Umbhali: Louise Ward
Umhla Wokudalwa: 9 Eyomdumba 2021
Hlaziya Umhla: 13 Eyenkanga 2024
Anonim
Ukunyanga kunye nokuBuya kwiNgozi 'ewele isandla esoluliweyo' - Zempilo
Ukunyanga kunye nokuBuya kwiNgozi 'ewele isandla esoluliweyo' - Zempilo

Umxholo

Yintoni iFOOSH?

U-FOOSH isiteketiso sokwenzakala okubangelwa "kukuwela kwisandla esoluliweyo." Oku kwenzakala kuphakathi kokonzakala okuqhelekileyo okuchaphazela izandla kunye nezihlahla ezithi zenzeke xa uzama ukwaphula ukuwa.

Ubunzima bokulimala kwe-FOOSH buyahluka kakhulu kuxhomekeka kwizinto ezahlukeneyo. Oku kubandakanya:

  • amandla efuthe lakho emhlabeni
  • uhlobo lomhlaba owe kuwo
  • indlela owe ngayo
  • ingaba unayo nayiphi na imeko yezempilo okanye ukonzakala okuchaphazela izandla zakho kunye nezihlahla.

Unyango lokonzakala kwe-FOOSH luxhomekeke kubukhali bayo. Ezinye iimeko ze-FOOSH zinokubangela amathambo aphukileyo kwaye zikuthumele kwigumbi likaxakeka, ngelixa abanye bephilisa ngaphezulu kweeveki ezimbalwa ngokuzolula kunye nokuphumla.

Ukulimala kwe-FOOSH kubangela

Ukulimala kwe-FOOSH kuhlala kwenzeka kubantu abathatha inxaxheba kwezemidlalo apho ukuwa kuqhelekile, njengokuhla kweebhayisikile ezantsi, ukuskiya, kunye nebhola ekhatywayo.

Nabani na onokufumana ukulimala kwe-FOOSH ukuba bawela kwindawo enzima kwaye bazame ukuziqinisa ngezandla okanye ngeengalo. Izihlangu ezingachanekanga zinokudala iingozi zokukhubeka kwaye zikhokelele ekuweni. Ukungabikho kokulinganisela okanye ukulungelelanisa, ukungaboni kakuhle, okanye imishanguzo ebangela ukozela, kunokubangela ukuwa kunye nokulimala kwe-FOOSH.


Iindidi eziqhelekileyo zokulimala kwe-FOOSH

Ukuqhekeka kweScaphoid

Ukuqhekeka kweskaphoid kukhefu kwelinye lamathambo asibhozo amancinci enza isihlahla. Ngenye yezona zinto zixhaphake kakhulu kwi-FOOSH. Olona phawu luphambili ziintlungu, nokuba unokudumba okanye ukugruzuka okanye ngaphandle kokugruzuka, kwicala lesithupha. Uya kuyibona le ntlungu zingaphelanga iintsuku ezimbalwa zokuwa kwakho.

Ngamanye amaxesha ukwenzakala kukholelwa ekubeni kukungxola okanye uxinzelelo kuba akuhlali kubangela ukukhubazeka komzimba. Kodwa ukubeka unyango ngenxa yokwaphuka kwescaphoid kunokukhokelela kwiingxaki ezizayo ezibangelwa kukuphilisa okungalunganga.

Iingxaki zinokubandakanya ukuhamba kakubi kwegazi emathanjeni akho, ukulahleka kwethambo, kunye nesifo samathambo. Ukuba uziva iintlungu kwicala lesithupha lesandla sakho emva kokuwa, bona ugqirha.

Unyango luxhomekeke kubukhali bayo. Ukophuka okuncinci kunokunyangwa ngokubeka isandla sakho kunye nesihlahla kwisamente, ngelixa ukwaphuka okunzima kufuna utyando ukulungisa ithambo elaphukileyo kunye.

Ukuqhekeka kweeradiyo ekude

Ukuqhekeka kwe-radial distal, kubandakanya i-Colles 'kunye ne-Smith fractures, kukulimala okuqhelekileyo kwe-FOOSH. Zichaphazela isihlahla sakho apho sihlangana khona nomgama wengalo yakho. Irediyo yeyona inkulu kula mathambo mabini kwingalo yakho. Rhoqo olu hlobo lokophuka luya kubangela ukudumba, ukufuduka kwethambo, ukugruzuka, kunye neentlungu ezigqithileyo kumgama wakho. Uya kuva iintlungu xa uzama ukuhambisa isihlahla sakho.


