Uqhaqho lwe-Hip

Uqhaqho lwe-Hip lwenziwe ukulungisa ikhefu kwinxalenye ephezulu yethambo lethanga. Ithambo lethanga libizwa ngokuba li-femur. Inxalenye yelungu lomlenze.

Intlungu ye-Hip sisihloko esinxulumene noko.

Unokufumana i-anesthesia ngokubanzi kolu tyando. Oku kuthetha ukuba awuyi kuziva kwaye awukwazi ukuva intlungu. Unokuba ne-anesthesia yomqolo. Ngolu hlobo lwe-anesthesia, iyeza lifakwa emqolo ukuze likwenze ube ndindisholo phantsi kwesinqe sakho. Unokufumana i-anesthesia ngokusebenzisa imithambo yakho ukuze ulale ngexesha lotyando.

Uhlobo lotyando onalo luxhomekeke kuhlobo lokophuka onalo.

Ukuba ukwaphuka kwakho kusentanyeni ye-femur (icandelo elingaphantsi kwethambo phezulu) unokuba nenkqubo yokuphelisa i-hip. Ngexesha lotyando:

• Ulala phezu kwetafile ekhethekileyo. Oku kuvumela ugqirha wakho ukuba asebenzise umatshini we-x-ray ukuze abone ukuba iindawo zethambo lakho le-hip zilunge kangakanani.
• Ugqirha wenza ukusikwa okuncinci (ukusika) ecaleni kwethanga lakho.
• Izikere ezizodwa zibekwe ukuze zibambe amathambo kwindawo yazo echanekileyo.
• Olu tyando luthatha iiyure ezi-2 ukuya kwezi-4.

Ukuba unokophuka kwe-intertrochanteric (indawo engezantsi kwentamo yomfazi), ugqirha wakho osebenzisa ugqirha uya kusebenzisa ipleyiti yesinyithi ekhethekileyo kunye nezikere zokucinezela ezizodwa ukuzilungisa. Rhoqo, ngaphezulu kwesiqwenga samathambo esaphukileyo kolu hlobo lokophuka. Ngexesha lotyando:

• Ulala phezu kwetafile ekhethekileyo. Oku kuvumela ugqirha wakho ukuba asebenzise umatshini we-x-ray ukuze abone ukuba iindawo zethambo lakho le-hip zilunge kangakanani.
• Ugqirha wenza utyando ngakwithanga lakho.
• Isitya sensimbi okanye isikhonkwane siqhotyoshelwe ngezikere ezimbalwa.
• Olu tyando luthatha iiyure ezi-2 ukuya kwezi-4.

Ugqirha wakho unokwenza i-hip esikhundleni esithile (hemiarthroplasty) ukuba kukho inkxalabo yokuba umlenze wakho awuyi kuphulukisa kakuhle usebenzisa enye yeenkqubo ezingentla. I-Hemiarthroplasty ithatha indawo yebhola kwindawo yokudibanisa.

Ukuba ukwaphuka kwesinqe kunganyangwa, kungafuneka uhlale esihlalweni okanye ebhedini iinyanga ezimbalwa de oko kuphuka. Oku kunokukhokelela kwiingxaki zonyango ezisongela ubomi, ngakumbi ukuba ukhulile. Utyando luyacetyiswa ngenxa yezi ngozi.

Oku kulandelayo ngumngcipheko wotyando:

• I-avascular necrosis. Ngeli xesha ke xa ukunikezelwa kwegazi kwinxalenye ye-femur kunqunyulwa kangangexesha elithile. Oku kunokubangela ukuba inxalenye yethambo ife.
• Ukwenzakala kwimithambo-luvo okanye kwimithambo yegazi.
• Iinxalenye zethambo le-hip azinakuhlangana kunye okanye kwindawo echanekileyo.
• Amahlwili egazi emilenzeni okanye emiphungeni.
• Ukudideka kwengqondo (isifo sengqondo esixhalabisayo). Abantu abadala abadala abaphuka umlenze banokufumana iingxaki zokucinga ngokucacileyo. Ngamanye amaxesha, utyando lunokuyenza ingxaki ngakumbi.
• Izilonda zoxinzelelo (izilonda zoxinzelelo okanye izilonda zokulala) ukusuka ebhedini okanye kwisitulo ixesha elide.
• Usulelo. Oku kunokufuna ukuba uthathe ii-antibiotics okanye ube notyando oluninzi ukuphelisa usulelo.

Uya kungeniswa esibhedlele ngenxa yokwaphuka kwesinqe. Ngokuqinisekileyo ngekhe ube nakho ukubeka ubunzima emlenzeni okanye uphume ebhedini.

