Ukulungiswa Kwamathambo Ngezikrufu - Iindleko, Iimpawu, Ukulungiselela, Iingozi, Nokuchacha

Ukuqinisa amathambo ngezikrufu yindlela yotyando eyenzelwe ukuzinzisa nokukhusela amathambo aqhekekileyo okanye aphukileyo. Le ndlela ibandakanya ukusetyenziswa kwezikrufu zesinyithi, ezifakwa ethanjeni ukuze zibambe iziqwenga endaweni yazo, nto leyo evumela ukuphiliswa ngokufanelekileyo. Injongo ephambili yale nkqubo kukubuyisela ulungelelwano oluqhelekileyo lwethambo, ukukhuthaza ukuphiliswa, kunye nokwenza ukuba isigulana siphinde sisebenze kwindawo echaphazelekayo.

Le nkqubo isetyenziswa rhoqo kwiimeko ezahlukeneyo zamathambo, kubandakanya ukwaphuka okubangelwa kukwenzakala, ukwenzakala kwezemidlalo, okanye izifo eziwohlokayo. Ingasetyenziswa kumathambo ahlukeneyo emzimbeni, kuquka amathambo amade afana ne-femur kunye ne-tibia, kunye namathambo amancinci esihlahleni nasemaqakaleni. Ngokusebenzisa izikrufu zokuqinisa, oogqirha botyando banokufikelela kwindawo ezinzileyo ukuze ithambo liphole, benciphisa umngcipheko weengxaki ezifana ne-malonion okanye i-nonunion, apho ithambo lingapholi kakuhle.

Ukulungiswa kwamathambo ngezikrufu kudla ngokwenziwa kunye nezinye iindlela, ezinje ngokusetyenziswa kweepleyiti okanye iintonga, kuxhomekeke kubunzima bokwaphuka kunye neemfuno ezithile zesigulana. Le nkqubo idla ngokwenziwa phantsi kwe-anesthesia jikelele okanye yengingqi, kwaye ubude bayo bunokwahluka ngokusekwe kubunzima betyala.
 

Kutheni iBone Fixation isenziwa ngeeSkrubhu?

Ukulungiswa kwamathambo ngezikrufu kuyacetyiswa kwizigulana eziye zaphuka ezingakwaziyo ukuphiliswa kakuhle ngaphandle kotyando. Iimpawu ezinokubangela le nkqubo ziquka iintlungu eziqatha, ukudumba, kunye nokukhubazeka kwindawo echaphazelekayo. Izigulana zinokufumana ubunzima bokuhambisa ilungu okanye ilungu, nto leyo enokuchaphazela kakhulu imisebenzi yazo yemihla ngemihla kunye nomgangatho wobomi.

Le nkqubo idla ngokuboniswa xa unyango oluqhelekileyo, olufana nokuthintela ukuhamba ngesamente okanye i-splint, lunganelanga ukuqinisekisa ukuphiliswa okufanelekileyo. Umzekelo, ukwaphuka okususiweyo, oko kuthetha ukuba iziqwenga zamathambo azilungelelananga kakuhle, kudla ngokufuna ukulungiswa ngotyando ukuze kubuyiselwe ukwakheka komzimba okuqhelekileyo. Ukongeza, ukwaphuka okubandakanya umphezulu wamalungu okanye okunxulunyaniswa nokwenzakala okukhulu kwezicubu ezithambileyo kunokufuna ukusetyenziswa kwezikrufu ukuze kuzinziswe.

Kwezinye iimeko, ukufakelwa kwamathambo ngezikrufu kunokwenziwa ukulungisa iimeko ezifana ne-osteoarthritis okanye iithumba zamathambo, apho kufuneka inkxaso yesakhiwo ukugcina ukusebenza kunye nokunciphisa iintlungu. Isigqibo sokuqhubeka nolu tyando lwenziwa emva kovavanyo olupheleleyo ngugqirha wamathambo, oya kuqwalasela impilo yesigulana iyonke, uhlobo kunye nendawo apho kwaphuka khona, kunye neengozi kunye neenzuzo ezinokubakho zenkqubo.
 

