Ukulungiswa kweenyawo. Imilenze yobude obude. Imilenze enezikhwebu

Enye yezinto ezibalulekileyo zomfanekiso ontle imilenze emihle. Nangona kunjalo, idatha efanelekileyo yangaphandle, uhlobo aluzange luvuze konke. Imisongo ingaba nenani leempazamo, okwenza ukuba ngamanye amaxesha amabhinqa athobe kwaye ahoxiswe. Le ngxaki ixhalabile ngabantu.

Kwabanjalo, ubuhle bomfanekiso kwaye, ngokukodwa, ukuma kweenyawo akubalulekanga. Sinokuyilungisa njani into esingayinikiweyo ngokuzalwa? Kule nto, amayeza anamhlanje anika iintlobo ezahlukeneyo zokusebenza kunye nezingekho iindlela zokucoca.

Ingxaki efanayo

Ngokutsho kweenombolo zonyango, umntu omnye kwiwaka unomlenze omncinci. Kwaye umahluko phakathi nobude beemigangatho engaphantsi kwe-2 cm. Umbuso onjalo, njengomthetho, ufunyanwa ngethuba. Ukuba ubude obude bemilenze bubuncinci, ngoko ngokuqhelekileyo kuqhubela phambili. Le yingozi yile ngozi.

Iintlobo zokunciphisa

Isizathu sokuba umehluko kumda womlenze unokuba:

- i-congenital;
- Ifunyenwe.

Kwimeko yokuqala, i-pathology iyabonakala ibudala, kwaye ngokukhawuleza iqala ukuqhubela phambili. Ukuba uyakrokraza ingxaki, umlinganiselo wesantya esondelelene unokunqunyelwa ngokwakho. Isinyathelo esilandelayo kukubonisana neengcali.

Iingxaki kunye nobude bemilenze

I-Pathology ineempembelelo ezingathandeki kakhulu. Iba sisizathu:

Intlungu emva;
- torsion of pelvis;
- ukuvela kwe-deforming arthrosis kunye ne-aseptic necrosis kummandla we-joint hip;
- ukuphulwa kwe-statics kunye ne-gait;
Ukuvela kwenzakalo;
- ukuphulwa kweergonomics;
- Ukungalingani kwemisipha.

Unyango lwemiqulu

Yintoni endiyenzayo ukuba umntu afune ukulungiswa komlenze? Enye yeendlela eziphuma kule meko kukusetyenziswa kweendlela zokwenza unyango. Iingcali ezisebenza kule ntsibano zenza ngobumnene, kodwa ngenjongo, zisebenzisa iimvavanyo eziyimfuneko zokuphucula izihlunu.

Ukongezelela, umntu ofuna ukulungiswa komlenze, kufuneka enze imisebenzi ekhethekileyo kwaye ahlaziye rhoqo ifomu elibonakalayo. Isisu esiqinileyo siya kuncedisa amathambo omzimba kwaye sikuvumele ukulungisa umva wakho. Ukongezelela, sincoma ukubhukuda kunye nokugibela ihashe, kunye nokuqeqeshwa kwiimimulator ezizodwa.

Imveliso ekhethekileyo

Ukuba umlenze omnye umfutshane kunomnye , kucetyiswa ukuba ugqoke isithende somlomo. Kwakhona kuthiwa yi-insens compensation. Zikhethwe ngabanye kwaye ziveliswa ngokukhawuleza.

Ama-orthopedic ama-orthopedic aklanyelwe ukuzinzisa isikhundla seenyawo kunye nomgudu, ukumiswa kwe-flatfoot kunye ne-scoliosis, kunye nokunciphisa iindawo ezixininisekile zomgudu.

Ukuba umahluko phakathi nobude bemilenze ibalulekileyo, ngoko isiguli, ngaphezu kwee-insoles ezihlawulisiweyo, nazo zifuna izibophelelo. Kuphela kunye baya kukhulula unyawo kunye nomgudu, ukuchaneka kwithuba.

