Ukwelashwa Nokululama Komunwe Osikiwe

-Delile

• Usizo lokuqala lokunqamula umunwe
• Ukubhekana nendawo yokulimala
• Ukubhekana nokulimala
• Ukunakekela idijithi enqunyiwe
• Ukubhekana nokwethuka
• Kunqunywe ukuhlinzwa ngomunwe
• Lapho umunwe ungabanjwanga
• Ngemuva kokuhlinzwa ngomunwe
• Ukulimala kwemizwa yomunwe
• Ukuthuthukiswa kokuhlinzwa
• Izinkinga ngemuva kokuhlinzwa
• Ukuthatha

Ukubuka konke

Umunwe onqunyiwe ungasho ukuthi konke noma ingxenye yomunwe inqanyuliwe noma iyanqunywa esandleni. Umunwe unganqanyulwa ngokuphelele noma kuphela ingxenye.

Ngezansi sizobheka izinyathelo zosizo lokuqala ongazithatha okwamanje uma wena noma omunye umuntu ethunga umunwe. Sizobuye sixoxe ngalokho ongakulindela ngesikhathi sokwelashwa nokululama kwalolu hlobo lokulimala kwesandla.

Usizo lokuqala lokunqamula umunwe

Uma unomunwe onqanyuliwe kufanele uthole ukwelashwa okuphuthumayo ngokushesha. Umunwe olimele noma osikiwe ungaholela ezinkingeni ngokusebenza kwesandla sakho.

I-American Association of Orthopedic Surgeons itusa lezi zinyathelo uma usike ingxenye noma umunwe wakho wonke.

Ukubhekana nendawo yokulimala

• Uma kunabantu abaseduze, thola ukunakwa komunye umuntu ukuze uthole usizo. Noma imuphi umshini osetshenziswayo kufanele ulawulwe noma ucishwe.
• Ungasusi noma yikuphi ukuhloba noma okokugqoka endaweni elimele.
• Shayela i-ambulensi noma ubuze umuntu ukuthi akuphuthumise egumbini labezimo eziphuthumayo.
• Uma unokunqunywa okuphelele, funa ingxenye yakho yomunwe enqunyiwe noma ucele othile ukuthi ayifune.

Ukubhekana nokulimala

• Hlanza kancane ukulimala kwakho ngamanzi noma usawoti oyinyumba.
• Mboza ukulimala kancane nge-gauze oyinyumba noma ngokugqoka.
• Phakamisa isandla sakho esilimele ngaphezu kwenhliziyo yakho ukusiza ukunciphisa ukopha nokuvuvukala.
• Faka ingcindezi encane esilondeni ukusiza ukunqanda ukopha.
• Musa ukukhama noma uqinise ngokubopha indawo elimele noma iyiphi ingxenye yomunwe noma yesandla - lokhu kunganqamula ukugeleza kwegazi.

Ukunakekela idijithi enqunyiwe

Uma unomunwe ohlukanisiwe noma iminwe:

• Ungasusi noma yikuphi ubucwebe noma okokugqoka emunweni.
• Geza ngobumnene umunwe onqunyiwe ngamanzi noma usawoti oyinyumba - ungayikhuhli.
• Mboza umunwe endaweni emanzi, yokugoqa nge-gauze.
• Faka umunwe esikhwameni esihlanzekile esingenamanzi.
• Beka isikhwama umunwe okuso kwesinye isikhwama sepulasitiki esikhudlwana.
• Beka inqwaba yezikhwama zepulasitiki eqhweni.
• Uma kungaphezu komunwe owodwa onqunyiwe, faka ngamunye esikhwameni sakhe esihlanzekile. Lokhu kusiza ukuvikela ukutheleleka nokonakala okuningi kwidijithi ngayinye.

Gcina umunwe osikiwe ubanda ngaphandle kokuwubeka ngqo eqhweni. Ungasebenzisa iqhwa noma ingxube yeqhwa namanzi. Uma ungenalo iqhwa, ligcine libanda ngokufaka umunwe ogoqiwe esikhwameni sokudla okufriziwe noma uzungeze isikhwama emanzini abandayo uma ungakwazi ngaphandle kokumanzisa umunwe.

Lokhu kungalimaza. Yigcine kuwe uze ukwazi ukubona udokotela. Letha umunwe wakho onqunyiwe egumbini labezimo eziphuthumayo. Ungayiniki omunye umuntu ukuthi ayibambe uma kwenzeka nihlukana.

Ukubhekana nokwethuka

Noma yiluphi uhlobo lwengozi noma lokulimala kungadala ukushaqeka. Lokhu kungenzeka ngoba umfutho wakho wegazi wehla ngokushesha okukhulu. Ungahle ube:

• ukukhathazeka noma ukuphazamiseka
• isikhumba esipholile noma esibandayo
• isiyezi noma ukuquleka
• ukuphefumula okusheshayo noma ukushaya kwenhliziyo
• isicanucanu
• isikhumba esiphaphathekile
• ngiqhaqhazela
• ukuhlanza
• ubuthakathaka

IMayo Clinic ibala lezi zinyathelo zokuqala zosizo zokwethuka ngemuva kokulimala:

• beka phansi umuntu
• phakamisa imilenze nezinyawo kancane
• mthulise umuntu
• umboze umuntu ngengubo noma ngejazi
• faka ingcindezi encane kepha eqinile endaweni yopha
• phendulela umuntu ngasohlangothini lwabo ukuvimbela ukuminyana uma ehlanza

Into ebaluleke kakhulu ukuqapha umuntu othukile, ukugcina izinga lokushisa komzimba lifudumele, futhi umyise esibhedlela ngokushesha okukhulu.

