningi
• iphuma esikhundleni
• unamathela ngesikhumba

I-ORIF ingasiza futhi uma ithambo laphinde laqondiswa kabusha ngaphandle kokusikwa - okwaziwa njengokuncishiswa okuvaliwe - kepha alipholanga kahle.

Ukuhlinzwa kufanele kusize ekunciphiseni ubuhlungu futhi kubuyise ukuhamba ngokusiza ithambo liphole endaweni efanele.

Ngaphandle kwezinga lokuphumelela le-ORIF, ukululama kuncike ku:

• ubudala
• isimo sempilo
• ukuvuselelwa ngemuva kokuhlinzwa
• ubunzima kanye nendawo yokwephuka

Ukuhlinzwa kwe-ORIF

I-ORIF yenziwa udokotela ohlinzayo wamathambo.

Ukuhlinzwa kusetshenziselwa ukulungisa ukuphuka ezingalweni nasemilenzeni, kufaka phakathi amathambo ehlombe, endololwaneni, esihlakaleni, enqulwini, edolweni nasemaqakaleni.

Ngokuya ngokuqhekeka kwakho kanye nobungozi bezinkinga, inqubo yakho ingenziwa ngokushesha noma ihlelwe kusengaphambili. Uma unokuhlinzwa okuhleliwe, kungadingeka ukuthi usheshe futhi uyeke ukuthatha imishanguzo ethile kuqala.

Ngaphambi kokuhlinzwa, ungathola:

• ukuhlolwa ngokomzimba
• ukuhlolwa kwegazi
• I-X-ray
• Iskena se-CT
• Ukuskena kwe-MRI
  

Lezi zivivinyo zizovumela udokotela ukuthi ahlole ithambo lakho eliphukile.

I-ORIF inqubo eyizingxenye ezimbili. Ukuhlinzwa kungathatha amahora ambalwa, kuya ngophuko.

Udokotela obulala izinzwa uzokunikeza i-anesthesia ejwayelekile. Lokhu kuzokubeka ebuthongweni obukhulu ngesikhathi sokuhlinzwa ukuze ungezwa buhlungu. Ungahle ufakwe kushubhu lokuphefumula ukukusiza uphefumule kahle.

Ingxenye yokuqala ukunciphisa okuvulekile. Udokotela ohlinzayo uzosika isikhumba bese ehambisa ithambo libuyele endaweni ejwayelekile.

Ingxenye yesibili ukulungiswa kwangaphakathi. Udokotela ohlinzayo uzonamathisela izinduku zensimbi, izikulufo, amapuleti noma izikhonkwane ethanjeni ukuze likubambe. Uhlobo lwehadiwe elisetshenzisiwe lincike endaweni nohlobo lokwephuka.

Ekugcineni, udokotela ohlinzayo uzovala imbobo ngemithungo noma ukudla okuyisisekelo, afake ibhandishi, futhi angafaka isitho esigaxeni noma esintwini kuye ngendawo nohlobo lokwephuka.

Yini ongakulindela ukulandela inqubo

Ngemuva kwe-ORIF, odokotela nabahlengikazi bazobheka umfutho wegazi, ukuphefumula, nokushaya kwenhliziyo kwakho. Bazophinde bahlole izinzwa eziseduze kwethambo eliphukile.

Ngokuya ngokuhlinzwa kwakho, ungaya ekhaya ngalolo suku noma ungahlala esibhedlela usuku olulodwa noma eziningana.

Uma unengalo ephukile, ungaya ekhaya kamuva ngalolo suku. Uma uphuke umlenze, kungadingeka ukuthi uhlale isikhathi eside.

Isikhathi sokutakula i-ORIF

Ngokuvamile, ukululama kuthatha izinyanga ezintathu kuya kwezingu-12.

Konke ukuhlinzwa kwehlukile. Ukululama okuphelele kuncike ohlotsheni, ebukhali, nasendaweni yokwephuka kwakho. Ukubuyiselwa kungathatha isikhathi eside uma uba nezinkinga ngemuva kokuhlinzwa.

Lapho amathambo akho eseqale ukuphola, udokotela wakho angakwenza ukwelashwa ngokomzimba noma emsebenzini.

Udokotela osebenza ngokomzimba noma osebenzayo angakubonisa izivivinyo ezithile zokuvuselela. Lokhu kuhamba kuzokusiza ukuthi uphinde uthole amandla nokunyakaza endaweni.

