Imisipha iintlungu ezinyaweni, kujuba, ndisolulela

Ngoko akukho mfihlelo imicu kumlenze idlala sisiqinisekiso umsebenzi ebonakalayo yomntu, ukuba nayo into eyenzekayo (nangokurhala, enyelisa okanye eyaphukileyo), oko kakhulu enciphisa inkululeko yethu amanyathelo. Kungenxa yoko le nto ulwazi malunga kutheni kungekehli, ukuze uphephe ngayo nendlela ukunyanga isifo loo nto ibaluleke kakhulu.

Yintoni imicu , yaye ziziphi imisebenzi yayo engundoqo

Ngomlenze imicu yinto ukuyilwa kwizicwili leyo uzijonga amathambo nemisipha. Owona msebenzi wawo ukuqinisekisa ukufakwa olululo nokusebenza ezinzileyo onke amalungu. Ukongeza, ukuba ikhokela intshukumo namalungu. Ngokuqhelekileyo, igama elithi "yokunabisa" ayikho kakhulu okwenyaniso, njengoko imisipha ngokwabo nga kolulwa ngenxa yokuba awunazo bungqingqwa ezifunekayo kunye ukuthambekela kuyo. Enyanisweni kukho ikhefu ngokupheleleyo okanye ngokungaphelelanga kubo.

Kubangela umonakalo imicu

Iinkcukacha-manani zibonisa ukuba intlungu kwi imisipha umlenze kwenzeka ngenxa yezi zizathu zilandelayo:

• izehlo ezahlukileyo;
• Sharp ejika unyawo xa uqhuba kwi ezimbi zomhlaba. Kananjalo kubalulekile ukuba ucinga ukuba isiqingatha izikhalazo malunga nemisipha kuncothulwa avela abafazi emva hamba uye kubethwa ngumoya emva kwakhe.
• kwezemidlalo ngokunzulu;
• Unxiba impahla izihlangu ntofontofo;
• samathambo;
• imisipha buthathaka bekhubazekile;
• bahlale engesiso kwaye, ngenxa yoko, uphuhliso olungalinganiyo kula macandelo kwixesha elizayo kwinkqubo musculoskeletal. Elibonakaliswe ngolwimi olulula - ubude lomzimba eyahlukileyo.
• Izifo yenkqubo musculoskeletal;
• Iintlobo zosulelo.

Ukongeza, le komsipha kukho imicu kumlenze ibizwa ngokuba "sisifo kwezemidlalo", kuba phantse 70% lezikhalazo ezifunyenwe yi kwabadlali.

iintlobo komsipha

Njengoko yokusebenza ibonisa, oonobangela kwempixano ziye zohlulwa ngokwendidi-2. Ke ukuba uhlobo lokuqala (ukuba idlulele) abo ukuba kubangelwa kukuwohloka iinyembezi le imisipha, ukuza ukuqalisa ukusebenza ekugugeni umzimba uphela kwaye kaninzi kwafunyaniswa ukuba kubantu ubudala, nto leyo iminyaka engaphezu kwama-40, uhlobo lwesibini (traumatic) izikhewu evela ngenxa ezahlukeneyo ukuwa, iintshukumo ngesiquphe okanye phakamisa iintsimbi ngokugqithisileyo. A isici esasenza iintlobo zohlobo yokugqibela kukuba kwenzeka ngequbuliso kwaye luphawulwa iintlungu kakhulu.

Kukho kwakhona ukwahlulwa ngokweendidi kuxhomekeke zolwaphulo abanye semali ngasinye.

iimpawu

Ukolula imisipha kwi unyawo livela ngolu hlobo lulandelayo:

• ubuhlungu obukhulu kokubini lokuphumla phakathi nokusebenza ayikho iintshukumo enzima kunene;
• iintshukumo kunokuba kuphela kufutshane kumthombo intlungu (awukwazi ukwenziwa flexion kunye nokwandiswa imilenze);
• lobushushu kubo;
• ithoni isikhumba elinombala;
• Ukutshintsha aya engaphandle welungu, ibekwe kufutshane iindawo ukwandiswa mhlawumbi;
• Ottokami ezahlukeneyo;
• Umculo (clacking, egramza) ngexesha uzama ukwenza intshukumo umlenze eyonakeleyo;
• Uza ukuluma nokuba ndindisholo kuloo ndawo apho nayo iintlungu.

