Amagqabantshintshi okwaphulwa komqala womfazi kwi-Hip

Umxholo

• Ushwankathelo
• Intamo yamakhosikazi yoxinzelelo loxinzelelo lokophuka
• Iimpawu zokophuka kwentamo yomfazi
• Ukuchonga ukwaphuka kwesinqe
• Ukunyanga ukwaphuka kwentamo yesetyhini
• Ukulungiswa kwangaphakathi
• Ukutshintshwa kwe-hip ekhethekileyo
• Ukutshintshwa kwe-hip ngokupheleleyo
• Ixesha lokufumana kwakhona intamo yamakhosikazi
• Yise kude
  

Ushwankathelo

Intamo yomfazi eyaphukileyo kunye ne-peritrochanteric fractures zixhaphakile ngokulinganayo kwaye zenza ngaphezulu kweepesenti ezingama-90 zezinto ezihamba phambili zomfazi.

Intamo yobufazi yeyona ndawo iqhelekileyo yokuqhekeka kwesinqe. Isinqe sakho yibhola kunye nesokethi edibeneyo apho umlenze wakho wangaphezulu udibana khona nesinqe sakho. Phezulu kwe-femur yakho (eyithambo lakho lethanga) yintloko yobufazi. Le "yibhola" ehlala kwisokethi. Ngaphantsi nje kwentloko yesetyhini yintamo yesetyhini.

Ukuqhekeka kwentamo yomfazi kukuqhekeka kwe-intracapsular. I-capsule yindawo equkethe umbane ococekileyo kwaye ondle ukudibanisa. Ukuqhekeka kule ndawo kwahlulwe ngokommandla wokophuka ecaleni kwentamo yesetyhini:

• I-subcapital yintloko yesetyhini kunye nokudibana kwentamo
• I-transcervical yisahlulo esiphakathi kwentamo yesetyhini
• isiseko somlomo wesibeleko sisiseko sentamo yobufazi

Nangona nabani na enokwaphuka intamo yabo yobufazi, ixhaphake kakhulu kubantu abadala asebekhulile abanethambo elixineneyo. Ngaphezulu koku kuqhekeka kwenzeka kubantu abadala kunama-50. Baxhaphake kakhulu kwabasetyhini.

Ukuqhekeka kwentamo yesetyhini kunokukrazula imithambo yegazi kwaye kunqumle ukunikezelwa kwegazi kwintloko yesifazane. Ukuba ukubonelelwa ngegazi kwintloko yobufazi kulahlekile, izicwili zethambo ziya kufa (inkqubo ebizwa ngokuba yi-avascular necrosis), ekhokelela ekuweni kwethambo ekugqibeleni.Ukuqhekeka okwenzeka kwiindawo apho ukunikezelwa kwegazi kungaphazanyiswa kunethuba elingcono lokuphilisa.

Ngezi zizathu, unyango lwesigulana esele sikhulile esinendawo ephulukene nobufazi eya kuxhomekeka kwindawo yekhefu kunye nomgangatho wonikezelo lwegazi.

Umgangatho wokhathalelo lokophuka okufudukayo apho unikezelo lwegazi luphazamiseka kubandakanya ukubuyisela intloko yentloko yobufazi (i-hemiarthroplasty okanye i-hip arthroplasty iyonke). Ukuba akukho kugudluzwa, kuya kwenziwa ngokuzinzisa uqhaqho ngezikrufu okanye ezinye izixhobo zentsimbi. Nangona kunjalo, kusekho umngcipheko wokuba unikezelo lwegazi lunokuphazanyiswa.

Intamo yamakhosikazi yoxinzelelo loxinzelelo lokophuka

Umothuko ngoyena nobangela uqhelekileyo wokuphuka kwentamo yamakhosikazi. Ukuba ngaphezulu kweminyaka yobudala engama-50 okanye ukuba nemeko yonyango ewenza buthathaka amathambo akho, anjenge-osteoporosis, yonyusa umngcipheko wokuqhekeka kwintamo yabasetyhini. Ukuba nomhlaza wamathambo kukwayinto enobungozi.

I-Falls iyona nto ibangela ukuba iintambo zentombi ziphule abantu abadala. Kubantu abancinci, ezi fracture zihlala zibangelwa kukuphazamiseka kwamandla, njengokungqubana kwezithuthi okanye ukuwa kubude obukhulu.

Ukuqhekeka kwentamo yomfazi kunqabile ebantwaneni. Kunye namandla aphezulu amandla, banokubangelwa kukuxinana kwamaminerali amathambo, anje nge-osteopenia okanye i-osteoporosis, okanye ngezinye iimeko ezinje nge-cerebral palsy okanye muscular dystrophy.

Iimpawu zokophuka kwentamo yomfazi

Olona phawu luqhelekileyo lokwaphuka kwentamo yamakhosikazi ziintlungu kwi-groin eba mandundu xa ubeka ubunzima esinqeni okanye uzama ukujikeleza umlenze. Ukuba ithambo lakho libuthathaka yi-osteoporosis, umhlaza, okanye enye imeko yezonyango, unokufumana iintlungu zokuqaqamba ezikhokelela kwixesha lokophuka.

Ngokuqhekeka kwentamo yamakhosikazi, umlenze wakho unokubonakala umfutshane kunomlenze wakho ongonzakalanga, okanye umlenze wakho ujikeleziswe ngaphandle ngonyawo lwakho kunye namadolo ajike ngaphandle.

