Ingabe indlela ye-METH iyindlela engcono?
Buza udokotela, umhlengikazi, umuthi wezifo eziphuthumayo, noma umqeqeshi wezemidlalo ukuthi yini ongayenza ngekhanda elisontekile futhi kungenzeka ukuthi uzwe iseluleko esifanayo: ukuphumula, ukuwaqeda, ukuwufaka, nokuwuphakamisa. Yimiso yokwelashwa eyaziwa ngokuthi i- RICE-Rest, Ice, Compress, Elevate .
Emashumini eminyaka, i-RICE ibilokhu isilinganiso segolide sokulimala kwamathambo njengama-sprains amancane nezinkinga. Ngisho nokuhlukana kuncike ekwelapheni kwe-RICE kuze kube yilapho kungenziwa ukulungiswa ngokuhlinzwa noma ukungafihli ngokuphelele, ngokuvamile nge-plaster cast.
Wonke umuntu uyazi. Wonke umuntu uyakwenza.
Kodwa ingabe isebenza?
I-RICE Iyanciphisa Ukugeleza Kwegazi
Ubufakazi bokusebenzisa i-RICE-ikakhulukazi iqhaza leqhwa-libukeka kahle kakhulu. Ngokombono wenduduzo yesineke, kunengqondo. I-Ice numbs indawo ehamba ngokulimala futhi inciphisa ubuhlungu, ngokungangabazeki ngakho. Ngeshwa, isizathu sokubanda kubangela ukuphazamiseka ngenxa yokuthi umzimba awufuni ukulahlekelwa ukushisa ngaphandle futhi ugweme igazi endaweni lapho iqhwa lisetshenziswa khona.
Ezinye izingxenye zokwelashwa kwe-RICE nazo zenzelwe ukunciphisa ukugeleza kwegazi endaweni. Ukuphumula kunciphisa ukugeleza kwegazi ngokuhlala kungasetshenziswa immobile. Enye yezindlela umzimba ezisiza ukuhambisa igazi emhlabeni wonke isistimu ngokuhamba kwemisipha-hhayi nje inhliziyo. Njengoba sisuka, sithumela, futhi sicindezela imfucuza yethu, sifaka igazi nge-capillaries nasemithanjeni. Sula imisipha futhi uphumule ukugeleza kwegazi.
Ukucindezela kuyafana. Ngokusebenzisa ingcindezi yangaphandle kwezicubu, sivimbela ukugeleza kwegazi endaweni.
Bamba isigamu sesiponji esihlalweni sakho bese ubeka yonke into ngaphansi kwamanzi. Ingxenye ephoqelekile ngeke iphoqe amanzi, kodwa ingxenye evezwe kuyoba. Yiyo kanye indlela ama-capillari asebenza ngayo.
Ukuphakama kwegazi kugeleza ngegazi ngamandla. Ngokugcina indawo ngenhla kwenhliziyo, sinciphisa ukucindezelwa kwegazi okuqhutshelwa khona.
Ngokuhlanganiswa nazo zonke ezinye izingxenye ze-RICE, ukucindezelwa okunciphise kubangela ukugeleza okunciphise.
Konke lokhu kuhle ukuvala i-spigot yegazi. Iyanciphisa ukuvuvukala futhi igcina indawo ibe yinkimbinkimbi encane ekuhluphekeni kokubuyiselwa. Ngeshwa, kungase kubangele ukuvuselela ukuthatha isikhathi eside kakhulu.
Khuthaza Ukuphulukiswa
Ukugeleza kwegazi kuyadingeka ukuze kuphulukiswe. Imizimba yethu kufanele ihlakaze amangqamuzana abonakalisiwe futhi aphinde asebenzise izinto zokusetshenziswa. Kufana nesayithi yokwakha. Kufanele sigcine ukuhamba kwezimoto ukuze kukhishwe imfucuza kanye nemfucumfucu kanye nokuletha izakhi namandla. Buka ukuthi isakhiwo sokwakha senzani uma imigwaqo ivaliwe. Akukho okwenzekayo. Inqubo yonke ithatha isikhathi eside. Yilokho kanye umzimba okwenzayo lapho ukugeleza kwegazi kungavunyelwe endaweni.
