Ukudonswa ngamadolo: usizo lokuqala, izimpawu, okufanele ukwenze, ukwelashwa * Isiphambano

Idolo elimele ukulimala okuvamile okubangelwa ukushaywa noma ukuwa. Ngenxa yokuntuleka kwezinyathelo ezisebenzayo zokuvimbela ukulimala, abantu beminyaka ehlukene bayathinteka. Abasubathi, izingane kanye nabantu abadala basengozini ethile. Yize kungenangozi yakhona yangaphandle, ukulimala edolweni kudinga ukwelashwa okufika ngesikhathi, ukungabikho kwakho okungaholela ezinkingeni ezinkulu.

Ubunzima

Izisulu zivame ukubuthatha kancane ubunzima bokulimala kwazo. Lokhu kungenxa yokuthi i-syndrome ebuhlungu ebukhali, ukuvuvukala nokunyakaza okulinganiselwe emadolweni akuveli ngokushesha ngemuva kokulimala. Ngenxa yalokho, i-pathology ihlala ingenakho ukwelashwa okudingekayo.

Ukuxubana kwamadolo kukhulu ngokuhlukahluka, okungahlonzwa udokotela kuphela:

Ukulimala okuncane ngenxa yomthelela wangaphandle womshini. Ubuqotho besikhumba nemithambo yegazi buyagcinwa. Umonakalo uhambisana nobuhlungu besikhashana futhi uhambe wedwa. Ungaqeda i-pain syndrome usebenzisa ukuxubha ukunyakaza kwe-massage.
Ukuqhuma nge-hematoma noma ukuhuzuka. Kukhona ukwephulwa okuncane kobuqotho besikhumba nokuqhekeka kwemithambo yegazi emincane, okuholela ekulimaleni. Ukunakekelwa kwezokwelapha kukuvumela ukuthi uqede ukuvuvukala futhi kusheshise ukubuyiselwa kwe-hematoma.
Ukuqhuma kwezicubu ezithambile endaweni yokuhlangana kwamadolo (ukulimala kwe-meniscus).
Sprain ukulimala. Udokotela kuphela okwazi ukuxilonga lesi sifo, ngoba izimpawu zayo zifana nokulimala kwezinga lesithathu. Isisulu sizwa ubuhlungu, ukuvuvukala, ukuba bomvu nokunyakaza okulinganiselwe.
Ukuhlanganiswa kuyinkimbinkimbi ngokususwa noma ukuphuka. Uhlobo oluyingozi kakhulu lokulimala oluhambisana nokuguqulwa kwamathambo nezicubu ezihlangene. Ukwelashwa kwaleli banga lokulimala akunakwenzeka ngaphandle kokungenelela kokuhlinzwa.

Izimpawu

Njengomphumela wokulimala ejoyinini, inqubo yokuvuvukala, ebonakaliswa yizimpawu eziningi zokwelashwa. Udokotela ohlinzayo uhlola ukulimala kwamadolo ngokususelwa ekuhlolweni kwenhloso kwedatha yocwaningo (i-ultrasound, i-radiography, njll) nokubonakaliswa kwesici.

Ubukhulu besithombe somtholampilo buxhomeke ezicini eziningi:

amandla ejenti elibuhlungu;
indawo yendawo elimele;
i-angle yomthelela womshini;
ukwenziwa kwasendaweni kokulimala.

Izimpawu zivumela udokotela ukuthi aqinisekise ukutholakala komhuzuko futhi akhiphe ubukhona bokunye ukulimala. Ukubonakaliswa okuyinhloko kokulimala kwamadolo yilezi:

Ukuvuvukala okucasula ubuhlungu besifo Ukuvuvukala kuyisibonakaliso sokuqongelela uketshezi emgodini ohlangene wamadolo. Lesi sibonakaliso singabonisa i-hemarthrosis, ngenxa yalokho ubukhulu bejoyini buyanda.
Ubuhlungu obubangelwa i-agent ehlukumezayo. Uma kungekho umonakalo omkhulu, i-pain syndrome idlula ngokushesha okukhulu. Uma kunezinkinga, uhlobo lobuhlungu buxhomeke ngqo kubukhulu besisindo sabo. Ngokulimala kanzima, kungaba namandla kakhulu kuze kubangele ukuquleka. Ukubomvu kwesikhumba endaweni yokulimala kukhombisa ukwenzeka kokuphendula ngemuva kokuhlukumezeka komzimba ukulimaza ilunga.
Ukuhamba okulinganiselwe kokunyakaza emadolweni. Kuyisibonakaliso somtholampilo sokulimala kanzima okukuhlukanisa nokunye ukulimala.

