Inqubo inikeza ukuzinza phakathi nenqubo yokuphulukisa
Ukulungiswa kwangaphandle kuyindlela yokuhlinzeka yamathambo angenamandla ukuvumela ukuphuka ukuphulukisa kahle. Isetshenziselwa ukuhlinzeka ukuzinza amathambo nezicubu ezithambile ngemuva kokuphuka okukhulu kepha kungasetshenziswa njengendlela yokulungisa ukungahambi kahle kwethambo, ubuyisele ubude bomzimba, noma ukuvikela izicubu ezithambile ngemuva kokushisa okukhulu noma ukulimala.
Ukulungiswa Kwangaphandle Ukulungisa I-Bone Ephukile
Ukulungiswa kwangaphandle kufezwa ngokubeka izikhonkwane noma izikulufa emathanjeni ohlangothini zombili zomgwaqo.
Izikhonkwane zivikelekile ndawonye ngaphandle kwesikhumba besebenzisa uchungechunge lwezigqoko nezintambo ezibizwa ngokuthi uhlaka lwangaphandle.
Ukulungiswa kwangaphandle kwenziwa ngodokotela ohlinzayo wamazinyo futhi kuvame ukwenza ngaphansi kwe- anesthetic jikelele . Inqubo ngokwayo ilandela izinyathelo ezilandelayo:
- Amahholo ahlanganiswe ezindaweni ezingaphazanyiswa zamathambo nxazonke.
- Amakolishi akhethekile ahlaselwa emigodini.
- Ngaphandle komzimba, izinduku ezinezigqoko zebhola ne-socket zihlangene nama-bolts.
- Ukulungiswa kungenziwa ekwenzeni ibhola-ne-socket ukuqinisekisa ukuthi ithambo lihambelana kahle ngokuncane, uma kukhona, ukunciphisa ithambo.
Izindawo zesikhumba eziye zahlatshwa ngenqubo zidinga ukuhlanzwa njalo ukuvimbela ukutheleleka. Kwezinye izimo, ukukhishwa kungahle kudingeke kusetshenziswe.
Ukukhishwa kwe-bolts kanye nohlaka lwangaphandle kungenziwa encwadini kadokotela ngaphandle kwe-anesthesia. Ama-fractures aziwayo ukuthi azovela ezindaweni zokugaya futhi, ngaleyo ndlela, ukuvikelwa okude kungadingeka ngemuva kokususwa kwedivayisi.
Izinzuzo kanye Nokucabangela Ukulungiswa Kwangaphandle
Inzuzo enkulu yokulungiswa yangaphandle ukuthi ukuthi isetshenziswa ngokushesha futhi kalula. Ingozi yokutheleleka esakhiweni se-fracture ayilutho, nakuba kukhona ithuba lokutheleleka lapho izintambo zifakwe esikhumbeni
Izilungisi zangaphandle zivame ukusetshenziselwa ukulimala okubuhlungu njengoba zivumela ukuzinza okusheshayo ngenkathi zivumela ukutholakala kwezicubu ezithambile ezingadinga ukuphathwa.
Lokhu kubaluleke kakhulu uma kunomonakalo omkhulu esikhumbeni, emisipha, emisipha, noma emithanjeni yegazi.
Ukulungiswa kwangaphandle kuqinisekisa nokucindezela, ukunwetshwa, noma ukungathathi hlangothi kwamathambo ngesikhathi sokuvumela ukuhamba kwamalungu angaseduze. Lokhu akusizi nje kuphela ukubeka amathambo ngendlela efanele, kungasiza ukunciphisa imisipha ye-muscle kanye ne-edema (okwakhiwa kwamanzi abizayo) kubangele ukukhubazeka okuphelele kwesigungu.
Ukulungiswa kwangaphandle kuyaphikisana ngaphansi kwezimo ezilandelayo:
- Izifo ezihlobene ne-bone noma ukuwohloka okwenza ukuzinza kungaqinisekisiwe
- Abantu abangakwazi noma abazimisele ukunakekela kahle izikhonkwane nezintambo
- Umuntu onamasosha omzimba akhungathekile kakhulu asengozini enkulu yokutheleleka
Okunye Ukusetshenziswa Kokubekwa Kwangaphandle
Ngaphandle kokulungiswa okusheshayo kokuhlukumezeka okukhulu noma okuhlanganisiwe , ukulungiswa kwangaphandle kungasetshenziswa ukuphatha noma ukulungisa ezinye izimo. Lokhu kufaka phakathi ukuhlinza ukulungisa ukukhubazeka kwethambo okuholela ekunciphiseni kwesitho .
Ukulungiswa kwangaphandle kungasetshenziselwa ukugcina ubuqotho bamathambo (njengesandla) emva kokushisa okukhulu noma ukulimala. Ngaphandle kokulungiswa, izicubu eziveziwe noma ezilimazayo zingakwazi ukuvumelanisa ngokuqoqwa kocingo, okubangela ukuvinjelwa isikhathi eside noma ngisho nokuhlala unomphela wokunyakaza.
> Umthombo:
> Apley, A. noNoordheen, M. "Isahluko Sokuqala: Umlando Wokulungiswa Ngaphandle." I-Orthofix Ukulungiswa kwangaphandle ku-Trauma kanye nama-Orthopediki. I-Bastiani, i-G .; Apley, A .; ne-Goldberg, A., ama-eds. Springer: eNew York; 2012; I-ISBN 10 1447111788.