Ukulimaza isandla lapho uwe noma ushaya: ukwelashwa, imiphumela * Isiphambano

Umhuzuko wesandla ukulimala okuvalekile ezicutshini zawo ezithambile. Ukulimala esihlakaleni kusuka ekuthintekeni noma ekuweni kuvame kakhulu. Akukho monakalo wethambo noma wesikhumba owenzekayo. Ngokusho kwe-ICD-10, ikhodi ye-pathology ithi S60.2.

Umehluko phakathi kokulimala nokuphuka

Uma kwenzeka ukulimala, ukusebenza kwesandla kuyagcinwa. Ukuphuka kusekelwa ngu:

Idatha yokuhlola:
- ukwehliswa okuphawulekayo ebangeni lokunyakaza okungenzeka: ukungakwazi ukuthatha okuthile, ukwenza ukunyakaza okujikelezayo, ukugoba noma ukuvula isandla, ukuncika engalweni elimele;
- ukuhamba okungekhona okwemvelo kanye / noma ukusonteka kwesandla;
- ukuzwa kwe-crepitus ekuhambeni.
Imiphumela yokuhlolwa kwe-X-ray.

Izizathu

Ku-etiology, indima ehamba phambili idlalwa ngu:

ukuwa (kusuka ebhayisikili noma lapho kudlalwa i-volleyball);
izibhakela (lapho uqhuba ikarati);
Ingozi yomgwaqo;
ukushaya izandla (emnyango);
imicimbi yezemidlalo (impi yabashayi besibhakela, ukulimala okujwayelekile ukulimaza isihlakala).

Ukwahlukanisa

Endaweni yokuhlukumezeka kunemivimbo ehlukile:

zezimboni (lapho zishaywa ngamathuluzi anzima);
indlu;
ezemidlalo.

Ngokwasendaweni, imihuzuko iyahlukaniswa:

izihlakala;
iminwe yesandla;
izintende;
isihlakala ngokuhlanganyela.

Ngokuqina, imihuzuko yile:

amaphaphu (ukubomvu okuncane kwesikhumba endaweni yokulimala kunqunywa);
okuphakathi (ama-hemorrhages angaphansi kwesikhumba abonwa, izicubu ezithambile ziyavuvukala);
ezinzima (edema ezinzima futhi hematomas olunzulu).

Ubunzima bemivimbo buhambisana nobukhulu bezinhlungu. Ngemivimbo emibi, i-causalgia isici - ubuhlungu bokuqina okukhulu, okukhanyisa ingalo nehlombe. Ububanzi bokunyakaza ku-causalgia bungalinganiselwa.

Izimpawu

Izimpawu ezivamile zalolu hlobo lokulimala zifaka:

ubuhlungu obusesandleni, buvame ukukhipha ingalo noma iminwe (ngomonakalo omkhulu);
ukopha okungaphansi kwesikhumba (kuvela ngemuva kwamahora angu-2-3) kanye nama-hematomas;
ubuhlungu lapho wenza ukunyakaza (kungaba nzima ukugoqa iminwe yakho esibhakeleni);
ukuvuvukala;
umuzwa wokuba ndikindiki, ohambisana nokwehla kwezinhlobo ezahlukahlukene zokuzwela;
i-hyperemia (ububomvu) besikhumba.

Njengoba ukopha emafutheni angaphansi kwesikhumba, kuyisici esivelayo lapho kuvela khona "imivimbo eqhakazayo", lapho umbala we-cherry uphenduka ube luhlaza okwesibhakabhaka-luhlaza ngemuva kwezinsuku ezine kuya kwezinhlanu, bese uphuzi (ngenxa yemetabolism yegazi eliqukethe insimbi yegazi).

Ngokulimala kanzima, ama-hematomas akhiwe endaweni engaphezulu yesandla, kwezinye izimo, afinyelela osayizi abakhulu. Isikhumba esakhiweni sendawo sasendaweni singashintsha sibe luhlaza okwesibhakabhaka. Kwesinye isikhathi isikhumba siyakhipha, sakhe amabhamuza anokuqukethwe kokopha.

I-syndrome ebuhlungu kakhulu ingabangela ukwehla okukhulu kwengcindezi yegazi, ukuthuthukiswa kwe-syncope noma ukushaqeka okubuhlungu.

Eziphuthumayo nokuthi ulibhandisha kanjani ilunga

Uma kusolwa umhuzuko, isicelo esisheshayo (esiphezulu kungakapheli imizuzu eyi-15) sokufakwa kwecompress ebandayo endaweni elimele kuyakhonjiswa.

Iqhwa eligcwele isikhwama sepulasitiki futhi lisongwe ngendwangu kungcono.

Okulandelayo, indawo yokulimala igezwa ngamanzi abandayo, ngemuva kwalokho kufakwe ibhandishi, kuze kube ngumzuzu wokuxhumana nodokotela wezifo ezihlukumezayo ukuqinisekisa ukuxilongwa, isandla kufanele sigcinwe endaweni ephakeme.

