Ukuxoshwa kwamagundane - kuphazamisa (ukuhlukaniswa) kokuhlanganiswa kwehlombe. Ngokuvamile, i-anterior eyodwa iyenzeka, nakuba kunezinhlobo ze-back, ezingenhla, ezisezantsi nezingezansi. Naphezu kokubuyiselwa kwe-trauma, ingahambisana nokulimala emigodini, izintambo, izinzwa nezitsha.
Izimbangela Zokuhlukunyezwa Kwamahlombe
Ukuhlanganiswa kwengalo yelinye ingenye yeselula kakhulu, inkondlo yokulimala kwehlombe ijwayele kakhulu. Ukuhlukaniswa kokuzalwa kungukuzalwa komzimba futhi kutholakala. Ukuxoshwa okutholakala njalo kwenzeka ngesikhathi sokuqeqeshwa nemidlalo - imishini yokucindezela, ukudonsa, ukushaya kwebhola, kodwa izimbangela ezinkulu zokulimala yizi:
- qinisa endaweni yehlombe;
- ewela esandleni eseluliwe;
- Ukuphoqa isandla nokusetshenziswa kwamandla.
Into eyingozi kunazo zonke kule ngozi, ngokusho odokotela, ukuthi ukusetshenziswa okuncane kwamandla kukwanele ukuyeka ihlombe. Kwezinye izimo, amathuba okulimala akhula izikhathi eziningi, isibonelo, ngokukhubazeka okuvamile, izifo ezihlangene. Lapho usekhulile, ukuhlanganiswa kwamahlombe kungase kube "esimweni esivulekile" ngenxa yezici zomzimba zalesi sikhathi. Kuzo zonke lezi zimo, kubalulekile ukugwema izimo eziyingozi nokuvimbela ukuwa nezinye izigameko.
Ukususwa kwezimpawu zehlombe
Ihlombe elihlukanisiwe lenza kube lula ukuthi akunakwenzeka ukungazinaki ukuhlukumezeka, ngokungafani, isibonelo, ezinye izinhlobo zokuphuka abantu abangahamba nazo izinsuku eziningana ngaphandle kosizo lodokotela. Izimpawu ezisemqoka zokuxoshwa kwehlombe:
- isifo esibuhlungu kakhulu, sinomonakalo emisipha nasemithanjeni yegazi - ukuxubha, ukuphazamiseka, ukulimaza nokuvuvukala engxenyeni ethintekile;
- ukuhlobana kwamapayipi nokuzizwa kuyathinteka unnaturally - ukuqhuma, ukuwa, njll, okulimala kaningi, ubambe isandla sakhe njengomntwana.
Usizo lokuqala ngehlombe elihlukanisiwe
Ukuhlinzeka ngokwanele kosizo lokuqala uma kwenzeka ukulimala kwehlombe kwehlombe kuyisiqinisekiso sokuphumula okuphumelelayo ngaphandle kokucindezeleka. Umuntu ojwayelekile akufanele azame ukubeka okuhlangene yena ngokwakhe - lokhu kudinga amakhono kuphela odokotela abahlukunyezwayo kuphela, ngakho-ke lo muntu olimele kumele athunyelwe esibhedlela. Ngaphambi kokuthutha kuyadingeka ukulungisa isandla ukuze ihlombe lingadluli. Uma kunokwenzeka, kunconywa ukuba wenze ukucindezela okubandayo. Ukuchithwa kwempahla ngokuhlukaniswa kwehlombe (kuye ngokuthi ubuyinkimbinkimbi) kufanele kuhlale kusuka emavikini angu-1 ukuya kwangu-4, ngaphandle kwalokho ukuhlukaniswa kungahle kujwayelane.
Indlela yokulungisa ukuhlukaniswa kwehlombe?
Ukuqondiswa kwe-shoulder dislocation kwenziwa ngezindlela ezihlukahlukene - ngesikhathi esisodwa le nkinga ihanjiswe yiHippocrates, Meshkov, Janelidze nabanye odokotela abahlinzeka ngamasu abo. Ngaphambi kokuba inqubo iqale, i-anesthesia iyadingeka. E-traumatic engavamile, i-analgesic ne-novocaine noma i-lidocaine ayifakwe endaweni ye-lesion. Uma kwenzeka isifo esiyinkimbinkimbi (esinokulimala kwezicubu kanye namaqabunga), i-anesthesia ejwayelekile inikezwa ngaphambi kokuthi isiguli sisetshenziswe.
Enye yezinto ezinzima kakhulu futhi eziphumelelayo kakhulu ukulungiswa kwamahlombe e-Kocher. Ngalendlela le-traumatologist yenza uchungechunge lwezenzo ezilandelanayo:
- uthatha isandla ngesibindi nangaphansi kwesithathu kwehlombe;
- Ugoba ingalo ehlangothini ehlangothini olungakwesokudla;
- udonsa isandla sakhe eceleni kwesigxu sehlombe futhi ngesikhathi esifanayo uyicindezela emzimbeni;
- uvula isandla sakhe ukuze umlenze wakhe uphenduke isisu;
- uphendulela isandla phambili (i-elbow phambi kwesisu);
- uphinde uphenduke ukuze igqoke liseduze nesisu.
