Ukuvuselelwa Kwendwangu Ephukile
Ukuphuka komuntu oyedwa okuyisiphambano kuyisifo ephukile esenzeka eduze kwehlangothini lakho lehlombe. "Ukuxhunyaniswa" kusho ukusondelana nomzimba wakho, futhi "ukuhlanza" kubhekisela esitokisini sesandla esibizwa ngokuthi i-humerus. Ukuphuka komzimba okungapheli kungaba ukulimala okubuhlungu okuvimbela ikhono lakho lokuhambisa ingalo kanye nehlombe lakho. Lokhu kungaba nomthelela omkhulu ekusebenzeni kwakho, ukwenza imisebenzi yasendlini, noma ujabulele imisebenzi yokuzilibazisa.
Uhlelo lwezokwelapha ngokomzimba ngemuva kokuphuka komzimba okungakusiza kungakusiza ukuthi ubuyele emsebenzini ovamile ngokushesha futhi ngokuphepha.
Izimbangela ezivamile zokuphulwa kweHumeral Humid Proximal
Ukuphuka kwe -humerus yakho ehamba phambili ngokuvamile kuhilela ukukhathazeka okuphawulekayo engalweni noma ehlombe lakho. Izimo ezingabangela ukuphazamiseka lapha zihlanganisa, kepha azikhawulelwe ku:
- Ukuwela esandleni sakho eseluliwe
- Ukudonsa okunamandla ekhanda lakho nasehlombe
- Ukuwela ohlangothini lwakho noma ehlombe
Izimpawu Nezibonakaliso Ze-Fracture Ehamba Ngomtholampilo
Izimpawu ezijwayelekile zifaka:
- Ubuhlungu obunamahlombe noma ubuhlungu besandla
- Kunzima ukuhamba ngengalo kanye nehlombe
- Ukuvuvukala eduze kwehlombe lakho
- Ukuqhaqhazela noma ukudubula okuzungeze ihlombe lakho nengalo engenhla
Uma usola ukuthi uke wahlukunyezwa ngokwedlulele (noma yikuphi ukuphuka kwesandla ) kufanele ubike ngokushesha kudokotela wakho noma umnyango ophuthumayo ukuphatha kahle umonakalo wakho. Ukwehluleka ukwenza kanjalo kungabangela ukulahlekelwa okuphawulekayo nokuphakade komsebenzi esandleni sakho.
I-Initial Treatment ye-Fracture e-Progimal Humer Fracture
Uma udokotela wakho esolwa ukuthi uphukile, cishe i-X-ray izokwenziwa ukuze kuqinisekiswe ukuthi kutholakala yini. Izithombe ezithile eziphambili kakhulu zehlombe lakho zizothathwa nge-CT noma i-CAT scan. Lezi zithombe zisiza udokotela wakho ukuba abone ubunzima bokulimala kwakho futhi usize unqume indlela engcono yokuphatha umonakalo wakho.
Uma kuvele ukuphazamiseka komuntu oyedwa, ukuphuka kungadinga ukunciphisa . Ngokuvamile, izingcezu zethambo eziqhekekile zisondelene ndawonye ngeke zidingeke kakhulu ukunciphisa ukuphuka. Ngenxa yezinhlupho ezinkulu lapho izicucu zamathambo zide kakhulu, inqubo yokuhlinzwa ebizwa ngokuthi ukulungiswa ngaphakathi kwangaphakathi (ORIF) kungase kudingeke kwenziwe. Udokotela wakho uzoxoxa nawe ngezinketho kanye namasu okuphatha kangcono isimo sakho.