Xelela umboneleli wakho wezempilo ukuba ngawaphi amayeza owasebenzisayo. Oku kubandakanya amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

Ngomhla wotyando:

• Uya kucelwa ukuba ungaseli okanye utye nantoni na emva kobusuku ngaphambi koqhaqho. Oku kubandakanya itshungama kunye nemizuzu yokuphefumla. Hlamba umlomo wakho ngamanzi ukuba uziva womile, kodwa ungaginyeki.
• Thatha amayeza umboneleli wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Ukuba uya esibhedlele ukusuka ekhaya, qiniseka ukuba ufike ngexesha elimiselweyo.

Uya kuhlala esibhedlele kangangeentsuku ezi-3 ukuya kwezi-5. Ukuchacha ngokupheleleyo kuya kuthatha ukusuka kwiinyanga ezi-3 ukuya kwezi-4 ukuya kunyaka.

Emva kotyando:

• Uya kuba ne-IV (i-catheter, okanye ityhubhu, efakwa emthanjeni, ihlala ingalo yakho). Uya kufumana ulwelo nge-IV de ube nako ukusela wedwa.
• Isitokhwe esikhethekileyo semilenze yakho sinceda ukuphucula ukuhamba kwegazi kwimilenze yakho. Oku kunciphisa umngcipheko wokufumana amahlwili egazi, aqheleke kakhulu emva kotyando lwenyonga.
• Ugqirha wakho uya kukunika amayeza entlungu. Ugqirha wakho unokumisela amayeza okubulala iintsholongwane ukuthintela usulelo.
• Unokuba ne-catheter efakwe kwi-bladder yakho ukucoca umchamo. Iyakususwa xa sele ukulungele ukuqala ukuchama wedwa. Uninzi lwexesha, iyasuswa kwiintsuku ezi-2 okanye ezi-3 emva kotyando.
• Unokufundiswa ngokuphefumla okunzulu kunye nokukhohlela usebenzisa isixhobo esibizwa ngokuba yi-spirometer. Ukwenza le mithambo kuya kunceda ukukhusela inyumoniya.

Uya kukhuthazwa ukuba uqalise ukuhamba nokuhamba kwangoko kusuku lokuqala emva kotyando. Uninzi lweengxaki ezikhulayo emva kotyando lokwaphuka kwethambo zinokuthintelwa ngokuphuma ebhedini nasekuhambeni ngokukhawuleza.

• Uya kuncedwa uphume ebhedini uye esihlalweni ngosuku lokuqala emva kotyando.
• Uya kuqala ukuhamba ngeentonga okanye isihambahamba. Uya kucelwa ukuba ungabeki ubunzima obuninzi emlenzeni owenziwe.
• Xa ulele ebhedini, goba kwaye ulungise amaqatha akho rhoqo ukwandisa ukuhamba kwegazi ukunceda ukuthintela amahlwili egazi.

Uya kuba nakho ukugoduka xa:

• Ungahamba ngokukhuselekileyo ngesihamba okanye ngeentonga.
• Wenza ngokuchanekileyo imithambo ukomeleza isinqe nomlenze wakho.
• Ikhaya lakho lilungile.

Landela nayiphi na imiyalelo oyinikiweyo malunga nendlela yokuzikhathalela ekhaya.

Abanye abantu bafuna ukuhlala nje kancinci kwiziko lokubuyisela kwimo yesiqhelo emva kokuphuma kwabo esibhedlele naphambi kokuba bagoduke. Kwiziko lokuvuselela, uya kufunda ukuba ungayenza njani ngokukhuselekileyo imisebenzi yakho yemihla ngemihla uwedwa.

Kuya kufuneka usebenzise iintonga zokuhamba okanye ukuhambahamba iiveki ezimbalwa okanye iinyanga ezimbalwa emva kotyando.

Uyakwenza ngcono ukuba uphuma ebhedini kwaye uqala ukuhamba ngokukhawuleza emva kotyando lwakho. Iingxaki zempilo ezikhula emva kolu tyando zihlala zibangelwa kukungasebenzi.

Umboneleli wakho uya kukunceda uthathe isigqibo xa ukhuselekile ukuba uye ekhaya emva kolu tyando.

Kuya kufuneka uthethe nomboneleli wakho malunga nezizathu zokuwa kunye neendlela zokuthintela ukuwa kwexesha elizayo.

Ukulungiswa kwe-inter-trochanteric fracture; Ukulungiswa kwesahlulo se-subrochanteric; Ukulungiswa kwentamo yomfazi; Ukulungiswa kwetrochanteric; Utyando lwe-Hip pinning; Osteoarthritis - inyonga

• Ukulungisa ikhaya lakho - idolo okanye utyando lwenyonga
• Ukuqhekeka kwe-Hip - ukukhutshwa

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ILeslie MP, uBaumgaertner MR. Intertrochanteric hip fractures. Ku: Browner BD, Jupiter JB, Krettek C, Anderson PA, ii-eds. Uxinzelelo lwamathambo: iNzululwazi esisiseko, uLawulo, kunye noKwakha ngokutsha. Umhla we-5.IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 55.

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