Indlela yokulungisa ukuhlukaniswa kwehlombe ngokwakho?
Ezimweni eziphuthumayo, kungase kube nombuzo ukuthi ungalungisa kanjani ihlombe elihlutshiwe ngokuzimela. Uma kungenakwenzeka ukuba usebenzise usizo lwezokwelapha olufanelekayo, ungazama ukwenza ukuxhaphazwa okwakhiwa nguHippocrates. Isiguli kumele sibekwe embhedeni emhlane, ingalo eyalimala ibanjwe yi-shayela, unyawo lwakhe - ukuhlala endaweni yokuhlushwa kwesisulu. Ukuhlukaniswa kwehlombe kulungiswa ngesikhathi esifanayo futhi welula ingalo futhi iphoqa ikhanda le-humerus ngesithende esihlangene. Ukufaneleka kwenqubo kulawulwa yi-radiography.
Ukuhlukaniswa kwemithi yokwelashwa
Ukuhlukaniswa okukhanyayo, kungahambisani nokuhlukumeza nokulimala kwemizwa, izitsha, imisipha kanye nesikhumba, emva kokusungulwa kwe-humerus endaweni yesimo sidinga isikhathi sokuphumula kuphela. Phakathi nalesi sikhathi, i-capsule, imisipha kanye nemigudu ehlangene ibuyele evamile, futhi ngemuva kokususwa kwe-langy gumpsum akuvumeli ukuvela kokuhlukaniswa okuvamile. Inkinga yokwelapha ukuxoshwa kwehlombe iphakama ngezimo eziyinkimbinkimbi, ezindala nezijwayelekile.
Ukusheshisa ukuphulukiswa kwezilonda, susa i-edema uphinde ubuyisele ukuhamba okuhlangene ngenxa yokuchithwa kwehlombe ngesikhathi sokumisa futhi ngemva kwayo, izinqubo ezilandelayo zingasetshenziswa:
- massage yokwelapha;
- i-magnetotherapy;
- i-irradiation ye-infrared;
- I-microwave, ukwelashwa kwe-UHF;
- i-drug electrophoresis;
- izicelo zeparafini.
Ukusebenza ngehlombe elihlukanisiwe
Ukungenelela kokusebenza kokulimala kwamahlombe kuyadingeka lapho kuvela ukukhubazeka okuvamile . I-Operation Laterzhe ne-dislocation yehlombe ikhethwe uma ithambo lisuliwe, lifaka emaphethelweni omgqa ovulekile. Lokhu kungenelela okuhlinzayo kusiza ukugwema izigameko eziphindaphindiwe, futhi kubandakanya ukugcwalisa isisindo samathambo esingekho.
Imisebenzi ehlanjululwayo nayo iyadingeka:
- akunakwenzeka ukulungisa ngokuhlanganyela ngendlela yokulondoloza;
- udinga ukwakha i-capsule ejwayelekile yokujoyina ngenxa yokwelula, izinyembezi;
- ukubonakala kwamathishu okuvuvukala, ama-fibrous, ama-outgrow and other formations;
- ukuphuka kwemigudu, i-cartilage, ama-tendon, okudingeka adonwe.
Ukuhlukaniswa komkhuba we-shoulder - ukwelashwa ngaphandle kokuhlinzwa
Ukwelashwa kokuhlukaniswa kwehlombe ngaphandle kokuhlinzwa, uma ukuhlukunyezwa sekujwayelekile, akunakwenzeka. Amafutha okuhlanjululwa ngehlombe, kanye nezinye izidakamizwa ezenzweni zendawo (ama-creams, ama-gel), ukunciphisa ubukhulu bezimpawu. Ukuze ukwandise ukuzinza kwehlombe, qinisa imithwalo kanye nezicubu ze-cartilage sebenzisa imithi elandelayo:
- Izidakamizwa ezingekho-steroid eziphikisayo (Diclofenac, Ketorolac, Ketoprofen, Indomethacin, Piroxicam).
- Izimboni ze-Chondroprotectors (Dona, Teraflex, Alflutop, Arthra, Hondrolon, Elbona).
- Ama-vitamin-mineral complexes (ArtriVit, i-Orthomol Arthro plus, i-SustaNorm, i-Collagen Ultra).
Indlela yokuphatha ukuxoshwa kwehlombe ekhaya?
Ngemuva kokulungisa ukuhanjiswa esibhedlela, ukwelashwa okuqhubekayo kuyadingeka ekhaya. Yini okufanele uyenze uma ususa ihlombe lakho:
- Ngemuva kokusebenzisa i-gypsum langets, kufanele unikeze ingalo ngokuphumula okuphelele.