Esikhundleni sokunciphisa ukugeleza kwegazi, ukuphilisa kudinga ukugeleza kwegazi okulawulwayo. Kubonakala sengathi uma ushiyelwe kumadivayisi akho, umzimba uhle kakhulu ekuphulukiseni uqobo. Lokhu akusho ukuthi asikwazi ukwenza noma yini ukusiza. Imithi yanamuhla ibonise ukuthi singakwazi ukuqondisa ukuphulukisa futhi sisize endaweni eyalimala emuva esimweni sokulimala. Uma sikhuthaza uhlobo olufanele lokulawulwa kwegazi nokulawulwa kabusha, singase sikwazi ukuthuthukisa kule nqubo.
Kudinga ukuthi siyeke ukuphazamisa ukugeleza kwegazi egameni lenduduzo nokukhuthaza ukugeleza kwegazi okulungile ukuthuthukisa ukuphulukiswa.
I-METH Method-Movement, Elevation, Traction, ne-Heat
I-METH ivela njenge-RICE entsha. Kuyisigcawu se-Movement, Elevation, Traction, ne-Heat. Ngaso leso sikhathi, kubonakala sengathi sizokwenza ngokuphambene nalokho esikwenzile iminyaka. Akusilo ukuthi lokhu kusebenza kanjani. Ukushisa kunokushisa? Kancane. Ukuhamba esikhundleni sokuphumula? Yebo. Kodwa lokho akusho ukuthi kufanele siphonsa umntwana ngamanzi okugeza. Ezinye zezinto esizenza ngaphansi kwe-RICE zisasebenza. Sisazokwakha ukulimala ukulawula ukugeleza kwegazi, nje ungayeki.
Okokuqala, yeka ukunciphisa ukugeleza kwegazi ezindaweni ezimele. Lenza nje into yonke idonse ngaphandle futhi ibeke isiguli engozini yokulimala okwengeziwe ngenxa yokwehla kwesimo endaweni. Masiqondise ukugeleza kwegazi futhi sikhuthaze ngendlela efanele.
Ukunyakaza kusho ukuthi kusho ukuthini. Siza isiguli ukuthi sithole uhambo oluthile endaweni emele. Uma sikhuluma ngesikhumba, ezinye izindlela zokuzivocavoca nezandiso zingcono kakhulu. Ungabeki isisindo esiningi kakhulu, kodwa ungagwemeli ukuzala isisindo ngokuphelele. Lalela umzimba wakho. Kunesizathu esikubiza ngokuthi "ubuhlungu obungenakubekezelelwa" (okungenani ungacabanga ngaleyo ndlela). Khuthaza imisipha ukuba ikhumbule ukuthi kufanele ihambe kanjani.
Khulisa ukulimala uma uphumule. Akuyona isidingo sonke-isikhathi-kodwa, uzizwe ukhululekile ukubeka isikhala sakho esikhwameni esihlalweni esikhundleni sokuba uvumele ukuphumula emhlabathini ngenkathi uhlala edeskini yakho. Ngakwesokunxele kuya kumadivayisi ayo, ukulimala kwakho kuzovuvukala ngaphezu kwalokho okufunayo. Konke lokhu kuvuvukala akulungile, noma kunjalo. Ufuna ukugqugquzela ukugeleza kwegazi, ungaguquki isisindo sakho noma isikhonkwane sibe isoseji.
I-traction iyindlela esetshenziswa ngabahlengikazi abangokwenyama ukukhuthaza ukuphulukiswa. Ngokuyisisekelo kusho ukudonsa ngobumnene ekuhlanganyeleni. Kunezindlela ezihlukahlukene futhi akufanele kwenziwe ngokuqinile ngaphandle kokuqeqesha. Nokho, kancane iyahamba ngendlela ende. Ungaba nomunye umuntu asebenzise i-traction encane ezinyaweni zakho uma kwenzeka i-ankle sprain. Cabanga ukukhipha ibhoti eliqine kakhulu. Uma kwenzeka umkhonto wesikhumba, ungadonsa u-traction ngokwakho ngokubamba okuthile okuqinile (njenge-guardrail yensimbi) bese uphindela emuva ukuze ukhulise isihenqo sakho. Ungapheli. Inani le-traction kufanele libe ngangokunokwenzeka ukuze uthole impumuzo. Ungadonseli isikhathi eside kunemizuzwana embalwa bese ukhulula kancane. Uma kubangela ubuhlungu obukhulu kunokunikeza ukukhululeka, ungenzi.
