Enye yezinsuku ezinde kunazo zonke i-humerus. Ukulimala kwakhe akuvamile, cishe ngamacala angu-7%, kodwa kudinga ukwelashwa okuqaphele kakhulu futhi isikhathi eside. Ukuphuka kwehlombe kuyenzeka lapho kwenzeka ukuwela engalweni noma ngenxa yethonya eliqondile ngqo. Le nkinga kungenzeka ukuthi ithinte abantu asebekhulile, kodwa ngezinye izikhathi abagijimi (i-snowboarders, ama-gymnasts, abagibeli bezindiza) bafika ku-traumatologist.
Izinhlobo ze-fractures
Kuye ngokuthi yiziphi izingxenye zethambo ezonakalisiwe, lezi zinhlobo ezilandelayo zihlukaniswa:
- ukuphuka kwangaphakathi kwe-intra-articular entanyeni yehlombe noma ikhanda, ukuphuka okungajwayelekile komgudu wokuhlinzwa noma isifo se-tubercle (ingxenye ye-proximal);
- ukuphuka kwesithathu esingenhla, esiphansi noma esiphakathi (i-diaphysis);
- umonakalo engxenyeni yokuhlukanisa.
Futhi, ukutholakala kwezinto ezihlukene, izingcezu nezingcezu zethambo, ukuhlukana kwezicubu ezithambile nesikhumba kubalulekile.
Ukwelashwa kwehlombe kwehlombe
Ukwelashwa kuxhomeke kunjani uhlobo lokulimala olwamukelwe.
Uma ihlombe liphukile ngaphandle kokushiyeka, ukwelashwa ngokuvamile kuhilela ukuvimbela isandla nge-bandage ye-plaster bese uphinde uphinde uhlanganise ihlombe. Kusukela ngosuku lwesithathu, i-physiotherapy iqokiwe ngendlela ye-magnetic ithonya kanye nemifudlana ye-ultrahigh-frequency.
Ngemuva kwezinsuku ezingu-10, i- electrophoresis ene-calcium chloride, i-novocaine, kanye nokusikhipha, i-ultrasound ne-ultraviolet irradiation yenziwa ngokungeziwe.
Ngemuva kwamasonto angu-4 yokwelashwa, ibhande lokugaya lifakwa esikhundleni se-plaque evamile, kunconywa ukuthi ukunyakaza kwe-elbow ne-wrist joint kunconywa.
Ukuqhekeka kwehlombe nokuxoshwa kuhilela ukusebenza ukuhlanganisa izingcezu zethambo futhi ubuyisele isakhiwo sayo evamile, uma kunesidingo, ukufakwa kwezintambo zensimbi.
Isimo sinzima kakhulu uma intamo yokuhlinzwa ibonakalisiwe. Kulesi simo, ukwelashwa kwenziwa ngokugcwele nge-X-ray njalo. Ngaphandle kokumisa i-gypsum isikhathi samasonto angu-8-9, isondo lokususa (kusuka emavikini angu-4-5), lisetshenziselwa ukuqhutshwa kwamathambo, lisetshenzisiwe.
Ukuqeda ubuhlungu be-syndrome, izidakamizwa ezingekho-steroidal ezivimbela ukuvuvukala kwangaphakathi, ama-agent okuphuthumisa ukuvuselelwa kwezicubu, ama-vithamini B amavithamini anqunywe.
Ukuvuselelwa ngemuva kokuphuka kwehlombe
Ukubuyiselwa kokuhamba okuhlangene kanye nengalo kuqukethe ukuzivocavoca okukhethwe ngudokotela kanye nokwahlukana okuhambisanayo, ubukhona bezinkinga.
Ukulungiswa kabusha, njengomthetho, kuqukethe izindlela zokuzivivinya zokwelapha, okuhloswe ngazo ekuthuthukiseni ukuguquguquka kwamathenda nokuqinisa imisipha. Ukuphumula ukuphumula, umzimba we-physiotherapy kanye nezinqubo zamanzi kusiza ekunciphiseni ukucindezeleka.