Iimpawu zokulungisa amathambo ngee-screws

Iimeko ezininzi zeklinikhi zinokubonisa imfuneko yokuqinisa amathambo ngezikrufu. Ezi ziquka:

• Ukwaphuka Kwamalungu Angaphandle: Xa iziqwenga zamathambo zingalungelelananga kakuhle, utyando ludla ngokuba yimfuneko ukuze kulungiswe kwaye kuzinziswe ukwaphuka.
• Iifracture eziqhubekayo: Kwimeko apho ithambo liqhekeke libe ziingceba ezininzi, izikrufu zinokunceda ekubambeni iziqwenga kunye, nto leyo enceda ukuphiliswa.
• Ukuqhekeka kwamalungu omzimba ngaphakathi kwethambo: Ukwaphuka okwandisa amalungu kufuna ukulungelelaniswa okuchanekileyo ukuze kuthintelwe iingxaki ezihlala ixesha elide, ezifana nesifo samathambo. Ukuqina kwamathambo ngezikrufu kunokubonelela ngozinzo olufunekayo.
• Ukuqhekeka Okunxulumene Nokwenzakala Kwezicwili Ezithambileyo: Ukuba ukwaphuka kukhatshwa ngumonakalo omkhulu kwimisipha ejikelezileyo, imisipha, okanye iiligaments, kunokufuneka utyando lokulungisa ukuqinisekisa ukuphiliswa ngokufanelekileyo kwezicubu zethambo kunye nezithambileyo.
• Ilibazisekile iManyano okanye iNonunion: Kwimeko apho ukwaphuka kungapholi njengoko bekulindelwe, kungasetyenziswa ukuqinisa amathambo ngezikrufu ukukhuthaza ukuphiliswa nokubuyisela ukusebenza kakuhle.
• Osteoporosis: Izigulana ezinamathambo abuthathaka ngenxa ye-osteoporosis zinokufuna utyando lokwaphuka okunokwenzeka ukuba kwenzeke okanye kungapholi kakuhle.
• Ukususwa kwethumba: Kwezinye iimeko, ukufakelwa kwamathambo ngezikrufu kusetyenziswa emva kokususwa kwethumba lethambo ukunika inkxaso nozinzo kwisakhiwo.

Isigqibo sokuqhubeka nokulungisa amathambo ngezikrufu sisekelwe kuvavanyo olupheleleyo lwemeko yesigulana, kuquka izifundo zomfanekiso ezifana nee-X-ray okanye ii-CT scans, kunye nengxoxo ngeengozi kunye neenzuzo ezinokubakho zenkqubo.
 

Iintlobo zoLungiso lweThambo ngeeSkrufu

Nangona kukho iindlela ezahlukeneyo zokubopha amathambo ngezikrufu, ngokubanzi ziwela kwiindidi ezimbalwa ezaziwayo ngokusekelwe kwindlela kunye neemfuno ezithile zokwaphuka. Ezi ziquka:

