Ukulimala kuThambo elinama-Soft Tissue ne-Skin Skin
Ukuqhekeka okuvulekile yithemba eliphukile elifaka isikhumba. Lokhu kubaluleke kakhulu ngoba uma ithambo ephukile lifaka isikhumba kunesidingo sokwelapha ngokushesha, futhi kuvame ukuhlinzwa ukuhlanza indawo yokuphuka. Ngaphezu kwalokho, ngenxa yobungozi bokutheleleka, kunezinkinga ezivame ukuhambisana nokuphulukiswa lapho kuvuleka isikhumba.
Ama-fractures avulekile ngokuvamile abangelwa ukulimala okukhulu kwamandla njengokushayela imoto, ukuwa, noma ukulimala kwezemidlalo. UJoe Theismann, umdlali webhola oqeqeshiwe, waphazamisa umsebenzi wakhe ngokuqhekeka okuvulekile kuthelevishini kazwelonke.
Ukuqina komfutho ovulekile ngokuvamile kuhlukaniswa ngokwendlela ebizwa ngokuthi i- Gustilo-Anderson uhlelo lokuhlukanisa okuvulekile . Loluhlelo lokuhlukanisa lunikeza ulwazi mayelana namathuba okutheleleka kanye nesikhathi esilindelwe sokuphulukiswa kokuvuleka okuvulekile.
Ukutheleleka & Vula amaFractures
Zonke iziphuzo ezivulekile zibhekwa zingcolile ngenxa yokuxhumana phakathi kwesayithi lokuqhekeka kanye nemvelo engaphandle komzimba. Ngenkathi izinga langempela lokungcola lingahluka, zonke izinhlaka ezivulekile kufanele zibhekwe njengezingcolile. Umkhuba wokuthi amabhaktheriya angene endaweni yokuqhekeka incike ezinhlobonhlobo zezinto eziguqukayo ezihlanganisa ubunzima bokulimala, umonakalo wezicubu ezithambile, nomvelo lapho kwenzeka khona ukulimala.
Ama-bacteria amaningi kakhulu angcolisa isilonda yi-bacteria evamile etholakala ebusweni bomzimba wakho. Yingakho iningi lazo izifo ezivulekile ezivulekile zihlambulukile nezifo ezithinta iStaph noma Strep. Ukuvuleka kwamaqabunga ezinyaweni kungabandakanya amanye amabhaktheriya. Ngaphezu kwalokho, ukuvuvukala okuvulekile ezindaweni ezithile kungaholela ekuchazeni amabhaktheriya athile.
Isibonelo, abalimi abasebenzisa iziqhekeko ezivulekile ezonakaliswe nemifula yasemapulazini banezinhlobo ezahlukene zezifo ezingadinga ukwelashwa okuqondile kwama-antibiotic.
Ukwelashwa kwama-Open Fractures
Ama-fracture avulekile adinga ukuhlinzwa okuphuthumayo ukuhlanza indawo yokulimala. Ngenxa yokuphuka esikhumbeni, ama-debris kanye nokutheleleka kungahamba endaweni yokuphuka, futhi kuholele izinga eliphezulu lokutheleleka ethambo. Uma usulele ukutheleleka, kungaba yinkinga enzima ukuxazulula.
Isikhathi sokuhlinzwa siyingxoxo yokuphikisana, njengoba odokotela abahlinzayo bendabuko baye batusa ukuhlinzwa okwenziwa phakathi kwamahora ayisithupha okulimala. Muva nje, enye idatha isisekele ukuhlinzeka okwenzayo ngokuphuthuma kancane, kepha kungakapheli amahora angu-24 kokulimala.
Ngaphandle kokuhlanzwa okuhlinzekwa kwenxeba, ukwelashwa kufanele kufaka phakathi ama-antibiotic afanelekile nokuqiniswa kwephutha. Iziguli kufanele zithole isibhamu se- tetanus uma zingenasesikhathini noma zingazi isimo sabo sokugoma.
Ukwelashwa kwezifo zethambo ezisungulwe ngokuvamile kudinga ukuhlinzwa okuningi, ukwelashwa okuqhubekayo kwama-antibiotic, nezinkinga zesikhathi eside. Ngakho-ke, yonke imizamo yenzelwa ukuvimbela le nkinga engase inakekele ukwelashwa kokuqala.
Naphezu kwalokhu ukwelashwa kwasekuqaleni, iziguli ezinezinkinga ezivulekile zilokhu zitholakala kakhulu ekutheleleni izifo.
Ukubuyisela kusuka ku-Open Fracture
Ama-fracture avulekile ngokuvamile athatha isikhathi eside ukuphulukisa ngenxa yokulimala amathambo namathambo amancane athile. I-fractures evulekile nayo inezinga eliphezulu lezinkinga ezibandakanya ukutheleleka kanye nokungabambisene . Ukwelashwa okwesikhashana kungasiza ekugwemeni izinkinga ezihlobene nokuhlukana okuvulekile. Ukwelashwa okuphuthumayo kuzobandakanya ama-antibiotics, ukuhlanza indawo yokuqhekeka, nokuqina kwamathambo.
Ngisho nalezizinyathelo ezifanele zokwelashwa, ukuphulukiswa kokuvuvukala okuvulekile ngokuvamile kuthatha isikhathi eside futhi ukulimala okufana nokuvalwa kwe-fracture.
Isibonelo, uma i-tibia ihlukana nokulimala okuvaliwe, kungathatha isilinganiso sezinyanga ezingu-3 ukuphulukiswa lapho ukuvuvukala okuvulekile kungathatha amaviki angu-4-6 isikhathi eside ngisho noma iphethini yokuphuka ifana. Njengoba ubukhulu be-fracture evulekile buyanda, amathuba okuba nezinkinga, nobude besikhathi sokuphulukiswa, futhi banda ngokulinganayo.
Izwi elivela
Vula ama-fractures noma ukulimala okudinga ukwelashwa okuphuthumayo. Ngenkathi kukhona ukuhlukahluka emlandweni oqondile wokuphatha ukuphazamiseka okuvulekile, ngokuvamile kuzofuna ukuphathwa kwemithi yokubulala imithi nokuhlanza ukuhlinzwa. Ngaphezu kwalokho, ukuphawula okulandelayo ngemuva kokuvuvukala okuvulekile kuxhomeke ebukhulu bokulimala kwezicubu ezithambile. Ngokuvamile, ingozi yokuzibandakanya kubandakanya ukutheleleka nokuphuza ukuphulukiswa kuphakeme uma ukulimala kwezicubu ezithambile kunzima kakhulu.
Imithombo:
> Halawi MJ, MP MP. "Ukuphathwa Okumangalisayo Kwezingxoxo Ezivulekile: Ukubukezwa Okusekelwe Ebufakazi" I-Orthopedics. 2015 Nov; 38 (11): e1025-33.