Kodwa kuyimfuneko ukuthatha ingqalelo yokuba iimpawu ezibonisa ukuba buhlungu i imisipha kwi imilenze, ukuze iimpawu zabo ezithile lokuba uhlobo ngalunye oluthile ikhefu.

umonakalo meniscus

Ngokuqhelekileyo, imicu komsipha kwi ngokwaphulwa umlenze ekhatshwa yenye iimpawu eziphambili tirhisa yokwenzakala meniscus. Inkoliso yezi ngxaki kwenzeka leembaleki, obanika inani elaneleyo iingxaki. Kodwa ngenxa yokufana kweempawu akusoloko kusenzeka ukuba uphethwe ngokukhawuleza echanekileyo. msebenzi wayo ukwahlula kuphela buhlungu kakhulu xa uzama yokulungisa umlenze bent.

iqatha enyelisa

Umonakalo namaqatha kubonisa iindumbisa kakhulu, yaye ubunzima bomzimba kudluliselwe kumlenze abachaphazelekayo kukho kwandisa iintlungu elibukhali ngentshukumo. Ukongeza, kwiimeko yokwenzakala kukrokrelwa, ungafuna ukujonga kwi "drawer". Kulo mzekelo, umlenze ephantsi ngesandla kwenye exubusha ngokuqinileyo ezantsi, kwaye okwangoku, kunye nomnye ngesandla ngokucocekileyo kakhulu icinezelwe ngasemva yonyawo, ekufezekiseni ukubana yayo phambili. Ukuba uphethwe ophambili lichanekile, ngoko kwamandla tshintsha indawo yakho. Kwakhona, kukho amathuba aphezulu efumanise igazi kule ndawo yokwenzakala.

Khumbula, esisuka imisipha kwi unyawo kunokuba zombini ezingaqondakaliyo (idla idlule kwiintsuku ezimbalwa), kwaye libizwe (kulo mzekelo efunekayo uncedo olungxamisekileyo abaqeqeshiweyo).

ekuxilongweni

Njengoko umthetho, isaveyi ephambili isigulane kwenzelwa ngenxa ugqirha hetiseka ngento eyenzeka kuye, noko iimvakalelo ukuba nazo ngelo xesha. Ukuba umntu ikhalazela of intlungu nemisipha imilenze, uhlolo lokuqala olwenziwa umlenze esempilweni. Oku kwenziwa ukuze uwazi isigulane kunye nenkqubo zoviwo kunye kamva xa ithuba uyeza unyawo, uye engaqondanga silungiselwe ukuba kuza kwenzeka ntoni. Ngenxa yoko, isigulana ephatha ethule zonke zazo zonyango. Kwakhona, kule ndlela ivumela ugqirha ukuthelekisa iziphumo, nto leyo ithole ngexesha uhlolo imilenze yesigulane, nto leyo kwixesha elizayo ziya kukulungiselela bhetele uxilongo.

Ukongeza, i ingcali ziya kwabelwa kunye nezifundo ezongezelelweyo ukuze ngenqindi phantsi ukungqinelana okanye ukuchasa oko uxilongo lokuqala. Ezi ziquka:

• CT scan akakwazi kuphela ukuqinisekisa uxilongo, kodwa ukulandelela ngempumelelo unyango olwenziwa.
• MRIs. Olu hlobo saveyi ikuvumela ukuba ufumane inkcazelo ngqo kakhulu nje kuphela izinto ezonakeleyo Imisipha umlenze wakhe, kodwa bangaphi kwaphulwa ngefayibha.
• iimviwo X-ray. isicelo sayo ivumela ukuchonga amathuba nengxaki (kuziphuko zendalo kunye dislocations).
• Ultrasound iimviwo welungu yonakele.

uncedo lokuqala kwimeko yento Imisipha unyawo

Practice lubonisa ukuba xa kukho inkathazo enjalo, iziko elikufutshane unyango zibekwe kwi kumgama ozikilometa eziliqela. Ngoko ke, ukuba unyango olunye lube yimpumelelo kwaye ngaphandle iingxaki ezinokubakho, kuyimfuneko ukubonelela uncedo kwixhoba, equka zazo zilandelayo kuqala:

• Xolelwa iinyawo kunene evela izihlangu kunye kawusi, nto leyo eya kunciphisa uxinzelelo kwindawo edematous.
• Ukuqinisekisa Ezinye kwindawo eyonakeleyo, nto leyo eya ezinokuphazamisa umntu kancinane oko sele limele imisipha emilenzeni.
• Ukudalwa a zeendawana okhethekileyo yeyozuko eziliqela amaxesha ilaphu uyibeka phantsi ndawo yonakele.
• Ukuphakamisa imilenze ukuya kubude obungaphezulu kunokwenzeka (idla ukuya entliziyweni), nto leyo amaxesha amaninzi kuphucula flow kwegazi.
• Ukusebenzisa kwinxalenye gwenxa isityalo ice okanye ilaphu phambi amanzi ezifumileyo abandayo. Ke, ukuba imeko iyasivumela, kubhetele ukuba babhenele ukuvavanya udidi olutsha. A iqhekeza lomkhenkce Kucetyiswa ukuba phezulu ilaphu, ukunqanda necrosis yethishyu ethambileyo, ezakheke ngenxa frostbite olomeleleyo. Ukusebenzisa ice ziyafuneka kwiiyure ezimbini zokuqala emva kokonzakala kubekho isithuba semizuzu engama-20. Okulandelayo, kuya kuba kwanele iiyure ezimbini ngosuku lokuqala.