• Ukulungiswa kweCortical Screw: Le ndlela ibandakanya ukusetyenziswa kwezikrufu ezibamba umaleko ongaphandle wethambo (i-cortex). Izikrufu ze-cortical zihlala zisetyenziswa xa kuqhekeka izihlunu ezizinzileyo apho kufuneka kuqiniswe khona ngamandla.
• Ukulungiswa Kwesikrufu Esirhoxiswayo: Izikrufu ezirhoxisiweyo zenzelwe ukusetyenziswa kwinxalenye ethambileyo, engaphakathi kwethambo (ithambo elirhoxisiweyo). Zihlala zisetyenziswa kwiindawo apho ithambo lingaxinananga kangako, njengakwi-pelvis okanye i-proximal femur.
• Ukulungiswa Kwesikrufu Sokutshixa: Izikrufu zokutshixa zisetyenziswa kunye neepleyiti ezinemingxuma enemisonto. Le ndlela inika uzinzo olongezelelekileyo ngokutshixa isikrufu kwipleyiti, nto leyo eyenza ukuba sibe luncedo ngakumbi kwiingxaki zokuqhekeka okanye kwizigulana ezinethambo eliphantsi.
• Ukulungiswa kwePlate yoXinzelelo oluDynamic (DCP): Le ndlela ibandakanya ukusetyenziswa kwepleyiti evumela ukucinezelwa kwendawo eqhekekileyo njengoko izikrufu ziqinisiwe. Le ndlela iluncedo ekukhuthazeni ukuphiliswa ngokunciphisa intshukumo kwindawo eqhekekileyo.
• Ukulungiswa kwezipikili ngaphakathi kwe-medullary: Kwezinye iimeko, uzipho olufakwa ngaphakathi kwe-medullary lungasetyenziswa kunye nezikrufu ukuzinzisa ukwaphuka kwamathambo amade. Uzipho lufakwa kumjelo ongaphakathi wethambo kwaye luqiniswe ngezikrufu kuzo zombini iziphelo.

Ngayinye kwezi ndlela ineempawu zayo, iingenelo kunye neengxaki ezinokubakho. Ukukhetha indlela kuxhomekeke kwizinto ezifana nohlobo lokwaphuka, indawo, ubudala besigulana, kunye nempilo iyonke. Ugqirha wamathambo uya kumisela eyona ndlela ifanelekileyo ngokusekelwe kuvavanyo olupheleleyo lwetyala ngalinye.
 

Izithintelo zokulungisa amathambo ngee-screws

Ukuqinisa amathambo ngezikrufu yindlela yotyando esetyenziswa kakhulu, kodwa ayifanelekanga kuye wonke umntu. Iimeko okanye izinto ezithile zinokwenza isigulana singafaneleki kule nkqubo. Ukuqonda ezi zithintelo kubalulekile kwizigulana nakubaboneleli bezempilo ukuqinisekisa ukhuseleko nokusebenza kakuhle.

• Usulelo olusebenzayo: Ukuba kukho usulelo olusebenzayo kwindawo apho kuza kufakwa khona izikrufu, oko kunokukhokelela kwiingxaki. Usulelo lunokuthintela ukuphiliswa kwaye lonyuse umngcipheko weengxaki ezingaphezulu.
• Umgangatho Wamathambo Ombi: Izigulane ezineemeko ezenza amathambo abe buthathaka, ezifana ne-osteoporosis, zisenokungabi ngabona bafanelekileyo. Umgangatho ophantsi wamathambo unokuchaphazela ukuzinza kwezikrufu kunye nempumelelo iyonke yokulungiswa.
• Izifo eziMandundu zeVascular: Iimeko eziphazamisa ukuhamba kwegazi, ezifana nesifo semithambo yegazi engaphandle, zinokuchaphazela ukuphiliswa. Ukunikezelwa kwegazi okwaneleyo kubalulekile ukuze umntu aphile emva kotyando.
• Ukwalana neMathiriyeli: Ezinye izigulana zinokuba ne-allergies kwizinto ezisetyenziswa kwizikrufu, ezifana ne-titanium okanye intsimbi engagqwaliyo. Imbali yezonyango eneenkcukacha inokunceda ekuchongeni ezi allergies.
• Iimeko zonyango ezingalawulekiyo: Izigulane ezinesifo seswekile esingalawulekiyo, izifo zokuzikhusela komzimba, okanye ezinye izifo ezingapheliyo zinokujamelana neengozi eziphezulu ngexesha nasemva kotyando. Ezi meko zinokuchaphazela ukuphiliswa kwaye zonyuse amathuba okuba kubekho iingxaki.
• Ubukhulu: Ukutyeba kakhulu kunokubeka uxinzelelo olongezelelekileyo kwindawo yotyando, nto leyo enokubangela iingxaki. Ukutyeba kakhulu kunokubangela ukuba kube nzima ukubulala iintlungu kunye nokuchacha.
• Ukungathobeli: Izigulana ezingenakukwazi ukulandela imiyalelo yokhathalelo emva kotyando zisenokungabi ngabona bantu bafanelekileyo. Ukunamathela kwiindlela zokuchacha kubalulekile ukuze inkqubo iphumelele.
• Iingqwalasela zobudala: Nangona ubudala bodwa bungengomthetho ongqongqo, izigulana ezindala zinokuba neengxaki zempilo ezongezelelweyo ezinokwenza inkqubo ibe nzima. Uvavanyo olupheleleyo luyimfuneko ukuze kuhlolwe iingozi zomntu ngamnye.
• Uqhaqho lwangaphambili: Izigulana ezinembali yotyando oluninzi kwindawo enye zinokuba nezikrweqe okanye ezinye iingxaki ezinokuchaphazela impumelelo yokulungiswa kwezikrufu.
• Imiba yezengqondo: Izigulane ezineengxaki zoxinzelelo olukhulu okanye zengqondo zinokuba nzima ngenkqubo yotyando kunye nokuchacha. Inkxaso yempilo yengqondo inokuba yimfuneko kwaba bantu.
   