Into yokuqala okufanele ixwayise isisulu ngemuva kokulimala uma umsindo othile uvela lapho ugoba futhi welula ukuhlangana kwamadolo, i.e. amadolo.

Insiza yezimo eziphuthumayo

Usizo lokuqala lwedolo elilimele kufanele lunikezwe ngesikhathi esifanele nangobuchule ukuze lungalimazi isiguli. Isisulu kufanele siphakanyiswe sibekwe ebhentshini.

Uma kwenzeka ubuhlungu obukhulu be-syndrome, uma umuntu engakwazi ukunyathela ngonyawo lwakhe, kuyadingeka ukuthi ushayele i-ambulensi. Mhlawumbe ukulimala kanzima emadolweni kuholele ekuqhekekeni noma ekuqhekekeni kwemisipha.

Ukuxilonga lesi simo kuphela esikhungweni sezokwelapha esikhethekile.

Ngaphambi kokufika kodokotela, umlenze kufanele ungasebenzi futhi kufakwe icompress ebandayo ukukhulula ukuvuvukala. Indawo eyonakele akumele nakancane ifudunyezwe. Ukushisa kungadala ukuthi idolo livuvuke kakhulu. Imihuzuko noma amanxeba esikhunjeni aphathwa nge-hydrogen peroxide.

Ungaxhumana nobani

Ukwelashwa okuyinhloko kokulimala kwamadolo nezinyathelo zokuvuselela kwenziwa ngumuntu ohlukumezeka ingqondo. Ezimweni ezibucayi kakhulu, isisulu sidluliselwa kudokotela ohlinzayo nodokotela wamathambo.

Ukuxilongwa

Umsebenzi wokuqala kadokotela ukukhipha isifo esibi kakhulu. Uchwepheshe kufanele ahlole isimo se-patella kanye nokuphela kokuqina kwe-femur, tibia ne-fibula. Indlela yokuxilonga ethembeke kakhulu yi-radiography.

Udokotela ubophezelekile ukutadisha umlando futhi enze ukuhlolwa komtholampilo kwesiguli. Lokhu kuqeda ukuphuma noma ukuqhekeka kwemisipha.

Ubunzima bokuthola ukulinyazwa kuxhomeke ekutheni ukulimala okusha kunezimpawu ezifanayo nokulimala kwe-meniscus: ubuhlungu obubukhali ne-hemarthrosis. Ukuqhekeka kwe-meniscus esiteji sokuqala kubonakala ngokutholakala kwezimpawu ezingezwakali. I-MRI, i-ultrasound ne-arthroscopy isiza ukukhipha lesi sifo. Izindlela zokuhlonza ezisohlwini zenza ukuthi kuhlolwe kahle isimo sezicubu ezithambile ze-periarticular.

Ukwelapha idolo elilimele

Ngemuva kokunikeza isisulu usizo lokuqala, udokotela uyahlola futhi anikeze ukwelashwa kwezidakamizwa. Isikhathi sokuqala ngemuva kokulimala, isiguli kufanele sigcinwe embhedeni futhi sigweme ukucindezelwa. Kunzima ukukhubaza ukuhlangana kwamadolo okonakele, ngakho-ke inqubo yokutakula ihamba kancane. Ngokulimala okuncane, ukungakhululeki kuyanyamalala kungakapheli inyanga.

Imithi

Ukwelashwa kwezidakamizwa kokulimala emadolweni kuhlose ukuqeda izinhlungu, ukuqeda i-edema, i-hematomas kanye nokopha.

Izinkinga zokwelashwa zifaka:

ukudambisa izinhlungu (amafutha, imijovo, amaphilisi): iDiclofenac neKetanov;
izidakamizwa ezilwa nokuvuvukala;
Amafutha okusebenzisa izinqubo zokubuyiselwa kwama-hematomas;
ama-chondroprotectors;
amafutha okufudumala: Finalgon. Kungenzeka ukufudumeza indawo ethintekile kungakadluli izinsuku ezingama-5 ngemuva kokulimala.

