Yintoni ukwaphuka kwabasetyhini kwaye kujongwa njani

Umxholo

• Iindidi zokuqhekeka kwi-femur
• Unyango lwenziwa njani
• 1. Ukulungiswa kwangaphandle
• 2. Isikhonkwane se-Intramedullary
• 3. Ukulungiswa kwangaphakathi
• 4. Ubugcisa bendawo
• Uchacha njani xa uqhaqho
• Iimpawu zokuqhekeka okunokwenzeka

Ukuqhekeka kwe-femur kwenzeka xa kuqhekeka ithambo lethanga, lelona thambo lide kwaye lomeleleyo emzimbeni womntu. Ngesi sizathu, ukuze uqhekeko luvele kweli thambo, kufuneka uxinzelelo oluninzi kunye namandla, ahlala esenzeka ngexesha lengozi yesantya esiphezulu sezithuthi okanye ukuwa kubude obukhulu, umzekelo.

Inxalenye yethambo elophuka ngokulula ngesiqhelo yindawo engumbindi, eyaziwa ngokuba ngumzimba we-femur, nangona kunjalo, kubantu abadala, abathe babuthathaka amathambo, olu hlobo lokwaphuka lunokwenzeka nakwintloko ye-femur, Ummandla ocacisa umlenze.

Uninzi lwexesha, ukwaphuka kwesinqe kufuneka kunyangwe ngoqhaqho, ukubekwa kwakhona kwithambo kunye nokubeka iziqwenga zentsimbi ezinceda ukugcina ithambo kwindawo elungileyo ngelixa liphilisa. Ke, kunokwenzeka ukuba umntu lowo kufuneka ahlale esibhedlele iintsuku ezimbalwa.

Iindidi zokuqhekeka kwi-femur

Kuxhomekeka kwindawo yethambo apho ikhefu lenzeka khona, uqhekeko lobufazi lunokwahlulwa lube ziindidi ezimbini eziphambili:

• Ukuphuka kwentamo yomfazi: ivela kwingingqi edibanisa inyonga kwaye ixhaphake kakhulu kubantu abadala ngenxa yobukho be-osteoporosis. Kuba oko kwenzeka ngenxa yokuba buthathaka kwethambo, kunokwenzeka ngenxa yokujija nje okulula komlenze xa uhamba, umzekelo;
• Ukwaphuka komzimba wabasetyhini: Kwenzeka kwingingqi esembindini wethambo kwaye ixhaphake kakhulu kubantu abancinci ngenxa yeengozi zendlela okanye ukuwa kubude obukhulu.

Ukongeza kolu luhlu, iziqhekeza zinokwahlulwa zizinze okanye zifuduswe, kuxhomekeke ekubeni ithambo ligcina ulungelelwaniso oluchanekileyo okanye aluchanekanga. Kananjalo banokubizwa ngokuba banqamleze okanye oblique, kuxhomekeka ekubeni ukwaphuka kwenzeka kumgca othe tyaba ecaleni kwethambo okanye ukuba kubonakala kumgca wokudibanisa, umzekelo.

Kwimeko yokuqhekeka komzimba we-femur, kuqhelekile ukuba bohlulwe babe yinto engqamene, eyomeleleyo okanye eqhekekileyo, kuxhomekeke ekubeni ikhefu libonakala lisondele esinqeni, embindini wethambo okanye Ummandla osondele emadolweni.

Unyango lwenziwa njani

Phantse kuwo onke amatyala okophuka kwe-femur, utyando luyafuneka, ngaphakathi kweeyure ezingama-48, ukulungisa ikhefu kunye nokuvumela ukuphilisa kwenzeke. Nangona kunjalo, uhlobo lotyando lungahluka ngohlobo kunye nobukrakra bokwaphuka:

1. Ukulungiswa kwangaphandle

Kolu hlobo lotyando, ugqirha ubeka izikrufu ngesikhumba kwiindawo ezingaphezulu nangaphantsi kwento eyaphukileyo, elungisa ulungelelwaniso oluchanekileyo lwethambo, ukuze ukwaphuka kuqalise ukuphilisa ngokufanelekileyo.

Uninzi lwexesha, le yinkqubo yethutyana, egcinwa de umntu abe nokuhlinzwa ngakumbi, kodwa inokusetyenziswa njengonyango lweziqhekeza ezilula, umzekelo.

