Lapho imisipha inguinal yeluliwe, imicu ye-collagen ibhujiswa kancane, eqinisekisa ukuma okulungile kwethanga maqondana nesifuba ngesikhathi sokunyakaza komlenze. I-engeli ephezulu nobubanzi be-hip ehlanekezelwe ngokuhlanganyela kuya ngobunono bazo. Ukulimala kwenzeka lapho isikhundla semilenze sishintsha, okuholela ekucindezelekeni ngokweqile emigudwini futhi kudlule imikhawulo evumelekile yokushintsha ubude babo.
Impumelelo yokubuyiselwa kwamandla okusebenza ixhomeke kakhulu ekutheni usizo lokuqala lunikezwa kanjani nokuthi ukwelashwa kuqala kanjani.
Izimpawu
Ngesikhathi sokulimala, kuba khona ubuhlungu obukhulu, obungaqhamuki kangako ngokuhamba kwesikhathi. Kwesinye isikhathi isuka ngokuphelele futhi ivela kuphela lapho isikhundla sesinqe sishintsha. Konke kuncike ezingeni lomonakalo. Ezimweni ezinzima, ukuhamba kwejoyini le-hip kukhawulelwe kakhulu, kukhona ukuvuvukala okuphawulekayo, ama-hematomas avela endaweni ye-groin. Ukopha kwangaphakathi nokwenyuka kwezinga lokushisa nakho kungenzeka. I-Pain syndrome nayo ikhona ekuphumuleni.
Iziqu
Ngokuya ngobukhulu bomonakalo (inani lemicu ebhujisiwe), ukunwebeka kwemisipha ye-inguinal kungaba:
- Okokuqala ukuthi kunemizwa ebuthakathaka engajabulisi lapho kunyakaza inyonga. Esimweni sokuthula aziveli nganoma iyiphi indlela. Ukusebenza ngokuhlanganyela akuphazamiseki.
- Okwesibili, kubonakala ubuhlungu obubonakala kakhulu, obuthiya ukuhamba kancane. Kungaphelezelwa yi-edema kanye nokopha okuphezulu.
- Okwesithathu, kukhona ubuhlungu obungapheli, obunzima. Endaweni yomonakalo, ukuvuvukala kanye ne-hematomas kwenzeka. Ezimweni ezimbi kakhulu, ukulimala kuvame ukuhlanganiswa nomsipha we-groin oqhekekile. Umlenze ulahlekelwa ingxenye noma ngokuphelele imisebenzi yemoto nokwesekwa. Izimpawu ziyefana ukuqeda ukuqhekeka kwemisipha, ebuye ibonakale ngokuhamba okungavamile kokuhlangana kwe-hip.
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Ukuxilongwa
Ngokuhlukumezeka okuncane kuya kokulingene, izimpawu ezishiwoyo zingakwazi ukuxilonga ngokunembile imithambo yemisipha yenguinal. Izifundo ezengeziwe zezinsimbi zisetshenziswa ezimweni ezinzima. Ikakhulukazi ngemuva kwemihuzuko nokuwa, ngenxa yalokho imbangela yokulimala kwemigudu kungaba ukuqhekeka kwesinqe noma ukuqaqeka okukhulu. Ukuze ucacise ukuxilongwa, i-fluoroscopy yesayithi lokulimala yenziwa.
Kungenzeka futhi ukuthi kwenzeke ama-hematomas angaphakathi kanye nokopha ku-capsule ehlangene. Ukuba khona kwalezi zinkinga kunqunywa kusetshenziswa i-magnetic resonance imaging (MRI) noma i-computed tomography (CT).
Insiza yezimo eziphuthumayo
Nganoma yiliphi ibanga lokwelula, kuyadingeka ukubeka ngokushesha isisulu endaweni eyisicaba nokuqinisekisa indawo entofontofo yomlenze olimele - beka iroli ethambile eyenziwe ngezinto ezindala ngaphansi komgogodla womsila. Bese ufaka ibhandishi elingasebenzi elenziwe ngebhande lokunwebeka noma ngento eminyene efanelekile endaweni yejoyinti le-hip. Ukudambisa ubuhlungu nokunciphisa ukuvuvukala, sebenzisa into ebandayo noma ukucindezela ngezikhathi ezithile endaweni ethintekile. Ungayivezi indawo ebolayo emakhazeni isikhathi eside ukuze uvikele i-hypothermia yezitho zangaphakathi eziseduze. Uma kuba buhlungu obukhulu, nikeza isisulu i-analgesic.
Ezimweni ezinzima, ezinezimpawu ezibucayi nokusola kokuqhuma kwemisipha noma ukuphuka kwentamo yesifazane, ukukhubazeka okuphelele nge-splint noma ezinye izinto ezitholakalayo ziyadingeka.
Ukucacisa ukuxilongwa kanye nenjongo yokwelashwa, abalimele kufanele badluliselwe ngokushesha esikhungweni sezokwelapha.
Ukwelashwa
Ngisho nokulimala okuncane emigqeni ye-inguinal kudinga ukwelashwa okulondolozayo kuze kube yilapho kutholakala ngokuphelele amandla okusebenza. Kulokhu, kusetshenziswa amafutha okulwa nokuvuvukala nama-gel. Ukwelashwa kwenziwa ekhaya njengoba kunconywe ngudokotela. Izinqubo ze-Physiotherapy zibekiwe ngokuya esibhedlela. Ukululama okugcwele kwenzeka ezinsukwini ezingama-7-10.
