Ukwelashwa ngokomzimba we-elbow ephukile kungakusiza ubuyekeze uhla lwezintaba, amandla kanye nokusetshenziswa okujwayelekile kwesandla sakho. Ukuphuka kwe- elbow kungaba ukulimala okubuhlungu. Kungabangela ukwehla ukuhamba ekhanda, ehlombe noma esihlalweni. Ukuphuka kwesigqoko nakho kunganciphisa ikhono lakho lokusebenza, ukwenza imisebenzi yasendlini, noma ukuhlanganyela emisebenzini yokuzilibazisa.
I-elbow iyinhlanganisela lapho ithemba lesandla (humerus) lihlangana namathambo esiphezulu (irediyo ne-ulna). Ukuphela kwesibungu se-ulna kubizwa ngokuthi inqubo ye-olecranon. Leli ithambo olizwayo lapho uncika elangeni lakho etafuleni. Kunezinamathiselo eziningi ze-muscle ezungeze ilanga elikusiza ukuhambisa ingalo yakho, isibindi, nesandla. Amathambo wesigqoko axhunyiwe ndawonye ngemigqa engxenyeni engaphakathi nengaphandle yengalo yakho.
Izimbangela ze-Elbow Fractures
Kungase kubonakale kusobala, kodwa imbangela ejwayelekile kunazo zonke ze-elbow fractures iyingozi kakhulu engalweni yakho eduze kwesigqoko sakho. Lokhu kungaba ngenxa yokuwa ekhokheni yakho noma ingalo evuliwe, izingozi zezimoto, noma ukulimala okuhlobene nemidlalo. Lokhu kulimala kwenzeka ngokuzumayo futhi ngokuvamile kubangelwa ibutho elikhulu elinikezwa engalweni noma elongeni lakho.
Izimpawu ze-Elbow Fracture
Izimpawu ezivamile ze-elbow ephukile zibandakanya:
- Ubuhlungu ku-elbow, ingalo engenhla, noma ingaphambili
- Ukuvuvukala nxazonke
- Ukuqhaqhazela noma ukuguqulwa ngokuzungeze umlenze
- Ukulahlekelwa ukuhamba kuzungeze ugoli noma ingaphambili
- Ukuguqulwa (njengenhlama noma i-bump) eduze kwesigqoko noma ingalo
Uma usola ukuthi uke wahlushwa i-elbow, kufanele ufune usizo lwezokwelapha ngokushesha. Ukuhluleka ukubika kudokotela wakho noma umnyango wesimo esiphuthumayo wendawo kungabangela ukulimala okungapheli noma ukulahlekelwa umsebenzi esandleni sakho nasesandleni sakho.
Ukuhlukunyezwa kwe-Elbow kutholakala kanjani futhi kulungisiwe?
I-x-ray isetshenziselwa ukuxilonga ukuqubuka kwe-elbow . I-x-ray ingabonisa ukubekwa kwamathambo futhi ingasiza udokotela wakho anqume indlela engcono yokulungisa i-elbow yakho ephukile. Ngezinye izikhathi i-CT isetshenziselwa ukuthola umbono ongcono wamathambo enkantshi yakho futhi ubone ukuthi ukuhlanganiswa okuhlangene emgqeni wakho kulimele.
Ngemuva kokutholakala kwe- elbow ephukile , udokotela wakho uzokwehlisa ukuphuka . Lena inqubo lapho amathambo akho e- elbow efakwa endaweni efanele ukuze ukuphulukiswa okungcono kwenzeke. Ukunciphisa i-elbow ephukile kungenziwa ngesandla. Uma ukuphuka kunzima, ungadinga inqubo yokuhlinzwa ebizwa ngokuthi ukulungiswa ngaphakathi kwangaphakathi (ORIF) ukusiza ukuvumelanisa amathambo. Udokotela wakho uzokusiza uqonde ukuthi iyiphi indlela edingekayo ukuze unciphise i-elbow yakho ephukile.
Ngemuva kokuphuka kwe-elbow yakho kuncishisiwe, ungase udingeke ukuthi ugqoke i-brace noma ibhayili. Ngezinye izikhathi ukuphonswa kuzosetshenziswa, nakuba kubonakala sengathi ukuchithwa kwe-elbow fracture nge-cast kungabangela ukuqina okuqinile nokulahlekelwa okungapheli kokuhamba.
Ukwelashwa Kwemvelo Ngemva kokuphuka kwe-Elbow
Inkinga enkulu ngokuphuka kwe-elbow ukuqina kunciphisa ububanzi bokuhamba.
Ngezinye izikhathi, lo bunzima buqhubeka isikhathi eside ngemuva kokuthi amathambo aphukile aphuluke. Ngakho-ke, udokotela wakho kungenzeka ukuthi uqale ukwelashwa ngokomzimba ngokushesha ngemuva kokulimala ukusiza ukuletha ukunyakaza okusheshayo ku-elbow yakho yokuphulukisa.
Umhlinzeki wakho womzimba angasebenza nawe ukuze akusize uphinde usebenzise ngokujwayelekile umlenze wakho nengalo yakho. Angasebenzisa izindlela eziningi zokwelashwa zokwelashwa ezihlukahlukene kanye nemigomo yokukusiza ngokushesha ukubuyela emsebenzini ovamile. Okunye ukukhubazeka ongase usebenze kukho ukwelashwa ngokomzimba kungafaka:
Ukuhamba kwesimo : Enye yezinhloso eziyinhloko zokwelapha ngokomzimba emva kokuphuka kwe-elbow ukubuyisela uhambo olujwayelekile lokunyakaza ku-elbow .
