Isazi Sobumfihlo Sobufakazi

Isipikili sosizo sowesifazane: konke okudingeka ukwazi

Uma kukhulunywa ngokwelapha ukuqhekeka kwe-femur, isipikili sosizo sowesifazane kungenye yezindlela ezivame kakhulu ezisetshenziswa odokotela abahlinza ama-orthopedic. Kuyinqubo yokuhlinza ehilela ukufaka induku yensimbi ku-femur ukuqinisa ithambo futhi kukhuthaze ukuphulukiswa. Kulesi sihloko, sizoxoxa ngezipikili zosizo kwabesifazane ngokuningiliziwe, kusukela kwizinkomba zalo kuya ezinkingeni zayo ezingaba khona.

Siyini isipikili sosizi sowesifazane?

Isipikili sowesitanium noma insimbi engenacala futhi ziza ngosayizi aimbi engenacala futhi ziza ngosayizi abahlukahlukene ukuze bakwazi ukwamukela izidingo ezihlukile zesiguli.

Izinkomba zesipikili sosizo lwabesifazane

Isipikili sowesifazane osingwayo singanconywa ngudokotela ohlinza amathambo ngenxa yezizathu eziningi, kufaka phakathi:

• Ama-Fractures of the femur

• Ama-Fractures Of The HIP Joint

• Ukuphambama kwe-femur

• I-non-Union noma inyunyana ebambezelekile yokuqhekeka kwe-femur

• Ama-tumors amathambo ku-femur

Ifakwe kanjani isipikili sabesifazane?

Ukufakwa kwesipikili sosizo sowesifazane kwenziwa ngaphansi kwe-anesthesia ejwayelekile noma yesifunda. Udokotela ohlinzayo uzokwenza ukuvela okuncane esikhumbeni ngaphezulu kwethambo le-femur futhi azofaka ucingo oluqondisayo ethanjeni. I-wire yomhlahlandlela isetshenziselwa ukudala indlela yezipikili ezizofakwa kwithambo. Lapho ucingo lwentambo lusendaweni, udokotela ohlinzayo uzosebenzisa i-REamer ukulungiselela ithambo ngesipikili. Isipikili sosizo sowesifazane sifakwe ethanjeni le-femur futhi sivikelekile endaweni ngezikulufo noma izikulufa ezivaliwe.

Izinzuzo zesipikili sosizo sowesifazane

Kunezinzuzo eziningana zokusebenzisa isipikili sosizi sokwelashwa kwe-femur fractures, kufaka phakathi:

• Ukulahleka kwegazi okuncishisiwe ngesikhathi sokuhlinzwa

• Kuhlala esibhedlela esifushane

• Isikhathi Sokubuyiselwa Esisheshayo

• Ukuxabana okuncane

• Ingozi ephansi yokutheleleka

• Ukuqina okukhulu nokusekelwa kwethambo elikhubazekile

Izinkinga ezingaba khona zesazi sosizi

Njenganoma iyiphi inqubo yokuhlinzwa, kunezici ezingaba khona ezihambisana nokufakwa kwesipikili sosizo sowesifazane. Lokhu kungafaka:

• Ukutheleleka esizeni se-incision

• Ukulimala kwezinzwa

• Ama-cloots egazi

• Ukuphambanyiswa kwethambo

• Ukuphulukiswa kokuphulukisa noma ukungahambi kahle kokuqhekeka

• Ukwehluleka kwe-Hardware noma ukuqhekeka

Ukululama ngemuva kwenqubo yezipikili zesifazane sowesifazane

Ukubuyiselwa emuva kokuthi inqubo yezipikili zangemuva zabesifazane izohluka ngokuya ngezinga lokuqhekeka kanye nempilo yesiguli yonke. Iningi leziguli lizodinga ukusebenzisa imishini noma i-Walker isikhathi esithile ngemuva kokuhlinzwa. Ukwelashwa ngokomzimba nakho kunganconywa ukusiza ukuphinda kube namandla emlenzeni othintekile. Kubalulekile ukulandela yonke imiyalo yangemva kokusebenza okunikezwe udokotela ohlinzayo ukuqinisekisa imiphumela engcono kakhulu.

Ukugcina

Isipikili sosizo sowesifazane siyindlela evame ukusetshenziswa kakhulu yokwelashwa kwama-fractures we-femur. Inikeza izinzuzo eziningana ngaphezu kwezindlela zendabuko zokwelashwa futhi ngokuvamile zibekezelelwa kahle yiziguli. Kodwa-ke, njenganoma iyiphi inqubo yokuhlinzwa, kukhona izinkinga ezingaba khona okufanele zibhekwe. Uma uke wabhekana nokuqhekeka kwe-femur noma kutholakale ukuthi unesimila sethambo e-femur, khuluma nodokotela ohlinzayo wamathambo mayelana nokuthi isipikili sokwelashwa isifakazi singaba inketho yokwelashwa esebenzayo kuwe.

Amazolumbo

1. Kuthatha isikhathi esingakanani ukululama ngemuva kwenqubo yezipikili zangemuva zabesifazane? Isikhathi sokutakula singahluka ngokuya ngezinga lokuqhekeka kanye nempilo yesiguli yonke. Iningi leziguli zizodinga ukusebenzisa imishini noma i-Walker isikhathi esithile ngemuva kokuhlinzwa, futhi ukwelashwa ngokomzimba nakho kunganconywa. Ukululama okugcwele kungathatha izinyanga ezimbalwa.

2. Ingabe izipikili zabesifazane zingasuswa? Kwezinye izimo, isipikili sosizi sochwepheshe singadinga ukususwa uma kubangela ukungaphatheki kahle noma ezinye izinkinga. Lokhu kuvame ukwenziwa njengenqubo ehlukile yokuhlinzwa.

3. Ingabe uchwepheshe wezipikili wangembozwe ngumshuwalense? Iningi lezinhlelo zomshuwalense wezempilo zizofaka izindleko zenqubo yesikhumba yabesifazane yabesifazane, yize izinqubomgomo zomuntu ngamunye zingahluka. Iziguli kufanele zihlole nomhlinzeki wazo womshuwalense ukuthola ukumbozwa.

4. Ngabe isipikili sesazi sangesikhathi singakanani sihlala endaweni? Isipikili sosizo sowesifazane senzelwe ukuhlala endaweni unomphela, yize kungadinga ukususwa ezimweni ezithile.

5. Ingabe ikhona imikhawulo emsebenzini ngemuva kwenqubo yezipikili zesifazane sowesifazane? Iziguli zingadinga ukukhawula imisebenzi ethile, njengokuphakamisa kanzima noma ezemidlalo ezinomthelela omkhulu, ngesikhathi sokutakula. Udokotela ohlinzayo uzohlinzeka ngemihlahlandlela ethile yemikhawulo yomsebenzi esuselwa ezidingweni zesiguli ngazinye.