Joint hip: esiphukile nemiphumela yaso. hip esikhundleni, ukuvuselelwa emva kokuhlinzwa

Akubona bonke cabanga ngalokho ngokuhlanganyela hip. Izinto zashintsha lokhu ingxenye skeleton kudala izinkinga eziningi. Phela, abantu ngesikhathi esithile baba ezibuthaka. Ezimweni eziningi, izicubu ubuqotho ukuhlukumeza kwenzeka entanyeni femoral, esemgwaqweni ngezansi kwekhanda etholakala ngaphakathi komgodi we ngokuhlanganyela hip kanye mezhvertilnom ingxenye - engxenyeni engenhla elingaphandle kunawo wonke. Uma lokhu ukwa igcwale noma ngokwengxenye.

ngezigaba

ukwa Hip libhekwa njengoba kulandela:

1. Ukwephula ubuqotho entanyeni femoral.
2. Ukwa senyonga engenhla.

Kulokhu, ukuhlukumeza ubuqotho izicubu entanyeni femoral zihlukaniswe ngezigaba. Konke kuncike imigqa ukwa:

1. Okukhulu imigqa ephezulu nephansi - wathola ukulimala ekhanda.
2. Subkopitalny. Kulokhu, emgqeni ukwa sihamba ngqo ngaphansi kwekhanda wethambo hip.
3. Transcervical noma chrezsheechny - ukulimala entanyeni femoral.
4. Bazistservikalny ukwa - ulayini ukulimala idlule base entanyeni endaweni yokuxhumana kwawo nomzimba ithambo.

Ukwahlukanisa waphuka lecondzile nemisho lemagalagala

Kukhona futhi waphuka ngaphezulu elula. Lezi zihlanganisa:

1. ezingemuva odongeni ukwa.
2. Ukwa kwekholomu labaqaphi elingemuva.
3. Ukuphula ubuqotho phambi udonga.
4. Ukwa kwekholomu anterior.
5. Ukwa esiphambanweni.

Ukuze uthole olunye ulwazi ukulimala eziyinkimbinkimbi zihlanganisa:

1. T emise ukwa.
2. Ukwephula ikholomu ezingemuva futhi ubuqotho kususwa udonga lwangemuva.
3. Ukwaphuka we kususwa udonga lwangemuva futhi transverse.
4. Ukwephula ubuqotho kokubili amakholomu.

izimpawu ukwa

Indlela ukunquma ukuthi ilunga hip lilimele? Imigqa ephezulu nephansi kule ndawo, ngokuvamile uhambisana izimpawu sici. Phakathi kwabo ivelele:

1. Ubuhlungu endaweni imbilapho. Zingaba omnene uphumule. Nokho, kukhona ubuhlungu obuhlabayo uma uzama ukuya umlenze wakhe elimele.
2. Hematoma. Lesi sici ekuseni, njengoba kungase kwenzeke nje kwezinsuku ezimbalwa emva ukulimala.
3. Esitobhini ithuba amanga phezu emaphethelweni elingaphandle ku endaweni evundlile.
4. Ukuswelakala kokusebenza ngokuhlanganyela i Ukujikeleza asebenzayo sangaphakathi emkhawulweni aphansi. Lapho hip waphuka umuntu akakwazi uphendukisa umlenze abalimala luwuphendule unyawo. Kungenxa yalesi sizathu ukuthi unyawo njalo kule sikhundla phandle.
5. esitho Lower iba mfushane ngo-3-4 amasentimitha.
6. Uphawu Girgolova. Uma kwenzeka kuba kukhulu pulse umfula femoral. Kulesi isisulu zinsale futhi unbend esitho isithende kodwa zisazoqhubeka umbukiso ku endaweni evundlile. Ngaphezu kwalokho, isiguli akakwazi sithathe futhi abambe unyawo kule sikhundla ephakanyiswe.

Kungani kukhona ukwa

Akuwona wonke insured wokulwa ukulimala futhi wakwazi ukugcina ubuqotho ngokuhlanganyela hip. I yenguquko intsha - ukuphazamiseka ukuthi kwenzeka ngenxa yezizathu ezithile. Lokhu kufanele kubandakanye:

1. Ukuba khona ezihlukahlukene nezifo.
2. Trauma (abalimale ezingozini zomgwaqo, ukuwa).

Njengoba for the asebekhulile, ngaphezu izizathu ngenhla ngoba hip ukwa nge ukufuduka futhi ngaphandle lesi simo singenzeka ku isizinda ekunciphiseni amandla ijwabu ithambo. Lokhu, ingenye ngemiphumela izifo ezifana kwamathambo. Lesi sifo ngokuvamile eba lapho kuqala nambili kuya kwabadala. Lokhu kwakubangelwa ukukhumuzeka kwamathambo ngokuvamile kwenzeka amadoda esegugile, kodwa kancane.

