Ukwehlukana kwenzeka lapho ubuqotho bethambo buphukile ngenxa yokulimala. Izinhlobo eziningi nezibonakaliso zezinsalela kulula ukubona lapho, ngaphandle kosizo lochwepheshe, kodwa-ke ezinye zazo azikhohlisi ngoba ngokushesha isisulu singase singaqondi ukuthi siphume futhi sidinga usizo lwezokwelapha ngokuphuthumayo: uyaqhubeka nokuhola indlela endala yokuphila enobuhlungu obuncane futhi ukuhamba okulinganiselwe, ukholelwa ukuthi kwakukhona ukulimala okukhulu.
Ake sibone ukuthi yiziphi izimpawu zokuphuka ezikhuluma ngabo ngomzuzu wokuqala emva kokulimala, okubonisa kuphela ukuthi, mhlawumbe, ithambo lonakalisiwe.
Izimpawu zomtholampilo zezinhlanzi
Kuye ngohlobo lokuphuka, izimpawu zalo zingahlukaniswa zibe ezithembekile - lezo ezishiya ngokungangabazeki ukuthi ithambo likhubazekile kusuka emthelela, futhi izihlobo - lezo ezingabangela ukungabaza: ukuphuka noma ukulimaza kwenzeka.
Izimpawu ezinokwethenjelwa zokuphuka:
- Isimo esingavamile sengalo noma umlenze (uma kuyisibonakaliso sokuphulwa kwesilungu).
- Ukuhamba kwengxenye ephukile endaweni lapho kungekho okuhlangene khona.
- Ukulalela kwe-crunch.
- Ngokuphuka okuvulekile ekilweni, izingcezu zethambo zibonakala.
- Ukunciphisa noma ukwandisa indawo emelekile.
Uma okungenani elilodwa lalezi zimpawu liqinisekisiwe, khona-ke ungakhuluma ngamathuba angu-100% wokuthi kukhona ukuhlukana. Kodwa-ke, ukuba khona kwalezi zimpawu akusiyikuphuca isibopho sokwenza ukuhlolwa kwe-X-ray.
Izimpawu ezihlobene zokuphulwa:
- Ukuzwa okubuhlungu endaweni yokuqhekeka uma kungenakwenzeka noma ngesikhathi sokunyakaza. Futhi, uma wenza umthwalo we-axial, ubuhlungu buyanda (isibonelo, uma ubamba isithende nge-shin fracture).
- Ukuqhaqhaza endaweni yesifo kungase kwenzeke ngokushesha (kungakapheli imizuzu engu-15 ngemuva kokulimala) noma uthuthuke amahora amaningana. Ngokuhambisana nalokhu, uphawu olunjalo lunendima ebalulekile ekunqumeni ukuphulwa, ngoba ihambisana nezinye izinhlobo zomonakalo.
- Hematoma. Kungase kungabi khona, kodwa kaningi kusekhona esakhiweni sokuqhekeka, hhayi njalo ngaso leso sikhathi. Uma ithayela, khona-ke ukuphuma kwegazi kuqhubeka.
- Ukulinganiselwa kokuhamba. Njengomthetho, ingxenye ewonakele ayikwazi ukusebenza ngokuphelele noma ingxenye. Uma kwakungekho ukuphuka okungengokwesilungu, kodwa, ngokwesibonelo, we-coccyx, umuntu uyozizwa enzima ukuhamba, njll. akukhona kuphela umkhawulo ekusebenzeni ingxenye ewonakele, kodwa nalabo abahlangana nabo.
Ukuba khona kwalezi zimpawu akukwazi ukukhuluma ngamathuba angu-100% okuphuka, kepha eziningi zalesi sigaba zihambisana nanoma yikuphi ukuphuka (ubuhlungu, ukuvuvukala, ukuvinjelwa kokuhamba).
Izimpawu zokuphulwa okuvaliwe
Yonke imifantu ihlukaniswa yaba fractures evuliwe futhi ivaliwe. Lezi zinsuku zithola ukuthi zilula kakhulu kuneyokuqala ngaphandle kwe-X-ray kanye nosizo lochwepheshe.
Ukuphulwa okuvaliwe akuhambisani nokulimala okuyisithambile esincane: kulokhu, amathambo namalungu angashintsha isimo (okuthiwa i-fracture with displacement) noma alahlekelwe ubuqotho: ukuhlukaniswa (okuthiwa ukuphulwa komzimba), ngenkathi kugcinwa isikhundla esifanayo.
Izimpawu zokuqala zokuphuka zibuhlungu endaweni yokulimala kanye ne-edema. Ukunyakaza okulinganiselwe, kubangela ubuhlungu, nokunyakaza kwamathambo angeke kwenzeke esifundeni esihlangene (kuye ngokuthi isayithi lokulimala). Ngokuvamile kwakhiwa i-hematoma.
Okokugcina, ukuqinisekisa ukuthi kukhona ukuphulwa okuvaliwe kuphela okungasebenzisa i-X-ray.
Izimpawu zokuphulwa okuvulekile
Ukuphuka okuvulekile kuyingozi kakhulu kunokuba kuvaliwe. Kulesi simo, ngaphezu kokulimala kwamathanga amathambo futhi alahlekelwa ubuqotho. Lokhu kungaba ngenxa yamathonya angaphandle (uma kwenzeka ingozi, noma umlenze ungena ngendlela ehambayo ekukhiqizeni) noma ngoba ithambo eliphukile ngokwalo lilimaza izicubu.
Ukuqhubeka kulokhu, izimpawu ezisemqoka zokuphuka okuvulekile zilimaza, ziphuma, zibonakala ngethambo eliphukile noma izingcezu zalo, ubuhlungu nokuvuvukala. Uma umonakalo wawunzima kakhulu, isisulu singase sibhekane nokushaqeka okukhulu.