Ukuze usebenzise iseshoni kunye nezixhasi ze-instep, umntu uya kufuna ixesha elithile. Ngaloo ndlela, ukuphazamiseka okuncane kukuphazamisa isigulane kuphela kwiintsuku ezisixhenxe zokuqala. Emva kolu xesha, imeko iphucula kakhulu. Izithende ze-orthopedic kunye nama-insteps ziphantse ziphele ukuvalelwa ngumntu. Ngelo xesha, ukuhamba kuye kuya kuba mnandi ngakumbi, kwaye iimvakalelo ezingathandekiyo emilenzeni nasemva ziyeke ukukhathazeka.

Ukulungisa umlenze, iipelisi zeentendelezo zisetyenzisiwe, zenziwe nge-latex kwaye zifakwe ngesikhumba. Iimveliso ezinjalo zinciphisa umthwalo kuphela kumalungu kunye nezithende. Ngoncedo lwabo, ukunciphisa okusebenzayo kunye ne-anatomical kweemida ezingezantsi kulungiswe kwisithuba se-8 ukuya kwi-millimitha.

Nangona kunjalo, kulungile ukuba sikhumbule ukuba kwimeko apho intlungu emlanjeni nasezinyaweni ziqhubeka iintsuku ezingaphezulu kweentsuku zokusebenzisa imveliso, kuyimfuneko ukufuna ingcebiso yomzimba wamazinyo. Ugqirha ngabanye ukhetha izithende ezifunekayo kwizithende.

Indlela ye Ilizarov

Kwiminyaka engama-90 yenkulungwane yokugqibela, ukulungiswa komlenze wamathambo kwaqaliswa ukuba kuqaliswe. Le isethi yamacandelo ahlukeneyo okucwangcisa okujoliswe ekulungiseni ukutshatyalaliswa okufunyenweyo kwanokuzalwa komzimba kwamalungu omzimba angaphantsi nangaphezulu. Esi sikhokelo, esibizwa nangokuthi i-cosmetology ye-anthropometric, siphume ngenxa yokuphuhliswa kwezilwanyana zamathambo uGa Ilizarov. Ukulungiswa kobude bemilenze, ngokwelo lathiso, lwenziwa ngokuncediswa kweso sixhobo sokulungisa.

Le ndlela yafumana elinye igama-ukuchithwa kwe-osteosynthesis. Isekelwe kumthetho, u-Ilizarov awufumene waza waqulunqa. Ithi ukuxhatshazwa okwenzekayo xa amathambo esoluliwe, kunye nezicubu ezincinci ezijikelezayo, zivuselela iinkqubo ze-bone tissu zokuhlaziywa nokukhula.

Ukulungiswa komlenze, okuveliswe ngale ndlela, kwenziwa ngokusika ithambo. Oku kuguqulwa kuthiwa yi-osteotomy. Ukuba ukulungiswa komlenze kuyimfuneko kummandla wethanga, ngoko i-femur iya kunqunyulwa. Ngamanye amaxesha oogqirha kufuneka badandise i-shin. Kule meko, amathambo angama-tibial and fibulas kufuneka anqunywe. Amaphethelo amathambo ayenziwe ngenxa yeendlela ezinjalo azihlanganiswa ngokupheleleyo. Phakathi kwabo kukho isikhala se-1 mm. Unyawo lugxininiswe ngoncedo lweentonga kunye nezithethi ezichanekileyo kwiimimirings okanye izindandatho zezixhobo ze-Ilizarov. Ukongezelela konke olo lwakhiwo luhlala lusolula. Umgama phakathi kwamathambo ukhula ngokukhawuleza ufike kwi-1 mm ngenye imini. Yile ndlela umlenze ulungiswe ngayo. Iyakwandisa ngenxa yokwelula kwamathambo. Le nkqubo ibizwa ngokuba "ukuphazamiseka".

Ngamanye amaxesha ukunyuka kwemilenze kubuhlungu kakhulu. Kwiimeko ezinjalo, isigulane simiselwe ama-analgesics. Emva kwithuba elithile lokungahambi kakuhle kunye nentlungu iyancitshiswa kakhulu.