Kuyaphawuleka ukuthi ukwa hip ngokuvamile kwenzeka ngenxa ekwindla. Izinto eziyingozi ezingabangela i ezithinta isithunzi sayo kuzomele sifake umbono kahle, isifo zezinzwa noma oncological, kwehle umzimba ekudleni. Ngemva kokufinyelela eminyakeni ewu 50 ubungozi bokulimala luyanda kakhulu. Minyaka yonke, umhlaba uye okurekhodiwe okumayelana abayizigidi ezingu-1,6 waphuka of kwezicubu hip ngokuhlanganyela.

imiphumela

ngokugcwele esimweni uma ilunga hip? Izinto zashintsha lokhu ingxenye skeleton kuyinto kungadaleka ingozi embi kakhulu ukuthi isikhathi esithile immobilizes umuntu. Yisisulu nge kahle izicubu ubuqotho kudinga esibhedlela ngokushesha. Ezigulini ezine-ukuhlukumezeka iyunithi waphuka enjalo basongela ingcindezi izilonda. Ngokuvamile, basuke kwakheka kwi ezinqeni sacrum. Lena ngokuyinhloko ngenxa ukwephula nezicubu trophic.

Thrombosis futhi amile izinqubo

Ukuze impilo nokuphila olukhulu lesiguli kuyinto thrombosis wemikhawulo aphansi, kanye ukuminyana emithambo yegazi. Isikhathi eside embhedeni ukuphumula ngokuvamile kuholela ezinkingeni kwegazi. ezigulini esezikhulile zingase zenzeke embolism yamaphaphu. Lokhu ukuhlukumeza luvame ukubulala. Ngaphezu kwalokho, kungase kube nokuvaleka kwemigudu yokuphefumula kanye nenyumoniya congestive.

Kufanele kuqashelwe ukuthi isikhathi eside embhedeni ukuphumula ngokuvamile kuholela ukwephulwa wokugaya ukudla pheshana imisebenzi. Lokhu kubonakala wehlise motility emathunjini bese kuholela ukuthuthukiswa ukuqunjelwa.

Ukungawuvivinyi umzimba ngokuvamile kuholela iziguli ukucindezeleka. Ezimweni kanje ukusekela kubaluleke kakhulu nabathandekayo babo. Ngaphezu okungenhla, iziguli nokuhlukumezeka we acetabulum singenzeka necrosis avascular ikhanda uqobo bese ithambo ingaphakathi. Kwezinye izimo, ukuthuthukisa coxarthrosis.

usizo lokuqala

Njengoba kuvela e-hip ukwa usizo lokuqala? Lapho ukulimala ezinjalo kudingeka isinyathelo ngokucophelela. Qhubekisa kanje:

1. Isisulu lokuqala ephula hip ithambo ubuqotho kudingekile ekuthobeni nasekwelapheni walala emhlane wakhe.
2. Ukuze ususe ubuhlungu, wasungula analgesic-non-kwezidakamizwa. Kulokhu, a "Analgin". Uma ubuhlungu evelele, it ovunyelwe ukusetshenziswa kwezidakamizwa kwezidakamizwa. Kungaba iyiphi i-ejenti analgesic "Ketorol".
3. Ezokuthutha we isisulu ngalesi ukulimala kumele kwenziwe ohlakeni.
4. Ngisho ngaphansi kwaziphi izimo umuntu kufanele azame ukuthola i-ezilimele esitho engezansi ku indawo yokuqala.
5. Emlenzeni elimele iyadingeka ukuphoqelela ibhasi ekhethekile, okuyinto ikuvumela ukuba le mishini yenze joint hip.

Phakathi ukuthuthwa isisulu kuyadingeka ukuqapha isimo sakhe, sinake umbala nolwelwesi lwamafinyila kanye isikhumba.

Okufanele ukwenze nge umonakalo ezengeziwe

ukwelashwa Hip ukwa okufanele kwenziwe esibhedlela - kokulimala kakhulu lokho kungase kuhilele kuwukwephula ezithambile izicubu ubuqotho. Okufanele ukwenze nge ukulimala ezinjalo?

1. Uma imithambo yegazi ezilimele, le tourniquet okufanele abe ngaphezu indawo lapho ukopha Kwaphawulwa. Ngemva kwamahora amabili, kumele kususwe. Njengoba ukuhlukumezeka isisulu iqondiswa intramuscularly 12.5% "Etamsylate" 1% "Vikasol". I donsa awukwazi ukuvala ibhandishi gauze
2. Uma isikhumba lilimele, kumele ziphathwe iodine bese abeke ngebhandeshi aseptic.
3. Uma isisulu umsuka ubuhlungu noma ukucindezeleka kwangemva kwenhlekelele, kubalulekile ukuba ubambe esiphuthumayo resuscitative izinyathelo, okuyinto balwela ukugcina imisebenzi eyisisekelo amasistimu esibalulekile.

