Ngemuva kokuba ithambo liphukile idinga ukuphumula nokusekelwa ukuphulukisa kahle. Odokotela base- Orthopediki basebenzisa ama-casts ukuze basekele futhi bavikele amathambo alimele. Ngenkathi i-casts ingahlali ingakhululekile futhi ingabonakali, iyindlela ephumelelayo futhi ephumelelayo yokwelapha ama-fractures.
Izinto zokwenza izinto
Ama-casts afika ezinhlobonhlobo nezinayizi eziningi, kodwa izinhlobo ezimbili ezivame kakhulu zokugqoka ezisetshenzisiwe ziyi-plaster kanye ne-fiberglass.
I-cast iyisibopho esisekela esiqinile, futhi sihlanganisa yonke indlela emaphethelweni.
- I-Plaster
Ngenkathi izinto ze-fiberglass zishintsha, eziningi ezisetshenzisiwe ezisetshenzisiwe namhlanje zisenziwa nge-plaster. I-plaster casts ijwayele ukusetshenziselwa lapho kunciphisa ukuphulwa kwegazi (repositioning of the bone). Isizathu sokuthi i-plaster isetshenziswe ngemuva kokubeka kabusha ithambo ukuthi lelo phasi lingahunyushwa kahle esibhedlela, ngakho-ke lingase lisekele ithambo ngokuqondile. Lapho ithambo lingekho, futhi liphinde libuyele esikhundleni, i-plaster ingasetshenziswa ukusiza ukufaka ithambo endaweni efanele.Inkinga nge-plaster yukuthi isindayo futhi kumele ihlale isomile. I-plaster ihlwitha ngumthwalo wesiguli ngenxa yezinto zabo ezinamandla nezindayo. Ngaphezu kwalokho, amanzi azophazamisa ukuma kwesibindi futhi angabangela izinkinga zokuphulukisa uma i-cast ikhathela.
- I-fiberglass
I-fiberglass ihlwitha ngokuvamile ifakwe uma ithambo lingekho esimweni, noma uma inqubo yokuphulukisa isiqalile kakade. I-fiberglass iyabamba isisindo esilula, isigqoke isikhathi eside, futhi siphefumula kakhulu kune-plaster. I-fiberglass ikhipha isigqinsi kune-plaster futhi idinga ukunakekelwa okuncane. Iningi lama-casts asetshenziswa namuhla yi-fiberglass. Enye inzuzo ye-fiberglass ethinta abaningi (hhayi nje izingane) ukuthi iza ngemibala eminingi futhi kulula 'ukugqoka.'
Kokubili i-plaster kanye ne-fiberglass casts ziboshwe ngezingxenye ezimbalwa zekotini ezivikela isikhumba. Ukugcina lokhu ukotini kuhlanzekile futhi kuyomile kuyoba okubaluleke kakhulu ekududuza kwakho. Kukhona uhlobo olukhethekile lwezinto zokugqoka ezingasetshenziswa ngaphansi kwe-fiberglass evumela ukuthi i-cast ithole imanzi.
Buza udokotela wakho uma unesithakazelo ekuphonseni " okungenawo amanzi" .
Ama-Splints
Amashadi angabuye ahlukaniswe nezinto ezibucayi. Ngokuvamile ama-splints asetshenziswe uma kungadingeki ukuqina okungapheli, noma ngezigaba zokuqala ngemva kokuphuka. Ukuqhakaziza kuvame ukubhekwa ngamanye amagama afana nokuthi 'i-soft cast' noma 'i-cast cast'.
Ama-splints angenziwa ngezinto eziningi. Enye yezinto ezijwayelekile zokusetshenziswa kwe-splint kuzinyathelo zokuqala ngemuva kokuhlukana okwenzekile. Ngokwesibonelo, ngokuvamile iziguli zihamba egumbini lokuphuthumayo esibhedlela. Esikhundleni salokho, ngemuva kokuthi kutholakale ukuphuka kwabo, ngokuvamile baqhekekile. Inzuzo yobukhazikhazi kulokhu kulungiselelwa ukuthi kukhona indawo engaphezulu yokuvuvukala. I- compartment syndrome isifo esibuhlungu esingase siphumelele sokwelashwa ngemva kokuqhekeka. Lesi simo senzeke lapho ingcindezi enkulu ikhula ngaphakathi emzimbeni, futhi ingenzeka ngemuva kokuphuka lapho ukuvuvukala kwenzeka esikhaleni esivinjelwe ukukhishwa. Ngenkathi i-compartment syndrome ngokuvamile ibangela ubuhlungu obukhulu, lokhu kungaba nzima ukuhlukanisa ubuhlungu bokuphuka okwejwayelekile ngemva kwephukile ephukile, ngakho-ke odokotela abaningi abafuni ukufaka ingozi enkingeni futhi ngakho-ke bazosebenzisa ububanzi bokuqinisekisa ukuthi kukhona indawo efanele yokuvuvukala.