Inqubo ihlose ukubuyisela ukuhamba nokuthembeka kwethambo
Uma uphula ingalo, umlenze, noma elinye elinye ithambo lomzimba, lelo bone lizodinga ukubuyiswa emuva ukuze likwazi ukuphulukisa kahle. Inqubo yokusetha kabusha ithambo ibizwa ngokuthi ukunciphisa ukuphuka .
Kudinga udokotela ukuba asebenzise iziphetho eziphukile zethambo endaweni yazo yasekuqaleni futhi azilungiselele endaweni ene-cast, brace, traction noma ukulungiswa kwangaphandle.
Ngokwenza kanjalo, amathambo amasha angakwazi ukukhula ngokuhlanzekile phakathi kwemiphetho ephukile futhi aqiniseke kangcono ukuthi ukuhamba nokuthembeka kwethambo kubuyiselwa.
Ngenkathi ukunciphisa ukuphulwa kwemvelo kuqhutshwa ekamelweni eliphuthumayo, ungase uqondiswe kumtholampilo wokunakekelwa okuphuthumayo noma udokotela wakho wokunakekela oyinhloko uma ukuphuka kungacacile noma kuyadabukisa. Kungakhathaliseki ukuthi yikuphi indawo, inqubo ihlala ingalingani.
Izinyathelo Zokubeka I-Bone Fracture
- Ukuxilongwa kuyisinyathelo sokuqala futhi ngokuvamile kuhilela i-X-ray ukucacisa ukuthi ukuphela kokuphelile akupheli yini. Ukuphuka kungavalwa (okusho ukuthi isikhumba siphelile) noma siphukile (okusho ukuthi isikhumba siphukile). Ngokusekelwe ekutholeni, udokotela uzokhipha isinqumo sokuthi uma ithambo linciphisa (usethe kabusha).
- Ukukhethwa kwezidakamizwa kubalulekile njengoba kuqinisekisa ukuthi isiguli sithola usizo olufanele ngokusezingeni lobuhlungu nesimo sezokwelapha ngabanye. Cishe zonke izimo lapho kudingeka khona ukunciphisa ukuphuka, uhlobo oluthile lwe-anesthesia luzosetshenziswa. Uma ukuphuka kuphazamisa noma kuyinkimbinkimbi, lo muntu angase adinge ukuthi anesifo somzimba esijwayelekile sokufakwa ngokuphelele. Kodwa, ngokuvamile, udokotela uzokhetha i-anesthesia yendawo ebizwa ngokuthi i-hematoma block, ehlinzekela ukuhlinzekwa kwezidakamizwa zendawo yangakini endaweni ehambisana nokuphuka.
- Inzalo yesikhumba kwenziwa nge-alcohol, iodine, noma olunye uhlobo lwesisombululo sokuhlunga. Lokhu kuvimbela amabhaktheriya ukungena noma yiziphi iziphuzo esikhumbeni okungase kungabangeli ukutheleleka kuphela kodwa ezinkingeni ezifana ne-septicemia.
- Ukulawulwa kwebhokisi le-hematoma kwenziwa ngokujova i-anesthesia kusuka esiveni ku-hematoma ye-fracture (ukuqoqwa kwegazi eduze kwephukile ithambo). Ukuhambisa lesi sidakamizwa ngale ndlela kuvumela ukuphela kwezimpondo zethambo ukuthi kuhlambuluke ku-anesthetic yangakini, kuqinisekiswe kangcono ukuvinjelwa kobuhlungu obuhlala njalo.
- Ukwenza ukunciphisa ukuphuka kuhilela ukuxhaphaza ukuphela kwethambo eliphukile ukuze libuyele esimweni sabo sokuqala. Isiguli singase sibe nomuzwa wokucindezeleka noma ukuzwakala komzimba kodwa ngokuvamile asizwa ubuhlungu obukhulu.
- Ukwehlisa imfuyo kuqinisekisa ukuthi iziphetho eziphukile zigcinwe ngokuqinile endaweni. Ngemuva kokunciphisa ukuphuka, ububanzi bungasetshenziswa . Nakuba ubucwebe bungenziwa ngezinto ezihlukahlukene, izinhlobo ezivame kakhulu ziyi-plaster kanye ne-fiberglass. Uma ukuphuka kunzima, kungadinga ukulungiswa kwangaphandle . Lena yindlela lapho izikhonkwane noma izikulufa zifakwe emthanjeni futhi zivikeleke ndawonye kuhlaka lwangaphandle ngaphandle kwesikhumba besebenzisa uchungechunge lwezigqoko nezintambo.
- I-X-rays yokunciphisa ukuthunyelwa kwenziwa ukuze kuqinisekiswe ukuthi ukwehlukana okunciphile kuhambelana kahle. Uma kungenjalo, izinketho zokwelapha ezengeziwe zingase zihlolwe, kuhlanganise nokuhlinzwa.
> Umthombo:
> UVinston, D. noHoehn, C. "Ukunciphisa Ukwelashwa Kwe-Orthopedic in Medicine Emergency." I-Western J Emerg Med. 2013; 14 (7): 47-54.