Ukuba unokophuka okuncinci, ugqirha wakho unokucebisa ukuba unxibe isibane sokukhanyisa okanye isibambo, kwaye usivumele siphilise ixesha ngokwaso. Ngaphambi kokwenza oko, ugqirha wakho kungafuneka alungelelanise amathambo akho ngokunyanzela endaweni ngokwenza oko kubizwa ngokuba kukuncitshiswa okuvaliweyo. Ukunciphisa okuvaliweyo kunokwenziwa ngaphandle kokusika kwesikhumba sakho, kodwa kunokuba buhlungu kakhulu.

Ngokuqhekeka okuqatha, ugqirha uhlala ecebisa unyango olwenziweyo olulandelwa lunyango okanye unyango lomsebenzi.

Iradial okanye ulnar styloid fracture

I-radial styloid yiprojekti ye-bony kwicala lesithupha lesandla sakho, ngelixa i-ulnar styloid ingqikelelo yebhony kwicala le-pinkie kwicala lesihlahla. Ukulimala kwe-FOOSH kunokuwaphula la mathambo kwimpembelelo. Ukulimala kuhlala kuzisa iintlungu ngaphandle kwempawu ezibonakalayo zokulimala njengokukrala kunye nokugruzuka.

Kubalulekile ukunyanga ukwaphuka kwesitayile ngokukhawuleza okukhulu ukuthintela iingxaki. Unyango luxhomekeke kubuzaza bokwenzakala. Ukonzakala okunzulu kufuna unyango olubanzi ngakumbi, njengokuhlinzwa. Oku kwenzakala kudla ngokwenzeka xa kuqhekezwa i-scaphoid, ngoko ke ugqirha kufuneka ahlale eyijonga kakuhle loo nxalenye yesandla ukuze enzakale.


Ukuqhekeka kwentloko

Intloko ye-radial iphezulu kwethambo le-radius, kanye ngezantsi kwengqiniba. Uninzi lwabantu luziva lo monakalo kuqala njengesihlahla kunye neentlungu zengqiniba. Inokuba buhlungu kakhulu kangangokuba kunzima ukuhamba.

Ukungakwazi ukuhambisa ingqiniba luphawu olulungileyo lokuqhekeka kwentloko ye-radial. Ukuqhekeka kwentloko ye-Radial akusoloko kuvela kwii-X-ray.

Unyango lubandakanya umkhenkce, ukuphakama, kunye nokuphumla nokuba nesling okanye splint, kulandele unyango lomzimba. Ukuhamba okulawulwayo kubalulekile ngale nzakalo. Ukophuka kwentloko e-radial eyandisiweyo apho ithambo lonakele kufuna utyando.

Iinyembezi ezilahliweyo

I-scapholunate ligament (ibhanti enzima yethishu) esihlahleni. Ngenxa yokuba ibangela iintlungu kwaye ihlala ingenasiphene emzimbeni, abanye abantu bayayiphosisa le nzakalo ye-FOOSH ngomnatha. Nangona kunjalo, ngokungafaniyo nomnxeba, oku kwenzakala kuyaqhubeka ukubangela iintlungu ekuhambeni kwexesha kwaye akuphilisi ngokwako.

Ukuba ishiywe inganyangwa, iinyembezi ezinqabileyo zingakhokelela kuhlobo lwesifo samathambo esibizwa ngokuba yi-scapholunate advanced collapse (SLAC).

Unyango lubandakanya utyando olulandelwa lunyango lomzimba kunye nokujonga ngononophelo iingxaki. Oku kwenzakala akusoloko kuphilisa ngokuchanekileyo, nokuba uqhaqho. Ngale meko, kubalulekile ukuba ujonge isihlahla sakho nakuphi na ukonzakala okunokuqhubeka ngexesha lokuwa kwakho.

Ukuqhekeka kwamalungu ngokudibeneyo

Eli lungu lidibene nesihlahla apho kudibana khona ithambo elikhulu lengalo, irediyasi, kunye nethambo lalo elincinci, i-ulna. Yenziwe ngamathambo kunye newebhu engunxantathu yezihlunu ezithambileyo, iigaments, kunye ne-cartilage. Ngale ngozi ye-FOOSH, uya kuziva iintlungu ecaleni kwepinkie yengalo yakho, ngakumbi xa uphakamisa. Unokuva ingxolo yokucofa okanye uzive ngathi isihlakala sakho asizinzanga xa utyhala isandla sakho nxamnye nento ethile.