Ukunciphisa i-edema, ukopha kwangaphakathi nokungasebenzi komzimba, kubhandishiwe. Izinketho zokugqoka ezingaba khona:

mitten;
esandleni nasesihlakaleni (ngaphandle kokubamba iminwe);
esandleni kanye nomunwe;
esandleni naseminwe njengegilavu.

Lapho ufaka ibhandishi, khumbula ukuthi okungenani amalunga amabili kufanele angasebenzi. Ukusetshenziswa kwesondo likaCramer noma izindlela ezithuthukisiwe kuvunyelwe. Kulokhu, izingxenye zamathayi akufanele zihlangane nesikhumba ukugwema ukucasuka. Ukuze benze lokhu, kufanele baqale basongwe ngebhandeshi.

Ngokulimala kanzima, isikhathi sokugqoka ibhandeshi lokulungisa kungaba izinsuku eziyi-14.

Ungasithuthukisa kanjani isandla

Ngosuku lwesithathu ngemuva kokulimala, ukuze ugweme ukuchitheka kwemisipha yesandla, kunconywa ukuthi uqale ukwenza izivivinyo ezilandelayo:

beka isandla sakho etafuleni bese ushaya iminwe yakho ebusweni bayo;

phinda izintende zezandla zakho, uzijikijele njenge-metronome;

beka intende yesandla etafuleni, ucindezele iminwe yakho ngaphezulu (ukuvivinya umzimba ukuzama ukuyiphakamisa);

khama ngobumnene i-expander noma ibhola ngeminwe yesandla esilimele;

thatha amabhola amabili entendeni yesandla sakho uwajikelezise esandleni sakho ngokwewashi nangakwesobunxele. Okufanelekile, akufanele zishayisane.

Akunasimo lapho kufanele wenze ukunyakaza okungazelelwe noma wenze izivivinyo zokunqoba izinhlungu.

Kunconywa ukuthi unikeze ukusikhipha noma ukuzilolonga kwesandla, okubandakanya ukusikhipha kancane isandla esilimele kusuka kumaphalanges weminwe kuya ezingxenyeni eziseduze zesandla.

Ukulimazeka kanzima kwengalo kuphathwa nangezikhathi zokushopa.

Yini engenziwa ekhaya ezimweni ezahlukahlukene

Uma ukukhishwa kungafakwanga, ukwelashwa kungenziwa ngaphandle kweziguli ngaphansi kweso lodokotela ofikayo.

Emahoreni angama-24 okuqala ngemuva kokuhlukumezeka (ngokushesha okungcono), amakhaza omile kufanele asetshenziswe endaweni eyonakele kungadluli imizuzu eyishumi njalo emahoreni amabili. Amafutha okubulala izinzwa angasetshenziswa ngokwezihloko. Ngemuva kwamahora angama-72-96, kungafakwa ukushisa ukusheshisa ukuxazululwa kwemihuzuko.

Ukufudumeza kungenziwa kusetshenziswa:

izikhwama zikasawoti oshubile (ukushisa okomile);
Izicelo zikapharafini;
okugeza okufudumele.

Ngobuhlungu obukhulu, ama-NSAID (i-Ketotifen, i-Diclofenac sodium, i-Ibuprofen) anqunywe ngomlomo, futhi ngezihloko - amafutha e-NSAID (i-Fastum gel), asetshenziswa izikhathi eziyi-1-3 ngosuku.

Ama-analgesics ama-narcotic (i-Promedol, i-Omnopon) asetshenziselwa ukudambisa ubuhlungu obubonakalisiwe ngomuthi kadokotela nangaphansi kokuqondisa kukadokotela.

Nge-edema ebizwa ngokuthi i-edema, i-vitamin C, i-Rutin, i-Ascorutin, i-Quercetin, i-Troxevasin, i-Actovegin, i-Eskuzan, i-Pentoxifylline isetshenziselwa ukuqinisa izindonga zama-capillaries nokuthuthukisa i-microcirculation.

Izindlela ze-Physiotherapy zingabekwa kusuka osukwini lwesithathu ngemuva kokulimala futhi zifaka:

Imisinga ye-UHF;
imvamisa ephansi isenzo senkundla kazibuthe;
UFO;
ukwelashwa kwe-laser.

Lapho kukhona izimpawu zokucindezelwa kwamagatsha ezilonda zomzimba noma izinzwa eziphakathi (amagatsha emizwa ye-radial awavamile ukucindezelwa uma kwenzeka ukulimala kwesandla), ukuvinjelwa okusetshenziswa kwe-anesthetics (i-Novocaine, i-Trimecaine) kungasetshenziselwa ukubulala izinzwa ezindaweni ezingavunyelwe. Ngenhloso efanayo, kusetshenziswa i-electro- noma i-phonophoresis ene-anesthetics kanye nemisinga kaBernard. Kwesinye isikhathi basebenzisa ukuhlinzwa.