Kunqunywe ukuhlinzwa ngomunwe

Ukuhlinzwa noma ukuhlinzwa ukuze unamathisele futhi umunwe ohlukanisiwe kubizwa nangokuthi ukuphinda utshale.

Udokotela wakho noma udokotela ohlinzayo uzobheka ngokucophelela umunwe noma iminwe enqunyiwe ngemicroscope ukuthola ukuthi ingaphinde inanyathiselwe yini. Izinqe zeminwe noma iminwe enqunyiwe kancane kungenzeka ixhumeke kabusha. Iminwe yobude obugcwele ekhishwe ezansi yayo ingaba nzima kakhulu ukuyinamathisela kabusha.

Ngokusho kwe-American Society for Surgery of the Hand, izinyathelo zokufaka kabusha umunwe ohlukanisiwe zifaka:

• Ukubulawa izinzwa. Uzonikezwa i-anesthesia ejwayelekile ngomjovo. Lokhu kusho ukuthi uzobe ulele futhi ngeke ubuzwe ubuhlungu.
• Ukuhlanjululwa. Udokotela wakho kungadingeka ukuthi asuse izicubu ezilimele noma ezifile enxebeni nasemunweni. Lokhu kubizwa ngokuthi yi-debriding; kuyasiza ukuvikela ukutheleleka.
• Ukunakekelwa kwamathambo. Udokotela wakho angadinga ukusika ukuphela kwamathambo uma kukhona umonakalo. Lokhu kubasiza ukuba bahlangane kangcono.
• Ukuhlinzwa kabusha. Uma umunwe wakho onqunyiwe ungagcinwa, ungadinga i-microsurgery. Udokotela wakho uzothunga ndawonye izinzwa, imithambo yegazi, kanye nemisipha ngaphakathi komunwe wakho. Lokhu kusiza ukugcina umunwe wakho uphila futhi uphulukise kahle ngemuva kokuxhumeka kabusha.
• Ukunamathisela kabusha. Amathambo ahlanganiswa nezikulufu namacwecwe noma izintambo.
• Ukuvalwa. Isilonda sithungiwe savalwa nendawo ibhandishiwe.

Udokotela ohlinzayo wamathambo nodokotela ohlinzayo weplastiki bavame ukusebenzisana ukulungisa umunwe onqunyiwe.

Lapho umunwe ungabanjwanga

Uma kunomonakalo omkhulu kakhulu noma kube yisikhathi eside kakhulu kusukela kwengozi, umunwe ohlukanisiwe kungenzeka ungaphinde uhlangane.

Uma umunwe wakho ungeke unamathiselwe, usazodinga ukuhlinzwa ukuze ulungise isilonda sakho. Udokotela wakho ohlinzayo angasebenzisa i-flap noma i-graft eyenziwe esikhumbeni sakho ukumboza indawo elimele futhi avale isilonda.

Ngemuva kokuhlinzwa ngomunwe

Isikhathi sokutakula nokuthi yini ongayilindela ngemuva kokuhlinzwa ngomunwe kuya ngohlobo lokulimala nenqubo edingekayo ukuyilungisa. Isikhathi sakho sokutakula kungenzeka sisuke emavikini ambalwa siye eminyakeni embalwa.

Imithi yezinhlungu ingakusiza uhlale ukhululekile njengoba uphulukisa.

Kuzodingeka ukuthi uthathe ama-antibiotic ezinsukwini ngemuva kokuhlinzwa kwakho ukuvimbela ukutheleleka. Shayela udokotela wakho ngokushesha uma ubona noma yiziphi izimpawu zokutheleleka, njenge:

• ubuhlungu noma isisa
• ububomvu
• imfudumalo
• ukuvuvukala
• ukuphulukiswa kancane
• imfiva
• ubomvu
• imifudlana ebomvu endaweni
• iphunga elibi
• isikhumba noma ukuguqulwa kombala wesipikili

Udokotela wakho noma unesi uzokunikeza imiyalo yokuthi ungakushintsha kanjani ukugqoka kwakho. Ungadinga ukubona udokotela wakho cishe isonto ngemuva kokuhlinzwa kwakho ukuze ususe iziqu. Ngokwengeziwe, qiniseka ukuthi uya kuwo wonke ama-aphoyintimenti wokulandelela ukuze udokotela wakho abheke indawo.