Ugqirha phantse rhoqo luyafuneka ukunyanga lo monakalo, onokuba ngumceli mngeni ukubeka endaweni efanelekileyo yokuphilisa. Unyango olukhawulezayo lunokuyiphucula imbonakalo ngokunciphisa ixesha elifunekayo lokuphilisa kunye nokwandisa amathuba okuba amathambo akho alungelelane ngokuchanekileyo. Ukuba ugqirha ufumana uqhekeko oluhlangeneyo lweradioulnar, kufuneka bajonge neempawu zomonakalo kwizicubu ezithambileyo kunye nemisipha, edla ngokwenzeka.

Ikhonkco lokuqhekeka kwesando

I-hamate yithambo elimile okwe-wedge kwicala le-pinkie esihlahleni. Ingqikelelo encinci kweli thambo ibizwa ngokuba yi "hook of hamate." Abantu abanokulimala bahlala befumana ubundindisholo okanye ukurhawuzelela iringi kunye neminwe yepinki. Kungenxa yokuba umlobothi wakho ubekwe kufutshane nemithambo-luvo ye-ulnar.

Ngaphandle kokuba ndindisholo okanye ukurhawuzelela, umntu one-hook yokuqhekeka kwe-hamate uya kuva iintlungu ecaleni kwe-ulnar-side yesihlahla, ukubambeka buthathaka kunye nentlungu xa uguqula i-pinkie kunye neminwe yeringi.

Unyango luxhomekeke kubungakanani bokwenzakala. Ukuba ukwaphuka kuthambile, ingalo emfutshane ingasebenza kodwa ukubek'esweni kufutshane kuyafuneka ukuze kuqinisekiswe ukuba ukwenzakala kuyaphola.

Ukophuka okubanzi ngakumbi apho ikhonkco lehamate libaleka khona, kunokuba yimfuneko ukususa ngotyando esihlahleni. Ngolu hlobo lotyando, unyango olulungileyo lomzimba lunokunceda ukugcina uluhlu oluhle lokuhamba kunye nokukwazi ukubamba.

Isinovitis

Ijoyinti ye-synovial yindawo edibeneyo apho amathambo amabini adibanisa khona kwi-cartilage-lined cavity egcwele i-fluid ebizwa ngokuba yi-synovial fluid. I-Synovitis ibuhlungu, ukudumba okungaqhelekanga kwendibaniselwano ye-synovial ebangela uluhlu olulinganiselweyo lokuhamba.

Ngelixa kubonakala njengokulimala kwe-FOOSH, i-synovitis isenokubangelwa sisifo samathambo okanye isifo esingumzimba. Ugqirha unokuphonononga imbali yakho yezonyango ukuze afumanise naziphi na izizathu ezibangela isifo se-synovitis.

Kubalulekile ukwahlula oku kwenzakala kwabanye okubangela iimpawu ezifanayo, ezinje ngokuqhekeka. I-Synovitis inokwenzeka kunye nosulelo, olunokubangela ukudumba kunye nentlungu.

Iimpawu zomkhuhlane zibonisa ukuba unentsholongwane kwaye kufuneka ufune unyango olungxamisekileyo ukukhusela ukulahleka kwegazi kwiminwe yakho. Ukuphulukana negazi kwiminwe yakho kungonakalisa ukungadinga ukunqunyulwa kunye / okanye ukonakalisa ezinye izicwili ezithambileyo ezijikelezileyo. Kwiimeko ze-synovitis ezingabandakanyi usulelo, ugqirha uya kwenza uvavanyo lomzimba, uvavanyo oluthile lokucinga, kunye nezifundo ezenziwa elebhu, ukumisela elona khondo lonyango lifanelekileyo. Unyango oluqhelekileyo lubandakanya ukusasaza ngokudibeneyo kunye nokuthatha amayeza okulwa nokudumba ukunciphisa ukudumba.

Iseli

I-Cellulitis luhlobo oluqhelekileyo losulelo lwe-bacterial skin olunokuthi lwenzeke kwindawo yokulimala kwe-FOOSH. Kakhulu, le meko ichaphazela abantu abadala, abanamajoni omzimba abuthathaka, okanye abanamanxeba amakhulu nachaphazelekileyo abangelwa kukuwa.