Ngemuva kokwehla kobuhlungu, i-physiotherapy ibekiwe emasontweni ayi-1.5 ngemuva kokulimala. I-Electrophoresis, i-UHF, i-phonophoresis nezinye izinqubo zishukumisa ukujikeleza kwegazi kwizicubu ezithambile futhi zibuyise ukuhamba ngokuhlanganyela.

Ukwelapha umzimba, ukubhukuda, i-yoga nama-Pilates konke kusiza ukusheshisa inqubo yokutakula. Ukuhamba ngejubane elilinganisiwe nakho kuyanconywa.

Ezigulini ezilimele kakhulu, kwenziwa idolo ukuze kususwe uketshezi. Ngemuva kokuthi kwenziwe, idolo lilungiswa ngebhandeshi eliqinile noma nge-orthosis ukunciphisa ukuhamba. Ukwelapha ngama-antibiotic kuyaqhubeka.

Amakhambi abantu

Ukwelashwa kwezidakamizwa akuhlali kuphephile enganeni noma kwabesifazane ngesikhathi sokuncelisa nokukhulelwa. Amakhambi abantu akwazi ukuqeda izinhlungu, ukuvuvukala nokuvuvukala ngokulimala okuncane.

Ukupheka:

Inhlanganisela ka-40 ml wotshwala bezokwelapha kanye nenani elifanayo lamanzi kufanele lifakwe nge-gauze. I-compress isetshenziswa endaweni ethintekile imizuzu engama-30 ngekhefu lamahora we-6-8. Inqubo isiza ukunciphisa ukuvuvukala nobuhlungu.
Ukulungiselela i-compress, hlanganisa isilinganiso esilinganayo (20 ml) samanzi, uviniga we-apula cider namafutha omnqumo. Indwangu yemvelo efakwe kuketshezi kufanele ilungiswe edolweni amahora amane kusetshenziswa ifilimu nesikhafu esifudumele. Inqubo yenziwa ekuseni nakusihlwa kuze kuphele imiphumela engemihle yokulimala.
Ukwakheka kuka-35 g we-aloe pulp noju kufanele kukhuhlwe emadolweni abuhlungu ngaphansi kwebhandeshi le-gauze. Musa ukugeza phakathi namahora amathathu.

Ngomphumela osheshayo, kunconywa ukusebenzisa iqabunga elimhlophe leklabishi. Uyalwa emuva kuze kuvele ujusi. Olunye uhlangothi luye lwagcotshwa uju. Ishidi lifakwa edolweni elithintekile, lilungiswe ngebhandeshi elinwebekayo futhi lashiywa ubusuku bonke.

Imiphumela

Ukuntuleka kokunakekelwa kwezempilo okuseqophelweni eliphezulu noma ukungathobeli izincomo zikadokotela obekhona kungaholela ezinkingeni ezinkulu:

I-hematoma yangaphakathi. Kudinga ukukhipha igazi emgodini ohlangene nokuqinisekisa ukuphumula kwesikhathi eside.
Ukuhlukaniswa noma ukuphuka. Ziyingozi ngenxa yokulahleka okuphelele kokusebenza nokwelashwa kwesikhathi eside, okunganikezi ngaso sonke isikhathi umphumela olindelekile.
Ukulimala kwamathuluzi weLigamentous. Isimo esibuhlungu, sokwelashwa kokuphumula okuphelele nokusetshenziswa kwemithi elwa nokuvuvukala kuyadingeka.
Ukudwengulwa kwe-meniscus. Uma kungekho ukwelashwa okufanele, kungaholela ekukhubazekeni.

I-Cartilage deformation, i-muscle fiber atrophy kanye nokulahleka kwemoto.
I-Bursitis. Inqubo yokuvuvukala eyenzeka ngokwelashwa okungafanele. Kuhambisana nokwanda kwezinga lokushisa, ukuvuvukala, ubuhlungu. Enye yezinkinga ukutheleleka, okudinga ukungenelela kukadokotela ohlinzayo.

Imiphumela evame kakhulu edolweni elilimele amaqhubu, amanxeba, imihuzuko, kanye nomkhawulo wokunyakaza komlenze. Ukwazi izinkinga ezingaba khona kuzokwenza umuntu agweme izinkinga ezinkulu zempilo.