Kwiminyaka yakutshanje, izehlo zokuqhekeka ziye zanda, zichaphazela kakhulu ubomi kunye nomsebenzi wezigulana.Ngoko ke, kuyimfuneko ukufunda malunga neendlela zokukhusela iifractures kwangaphambili.
Ukwenzeka kokuqhekeka kwamathambo
Imiba yangaphandle:Ukuqhekeka kubangelwa ikakhulu yimiba yangaphandle efana neengozi zemoto, umsebenzi onzima womzimba okanye impembelelo.Nangona kunjalo, ezi zinto zangaphandle zinokuthintelwa ngokulumka ngelixa uqhuba, ukuthatha inxaxheba kwimidlalo okanye eminye imisebenzi yomzimba, kunye nokuthatha amanyathelo okukhusela.
Imiba yonyango:Izifo ezahlukahlukeneyo zifuna amayeza, ingakumbi kwizigulana ezalupheleyo ezisoloko zisebenzisa amayeza.Kuphephe ukusebenzisa iziyobisi ezine-steroids, njenge-dexamethasone kunye ne-prednisone, ezinokubangela i-osteoporosis.Unyango lokubuyisela i-hormone ye-thyroid emva kotyando lwamaqhuqhuva edlala lengqula, ngakumbi kwiidosi eziphezulu, lunokukhokelela kwi-osteoporosis.Ukusetyenziswa kwexesha elide kwamachiza e-antiviral afana ne-adefovir dipivoxil kunokufuneka kwi-hepatitis okanye ezinye izifo zentsholongwane.Emva kotyando lomhlaza webele, ukusetyenziswa kwexesha elide kwe-aromatase inhibitors okanye ezinye izinto ezinjenge-hormone zinokubangela ukulahleka kwamathambo.Iiproton pump inhibitors, amachiza alwa neswekile anjenge thiazolidinedione drugs, kunye ne antiepileptic drugs ezifana ne phenobarbital kunye ne phenytoin nazo zinokukhokelela kwi-osteoporosis.
Unyango lweefractures
Iindlela zonyango ezilondolozayo zokwaphuka ikakhulu ziquka oku kulandelayo:
Okokuqala, ukunciphisa ngesandla,esebenzisa ubuchule obufana nokutsala, ukukhohlisa, ukujikelezisa, ukuphulula, njl.
Isibini,ukulungiswa, ngokuqhelekileyo kubandakanya ukusebenzisa izikhonkwane ezincinci, i-plaster cast,orthoses, i-skin traction, okanye i-bone traction yokugcina indawo yokuphuka emva kokunciphisa ide iphole.
Okwesithathu, unyango ngamayeza,ngokuqhelekileyo isebenzisa iziyobisi ukukhuthaza ukujikeleza kwegazi, ukunciphisa ukudumba kunye neentlungu, kunye nokukhuthaza ukubunjwa kunye nokuphilisa i-callus.Iziyobisi ezenza isibindi kunye nezintso, zomeleza amathambo kunye neetoni, zondla i-qi kunye negazi, okanye ukukhuthaza ukujikeleza kwe-meridian zingasetyenziselwa ukuququzelela ukubuyiswa komsebenzi welungu.
Okwesine, umthambo osebenzayo,okubandakanya ukuzivocavoca okuzimeleyo okanye okuncediswayo ukubuyisela uluhlu oludibeneyo lokunyakaza, amandla emisipha, kunye nokuthintela i-atrophy ye-muscle kunye ne-osteoporosis, ukuququzelela ukuphulukiswa kokuphuka kunye nokubuyisela ukusebenza.
Unyango lotyando
Unyango lotyando lweefractures ikakhulu lubandakanyaukulungiswa kwangaphakathi, ukulungiswa kwangaphandle, kwayeukutshintshwa ngokudibeneyo kwiintlobo ezikhethekileyo zeefractures.
Ukulungiswa kwangaphandleifanelekile kwiifractures ezivulekileyo kunye neziphakathi kwaye ngokubanzi zibandakanya izicathulo ze-traction okanye ezichasayo zokujikeleza ngaphandle kwe-8 kwiiveki ze-12 ukukhusela ukujikeleza kwangaphandle kunye nokunyuswa kwelungu elichaphazelekayo.Kuthatha malunga neenyanga ezi-3 ukuya kwezi-4 ukuphilisa, kwaye kukho iziganeko eziphantsi kakhulu ze-nonunion okanye i-femoral head necrosis.Nangona kunjalo, kukho ithuba lokufuduka kwinqanaba lokuqala lokuphuka, ngoko ke abanye abantu bakhuthaza ukusetyenziswa kokulungiswa kwangaphakathi.Ngokubhekiselele kwi-plaster fixation yangaphandle, ayifane isetyenziswe kwaye inqunyelwe kuphela kubantwana abancinci.
Ukulungiswa kwangaphakathi:Okwangoku, izibhedlele ezinemiqathango zisebenzisa ukunciphisa okuvaliweyo kunye nokulungiswa kwangaphakathi phantsi kwesikhokelo semishini ye-X-ray, okanye ukunciphisa okuvulekileyo kunye nokulungiswa kwangaphakathi.Ngaphambi kokuhlinzwa kokulungiswa kwangaphakathi, ukunciphisa ngesandla kwenziwa ukuze kuqinisekiswe ukunciphisa i-anatomical ye-fracture ngaphambi kokuba kuqhutywe utyando.
I-Osteotomy:I-Osteotomy inokwenziwa ngenxa yobunzima bokuphilisa okanye i-fractures endala, njenge-intertrochanteric osteotomy okanye i-subtrochanteric osteotomy.I-Osteotomy ineengenelo zotyando olulula, ukunciphisa kancinci kwelungu elichaphazelekayo, kwaye ilungele ukuphiliswa kokwaphuka kunye nokuchacha kokusebenza.
Utyando lokubuyisela oludibeneyo:Oku kulungele izigulane ezisebekhulile ezineentlungu zentamo ye-femoral.Nge-nonunion okanye i-avascular necrosis yentloko yesifazane kwi-femoral neck fractures endala, ukuba isilonda sinqunyelwe entloko okanye entanyeni, utyando lokutshintshwa kwentloko ye-femal lunokwenziwa.Ukuba isilonda sonakalise i-acetabulum, utyando olupheleleyo lokutshintshwa kwe-hip luyafuneka.
Ixesha lokuposa: Mar-16-2023
