Ukulungiswa kwamathambo amakhulu ngokuNcitshiswa okuVulekileyo koLungiso lwangaphakathi

Umxholo

• Ushwankathelo
• Utyando lwe-ORIF
• Yintoni onokuyilindela emva kwenkqubo
• Ixesha lokubuyisela i-ORIF
• Ukuhamba emva kotyando lwamaqatha e-ORIF
• Izingozi kunye nemiphumo emibi evela kwi-ORIF
• Abagqatswa abafanelekileyo kunyango lwe-ORIF
• Yise kude

Ushwankathelo

Ukulungiswa kokuncitshiswa kwangaphakathi (ORIF) lutyando lokulungisa amathambo aphuke kakhulu.

Isetyenziselwa kuphela ukwaphuka okunzulu okungenakuphathwa nge-cast okanye splint. Ezi nzakalo zihlala ziqhekeza ezifudukayo, ezingazinzanga, okanye ezo zibandakanya ukudibanisa.

"Ukunciphisa okuvulekileyo" kuthetha ukuba ugqirha wotyando wenza incision ukulungelelanisa ithambo. "Ukulungiswa kwangaphakathi" kuthetha ukuba amathambo abanjwa kunye nezixhobo ezifana nezikhonkwane zentsimbi, iipleyiti, iintonga, okanye izikrufu. Emva kokuphilisa kwethambo, le ntsimbi ayisuswanga.

Ngokubanzi, i-ORIF lutyando olukhawulezileyo. Ugqirha wakho unokuncoma i-ORIF ukuba ithambo lakho:

• ikhefu kwiindawo ezininzi
• ushiya isikhundla
• unamathela ngaphandle kwesikhumba

I-ORIF inokukunceda ukuba ithambo laliphinde lalungelelaniswa ngaphandle kwesikhuselo - esaziwa njengokuncitshiswa okuvaliweyo - kodwa aliphilanga ngokufanelekileyo.

Utyando kufuneka luncede ukunciphisa iintlungu kunye nokubuyisela ukuhamba ngokunceda ithambo liphilise kwindawo elungileyo.

Ngaphandle kwempumelelo yenqanaba le-ORIF, ukubuyela kwimeko yesiqhelo kuxhomekeke kuwe:

• ubudala
• imeko yezempilo
• ukulungiswa kwakhona emva kotyando
• ubunzima kunye nendawo yokwaphuka

Utyando lwe-ORIF

I-ORIF yenziwa ngugqirha wamathambo.

Olu tyando lusetyenziselwa ukulungisa ukuqhekeka ezingalweni nasemilenzeni, kubandakanya amathambo egxalabeni, ingqiniba, isihlahla, inyonga, idolo, kunye neqatha.

Kuxhomekeka kukophuka kwakho kunye nomngcipheko weengxaki, inkqubo yakho inokwenziwa kwangoko okanye icwangciselwe kwangaphambili. Ukuba unokwenziwa kotyando olucwangcisiweyo, kuya kufuneka ukhawuleze uyeke ukuthatha amayeza athile kuqala.

Ngaphambi kotyando, unokufumana:

• uvavanyo lomzimba
• uvavanyo lwegazi
• X-reyi
• Ukuskena i-CT
• Ukuskena iMRI
  

Olu vavanyo luya kuvumela ugqirha ukuba ahlole ithambo lakho elaphukileyo.

I-ORIF yinkqubo enamacandelo amabini. Olu tyando lunokuthatha iiyure ezininzi, kuxhomekeke kukophuka.

Ugqirha wobulali uza kukunika i-anesthesia ngokubanzi. Oku kuya kukubeka ebuthongweni obunzulu ngexesha lotyando ukuze ungaziva zintlungu. Unokufakwa kumbhobho wokuphefumla ukukunceda uphefumle ngokufanelekileyo.

Inxalenye yokuqala ukunciphisa evulekileyo. Ugqirha uya kusika ulusu kwaye abuyisele ithambo kwindawo yesiqhelo.

Inxalenye yesibini kukulungiswa kwangaphakathi. Ugqirha uya kudibanisa iintonga zentsimbi, izikrufu, iipleyiti, okanye izikhonkwane kwithambo ukuze zibambe kunye. Uhlobo lwezixhobo ezisetyenzisiweyo luxhomekeke kwindawo kunye nohlobo lokophuka.

Okokugqibela, ugqirha wotyando uyakuvala ukusikwa ngemithungo okanye ukutya, afake i-bandage, kwaye angabeka umlenze kwindawo yokuphosa okanye yokuqhekeka ngokuxhomekeke kwindawo nohlobo lokwaphuka.

Yintoni onokuyilindela emva kwenkqubo

Emva kwe-ORIF, oogqirha kunye nabongikazi baya kujonga uxinzelelo lwegazi, ukuphefumla, kunye nokubetha. Baza kujonga imithambo-luvo kufutshane nethambo elaphukileyo.

Ngokuxhomekeka kotyando lwakho, ungagoduka ngaloo mini okanye ungahlala esibhedlele usuku olunye ukuya kwiintsuku ezimbalwa.

Ukuba wophuke ingalo, ungagoduka kamva ngala mini. Ukuba wophuke umlenze, kungafuneka uhlale ixesha elide.

Ixesha lokubuyisela i-ORIF

Ngokubanzi, ukuchacha kuthatha iinyanga ezi-3 ukuya kwezi-12.

Lonke utyando lwahlukile. Ukubuyisela ngokupheleleyo kuxhomekeke kuhlobo, ubungqongqo, kunye nendawo yokwaphuka kwakho. Ukuchacha kungathatha ixesha elide ukuba uvela kwiingxaki emva kotyando.