Ukwelashwa Kwemvelo Ukuphulwa Kwemvelo Okumnyama
Esibhedlela: Ukuhlangana kwakho kokuqala nomuntu ongokwenyama kungenzeka ngokushesha ngemuva kokulimala esibhedlela. Kungenzeka ukuthi uzodinga ukugqoka ingalo yakho esitokisini ukusiza ukuvikela nokuvimbela ihlombe lakho uma liphilisa. Ungase uhlangane nomuntu ongokwenyama ongakufundisa ukuthi kufanele ugqoke kahle kanjani ukubethela kwakho . Angase futhi akufundise umzimba omncane we- pendulum ukusiza ukugcina ihlombe lakho leselula njengoba liphilisa. Udokotela wakho uzokwazisa uma kuphephile ukwenza lezi zivivinyo.
Emtholampilo : Ngemuva kwamasonto amane kuya kweyisithupha okuphulukisa, ungase ulungele ukuya emitholampilo yomzimba. Uma ungakwazi ukushayela noma ushiye ikhaya ngenxa yokulimala kwakho, udokotela ongokwenyama angase eze ekhaya lakho ukwelashwa.
Isazi sakho somzimba sizohlola isimo sakho ngesikhathi sokuqokwa kwakho kokuqala. Uzokubuza mayelana nokulimala kwakho futhi uthathe izilinganiso ukuze uthole umqondo wendlela owenza ngayo. Ukuhlola kubuye kusize umhlinzeki wakho womzimba anqume ukuphathwa kahle kuwe.
Izilinganiso ezivamile zithathwe ngemuva kokuhlukana okuqhamuka komzimba kufaka:
- Ububanzi bokuhamba
- Amandla
- Ubuhlungu
- Umsebenzi nokuhamba
- Ukuhamba kwe-Scar (uma uhlinzekwe nge-ORIF)
Emva kokuhlola okuphelele, ukwelashwa kwakho kuzoqala ukusiza ukuthuthukisa umsebenzi wengalo yakho. Umhlinzeki wakho wenyama kufanele akunikeze ukuqonda ngalokho okumele ulindele nokuthi yini okulindelekile kuwe.
Izinhlelo eziningi zokwelapha eziphumelelayo zidinga ukuzibandakanya kwakho okusebenzayo, ngakho qiniseka ukubuza imibuzo eminingi ukuqonda ukuthi kwenzekani.
Okunye ukukhubazeka okuvamile wena nomthandi wakho womzimba oyosebenza kuzo kufaka:
- Ukuhamba okuhamba phambili: Ngemva kokuphuka komzimba okungapheli, cishe uzobe uyancipha ukuhamba kwehlombe lakho kanye ne-elbow, futhi ukulahlekelwa kwesimiso kuzokwenza kube nzima ukuguqula ingalo yakho. Umhlinzeki wakho wezinto ezingokwenyama angase anike ama-exercises ongayenza ukuze usize ukuthuthukisa ukuhamba kwakho.
- Amandla: Ihlombe lakho cishe ngeke likwazi ukungena emotweni emasontweni amane kuya kwamasonto ayisithupha ngemuva kokulimala. Le nkathi yokukhubazeka ngokuvamile iholela ekulahlekelweni okukhulu kwamandla (cabanga "ukuyisebenzisa noma uyilahle"). Ukuzivocavoca ukuqinisa cishe kuzogxila emisipha efana ne- rotator cuff kanye nemisipha ngengalo efana ne-biceps ne-triceps. Imisipha esiza ukusekela ihlombe lakho lingase libe buthakathaka, futhi ukuzivocavoca ukusiza ukuqinisa lezi zinhlanzi kungabekwa.
- Ubuhlungu: Ngemva kokuphuka kunoma iyiphi ithambo, ngokuvamile kuvame ubuhlungu obukhulu. Lokhu kuvamile futhi kulindeleke. Izinga lakho lobuhlungu kufanele lithuthukise usuku nosuku ngemuva kokulimala kwakho, kodwa ungase ube nobuhlungu uma uqala ukwelashwa ngokomzimba . Umhlinzeki wakho womzimba angakusiza ukuphatha ubuhlungu bakho ngokuzivocavoca noma ngezokwelapha ezifana nokushisa , iqhwa, noma i- TENS . Qiniseka ukuthi uvumela umuthi wakho wezokwelapha wazi ukuthi ukwelashwa kwakho kubangela ubuhlungu obuningi kangangokuthi angenza izinguquko ekunakekeleni kwakho futhi akunikeze ukulawula okufanele ubuhlungu.
