Isibonakaliso se-Traum Soft-Tissue Associated With Bones Broken
Ama-blister okuphuka ama-blisters ama-blisters ahamba eduze kwendawo ethintekile , ngokuvamile ngemva kokulimala kanzima lapho ithambo lisuswa kabi noma lichotshoziwe ngamandla amakhulu-lawa mabhansela ayisibonakaliso sokulimala okuphawulekayo kwamathambo. Zivame ukuvela phezu kweziphuphu zamathambo eziseduze nesikhumba. Ngakho-ke, ama-blisters ephukile ajwayelekile kakhulu:
- I-Ankle fractures
- I-Tibia ihlukana
- I-Elbow fractures
Ama-blister we-Fracture ngokuvamile akhula phakathi nezinsuku zokuphuka. Ngokuvamile, i-bone ephukile ihlukaniswe okwesikhashana ngemuva kokulimala, futhi kubonakala ukuthi izibhanki zibonakala lapho ubuqhakazi bukhishwa izinsuku ezimbalwa noma ngesonto ngemuva kokulimala. Amathuba okugcoba anganciphisa ngokuvimbela noma yikuphi ukuhlukumezeka kwamathambo athambile ngokuvimbela ngokuqinile ukukhuphuka, ukuvikela isikhumba ngobuhle obubunjiwe kahle, nokuphakamisa umkhawulo ophukile. Ama-blisters okuphuka amahlumela athambekele ekubi nakakhulu lapho iziqhekeko eziphukile zikwazi ukuhamba, okwenza kube nomonakalo owengeziwe we-tissue tishu.
Ngaphakathi kweBlister
Ama-blister agcwala uketshezi olucacile noma igazi. Uketshezi ngaphakathi kwe-blister kuncike ekujuleni kokubandakanya isikhumba. Ngenkathi ukwelashwa kufana nokuthi ngabe kukhona yini igazi noma ukucaca okucacile ku-blister, amathuba okukhishwa kwesikhumba aphakeme nge-blister egcwele igazi.
Uketshezi ngaphakathi kwe-blister kuyinyumba, ngakho-ke i-blister kufanele ishiywe ingaguquki futhi ingaphukile. Uma i-blister iqhuma, njengoba ngezinye izikhathi yenza, uphahla lwe-blister kufanele lishiye yedwa njengoba isikhumba siphulukisa ngaphansi. Ukushaya izibhansela nokukhipha isikhumba akuyona indlela efanele yokuphulukisa ibhanti lokuphuka.
Ezinye izifo zokwelapha, njengeSilvadene ukhilimu, kuboniswe ukuthi ziphumelela ekusizeni ukuphulukiswa kwamabhalane aphukile.
Ukuhlinzwa
Isici esibaluleke kunawo wonke se-blisters yokuphuka yisisusa sabo sokukhanda okuhlinzekwayo kwamathambo aphukile. Uma isiguli senze ukuhlukunyezwa kwephunga, ukuhlinzwa akufanele kwenziwe ngekhanda eliboshiwe. Ukwenza ukuhlinzeka nge-blister ye-fracture kukhulisa kakhulu amathuba okuthola izilonda, kuhlanganise nokutheleleka.
I-blister kucatshangwa ukuthi ibonisa ukulimala kabuhlungu esikhumbeni. Ukulimala kulezi zicubu ezithambile kunganciphisa ukuphulukiswa kwesilonda sokuhlinzwa, ngakho-ke noma yisiphi isikhumba esikhanyayo kufanele sihlolwe ngokucophelela.
Uma ukuhlinzeka kudingeka kwenziwe futhi amabhuleki aphukile akhona, ukuhlinzwa kungase kudingeke kuguqulwe ukuze kugweme isikhumba esikhanyayo. Isibonelo, uma ukuphuka kwe-ankle kuphukile amabhulabhu esifundeni sezinyosi, esikhundleni sokusebenzisa amapuleti nezikuluzi , i-fixator yangaphandle ingasetshenziselwa ukuzinzisa ithambo.
Ukwelashwa kwama-Blisters
Njengoba kushiwo, amabhulashi kufanele ashiywe yedwa uma engaphumeleli. Uma une-bone ephukile edinga ukuhlinzeka, futhi kukhona amabhuleki aphukile kule ndawo, okulandelayo kufanele kwenzeke:
- Iphunga eliphukile kufanele lingabi nalutho. Lokhu kungafezwa ngokuqhaqhazela noma okuyi-fixator yangaphandle. Inzuzo ye- fixator yangaphandle ukukhubazeka kuvame ukuba ngcono, futhi udokotela wakho angabona isikhumba. Ezimweni ezinzima, le ndlela ivame ukukhetha.
- Umkhawulo kufanele uphakanyiswe. Umkhawulo kufanele uphakanyiswe ngangokunokwenzeka. Uma i-ankle noma i-tibia ithambo lihilelekile, indlela ewukuphela yokuphakamisa ngenhliziyo iwukulala phansi. Ukuphakamisa ikhanda ngesikhathi uhlezi akuphakamisi!
- Ukuhlinzwa kumele kubambezeleke. Ukuhlinzwa akufanele kwenziwe nge-bracter ye-fracture. Ithuba lezinkinga zokulimala, kufaka phakathi ukutheleleka, liphakeme kakhulu, futhi ukuhlinzwa kufanele kuguqulwe noma kubambezeleke.
Ukuphulukiswa okugcwele kwe-blister ye-fracture kungathatha amasonto amaningana. Okufanelekile ngokuphuthumayo, ukwelashwa okuphumelelayo, ithuba lokuthuthukisa i-blister ye-fracture liyophungulwa, kodwa uma likhula, ukubekezela kuyadingeka ukuvumela umshayeli ukuba axazulule ngaphambi kokuqhubeka nokwelapha okuhlinzekwa.
Izwi elivela
Ama-blisters okuphuka angase abe yinto ebesabekayo kubantu abangalindele ukuba kwenzeke. Ngokuvame ukukhombisa izinsuku emva kokulimala, kungenza abantu besabe ukuthi kukhona okungahambi kahle. Esikhundleni salokho, umzimba uphendula ngokuhlukumezeka ngezinqubo, njengokungenwa, okungase kuvele ngaphezu kwamasonto nezinyanga. Ama-blisters okuphulwa yi-fracture ayibonakaliso yokulimala okunomsoco obunzima, kanti ngenkathi ukubonakala kwesifo sokuphulwa kwesibindi kungase kuthinte isikhathi kanye nohlobo lwenqubo yokwelapha, kuzosiza ukuqondisa udokotela wakho wokuphatha ngendlela yokuphepha ngokuphepha kokulimala kwakho okulimazayo.
Imithombo:
Strauss EJ, et al. "Ama-blisters ahlobene nokuhlukana okuphansi okuphansi: imiphumela ye-protocol yokuthola ukwelashwa" J Orthop Trauma. 2006 Oct; 20 (9): 618-22.
> Tull F, J. J. Borrelli "Ukulimala komzimba okuhambisana nokuhlukana okuvaliwe: ukuhlolwa nokuphathwa" J Am Acad Orthop Surg. 2003 Nov-Dec; 11 (6): 431-8.