Ama-Bones e-Broken Shin ne-What Treatment Mayingadingeka
I-tibia iyithambo elikhulu lomlenze ophansi, obizwa ngokuthi yi-bone bone. I-Tibia fractures ingenzeka ezinhlobonhlobo eziningi zokulimala. I-Tibia fractures ivela ngobujamo obuhlukahlukene nobukhulu, futhi ukuphuka kwesinye kufanele kuphulukwe ngezici ezithile ezicatshangelwe.
Ngokuvamile, i-tibia fractures ingahlukaniswa ngezigaba ezintathu ngokususelwa endaweni ye-fracture.
Kuxoxwa ngezindaba eziqondene nalezi ziphuphu kumakhasi alandelayo. Kumele kuqashelwe ukuthi ukuvuvukala, noma ukuhlanganiswa, kufanele kuphathwa ngokukhethekile. Kuvulwa ama-fracture lapho ithambo eliphukile livulekile esikhumbeni. Lezi fractures zengozini ikakhulukazi yokuthola isifo, futhi ngokuvamile, zidinga ukwelashwa kuzo zonke izimo.
- I-Tibial Shaft Fractures : I- Tibial shaft fractures yilona uhlobo oluvame kakhulu lwe-tibia lokuphuka futhi luvele phakathi kwamagolo namagxathu ezinsikeni. Iningi le-shabi fractures lingaphathwa ngendlela emilenze ende. Kodwa-ke, amanye ama-fracture anokufuduka noma ukuthungatha okuningi futhi angadinga ukuhlinzekwa ukulungisa futhi ukuvikela amathambo.
- I-Tibial Plateau Fractures : I- Tibial plateau fractures ivele nje ngaphansi kwamadolo. Lezi fracture zidinga ukucubungulwa kwamadolo kanye ne-cartilage surface. Ama-tibial plateau fractures angabangela ithuba lokuthuthukisa i- arthritis yamadolo .
- I-Tibial Plafond Fractures : I- Tibial plafond fractures yenzeka ngaphansi kwethambo le-shin ehlangene ne-ankle joint. Lezi fracture nazo zidinga ukucatshangelwa okukhethekile ngenxa ye-ankle cartilage surface. Ama-fracture we-tibial aphethwe yi-tibial ahlobene nokuthi kungenzeka ukulimala kwamathiski amancane azungezile.
Izimpawu ze-Tibia Fracture
I-Tibia fractures yilezi ziphumo eziningi zokulimala okukhulu kwamandla kuhlanganise ukushayisana kwezimoto, ukulimala kwezemidlalo, noma ukuwa kusuka ekuphakameni. Kukhona nezimbangela ezingavamile zokubambisana kwe-tibia kufaka phakathi ukuhlukumeza ngokweqile kokucindezeleka, nokungafinyeleleki okwehlukana okubangelwa ukugcoba amathambo, noma ukuphazamiseka kwamathambo. Ngenkathi kwenzeka ukuqubuka kwe-tibia, ezinye zezibonakaliso zingafaka:
- Ukuthambekela ngokuqondile phezu kwethambo le-shin
- Ukukhubazeka komlenze
- Ukuvuvukala nokulimala eduze kwethambo elimele
- Ukungakwazi ukubeka isisindo emlenzeni
Uma unokusola ukuthi wena, noma othile osizayo ekunakekeleni, unesifo se-tibia, kubalulekile ukufuna ukunakekelwa kwezempilo ngokushesha. Ngenkathi lokhu kungenziwa ehhovisi lakho lomzimba wamazinyo, kubonakala sengathi umuntu oyedwa obhekene ne-tibia ephukile ukuze abonakale emnyangweni ophuthumayo.
I-X-ray iyisivivinyo esiwusizo kunazo zonke ukuthola ukuthi i-tibia ihlukumezeka, futhi ngokuvamile ukuhlolwa okudingekayo kuphela, ngisho nalapho ukuhlinzeka kucatshangelwa ukwelashwa. Okunye ukuhlolwa kungaba usizo kufaka phakathi ama-MRIs ne-CAT. Uma ukuphuka kuhilela indawo ezungeze i-ankle noma ihlangothini lamadolo, ukuskena kwe-CAT kungasiza uhlelo lwakho lokuhlinza indlela yokulungisa kabusha indawo ebalulekile yokujoyina.
I-MRIs ivame ukusetshenziswa kakhulu uma kunombuzo wokuthola ukuphazamiseka, njengokucindezeleka kokucindezeleka kwe-tibia.
Ukwelashwa kwe-Tibia Fractures
Uma kunqunywa ukwelashwa kwe-tibia, izici ezilandelayo kufanele zicatshangelwe:
- Indawo ye-fracture
- Ukususwa kwe-fracture
- Ukulungiswa kwephutha
- Ukulimala okuhlangene
- Isimo se-soft-soft around the fracture
- Impilo ejwayelekile yesineke
Akuwona wonke ama-tibia aphukile afuna ukuhlinzeka, futhi amaningi angaphathwa ngokusilela nokulinganiselwa emsebenzini wokuthwala isisindo. Eziningi zalezi zimo, ukukhishwa kusetshenziselwa ukwelashwa. Kwezinye izimo, ukulungiswa kwephutha noma ukuzinza kungaba njengokuthi ukuhlinzeka kuzosiza ekuqinisekiseni ukuphulukiswa okungcono kwethambo.
Izinketho zokwelapha zokuhlinzwa zingashintsha futhi zingabandakanya izikhonkwane, amapuleti, izikuluvu, nezintambo. Kanti futhi, indlela eqondile yokulungisa i-tibia fracture ixhomeke kakhulu ezimweni ezithile zokulimala. Ukuhlinzwa kungenziwa njengesimo esiphuthumayo ngokushesha ngemva kokulimala, noma kwezinye izimo, kungase kubambezeleke kuze kube yilapho ukulimala nokulimala sekuqale ukuphulukisa.
Izikhathi zokuvuselela zibuye ziguquke kakhulu futhi zixhomeke ezimweni ezithile zokuphulwa nokwelashwa okunikeziwe. Ngokuvamile, i-tibia fractures izothatha okungenani izinyanga ezintathu zokuphulukisa, futhi abaningi bangathatha isikhathi eside ukuze bavuselele ngokugcwele.
Imithombo:
Bono CM, et al. "Izinyathelo Zokungavumelani Zomphakathi Okungavunyelwe Ukwelashwa: Izinketho Zokwelashwa Nokumiswa Kwezinqumo" J Am Acad Orthop Surg May / June 2001; 9: 176-186.