Kuphulika kwa bondo - chisamaliro chotsatira

Kuthyoka kwa bondo ndikudumphadumpha m'mafupa 1 kapena kupitilira apo. Zowonongeka izi zitha:

• Khalani osankha (fupa limangosweka pang'ono, osadutsa)
• Khalani amphumphu (fupa lathyoledwa ndipo lili m'magawo awiri)
• Zimapezeka mbali imodzi kapena mbali zonse za mwendo
• Kumalo komwe ligament idavulala kapena kung'ambika

Zovulala zamakolo zina zimafunikira kuchitidwa ngati:

• Malekezero a fupalo ndiosagwirizana (osamukira kwawo).
• Kuphulika kumafikira mgulu lamagulu (intra-articular fracture).
• Tendon kapena ligaments (zimakhala zomwe zimagwira minofu ndi mafupa pamodzi) zimang'ambika.
• Wopereka wanu akuganiza kuti mafupa anu sangachiritse bwino popanda opaleshoni.
• Womwe amakupatsani akuganiza kuti opareshoni imatha kulola kuchiritsa mwachangu komanso modalirika.
• Kwa ana, kusweka kumaphatikizapo gawo la fupa la akakolo komwe fupa limakula.

Pamene opaleshoni ikufunika, pangafunike zikhomo zachitsulo, zomangira, kapena mbale kuti mafupa akhale m'malo momwe kuphulika kumachira. Ma hardware atha kukhala osakhalitsa kapena osatha.

Mutha kutumizidwa kwa dokotala wa mafupa (mafupa). Mpaka ulendowu:

• Muyenera kusunga zomwe mumapanga nthawi zonse ndikusunga phazi lanu momwe mungathere.
• Osayika cholemera chilichonse kumapazi anu ovulala kapena kuyesa kuyenda pamenepo.

Popanda kuchitidwa opareshoni, bondo lanu lanyama lidzaikidwa pachitsulo kapena chopindika kwa masabata 4 mpaka 8. Kutalika kwa nthawi yomwe muyenera kuvala choponyera kapena chidutswa chimadalira mtundu wamavuto omwe muli nawo.

Kutaya kwanu kapena chidutswa chanu chimatha kusinthidwa kangapo, kutupa kwanu kumatsika. Nthawi zambiri, simudzaloledwa kulemera pachilonda chanu choyamba.

Nthawi ina, mumagwiritsa ntchito nsapato yapadera yoyenda pamene machiritso akupita.

Muyenera kuphunzira:

• Momwe mungagwiritsire ntchito ndodo
• Momwe mungasamalire osewera kapena choponyera chanu

Kuchepetsa kupweteka ndi kutupa:

• Khalani ndi phazi lanu lokwera kuposa bondo lanu kangapo patsiku
• Ikani phukusi la madzi oundana mphindi 20 pa ola lililonse, mwadzuka, kwa masiku awiri oyamba
• Pambuyo masiku awiri, gwiritsani ntchito phukusi la ayisi kwa mphindi 10 mpaka 20, katatu patsiku ngati pakufunika kutero

Pogwiritsa ntchito ululu, mungagwiritse ntchito ibuprofen (Advil, Motrin, ndi ena) kapena naproxen (Aleve, Naprosyn, ndi ena). Mutha kugula mankhwalawa popanda mankhwala.

Kumbukirani kuti:

• Musagwiritse ntchito mankhwalawa kwa maola 24 oyamba mutavulala. Amatha kuwonjezera ngozi yakutuluka magazi.
• Lankhulani ndi omwe amakupatsani mankhwala musanagwiritse ntchito mankhwalawa ngati muli ndi matenda a mtima, kuthamanga kwa magazi, matenda a impso, kapena mudakhala ndi zilonda zam'mimba kapena kutuluka magazi m'mbuyomu.
• Osangotenga zochuluka kuposa zomwe zakulimbikitsidwa mu botolo kapena kuposa zomwe woperekayo akukulangizani kuti mutenge.
• Osapereka aspirin kwa ana.
• Funsani kwa omwe amakupatsirani mankhwala akumwa ngati Ibuprofen kapena Naprosyn mutapasuka. Nthawi zina, safuna kuti mutenge mankhwala chifukwa amatha kukhudza machiritso.

