Amafutha asebenzayo okwelula imisipha nemisipha

Uhlobo lwemisipha ukulimala kwezicubu zemisipha. Isizathu sinzima kakhulu noma ukulimala. Lapho imisipha yemilenze yeluliwe, ukwelashwa okuyinkimbinkimbi kunqunyelwe ukululama, okubandakanya amafutha okugcoba ahlukahlukene. Zihluka ekubunjweni futhi, ngokufanele, ngezenzo.

Izimpawu nokuxilongwa kobunzima bemisipha yomlenze

Izimpawu zokwelula:

1. I-Pain syndrome endaweni yenkinga yobukhulu obuhlukahlukene.
2. Ukuguqulwa kwesikhumba, ubomvu.
3. Ukuqala kwe-edema yezicubu.
4. Ukubonakala kwe-hematoma, kanye nokuvuvukala komlenze endaweni yokwelula.
5. Ukuwohloka kokuhamba ngokuhlanganyela kuze kufike ekunciphiseni komlenze.
6. Uma uzama ukunyakaza, kuzwakala imisindo efana nokuqhekeka noma ukuqhekeka.
7. Ubuntofontofo bezicubu. Ukulahlekelwa ukuzwela kwesinye isikhathi kuvela.
8. Ezimweni ezinzima, umlenze ukhubazekile.
9. Umkhuhlane kwesinye isikhathi uyabonakala.

Ukwenza ukuxilongwa, i-traumatologist kumele ifeze lezi zinyathelo ezilandelayo:

• ukuhlolwa okubukwayo nokushaya ngamandla
• ukuqoqwa kwe-anamnesis;
• i-x-ray yomlenze obuhlungu;
• ukwenza i-MRI, kanye ne-CT ukuthola isiqinisekiso esengeziwe sokuxilongwa.

Wamafutha yokwelula imisipha yomlenze ngenkathi isebenza

Ikhambi elibekiwe ngendlela yokugcoba lisebenza endaweni yangakini. Lokho wukuthi, kusetshenziswa ngqo endaweni yenkinga. Kunqunywe kuye ngenhloso yomphumela, ngoba izidakamizwa ziyahluka ngohlobo lwezinto eziyinhloko nomphumela oyinhloko.

Kunjalo:

• ukupholisa;
• ukufudumala;
• ukudambisa izinhlungu;
• elwa nokuvuvukala;
• Amafutha wesenzo esiyinkimbinkimbi.

Konke ukugcotshwa kwesenzo sokwelula imisipha ngezindlela ezahlukahlukene, kuqukethe isithako esiyinhloko esisebenzayo, kwehlukile ngendlela yokusetshenziswa kanye nenani lesicelo ngosuku. Ukuze uthole ukuthi uluhlobo luni lwamafutha owafunayo, udinga ukufunda incazelo yawo.

Amafutha okupholisa

La mafutha asetshenziswa ngokushesha ukupholisa izicubu. Izitsha ziyancipha. I-hematoma iyancipha. Umkhiqizo uqukethe i-menthol, i-ejenti yokubulala izinzwa, amafutha abalulekile. Umphumela wokupholisa ngeke unciphise ukulinyazwa kuphela, kodwa futhi nokukhukhumeza. Futhi, umuthi uzodambisa izinhlungu lapho welula.

Ukuhlikihla akukhuthazwa. Udinga nje ukugcoba isikhumba ngokunyakaza okulula. Isisulu sizozwa ukuphola okumnandi. Ngemuva kwesikhashana, impumuzo izofika.

Izidakamizwa ezilandelayo zithandwa:

1. Troxevasin. Into eyinhloko i-troxerutin. Okokuqala, isebenza ngempumelelo emithanjeni yegazi. ITroxevasin isiza ukubuyisela udonga lwe-capillary, inciphise ukuvuvukala. Ithuluzi lisheshisa izinqubo ze-metabolic kumaseli. Izinga lokululama kwezicubu ezilimele liyenyuka.
2. I-Lidocaine. Isebenza endaweni njengokubulala izinzwa. Ukuthokozisa kwemicu yezinzwa kunciphile. Amafutha kufanele agcotshwe ngobumnene nendawo ethintekile. Ngemuva kwalokho, kungalindelwa ukuphazamiseka okuncane ngenxa yokuvinjelwa kokuzwela kwe-receptor. I-Lidocaine isetshenziswa kuze kube izikhathi ezine ngosuku. Izimo: ukungezwani nezinto zomzimba, ukwehluleka kwesibindi.
3. I-Dimexide. Okuncane komkhiqizo kufanele kusetshenziswe esikhunjeni. Kunciphisa ubuhlungu nokuvuvukala. Into eyinhloko inobuthi futhi isetshenziswa kuphela ngezihloko kuze kube kathathu ngosuku. Iphinde inyuse izinga lokuphulukiswa kwezicubu ezithintekile.