Ukulimala kwemizwa yomunwe

Izinzwa ezingaphakathi komunwe zingathatha isikhathi eside ukuphola. Kungenzeka futhi ukuthi zingapholi ngokuphelele. Ukulimala kwemithambo kungadala umunwe wakho olimele ukuthi ube:

• ubuthakathaka
• ukuba ndikindiki
• ukuncinza
• ukulahlekelwa umuzwa
• ukuqina
• ubuhlungu

Ukubuyekezwa kwezokwelapha kutholakale ukuthi uma unokulimala okuqondile okusikiwe okuqondile, izinzwa zakho zingaqala ukuphinde zihlangane ezinsukwini ezintathu kuya kweziyisikhombisa ngemuva kokuhlinzwa kwakho. Ukulimala okuyinkimbinkimbi, njengezinyembezi nokulimala kokuchoboza, noma uma unesifo, kunganciphisa ukuphulukiswa. Ngokuvamile, kungathatha izinyanga ezintathu kuya kweziyisithupha ukuthi izinzwa zakho zipholile.

Ukuthuthukiswa kokuhlinzwa

Ukuvivinya umzimba ngokwelashwa nangesandla sakho kungakusiza welaphe. Ukuvuselelwa kubalulekile ukuze uthole ukusebenza kwesandla namandla kubuyele kokujwayelekile. Udokotela wakho angancoma ukuqala amasonto okwelashwa ngokomzimba noma emsebenzini ngemuva kokuhlinzwa kwakho. Buza udokotela wakho ukuthi kuphephile nini ukuqala ukuzivocavoca umzimba.

Ungadinga ukuqhubeka nokwelashwa ngokomzimba noma ngokomsebenzi kuze kube yisonto lama-24 ngemuva kokuhlinzwa kwakho noma isikhathi eside. Uchwepheshe wezomzimba angancoma nokuzivocavoca kwasekhaya okujwayelekile. Ungadinga futhi ukugqoka isandla noma umunwe umsizi ukusiza indawo ukuthi yelapheke.

Ukuzivocavoca ngokwelashwa komzimba ukwenza isandla neminwe kuqine futhi kuguquguquke kufaka phakathi:

• Ububanzi bokuhamba. Sebenzisa isandla sakho esingalimele ukuqondisa kahle bese ugoba umunwe.
• Isandiso somunwe. Beka intende yesandla sakho phezu kwetafula bese uphakamisa kancane umunwe ngamunye ngesikhathi.
• Ukuzivocavoca umsebenzi. Sebenzisa isithupha sakho nomunwe olimele ukucosha izinto ezincane njengamamabula noma izinhlamvu zemali.
• Ukuzivocavoca umzimba. Cindezela isandla sakho esibhakeleni bese uyadedela; bamba ibhola lethenisi noma ibhola lengcindezi bese ulikhama.

Ucwaningo lwezokwelapha oluvela eTurkey lwalandela inqubekela phambili yabantu abahlinzwa ngempumelelo ngomunwe noma isithupha esinqunyiwe. Ngokwelapha ngokomzimba kuhlanganiswe namasu wokuhlikihla, cishe kwabantu ababuyiselwe okuhle ukuze baphelele ekusebenzeni kwesandla.

Izinkinga ngemuva kokuhlinzwa

Ungaba nezinye izinhlobo zomonakalo emunweni wakho noma esandleni sakho nangemva kokuphulukiswa ekuhlinzweni okunamathiselwe kabusha. Uma unesimo esingelapheki njengesifo sikashukela, ukululama kwakho kungathatha isikhathi eside.

Izinkinga ezingaphela emva kwesikhathi esithile noma zibe yisikhathi eside zifaka:

• ubuhlungu
• ihluli
• ukuzwela okubandayo
• ukuqina okuhlangene noma isifo samathambo
• imisipha yoma
• izicubu ezibomvu
• ukuvuvukala noma ukuguquka kwesimo
• ukuncipha komunwe

Kungenzeka futhi ukuthi ungahlangabezana nesifo sokucindezeleka kwangemva kwenhlekelele, ukukhathazeka, noma ukucindezeleka ngemuva kokulimala nokuhlinzwa kwakho. Bona owelapha mayelana nendlela engcono yokubhekana nalesi sifo. Iqembu lokukhubazeka noma lama-amputee lingakusiza nokuthi uqhubekele phambili kahle.

Ukuthatha

Khumbula ukuthi kunezinto ongazenza ukusiza ukuthi ululame. Amathiphu asiza ukwelashwa nokuthuthukisa impilo yakho ejwayelekile njengoba ululama ngemuva kokunqunywa umunwe noma iminwe afaka:

• ukuthatha yonke imithi njengoba kunqunyiwe
• ukugwema ukubhema nokuhlafuna ugwayi
• ukudla ukudla okunomsoco nokuphuza amanzi amaningi
• ukugqoka umucu njengoba kuchaziwe
• ukuya ekuzivocavoca umzimba
• ukulandela imiyalo yokuzivocavoca ekhaya
• ukubona udokotela wakho ngazo zonke izikhathi zokulandelwa
• ukukhuluma nodokotela ngendlela engcono yokuphatha ukululama kwakho okuqondile