Ngokutsho kweenombolo zonyango, ukuphulwa kwe-tibia yingozi yokulimala komlenze. Ngaphezu koko, ngokuphindaphindiweyo, inxalenye encinci kunye ne-tibia fracture, kwaye kaninzi kunye ne-tibia, iphukile. zombini amathambo ngexesha elinye. Isizathu salolu nzakala ngumphumo wamandla ngenxa yesigxina (umzekelo, ngengozi) okanye ukuwa.
Iimpawu zokuphuka kwe-tibia
Ixhoba lalo mlenze unobungozi linemiqondiso empawu:
- buhlungu;
- akunakwenzeka ukuthembela kwilungu elonakalisiweyo;
- i-hematoma kunye ne-edema ye-tema;
- ukufuduka kwamathambo;
- ukukhubazeka komlenze ophantsi;
- Ukunciphisa okubonakalayo ubude benyawo nangona isohlo;
- isalathiso singagqitywa.
Uhlobo lokulimala kwe-shin
Ixinzelelo lwe-tibia encinci nekhulu lwenzeka:
- I-Straight (bumper). Kwimeko yexinzelelo lwalo hlobo, iziqwenga zisefomu elula, kwaye ukuxuba kwethambo kukhawuleza.
- Ngangqiqo. Ngeli qhekeza, ithambo liyahlukana, lithatha iindawo ezinkulu ezinyaweni, kwaye zidibene ndawonye ngokuthe ngcembe.
Kwiintlobo ze-tibia ezinkulu kunye ezincinci ezinokufuduka, iziqhekeza ezinzima zomonakalo wethambo olunzima zicukto ezithambileyo ezikwindawo yeqhekeza.
Kwakhona, iifractures of tibia zivaliwe kwaye zivulekile. Ukuqhekeka okuvulekileyo, apho izicathulo zethambo, ezonakalisa izicubu, ziphuma ngaphandle, kunzima kakhulu kuba amathuba okusuleleka kwilonda landa.
Uncedo lokuqala lokuphulwa kwe-tibia
Ngokukhawuleza kwaye ngokuhambelana nemithetho, uncedo lokuqala olunikezelwa ukulimala kwe-shin, ngeendlela ezininzi, ngundoqo kwimpembelelo yonyango. I-algorithm yokunceda ixhoba ilandelayo:
- Ukuze kuphephe ukufuduka kweengcezu zethambo, i-shin igxininiswe kwidayari. Esikhundleni secebo lonyango, ibhodi yeplywood kunye nezinto ezinjalo zingasetyenziswa.
- Kuyinto enqwenelekayo ukuba ixhoba liqiniseke ukuba likhona indawo ephumayo kunye nokuphumla okupheleleyo.
- Faka isicelo se-ice okanye amanzi abandayo kwindawo elonakalisiweyo kwisikhwama se-cellophane.
- Ukuze uphuze intlungu, umntu omelekileyo kufuneka anikwe i- anesthetic .
- Biza i-ambulensi.
Utyando lwe-tibia fracture
Ukuba umonakalo uqinisekisiwe ngokuhlola okubonakalayo, kwaye kunye ne-x-ray, uhlobo lwesahluko lichongiwe, ugqirha ubeka unyango olufanelekileyo:
- Ukuba i-fracture ayiyikufuduswa, i-gypsum isetyenziswa. Indlela yokunyangwa kwephuka ngokuhamba ngokuxhomekeka kwinqwelo yokuhamba:
- Kwi-flight oblique yokufuduka, ukuze ibuyisele ithambo kwakhona, isetyenziso se-traction sisetyenzisiwe kwaye iinqwelwe zisiwe.
- Xa i-offset eyahlukileyo isetyenzisiweyo isicatshulwa esikhethekileyo.
- Ngomngcipheko ogqithisiweyo kunye nokufuduka, kuqhutyelwa umsebenzi, kwaye ithambo liqokelelwa ngugqirha ngesandla.
- Xa kusetshenziswe i-fracture evulekile, ukulungiswa kwe-Illicarova kulungisa ilungu elilinzakeleyo.
Ngokuxhomekeka kwimeko, ubunzima bokulimala kunye nobudala bomguli, ixesha lokubuyisela lingahlala kwiiveki ezimbalwa ukuya kwiinyanga ezintandathu. Indawo ebalulekileyo inikwe ukuvuselelwa, okujoliswe ekubuyiseleni umsebenzi we-muscle. Ixesha lokuvuselela liquka:
- ukusilisa;
- Ukuqhuba unyango ;
- electrophoresis;
- kubhukuda;
- hydromassage.