Ngokwezibalo zezokwelapha, ukuhlukunyezwa kwe-tibia kuyingozi yokulimala komlenze. Ngaphezu kwalokho, ngesilinganiso esifanayo, ama-tibia amancane namakhulu amakhulu, futhi kaningi futhi ama-tibia, aphukile. kokubili amathambo ngesikhathi esifanayo. Isizathu salokhu ukulimala ngumthelela wamandla ngenxa yesifo (isibonelo, ngengozi) noma ukuwa.
Izimpawu zokuphulwa kwe-tibia
Isisulu salo mlenze wokuhlukumezeka unemibonakaliso eminingi yezibonakaliso:
- ubuhlungu obukhulu;
- akunakwenzeka ukuthembela emlenzeni owonakele;
- i-hematoma ne-soft tissue edema;
- ukufuduka kwamathambo;
- ukukhubazeka komlenze ophansi;
- ukunciphisa okubonakalayo ubude bonyawo ngamehlo;
- umlenze ungakhishwa.
Uhlobo lokulimala kwe-shin
I-trauma ye-tibia encane neyomkhulu ikhona:
- Iqonde (bumper). Endabeni yokuhlukumezeka kwalolu hlobo, iziqephu zisefomu elula, futhi ukuhlanganiswa kwethethi kuyashesha.
- Akuqondile. Ngalokhu kuphuka, ithambo lihlukaniswa ngokuvunguza, libamba izingxenye ezinkulu zenyawo, futhi lihlanganisa ndawonye kancane kancane.
Ezingxenyeni ze-tibia ezinkulu nezincane ezinokufudumala, izingcezu eziyinkimbinkimbi zezicubu ezinomonakalo zethambo elithambile elisezindaweni zokuqhekeka.
Futhi, ama-fractures we-tibia avaliwe futhi avulekile. Ukuphuka okuvulekile, lapho izingcezu zethambo, izicubu ezilimazayo, ziphuma ngaphandle, kunzima kakhulu ngoba amathuba okutheleleka kwilonda akhula.
Usizo lokuqala lokuphulwa kwe-tibia
Ngesikhathi esifanele futhi ngokuhambisana nemithetho, usizo lokuqala oluhlinzekwa ukulimala kwe-shin, ngezindlela eziningi, isihluthulelo sempumelelo empilweni. I-algorithm yokusiza isisulu kanje:
- Ukuze uvimbele ukufuduka kwezingcezu zethambo, i-shin ikhonjiswe esitheni. Esikhundleni sedivaysi yezokwelapha, ibhodi leplywood nezinye ezifana nazo zingasetshenziswa.
- Kuyinto efiselekayo ukuthi isisulu sikwazi ukuqiniseka ukuthi indawo enezingqimba nokuphumula okuphelele.
- Sebenzisa i-ice noma amanzi abandayo endaweni emelekile esikhwameni se-cellophane.
- Ukuze uzwe ubuhlungu, umuntu olimele kufanele anikezwe isifo sokubulala umzimba .
- Shayela i-ambulensi.
Ukwelashwa kwe-tibia ukuhlukana
Uma ukuhlukumezeka kuqinisekiswa ngokuhlolwa okubukwayo, futhi kanye ne-x-ray, uhlobo lwe-fracture lwenqunywa, udokotela ubeka ukwelashwa okufanele:
- Uma ukuphuka kungasuswa, i-gypsum isetshenziswa. Indlela yokwelapha yokwahlukana okuhambayo incike endizeni yokuhamba:
- Lapho kuhamba indiza ye-oblique, ukuze ibuyisele emuva amathambo, indlela yokudoba isetshenziswa - inaliti yezokwelapha ifakwe futhi izisindo zimiswe okwesikhashana.
- Uma i-offset eguqukayo isetshenziswa ipuleti ekhethekile yensimbi.
- Ngesifo esibuhlungu esivela ekuhambeni, ukuhlinzwa kwenziwa, futhi ithambo liqoqiwe udokotela ohlinzayo ngesandla.
- Uma kusetshenziswa ukuvuleka okuvulekile, ukulungiswa kuka-Illicarova kulungisa ilungu elimele.
Ngokuya ngesimo, ubunzima bokulimala kanye nobudala besiguli, isikhathi sokutakula singasuka emavikini ambalwa kuya ezinyangeni eziyisithupha. Indawo ebalulekile inikezwa ekuvuseleleni, okuhloselwe ukubuyisela umsebenzi we-muscle. Isikhathi sokuvuselela sihlanganisa:
- ukusikhipha;
- Ukuzivocavoca ;
- i-electrophoresis;
- ukubhukuda;
- i-hydromassage.