Ukuze uthole ukululama okubushelelezi, nakhu ongakwenza ekhaya:

• Thatha imithi yezinhlungu. Kungase kudingeke ukuthi uthathe imishanguzo ye-over-the-counter noma ye-prescription, noma kokubili. Landela imiyalo kadokotela wakho.
• Qiniseka ukuthi ukusika kwakho kuhlala kuhlanzekile. Yigcine imboziwe bese ugeza izandla zakho kaningi.Buza udokotela wakho ukuthi ungashintsha kanjani kahle ibhandishi.
• Phakamisa isitho. Ngemuva kwe-ORIF, udokotela wakho angakutshela ukuthi uphakamise isitho futhi usebenzise iqhwa ukunciphisa ukuvuvukala.
• Ungasebenzisi ingcindezi. Umlenze wakho ungadinga ukuhlala unganyakazi isikhashana. Uma unikezwe indwayimane, isihlalo esinamasondo, noma izinduku, zisebenzise njengoba uyalelwe.
• Qhubeka nokwelashwa ngokomzimba. Uma umelaphi wakho akufundisa izivivinyo zasekhaya nokwelula, kwenze njalo.

Kubalulekile ukuhambela konke ukuhlolwa kwakho ngemuva kokuhlinzwa. Lokhu kuzovumela udokotela wakho aqaphele inqubo yakho yokuphulukisa.

Ukuhamba ngemuva kokuhlinzwa kwe-ankle ye-ORIF

Ngemuva kokuhlinzwa kwe-ankle ye-ORIF, ngeke ukwazi ukuhamba isikhathi esithile.

Ungasebenzisa isithuthuthu samadolo, isithuthuthu esihleliwe, noma izinduku. Ukuhlala kude neqakala lakho kuzovimbela izinkinga futhi kusize ukuphulukiswa kwethambo kanye nokusikwa.

Udokotela wakho uzokutshela ukuthi ungasifaka nini isisindo eqakaleni. Isikhathi sizohluka kusuka ekuqhekekeni kuya ekuqhekekeni.

Izingozi nemiphumela emibi evela ekuhlinzweni kwe-ORIF

Njenganoma yikuphi ukuhlinzwa, kunezingozi ezingaba khona nemiphumela emibi ehlotshaniswa ne-ORIF.

Lokhu kufaka phakathi:

• ukutheleleka kwamagciwane, kungaba kusuka kwi-Hardware noma ukusikwa
• ukopha
• ihluli
• ukusabela okweqile ku-anesthesia
• ukulimala kwemithambo yegazi noma yegazi
• ukulimala kwethenda noma kwe-ligament
• ukwelashwa kwamathambo okungaphelele noma okungajwayelekile
• i-hardware yensimbi isuka endaweni
• ukuhamba okuncishisiwe noma okulahlekile
• ukuphazamiseka kwemisipha noma ukulimala
• isifo samathambo
• i-tendonitis
• ukuzwakala nokuzwakalayo
• ubuhlungu obungapheli ngenxa yehadiwe
• i-compartment syndrome, eyenzeka lapho kunengcindezi eyengeziwe engalweni noma emlenzeni
  

Uma i-hardware itheleleka, kungadingeka ukuthi isuswe.

Ungadinga futhi ukuphinda ukuhlinzwa uma ukuphuka kungapholi kahle.

Lezi zinkinga azivamile. Kodwa-ke, kungenzeka ukuthi ube nezinkinga uma ubhema noma unezimo zezokwelapha ezinjenge:

• ukukhuluphala ngokweqile
• isifo sikashukela
• isifo sesibindi
• isifo samathambo
• umlando wamahlule egazi

Ukunciphisa amathuba akho ezinkinga, landela imiyalo kadokotela wakho ngaphambi nangemva kokuhlinzwa.

Abaqokelwe kahle ukuhlinzwa kwe-ORIF

I-ORIF akuyona eyabo bonke abantu.

Ungaba yilungu le-ORIF uma unesifo esibi kakhulu esingalapheki nge-cast noma i-splint, noma uma usuvele unokwehliswa okuvaliwe kodwa ithambo alipholanga kahle.

Awudingi i-ORIF uma unokwephuka okuncane. Udokotela wakho angakwazi ukuphatha ikhefu ngokunciphisa okuvaliwe noma ukukhishwa noma ukugoqeka.

Ukudla okudlela endlini

Uma unesifo esibi kakhulu, udokotela wakho angancoma ukuhlinzwa okuvulekile kokulungiswa kwangaphakathi (i-ORIF). Udokotela ohlinzayo wamathambo usika isikhumba, abeke kabusha ithambo, alibambe kanye ne-hardware yensimbi njengamapuleti noma ngezikulufo. I-ORIF akuyona eyokuqhekeka okuncane okungaphulukiswa nge-cast noma i-splint.

Ukubuyiselwa kwe-ORIF kungahlala ezinyangeni ezintathu kuya kwezingu-12. Uzodinga ukwelashwa ngokomzimba noma emsebenzini, imithi yezinhlungu, nokuphumula okuningi.

Kufanele uxhumane nodokotela wakho uma uzwa ukopha, ubuhlungu obukhulayo, noma ezinye izimpawu ezintsha ngesikhathi sokululama.