Amafutha okufudumala

Ikhambi elinjalo lisetshenziswa hhayi ngaphambi kosuku lwesithathu ukusuka ekuzoluleni. Amafutha okufudumala ayathuthuka abese ebuyisela ukulethwa kwegazi ezicutshini zemisipha. Basiza ukujwayeza ukusebenza kwemoto, ukusheshisa ukutakula.

Zihlukaniswe izinhlobo ezimbili:

• Amafutha aqukethe ubuthi (inyosi, inyoka);
• Amafutha asuselwa kuzithako zamakhambi. Kuqukethe: i-camphor, i-nicotinic acid, namafutha abalulekile.

1. I-Viprosal. Ubuthi benyoka obufakwe ekwakhiweni bunomthelela omuhle esimweni esijwayelekile sesiguli. Ama-receptors acasukile, amangqamuzana alimele aqala ukululama ngokushesha, futhi ukugeleza kwegazi kubuyela kokujwayelekile. I-Turpentine iqeda ukuvuvukala. I-salicylic acid ilwa namagciwane. Ukuvuselelwa kwemisipha eyonakele kuyanda.
2. I-Finalgon. Lo mafutha athuthukisa ukujikeleza kwegazi, futhi aqeda nobuhlungu. Umoya-mpilo ufinyelela amaseli alimele ngokushesha. IFinalgon inekhono lokungena ngokujulile, isebenze endaweni ethintekile nakuma-skin receptors. Ama-anesthetic agents aqeda izinhlungu ngokuqeda izinhlungu. Izicubu zifudunyezwa, kubonakala ubomvu, kanye nemizwa yokufudumala ngemuva kokufakwa kwesicelo. Ukudinwa kuyadlula, imisipha iyakhululeka. I-Finalgon akumele isetshenziswe esikhunjeni esonakele.
3. I-Apizartron. Kwenziwe ngobuthi bezinyosi, obulala amagciwane futhi kunciphise ukuvuvukala. I-methyl salicylate ine-permeability enhle kakhulu, esebenza ngendlela efanayo nobuthi bezinyosi. Esinye isithako esisebenzayo, i-allyl isothiocyanate, ijabulisa ama-receptor receptors, nokuhamba kwegazi kuqala. Imisipha igcwele umoya-mpilo. I-Apizartron ikhuthaza ukuqeda ngokushesha ubuthi, iqeda izinhlungu. Ikhambi lokwelula imisipha lisetshenziswa kathathu ngosuku.
4. Capsicam. I-Dimethyl sulfoxide ingasetshenziselwa ukuphazamisa indawo eyonakele. I-Capsicam ingena ngokushesha endaweni yenkinga. Into esebenzayo ingaba nomthelela wokuphulukisa ezinsukwini ezi-3. INonivamide ilwa namagciwane ngokunciphisa ukuvuvukala. Ukujikeleza kwegazi kuyathuthuka, ubungozi bezinkinga buyasuswa. Ukubuyiselwa ngokushesha.

Izinhlungu zokuqeda izinhlungu

Banciphisa noma banciphise ubuhlungu besifo, bayeke ukuvuvukala.

• I-Finalgel. Ukwelula amafutha kunciphisa amathuba okuba ne-thrombosis. Ngemuva kokuyisebenzisa, ubuhlungu obuhlangene kanye nokuqina kwemisipha kuyanyamalala. Ukulwa nokuvuvukala kahle. Isetshenziswa kathathu ngosuku.
• Heparin wamafutha. I-sodium heparin iyisithako esiyinhloko esisebenzayo. Iyanciphisa ubungozi bamahlule egazi. I-Benzyl nicotinate yandisa ukukhanya kwe-capillaries. Isidakamizwa esinjalo sokwelula imisipha asinayo impahla yokuqongelela emzimbeni, sikhishwa ngokushesha ngezinso. Inomphumela wokuvuselela. I-Benzocaine inhle kakhulu ebuhlungu obukhulu.
• I-Ketonal. Kushiwo izidakamizwa ezingekho-steroidal. Ngasikhathi sinye kusiza ukuqeda izinhlungu nokuvuvukala. I-Ketaprofen inomphumela wokwelapha. I-Ketonal iqukethe nezinto ezivimbela umsebenzi wezintambo zezinzwa. Kukhona ukuphikisana okufana nezifo zenhliziyo, umgudu wamathumbu, izinso nesibindi.

Amafutha okulwa nokuvuvukala

Umphumela oyinhloko wamafutha anjalo kusuka ekunwebeni uhlose ukuvimba ukuvuvukala.