Ukuchonga ukwaphuka kwesinqe

Ugqirha unokuhlala amisele ukuba unokwaphuka kwesinqe ngokusekwe kwindawo yethanga nomlenze wakho, kunye neempawu zakho. Emva kovavanyo lomzimba, ugqirha wakho uya kusebenzisa iX-reyi ukuqinisekisa ukuba unokwaphuka kwaye unqume ukuba leliphi na icandelo lomlenze elichaphazelekayo.

Izinwele ezincinci okanye iintambo ezingagqitywanga azinakubonakala kwiX-reyi. Ukuba ukuphuka kwakho kungabonakali kwimifanekiso kwaye usenempawu, ugqirha wakho unokuncoma i-CT scan, okanye i-MRI okanye i-scan scan ukuze ukhangele ngakumbi.

Ukunyanga ukwaphuka kwentamo yesetyhini

Unyango lokophuka kwentamo yamakhosikazi kuhlala kubandakanya utyando, amayeza kunye nokuvuselelwa.

Amayeza eentlungu abonelela ngoncedo lwexeshana elifutshane kwintlungu. Oku kunokubandakanya amayeza eentlungu ngaphezulu kwe-counter (i-OTC), ezinje ngeziyobisi ezichasayo (ii-NSAID), okanye amayeza amiselweyo, anje ngeopioids.

Ugqirha wakho unokumisela i-bisphosphonates kunye namanye amayeza e-osteoporosis ukunceda ukunciphisa umngcipheko wokuqhekeka kolusu, kuxhomekeke kubudala bakho. La mayeza anceda ukomeleza amathambo akho ngokwandisa uxinano lweethambo lakho.

Utyando olukhawulezileyo luhlala lucetyiswa ukuba uqhekeke amanqatha ukunciphisa iintlungu kwaye ubuyisele ukuhamba ngokukhawuleza. Kukho iintlobo ezahlukeneyo zotyando ezisetyenziselwa ukunyanga ukwaphuka kwentamo yamakhosikazi. Uhlobo lotyando olufunekayo luya kuxhomekeka kubukrakra bokwaphuka kwakho, ubudala bakho, kunye neemeko zonyango ezingaphantsi.

Nokuba ukwaphuka kwakho kubangele ukonakaliswa kwegazi kwintloko yakho yobufazi kuya kunceda ekuchongeni ukuba loluphi uhlobo lotyando oluya kufuneka.

Ukulungiswa kwangaphakathi

Ukulungiswa kwangaphakathi kusebenzisa izikhonkwane zentsimbi okanye izikhonkwane zokubamba ithambo lakho kunye ukuze ukwaphuka kuphole. Izikhonkwane okanye izikhonkwane zifakwe kwithambo lakho, okanye izikrufu zinokuncanyathiselwa kwipleyiti yesinyithi ehamba kunye nefemur yakho.

Ukutshintshwa kwe-hip ekhethekileyo

Le nkqubo isetyenziswa ukuba ukuphela kwamathambo konakele okanye kugxothiwe. Kubandakanya ukususa intloko nentamo ye-femur kwaye uyitshintshe ngeplastikhi yesinyithi.

Ukutshintshwa kwe-hip ekhethekileyo kunokucetyiswa kubantu abadala abanezinye iimeko ezinzulu zonyango, kunokuba kuthathwe indawo yokutshintshwa kwe-hip.

Ukutshintshwa kwe-hip ngokupheleleyo

Ukutshintshwa kwe-hip ngokupheleleyo kubandakanya ukutshintsha i-femur yakho ephezulu kunye nesokethi ngeprosthesis. Ngokusekwe kuphando, olu hlobo lotyando lunezona ziphumo zibalaseleyo zexesha elide kwabanye abantu abasempilweni abahlala ngokuzimeleyo. Ikwangoyena mntu uxabisa kakhulu kuba ihlala isusa isidingo sotyando olungakumbi kamva.

Ixesha lokufumana kwakhona intamo yamakhosikazi

Kuthatha ixesha elingakanani ukuba uphinde ufumane ukwaphuka kwentamo yesetyhini kuya kuxhomekeka kubuzaza bokwaphuka kwakho, imeko yakho yempilo iphela, kunye nohlobo lotyando olusetyenzisiweyo. Ukubuyisela kwimeko yesiqhelo kuye kwahluka kuye ngomntu.

Ukubuyiselwa kwimeko yesiqhelo kuya kufuneka xa ukhululwe esibhedlele. Kuxhomekeke kubudala nakwimeko yakho, ungathunyelwa ekhaya okanye kwindawo yokubuyisela kwimeko yesiqhelo.

Uya kudinga unyango lomzimba ukukunceda ukuba uphinde ufumane amandla kunye namandla okuhamba. Oku kungathatha ukuya kwiinyanga ezintathu. Uninzi lwabantu abaye benza utyando lwe-hip ukulungisa ukwaphuka kwakhona baphinde babuyela kuninzi, ukuba ayisiyiyo yonke into yokuhamba kwabo kulandela unyango.

Yise kude

Ukuqhekeka kwentamo yamakhosikazi kuqhelekile kubantu abadala, ngakumbi abo banamathambo athe buthathaka zezinye iimeko zonyango.

Unokwazi ukunceda ukunciphisa umngcipheko kwezi kunye nezinye iintlobo zokwahlukana ngokwenza imithambo enesisindo sokwakha amandla, kunye nokuthatha izongezo zekhalsiyam ukwandisa uxinzelelo lwethambo lakho.

Thetha nogqirha ukuba unenkxalabo malunga nokwaphuka okanye ukuba unamava engapheliyo okanye iintlungu zenyonga. Ezi mpawu zingabonisa ukuba usengozini yokuqhekeka esinqeni.