Iingqungquthela zeShin zihlulwe zibe ziqhekeza ze-condyles (ukuphela komthambo wesithambo okwenza umdibaniso kunye nokulungiselela ukulungisa izihlunu), ukuphuka kwe-diaphysis (inxalenye, i-tubular part of the bone), i-fractures of the ankle.
Ukwahlulelwa kweentsimbi
Iintlobo ze-condyle ze-tibia zivame ukuvela xa ziwela ukusuka ekuphakameni ukuya emilenzeni evuliwe okanye emadolweni. Iimpawu eziphambili zintlungu kunye nokuvuvukala kwingingqi yeqhekeza. Kwakhona, olu hlobo lwenqabileyo luhamba kunye ne-hemorrhages ehlanganiseni ngamadolo, i-shin iyavela, ukuhamba komxhelo kunqamle.
Ngokuphuka kwe-diaphysis, kuxhomekeke kwindlela yokulimala, enye okanye zombini i-tibia yonakaliswe. I-fracture ingaba yintshintsho, i-oblique okanye iyahlukana. Iqhubela rhoqo ngenxa yokutshitshiswa kwi-shin. Ukutshatyalaliswa kweShin kunokwenzeka, intlungu kunye ne-edema ziyabonwa kwingingqi yokuphuka, ukuxhaswa emlenzeni akunakwenzeka.
Uncedo lokuqala lokuphuka
Unyango lwamaqhekeza luqhutyelwa kuphela esibhedlele. Ngokukhawuleza kwisiza sokulimala, ukulungiswa kwenziwa ngetayiti, kwaye kungakhathaliseki ukuba luhlobo luni lomonakalo, amacandelo kunye namagxane e-ankle. Unokumisela ibhasi yonyango, kwaye ukuba ungenayo, sebenzisa izinto ezikhoyo (amabhodi) okanye umane unamathele omnye umlenze kwenye. Ngentambo evulekile, kufuneka kuthathelwe ingqalelo ekukhuseleni ukusuleleka ekungeneni kwilonda. Emva kokufaka itayiti nokwenza i-anesthesia, isiguli kufuneka sithathwe esibhedlele ngokukhawuleza.
Iziqhekeza zengxenyana ephakathi yethambo ayinzima, kwaye kwiimeko ezininzi ziphathwa ngokungazenzisiyo, ngokumisela ibhanti ephosiweyo. Kwimeko yokwahlukana kunye nokuqhekeka kweqhekeko, kufuneka utyando lulungelelanise ithambo.
Kwiintlobo zengxenye ephezulu ye-tibia kunye nokufuduka, i-bone repositioning ingafuneka, emva koko i-gypsum isetyenziswe ubuncinane ubuncinane kwiiveki ezingama-6, kwaye ukuba amathambo awahambelani ngokuthe ngqo, i-skeletal traction yenziwa, enokuthatha iinyanga ezi-2.
Philisa ezi ziqhekeza ngezindlela ezahlukeneyo, kuxhomekeke kubuqili, indawo yokulimala, ubudala kunye neempawu zomzimba ngamnye. Imigangatho ingaba yinyanga enye kunye neqhekeza ngaphandle kokunyanzelisa kwiinyanga ezintathu kwiimeko ezinzima.
Ukubuyiselwa emva kokuqhekeka
Imiba ephambili yokuvuselelwa emva kokuphulwa komzimba kukubuyiselwa kokuhamba kwezihlunu kunye namalungu, ukulwa ne-atrophy kunye neziganeko ezinzima. Ukwenza oku, okokuqala, ukusetyenziswa kokunyanga kusetyenziswa.
Iiklasi zokuqala mazibe phambi kokususwa kwebhanti ye-plaster. Kule nqanaba, ziquka ukuguqula iminwe yakho, kunye nokuxhatshazwa kwemisipha.
Emva kokususa i-gypsum, kufuneka uhlakulele umlenze, ngokunyuka ukwandisa umthwalo. Kwizigaba zokuqala kucetyiswa ukuba ujikeleze kunye nenqanawa, kwaye uzama ukulala kumva okanye kwicala (imilenze nemilenze). Imisebenzi ekwi-echibini incedo kakhulu kwiimeko ezinjalo.
Izenzo eziqhelekileyo ziquka:
- Ukujikeleza kwenyawo lomlenze owonakele, ukuphuhlisa ukuhamba kwamalungu. Ukuzivocavoca akukhuthazwa kwiintsuku zokuqala emva kokususwa kwe-gypsum.
- Phakamisa imilenze yakho, ngokujikelezayo, kwi-angle engama-degrees angama-30, ubambelele kwenye uhlobo lwenkxaso. Ukuzivocavoca kunceda ukuhlakulela imisipha yomhlaba wangaphambili wethanga.
- Ukubambelela kwinkxaso, uguqula imilenze yakho ecaleni ukuze uhlakulele imisipha yomda wangaphakathi wethanga.
- Phakama ngokukhawuleza kwizwane zakho kunye ne-toes, ukuba kuyimfuneko ukuba ubambe udonga okanye enye inkxaso. Ngokuhamba kwexesha, ukwandisa umthwalo, unokwenza umsebenzi, umi ngomlenze owodwa.
- Ukuhamba ngokuqhelekileyo - ukuhlakulela izihlunu, okanye ukunyuka kwezitepsi - ngamalungu.
Ukongeza kwipilisi yokwenyama ngokusetyenziswa ngokukhawuleza kokusebenzisa umsila, i-hydromassage, iibhafu zokuhlamba.