1. I-bandage yodaka lwezonyangoukulungiswa kweefractures

 

I-bandage yodaka lwezonyangoudubulo lokwenyani

Ngumgubo ocolekileyo we-plaster of paris (i-anhydrous calcium sulfate) efafazwe kwi-bandage ekhethekileyo ye-sparse-hole.Yenziwa ibhandeji lodaka lwezonyango, ifakwe emanzini ashushu, ize isongelwe kwilungu lesigulana ukuze lingashukumi.Inokuthi iqiniswe kwaye yenziwe kwi-5 ukuya kwimizuzu eyi-10, kwaye ngokuthe ngcembe yome kwaye iqine, enokuthi ikwazi ukuphazamisa ngokufanelekileyo umlenze ochaphazelekayo.Kwiminyaka yakutshanje, ukusetyenziswa kwe-resin bandages ye-immobilization kuye kwanda imihla ngemihla.

 

Izibonakaliso zokulungiswa kwe-bandage yonyango (1) emva kokutshatyalaliswa kunye nokuthuthwa kweefractures ezivulekileyo, ngaphambi kokuba isilonda siphilise (2) i-fractures kwiindawo ezithile, ezo zinzima ukulungisa kunye neentambo ezincinci;(3) emva kokunciphisa okuvulekileyo kunye nokulungiswa kwangaphakathi kweefractures ezithile, ezifana ne-intramedullary nailing okanye i-plate screw fixation of fractures femoral, njenge-fixation yangaphandle encedisayo;(4) ukugcinwa kwendawo yamathambo emva kokulungiswa kokukhubazeka kunye nokulungiswa emva kotyando lwethambo kunye nokudibanisa, njengasemva kokudityaniswa kwesihlahla;(5) i-suppurative Immobilization yemilenze echatshazelwa sisifo samathambo kunye ne-osteomyelitis.

 

Izinto eziluncedo kunye nezingeloncedo zokulungiswa kwe-bandage yonyango (1) Izinto eziluncedo: Inokubunjwa ngokwemilo yelungu, kwaye umphumo wokulungisa unokwethenjelwa kwaye unokugcinwa ixesha elide.(2) Ukungalungi: i-inelastic, ayikwazi ukulungelelanisa i-tightness, uluhlu olusisigxina likhulu, ngokuqhelekileyo kufuneka lugqithise amalunga aphezulu kunye nangaphantsi kwecandelo eliqhekekileyo, alikwazi ukwenza umsebenzi osebenzayo wemisebenzi edibeneyo, kwaye lula kubangela ukuqina kokubambisana.

 

Ngokweklinikhi, izigulana eziqhekekileyo zihlala zinezinye izifo, ezifana nesifo seswekile, ezifuna ukuba abasebenzi babongikazi banikele ingqalelo kukhathalelo lwesifo seswekile kwaye bazame ukuphepha ukusuleleka, kuba abaguli abanesifo seswekile baqhelene nosulelo kunye nokunganyangeki kwamanxeba, kunye nokutya kwabo Kungcono ukuba cela ugqirha oyingcali yezondlo ukuze akhuthaze umguli ukuba achache ngokukhawuleza.

 

2. Iimpawu zokutyatyekwa kweefractures

  

Iifracture zikhona ebomini namhlanje.Inokuba rhoqo.Amaxesha amaninzi ngenxa yokungahoyi ukhathalelo lwabo kunye nokhathalelo lwempilo.ezinye iingozi.Kwakhona kulula ukubangela i-fractures ngokwemvelo, enika umsebenzi wethu oqhelekileyo wobomi.iya kuba nefuthe.Kuba kuthatha iintsuku ezili-100 ukulimaza imisipha kunye namathambo, ngoko oku kulandelayo kuya kukunika isingeniso esicacileyo.Zeziphi iifracture ezifuna isamente?

