Ukubuyisela Ku-Hip Broken

Ama-Hip Fractures Angase Aholele Ekuncipheni Komsebenzi Ophelele

Ama-Hip fractures aphakathi kwezinhlobo ezivame kakhulu zamathambo aphukile , futhi kanye nangaphezulu kweminyaka engama-65, isiqhwa esiphukile siyisizathu esivame kakhulu ukuthi kungani abantu bedinga ukuhlinzwa ukuphulwa. Ngeshwa, le nkinga enzima ivame ukuthinta iziguli ezibuthakathaka nezibuthakathaka kakhulu. Ngenkathi ezinye izifo ezitholakala emzimbeni zisebenza ngendlela enamandla kakhulu, abantu abakhuthele, iningi lezinqulu eziphukile zenzeka kubantu abahlala phansi, abantu ababuthakathaka.

Ngenxa yalokhu, abantu abaningi abagcina lezi zingozi, noma imindeni yabo, bakhathazekile ngenqubo yokutakula. Ingabe ukuhlinzeka okukhulu kusebenza? Ziyini amathuba okuthola? Iyiphi indlela engcono kakhulu yokusiza umuntu osekhulile ophule umlenze wabo?

Ukwelashwa kwe-Hip Broken

Cishe bonke abantu abaphula isicupho sabo badinga ukuhlinzwa ukulungisa inkinga. Kunezinketho ezahlukene zokwelapha ezixhomeke endaweni yethanga eliphukile kanye nesiguli esilimele. Okukhethwa kukho okuyinhloko ukuthi kulungiswe ithambo eliphukile, noma ukubuyisela konke noma ingxenye yenhlanganisela ye-hip. Ukuhlukana okuningi kuzoba nendlela yokwelashwa ekhethwayo, nakuba kwezinye izimo udokotela wakho ohlinzayo uzokwenza isincomo lapho kungase kube khona ukhetho olungaphezu kokukodwa kokwelashwa.

Ngezinye izikhathi imindeni izocubungula ukwelashwa okungekho emthethweni ngalezi zingozi. Nakuba lokho kungase kube inketho yeziguli ezigula kakhulu noma ezigula kakhulu, ngokuvamile akuyona into enhle.

Imithi yokwelapha ibhekwa kuphela ngezinhlobo ezithile zokuphuka, njengokuthi ikhefu lisehlangothini lwesigqoko sehlangene (hhayi i-femur), khona-ke ukwelashwa okungenasisindo kungenzeka. Kodwa iningi lama-hip fractures wesifuba lesifazane lizodinga ukuhlinzwa. Inkinga nge ukwelashwa okungenasidingo kwezinhlobo eziningi zezinqulu eziphukile yukuthi ukuhambisa isiguli nge-hip ephukile kungasondeli.

Kunezinkinga eziningana ngokungakwazi ukuhambisa umuntu olimele:

• Kungabangela izinkinga eziningi. Ukungahambi kahle kungaholela ezinkingeni eziningana nabantu. Ukuthuthukiswa kwezinye izimo zezokwelapha ingenye yezinkinga ezinkulu zokuphathwa ngokweqile kwama-hip fractures. Abantu abangekho emthethweni bajwayele ukuthuthukisa i- pneumonia , ama-clots wegazi , nezilonda zombhede . Lezi zimo sezivele zikhupha abantu asebekhulile, futhi uma ungakwazi ukuhambisa umuntu, ithuba lokuthuthukisa enye yalezi zinhlobo zezinkinga zikhuphuka kakhulu. Ngenxa yalezi zizathu, ngisho naseziguli ezigula kakhulu noma ezigula kakhulu, ukulungiswa kokuqedwa kwe-hip kuvame ukuphakanyiswa.
• Kungaba nzima ukunakekela abantu. Ukunakekela umuntu ongakwazi ukuhambisa kuyinselele kakhulu. Imisebenzi elula njengokugeza nokuhlanza umuntu ongakwazi ukuhambisa kunzima. Nakuba ukuphatha izimpawu ezibuhlungu zesikhumba esiphukile kungenziwa ngokulala namuntu, akusho ukuthi kunengqondo ukunakekela umuntu ngaphandle kokuhamba. Ngakho-ke, ngisho nalapho kutholakala izinyathelo eziphukile kubantu abaxhomeke ngokuphelele kwabanye ekusekeleni, bavame ukulungiswa ngokuhlinzwa ukuze avumele lokhu kunakekelwa kwenzeke.

