Ehlombe dislocation: emva kokwelashwa kwamanzi emhosheni. Izidakamizwa, ukubhucunga nokunyakazisa umzimba, umsebenzi

Umonakalo ukulimala ngokuhlanganyela - inkinga ebhekene abasubathi hhayi kuphela, kodwa futhi abantu abaningi abangenayo mdlalo nganoma iyiphi indlela. Phela, ngokwanele ukuba bakhutshwe noma ukwenza ukunyakaza engeyinhle, nezicubu zezinzwa of the system zemisipha zingase zithinteke. Omunye ukulimala ezinjalo ezivamile futhi eziyinkimbinkimbi kuyinto ehlombe dislocated. Ukwelashwa ngemva ukunciphisa isikhathi eside impela isikhathi eside futhi unezigaba eziningana.

Ezokwelapha okwesikhathi dislocation ehlombe

Lokhu ukulimala kuba buhlungu kakhulu, ngakho usizo lwezokwelapha kuya abathintekayo babe ngaphansi izinzwa wendawo futhi ezimweni ezimbi kakhulu, futhi ngaphansi izinzwa jikelele. Abafanelekayo ohlinza amathambo ukunciphisa ilunga abese enezela ngebhandeshi immobilizing isikhathi ukuthi akuxhomekile nje kuphela esimweni yinkimbinkimbi ukulimala, kodwa futhi eminyakeni lesiguli. Ngakho, seziguli ezisencane immobilizing umkhiqizo Kunconywa ukugqoka isikhathi eside kunaleso asebekhulile. Lokhu kuchazwe iqiniso lokuthi ezigulini ezineminyaka immobilization ngokuhlanganyela eside kungaholela yoma kwemisipha izicubu, ngakho-ke, ukulahlekelwa esinqunyiwe noma ephelele umsebenzi ehlombe.

Ihlukile kancane uma isiguli sekutholakele ukuthi sine- lapho eqondisa ithambo eliphukile kanye ehlombe dislocated, emva kokwelashwa kwamanzi emhosheni. Gypsum ezimweni ezinjalo ungoyedwa ukukhiya ehlombe lilimele. Nokho, ngemva kwezicubu amathambo kukhule ndawonye futhi kuzosusa ngebhandeshi usimende, abalimele nokuvuselelwa ngokuhlanganyela kumele baqhubeka.

Isigaba sokuqala ukwelashwa dislocation

Kulokhu okungenhla kuyacaca ukuthi ebalulekile esigabeni sokuqala ekwelapheni lolu hlobo kokulimala ukuphumula futhi immobilization ehlombe abalimala. Lokhu kuzobuyisela izicubu uqwanga we ngokuhlanganyela. Nokho, ukuhambisana imodi ukuphumula kulesigaba ukuba babanikeze ukwelashwa akulula kangako njengoba kubonakala efika kuqala. Ngemva ezinye isikhathi esengeziwe isiguli sibe sebuhlungwini obunzima. Ngakho-ke, lo dokotela sinquma imithi, uma umuntu waba ehlombe dislocated, emva kokwelashwa kwamanzi emhosheni. ngaleyo ndlela Izidakamizwa akhethiwe kuye yinkimbinkimbi ukulimala kanye nezici lesiguli ngabanye, ezifana nobudala, khona komzimba kanye nabanye. Ngaphezu kwalokho, ukususa ukuvuvukala futhi inciphisa ubuhlungu ehlombe olimele kumele kube izikhathi eziningana ngosuku, isicelo ice.

Isikhathi immobilization imayelana 4-5 amasonto. Phakathi nale nkathi, isiguli kufanele enze dexterity kanye esihlakaleni. umzimba okunjalo ziyogcina evamile igazi ligeleze engalweni futhi kuvimbele imisipha yoma.

Yini imithi angabelwa nge dislocation ehlombe?

Uma sicabanga ukuthi dislocation ehlombe kuhambisana sebuhlungwini obunzima, iqembu lokuqala izidakamizwa latawudzingeka kwakudingeka ekwelapheni ukulimala, yebo, ubuhlungu. Ngokuvamile, lapho udokotela enhlekeleleni sinquma imithi eyanele ezifana "Ketanov", "Ibufen" "Diclofenac" nabanye. Ezimweni eziningi, le mithi zinconywa ukuthatha ngefomu ithebhulethi, kodwa ezimweni ezinzima onguchwepheshe angabeka isidambisa-zinhlungu futhi umjovo.

Ngisho noma ukusebenzisa izidakamizwa eqeda ukuvuvukala, iziguli eziningi esekhala njalo ubuhlungu ezidabukile ezinsukwini zokuqala zokwelashwa, elibangela kabi siyimbangela ukuqwasha. Ngakho-ke, odokotela e ukuhlukumezeka ebekiwe izidakamizwa ezifana "lorazepam" noma "Midazolam". Laba basizi azigcini nje ngokuba umphumela okulalisayo, kodwa futhi ube yinto enhle kakhulu imisipha relaxant umphumela.

Physiotherapy at dislocation ehlombe

Ukuze kusebenze izinqubo kwamakhemikhali, futhi ngenxa yalokho, ukusheshisa le nqubo yokuthola ukuhlukumezeka iziguli uqoke emalungeni ahlukahlukene sokuvivinya umzimba ukwelashwa. Le ndlela ngelashwa Kumiswa kahle uqobo eminyakeni practice. Ngaphezu kwalokho, kuphephile, ngoba akusho ukusetshenziswa imithi, ngakho-ke ingasetshenziswa aphathe izinsana ngisho nezingane.