 

Ukwaphuka kwengalo, ngokuqhelekileyo kuthatha inyanga enye ukususa udaka.Kuselithuba ukukhupha udaka emva kweeveki ezimbini kuphela.Indawo yokuqhekeka ayizange idityaniswe ngokufanelekileyo ixesha elide, enokuthi ibangele ngokulula ukufuduka, kubangele ukukhubazeka, kunye nokuchaphazela imisebenzi ezayo.Kuyacetyiswa ukuba uye esibhedlele ukuze uhlole iiX-reyi ukuqinisekisa Ngaba le ndawo iqhelekile ngoku?Ukuba ayiqhelekanga, kufuneka kujongwane nayo kwangethuba.Ukuba ulwahlulo ngoku lulungelelaniswe kakuhle, qhubeka nokuphosa.

 

Ukubetha kwengalo kubangelwa ukukhutshwa kunye necrosis ye-epidermis ebangelwa ukungahambi kakuhle kwegazi okubangelwa ukulungiswa kwe-plaster.Ayinamsebenzi.Emva kokuba i-plaster isusiwe, iya kuwa ngokwemvelo.Kwinyanga enye emva kokususwa kwe-plaster cast, kuyimfuneko ukuqinisa ukuzivocavoca okusebenzayo ukuze kubuyiselwe ngokupheleleyo.

 

Izibonakaliso 1. Emva kokunciphisa iifractures ezizinzileyo.2. Ukuqhawuka koxinzelelo lomqolo.3. Emva kokunciphisa ukuchithwa kwe-joint dislocation.4. I-Joint sprain, i-ligament tear kunye ne-avulsion.5. Ukukhuthaza ukuphilisa kunye nokukhusela i-pathological fractures emva kokuhlinzwa, njenge-nerve anastomosis, i-tendon transplantation, i-ligament suture, i-joint fusion kunye ne-fixation, i-osteotomy, i-bone transplantation, i-joint transplantation, i-microsurgery, i-osteomyelitis, njl. 6. Emva kokunciphisa okuvulekileyo kunye nokulungiswa kwangaphakathi kwe ukwaphuka.7. Lungisa ukukhubazeka kokuzalwa, okufana nokuchithwa kwe-hip yokuzalwa, i-clubfoot yokuzalwa, njl.Ukuchasana 1. Isimo esiqhelekileyo sihluphekile, ngakumbi abantu abadala abanokungaphumeleli kwentliziyo kunye nokusebenza kwemiphunga, ama-bandages e-plaster yonyango akufanele ahlanganiswe kwisifuba kunye nesisu.2. Abasetyhini abakhulelweyo kunye ne-ascites eqhubekayo akufanele basebenzise i-plaster yesifuba kunye nesisu.3. Xa kukho iimeko ezikhethekileyo ezithintela ngokuthe ngqo ukubonwa kwesi sifo.

Ibhanti yeplastikhi yezonyango immobilization of fractures Izilumkiso emva kokufakwa kwe-plaster immobilization of fractures

 

Ukuba i-fracture iyenzeka, ngokuqinisekileyo, kufuneka ubeke ingqalelo ekubuyiselweni kwangethuba kwenxalenye ephukileyo.Emva kwayo yonke loo nto, ukuba awukwazi ukuyibuyisela kwindawo yokuqala ixesha elide, iya kuba nempembelelo enkulu ekubuyiseleni kamva, ngoko ke wonke umntu kufuneka anikele ingqalelo kuyo.Ukuthatha iindlela zonyango ezisebenzayo, ezi nxalenye kufuneka zikhuselwe kubomi bemihla ngemihla.

 

Ezintathu, izilumkiso ezi-6 eziphambili emva kokunyanzeliswa kodaka lokuqhekeka

  

Izilumkiso ezithandathu emva kokufakwa kwe-plaster yokuqhekeka.Iingcali ze-Orthopedic zibonise ukuba ama-bandages e-plaster yonyango ahlala efunekayo ukulungiswa emva kokuhlinzwa ngokuphuka.Inzuzo yale ndlela kukuba inokubunjwa ngokwemilo yelungu elichaphazelekayo kwaye umphumo wokulungisa uqinile kwaye unokwethenjelwa.Izinto ezingalunganga ezifana nokuqina kwamalungu.Ngoko ke, kufuneka sinikele ingqalelo ngokusondeleyo kuyo, sinike umdlalo opheleleyo kwiinzuzo zayo kwaye siphelise ukungonakali kwayo ukuze kukhuthazwe ukubuyiswa kweefractures ngokukhawuleza.La manqaku alandelayo kufuneka anikwe ingqwalasela emva kokuba i-bandage ye-plaster yonyango eqhekekileyo imisiwe:

 

1. Nikelani ingqalelo ekugcineni indawo emiselweyo de i-plaster iqiniswe ngokupheleleyo.Kwiimeko eziqhelekileyo, i-bandage ye-plaster yonyango inokufikelela kumandla ayo aphezulu emva kokulungiswa kweeyure ezingama-24.

