Kwiminyaka yakutshanje, ukwanda kwamathuba okuqhekeka kwamalungu omzimba kuye kwanda, nto leyo echaphazela kakhulu ubomi kunye nomsebenzi wezigulane. Ke ngoko, kuyimfuneko ukufunda ngeendlela zokuthintela ukuqhekeka kwamalungu omzimba kwangaphambili.
Ukwenzeka kokuqhekeka kwamathambo
Izinto zangaphandle:Ukwaphuka kwamalungu omzimba kubangelwa kakhulu zizinto zangaphandle ezifana neengozi zeemoto, umsebenzi womzimba onzima okanye impembelelo. Nangona kunjalo, ezi zinto zangaphandle zinokuthintelwa ngokuqaphela xa uqhuba, uthatha inxaxheba kwimidlalo okanye kwezinye izinto zomzimba, kunye nokuthatha amanyathelo okuzikhusela.
Izinto ezibangela amayeza:Izifo ezahlukeneyo zifuna amayeza, ingakumbi kubantu abadala abasebenzisa iziyobisi rhoqo. Kuphephe ukusebenzisa amayeza anee-steroids, njenge-dexamethasone kunye ne-prednisone, ezinokubangela i-osteoporosis. Unyango lokutshintshwa kwehomoni ye-thyroid emva kotyando lwe-thyroid nodule, ingakumbi kwiidosi eziphezulu, lunokukhokelela kwi-osteoporosis. Ukusetyenziswa ixesha elide kwamayeza e-antiviral afana ne-adefovir dipivoxil kunokufuneka kwi-hepatitis okanye ezinye izifo zentsholongwane. Emva kotyando lomhlaza webele, ukusetyenziswa ixesha elide kwe-aromatase inhibitors okanye ezinye izinto ezifana ne-hormone kunokubangela ukulahleka kwamathambo. I-Proton pump inhibitors, amayeza e-antidiabetic afana ne-thiazolidinedione, kunye namayeza e-antiepileptic afana ne-phenobarbital kunye ne-phenytoin nawo anokukhokelela kwi-osteoporosis.
Unyango lwamathambo aqhekekileyo
Iindlela zonyango ezilondolozayo zokuqhekeka kwamathambo ziquka oku kulandelayo:
Okokuqala, ukunciphisa ngesandla,esebenzisa iindlela ezinje ngokubamba, ukuguquguqula, ukujikeleza, ukuphulula, njl.njl. ukubuyisela iziqwenga zokwaphuka ezisusiweyo kwindawo yazo eqhelekileyo yomzimba okanye kwindawo emalunga nomzimba.
Isibini,ukulungiswa, okuhlala kubandakanya ukusebenzisa ii-splint ezincinci, ii-plaster casts,ii-orthoses, ukutsalwa kolusu, okanye ukutsalwa kwamathambo ukugcina indawo yokuqhekeka emva kokuncipha ide iphole.
Okwesithathu, unyango ngamayeza,edla ngokusebenzisa amayeza ukukhuthaza ukujikeleza kwegazi, ukunciphisa ukudumba kunye nentlungu, kunye nokukhuthaza ukwakheka nokuphiliswa kwe-callus. Amayeza aqinisa isibindi kunye nezintso, omeleza amathambo kunye nemisipha, ondla i-qi kunye negazi, okanye akhuthaza ukujikeleza kwegazi kwe-meridian angasetyenziselwa ukwenza lula ukubuyiselwa komsebenzi welungu.
Okwesine, ukuzilolonga ngokusebenza,oku kuquka ukuzilolonga okuzimeleyo okanye okuncediswayo ukubuyisela umgama wokuhamba kwamalungu, amandla emisipha, kunye nokuthintela ukuwohloka kwemisipha kunye ne-osteoporosis, okunceda ukuphiliswa kwamathambo kunye nokubuyela ekusebenzeni kakuhle.
Unyango lotyando
Unyango lotyando lwamathambo oluquka ikakhuluukulungiswa kwangaphakathi, ukulungiswa kwangaphandlekunyeukutshintshwa kwamalungu kwiintlobo ezikhethekileyo zokuqhekeka.
Ukulungiswa kwangaphandleifanelekile kwiingozi ezivulekileyo neziphakathi kwaye ngokubanzi ibandakanya izihlangu zokutsala okanye zokujikelezisa ezichasene nokujikeleza kwangaphandle kangangeeveki ezisi-8 ukuya kwezili-12 ukuthintela ukujikeleza kwangaphandle kunye nokufakwa kwelungu elichaphazelekayo. Kuthatha malunga neenyanga ezi-3 ukuya kwezi-4 ukuphiliswa, kwaye kukho amathuba amancinci kakhulu okufa kwentloko engaphantsi komanyano okanye ye-femoral. Nangona kunjalo, kukho ithuba lokuhamba kwinqanaba lokuqala lokuphuka, ngoko abanye abantu bakhuthaza ukusetyenziswa kwe-internal fixation. Ngokuphathelele i-plaster external fixation, ayisetyenziswa rhoqo kwaye ikhawulelwe kubantwana abancinci kuphela.
Ukulungiswa kwangaphakathi:Okwangoku, izibhedlele ezineemeko ezithile zisebenzisa ukuncipha okuvaliweyo kunye nokulungiswa kwangaphakathi phantsi kwesikhokelo soomatshini be-X-ray, okanye ukuncipha okuvulekileyo kunye nokulungiswa kwangaphakathi. Ngaphambi kotyando lokulungisa kwangaphakathi, kwenziwa ukunciphisa ngesandla ukuqinisekisa ukunciphisa ukwaphuka komzimba ngaphambi kokuba kuqhubeke notyando.
Utyando lwe-Osteotomy:I-Osteotomy inokwenziwa xa kuthe kwaphuka okunzima ukuphiliswa okanye okudala, njenge-intertrochanteric osteotomy okanye i-subtrochanteric osteotomy. I-Osteotomy ineengenelo zotyando olulula, ukunciphisa ukufinyezwa kwelungu elichaphazelekayo, kwaye iluncedo ekupholiseni ukwaphuka kunye nokubuyela ekusebenzeni kakuhle.
Utyando lokutshintshwa kwamalungu:Oku kufanelekile kwizigulana ezikhulileyo ezineentlungu zentamo ye-femoral. Kwi-nonion okanye avascular necrosis yentloko ye-femoral kwiintlungu zentamo ye-femoral endala, ukuba inxeba lilinganiselwe entloko okanye entanyeni, utyando lokutshintshwa kwentloko ye-femoral lunokwenziwa. Ukuba inxeba lonakalise i-acetabulum, kufuneka utyando lokutshintshwa kwethanga lonke.
Ixesha lokuthumela: Matshi-16-2023