Indlela kaBliskunov

Ngamanye amaxesha isigulane sisebenza ngokugqithisa ngokusebenzisa indlela eyahlukileyo. Le yindlela yoBliskunov, eneengcamango ezincinane. Ngokwale ndlela, ifowuni eyenziwa ithambo lisetyenziswe kwisithambo samathambo. Inkqubo eqhubekayo kulo mzekelo, njengommiselo, ivela ekhaya. Inyaniso kukuba ngaphandle kwentsholongwane abagqirha bashiya indlela yokukhangela. Akunzima ukulawula, oko isigulane sikwenza sisodwa.

Izimpawu zokusebenza

Isiphumo esiphezulu esinokufunyanwa xa unyawo lugqityiweyo luyonyuka kwisigxina esingaphantsi kwe-16 cm. Kule meko, ubukhulu be-shin kunye nekhanga luhluka ngeendlela ezahlukeneyo. Iziphumo zolu hlobo lwenkqubo zandisa ngo-6 no-10 cm, ngokulandelanayo. Nangona kunjalo, isibonakaliso esithile siya kuxhomekeka kwiimpawu zesigulane kunye neendlela zokungenelela ngoncedo.

Isidingo sokusebenza sihlolwe ngokusekelwe kwimiqondiso yezobugcisa kunye neendlela zobugcisa, ezibandakanya:

- ukungahambisani nobude bezitho ezingezantsi, ezithathwe ngokubhekiselele kwintambo;
- ubukho emathanjeni amathambo emilenze yeziphene ezitholakalayo okanye ezenziwa ngumntwana eziphazamisa ukunyakaza okuqhelekileyo kwesigulane;
Ukuxuba okungaqhelekanga kwethambo emva kokuphuka;
Ubude beemilenze;
- umnqweno womntu ukuba abe phezulu.

Ixesha elingasemva

Inkqubo yokwandisa imilenze iphela kwiinyanga ezintlanu ukuya kwezixhenxe. Emva koko kuphela, iifutha ezifakiwe zingasuswa. Emva koko uqala ixesha lokulungiswa, okuyimfuneko ukuze kungabikho ukulungiswa kwemilenze. Ngeli xesha, isigulane sidinga ukuphumla kwaye senza umthamo wokuzivocavoca umzimba okhusela i-atrophy ye-muscle kunye nokuphazanyiswa kwamalungu angenzeka ngokungabikho komsebenzi wemoto. Eli xesha lokubuyisela lihlala kwiinyanga ezine ukuya ezintandathu.

Xa isigulane sinokuqala nini imidlalo? Imithwalo enzima ivunyelwe kuphela kwiinyanga ezine emva kokuphela kwexesha lokulungisa. Kodwa i-skate okanye i-rollerblading, unokudansa ngokukrakra okanye ugxume ngonyaka.

Ukukhawulwa kweengalo ezisezantsi

Ifomu echanekileyo yeenyawo xa, xa ixutywe ngokugcwele, thintela kumaphuzu amane, oku:

- phakathi kwethanga;
- Emadolweni;
- phakathi kwe-tibia;
- kwizithende.

Nakuphi ukuphambuka kulo mgaqo kubonisa ukuba umntu unemilenze ephosakeleyo. Kule meko, uhlobo lokuphazamiseka lunokuthi:
Uhlobo lwe-C, xa kuphela isithende sithinta;
- Uhlobo lwe-X, xa kuphela u-tibia edibana naye.

Ukongezelela, ukukhawulwa kwemilenze yinyani, ngenxa yokuphuhliswa kokungahambi kakuhle kwezihlunu, kunye neenyaniso, amathambo aphefumlelweyo ezinyathelo ezingaphantsi.

Izindlela ezingezona uphando zokulungisa iziphene

Indlela yokulungisa imilenze ephosakeleyo? Kwezinye iimeko, i-yoga rhoqo okanye i-set of exercises inganceda isigulane. Fihla imilenze ephilileyo iya kuvumela kunye neengubo ezikhethiweyo.