Indlela Yokulungiselela Ukulungiswa Kwamathambo Ngezikrufu

Ukulungiselela ukuqiniswa kwethambo ngezikrufu kubalulekile ukuqinisekisa ukuba inkqubo ilula kwaye iphilile. Nazi iindlela ekufuneka izigulana zilandele ngaphambi kokuba zenze olu tyando:

• Uthethwano noGqirha wakho woTyando: Cwangcisa intlanganiso eneenkcukacha nogqirha wakho wamathambo. Xoxa ngembali yakho yezonyango, amayeza akhoyo, kunye nazo naziphi na izinto ezibangela ukuba umntu angakwazi ukujongana nemeko yakhe. Eli likwalixesha lokubuza imibuzo malunga nenkqubo.
• Uvavanyo lwaphambi kotyando: Ugqirha wakho angayalela iimvavanyo ezininzi, kuquka uvavanyo lwegazi, izifundo zomfanekiso (ezifana nee-X-ray okanye ii-MRI), kwaye mhlawumbi ne-EKG ukuba uneengxaki zentliziyo ezingaphantsi. Ezi vavanyo zinceda ekuvavanyeni impilo yakho iyonke kunye nemeko yethambo.
• Uphononongo lwamayeza: Yazisa ugqirha wakho ngayo yonke imithi oyithathayo, kuquka amayeza athengiswa ngaphandle kwemvume kagqirha kunye nezongezo. Amanye amayeza, afana ne-blood thinners, anokufuna ukulungiswa okanye amiswe ngaphambi kotyando.
• Imiyalelo yokuzila ukutya: Ungayalelwa ukuba uzile ukutya ixesha elithile ngaphambi kwenkqubo, ingakumbi ukuba uza kufumana i-anesthesia jikelele. Landela le miyalelo ngononophelo ukuze uphephe iingxaki ngexesha lotyando.
• Lungiselela ezoThutho: Ekubeni usenokuba uphantsi kwe-anesthesia, lungiselela ukuba umntu akuqhubele ekhaya emva kwenkqubo. Kubalulekile ukuba ungaqhubi wena.
• Isicwangciso sokuKhathalela emva kotyando: Xoxa ngesicwangciso sakho sokhathalelo emva kotyando nogqirha wakho. Qonda into omawuyilindele malunga nolawulo lweentlungu, imiqathango yemisebenzi, kunye nezihlandlo zokulandela.
• Uhlengahlengiso kwindlela yokuphila: Ukuba uyatshaya, cinga ngokuyeka okanye ukunciphisa ukutshaya kwakho ngaphambi kotyando. Ukutshaya kunokuphazamisa ukuphiliswa kwaye kwandise umngcipheko weengxaki.
• Lungiselela Ikhaya Lakho: Yenza ikhaya lakho libe likhululekile xa uphola. Misela indawo apho unokuphumla khona kwaye ufumane izinto eziyimfuneko lula. Cinga ngokuba noncedo olufumanekayo kwiintsuku zokuqala emva kotyando.
• Ukulungiselela Ingqondo: Qonda ukuba utyando lunokuba luxinzelelo. Zibandakanye neendlela zokuphumla, ezinje ngokuphefumla nzulu okanye ukucamngca, ukunceda ukunciphisa ixhala.
• Landela imiyalelo: Landela yonke imiyalelo yangaphambi kotyando enikiweyo liqela lakho lezempilo. Oku kuya kunceda ukuqinisekisa iziphumo ezilungileyo kakhulu zotyando lwakho.
   