2. Isikhonkwane se-Intramedullary

Le yenye yezona ndlela zisetyenziswayo ukunyanga ukwaphuka kummandla womzimba wobufazi kwaye kubandakanya ukubeka intonga yentsimbi ekhethekileyo ngaphakathi kwethambo. Isikhonkwane sihlala sisuswa emva kokuba unyango luphelile, kunokuthatha ukuya kunyaka omnye ukuba kwenzeke.

3. Ukulungiswa kwangaphakathi

Ukulungiswa kwangaphakathi kuhlala kwenziwa kuqhekezo olunzima ngakumbi okanye ngekhefu elininzi apho kungenakwenzeka khona ukusebenzisa isikhonkwane se-intramedullary. Kule ndlela, ugqirha ugqirha usebenzisa izikhonkwane kunye neepleyiti zentsimbi ngokuthe ngqo phezu kwethambo ukuze lihlale lizinzile kwaye lilungelelaniswe, livumela ukuphilisa.

Ezi zikhonkwane zinokususwa kwakamsinya nje ukuba kugqitywe ukuphiliswa, kodwa ukusukela ukuba kufuneka kwenziwe olunye utyando, zihlala zigcinwa ebomini, ngakumbi ukuba azibangeli zintlungu okanye zithintele intshukumo.

4. Ubugcisa bendawo

Olu luhlobo olungasetyenziswanga kangako lotyando oluhlala ligcinelwe iimeko zokwahlukana kufutshane nesinqe ezithatha ixesha lokuphilisa okanye ezinzima kakhulu. Kwiimeko ezinjalo, ugqirha unokucebisa i-arthroplasty, apho idibeneyo ye-hip isuswe ngokupheleleyo kwaye ithathe indawo yokufakelwa.

Bona ngakumbi ngolu hlobo lotyando, ukuba kunjani ukubuyisela kwaye xa kwenziwe.

Uchacha njani xa uqhaqho

Ixesha lokufumana kwakhona linokwahluka kakhulu kuxhomekeka kuhlobo lotyando olwenziweyo, nangona kunjalo, kuqhelekile ukuba umntu alaliswe esibhedlele phakathi kweentsuku ezintathu ukuya kwiveki e-1 ngaphambi kokuba akhululwe agoduke. Ukongeza, zininzi izinto ezaphukileyo ngenxa yeengozi, kunokuthatha ixesha elininzi ukunyanga ezinye iingxaki njengokuphuma kwegazi okanye amanxeba, umzekelo.

Ukuphiliswa kokuqhekeka kuhlala kuthatha phakathi kweenyanga ezi-3 ukuya kwezi-9, kwaye ngelo xesha kuyacetyiswa ukuba kuthintelwe imisebenzi ebeka ubunzima obuninzi kumlenze ochaphazelekayo.Nangona umthambo onzima ungenakwenziwa, kubaluleke kakhulu ukugcina intshukumo yelungu, kungekuphela nje ukuphucula ukujikeleza kwegazi, kodwa nokuthintela ukulahleka kobunzima bemisipha kunye nentshukumo edibeneyo. Ke, ugqirha uhlala ecebisa ukwenza unyango lomzimba.

Iimpawu zokuqhekeka okunokwenzeka

Kwiimeko ezininzi, ukwaphuka kwe-femur kubangela iintlungu eziqatha ezivumela ukuba uqaphele ukuba ukwaphuka kwenzekile. Nangona kunjalo, xa ukwaphuka kuncinci kakhulu, iintlungu zinokuthamba kwaye, ke, kukho ezinye iimpawu ezinokubonisa ukwaphuka, okufana:

• Ubunzima bokuhambisa umlenze;
• Iintlungu eziqatha ngakumbi xa ubeka ubunzima emlenzeni;
• Ukudumba komlenze okanye ukubakho kwemivumbo.

Ukongeza, kunokwenzeka ukuba utshintsho kubuntununtunu bomlenze lunokubonakala, kwaye lunokubonakala ngathi lutsala okanye luvutha.

Nanini na xa kukrokrelwa ukwaphuka, kubaluleke kakhulu ukuba uye kwigumbi likaxakeka uyokwenza iX-reyi kwaye uchonge ukuba ngaba likho ikhefu emathanjeni afuna ukunyangwa. Ngokubanzi, kwangoko ukwaphuka kuyalungiswa, kulula ukuba ithambo liphilise.