Ukushisa bekulokhu kuseduze. Ngisho noma ubhalisa ku-RICE, cishe utshelwe ukuba ushintshele ekushiseni ngemva kwezinsuku ezimbalwa. Ake sibhekane nakho, imfudumalo izwa kahle. Ngokuqinisekile kukhuthaza ukugeleza kwegazi esikhundleni sokusiphazamisa. Njengoba nje ngeqhwa, ungayidluli. Ukushisa akufanele kusetshenziswe imizuzu engaphezu kuka-30 ngesikhathi futhi akudingeki ukuthi kushise kakhulu. Ungazishisi. Okuncane kuhamba ngendlela ende.
RICE vs. METH: Yini Engcono?
Kunemikhombandlela yokuncintisana ngaphandle lapho ukwelapha ama-sprains (amabili ahlelwe emithonjeni engezansi) futhi akukho ukuvumelana. Kungenxa yokuthi i-RICE kulula ukuyikhumbula ayikwenzi ukwelashwa okufanele kuwo wonke ukulimala kwamathambo omncane. Njengazo zonke izinsiza zokuqala zokusiza , i-RICE yathuthukisa ngokusebenzisa inqubo ehlonishwayo yesikhathi esithi "Ngiyakwenza ngale ndlela ngoba uthisha wami ungitshele ukuthi" kunokuba yiqiniso, ucwaningo lwesayensi.
Ukusetshenziswa kweqhwa njengendlela yokuphulukisa umqondo omubi. Lokho kusho, kusenomsebenzi wayo. Ukunciphisa ukuvuvukala kubalulekile kumaphuzu ngaphambi kokufaka ukukhishwa. Lapho ingalo ephukile noma umlenze uvuvukala uma ukuqhutshwa kuqhubeka, ukukhululeka ngokwengeziwe ku-cast kuzoba njengokuphulukisa okuqhubekayo. I-Ice iyasiza ngalokho.
I-METH ayiyona ye-high grade grade (severe) sprains. Uma ungakwazi ukuwuhambisa noma ukubeka isisindo kuwo, kufanelekile uhambo oluya kudokotela. Myeke anqume ukuthi ngabe kushisa yini noma kubanda.
> Imithombo:
> Kerkhoffs GM, van den Bekerom M, Abadala LAM , et al. Ukuxilongwa, ukwelashwa nokuvinjelwa kwe-ankle sprains: isiqondiso somtholampilo esekelwe ebufakazini. I-Br J Sports Med 2012; 46: 854-860.
> I-National Guideline Clearinghouse (NGC). Isifinyezo somhlahlandlela: Ukuqina kwe-Ankle nokunyakaza ukuhlanganiswa kokukhubazeka: izilonda ze-ankle zemizila: imihlahlandlela yokusebenza emitholampilo ehlanganiswe nokuHlelwa kwamazwe ngamazwe okuSebenzayo, ukukhubazeka kanye nempilo esiGabeni sama-Orthopedic se-American Physical Therapy Association. Ku: National Guideline Clearinghouse (NGC) [Iwebhusayithi]. I-Rockville (MD): I-Agency for Research and Quality Quality (AHRQ); 2013 Sep 01.
> Ramaraju, D., & Schenk, W. (2006). I-Techline ye-Barrel Sling ye-Ankle Traction. Ama-Annal of The Royal College of Surgeons of England , 88 (6), 589-590. http://doi.org/10.1308/003588406X130714a
> Tseng CY, Lee JP, Tsai YS, Lee SD, Kao CL, Liu TC, Lai C, Harris MB, Kuo CH. Ukupholisa ukupholisa (icing) ukulibaziseka ukutakula okuvela emonakalweni we-muscle engenasisekelo. I-J Strength Cond Res. 2013 Meyi; 27 (5): 1354-61.