Ukulungiswa Kwamathambo Ngezikrufu: Inkqubo Yenyathelo Ngenyathelo

Ukuqonda inkqubo yokuqiniswa kwamathambo ngesantya ngasinye kunokunceda ekunciphiseni ixhala kwaye kukulungiselele oko ungakulindela. Nantsi inkcazelo yale nkqubo:

• ULungiselelo lwangaphambili: Ngomhla wotyando, uza kufika kwindawo yotyando. Uza kwamkelwa liqela lotyando, eliza kuqinisekisa ubuwena bakho kunye nenkqubo eyenziwayo. Uza kutshintsha ilokhwe yesibhedlele kwaye ungafumana i-IV yamayeza.
• Ulawulo lokuthomalalisa: Ngokuxhomekeke kubunzima benkqubo kunye nengcebiso yogqirha wakho, uza kufumana i-anesthesia yendawo (ukwenza indawo ingasebenzi kakuhle) okanye i-anesthesia ngokubanzi (ukukwenza ulale). Iqela le-anesthesia liza kukujonga kuyo yonke inkqubo.
• Ukusika: Wakuba uhlanjululwe nge-anesthesia, ugqirha uza kwenza utyando phezu kwendawo apho kufuneka kufakwe khona ithambo. Ubungakanani kunye nendawo apho kufakwe khona utyando kuya kuxhomekeka kwithambo elithile kunye nohlobo lokwenzakala.
• Ukuvezwa Kwamathambo: Ugqirha uza kuyisusa ngononophelo imisipha kunye nezicubu ukuze aveze ithambo elifuna ukulungiswa. Eli nyathelo libalulekile ekuqinisekiseni ukubekwa kakuhle kwezikrufu.
• Ukubekwa kweScrew: Ugqirha uza kuvula imingxunya ethanjeni aze afake izikrufu ukuze azinzise ukwaphuka okanye isiphene sethambo. Izikrufu zinokubekwa ngeendlela ezahlukeneyo ngokuxhomekeke kuhlobo lokuqhekeka kunye nethambo elibandakanyekayo.
• Ukuqinisekisa: Emva kokubeka izikrufu, ugqirha angasebenzisa iindlela zokuthatha imifanekiso, njengee-X-ray, ukuqinisekisa ukuba izikrufu zibekwe ngokuchanekileyo kwaye ithambo lilungelelaniswe ngokufanelekileyo.
• Ukuvalwa: Xa izikrufu sezibekwe endaweni yazo, ugqirha uza kuyivala i-incision esebenzisa i-sutures okanye i-staples. Kuza kufakwa i-dressing engenazintsholongwane ukukhusela indawo yotyando.
• Igumbi lokubuyisela: Emva kwenkqubo, uza kusiwa kwigumbi lokuchacha apho abasebenzi bezonyango baza kujonga khona iimpawu zakho ezibalulekileyo njengoko uvuka emva kokusebenzisa i-anesthesia. Usenokuziva udiniwe okanye udidekile ekuqaleni.
• Imiyalelo emva kotyando: Wakuba uzinzile, iqela lakho lezonyango liza kukunika imiyalelo yokhathalelo emva kotyando. Oku kungabandakanya amaqhinga okulawula iintlungu, imiqathango yokusebenza, kunye neempawu zeengxaki omele uzijonge.
• ekubhobhozeni kwayo; Ngokuxhomekeke kubunzima benkqubo kunye nokuchacha kwakho, ungakhululwa ngaloo mini okanye ungadinga ukulala ubusuku bonke ukuze ujongwe. Qinisekisa ukuba ulungiselele ukuthuthwa kwakho xa ubuyela ekhaya.
   