Kangakanani ophukayo ezifana

Kwezinye izimo, engena esikhundleni hip. Njengoba kuye kwaphawulwa ukuhlukumezeka liphinyiselwe ubuhlungu, ngokuvamile zokususa udokotela ukungakhululeki ifaka ku endaweni ezilimele a izinzwa wendawo. Ngaphezu kwalokho, isiguli ezinqunyiwe amaphilisi ezinhlungu kwelashwa futhi okungezona steroidal izidakamizwa eqeda ukuvuvukala. yokwelapha qhinga kulesi simo incike ubuqotho izicubu ifakwe ebucayini, kungakhathaliseki imikhumbi emikhulu, imisipha kanye nemisipha zilimele.

Athintekayo nge ukwa amathambo hip wenze Ukuqhathanisa izingxenye bese esikhulu traction lwamathambo. Kulesi sikhundla, isiguli ukuba ulale phakathi kuka 1 no 2 izinyanga. Njengoba sifeza lesi lemali ukwelashwa wezimpahla kancane kancane. Ngemva kwalokho, abathintekayo isicelo usimende ibhandishi. It ikuvumela ukuba baphumelele kulolu ngosizo ngezinduku. Motor imodi isiguli kancane kancane. Nokho, nhlobo ukugxila emlenzeni elimele. Ngo inqubo nokuvuselelwa iziguli ukulimala enjalo linqume massage and athole ukwelashwa komzimba. Ngaphandle-ke kukhombisa elashwe ngokomzimba e-hip ukwa.

Kuyaphawuleka ukuthi umsebenzi Imininingwane ngokomzimba esitho abalimala kuboniswa izinyanga kuphela emva 3. Uma isiguli abadala akanayo izifo lapho akuvumelekile isingeniso ukubulawa kwezinzwa okuvamile, udokotela angase ukuhlinza. Empeleni, kwezinye izimo zidinga hip esikhundleni. Ngaphezu kwalokho, ukusebenza kunganciphisa isikhathi embhedeni ukuphumula, okuyinto ebaluleke kakhulu.

Ezimweni ezithile, esimisiwe hip esikhundleni. Ukuvuselelwa ngemuva kokuhlinzwa senzeka isheshe. Kuyaphawuleka ukuthi esikhundleni wethambo kule ndawo zobuchwepheshe nokusebenza eziyinkimbinkimbi.

Inqubo ukuvuselelwa ngemva sokwenziwa

Kulula yini ibekezelelwe hip esikhundleni? Ukuvuselelwa ngemva ukuhlinzwa kungaba kwenziwe ehhovisi ukubhucunga nokunyakazisa umzimba Physiotherapy. Kusukela ezinsukwini zokuqala emva kokuhlinzwa wenziwa ngaphansi kolawulo okuqinile sokuvivinya umzimba umfundisi noma udokotela. Ngemva kwezinsuku ezimbalwa isiguli uvunyelwe ukuhamba ngezindondolo. Ngaphezu kwalokho, ukwelashwa wenziwa emva kokuhlinzwa. Iziguli ngemva hip esikhundleni, kuvame anqunyiwe sosudoregulyatory e / ukumnika, heparins ka ongaphakeme isisindo yamangqamuzana ngenxa prophylaxis of thrombosis, analgesics nemithi elwa namagciwane. Ngemva kokuhlinzwa, isiguli kumele bahlale esibhedlela izinsuku okungenani 5.

Ukuvuselelwa ngemva ukwa

Vula noma avaliwe ukwaphuka we ngokuhlanganyela hip - ukulimala, ngemva kwalokho kudinga isikhathi eside ukuvuselelwa. Kulokhu, nokwelapha ekhethekile. Yena enikezwa Sheshe embhedeni ukuphumula. isiqondiso Its main - kuyinto zokuvimbela futhi ukuqedwa izinqubo amile, kanye yezinkinga nasezinkingeni ezilandela ngemva kokuhlinzwa.

Ngenhla embhedeni isiguli ezizibeni ekhethekile. Ngosizo lwabo, yena Ungashintsha ngokunembile isikhundla umzimba. Lokhu ugwema kumiswa ingcindezi izilonda. Ngaphezu kwalokho, rehabilitator kumele kwenziwe njalo isiguli ukuphefumula umzimba, kanye umzimba ezahlukene evumela izicubu ukugcwalisa umoya-mpilo futhi kuvimbele ukuthuthukiswa pneumonia congestive.

Ingabe kukhona ukudla

Ngokuphathelene nokudla, iziguli ezinemishini ukulimala efanayo kufanele unamathele ukudla esithile, okuhlanganisa ukudla nge wokuqukethwe eliphezulu amavithamini calcium. Imifino nezithelo angathuthukisa ipheshana wokugaya ukudla, kanye ukugwema okuvela ukuqunjelwa eziphikelelayo. Ngaphezu kwalokho, iziguli ezinemishini ukulimala ezinjalo akufanele ukhohlwe ukwelashwa spa.