Chizindikiro cha Chisautso Chachidutswa Chokhala ndi Mitsempha Yosweka
Mphuno yotsekemera imayambitsa kuzungulira mafupa , nthawi zambiri pambuyo povulazidwa kwambiri pamene fupa limasunthidwa mopanda mphamvu kapena liphwanyidwa ndi mphamvu zamphamvu - ziphuphu zimenezi ndi chizindikiro cha kuvulala kwakukulu. Kaŵirikaŵiri zimapezeka pamagazi omwe ali pafupi ndi khungu. Choncho, mabelters a fracture amapezeka ndi:
- Ankle fractures
- Tibia akuphwanyidwa
- Ziphuphu za Elbow
Mabhala amathawa amayamba masiku angapo atagwa. Kawirikawiri, kuphwanyika kwaphwa kwapang'onopang'ono kumapangidwira pangozi, ndipo zotupa zimatha kuwona pamene kuphulika kumachotsedwa masiku angapo kapena sabata pambuyo povulazidwa. Mwinamwake kuthamanga kungathe kuchepetsedwa poletsa kutseketsa kwina kulikonse mwa kuchepetsa kupweteka kwa khungu, kuteteza khungu ndi kupunduka kwabwino, ndi kukweza mapeto osweka. Mabulu otsekemera amatha kuvulaza pamene zidutswa za fracture zimatha kusuntha, zomwe zimapangitsa kuwonongeka kwa minofu.
Mkati mwa Blister
Mazira amadzaza ndi madzi omveka bwino kapena magazi. Madzi otsekemera mkati mwa nthendayi amadalira kukula kwa khungu. Ngakhale kuti mankhwalawa ali ofanana ngati ayi kapena ayi kapena mwazi wonyezimira mu zotupa, khungu la khungu limakhala lopitirira ndi mitsempha yodzaza magazi.
Madzi otsekemera mkati mwa blister ndi wosafota, choncho mpweya umayenera kukhala wosasunthika osati wosweka. Ngati blister ikutha, monga momwe nthawi zina imachitira, denga la blister liyenera kukhala lokha ngati khungu limachiza pansi. Kupewera mitsempha ndi kuchotsa khungu si njira yoyenera yothandizira blister ya fracture.
Mankhwala ena opatsirana, monga Silvadene kirimu, awonetsedwa kuti ali othandiza pochiritsa machiritso opasuka.
Opaleshoni
Mbali yofunikira kwambiri ya mathalampha a fracture ndizofunikira kwa kukonza opaleshoni ya mafupa osweka. Ngati wodwala atulukira mathalampha a fracture, opaleshoni sayenera kuchitidwa kudzera mu khungu lakuda. Kuchita opaleshoni kudzera mu mitsempha yophulika kumawonjezera mwayi wa mavuto aakulu, kuphatikizapo matenda.
Nthendayi imalingalira kuti ikuyimira chiwonongeko cha khungu. Kuvulala ndi minofu yofewayi kukhoza kusokoneza machiritso a ululu wopaleshoni, choncho khungu lirilonse liyenera kufufuzidwa mosamala.
Ngati opaleshoni iyenera kuchitidwa ndipo mabelters a fracture alipo, opaleshoniyo ingafunikire kusinthidwa kuti itetewe khungu lakuda. Mwachitsanzo, ngati kupweteka kwa mitsempha kumathyoka m'matumbo, ndiye kuti m'malo mogwiritsa ntchito mbale ndi zikuluzikulu , chokonzekera kunja chingagwiritsidwe ntchito kuti zikhazikike.
Kuchiza kwa Mabulters
Monga tanenera, mabulters ayenera kusiya okha ngati atasokonezeka. Ngati mwathyola fupa lomwe limafuna opaleshoni, ndipo pali mableketsedwe a fuko m'deralo, zotsatirazi ziyenera kuchitika:
- Kugwedezeka kwa fupa kuyenera kusokonezeka. Izi zikhoza kukwaniritsidwa ndi chokhazikika kapena chokonzekera kunja. Ubwino wa wokonza zakunja ndikutsekemera nthawi zambiri ndibwino, ndipo dokotala akhoza kuona khungu. Muzovuta zovuta, njirayi nthawi zambiri imakonda.
- Mapeto ayenera kukwera. Mapeto ayenera kukwera kwambiri momwe zingathere. Ngati bulu kapena tibia ndi fupa, njira yokhayo yokwezera pamwamba pa mtima ndiyo kugona. Kupukuta matumbo kumakhala pokhala pansi sikukukweza!
- Opaleshoni ayenera kuchedwa. Opaleshoni sayenera kuchitidwa kupyolera mu ntchentche ya fracture. Mpata wa mavuto aakulu, kuphatikizapo matenda, ndi apamwamba kwambiri, ndipo opaleshoni iyenera kusinthidwa kapena kuchedwa.
Kuchiritsidwa kwathunthu kwa mitsempha ya fracture kungatenge milungu ingapo. Chofunika kwambiri ndi chithandizo chofulumira, chithandizo chokhala ndi mitsempha yothyoka, koma pamene akukula, kuleza mtima n'kofunika kuti mtolowo ukhazikitsidwe musanapitirire kuchipatala.
Mawu Ochokera
Mabultter osweka akhoza kukhala chochititsa mantha kwa anthu omwe sakuyembekezera kuti awoneke. Kawirikawiri masiku owonetsa atadwala, amachititsa anthu mantha kuti chinachake chikulakwika. M'malo mwake, thupi limayang'ana ku zoopsa ndi njira, monga kuthamanga, zomwe zikhoza kuwonekera pa masabata ndi miyezi. Mitsempha yotsekemera ikuwonetsa kuvulala kofewa, ndipo pamene kupweteka kwa kupweteka kwa thupi kumakhudza nthawi ndi mtundu wamachiritso, iwo athandizira kutsogolera dokotala wanu momwe angasamalire bwino vuto lanu lovulaza.
Zotsatira:
Strauss EJ, et al. "Mabulters okhudzana ndi kupasuka kwapakati: zotsatira za njira yoyenera kulandira mankhwala" J Orthop Trauma. 2006 Oct; 20 (9): 618-22.
> Tull F, Borrelli J. "Kuvulala kosalala komwe kumagwiridwa ndi zotsekedwa zotsekedwa: kuyesa ndi kuyang'anira" J Am Acad Orthop Surg. 2003 Nov-Dec; 11 (6): 431-8.