Iingozi kunye neengxaki zokuqina kwamathambo ngee-screws

Nangona ukubopha amathambo ngezikrufu kukhuselekile, njengayo nayiphi na inkqubo yotyando, kuneengozi ezithile. Ukuqonda ezi ngozi kunokukunceda wenze izigqibo ezinolwazi kwaye ulungiselele ukubuyela kwakho esiqhelweni.
 

• Imingcipheko eqhelekileyo:
  • Usulelo: Enye yezona ngozi zixhaphakileyo ezinxulumene nalo naluphi na utyando kusulelo kwindawo yotyando. Ukhathalelo olufanelekileyo lwenxeba kunye nococeko kunokunceda ukunciphisa le ngozi.
  • Iintlungu kunye nokuDumba: Intlungu nokudumba emva kotyando ziqhelekile. Umboneleli wakho wezempilo uza kukunika amaqhinga okulawula iintlungu ukuze akuncede uhlangabezane nazo.
  • Ukonakala Kwemithambo-luvo: Kukho umngcipheko omncinci wokonakala kwemithambo-luvo ngexesha lenkqubo, nto leyo enokubangela ukuba indawo echaphazelekayo ibe ndindisholo okanye ibe buthathaka.
  • Amahlwili egazi: Utyando lunokunyusa umngcipheko wokuqhekeka kwegazi, ingakumbi emilenzeni. Ugqirha wakho unokucebisa ukuba wenze umthambo okanye amayeza okunciphisa lo mngcipheko.
     
• Imingcipheko eNcinci:
  • Ukukhulula okanye Ukwaphuka kwezikrufu: Kwezinye iimeko, izikrufu zinokukhululeka okanye ziqhekeke, nto leyo edinga utyando olongezelelweyo ukulungisa le ngxaki.
  • Ukunyangwa okulibazisekileyo: Ezinye izigulana zinokufumana ukuphola okulibazisekileyo okanye ukungadibani kwethambo, nto leyo enokubangela ukuba kufuneke ukungenelela okungakumbi.
  • Iintshukumo Zokwalana Nezinto: Nangona kunqabile, ezinye izigulana zinokuba neempembelelo ze-allergy kwizinto ezisetyenziswa kwizikrufu.
     
• Iingxaki ezinqabileyo:
  • Iingxaki ze-Anesthesia: Nangona kunqabile, iingxaki ezivela kwi-anesthesia zinokwenzeka, kuquka iingxaki zokuphefumla okanye ii-allergy.
  • Ubuhlungu obungapheliyo: Ezinye izigulana zinokuba neentlungu ezingapheliyo kwindawo yotyando, nto leyo enokuba nzima ukuyilawula.
  • I-Compartment Syndrome: Le yimeko engaqhelekanga kodwa imbi kakhulu enokwenzeka ukuba ukudumba kwandisa uxinzelelo ngaphakathi kwemisipha, nto leyo enokubangela umonakalo kwizicubu.
     
• Iingqwalasela zexesha elide:
  • Ukususwa kwezixhobo: Kwezinye iimeko, izigulana zinokukhetha ukuba zisuswe izikrufu emva kokuba ithambo lipholile, ingakumbi ukuba zibangela ukungakhululeki.
  • Utshintsho kwiSakhiwo seThambo: Ekuhambeni kwexesha, ukubakho kwezikrufu kunokuchaphazela isakhiwo sethambo esijikelezileyo, nto leyo enokubangela iingxaki kwixesha elizayo.
     

