Ukulungiswa kweenzwane zehammer

Isando uzwane luhlala luhleli kwindawo egobileyo okanye eguqukileyo.

Oku kunokwenzeka kwiinzwane ezingaphezu kwesinye.

Le meko ibangelwa:

• Ukungalingani kwemisipha
• Irheumatoid Arthritis
• Izihlangu ezingalinganiyo kakuhle

Iindidi ezininzi zotyando zinokulungisa iinzwane zesando. Ugqirha lwakho lwethambo okanye unyawo luya kuncoma uhlobo oluya kukusebenzela. Olunye utyando lubandakanya:

• Ukususa iinxalenye zamathambo ezinzwane
• Ukusika okanye ukutshintshela imisipha yeenzwane (imisipha iqhagamshela ithambo kwimisipha)
• Ukufakela indibaniselwano ngokudibeneyo ukwenza iinzwane zithe nkqo kwaye zingabi nako ukugoba

Emva kotyando, izikhonkwane zotyando okanye ucingo (i-Kirschner, okanye i-K-wire) zisetyenziselwa ukubamba amathambo ezinzwane endaweni yakho xa uzwane luphola. Uya kucelwa ukuba usebenzise isihlangu esahlukileyo ukuze uvumele iinzwane zakho ziphilise. Izikhonkwane ziya kususwa kwiiveki ezimbalwa.

Xa i-hammer toe iqala ukukhula, usenokukwazi ukulungisa imikhwa yakho. Ixesha elingaphezulu, uzwane lwakho lunokubambeka kwindawo egobileyo kwaye awusenakho ukuyolula. Xa oku kusenzeka, umbona obuhlungu, obunzima (obungqindilili, isikhumba esisetyenzisiweyo) sinokwakha ngaphezulu nasezantsi kwenzwane yakho kwaye sikhuhle kwisihlangu sakho.

Utyando lwenzwane alukwenziwanga nje ukwenza ukuba uzwane lwakho lubonakale lungcono. Cinga ngoqhaqho ukuba ihamile yakho yesando ibhajwe kwindawo eguqukayo kwaye ibangela:

• Intlungu
• Ukucaphuka
• Izilonda ezinokukhokelela kusulelo
• Iingxaki zokufumana izihlangu ezilinganayo
• Usulelo lolusu

Ugqirha unokungacetyiswa ukuba:

• Unyango nge-paddings kunye nemisebenzi yokubopha
• Usenokuzilungisa iinzwane zakho
• Ukutshintsha kwiindidi zezihlangu kunokunciphisa iimpawu

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Impendulo kumayeza
• Iingxaki zokuphefumla
• Ukopha
• Usulelo

Umngcipheko woqhaqho lwesando uzwane:

• Ulungelelwaniso olubi lwenzwane
• Ukwenzakala kwimithambo-luvo enokubangela ukuba ubuthathaka kuzwane lwakho
• Unyango lotyando olubuhlungu xa luchukumiseka
• Ukuqina kwinzwane okanye uzwane oluthe nkqo
• Ukunciphisa iminwe yakho
• Ukuphulukana nokunikezelwa kwegazi kuzwane
• Utshintsho kwinkangeleko yeenzwane zakho

Soloko uxelela umboneleli wakho wezempilo ukuba ngawaphi amayeza owathathayo, nditsho amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

• Unokucelwa ukuba uyeke ukuthatha amayeza enza ukuba kube nzima kwigazi lakho ukuba lijiye. Oku kubandakanya i-aspirin, ibuprofen, (Advil, Motrin), naproxen (Naprosyn, Aleve), kunye nezinye iziyobisi.
• Buza umboneleli wakho ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando lwakho.
• Ukuba uyatshaya, zama ukuyeka. Cela uncedo kumboneleli wakho. Ukutshaya kunokuthoba ukunyanga.
• Soloko uvumela umboneleli wakho ukuba azi malunga nokubanda, umkhuhlane, umkhuhlane, okanye esinye isigulo onokuthi ube naso ngaphambi kotyando lwakho.
• Unokucelwa ukuba ungaseli okanye ungatyi nantoni na iiyure ezi-6 ukuya kwezi-12 ngaphambi kotyando.

Ukuba unesifo seswekile, isifo sentliziyo, okanye ezinye iimeko zonyango, ugqirha wakho wotyando uya kukucela ukuba ubone umboneleli okunyangayo kwezi meko.

Uninzi lwabantu luya ekhaya ngala mini banotyando lwesando. Umboneleli wakho uya kukuxelela indlela yokuzikhathalela ekhaya emva kotyando.

Ikhontrakthi yomnwe weenzwane

I-Chiodo CP, i-MD yexabiso, iSangeorzan AP. Unyawo kunye neqatha. Ku: Firestein GS, Budd RC, Gabriel SE, Koretzky GA, McInnes IB, O'Dell JR, ii-eds. Incwadi kaFirestein kunye noKelly yeRheumatology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 52.

UMontero DP, uShi GG. Ubhontsi wehammer. Ku: Frontera, WR, Isilivere JK, Rizzo TD Jr, ii-eds. Iimfuno zoNyango loMzimba kunye noVuselelo. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 88.

UMurphy GA. Ubhontsi omncinci ongaqhelekanga. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 83.

IMyerson MS, iKadakia AR. Ukulungiswa kweziphene ezincinci. Ku: Myerson MS, Kadakia AR, ii-eds. Uqhaqho lweenyawo kunye neqatha: Ulawulo lweengxaki. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2019: isahluko 7.