Ngokuphuka kwezinga lesibili, ukuphumula okuyingxenye noma okuphelele kwesitho esilimele kunikezwa okungenani amasonto ama-2-3. I-Kinesio taping noma i-splint fixation yenziwa ngokuya ngobukhulu bokulimala. Kunoma ikuphi, ukunyakaza kuvunyelwe kuphela ngezinduku ngaphandle kokusekelwa emlenzeni olimele.
Ngemuva kokukhipha ukuvuvukala ne-edema (ngemuva kwezinsuku ezingama-2-3), izinqubo ze-physiotherapeutic (UHF, magnetotherapy) zinqunyiwe ukusheshisa inqubo yokutakula kwe-ligament. Ukuze uthuthukise ukujikeleza kwegazi nethoni yemisipha, izicubu zethanga nezomlenze ophansi ziyabhucungwa. Ngesikhathi esifanayo, ukwelashwa okusekelayo kwenziwa ukugcwalisa umzimba ngamavithamini nama-microelements. Kuthatha amasonto ama-3 noma ngaphezulu ukubuyisa imigqa.
Ukwelashwa kwama-sprains we-degree-degree kwenziwa ezimweni ezimile, ngokuqedwa ngokuphelele kwejoyini elimele. Ukudambisa izinhlungu, kusetshenziswa ama-analgesics angenayo i-steroidal kanye namafutha okuqeda izinhlungu. Amacala abucayi angadinga ukuhlinzwa noma i-arthroscopy.
Isikhathi sokululama sincike enkingeni yokulimala kanye nendlela yokwelashwa. Kungathatha inyanga eyodwa kuya kweziningana.
Kuma-sprains amnene kuya kokulingene, amakhambi esintu angasetshenziswa ukunciphisa ukuvuvukala nokuvuvukala, ukudambisa izinhlungu, nokwenza ngcono ithoni yemisipha nemithambo yegazi. Ungasebenzisa izindlela zokupheka ezifakazelwe kuphela futhi udinga ukuqaphela ngezincomo zabelaphi abaningi kwi-Intanethi.
Ukuvuselelwa
Ukubuyiselwa okugcwele kwamandla okusebenza kwejoyini le-hip ngemuva kwesikhala sesibili noma sesithathu akunakwenzeka ngaphandle kokwenza izivivinyo ze-physiotherapy. Kufanele uqale ukwenza izivivinyo ezilula ngokushesha ngemuva kokukhipha ukuvuvukala nobuhlungu. Kungcono ukuqhuba amakilasi okuqala ngaphansi kokuqondisa kukadokotela. Ukuphakama nenombolo yokuphindaphindwa kokunyakaza kukhuphuka kancane kancane.
Lapho nje imilenze isilungele ukusekela isisindo somzimba, kuyadingeka ukuqala ukuhamba. Okokuqala ngezinduku nokuxhaswa ngezinyawo okuyingxenye. Bese kancane kancane wandisa umthwalo ugcwale. Okulandelayo, kufanele uyeke izinduku, uqale ukuhamba wenze ama-squats akhanyayo. Kufanele ushintshele ekusebenzeni, ekwenzeni imiphunga kanye nokugxuma kuphela ngemuva kokubuyiselwa okuphelele kwemisipha nezicubu ezizungezile.
I-Physiotherapy kanye ne-massage kukhuthaza ukuvuselelwa okusheshayo kwemicu ye-collagen nokubuyiselwa kwemisebenzi yethanga.
Ukuvimbela
Ama-Inguinal sprains akuwona ukulimala komndeni okuvame kakhulu. Lokhu kwenzeka kaningi lapho kudlalwa imidlalo. Akunakwenzeka ukukhipha ingozi yomonakalo onjalo, kepha unganciphisa amathuba nokuqina komonakalo uma ulandela izincomo ezilula:
- Hlala ufudumele njalo ngaphambi kokuzivocavoca.
- Gcina ithoni yemisipha, ukuqina kwemisipha kanye nokuhlangana kwethoni ethambile ngokuzivocavoca nsuku zonke.
- Sebenzisa ukudla okunomsoco okwanelisa zonke izidingo zomzimba zokulandela ngomkhondo izakhi namavithamini.
- Funa usizo lwezokwelapha ngesikhathi esifanele futhi welaphe ukulimala kuze kube yilapho isitho esonakele sisebenza ngokugcwele.
Ukuhambisana nale mithetho, kuzodinga umzamo nokutshalwa kwezimali kwesikhathi, kepha ezimweni eziningi kuzokusindisa ekulimaleni futhi kukusize ugcine impilo iminyaka eminingi.
Isibikezelo
Ezimweni ezijwayelekile zokuphila, imisipha ye-inguinal yenza umsebenzi wokugcina isinqe sisesimweni esijwayelekile futhi ungatholi ukungezwani okuqinile. Kwezemidlalo, isimo sihluke ngokuphelele - ukunyakaza okunhlobonhlobo kokuqondisa nokuphakama kuvame ukuphoqa amalunga enqulu ukuthi asebenze aze afike kumkhawulo. Isisetshenziswa se-ligamentous sivezwa kumathonya we-multidirectional and sharp.
Inqubo yokuqeqesha eyakhiwe kahle ihlinzeka ngokuhlukumezeka kokuvivinya umzimba namasu. Ingozi yokuphamba ikhula kakhulu ngokufudumala okungenamandla noma kusuka ekukhuleni kwemithwalo ngokuqina komzimba okwanele komzimba womsubathi. Lokhu kujwayele ukufundelwa nayizimfundamakhwela, abasubathi abadlondlobala ngokweqile.
Ungazijwayeza imidlalo ngenjabulo futhi ngaphandle kokulimala uma uhlala ufudumeza ngokugcwele, ulandela izincomo zomqeqeshi futhi ulandela imithetho yokuzivocavoca okuphephile.