 

2. Kufuneka kuthathelwe ingqalelo ukuphepha ukuqhekeza udaka xa uhambisa kwaye uhambisa isigulane.Ukuba iphukile, kufuneka ilungiswe ngugqirha ngexesha.

 

3. Emva kwebandage yodaka lwezonyangoilungisiwe, ilungu elichaphazelekayo kufuneka liphakanyiswe ukukhusela ukudumba okubangelwa kukubuya kwegazi elibi kwithishu yendawo.Emva kokuba i-plaster iqiniswe ngokupheleleyo, umsebenzi osebenzayo we-joint unfixed ungenziwa.

 

4. Jonga ngokusondeleyo ukujikeleza kwegazi, ukuvakalelwa kunye nokuhamba kwesiphelo esikude somlenze ochaphazelekayo.Ukuba kukho iintlungu ezibuhlungu, ukuba ndindisholo, ubushushu obuphantsi besikhumba somda okanye umbala omnyama weminwe/iinzwane, njl. njl., oko kubonisa ukuba udaka lisongelwe ngokuqinileyo kwaye iimpawu zoxinzelelo ezinzima zenzeke.Susa udaka.

 

5. Emva kokuvuvukala kwelungu elichaphazelekayo elilungiswe yi-bandage ye-plaster yonyango iyanyamalala, ukuba i-plaster fixation ikhululekile kakhulu, i-plaster kufuneka ithathelwe indawo ngexesha lokuqinisekisa i-orthopedic esebenzayo kunye ne-fixation effect.

 

6. Xa ubushushu be-ambient buphantsi kakhulu, kuyimfuneko ukuqinisa ukufudumala kwenxalenye esisigxina ye-bandage ye-plaster yonyango ukukhusela ukuvuvukala kwe-distal end yelungu elichaphazelekayo ngenxa yokubanda.

 

Okwesine, zeziphi iingozi zokwaphuka?

  

Njengoko ilizwi lihamba, kuthatha ikhulu leentsuku ukulimaza imisipha kunye namathambo akho.Kukholelwa ukuba iifractures zixhaphake kakhulu kubomi bethu bemihla ngemihla, akusizisi intlungu kuphela kodwa kuzisa ingxaki enkulu.Abantu abaninzi banokucinga ukuba iifractures ezininzi zibangelwa ukunqongophala kwe-calcium okanye amandla angaphandle, kodwa ngaba kunjalo ngokwenene?Ngapha koko, kubomi bemihla ngemihla, ezinye iintshukumo ezincinci ezingezizo zinokulimaza amathambo akho.

 

(l) Inyumoniya yeHypostatic: Idla ngokubakho kwizigulane ezihlala ebhedini ixesha elide ngenxa yokwaphuka, ngakumbi ezo sele zikhulile kwaye zibuthathaka kwaye zikhatshwa zizifo ezingapheliyo.Maxa wambi oku kunokubeka ubomi bomguli esichengeni.Umntu ocingayo kufuneka akhuthazwe ukuba aphume ebhedini ngokukhawuleza..

 

(2) Idecubitus: Emva kokwaphuka kanobom, umguli ulala ebhedini ixesha elide, amathambo omzimba ayacinezelwa, yaye ukonakala kwasekuhlaleni kokuhamba kwegazi kulula ukuba kubangele isilonda ebhedini.Iindawo eziqhelekileyo lithambo lamandla, eliphukileyo, kunye nesithende.