I-elbow iyinhlanganisela eyinkimbinkimbi evumela ukuthi ugobe ingalo yakho noma uphendule isandla sakho. Ukusebenza ekubuyiseleni ukuhamba okugcwele kwe-elbow kanye ne-frontarm kuyinhloko ekuphinde usebenzise ukusetshenziswa okuvamile kwengalo yakho.
Uma uhla lwakho lokulahleka luhamba lukhulu, isazi sakho somzimba kungenzeka ukuthi ugqoke ububanzi obuqinekayo. Lokhu kuhlotshaniswa okuphethwe entwasahlobo kulo lonke usuku olunikeza umthwalo ophansi ohlangene nomhlanganiso wakho we-elbow ukuze usize ukuthuthukisa ukuhamba kokuhamba. Ubuqhekeko bungasetshenziselwa ukuthuthukisa i-flexion (ukuguqa) noma ukunwetshwa (ukuqondisa) kwe-elbow yakho.
Amandla : Emva kokuphuka kwe-elbow, ubuhlungu nokuvuvukala emgqeni wakho kungakuvimbela ukusebenzisa ingalo yakho. Kungase kudingeke futhi ukuthi ugqoke ingalo yakho esitokisini, ngaleyo ndlela unciphise ukusetshenziswa kwesigqoko sakho, isibindi nesandla. Uma ngabe unesi-ORIF ukunciphisa ukuphuka kwe-elbow yakho, izihlungulu ezungeze ukufakwa kokuhlinzwa kungadinga isikhathi sokuphulukisa. Lesi sikhathi sokusebenzisa kabi singase sibangele ukulahlekelwa okuphawulekayo kwamandla azungeze uhlangothi lwakho, ihlombe, isandla, nesandla.
Umhlinzeki wakho wenyama angakufundisa umzimba wokuqinisa ihlombe lakho kanye nelobow. Angakwazi futhi ukubeka umzimba ukusiza ukuthuthukisa isibindi nesandla samandla okungakusiza ukuthi uphinde usebenzise ukusetshenziswa kwengalo yakho evamile.
Uma ugqoke isikebhe , umhlinzeki wakho womzimba angakufundisa indlela efanele yokugqoka umbhedu futhi angaqiniseka ukuthi ihambisana kahle. Angakwazi futhi ukubeka izivivinyo zesandla sakho ukuqinisekisa ukuthi amandla akho okubamba abuyela kumazinga akho okulimala ngaphambilini.
Ubuhlungu nokuvuvukala: Ngemva kokuphuka kwe-elbow, ungase uzwe ukuvuvukala eduze kwendonga yakho. Umhlinzeki wakho wenyama angakusiza ukuphatha ubuhlungu nokuvuvukala ngezindlela ezihlukahlukene ezifana nokugqugquzela kagesi kanye neqhwa . Umbiko wamuva wamacala utholakale ukuthi ukuphathwa kwe-elbow fracture nge-shortwave diathermy (indlela yokushisa) nokuhlanganiswa okuhlangene kwasiza ukubuyisela i-ROM evamile kwisiguli ngokuphuka kwe-elbow.
Izicubu zomzimba : Uma ngabe unesifo se-ORIF sokunciphisa ukuphuka kwe-elbow, isazi sakho somzimba sikusiza ukuphatha izicubu ezibomvu ezingase zibe khona ngenxa yokuhlinzwa. Ukuhlakulela izicubu zomzimba kanye nokugqugquzela kungadingeka ukusiza ekuthuthukiseni ukuhamba kancane. Umhlinzeki wakho wezinto ezingokwenyama angakusifundisa amasu okuzicabangela ongakwenza ekhaya.
Ukubuyela Ejwayelekile
Ukuphuka kwesigqoko sakho kufanele siphulukiswe ngokugcwele ezinyangeni ezimbili ngemuva kokulimala futhi kufanele ube nokusetshenziswa okujwayelekile kwesandla sakho cishe izinyanga ezintathu ngemuva kokulimala. Kuvamile ukulahlekelwa ukuhamba kancane emva kwalesi sikhathi, ngakho-ke kubalulekile ukuqhubeka ububanzi bokuzivocavoca nezindlela zokuzivikela ozifundile ekwelapheni ngokomzimba. I-ounce yokuvimbela ifaneleka isisindo semithi, ngakho-ke qhubeka nehlelo lakho lokuzivocavoca ekhaya ngemuva kokuthi PT isondele. Qinisekisa ukuthi uxoxe nodokotela wakho ukuthi yimuphi umphumela okulindeleke esimweni sakho esithile ngokuhlukana kwe-elbow yakho.
Izwi elivela
Ukwelapha ngokwemvelo ngemuva kokuphuka kwe-elbow kungaba usizo ekuqaliseni ukuhamba ngokushesha. Kungakusiza ukuthi ubuyisele amandla ajwayelekile futhi usebenze engalweni yakho ngenkathi usiza ukuphatha ubuhlungu nokuvuvukala ongase uthole. Ukusebenza eduze nodokotela wakho kanye nodokotela ongokwenyama kungakusiza ngokushesha futhi ngokuphepha uphindele kumsebenzi ojwayelekile ngemva kokuphuka kwe-elbow.
Imithombo:
I-draper, i-D ne-Veazey, E. I-pulsed shortwave i-diathermy ne-mobilizations ehlangene ibuyisa i-elbow ekhishwe kabili enezimboni zensimbi ukuze kuhambisane nokuhamba okugcwele. Heighpubs Journal of Novel Physiotherapy kanye nokuvuselelwa. 2107; 1: 020-026.
> Hertling & Kessler, R. (2005). Ukulawulwa kwezifo ezivamile zomzimba wegazi: izimiso zokwelashwa ngokomzimba kanye nezindlela. (4 i-ed.) ULippincott Williams noWilkins.