Nje ukuba amathambo akho aqale ukuphola, ugqirha wakho unokukwenza unyango lomzimba okanye lomsebenzi.

Unyango ngokwasemzimbeni okanye emsebenzini unokukubonisa kwimithambo ethile yokuvuselela. Ezi ntshukumo ziya kukunceda uphinde ufumane amandla kunye nentshukumo kuloo ndawo.

Ukubuyela kwimeko entle, nantsi into onokuyenza ekhaya:

• Thatha amayeza entlungu. Kuya kufuneka uthathe i-counter-ekhawuntareni okanye amayeza eentlungu, okanye zombini. Landela imiyalelo kagqirha wakho.
• Qinisekisa ukuba ukusikwa kwakho kuhlala kuhlambulukile. Gcina igqunyiwe kwaye uhlambe izandla rhoqo. Buza ugqirha wakho ukuba ungatshintsha njani ngokufanelekileyo i-bandage.
• Phakamisa ilungu. Emva kwe-ORIF, ugqirha wakho unokukuxelela ukuba uphakamise umlenze kwaye usebenzise iqhwa ukunciphisa ukudumba.
• Sukufaka uxinzelelo. Ilungu lakho linokufuna ukuhlala lingashukumi okwethutyana. Ukuba unikwe isilingi, isitulo esinamavili, okanye iintonga, zisebenzise njengoko kuyalelwe.
• Qhubeka nonyango lomzimba. Ukuba ugqirha wakho womzimba ukufundise ukuzilolonga ekhaya kunye nokuzolula, kwenze rhoqo.

Kubalulekile ukuya kuzo zonke iimvavanyo zakho emva kotyando. Oku kuyakuvumela ugqirha wakho ukuba abeke iliso kwinkqubo yakho yokuphilisa.

Ukuhamba emva kotyando lwamaqatha e-ORIF

Emva kotyando lwamaqatha e-ORIF, ngekhe ukwazi ukuhamba ixesha elithile.

Ungasebenzisa i-scooter, uhleli ngesithuthuthu, okanye iintonga. Ukuhlala kude neqatha lakho kuya kuthintela iingxaki kwaye kuncede ithambo kunye nokusikwa kuphole.

Ugqirha wakho uza kukuxelela xa unokufaka ubunzima kwiqatha. Ixesha liya kwahluka ngokwaphuka ukuya kophuka.

Izingozi kunye nemiphumo emibi evela kwi-ORIF

Njengalo naluphi na utyando, kukho iingozi ezinokubakho kunye neziphumo ebezingalindelekanga ezinxulunyaniswa ne-ORIF.

Oku kubandakanya:

• usulelo lwebhakteria, nokuba lusuka kwizixhobo zentsimbi okanye kusikwa
• ukopha
• ihlwili legazi
• ukusabela komzimba kwi-anesthesia
• umonakalo okanye umthambo wegazi
• Ithenda okanye umonakalo we-ligament
• ukuphilisa amathambo okungaphelelanga okanye okungaqhelekanga
• izixhobo zentsimbi ezishiya indawo
• ukunciphisa okanye ukulahleka kokuhamba
• ukudumba kwezihlunu okanye ukonakala
• isifo samathambo
• tendonitis
• ukuphuma ngokuvakalayo kunye nokuqhekeka
• iintlungu ezingapheliyo ngenxa yezixhobo zekhompyutha
• i-compartment syndrome, eyenzeka xa kukho uxinzelelo olonyukayo engalweni okanye emlenzeni
  

Ukuba i-hardware iyasuleleka, kunokufuna ukuba isuswe.

Kuya kufuneka uphinde uphinde utyando ukuba ukwaphuka akuphilisi kakuhle.

Ezi ngxaki zinqabile. Nangona kunjalo, kunokwenzeka ukuba uphuhlise iingxaki ukuba uyatshaya okanye uneemeko zonyango ezinje:

• ukutyeba kakhulu
• isifo seswekile
• isifo sesibindi
• irheumatoid Arthritis
• imbali yamahlwili egazi

Ukunciphisa amathuba akho okuba neengxaki, landela imiyalelo kagqirha ngaphambi nasemva kotyando.

Abagqatswa abafanelekileyo kunyango lwe-ORIF

I-ORIF ayiyiyo wonke umntu.

Unokuba ngumgqatswa we-ORIF ukuba unokwaphuka okunzulu okungenakuphathwa nge-cast okanye i-splint, okanye ukuba ubusele uncitshisiwe kodwa ithambo aliphilanga ngokuchanekileyo.

Awudingi i-ORIF ukuba unokophuka okuncinci. Ugqirha wakho unokukwazi ukunyanga ikhefu ngokunciphisa okuvaliweyo okanye ukuphosa okanye ukutshiza.

Yise kude

Ukuba unesifo esibi kakhulu, ugqirha wakho unokucebisa ukunciphisa ukuhlinzwa okwenziwe ngaphakathi (ORIF). Ugqirha wamathambo usika ulusu, alubeke kwakhona ithambo, alibambe kunye nezixhobo zesinyithi njengeepleyiti okanye izikere. I-ORIF ayisiyiyo eyokwaphuka okuncinci okunokuphiliswa nge-cast okanye nge-splint.

Ukubuyiselwa kwe-ORIF kunokuhlala iinyanga ezintathu ukuya kwezi-12. Uya kudinga unyango lomzimba okanye lomsebenzi, amayeza eentlungu, kunye nokuphumla okuninzi.

Kuya kufuneka unxibelelane nogqirha wakho xa usopha, usiva iintlungu, okanye ezinye iimpawu xa uchacha.