Lapho usemncane, ama-hip fractures ayenzeka njalo. Lokhu kudinga ukulimala okukhulu (isibonelo, ukuwa kusuka ekuphakameni noma engozini). Futhi kulabo asebekhulile, lapho amandla emathambo eyancipha, ukwehlukana kungenzeka ngemva kokulimala okuncane.
Ukuhlukaniswa kwe-hip fractures
Kunezinhlobo ezilandelayo zokuphuka kwe-hip, kuye ngokuthi izinga lokuphuka:
- i-subcapital (i-fracture line eduze ne-transition ye-femal neck entloko);
- Ephakathi (phakathi kwentamo yethanga);
- Basal (esifundeni sezintambo zenthanga).
I-Fractures nayo ihlukaniswa nokuhamba ngokugcwele, ngokuhamba okuyingxenye.
Izimpawu zokuphuka kwe-hip:
- ubuhlungu bugxila ekuguleni;
- umlenze olimele wancipha kancane;
- ukuhluleka ukuphakamisa umlenze oqondile endaweni ejwayelekile;
- ukunciphisa umlenze ngo-2 - 4 cm.
Ukwelapha nokuvuselelwa ngemva kokuphuka kwe-hip
Imithi yokwelapha isetshenziselwa ukuhlukunyezwa okufakiwe (uma elinye ithambo lingena kwelinye) noma ukuphikisana nokungenelela okuhlinzayo. Kulesi simo, imisa umlenze nge-hip bandage izinyanga ezingu-4 kuya kwezi-6. Lokhu kulandelwa inqubo ephoqelelwe yokulungiswa kwamasayithi okuthunjwa, okwenziwa ngaphansi kwe-anesthesia yendawo.
Indlela yokuhlinza yokwelapha ikhetha kakhulu. Kulokhu, ukuqondiswa kwezingcezu eziqondile kanye nezindlela ezenziwe nge-anatomical kwenziwa, futhi ukulungiswa kwazo ngezakhiwo zensimbi kunokwethenjelwa. Lokhu kuvumela ukuthi kusebenze imisebenzi yemoto yezisulu esikhathini esidlule.
Imiphumela kanye nezinkinga ekuqhekekeni kwe-hip
- Ngokwelashwa okulindelekile, ukuhlukunyezwa okungenzeka kungukungasebenzi. Lokhu kungenxa yokunikezwa kwegazi okwanele.
- Ukuvela kwe-pneumonia ye congestive, ukuthuthukiswa kokuhluleka ukuphefumula.
- Ukuvela kwe-decubitus ngenxa yokuhlala isikhathi eside embhedeni.
- Ukuvela kwesifo sengqondo-ngokomzwelo, ukucindezeleka.
- Ukucindezela okunzima kuyisisindo esijulile semilenze.
Indlela ephumelela kakhulu yokunciphisa amathuba okubhekana nezinkinga ukuwusebenzisa isiguli.
I-LFK ngemuva kokuphuka kwe-hip
Ukuqeqeshwa komzimba wokwelapha kwenzelwa udokotela ngokucabangela isimo sesiguli, ubudala bakhe. Njengoba iziguli zisesimweni esiphezulu, zibeka imishini yokuphefumula ukuvimbela ukuphefumula kwesibindi. Ukwephuka kwentamo yethanga kuhlinzekela nokuvimbela ukulala nokuhlushwa kwe-muscle atrophy. Isisulu kufanele senze imishini yokuzivocavoca emhlangothini wegolo nesigxobo, bese isusa umlenze we-quadriceps we-hip.
Ukushisa ngokuphuka kwentamo yethanga kufakwe enkampanini yokuvuselela. Kuvame ukuqokwa ngosuku lwesibili. Ukushisa kukhishwa esifundeni se-lumbar, bese uhlamba umlenze onempilo, kancane kancane ufaka ukusikhipha emlenzeni omele.
Ukudla uma kwenzeka ukuqhuma kwe-hip
Ngenxa yokulimala okunjalo, isiguli singase siphele amandla. Kubalulekile ukumkhuthaza ukuba adle ukudla, ukushintsha ukudla. Kusukela ekudleni kuzoxhomeka ekuchaseni okujwayelekile. Kubalulekile ukuba udle ukudla okuqukethe i-fibre eminingi, imikhiqizo yobisi. Nciphisa ukusetshenziswa komzimba. Kunconywa ukusebenzisa i-bran kanye nezithasiselo ezigqugquzela i-peristalsis yamathumbu.
Ukuvimbela ukuqhuma kwe-hip
Abantu abane-osteoporosis bangabe besengozini yokuqhekeka. Ngakho-ke, okokuqala, kubalulekile ukuvimbela lesi sifo kanye nokwelashwa kwayo.
Izinyathelo zokuvimbela i-osteoporosis:
- ukuzivocavoca umzimba okuvamile (ukuhamba okusheshayo, ukugijima, ukudansa, njll);
- ukusebenzisa inani elanele le-calcium ne-vitamin D;
- ukunciphisa utshwala, ukuyeka.