Ngenxa yokuba usulelo lwethambo lunokuba lubi kakhulu, kubalulekile ukuba ugqirha enze iimvavanyo zokucinga ukuze akhuphe ukonzakala kwethambo langaphakathi ngaphambi kokuba aqale unyango losulelo. Ukuba akukho kufunyanwa kwenzakalo, ugqirha uya kukunika amayeza okubulala iintsholongwane ukunyanga usulelo.

Ukuqhekeka

Ngokuwa okukhanyayo okanye ukuwa kwindawo ethambileyo, abanye abantu baya kugcina kuphela ukukhanya okutyumkileyo kulusu lwezandla zabo. Rhoqo i-FOOSH ibangela ukutyumka ezintendeni zezandla njengoko uzandisa ngokuzama ukwaphula ukuwa kwakho. Imivumbo inokubangela ukubola, iintlungu, kunye nokudumba okuncinci kulusu lwakho.

Uninzi lwemivumbo lunyanga lodwa ngaphandle konyango kwiiveki ezimbini ukuya kwezine. Unokufaka ipakethe yomkhenkce egqunyiweyo okanye ibhegi yokutya okubandayo kwindawo ekrwada yesandla sakho kangangemizuzu eli-10 ukuya kwengama-20 ngexesha ukunceda ukunciphisa iintlungu. Iipilisi zokulwa nokudumba zinokunceda ekuthomalaliseni iimpawu.

Kwiimeko zokuwa nzima, imivumbo inokuba mandundu kwaye ichaphazele izihlunu kunye nethambo ukongeza kulusu. Oku kwenzakala kufuna unyango olungaphezulu. Ngamanye amaxesha le micimbi ayibonakali. Ukuba uqhubeka uziva iintlungu ezandleni zakho apho zenze khona impembelelo emhlabeni, kuya kufuneka ubone ugqirha. Baza kujonga amathambo okanye izihlunu ezonakeleyo ezinokufuna unyango.

I-Collarbone okanye ukwenzakala kwamagxa

Nangona ikhola kunye negxalaba zibekwe kude nesandla sakho okanye isihlahla, ifuthe lokuwa ezandleni zakho linokwenzakalisa la malungu omzimba wakho.

Ukuqhekeka kweCollarbone kufuna isilingi kwiimeko ezinzima kakhulu, kunye notyando kwiimeko ezinzima kakhulu. Amagxa ngamanye amaxesha ayasuswa ekuweleni esandleni sakho, kwaye unokulungiswa ngugqirha ohambisa igxalaba lakho endaweni yalo. Ukuqhekeka kwentloko ye-humerus akuqhelekanga ngolu hlobo lokulimala. Zonke ezi nzakalo zichongwa ngokulula ziintlungu kunye nokudumba, kunye neemvavanyo zokucinga.

Ukuchonga ukonzakala kwe-FOOSH

Ukulimala kwe-FOOSH kunokuhlala kufunyaniswa kuvavanyo lomzimba- apho ugqirha aya kuvavanya uluhlu lwakho lokuhamba-ngokudibanisa neemvavanyo zokucinga njenge-X-ray, MRIs okanye i-CT scans. Olunye ukonzakala akunakubonakala kuvavanyo lokucinga, nangona kunjalo.

Unyango olunjani lwe-FOOSH

Unyango lokulimala kwe-FOOSH luxhomekeke kuhlobo lwengozi kunye nobukhali bayo. Uninzi lokonzakala kwe-FOOSH lufuna unyango, kodwa emva koko, banokulawulwa ngononophelo lwasekhaya. Ukutyumza okumdaka okubangelwa yi-FOOSH kulawulwa ngokupheleleyo ngononophelo lwasekhaya kuphela.

Unyango lwasekhaya

Olona nyango lusemgangathweni lwasekhaya lwayo nayiphi na ingozi ye-FOOSH ngumkhenkce, ukuphakama kunye nokuphumla. Ukuba ukrokrela ukuba wenzakele kakhulu kwi-FOOSH ngaphezu kokutyumka ekukhanyeni, unokuyicoca indawo echaphazelekayo de ube ufumana unyango. Ukuqhekeka kuzinzisa nawaphi na amathambo aqhekekileyo okanye iigaments eziqhekekileyo kwaye kunciphisa iintlungu ngokugcina ukwenzakala kwakho kuphumla.