Ukubuyiselwa Emva Kokulungiswa Kwethambo Ngezikrufu

Inkqubo yokuchacha emva kokulungiswa kwethambo ngezikrufu ibalulekile ukuqinisekisa ukuphiliswa ngokufanelekileyo kunye nokusebenza kwakhona. Ixesha elilindelekileyo lokuchacha linokwahluka ngokuxhomekeke kuhlobo lokuqhekeka, indawo yotyando, kunye nempilo yomntu iyonke. Ngokubanzi, izigulana zinokulindela la manqanaba alandelayo:

• INqanaba eliKhawulezayo emva kokuSebenza (IiVeki ezi-0-2): Emva kotyando, izigulana zihlala esibhedlele usuku olunye okanye ezimbini ukuze zijongwe. Ulawulo lweentlungu luyinto ephambili, kwaye izigulana zinokunikwa amayeza okunceda ukungonwabi. Ngeli xesha, kubalulekile ukugcina indawo yotyando icocekile kwaye yomile. Izigulana zihlala zicetyiswa ukuba ziphumle kwaye ziphephe ukufaka ubunzima kwilungu elichaphazelekayo.
• Isigaba sokuBuyisa kwangethuba (Iiveki ezi-2-6): Kule nqanaba, izigulana zisenokuqala umthambo wokuhambahamba othambileyo njengoko kucetyisiwe ngumniki-nkonzo wezempilo. Unyango lomzimba lunokuqaliswa ukunceda ekubuyiseleni amandla kunye nokuhambahamba. Izigulana kufuneka ziqhubeke nokulandela imiyalelo kagqirha wazo malunga nemisebenzi yokuthwala ubunzima. Kuya kucwangciswa amadinga okulandela rhoqo ukuze kujongwe ukuphiliswa nge-X-ray.
• Isigaba Sokuchacha Phakathi (Iiveki Ezi-6-12): Ngeli xesha, izigulane ezininzi zinokunyusa kancinci kancinci amanqanaba azo okusebenza. Ngokuxhomekeke kwinkqubela yokuphiliswa kwenxeba, ezinye zinokukwazi ukubuyela kwimisebenzi yemihla ngemihla elula. Nangona kunjalo, imisebenzi echaphazela kakhulu kufuneka ithintelwe de igqitywe yingcali yezempilo.
• Isigaba Esipheleleyo Sokuchacha (Iinyanga ezi-3-6): Uninzi lwezigulana lunokulindela ukubuyela kwimisebenzi eqhelekileyo kwiinyanga ezintathu ukuya kwezintandathu emva kotyando. Nangona kunjalo, ukuphiliswa ngokupheleleyo kwethambo kungathatha ixesha elide. Izigulana kufuneka ziqhubeke nonyango lomzimba ukuze ziqinise indawo kwaye ziphucule ukusebenza kwazo. Kubalulekile ukumamela umzimba kwaye ungakhawulezi inkqubo yokuchacha.
   

Iingcebiso zoLondolozo lwasemva:

• Landela imiyalelo kagqirha wakho malunga namayeza kunye nokunyamekela amanxeba.
• Zizimase zonke izithuba eziya kulandela ukuze kubekwe iliso.
• Zibandakanye kwimithambo yonyango lomzimba emiselweyo ukuze ukhuthaze ukuphiliswa.
• Gcina ukutya okunokulinganisela okucebile kwi-calcium kunye ne-vitamin D ukuxhasa impilo yamathambo.
• Kuphephe ukutshaya kwaye unciphise ukusetyenziswa kotywala, kuba oku kunokuthintela ukuphiliswa.
   

Iingenelo zokulungisa amathambo ngezikrufu

Ukuqinisa amathambo ngezikrufu kunika iingenelo ezininzi eziphucula kakhulu impilo kunye nomgangatho wobomi kwizigulana. Nazi ezinye zeengenelo eziphambili:

