Izindandatho zigqokelwe ukukhumbuza, ngokuvamile ukufanekisela isenzakalo esibalulekile. Ngenkathi izibopho zomshado, izindandatho zokuzibandakanya, noma enye enye indandatho isho ukuba yingxenye yakho, akusho ukuthi ususe umunwe wakho. Qaphela: kungenza. Ukulimala kweminwe emasongweni, okubizwa ngokuthi ukulimala kwamakamelo, kungaba yingozi, ngisho nokuholela ekulahlekelweni komunwe.
Ngokuvamile ukulimala okubangelwa ukuvuvukala kwezingubo akubuki okubi kuqala, kodwa ngisho nabaphathi bokuphatha abahlukumezayo, bangadala ekuthunjweni . Kubalulekile ukuthi noma nini ukulimala kwenzeka komunye weminwe yakho ngenkathi ugqoke indandatho, kodwa ukuhlolwa okufanele kanye nokwelashwa kutholakala ngesikhathi esifanele.
Gwema ukulimala kwe-Avulsion
Ukulimala kwe-ring avulsion kwenzeka lapho indandatho egqoke umunwe isuswa ngamandla emunwe obangela ukulimala kwezicubu ezithambile zomunwe. Ngokuvamile, ukulimala kubheka kancane, mhlawumbe ukulimala okuncane noma okungenasikhumba, kodwa izinga lokulimala lingase libe nzima kakhulu. Okubaluleke kakhulu, imithwalo encane yegazi yomunwe ingalimaza okwenza ukuba umunwe ulahlekelwe yigazi.
Lezi zingozi zivame ukuba ngumphumela wabantu abasebenza ngemishini ababamba phezu kwendandatho, noma kusuka kumuntu owela futhi efinyelela ukuqonda into kuphela ukuze abambe indandatho.
Ngokwesibonelo, umculi uJimmy Fallon usanda kubika ukulimala lapho egibela khona ibhola bese ebamba indandatho yakhe, ekugcineni edinga ukuhlinzekwa amahora amaningi nokuvuselelwa.
Ukulimala kwe-avulsion kuhlukaniswa kanje:
- I-Class I: ukuhambisa okwanele
- I-Class II: ukusakaza okunganele
- I-Class III: i-amputation ephelele
Njengoba kukhonjisiwe, ukukhathazeka okuyinhloko ukugeleza kwegazi kuya futhi kusuka kudijithi. Ngaphandle kokulimala kwe-vascular, i-thrombosis ye-arterial ingase ikhule emahoreni noma ezinsukwini ezilandela ukulimala. Izitsha zegazi zingonakaliswa ngenkathi amathambo nama-tendon kungenzeka angazange ahlukunyezwe, futhi isikhumba singase sihambisane. Ngakho-ke, ngisho noma umunwe uphonsa futhi ungaphazi, ukulimala okuvela ekugodlweni kufanele kuhlolwe ngokucophelela futhi kuhlolwe ngokucophelela.
Ukwelapha
Ukwelashwa kokulimala okusolakala ukuthi kunesidumbu kufanele kuhlanganise nokuhlolwa ngudokotela wezokwelapha ongakwazi ukuhlola kahle ukuthi kungenzeka yini ukulimala kwamathambo. Ukwengeza, isikhumba, izinzwa, ama-tendon, ligaments, namathambo kufanele zihlolwe ukuze zithole ukuthi imithi iyadingeka yini. Uma ukwelashwa kuyadingeka, ukulungiswa kwe-microvascular kuyindlela yokwelapha evamile. Lokhu kuvame ukuhlinzwa ngokuhlinzeka ngesandla noma isazi sokuhlinza plastic . Ukulimala kwe-Class III kungacatshangelwa ukutshalwa kabusha (ukufakwa kabusha) komunwe , kodwa lokhu kuhlinzwa akusi njalo njalo kuye ngokuthi izinga lokulimala komzimba lithinta kanjani.
Kubalulekile ukuphawula ukuthi ngisho nangokwelashwa okufanele, ukulimala kweSigaba II kunomthelela we- ischemia womunwe (ukungena okwanele kwegazi), lokho kungadinga ukuthunjwa.
Ngisho nalapho ukulimala kokulimala kubonakala kuqala, futhi ukwelashwa okufanele kuqaliswe, izitsha zegazi ezakhiwe kabusha zingase zingasebenzi ngendlela evamile.
Ngenxa yobungozi balezi zingozi, izindawo eziningi zomsebenzi zidinga abasebenzi ukuba basuse amasongo ngaphambi kokusebenza. Lokhu kubaluleke kakhulu kulabo abasebenza ngemishini noma amathuluzi angabamba noma abambe ngomunwe ophethwe. Abantu abajabulela imisebenzi yokuthuthukisa ekhaya noma imisebenzi yezemidlalo kufanele futhi baqaphele futhi basuse amasongo ngaphambi kwale misebenzi. Ngokuqinisekile, abagijimi bezobuchwepheshe basusa lolu hlobo lwezinto zokugqoka ngaphambi kokuba badlale imidlalo yezemvelo noma yokuxhumana.
Ingozi yokulimala ingase ibonakale ingenakwenzeka, kepha ukukhipha nje indandatho emunwe kungavimbela ukuhlukunyezwa kwezinhlekelele.
Izwi elivela
Yiba ibhande lomshado, futhi indandatho yokuzibandakanya, indandatho yekilasi, noma ezinye izigqoko ezibekwe ngomunwe, kungaba khona inkinga enkulu ngenxa yokulimala ngenkathi igqoka indandatho emunwe. Into ephephile kakhulu okufanele uyenze ukuzama nokukhipha ubucwebe ngaphambi kokwenza noma yimiphi imisebenzi efana nemidlalo yokuxhumana noma ukuphakamisa okunzima. Ukuthatha izinyathelo ezilula kungavimbela ukulimala okulimazayo. Uma ukulimala kwenzeka emunwe ngenkathi ugqoke indandatho, qiniseka ukuthi umunwe uhlolwe ngokuthi izinzwa, imithambo yegazi kanye nezinye izicubu ezithambile zisebenza ngokujwayelekile. Susa ikhaleni ngokushesha ngangokunokwenzeka ukuvimbela noma yikuphi ukulimala kwezicubu ezithambile. Uma kukhona umbuzo wobunzima, funa ukwelashwa ngokushesha njengoba ukwelashwa okubambezelekile kungaholela emiphumeleni eyingozi kakhulu.
Imithombo:
Crosby N, et al. "Ukulimala kwendandatho yomunwe: ukulandelwa kwesikhathi eside" Isandla se-2014 Sep; 9 (3): 274-81.