Unokwenza ubuqhetseba bethutyana usebenzisa izinto eziqhelekileyo zasekhaya. Ukufaka isicelo sokubanda kwindawo eyenzakeleyo kunye nokuthatha amayeza okulwa nokudumba kunokunceda ukulawula iintlungu kunye nokudumba.

Unyango lwezamayeza

Ukulimala okuthobekileyo kwe-FOOSH kuyaphathwa ngokuqhekeka, ukubamba, okanye ukuphosa indawo echaphazelekayo yesandla, ingalo, okanye isihlahla ukuya kuthi ga kwiiveki ezintandathu. Ihlala ithatha ezinye iiveki ezintandathu ukuze icandelo lichaphazelekayo liqale ukusebenza ngesiqhelo kwakhona.

Ugqirha luyafuneka ukuze wenzakale kakhulu i-FOOSH. Uninzi lotyando lubandakanya ukudibanisa iziphelo ezibini ezaphukileyo zethambo elaphukileyo. Oku kunokubandakanya ukumiliselwa kwethambo, ukusetyenziswa kweentonga zesinyithi, okanye obunye ubugcisa bokuhlinzwa. Ngamanye amaxesha, njengokuqhekeka kwethambo lehagu, ukususwa kwethambo kubalulekile.

Ngexesha lenkqubo yokuphilisa, amathambo amahle kunye nemisipha yezandla kunye nezihlahla zinokuba lukhuni. Ukuhamba okulawulwayo ngonyango lomzimba kunokunceda ukubomeleza kwaye kubenze basebenze ngokupheleleyo kwakhona.

Nini ukubona ugqirha

Ukuba uhlangabezana nentlungu enganyamezelekiyo esandleni sakho, esihlahleni, okanye engalweni emva kokuwa kwesandla sakho esoluliweyo okanye izandla, kuya kufuneka ucwangcise ixesha lokudibana nogqirha okanye uye kwigumbi likaxakeka. Intlungu engaguqukiyo, ukudumba, ukutyumka, ukucofa, umkhuhlane, okanye uluhlu olulinganiselweyo lokuhamba zonke iimpawu zokulimala ezifuna unyango.

Imivumbo yamathambo kunye nezihlunu nayo ifuna unyango. Ukuba intlungu yakho ayipheli kwiiveki ezimbalwa, kuya kufuneka ubone ugqirha.

Ukufumana kwakhona ukulimala kwe-FOOSH

Ukubuyisela kwimeko yesiqhelo kubandakanya unyango ngokwasemzimbeni lokukunceda ubuyele kwimisebenzi yakho yemihla ngemihla kwaye ubuyisele uluhlu olupheleleyo lokuhamba. Umzimba uya kukubonisa indlela efanelekileyo yokugqoka izixhobo ezixhasayo ezifana ne-brace, i-splints, okanye i-slings ngelixa ukulimala kwakho kusaphilisa. Kananjalo baya kukufundisa imithambo yokukunceda uchache.

Ukuthintela ukwenzakala

Ukuba ungumdlali, unokuthintela ukulimala kwe-FOOSH ngokugqoka iimpahla zokukhusela xa uthatha inxaxheba kwimidlalo yakho. Yazi imida yakho yomzimba xa kufikwa ekuthatheni inxaxheba kwimidlalo kwaye wazi ukuba ungazigcina kanjani ukhuselekile xa uthatha inxaxheba kuwo nawuphi na umdlalo ogqithileyo.

Ngexesha lobomi bakho bemihla ngemihla, unokuthintela ukwenzakala kwe-FOOSH ngokuhlala uyazi indawo ekungqongileyo. Nxiba izihlangu ezifanelekileyo kwimozulu kunye nemisebenzi oyithathayo inxaxheba ukuthintela ukutyibilika okanye ukukhubeka. Ukuba unengxaki yokubona, qiniseka ukuba uyabanyanga. Ukongeza, thabatha amanyathelo xa uhamba amayeza okanye unempilo oyenza yozele.

Yise kude

Ubungqingqwa bokwenzakala kwe-FOOSH kuxhomekeke kwimpembelelo yokuwa kwakho, nokuba uneemeko zempilo esele zikho, impilo yakho yangoku yomzimba, kunye nohlobo lomhlaba owela kuwo.

Uninzi lokonzakala kwe-FOOSH ludinga uhlobo oluthile lonyango, kwaye unyango lomzimba lunokukunceda ukuba ubuye ukhawuleze kwaye ube sempilweni. Landela imiyalelo yakho ugqirha ngeziphumo ezilungileyo kakhulu.

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