Ukuqhekeka

Ukutyumka yindawo yokubala kwesikhumba. Ukutyumka kwenzeka xa imithambo yegazi encinci yaphuka kwaye ivuze imixholo yayo kwithishu ethambileyo phantsi kolusu.

Zintathu iintlobo zemivumbo:

• Ngaphantsi - ngaphantsi kwesikhumba
• I-intramuscular - ngaphakathi kwesisu sesisipha esisisiseko
• Periosteal - ukugruzuka kwethambo

Ukuqhekeka kunokuhlala kwiintsuku ukuya kwiinyanga. Ukutyumka amathambo yeyona nto iqatha kwaye ibuhlungu.

Imivumbo idla ngokubangelwa kukuwa, ukonzakala kwezemidlalo, iingozi zeemoto, okanye ukubetha okufunyenwe kwabanye abantu okanye izinto.

Ukuba uthatha igazi elincinci, njenge-aspirin, i-warfarin (i-Coumadin, i-Jantoven), i-dabigatran (i-Pradaxa), i-rivaroxaban powder (i-Xarelto), i-apixaban (i-Eliquis), okanye i-clopidogrel (i-Plavix), unokukrala ngokulula.

Iimpawu eziphambili ziintlungu, ukudumba, kunye nokudumba kolusu. Ukutyumka kuqala njengombala obomvana obupinki onokuba nothambile kakhulu ekuwuchukumiseni. Kuhlala kunzima ukusebenzisa umsipha otyumkileyo. Umzekelo, ukugruzuka kwamathanga anzulu kubuhlungu xa uhamba okanye ubaleka.

Ekugqibeleni, ukutyumka kuguquka umbala oluhlaza, emva koko luhlaza-tyheli, kwaye ekugqibeleni ubuyela kumbala oqhelekileyo wolusu njengoko uphilisa.

• Beka umkhenkce kwimivumbo ukuwunceda ukuphilisa ngokukhawuleza kunye nokunciphisa ukudumba. Bopha umkhenkce ngetawuli ecocekileyo. Musa ukubeka umkhenkce ngqo kulusu. Faka umkhenkce kangangemizuzu eli-15 ngeyure nganye.
• Gcina indawo eyaphukileyo iphakanyiswe ngentla kwentliziyo, ukuba kunokwenzeka. Oku kunceda ukugcina igazi lingadibani nakwizicubu ezaphukileyo.
• Zama ukuphumla ilungu lomzimba elaphukileyo ngokungazisebenzisi kakhulu izihlunu zakho kuloo ndawo.
• Ukuba kufuneka, thatha i-acetaminophen (iTylenol) ukunceda ukunciphisa iintlungu.

Kwimeko enqabileyo ye-compartment syndrome, utyando luhlala lusenziwa ukunciphisa uxinzelelo olukhulu lwengcinezelo. Isifo seCandelo lesiphumo sibangelwa kukunyuka koxinzelelo kwizicubu ezithambileyo kunye nolwakhiwo phantsi kolusu. Inganciphisa ukubonelelwa kwegazi kunye neoksijini kwizicubu.

• Ungazami ukukhupha umvumbo ngenaliti.
• Sukuqhubeka nokubaleka, ukudlala, okanye ukusebenzisa elinye ilungu lomzimba wakho elibuhlungu.
• Sukuyibetha ngoyaba intlungu okanye ukudumba.

Fowunela umboneleli wakho wezempilo kwangoko ukuba uziva uxinzelelo olukhulu kwindawo eyaphukileyo yomzimba wakho, ngakumbi ukuba indawo inkulu okanye ibuhlungu kakhulu. Oku kunokuba ngenxa yesifo secandelo, kwaye kunokubusongela ubomi. Kufuneka ufumane unyango olungxamisekileyo.

Fowunela umnikezeli wakho ukuba:

• Ukonzakala ngaphandle kokulimala, ukuwa, okanye esinye isizathu.
• Kukho imiqondiso yosulelo ejikeleze indawo eyaphukileyo kubandakanya ubomvu, ubomvu okanye omnye umjelo, okanye umkhuhlane.

Ngenxa yokuba ukwenzakala kuvamise ukuba sisiphumo sokwenzakala, oku kulandelayo zizindululo ezibalulekileyo zokhuseleko:

• Fundisa abantwana indlela yokukhusela.
• Qaphela ukuthintela ukuwa endlini. Umzekelo, lumka xa ukhwela kwiileli okanye ezinye izinto. Gwema ukuma okanye ukuguqa ngamanqwanqwa aphezulu.
• Bhinqani amabhanti ezimoto ezimotweni.
• Nxiba izixhobo ezifanelekileyo zemidlalo ukukhawulezisa ezo ndawo zihlala zenzakele, ezinje ngeephedi zethanga, oonogada beenyonga, kunye neepokotho zengqiniba kwibhola ekhatywayo nakwihoki. Nxiba oonogada be shin kunye neephedi zedolo kwibhola ekhatywayo nakwibhasikithi.

Ukuxubana; IHematoma

• Ukutyumka kwamathambo
• Ukutyumka kwezihlunu
• Ukutyumka ulusu
• Ukuphilisa abantu ngothotho

I-Buttaravoli P, iLeffler SM. Ukudibanisa (ukugruzuka). Ku: Buttaravoli P, Leffler SM, ii-eds. Imeko zikaxakeka ezincinci. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier Saunders; Ngo-2012: isahluko 137.

UCameron P. Trauma. Ku: Cameron P, Jelinek G, Kelly AM, Brown A, Little M, ii-eds. Incwadi yezeMpilo yabantu abadala. Ngomhla we-4. IPhiladelphia, PA: Elsevier Churchill Livingstone; Ngo-2015: 71-162.