- Ukuhamba kwe-Scar: Uma udinga inqubo ye-ORIF ukusiza ukunciphisa i- humerus yakho ephukile , cishe uzoba nobunzima bokuhlinza ngaphambili noma eceleni kwehlombe lakho. Ngezinye izikhathi, ukunamathela okuncane kwenza ukonakala kubonakale "kunamathele" futhi kunciphisa ukunyakaza. Umhlinzeki wakho womzimba angenza ukubhuka okubuhlungu nokugqugquzela ukusiza ukuthuthukisa ukuhamba kwesibalo sakho. Angakwazi futhi ukukufundisa ekuzicwileni kocingo ukuze ukwazi ukwenza lokhu ekhaya.
- Umsebenzi: Uhlelo lwakho lokwelapha kufanele lugxile ekubuyiseleni umsebenzi ojwayelekile engalweni nasehlombe. Umhlinzeki wakho womzimba angakusiza ukuba uhlanganyele emisebenzini yokusebenza ukuze usize ukuthuthukisa indlela ihlombe lakho nengalo yakho ehamba ngayo ukuze ukulimala kwakho kungagcini imisebenzi yakho evamile. Xoxa nodokotela wakho wezinto izinto ezinzima (noma ezingenakwenzeka) ngenxa yokulimala kwakho ukuze akwazi ukuhlela uhlelo olufanele lokubuyiselwa umsebenzi kuphela.
Uhlelo lwakho lwe-PT kufanele luchaze isimo sakho. Qinisekisa ukuthi usebenza ne-PT yakho ukubeka imigomo engokoqobo ye-rehab yakho, futhi ukhulume nomthandi wakho uma unenkinga mayelana ne-proxyimal yakho ye-humerus yokuphulukana kabusha.
I-Humerus Kufanele Yifinyelele Kude Kangakanani I-Rehab Thatha?
Eyisishiyagalombili kuya kwamasonto angu-12 ngemuva kokulimala, amandla akho nokuhamba kufanele athuthukise ngokwanele ukuvumela umsebenzi ojwayelekile wengalo yakho. Izinga lakho lobuhlungu kufanele libe lincane kakhulu. Ngalesi sikhathi, uhlelo lwakho lokwelapha lungasuswa. Ungase udingeke wenze izivivinyo ekhaya ezinyangeni ezimbalwa ukuze ukwandise ukuhamba. Qinisekisa ukuthi usebenza eduze nodokotela wakho kanye nodokotela wezempilo ukuze uqonde ukuthi yini okufanele ukwenze nokuthi yini ongayilindela.
Izwi elivela
Uma uke wahlukunyezwa kwe-humerus yakho ehamba phambili, ungase uzuze emisebenzini enekhono ye-PT ukuze ikusize uphinde ululame ngokugcwele. Ngokuqonda ukuthi yini ongayilindela ngesikhathi sokuvuselela, ungaba nayo yonke imininingwane edingekayo ukuze ubambe iqhaza ngokugcwele ku-humerus yakho yokuphulukana nokubuyiselwa kabusha futhi uqiniseke ukuthi unokuthola okulula kakhulu.
> Imithombo:
> Handoll HH, Brorson S. Izinyathelo zokwelapha ukuhlukumeza okwejwayelekile kubantu abadala. I-Cochrane Database yezibuyekezo ezihleliwe . Novemba 2015. i-doi: 10.1002 / 14651858.cd000434.pub4.
> Uhlelo lwe-Rotator Cuff and Conditioning Conditioning. I-American Academy Yabahlinzeki Bama-Orthopedic. http://orthoinfo.aaos.org/topic.cfm?topic=A00663.