Imizimba ye-Yoga ikuvumela ukuba ulethe izihlunu kwi-tonus, uziqinise kakuhle. Isethi yemisebenzi ekhethekileyo eyenzelwe ukuphumla kanzima kwaye iqinise iindawo eziphathekayo ezincinci. Ukwakha izidibaniso zamagqabi aphantsi kuya kuvumela ukuxinwa phakathi kweempahla ezizodwa, umzekelo, izitena phakathi kwazo.

Inyango yokuphanda

Ngeendlela zokusebenza zokulungisa ukukhawuleka kwemilenze, isiguli asikwazi ukuphepha ixesha elide lokuvuselelwa. Oku kungenxa yokungenelela okunzulu.

Izigulane zinikwe iintlobo ezimbini zokuhlinzwa:

- iplastiki;
- amazinyo kunye nokusetyenziswa kwezixhobo ze-Ilizarov.

Eyokuqala kwezi zinto kubandakanya iplastiki yeempawu. Isalathiso esiyinhloko kuso siyinyani, inkohlakalo, isiqulatho esenziwe nge-X kunye neC. I-Krutoplatistika yenziwa kwimeko yokungabikho kwezicubu zomzimba kummandla weempawu ezibangelwa zizifo ezithintekayo okanye izinto ezizuzekayo.

Isixhobo sokulungisa imilenze egobileyo ye-Ilizarov, esetyenziselwa ukulungelelaniswa kweenyawo ezingaphantsi, ukuphelisa ukukhawuleka kwamanga nokwenyaniso.

Izixhobo zokuphazamisa ukunyanzeliswa zivumela ukulungisa iziqhekeza zethambo uze uzibeke kwindawo echanekileyo ngokulula okanye ukucima. Ngale ndlela, isigulane sivunyelwe ukuba siphume ebhedini emva kweentsuku ezimbini ukuya kwethathu, sisetyenziselwa ukuhamba.

Ukwenzela iminwe yakho encinane

Ubuhle bomzimba womntu abuchaphazelekayo kuphela ngohlobo lwezitho ezingaphantsi. Ukubonakala kweemilenze kuthatha iminwe ende kakhulu, kunye nezikhonkwane eziwonakele. Izithupha zesigxina esezantsi, ezinefom ephukile, zibukeka zibi. Yonke le nto ayivumeli umntu ukuba athathe izicathulo ezintle kwaye azibandezeleke xa ehamba.

Ukuze kulungiswe le ngxaki, ukulungiswa kwezwane kunconywa. Ukulungelelanisa nokunciphisa ubude kunokusebenzisa iindlela zokugonywa. Isiphumo salo msebenzi kunciphisa ubude beminwe ngo-1.5-2 cm. Le nkqubo ilula kwaye iyenziwa ngesigulana. Zonke izicwangciso zenziwa phantsi kwe-anesthesia yendawo. Kodwa ngamanye amaxesha, ngesicelo sesigulane, i-anesthesia jikelele isetyenziswa. Ingundoqo yongenelelo olunjalo kukuba kususwe inani elincinci leethambo namathambo ekhudlwana. Ekupheleni komsebenzi, ugqirha ufaka isikhonkwane, esenza njengesilungiso, esinceda ukuphilisa kakuhle i-phalanx.

Ixesha lokubuyiselwa emva kokungenelela okunjalo kuthatha phantse inyanga, ngexesha apho isigulane sinconywa ukuba sinxibe izicathulo ezikhethekileyo. Kwakhona, ugqirha wamazinyo uya kucebisa i-regimen yeyona ndlela.

Ukuze unike ubuhle ezinyaweni kwiminwe, ukulungiswa kwezipikili nako kwenziwa. Le yinkqubo ye-prosthetics isebenzisa ii-acrylates ezikhethekileyo kunye nee-gel.

Ukulungiswa kwesikhonkwane kuqala ngokususwa kwempembelelo. Emva kokuba kwenziwe ingcamango, apho iprothementi inqunyulwa kwiplastiki ekhethekileyo. Isilumko sokufakelwa sibekwa kwindawo eyonakaliswe ngaphambili.