 

(3) I-thrombosis ye-vein deep of the low lows: ixhaphake kakhulu kwi-pelvic fractures okanye i-fractures ephantsi, i-immobilization yexesha elide ye-venous ephantsi, ukubuyiswa kwegazi okucothayo, kunye ne-hypercoagulability ebangelwa ukulimala, i-thrombosis ingenzeka.Ukuzivocavoca kufuneka kuqiniswe ukuthintela ukwenzeka kwayo.

 

(4) Usulelo: Kwiifractures ezivulekileyo, ngakumbi ezo zinongcoliseko obunzima okanye ezinomonakalo onzima wezicubu ezithambileyo, ukusuleleka kunokuthi kwenzeke ukuba ukuchithwa kungagqibekanga, izicubu ze-necrotic eziseleyo okanye ukugubungela izicubu ezithambileyo.Ukuphathwa ngendlela engafanelekanga kunokubangela i-osteomyelitis engapheliyo.

 

(5) Ukulimala kwe-ossification: eyaziwa ngokuba yi-myositis ossificans.Ngenxa ye-sprain edibeneyo, i-dislocation okanye i-fracture kufuphi ne-joint, i-periosteum ihlanjululwe ukuze yenze i-hematoma ye-subperiosteal.Ukuphathwa ngendlela engafanelekanga kubangela ukuba i-hematoma yande, iququzelele kwaye idibanise ngokubanzi i-ossify kwizicubu ezithambileyo kufuphi nomdibaniso, okubangelwa ukungasebenzi kakuhle kwamalungu.Ngokukodwa ixhaphake kwi-elbow joint.

 

(6) I-arthritis eyingozi: I-intra-articular fractures, i-articular surface yonakaliswe, kwaye i-articular surface ayilungiswanga ngokuchanekileyo.Emva kokuba ithambo liphilisa, i-articular surface ayifani.Ukugqoka kwexesha elide kunye nokukrazula kunokubangela ukuba i-arthritis yenxalenye eyonakeleyo, ibangele intlungu ngexesha lokuhamba ngokubambisana.

 

(7) Ukuqina kwamalungu: Amalungu achaphazelekayo aye angenakunyakaziswa ixesha elide, ukubuya kwe-venous kunye ne-lymphatic ayigudi, kwaye kukho ukukhutshwa kwe-fibrous ye-serous fluid kunye ne-fibrin deposition kwi-tissue ejikeleze amalunga.Ukuncamathela kweFibrous kwenzeka.Ikhatshwa lutshintsho oludibeneyo kunye neekhontrakthi zemisipha ye-peripheral, okubangelwa ukuphazamiseka kwentshukumo edibeneyo.Le yeyona ngxaki ixhaphakileyo yokuqhekeka kunye nokulimala kwamalungu.Ukususwa ngexesha lokulungiswa kunye nokusebenza okusebenzayo okusebenzayo ziindlela ezisebenzayo zokuthintela kunye nokuphatha ukuqina kwamalungu.

 

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(9) I-Avascular necrosis: Ukuqhekeka kwenzeka xa ukunikezelwa kwegazi kwecandelo elithile lokuphuka kutshatyalaliswa, okubangelwa i-avascular necrosis yecandelo lokuphuka.I-necrosis eqhelekileyo ye-avascular yecandelo le-proximal fracture emva kokuphuka kwe-scaphoid yesandla.

 

(10) I-Ischemic muscle contracture: Ininzi isiphumo esibi kakhulu sonyango olungafanelekanga lwe-compartment syndrome kwaye yenye yeengxaki ezinzima kakhulu zokuphuka.Inokubangelwa ukuphuka kunye nokulimala kwezicubu ezithambileyo, kwaye kaninzi kubangelwa ukulawulwa kwe-fracture engafanelekanga, ngakumbi ukuba ukulungiswa kwangaphandle kunzima kakhulu.Ukwenzeka kosuku olunye kunzima ukunyanga kwaye kaninzi kukhokelela ekukhubazekeni okukhulu.Iziphene eziqhelekileyo zizandla zozipho kunye neenyawo.

 

I-KENJOY ngumvelisi weebhanti zodaka lwezonyango eTshayina.Abarhwebi beebhanti zodaka lwezonyango,Umrhwebi wangaphandle weebhanti zodaka lwezonyango