Ngakho, uma isiguli ehlombe dislocation, emva kokwelashwa ukunciphisa (ngebhandeshi akusona isithiyo) kungafaka amasu Physiotherapy efana electrostimulation, phonophoresis, UHF, kazibuthe, ultrasound futhi ukwelashwa laser. Isikhathi yokwelapha uzaqiniswa esikhethwe udokotela.

Eyesibili esiteji ekwelapheni dislocation ehlombe

Ngemva udokotela kuzosusa immobilizing ngebhandeshi noma kakhonkolo iza nokuvuselelwa Isigaba sesibili, ozobakhona amasonto 2-3. Ngalesi sikhathi kubalulekile ukuba uqale umsebenzi ukukhanya, okuyokwenza ukubuyisela umsebenzi ehlombe. Kungaba ngcono uma umsebenzi zomzimba zogulayo kosuku ngeke kushintshwe pro. Ngakho-ke, uma udokotela izophakamisa kudlule inkambo umsebenzi yokwelapha ngendlela isikhungo sokwelapha, kufanele ithawula. Uma kungekho kungenzeka ukwenza umzimba ngaphansi kokuqondisa professional, kufanele uxhumane onguchwepheshe ukuze sinqume ukuthi ukunyakaza ukuze kwenziwe kulesigaba ukuvuselelwa kanye indlela yokukwenza kwesokudla, hhayi ukuze uthole kabusha dislocation ehlombe.

Ukwelashwa ngemva ukunciphisa umsebenzi uphakamisa smooth kakhulu futhi mfushane, ukuze singathwesi overload joint lilimele. Ngaphezu kwalokho, eminye amasonto amabili ngemuva isigaba immobilization Kunconywa ukugqoka ethambile asekelayo ingalo ibhandishi.

LFK yesibili ukwelashwa esiteji dislocation

Ngemva ehlombe ingalo kwenkathi ende asibahambeli, kungokwemvelo ukuthi isiguli uzizwa kabi. Abaningi bakhononda ukuthi kakhulu atrophied imisipha ngisho ukunyakaza elula ngeke kutholakale ngokushesha. Kodwa akufanele phekula, kudingeka ube nesineke futhi uthole ukusebenza.

Ngakho, labo bantu ibe ehlombe dislocated, ukwelapha emva ukuncipha esigabeni sesibili kufanele kuqale umzimba ezilula. Uma le amplitude ukunyakaza kufanele kube encane. Ngokuphathelene nesikhundla kokuqala ngesikhathi umsebenzi, kufanele basekelwe ehlombe. Kufanele kuphawulwe ukuthi ngesikhathi yokuzijwayeza ukugwema iminyakazo kuhlanganiswe hhayi kabusha ona joint lilimele.

Ngemva ukwenza ukuzivocavoca kungenzeka ukuvuvukala kancane, okuyinto kumelwe zisuswe kusetshenziswa i cindezela ice.

Isigaba sesithathu yokwelashwa

Le nkathi kubaluleke kakhulu ukuze isiguli, ezinyangeni ezimbalwa ezedlule kwaba ehlombe dislocated. Ngemva ukwelashwa ukunciphisa kulesigaba kufanele kuhloswe ngazo ukuqinisa imisipha ye ibhodi lemisindo kanye ehlombe. Kodwa musa ukusheshe ukubuyisela uhla egcwele ezinyakazayo, njengoba ilunga ayizange walulama ngokugcwele okwamanje. Kusukela ingalo isihlilingi Ungasavele give up, kodwa ukulungisa ehlombe ezilimele kufanele usebenzise i ngebhandeshi nokunwebeka. Lokhu kuzokwenza ukuvikela egobolondweni lelunga kusukela ngilulekela.

Phakathi nale nkathi, umzimba esebenzayo Kunconywa ukubuyisela ukusebenza kwemisipha sokuhoxisa kanye flexor ehlombe rotators. Ungaphinda ufake ngokunyakaza ejimini eziyinkimbinkimbi nge ukumelana naso futhi kwenze izinsimbi. Kodwa kubalulekile ukuba overdo it futhi futhi ngeke uthole aphoyintimenti udokotela ohlinzayo olungisa amathambo kwathiwa unesifo 'silinganisene ihlombe dislocation ".

Ngemva ukwelashwa ukunciphisa kuhilela wamafutha esetshenziswa kulesi sigaba kuphela sifudumale futhi kokukhipha edema kwemisipha. Okunye izidakamizwa ngalesi sikhathi, okuyinto Uthatha 2 kuya ku-3 izinyanga, isiguli liyadingeka.

Isigaba sesine yokwelashwa

Inhloso yalesi sikhathi kuyinto ukubuya kancane kancane ukuba imithwalo ukuthi yenziwa phambi kwakukhona dislocation ehlombe. Ukwelashwa ngemva ukunciphisa (3 izigaba zokuqala) kufanele kakade ukunikeza imiphumela yabo, futhi kufanele ukubuyisela uhla eligcwele umsebenzi ezinyakazayo kuphela. Kuze kube yimanje, ngesikhathi umzimba ezidingekayo kancane kancane ukwandisa isisindo zisindo dumbbells, kodwa ungakhohlwa mayelana nokusetshenziswa isilawuli technology.

Isikhathi salesi isigaba yokwelashwa 5 izinyanga ezingu-12.