I-Femur eyaphukileyo

Umxholo

• Zithini iimpawu zomfazi owaphukileyo?
• Iphuke njani i-femur?
• Ukuchongwa kwesifo somfazi
• Uphathwa njani umfazi ophukileyo?
• Ugqirha
• Amayeza
• Ngaba zikhona iingxaki ezinabafazi abaphukileyo?
• Ukulawula i-femur eyaphukileyo emva kotyando
• Imbonakalo

Ushwankathelo

I-femur-ithambo lakho lamathanga-lelona thambo likhulu kwaye lomelele emzimbeni wakho. Xa i-femur iphuka, kuthatha ixesha elide ukuphilisa. Ukophula i-femur yakho kunokwenza ukuba imisebenzi yemihla ngemihla ibenzima kakhulu kuba lelinye lawona mathambo aphambili asetyenziselwa ukuhamba.

Zithini iimpawu zomfazi owaphukileyo?

• Uziva kwangoko, iintlungu eziqatha.
• Awunakho ukubeka ubunzima emlenzeni owenzakeleyo.
• Umlenze owenzakeleyo ubonakala umfutshane kunomlenze ongonzakalanga.
• Umlenze owenzakeleyo ubonakala ugwenxa.

Iphuke njani i-femur?

I-femur lithambo elikhulu kakhulu, lomelele ekunzima ukuwaphula. I-femur eyaphukileyo ihlala ibangelwa yingozi embi; iingozi zezithuthi zezinye zezizathu eziphambili.

Abantu abadala banokwaphula ubufazi babo ekuweni ngenxa yokuba amathambo abo ethanda ukuba buthathaka. Kuxhomekeka ekubeni ikufuphi kangakanani inyonga, ikhefu linokubizwa ngokuba kukuqhekeka kwesinqe endaweni yokuqhekeka kwesifazana.

Ukuchongwa kwesifo somfazi

Kwiimeko ezininzi, ugqirha wakho uya kuqala nge-X-ray. Ukuba ulwazi oluthe kratya luyafuneka, banokuyalela i-CT (computed tomography) ukuskena. Ngaphambi kokucebisa unyango oluthile, ugqirha wakho uya kugqiba ukuba loluphi uhlobo lekhefu onalo. Ezona ntlobo zixhaphakileyo zezi:

• Ukophuka okunqamlezayo. Ikhefu ngumgca ochanekileyo othe tye.
• Ukuqhekeka kwe-Oblique. Ikhefu linomgca ojikeleziweyo.

• Uphathwa njani umfazi ophukileyo?

  Ngenxa yokuba i-femur ithambo elinamandla, i-femur eyaphukileyo (ngaphandle kokuqhekeka kwe-hip) inqabile. Inkqubo yokuphilisa ithatha ukuya kwiinyanga ezintandathu, ihamba ngezigaba ezine:

  1. Umzimba uqala inkqubo yokuphilisa.
  2. Umzimba uhlangabezana nokudumba.
  3. Umzimba uvuseleleka ngokukhula kwethambo elitsha.
  4. Ukulungiswa komzimba kunye nethambo eliqolileyo endaweni yethambo elitsha.

  Uninzi lwamakhosikazi aphukileyo afuna utyando kunye namayeza.

  Ugqirha

  Kukho utyando olwahlukeneyo, nokuba lwangaphakathi okanye lwangaphandle, ukubamba amathambo endaweni yawo ngelixa ephilisa. Utyando oluqhelekileyo lomntu ophukileyo obizwa ngokuba yi-intramedullary nailing. Olu tyando lufaka intonga kubude bethambo ngezikhonkwane ngaphezulu nangaphantsi ukuyigcina endaweni yayo.

  Amayeza

  Ngaphambi nasemva kotyando, ugqirha wakho unokukunceda ulawule iintlungu zakho ngamayeza angaphezulu kwekhawuntari kunye nonyango, olufana:

  
  
  • acetaminophen
  • iziyobisi ezingasebenziyo ezichasayo (ii-NSAID)
  • oksinoopentinoids
  • izihlunu eziphumlayo
  • iiopioids
  • iintlungu zonyango

  Ngaba zikhona iingxaki ezinabafazi abaphukileyo?

  Iingxaki zinokuvela ngekhefu lobufazi.

  • Isimo esifanelekileyo. Ukuba i-femur ayimiswanga ngokufanelekileyo, kukho ithuba lokuba umlenze uya kuba mfutshane kunomnye kwaye unokubangela ubuhlungu be-hip okanye idolo kwiminyaka emininzi kamva. Ukulungelelaniswa okungalunganga kwethambo lobufazi kunokuba buhlungu.
  • Umonakalo womda. Ikhefu linokwenzakalisa izihlunu, imisipha, iigaments, kunye neerves zomlenze.
  • Iingxaki zotyando. Ezinye iingxaki ezinxulumene notyando zibandakanya usulelo kunye namahlwili egazi.

  Ukulawula i-femur eyaphukileyo emva kotyando

  Ukulandela ikhefu le-femur, nje ukuba ithambo libuyiselwe endaweni yalo kwaye lizinzile, ugqirha wakho uya kuncoma unyango lomzimba ukuqinisa imisipha ejikeleze ithambo. Ukuzilolonga ukomeleza ithanga kuya kunceda ekubuyiseleni kubhetyebhetye kunye nomsebenzi oqhelekileyo womlenze.

  
  

  Imbonakalo

  I-femur eyaphukileyo ihlala inefuthe elikhulu kubomi bakho, kodwa okwethutyana. Ugqirha lusebenza rhoqo kwaye abantu bayakwazi ukuphilisa ngokupheleleyo kwi-femur eyaphukileyo. Uninzi lwabasetyhini abaphukileyo, abaguli babuyela kwindlela yesiqhelo yokuphila.