- Ngaphambi kokuvuvukala noma ubuhlungu be-syndrome - ukuthatha imithi enqunyiwe, iya ku-physiotherapy.
- Qinisekisa amathambo namajoyina, uthatha ama-vitamin-mineral complexes, abakhiqizi bezinhlanzi.
- Ngemuva kokukhipha i-gypsum - ukuthuthukisa ngokucophelela ingalo nehlombe.
Ukuhlukaniswa kwamakhambi amahlombe - ama-folk
Izixazululo eziningi zabantu ezihlukaniswa nehlombe ziphumelela njengokunciphisa ukuvuvukala kanye nokuphuza.
- Lapho ukuhlanganyela kuvuvukala, ukucindezela utshwala kusiza kakhulu. Ukumisa umanyolo nge-vodka noma kuhlanjululwa ngesigamu utshwala, kufakwe kuhlangene futhi uhlanganiswe ne-compress paper kanye ithawula. Bamba i-compress imizuzu engu-30.
- Ukusheshisa ukuphulukiswa komuthi ohlangene, umuthi wendabuko uncoma ukuncintisana okwenziwa ngobisi olufudumele. I-cheesecloth ehlanganiswe ngezikhathi ezine igcwele ubisi olufudumele bese isetshenziselwa ukujoyina ihlombe, egoqwe nge-wrap ifilimu nethawula phezulu. Shintsha i-compress ngemuva kokupholisa, uphinda inqubo yemizuzu engu-30.
Decoction of umhlonyane (noma tansy) ngobuhlungu obunzima
Izithako:
- amaqabunga amasha omhlonyane (noma i-tansy);
- 0.5 amalitha amanzi.
Ukulungiselela nokusebenzisa
- Thela impahla eluhlaza ngamanzi bese ubilise cishe imizuzu engu-20.
- I-cooled broth moisten gauze, sebenzisa i-compress kuya kokujoyina.
- I-gauze emanzi njengokufudumala. Ubude benkambiso yimizuzu engu-20-30.
Ukususwa kwehlombe - imiphumela
Ukungahloniphi izincomo zesidokotela uma kwenzeka ukuhlukunyezwa kuholela emiphumeleni eyingozi. Kunokuba ukuxoshwa kwehlombe kuyingozi uma kungabikho ukwelashwa:
- isenzakalo sokukhubazeka okuvamile;
- izinguquko ezishintshayo ekuhlanganyeleni;
- umonakalo emisipha yomzimba, okuholela ekunciphiseni ukuhamba kwesandla, ukukhathazeka kokuzwela.
Ukuzivocavoca emva kwehlombe kwehlombe
Ukuphumula okusheshayo ngemva kokuhlukaniswa kwehlombe kuhlanganisa nokuzivocavoca umzimba, futhi ukuhlala isikhathi eside isikhathi eside kudlule, okubaluleke kakhulu lesi sigaba sokuvuselelwa. Ukuzivocavoca emva kokulimala kwehlombe kuhloswe ekuqiniseni imisipha nokukhula okuhamba phambili. Ukuze uthole umphumela omuhle, udinga ukuqala ngezivivinyo ezilula kakhulu kanye nenani elincane lokuphindaphinda. Ngemuva kokuqinisa imisipha, ungakwazi ukwengeza ukuphindaphindiwe futhi ujobe umthwalo. Esiteji sokuqala unga:
- ukugoba bese uguqula i-elbow neminwe yesandla esilimele;
- yenza ukunyakaza okujikelezayo nge-amplitude encane, udonse isandla ngezansi;
- Phakamisa isandla sokugula, uqinisekise ukuthi unempilo.
Inhloso yalezi zivivinyo ezilandelayo ukwakha i-corset emisipha eqinile emhlabeni jikelele.
- Uhlezi esihlalweni esinzima, faka izingalo zakho okhalweni lwakho, futhi usakaze izinkalo zakho ezinkomba ezihlukile. Amahlombe kufanele akhuliswe ngangokunokwenzeka, edonsela ekhanda, bese ehlisa kancane kancane.
- Uhlezi esihlalweni, uphindela emuva. Beka izintende ezisezinkaleni, gcoba izintambo. Khipha kancane kancane amahlombe kuze kube sezingeni eliphakeme kakhulu.
Esikhathini esilandelayo (ngemuva kwezinyanga 1-2-3 emva kokungasebenzi kahle kwenhlalakahle), kungenzeka ukuqala izivivinyo eziyinkimbinkimbi ezibandakanya ukuguquka nge-amplitude enkulu, ukuqeqeshwa ngomthwalo. Isethi yesithathu yokuzivocavocaza kusiza ukwakha amandla emzimbeni we-deltoid, i-biceps ne-triceps, ephindela emuva ukuzinza kokujoyina nokunciphisa amathuba okubuyiselwa kabusha.