Ukulimala kwama-ankle kuthathwa njengenye yezona ziqhelekileyo. Abameli bobulili obufanelekileyo bavame ukufumana umonakalo onjalo ngenxa yokuthanda kwabo, abathandekayo abathandekayo, kodwa ezo zithende ezingenakuzikhusela. Ngamanye amaxesha izicathulo ezintle zize zenze i-double-arm break with a subluxation and displacement. Lo monakalo obunzima kakhulu kwaye unobungozi obukhulu, okwenzisayo, kwenzeka ngokungaqhelekanga.
Unyango lwe-double-knee breaks with displacement and subluxation of foot
Njengamaqhekeza aqhelekileyo, ukulimala kwamagxolo kungavulwa kwaye kuvaliwe. Ngaloo mva, ulusu kwisiza somonakalo luhlala lungasebenzi. Xa ukubonakala kokulimala kuvulekile, amathambo aphukile adiliza izicubu kwaye aphume.
Ukuvalwa kwenkalo ephindwe kabini kulula ukunyanga. Ulwaphulo luqala ngokungafihli. Umgca we-gypsum we-10 cm ububanzi ububanzi usetyenziswa kwi-shin. Imvelaphi yayo ithatha umda ophezulu kummandla wesithathu we-shin, ufikelela kwi-ankle kunye nesithende, kwaye emva koko i-ankal lateral iphakama ibe yinxalenye engxenyeni yesikhumba.
Ukwenza i-gypsum ibe namandla, kwiimeko ezininzi, itayiti yongezwa kwindawo yokulimala. Umva wokugqibela ukhona emva kokubamba iqhosha kunye nokunyuka ukusuka phezulu ukuya emlenzeni ongezantsi, wehla kwindawo yezityalo.
Ukusebenzisa i-gypsum kunye namathayi kwintambo ephindwe kabini ngengqungquthela kunye nokufuduka, ugqirha kufuneka ahlale eqwalasela umbala weminwe yomntu olimele kwaye ingakanani isitho sakhe esingaphantsi siguqile. Emva koko, kufuneka kwenziwe i-X-ray ephindaphindiweyo - ukuqinisekisa ukuba amathambo axhunyiwe ngokuchanekileyo.
Ngaphambi kokusebenzisa i-gypsum, injovo ye-novocaine idlalwa rhoqo. Inceda ekunciphiseni ubuhlungu. Oko kubalulekile - ukuguqulwa kwamazwe ngama-nyxes kuyimfuneko ukuba unedhetize zombini i-traumas.
Kwimeko eqhelekileyo yokutshatyalaliswa kwengalo, kuyimfuneko ukuhamba kwiplasta ezimbini iinyanga. Inkathazo enzima kakhulu ngokufuduka kunye nokuxhaswa kweenyawo kufutha ixesha elide - kwiiveki eziyi-12.
Ukusebenza ngophulo lwezinto ezichaziweyo kunye nokuhamba
Ukunyangwa ngonyango kusetyenziswa rhoqo. Imisebenzi yenziwa kuphela kwiimeko ezinzima kakhulu. Ngoko, umzekelo, xa ugqirha akakwazi ukuthelekisa zonke iinqununu zamathambo. Izibonakaliso zokungenelela kwongxamnye nazo zibhekwa njengendawo yokufuduka kwesekondari kunye neentlobo ezivulekileyo, ezihamba kunye nesilonda esikhulu.
Ngamanye amaxesha kwenziwa ukusebenza xa izicubu ezincinci zixininiswe kwimeko xa unyango olungenalo amandla. Iqhutywa phantsi kwe-anesthesia jikelele . Oogqirha babulala izicubu zethambo, badibanisa zonke iinqununu baze bawahlule ngamabolts akhethekileyo okanye i-vitnickami. Emva kwe-osteosynthesis, isigulane siboniswa unyango lwezonyango.
Ukubuyiselwa emva kokuqhekeka kabini kweqhekeza kunye nokunqunyulwa kweenyawo kunye nokufuduka
Ukubuyiselwa kwemisebenzi yomlenze, kuyimfuneko ukuqhuba isisombululo esipheleleyo semilinganiselo yokuvuselela, kuquka ne-physiotherapy, i-gymnastics, kunye nokusila.
Ukuzivocavoca umzimba kunye nokuzivocavoca kungenziwa kwangoko ngosuku lwesibini emva kokulimala. Kunceda kakhulu ukuphuhlisa izidumbu ze-femadis ze-quadriceps, ukwenza i-flexion kunye nokwandiswa kweminyango yamadolo. Kwinqanaba lesibini - emva kokususa i- gypsum - ungaqala ukwenza ukunyakaza okujikelezayo. Idibeneyo ivumelekile ukunika imithwalo. Kodwa kufuneka uhambe, ngokukhawuleza. Kwaye kwinqanaba lesithathu kuphela unokuhamba ngeesokisi, izikwere.
Kwi-physiotherapy eyona nto iluncedo kukuba:
- kuhlamba okufudumele;
- ultrasound;
- iontophoresis;
- izicelo zodaka.
Xa unxiba izithende emva kokuphulwa kwengalo ephindwe kabini, awukwazi ukuthetha ngokuqinisekileyo. Kule ngxaki kufuneka udibane nochwepheshe ngamnye.