Inqubo yokuhlinzekwa esetshenziselwa ukulungisa u-hip ephukile ingahlukahluka kuye ngezici eziningana.

Ngokuvamile, ukwehlukana kwethethini lethanga, elibizwa nge-femoral neck, kuthathwa ngokushintshwa. Uma ukwephulwa kwentamo yesifazane akukona neze ukuthutha indawo (ngaphandle kwesimo), khona-ke ukulungiswa kwekhefu kungacatshangwa. Ama-fractures ngaphansi kwentamo ye-femur, ebizwa ngokuthi i-intertrochanteric noma i-peritrochanteric fractures, iphathwa ngokukhanda okuhlinzekwa ngezinduku, amapuleti, noma izikulufa. Njengoba kukhonjisiwe, indlela enhle yokulungisa ukuhlukana okuhlukile ingase ihluke kuye ngokuthi iphethini lokuphuka, ukukhetha okuhlinzayo, nesiguli esithile esiphathwe.

Ukubuyisela okuqondile kusuka ku-Hip Fractures

Indlela engcono kakhulu yokululama ekuqhekekeni kwe-hip ukuhamba ngokushesha ngangokunokwenzeka.

Ukungahambi kahle kuvula umnyango wokuba nezinkinga ezinkulu. Ngezizathu ezibalwe ngenhla (ukuvimbela ukuphefumula, ukugaya igazi, izilonda zombhede, njll), kubalulekile ukuthola iziguli futhi zihambe ngokushesha ngangokunokwenzeka emva kokuhlinzwa. Kunezindlela eziningi zokusiza ukufeza lo mgomo.

Okubaluleke kakhulu, ukuhlinzekwa kufanele kwenziwe ngemuva nje kokulimala. Kukhona ukuphikisana mayelana nokuthi ukuhlinzeka ngokushesha kufanele kwenziwe kanjani ngaphambili, kodwa kungakapheli amahora angu-48 okulimala, futhi mhlawumbe maduzane. Izibhedlela eziningi zihlonywa kangcono ekutholeni laba bantu ngezintambo eziphukile ekamelweni lokusebenza ngosuku noma ngosuku ngemuva kokulimala kwabo.

Kunezimo lapho ukuhlinzwa kufanele kubambezeleke, njengalapho kunezinye izinkinga ezinkulu zezokwelapha okudingeka zibhekiswe ngaphambi kwenqubo yokuhlinzwa. Esinye isimo esivamile uma umuntu egazini egazini egazini ephuza umlenze. Imiphumela egazini yegazi ingadinga ukuguqulwa ngaphambi kokuhlinzwa ngokuphepha.

Isinyathelo sesibili ukuvuka ngokushesha nokuhamba ngemva kokuhlinzwa. Emahoreni kanye nezinsuku emva kokuhlinzwa, abasebenzi abahlengikazi kanye nabahlengikazi bazosebenza ukuze bathole futhi bahambe. Ngisho nokushintsha isikhundla nokuhlezi esihlalweni kungasiza ekuvimbeleni ezinye zezinkinga ezingase zenzeke kubantu abanezinqunu eziphukile.

Amathuba Wokubuyiselwa

Ngeshwa, ukutakula ngokugcwele ngemuva kokuqhaqha okuphukile kwenzeka kuphela engxenyeni yabantu bonke. Ingxenye enye izoba nokuncipha komsebenzi uma kuqhathaniswa nezinga labo lomsebenzi wokulimala. Ngokudabukisayo, cishe ingxenye eyodwa kweyodwa yabantu abaphule umlenze abahlali iminyaka egcwele ngemuva kokulimala kwabo. Ngenkathi leli qembu lijwayele ukumelela abantu ababuthakathaka kakhulu abaphula i-hip, kuyinombolo enkulukazi emangalisayo.