Khumbula, kwezi nkqubo iza kwenziwa njani ukuze kuxhomekeka izinga recovery ngakumbi. Ukongeza, ubunzulu intlungu xa bayacetyiswa ukuba bazise ntlungu.

umlenze imisipha Treatment

Kuxhomekeka iqondo ndisolulela ababelwe amanyathelo ezahlukeneyo zonyango. Umzekelo, lokunye komsipha kwemisipha (1 degree) ifuna unyango, apho kuloo ndawo zonakaliswe esebenzisa umhlabelo elastic isicelo umhlabelo isinye umda ukuhamba amalungu. enxibe ixesha layo lahlukile ukusuka kwiintsuku ezi-3 ukuya ku-5. Ukongeza, ukuba linokukwenziwa eziyobisi, kunciphisa komtshiso oko. Ukuba, umzekelo, imicu neqwengiweyo ze ubhontsi yonyawo, isigulane emiselweyo ukusebenzisa iqhaga ekhethekileyo ngomnwe, kwaye, ukuba kuyimfuneko, kwaye isitofu iintlungu. Ukongeza, ukuba andise yayikukuphuphuma igazi lwemithambo, kucetyiswa ukuba ukunyhibhela ezo ndawo gel yonakele "Troxevasin".

Nge iimvakalelo ngokungenamkhethe express intlungu, ukudumba kunye nentshukumo eliqingqiweyo amalungu (grade 2), immobilization amalungu kufuneka ukuba ibe kakhulu ixesha elide ubhalo (kwiiveki ezimbini). Ukongeza, intle kwiintsuku zokuqala ezi-3 ukuya ukugcina unyawo kwi sikhundla avuswe. Njengoko sele kukhankanyiwe, umkhenkce kufuneka isetyenziswe kwi seeyure ezingama-24 kuphela. Le gel ingasetyenziswa ngokufanayo kwimeko yangaphambili.

Ukuba umonakalo waphawula emva intlungu kakhulu kunene, ukungakwazi ukwenza nkqu intshukumo incinane namalungu (grade 3), apho umzekelo kusenokufuneka okubekwe of gypsum okanye uqhaqho apha emilenzeni imicu. Bamba ixesha umlenze nobuhlala ngaphezu kwenyanga (ngokuxhomekeke ebukhulwini wokwenzakala). Ngeli xesha, uthathe iipilisi iintlungu kunye inaliti.

Inokuba yintoni imiphumo

Njengoko umthetho, emva kokuba ALS unyango kakhulu entle ukuba unyango lwaqalwa kwangexesha. Kungenjalo, imicu kumlenze kunokuba phantse ngokupheleleyo uyayeka ukwenza umsebenzi wayo, into ke leyo nayo, nefuthe elibi kwi ukuhamba kwabantu.

imisebenzi yesiqhelo

Ukuze ukubuyisela ukushukumiseka joint emva kokwenziswa kokwenzakala ekupheleni amanyathelo zonyango eyabelwe iinkqubo ezizodwa zokubuyela esiqhelweni, ezibandakanya:

• Ukuhamba izicathulo, kodwa kufuneka ithathe indawo kancinci ukususela izithende ukuya ezinzwaneni. ingqalelo ekhethekileyo kufuneka ihlawulwe yokuba asifanele zihamba kakhulu sock ngaphandle.
• Poluprisedaniya on iikawusi kunye ukunyuka ngakumbi iikawusi bebuyile olulandela indawo yokuqala.
• Kwakhona, kufuneka uthathe ixesha imisebenzi ethile emanzini, njengoko kwezi meko kusenokwenzeka ukuphuhlisa imicu umonakalo kungakhange kubekho kuchaphazeleka utyebile yayo.

Eyona nto ibalulekileyo ukuze aqonde ukuba unyango ngexesha kwiziko lonyango elifanelekileyo kungakuncinane njengoko inkqubo yonyango kunye kwimo yesiqhelo elandelayo.