Ama-fracture e-Shin ahlukaniswe ngama-fractures we-condyles (ukuphela komzimba wethambo okwenza ukuhlanganiswa nokukhonza ukulungisa imisipha), ukuphuka kwe-diaphysis (ingxenye ephakathi, i-tubular ye-bone), i-fractures ye-ankle.
Ukuhlukaniswa kwezinhlanzi
Ama-fractures of the condyles of the tibia ngokuvamile ayenzeka uma ewa kusuka ekuphakameni kuya emilenzeni eqondisiwe noma emadolweni. Izimpawu eziyinhloko ubuhlungu nokuvuvukala esifundeni sokuphuka. Futhi, lolu hlobo lokuphuka luhambisana nokubola kwegazi emhlangeni webhande, i-shin iyavela, ukuhamba kwesibambiso kunqunyelwe.
Ngokwehlukana kwe-diaphysis, kuye ngokuthi uhlobo lokulimala, eyodwa noma kokubili tibia yonakalisiwe. I-fracture ingase iguquke, i-oblique noma ihlukaniswe. Ivela kakhulu kaningi ngenxa yokwethuka kwi-shin. Ukukhubazeka kweShin kunokwenzeka, ubuhlungu kanye ne-edema ziyabonakala esifundeni se-fracture, ukusekelwa emlenzeni akunakwenzeka.
Usizo lokuqala lokuphulwa
Ukwelashwa kwemifucuza kwenziwa kuphela esibhedlela. Ngokushesha endaweni yokulimala, ukulungiswa kwenziwa ngethayi, futhi kungakhathaliseki uhlobo lomonakalo, ama-knee kanye namajoyini angamazinyo amisiwe. Ungafaka ibhasi lezokwelapha, futhi uma ungenayo, sebenzisa izinto ezikhona (amabhodi) noma umane unamathele umlenze owodwa komunye. Ngenkinga evulekile, kufanele kuthathwe ukunakekelwa ukuvimbela ukutheleleka ekungeneni kwesilonda. Ngemuva kokusebenzisa isondo nokufeza i-anesthesia, isiguli kufanele sithathwe esibhedlela ngokushesha ngangokunokwenzeka.
Ama-fractures engxenyeni ephakathi yethambo awayinkimbinkimbi, futhi ezimweni eziningi uphathwa ngendlela efanele, ngokubeka i-bandage eqanjiwe. Uma kuqhathaniswa ukuhlukumezeka nokuhlukana, ukuhlinzwa kungadingeka ukuvumelanisa ithambo.
Ezingxenyeni ezingenhla kwe-tibia ne-displacement, kungadingeka ukuthi i-bone repositioning isetshenziswe, emva kwalokho i-gypsum isetshenziswe okungenani amaviki ayisithupha, futhi uma amathambo engahambisani ncamashi, i-squelettic traction yenziwa, okuthatha izinyanga ezimbili.
Phulukisa lezi ziphuka ngezindlela ezehlukene, kuye ngokuthi ubukhulu, indawo yokulimala, ubudala kanye nezici zomuntu ngamunye. Imigomo ingaba inyanga eyodwa ngokuhlukana ngaphandle kwezinyanga ezingu-3 ezimweni ezinzima.
Ukuvuselelwa emva kokuhlukana
Izimpikiswano eziyinhloko zokuvuselelwa emva kokuphuka ukubuyiswa kokuhamba kwemisipha namalungu, ukulwa ne-atrophy kanye nezimo eziqhubekayo. Ukwenza lokhu, okokuqala, ukuvivinya umzimba kuyasetshenziswa.
Izigaba zokuqala kufanele zibe ngaphambi kokususwa kwe-bandage ye-plaster. Kulesi sigaba, zihlanganisa ukuguqa iminwe yakho, kanye nokuhlukunyezwa kwemisipha.
Ngemuva kokukhipha i-gypsum, udinga ukuthuthukisa umlenze, kancane kancane ukwandisa umthwalo. Esigabeni sokuqala kunconywa ukuba uhambisane nomhlanga, futhi uzivocavoca ukulala emhlane noma emaceleni (imilenze nemilenze). Imisebenzi echibini iyasiza kakhulu ezimweni ezinjalo.
Izenzo ezivame kakhulu zihlanganisa:
- Ukushintshaniswa kwezinyawo zomlenze owonakele, ukuthuthukisa ukuhamba kwamajoyina. Ukuzivocavoca akukhuthazwa ezinsukwini zokuqala ngemuva kokususwa kwe-gypsum.
- Phakamisa imilenze yakho phezulu, ngokuphambene, nge-angle engama-degree angama-30, ubambelele kwenye uhlobo lokusekela. Ukuzivocavoca kusiza ukuthuthukisa imisipha ye-front yangaphambili kwethanga.
- Ukubambelela ekusekeleni, uguqula imilenze yakho ohlangothini ukuze uthuthukise imisipha yomnyango wangaphakathi wethanga.
- Vuka kancane kancane ezinzwaneni zakho bese ugoba, uma kunesidingo ubambelele odongeni noma olunye usizo. Ngokuhamba kwesikhathi, ukwandisa umthwalo, ungenza umsebenzi, uhlale ngomlenze owodwa.
- Ukuhamba okuvamile - ukuthuthukisa imisipha, noma ukukhuphuka izitebhisi - ngamalungu.
Ngaphandle kokwelapha ngokomzimba ukuthola ukuphumula okuphuthumayo kokusebenzisa, i-hydromassage, okugeza okuhlinzeka.