Ukwehla kwethanga langemuva

Ukulimala kwezemidlalo

2K 1 20.04.2019 (kugcine ukubuyekezwa: 20.04.2019)

Imisipha yobuso besifazane obushubile ihlanganisa ama-biceps, i-semimembranosus, kanye nemisipha ye-semitendinosus. Ama-sprains abo, kanye nemisipha yabo kanye nemisipha, kungukulimala okuvamile. Imvamisa, lesi sifo sitholakala kubasubathi nakubasebenzi basehhovisi.

I-Etiology yomonakalo

UGenesise usekelwe ku:

• i-hypotrophy yemisipha yendawo yangemva kwesifazane;
• ukunyakaza okubukhali;
• imithelela eqondile netangential.

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Izimpawu zemisipha

Isakhiwo esiyinkimbinkimbi siyahluka ngokuya ngobukhulu bokushintshwa kwemisipha. Kunezigaba ezintathu zokwelula:

1. Kunobuhlungu obubuhlungu obubuhlungu. Akukho ukuvuvukala.
2. Kukhona ubuhlungu obulinganiselayo. Ukuvuvukala nokulimala kungenzeka.
3. Izinyembezi zemisipha (imvamisa enomonakalo emigudwini nasezintanjeni zemizwa) zinganqunywa. Ubuhlungu obukhulu bukhona. Ama-edema nama-hematomas atholakala endaweni yonke yethanga.

I-Flexors emadolweni kanye ne-extensors ku-hip nayo ingalinganiselwa.

Izimpawu ze-ligament ezihlukanisiwe

Ifakwe ku:

• ubuhlungu besifo obuhlukahlukene;
• ukulinganiselwa kobubanzi bokuhamba;
• ukuvela edema futhi hematomas;
• ukungazinzi kokuhlangana kwe-hip ngokumelene nesizinda sokulimala okukhulu kwe-apparatus ye-ligamentous, kwezinye izimo ngokuqhekeka okuphelele kwemisipha (okuhambisana nokuzwa kokuchofoza).

Izindlela zokuxilonga nokuthi uzobona nini udokotela

Isimo se-pathological sitholakala ngesisekelo sezikhalazo zesiguli kanye nedatha yokuhlolwa ejwayelekile yokwelula. Ngokuthola umehluko, kungenzeka ukufeza i-X-ray, i-ultrasound, i-CT neMRI.

Izindlela zosizo lokuqala nezindlela zokwelashwa

Emahoreni angama-48 okuqala ngemuva kokulimala, ngama-1-2 degrees, ukubekwa kwebhandishi lokucindezelwa kanye nemikhawulo yokusebenza kwemoto kukhonjisiwe. Ukunyakaza kungenzeka ngenduku noma izinduku. Ukucindezelwa okubandayo (iqhwa elisebhodleleni lepulasitiki, iphedi yokushisa noma isikhwama) imizuzu eyi-15-20 kaningana ngosuku kuyanconywa. Umlenze olimele kufanele unikezwe isikhundla esiphakeme, okungcono ezingeni lenhliziyo. Uma kunesidingo, sebenzisa ama-NSAID ngesimo samathebulethi noma amafutha (Diclofenac), ama-analgesics kanye nezithambisi ezimaphakathi (Midocalm, Baclofen). Ngemuva kwamahora angama-48 futhi njengoba i-pain syndrome incipha, ungashintshela ekusebenziseni ukwelashwa ne-ERT (ngaphansi kokuqondisa kukadokotela wakho).

Ebangeni lesi-3, ngokuqhekeka okuphelele kwemisipha, izinzwa nemisipha, ukwelashwa kokuhlinzwa nokwakhiwa kabusha kwezicubu ezilimele kanye ne-suture kukhonjisiwe. Ngemuva kokuphulukiswa, kunqunywa izakhiwo zokuvivinya umzimba.

Ekuqaleni izivivinyo azenzi lutho. Ngokuhamba kwesikhathi, uhlu lwemithwalo evunyelwe luyanda. Isiguli sivunyelwe ukuzivocavoca kuma-simulators noma ukugijima okulula. Lapho wenza izivivinyo zokululama, khumbula ukuthi ukunyakaza kufanele kube bushelelezi. Ukuzivocavoca nge-Physiotherapy kungangezelelwa nge-electrophoresis, therapy wave, magnetotherapy, izicelo ze-ozokerite kanye ne-massage yezokwelapha.

Kuwo wonke amazinga wokwelula, ukutholakala kwama-multivitamin noma amavithamini C, E, iqembu B (B1, B2, B6, B12) kuyakhonjiswa.

Imithi yesintu

Esigabeni sokuvuselelwa, okulandelayo kungasetshenziswa:

• Ukucindezela u-anyanisi noshukela, okuqotshelwa kuwo ikhanda lika-anyanisi, kuxutshwe nengcosana kashukela kufakwe endaweni elimele ihora elilodwa.
• Cindezela ubusuku bonke kusuka enhlanganisweni yamaqabunga eklabishi aqoshiwe, amazambane noju.
• Ibhandeshi eliluhlaza okwesibhakabhaka ngokusekelwe eqabungeni leplanti. Ingxube isetshenziswa ku-gauze, esetshenziswa endaweni enenkinga futhi embozwe ngopulasitiki.

Isikhathi sokutakula

Isikhathi sokululama ngokunwebeka okulingene ukuya kokulingene cishe amasonto ama-2-3. Ngezinga eliphakeme (lesithathu), kungathatha izinyanga eziyisithupha ukululama ngokugcwele.

Uma welashwa ngokwanele, ukululama kuphelele. Isibikezelo siyathandeka.

Ukuvimbela

Izinyathelo zokuvimbela zehlela ukulandela imithetho elula:

• Ngaphambi kokwenza umsebenzi osindayo womzimba, kuyadingeka ukufudumeza ukufudumeza imisipha nokuyelula.
• Imithwalo kufanele inyuke kancane kancane.
• Ukuthepha kungasetshenziswa njengendlela yokuvimbela ngesikhathi sokuvivinya umzimba.
• Ukuvivinya umzimba kufanele kube njalo.
• Uma uzizwa ungakhululekile, kungcono uyeke lo msebenzi.

Bukela ividiyo: uDr Dlamini echaza ngeziwasho nemithi (Okthoba 2025).