I-Knee dislocation: iimpawu, ukuxilongwa kunye nokunyangwa

I-knee dislocation yimeko edibeneyo apho amathambo ewenza ukuba abe nesithuba esingalunganga, kodwa ukuthembeka kwabo akuphazamiseki. Amathambo emadolo ahlangene axhunyelelana ngamagundane (izicubu ezinobumba).

Ukutshatyalaliswa kwamadolo ku-pathology eqhelekileyo apho i-traumatologists ifumaneka khona. I-etiology ye-dislocation idibaniswa neenkqubo ezinobunzima kunye nokuvuvukala kumalungu. Ukutshintshwa kwakhona kuya kwenzeka nangenxa yeziphumo kunye nokuwa. Ukutshatyalaliswa kwezinto ezibuhlungu kwenzeka rhoqo kwaye kukho malunga neepesenti ezintathu zomonakalo kumasipha.

Kwi-traumatological dislocation ihlukaniswe ngamaqela amaninzi: ivalwe, ivulekile, iyatshatsha (ingadluli kuneentsuku ezintathu ubudala), i-stale - ukuya kwiiveki ezintathu, ngaphezulu - ngaphezulu kweeveki ezintathu. Ukuchithwa kwamadolo, okungeke kupheliswe ngamacandelo obudala, kubizwa ngokuthi akunakulinganiswa. Ukutshintshwa okungahlawulukiyo kudla ngokuhambisana nokuphula umthetho kwi-ligaments, tendons, kunye ne-capsule ehlangeneyo. Njengomthetho, ukuhanjiswa kwiindawo zamabloko (i-ankle, idolo, i-elbow) ihlala ihamba kunye nokugqithwa kwemigqa. Ngamanye amaxesha kukho ukugqithwa kwemigqaliselo kwiindawo apho ziqhotyoshelwe khona ithambo, kunye nokubola kwamalungu kunye nezicubu ezizungezile.

I-Knee dislocation: iimpawu zeklinikhi

Isalathisi sokumakisha kule meko intlungu ebuhlungu kwindawo edibeneyo. Kwezinye iimeko, ubuzwe obuthathaka bulahleka ngaphantsi kweedolo. Kwiindawo zendibano echaphazelekayo, i-edema iyaqhubeka. Njengomthetho, i-pulse kwisigxina esingezantsi kwendawo yokulimala ayilungiswanga. Ukuba kukho uphawu olunjalo (ukuguqulwa kwamadolo, ukuvuvukala okukhulu kunye nentlungu, ukuvakalelwa kombindi emlenzeni kunye nokunyuka), kuyimfuneko ukubonisana nodokotela. Uludwe lwezifundo zebhoratri kunye nezixhobo (i-arteriographie, i-rayography, i-ultrasound, uphando lwe-neurological) kuxhomekeke kwindlela ujonga ngayo idolo lakho nendlela ozivakalelwa ngayo.

Udibaniselwano lwe-Knee: unyango kunye nokunakekelwa

Umonakalo onjalo udinga unyango lwegulane. Kufuneka kuqatshelwe ukuba phantse zonke iindawo zokudityaniswa kwamadolo zidinga ukungenelela ngonyango, kuba umonakalo omkhulu kwiimitha zentsimbi kubhalwa kwi-20-30%. Ukunciphisa intlungu kunye nokunciphisa ukuvuvukala kuya kunceda iceba elifakwe kwisiza sokulimala. Inyathelo elenzakalisiweyo kufuneka lihlolwe ngugqirha, ukuba kuyimfuneko uya kulungisa ilungu. Ukuba amanxeba akho ayonakaliswe, unyango lufanele lwanele, kwaye, kubalulekile, lusebenza. Izindlela zokwenza unyango ezibandakanyekayo ziquka ukulungiswa kwe patella, unyango lwe-hemarthrosis ne-hematoma. Nika izidakamizwa ezichasayo nezichasayo.

Ukubuyisela imisebenzi yamadolo, kulandelwa iindlela ezininzi: ukubuyiswa kwemigqa, ukuchithwa kwempahla, ukufuduswa (ukulawula ukutshintshwa, xa ugqirha ebuyisela ukudibanisa okonakalisiweyo kwindawo). Kuphantse ukutshatyalaliswa kwamadolo kuhamba kunye nomonakalo kwizinto zokusebenza ezigulisa, kwaye ngamanye amaxesha amathambo kummandla odibeneyo wamadolo awonakaliswe. Ngokuqhelekileyo, ukubuyiswa kwemisebenzi yedolo kudinga ukuhlinzwa. Emva kokulimala, kuyimfuneko ukubonisana nodokotela wamazinyo.

Ixolo elidityanisiweyo kufuneka lingashenxiswanga, ixesha elide uza kufuneka uhambe ngeentonga. Xa uhamba, awukwazi ukuphumla kwienyawo zakho. Immobilizer okanye amathayi asetyenziselwa ukulungisa (immobilize) idolo. Ukuchithwa kwe-immobilization kukukhusela intsebenziswano ukusuka ekuhambeni okugqithiseleyo, oko kukuthi, kuququzelela ukubuyiswa okukhawulezileyo kwezicubu ezithambileyo. Kwixesha elide emva kokusebenza, ukubuyisela ithoni ye-muscle, kufuneka uthathe ikhosi yeyeza-vitamin, i-physiotherapy, i-gymnastics ye-gymnastics kunye nokusila. Ixesha lokuvuselela kwangaphambili lwenziwa ngolawulo lokunciphisa kwaye luhlala malunga neenyanga. Kwiinyanga ezine emva kokulimala kwamadolo, oogqirha bancoma ukuvuthwa kwe-gymnastics.