Acetaminophen (Tylenol ndi ena) ndi mankhwala opweteka omwe ndi otetezeka kwa anthu ambiri. Ngati muli ndi matenda a chiwindi, funsani omwe akukuthandizani ngati mankhwalawa ndi abwino kwa inu.

Mungafunike mankhwala opweteka (opioid kapena mankhwala osokoneza bongo) kuti muchepetse ululu wanu poyamba.

Wothandizira anu adzakuuzani ngati zili bwino kuyika cholemera chilichonse pakhosi lanu lovulala. Nthawi zambiri, izi zimakhala osachepera 6 mpaka 10 milungu. Kuyika kulemera msana mwako posachedwa kungatanthauze kuti mafupa sachira bwino.

Muyenera kuti ntchito yanu isinthidwe ngati ntchito yanu ikufuna kuyenda, kuyimirira, kapena kukwera masitepe.

Panthawi inayake, mudzasinthidwa kukhala cholemera cholemera kapena chopindika. Izi zidzakuthandizani kuti muyambe kuyenda. Mukayambiranso kuyenda:

• Minofu yanu ikhoza kukhala yofooka komanso yaying'ono, ndipo phazi lanu limakhala lolimba.
• Muyamba kuphunzira zolimbitsa thupi kukuthandizani kuti mupezenso mphamvu.
• Mutha kutumizidwa kwa asing'anga kuti akuthandizeni pochita izi.

Muyenera kukhala ndi nyonga yathunthu mu minyewa yanu ya ng'ombe ndikuyenda mokwanira mu bondo lanu musanabwerere ku masewera kapena zochitika zina.

Wothandizira anu amatha kupanga ma x-ray nthawi ndi nthawi mutavulala kuti muwone momwe bondo lanu likuchira.

Wothandizira anu adzakudziwitsani nthawi yomwe mungabwerere kuzochitika zanthawi zonse ndi masewera. Anthu ambiri amafunikira masabata osachepera 6 mpaka 10 kuti achiritse bwino.

Itanani omwe akukuthandizani ngati:

• Kutaya kwanu kapena chidutswa chawonongeka.
• Choponyera chanu kapena chopindika ndi chomasuka kwambiri kapena cholimba kwambiri.
• Mukumva kuwawa kwambiri.
• Phazi lako kapena mwendo watupa pamwambapa kapena pansi pa choponyera chako.
• Mukuchita dzanzi, kumva kulasalasa, kapena kuzizira phazi lanu, kapena zala zanu zakumaso zimawoneka zakuda.
• Simungasunthi zala zanu zakumapazi.
• Mwawonjezera kutupa mu ng'ombe ndi phazi lanu.
• Mumakhala ndi mpweya wochepa kapena kupuma movutikira.

Komanso itanani omwe akukuthandizani ngati muli ndi mafunso okhudza kuvulala kwanu kapena kuchira kwanu.

Malleolar wovulala; Tri-malleolar; Zojambulajambula; Kuphulika kwa tibia kwakutali; Kuphulika kwapadera kwa fibula; Malleolus wovulala; Kuphulika kwa Pilon

McGarvey WC, Greaser MC. Kupindika kwa bondo ndi pakati. Mu: Porter DA, Schon LC, olemba. Baxter's Phazi ndi Ankle mu Sport. Wachitatu ed. Philadelphia, PA: Elsevier; 2021: chaputala 6.

Rose NGW, Green TJ. Ankolo ndi phazi. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 51.

Rudloff MI. Kutha kwa m'munsi kwenikweni. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 54.

• Kuvulala kwa Ankle ndi Kusokonezeka