Imiphumela eyengeziwe: ukukhululeka kobuhlungu, ukujwayela ukusebenza kwemoto:

• I-Diclofenac. Isithako esikhulu esisebenzayo yi-diclofenac ye-sodium. Inekhono elihle kakhulu lokungena ngokushesha esikhunjeni. Kuvimbela ukuvuvukala ekuqhubekeni. Ingasetshenziswa kuze kube izikhathi ezi-3. Ibuye ibe nomthelela we-analgesic.
• I-Ketoprofen. Kungeqembu le-NSAID. Isenzo semithi enjalo sihlose ukususwa kanyekanye kwesifo sobuhlungu nokuvuvukala. Yehlisa ubungozi bamahlule egazi. I-Ketoprofen ivimba ukukhiqizwa kwezinto ezithuthukisa ukuhlanganiswa kwama-prostaglandin. Ziyi "imbangela" yokuvuvukala ne-edema. Wamafutha yokwelula imisipha isetshenziswa izikhathi 2 ngosuku, bezihlikihla esikhunjeni. Izimo: ukwehluleka kwezinso ne-hepatic, i-eczema ne-dermatosis.

Amafutha ayinkimbinkimbi

Ziqukethe izinto ezisebenza endaweni yenkinga ezinhlangothini ezahlukene:

1. UNikoflex. Uyehluka ngokuxakile, kufaka phakathi isenzo se-vasodilating. Ikhuthaza ukuphuma koketshezi oluvela ezicutshini ezilimele. ICapsaicin ilwa nokuvuvukala, i-hydroxyethyl iqeda izinhlungu. Gcoba ungqimba oluncane lweNikoflex cishe imizuzu emithathu, ngaphandle kokweqa umthamo, kuze kube yilapho isikhumba sithatha umbala obomvu. Ungagcoba amafutha izinsuku eziyi-10.
2. UDolobene. Isidakamizwa esisebenza ngokwanele sokwelula isenzo esihlangene. Ilwa ne-edema, ithuthukisa ukugeleza koketshezi. UDolobene usiza ukuqinisa udonga lwemithambo. Yehlisa ukujiya kwegazi, ngaleyo ndlela inciphise ubungozi bamahlule egazi. IHeparin yisithako esiyinhloko. Ngosizo lwayo, resorption of hematomas kwenzeka. Isenzo se-dimethyl sulfoxide senzelwe ukuvimba inqubo yokuvuvukala. Ithuluzi libulala amagciwane amancane futhi linempahla yokusiza izicubu ukuba zilulame ngokushesha.
3. Okude. Ibuprofen - isithako esikhulu esisebenzayo. Kudambisa izinhlungu, kunciphisa ukuvuvukala. Ibuprofen iqeda ukuqina kwamalunga. Yenza ngokushesha nangempumelelo, cishe ngokushesha ngemuva kokufaka isicelo. Isiza ukubhekana nokwelula imisipha yomlenze.

Ubuhle nobubi bokusebenzisa amafutha lapho welula imisipha yomlenze

Kunezinzuzo eziningi kumakhambi asiza ukwelapha imisipha yomlenze. Noma kunjalo, kukhona futhi ukwehla.

Izinzuzo:

• ukutholakala;
• khetha kabanzi;
• lula ukusetshenziswa;
• ukusebenza kahle;
• isenzo esisheshayo;
• Amafutha amaningi anokuphikisana okumbalwa. Banikezwa abesifazane abakhulelwe nezingane.

Okubi:

1. Kungenzeka ukusabela okweqile. Ikakhulukazi ekunciphiseni izinhlungu, ubuthi bezinyosi nenyoka.
2. Amafutha eqembu lezidakamizwa ezingezona ukuvuvukala ezinama-steroidal anokuphikisana okuningi okuphawulekayo.
3. Kwesinye isikhathi, ngemuva kokusebenzisa umkhiqizo, amabala angahlala ezingutsheni.
4. Imvamisa i-anti-stretching agent inikezwa ngokuhlangana namaphilisi nemijovo.

Ukuvimbela ubunzima bemisipha ngenkathi isebenza

Kunemithetho eminingi yokuvimbela ama-sprains:

• Kuyadingeka ukugcina ngokuqinile izinyathelo zokuphepha lapho usebenza, ukulandela imithetho ekuqeqesheni.
• Ukuzivocavoca okufudumalayo nokwelula kuyadingeka ngaphambi kokugijima.
• Uzodinga izicathulo ezikahle, ezifakwe kahle. Akufanele iqiniswe, ingafakwanga kakhulu ngentambo.
• Kuhle ukuthenga i-brace brace (siyifaka esikhundleni sayo nge-bandage elastic).
• Yidla kahle bese ulandela umbuso wokuphuza.
• Gwema ukusebenza ngokweqile.
• Gwema ukuwa. Khetha umgwaqo olinganayo, kodwa hhayi oshelelayo.

Amafutha okwelula imisipha yemilenze abekwa ngudokotela. Ukuzelapha ngokwakho kungaholela empilweni ebuthaka kanye nemiphumela engalungiseki. Ngemuva kokuqokwa, kufanele uhlole umkhiqizo ukuthi uyaphatheka yini ngokugcoba ngemuva kwengalo bese ulinda cishe ihora. Uma kungekho ukusabela, umuthi ungasetshenziswa. Kodwa-ke, kungcono ukugwema ukulimala futhi uthathe izinyathelo zokuzivikela.

Bukela ividiyo: dr khehlelezi - Ukhona umuthi wokukhulisa induku? (Novemba 2024).