Ukuze kuvuselelwe ukuvuselelwa phambi kwezicubu ezilimele, ama-anabolic agents anqunyiwe (izinto ezithuthukisa amaprotheni synthesis):

i-non-steroidal (methyluracil);
i-steroid (Methandrostenolone, Phenobolin).

Ngaphansi kwethonya lama-anabolic steroids, izicubu ezithambile ziphola ngokushesha okukhulu. Ngenhloso efanayo, okulandelayo kungasetshenziswa endaweni:

izikhuthazi ze-biogenic ezisuselwa ku-aloe, rosehip, fir nolwandle i-buckthorn oyela;
Amafutha aqukethe i-Actovegin ne-Solcoseryl;
ukucindezela kususelwa kusixazululo se-Dimexide, i-Novocaine ne-ethanol.

Ukuvuselela ukusheshisa okusheshayo kwama-hematomas ngaphansi kokuqondiswa kwe-hirudotherapist, ama-leeches angasetshenziswa.

Amakhambi abantu okwelapha

Izinsuku eziyi-3-4 ngemuva kokulimala, okulandelayo kuzosiza ukunciphisa izinhlungu:

Ukugeza okufudumele kasawoti wasolwandle (40 g kasawoti kufanele kuncibilike kulitha elilodwa lamanzi; yehlisa isandla sakho imizuzu engama-30).
Amafutha weCamphor noma i-tincture yotshwala ye-rosemary yasendle - ingasetshenziswa ngezihloko izikhathi 1-2 ngosuku.
Amafutha asuselwa kuju no-aloe - aloe pulp noju athathwa ngobuningi obulinganayo.
Isicelo sendawo samafutha wehansi.
Amafutha e-egg yolk - i-yolk eluhlaza kanye no-5 g kasawoti odliwayo kuxutshwe, ngemuva kwalokho ingxube isetshenziswa esikhumbeni ama-3-4 ngosuku.
Bandage nge Badyaga - amanzi ahlanzekile isipanji powder, buhlanjululwe emanzini isilinganiso esisodwa noma ezimbili. Ukwakheka kusetshenziselwa indawo yomonakalo. Ukugqoka kuguqulwa kabili ngosuku.
Ukucindezela kususelwa ku:
- Amafutha emifino, uviniga wokudla (9%) namanzi - izithako zithathwa ngamavolumu alinganayo (ezinsukwini zokuqala, kusetshenziswa icompress ebandayo, eqala ezinsukwini eziyi-3-4 - efudumele).
- I-tincture ye-Alcohol horseradish (isilinganiso nge-ethanol 1: 1) - isikhathi sokufaka isicelo esinconywayo cishe imizuzu engama-30.
- Iqabunga leklabishi elishwabene - inqubo yenziwa kusihlwa ngaphambi kokulala.
- Izingcezu Zamazambane Aluhlaza - Cindezela futhi ubusuku bonke.

Isikhathi sokutakula

Imvamisa, isikhathi sokuvuselelwa siyizinsuku eziyi-9 kuye kwezingu-15. Ngokuya ngobukhulu bokulimala, kungahluka kusuka kumaviki awu-1 kuye kwayisithupha.

Izinkinga ezingenzeka

Imiphumela yokulimala kwezicubu ezithambile zesandla kunqunywa inani lomonakalo, izifo ezihambisanayo, kanye nokwanela kokunakekelwa kwezokwelapha okuhlinzekiwe.

Ngesikhathi sokulimala, ukulimala kwamagatsha omphakathi (ukushintsha kokuzwela kusuka ebusweni besandla seminwe engu-1-3 nengxenye yomunwe wendandatho) noma izinzwa ze-ulnar (ngokulandelana, ohlangothini lomunwe omncane nohhafu womunwe wendandatho) kungenzeka. Ngokuhlangana okulimazayo kwesandla, ukopha kwangaphakathi kungenzeka, kuhambisana ne-hemarthrosis. Ukuminyaniswa kweziqu zemizwa emiseleni yokwakheka kungaholela ekubonakalisweni komhubhe wesifo kanye ne-carpal tunnel syndrome (i-neuritis ye-nerve median).

Ngokuchobozwa kwezicubu ezithambile (ukubhujiswa okukhulu kwezicubu ngokulahleka kokusebenza kwazo), i-aseptic necrosis yabo kungenzeka, ihambisana nokuthuthuka kokuvuvukala. Ukuchoboza kuhlale kuyingozi lapho kungenzeka kube nokutheleleka kwesibili.

Izinkinga ezijwayelekile zokulimazeka ngokungasebenzi isikhathi eside ukumoshakala kwemisipha yesandla, i-osteoporosis, i-arthrosis, nezinkontileka (ushintsho lwe-fibrotic kumathenda, amalunga nezicubu ezithambile). Izinkontileka zihambisana nokusonteka kwesandla neminwe, okungafaki ukusebenza kwemisebenzi yomzimba ngesandla. Izinhlobo ezivamile zezinkontileka yilezi: