Ukwehluleka kwe-pelvic ukuphuka kwenzeka lapho ithambo elincane, elibuthakathaka lizama ukuthwala umthwalo ojwayelekile womzimba. Ngenxa yokuthi ithambo lincane futhi libuthakathaka ngenxa ye- osteoporosis , livame ukonakala. Ukungasebenzi kwamapelvic fractures kungenye yezinto ezingavamile ukungasebenzi kahle okwenzeka kwiziguli ezine-osteoporosis.
Ngokuvamile ukungabi khona ngokwanele ukuhlukana kwenzeka njengomphumela wokulimala okuncane njengokuwa kokuma.
Kwezinye izimo lapho iziguli zine-osteoporosis enamandla, lezi ziphuka zingenzeka ngaphandle kokulimala okuwaziyo.
Izimpawu ze-Pelvis Fracture
Ukungasebenzi kahle kwama-pelvic ngokuvamile kufana nokulinganisa ama- hip fractures . Izimpawu ezivamile zihlanganisa:
- Ubuhlungu be-Groin noma buttock
- Ubuhlungu lapho uzama ukuhamba
- Kunzima ukubeka isisindo ekugcineni
Umehluko omkhulu kulezi zibonakaliso zokuqhaqhazela kwe-pelvis nokuqhekeka kwe-hip ukuthi ukunyakaza okuncane komlenze ngokuvamile akubanga ubuhlungu obukhulu lapho isikhumba selimala, kuyilapho lokhu kubangela ubuhlungu obukhulu ngemva kokuphuka kwe-hip.
Izivivinyo zokuxilonga lezi zimo zibandakanya ama-ray-ray, ama-CT, nama-MRIs. Ngenkathi imininingwane eningi ingatholakala kwi-CT scans kanye ne-MRIs, lezi zivivinyo azivamile ukushintsha ukuphathwa kweziguli ngalezi zingozi. Ngakho-ke, kaningi ukuhlolwa kwe-CT kukwanele ukuze kutholakale ukuhlolwa.
Izinhlobo Zokungafinyeleli Fractures
- I-Pubic Ramus Fracture: Uhlobo oluvame kakhulu lokuqhekeka kwe-pelvic kuwukulimala ekomini le-pubus. I-ramus ye-pubic iyinhloko yethambo phambi kwesikhumba, futhi ngokuvamile iphukile ezindaweni ezimbili (njengokungathi awukwazi ukuphula i-pretzel endaweni eyodwa, i-ramus ring ye-pubus ijwayele ukuphumula phezulu nangaphansi kwendandatho). Ubuhlungu obuvela kulezi ziphuphu buvame ukuzizwa ku-groin, futhi ngokuvamile izimpawu zifana nokuphuka kwe-hip.
- Ukuqhekeka kwe-Sacral : Ukungabi nokusebenza kwe-sacral ukulimala ukulimala okuvamile, kodwa ngokuvamile ukuphazamiseka kuyaphuthelwa. Ubunzima ukuthi ukubuka i-sacral bone, ikakhulukazi ezigulini zethambo elincane, cishe akunakwenzeka kuma-x-rays avamile. Ngokujwayelekile lokhu kulimala kubonakala kuphela uma kwenziwa i-CT scan noma i-MRI. Lezi fractures ngokuvamile zibangela ubuhlungu be-buttock uma uhamba.
- I-Acetabular Fracture: I-acetabulum iyisisekelo sohlangothini lwe-hip. Le ngxenye ye-pelvis ibalulekile ngoba ukulimala okungena ku-acetabulum kungaba nemiphumela emihle futhi kungashintsha ukwelashwa kokulimala. Ngenxa yokuthi i-acetabulum yi-cartilage ehlanganiswe isixhumi sehlangothini le-hip, ukuqubuka okubandakanya le ndawo kuvame ukwelashwa ngokungavumeli isisindo (noma ukunciphisa inani lesisindo) emkhawulweni osithintekile. Lesi sithintelo esithwala isisindo singase sibe nzima kubantu abakhulile.
Izinketho zokwelapha
Ngokuvamile iziguli zizophola ngokuphumula okufushane, zilandelwe ukwelashwa ngokomzimba nokwanda okuqhubekayo ekuhambeni. Njengoba kukhonjisiwe, izinhlobo ezithile zokuphulwa komzimba zingadinga imikhawulo esisisindo ekupheleni kokulimala, kepha ngokuvamile iziguli zivunyelwe ukubeka isisindo esiningi njengoba zingakwazi ukubekezelela ekugcineni. Iziguli zingadinga ukunakekelwa esibhedlela noma ukunakekelwa kwezingane ukuze zisize ngemisebenzi yazo yansuku zonke.
Ukugxila kokwelashwa okunye kufanele kube ekuboneni imbangela yokwehlukana. Ukwelashwa kwe-osteoporosis kunzima kodwa kufanele kuqalwe ngomzamo wokuvimbela ezinye izinkinga ezingasebenzi. Ngenkathi ukwelashwa kwalokhu kulimaza kuphazamisa futhi kungathandeki, akuyona into engavamile njengokwelapha ukuqhuma kwe-hip (okuyinto cishe idinga ukuhlinzeka njalo), ngakho-ke yonke imizamo kufanele yenziwe ukuvimbela ukulimala okuqhubekayo .