Vula ukuphuka: uncedo lokuqala

I-fracture ithathwa njengesivulekileyo ukuba i-tissu ephosa-thileyo idibeneyo yonakalisiwe, evula indlela echanekileyo yokusuleleka ukuba ingene kwindawo yokuphuka. Xa ulungisa iziqwenga kunye nokuvala isilonda, imigaqo ekhethekileyo kufuneka ilandelwe ukunciphisa umngcipheko wosulelo. Vula amafractures, apho iziqhekeza zethambo ziphazamisa ukunyaniseka kwesikhumba, ngokuqhelekileyo zivela ngenxa yokulimala kakhulu kwaye zihlala zihamba kunye nezinye ukulimala. Amanyathelo okunyanga okuphambili ajoliswe ekugcineni okanye ekubuyiseleni ubukhulu bomntu ochaphazelekayo, ukubonelela nge-oxygen nokulawulwa kwengcinezelo yegazi. Emva kokuba imisebenzi ebalulekileyo izinzile, kunokwenzeka ukuba uqalise unyango lokoqobo. Vula ukuphulwa, uncedo lokuqala luyintloko yesihloko.

Iingxaki

Isigulane esinokuphuka evulekile sisengozini enkulu yeengxaki kwi-lesion. Ngokukodwa, i-fusion eqhubekayo yeqhekeza (ukuhlanganiswa kokulibaziseka) okanye ukungabikho kokunamathela (kungekhona ukukhula kwe-fracture), kwakunye nokusuleleka kwezicubu kwiindawo ezivulekileyo, kunokwenzeka. Ukuphazamiseka kokubambelela kubangelwa ngumonakalo obuncinci we-tissue kwisiza sokuphulwa; ukulahleka kwabo kubangela ukungabikho kokusabalalisa kwendawo, okuthintela ukuhlanganiswa kweqhekeza.

Sulelo

Imithombo yentsholongwane yesikhumba somguli ngokwakhe, iimpahla zakhe okanye izinto ezahlukeneyo kwindawo; iibhaktheriya ziwela kalula kwiqonda elivulekileyo kunye nendawo yokuphuka. Ukuba kukho isifo sethambo ngokwalo (osteomyelitis), unyango luyinkimbinkimbi kakhulu. Uninzi lwamagciwane ayingeneli kwithambo. Emva kokuba usulele isifo sethambo, isifo sithathwa njenge-osteomyelitis engapheliyo. Ngenxa yoko, isigulane sibhekene neengxaki ezininzi, ezifana:

• Ukungakwazi ukusebenza kwexesha elide lomsebenzi;

• intlungu;

• i-edema;

• ukunyanzeliswa okuphindaphindiweyo kokusuleleka;

• ukwakheka kwe-fistula (iindawo ezikhokela kwithambo ukuya kwindawo yesikhumba) ezivelisa i-pus.

Ngokuchasene nemvelaphi yentsholongwane eqhubekayo, inqubo eqhelekileyo yokuphulwa komzimba ayinakwenzeka. I-necrosis ye-periodic yamasayithi amathambo ayaphazamisa ukulungiswa okwaneleyo kunye nokuqhotyoshelana kweziqhekeza. Imigaqo yokonyango iyanqanda isilonda (ukuhlanjululwa kwiibhaktheriya), ukugcinwa kokusebenza kwezicubu, kwakunye nesicelo, ukuba kunyanzelekile, iindlela zokuhlinzwa zobuplastiki zokuzinzisa iziqhekeza zethambo. Iziqhezu zeT Bone ziqiniswe ziqiniswe ngumlungiseleli wangaphandle. Kuye kwaphuhliswa ezininzi zokulungisa zangaphandle zobunzima obuhlukeneyo kunye nobukhulu, ukufakwa kweso sigqirha esisebenzisa izixhobo ezizodwa. Umshishini okhethekileyo we-X-ray - umfanekiso wokuqinisela - uvumela ukuba uthathe imifanekiso eboniswe kwiskrini kweso, ngexesha lokusebenza. Ngaloo ndlela, ugqirha unokuqinisekisa ukuba zombini amathambo kunye neengxenye zendawo yokugcina ngaphandle zimi kakuhle. Ukusebenzisa umziselo womfanekiso, ugqirha kufuneka agqibe ikhosi ekhethekileyo ekukhuseleni nasekukhuselweni kwemisebe, kwaye abasebenzi abasebenzayo kufuneka babeke ii-aprons ezikhokelayo. Ukubuyiselwa kwengqibelelo yesikhumba kufezwe nge sixhobo esikhethekileyo - isermama, esetyenziselwa ukufumana izixhobo zesikhumba; ukuqhagamshelana kwezakhiwo ze-anatomical ezigqwesileyo zenziwa phantsi kwe-microscope. Ukuqinisekisa indawo echanekileyo yezinto zokucwangcisa kwangaphandle, ugqirha we-orthopedic wenza uchungechunge lweemifanekiso ze-X-ray esebenzisa umfanekiso oyingqalileyo. Ukuqhekeka okuvulekileyo kungabangela umonakalo we-motorcycle accident, apho izitho zithotyelwa khona.