Ngokusobala, wonke umuntu ufuna ukuba ngamaphesenti angu-50 abantu abaphinda bavuselele umsebenzi wabo ogcwele. Ukuze wenze kanjalo, abantu kuzodingeka baphinde babuye okulandelayo:

1. Ukuhamba: Ukuze amalunga asebenze kahle, adinga ukuhambisa. Ihlangene eqhwa emkhathini ingase ibe nezicubu ezinhle ze-muscle ezungeze ukujoyina, kodwa ngaphandle kokuhamba ngendlela efanele lezo musipha azikwazi ukusebenza kahle. Ukuhamba kungaphazamiseka ngokuphulukiswa kwephutha, ukukhubazeka, i-hardware eyakhiwe, nokubunjwa kwamathambo.
2. Amandla : Ukubuyiselwa kwamandla emisipha kubalulekile ngemuva kokuphuka. Ngokungafani nokutholakala kokuhlinzwa kwe-hip esikhundleni, lapho umonakalo wemisipha ungaphansi, ukuhlukumezeka kokuphula i-hip bone nakho kungonakalisa umsebenzi we-muscle ngokuphawulekayo. Ukuze uphinde usebenze imisipha, kubalulekile ukuthola imisipha isebenze ngokushesha ngangokunokwenzeka ngemuva kokuhlinzwa ukuze kuvinjelwe i-atrophy engase ibe yimihla ngemizimba yezicubu zomzimba.
3. Ukulinganisela : Ukubuyiswa kwesilinganiso kubaluleke kakhulu ekubuyiseleni umsebenzi kuphela kodwa nokuvimbela ukuthi kungenzeka ukulimala okwengeziwe. Ukulingana kubalulekile kumsebenzi, futhi ukuncipha komsebenzi ngokuvamile kubangelwa ukulahlekelwa ibhalansi. Ukusetshenziswa kwezinsiza zokuvuthwa (amathrekhi noma i-walker) kungaba usizo, kepha ukuphinde uthole ubuciko kanye nokulinganisela kungasiza ukubuyisela umsebenzi.

Ukuphulukiswa okugcwele kwe-hip ephukile kungathatha izinyanga eziningi. Iningi lokuphuka lithatha amaviki angu-10-12 okuphulukisa, futhi amandla okuhamba nemisipha angathatha isikhathi eside. Ngokujwayelekile, abantu basondela ekutheni bavuselele ngokugcwele ezinyangeni ezingu-6 zokulimala, kodwa kungathatha unyaka ogcwele ukufezekisa okuningi ngangokunokwenzeka. Lokho kusho ukuthi abantu abasebenzisa ukuhlukunyezwa kwe-hip akufanele balinde izinyanga noma isikhathi eside ukuba babe nobudlova ngemithi yabo. Njengoba isikhathi sidlula, amathuba okuvuselela umsebenzi ayancipha-ukuzuza okunamandla kwenziwa ekuqaleni kwenqubo yokutakula.

Izwi elivela

Ama-Hip fractures alimala kakhulu, kanti ngenkathi kutholakala ngokugcwele, akunjalo ngaso sonke isikhathi. Eqinisweni, cishe isigamu sabantu abagcina i-hip ephukile bayoba nokunciphisa kokusebenza ngisho nalapho amathambo abo ephulukiswa ngokuphelele. Ngenxa yalesi sizathu, ukuhlinzeka ngesikhathi esifanele, ukuvuselelwa kwangaphambili, nokubekezela kokuthola kabusha okude kubalulekile, futhi ngethemba ukuthi wena noma othandekayo wakho uzokwazi ukubuyela kuyo yonke imisebenzi oyijabulelayo!

> Imithombo:

> Mounasamy V, Guy P, Kates SL. "I-AAOS Imfuneko Yokusetshenziswa Okufanele: Ukwelashwa Kwe-Hip Fractures Kwabadala" J Am Acad Orthop Surg. Ngo-2017 May; 25 (5): e105-e108.

> Quinn RH, Mooar PA, Murray JN, Pezold R, Sevarino KS. "Ukwelashwa kwama-Hip Fractures kulabakhulile" J Am Acad Orthop Surg. I-2017 May; 25 (5): e102-e104.

> Quinn RH, Mooar PA, Murray JN, Pezold R, Sevarino KS. "Ukuvuselelwa Kwangemva Kwemisebenzi Ye-Low Energy Hip Fractures Kwabekhulile" J Am Acad Orthop Surg. 2017 Jan; 25 (1): e11-e14.