• Uzinzo kunye noLungelelwaniso: Izikrufu zibonelela ngozinzo oluhle kakhulu kumathambo aqhekekileyo, ziqinisekisa ukuba ahlala elungelelene ngexesha lokuphiliswa. Olu lungelelwaniso lubalulekile ekupholisweni nasekusebenzeni kakuhle kwamathambo.
• Iintlungu ezehlisiwe: Ngokuzinzisa ukwaphuka, izikrufu zinokunceda ukunciphisa iintlungu ezinxulumene nokuhamba kunye nemisebenzi yokuthwala ubunzima. Izigulane zihlala zifumana ukuncipha okukhulu kokungakhululeki njengoko ukuphola kuqhubeka.
• UkuBuyisa ngokukhawuleza: Xa izigulane zilungiswa ngokufanelekileyo, zinokubuyela kwimisebenzi yazo yesiqhelo ngokukhawuleza kunokuba ziphinde zibuyele kunyango olungelulo utyando. Oku kuluncedo kakhulu kubadlali bezemidlalo okanye abantu abaphila ubomi obusempilweni.
• Ukusebenza okuphuculweyo: Nje ukuba ziphilile, izigulana zihlala ziphinda zisebenze ngokupheleleyo kwilungu elichaphazelekayo, nto leyo ebavumela ukuba babuyele kwimisebenzi yabo yemihla ngemihla ngaphandle kwemida.
• Umngcipheko osezantsi weengxaki: Xa kuthelekiswa nezinye iindlela zonyango lokwaphuka, ezifana nokufaka i-casting okanye ukubopha kwangaphandle, ukubopha amathambo ngezikrufu ngokubanzi kunomngcipheko omncinci weengxaki, ezifana nokudibanisa amathambo okanye ukungadibani kwawo.
• Iziphumo Zexesha elide: Izifundo zibonise ukuba izigulana ezifakelwa izikrufu zidla ngokuba neziphumo ezingcono zexesha elide, kuquka amazinga aphantsi okwenzakala kwakhona kunye nomgangatho wobomi ophucukileyo.
   

Ukulungiswa Kwamathambo Ngezikrufu Xa Kuthelekiswa Nokuphoswa Kwesinyithi

Nangona ukufakelwa kwamathambo ngezikrufu kuyindlela eqhelekileyo yotyando, ukwenziwa kwesamente yindlela engeyoyotyando yokwaphuka kweentlobo ezithile. Nantsi indlela yokuthelekiswa kwezi ndlela zimbini:

Ixabiso Lokulungisa Amathambo Ngezikrufu eIndiya

Ixabiso eliqhelekileyo lokulungisa amathambo ngee-screws eIndiya liqala kwi-₹50,000 ukuya kwi-₹1,50,000. Ukuze ufumane uqikelelo oluchanekileyo, nxibelelana nathi namhlanje.
 

Imibuzo Ebuzwa Rhoqo Malunga Nokulungiswa Kwamathambo Ngezikrufu

Ndifanele nditye ntoni emva kotyando lokulungisa amathambo? 

Emva kotyando, gxila ekutyeni okunesondlo okutyebileyo kwiproteni, icalcium, kunye nevithamini D. Ukutya okufana neemveliso zobisi, imifuno eluhlaza, amandongomane kunye nenyama engenamafutha kunokunceda ekuphuculeni impilo. Ukuhlala unamanzi aneleyo kubalulekile. Kuphephe ukutya okucutshungulweyo kunye neswekile eninzi, kuba kunokuthintela ukubuyela esimeni.

Kuza kufuneka ndinxibe isamente okanye i-splint ixesha elingakanani? 

Ixesha lokunxiba isamente okanye i-splint liyahluka ngokuxhomekeke kuhlobo lokwaphuka kunye nenkqubela yokuphiliswa. Ngokwesiqhelo, kunokuthatha iiveki ezimbalwa ukuya kwiinyanga ezininzi. Ugqirha wakho uya kunika isikhokelo esithile ngokusekwe kwimeko yakho.

Ngaba ndingakwazi ukuqhuba imoto emva kotyando lokulungisa amathambo? 

Ukuqhuba akukhuthazwa ukuba ude ufumane amandla apheleleyo kwilungu elichaphazelekayo. Oku kungathatha iiveki eziliqela ukuya kwiinyanga. Soloko unxibelelana nomboneleli wakho wezempilo ngaphambi kokuba uqalise ukuqhuba kwakhona.

Yiyiphi imisebenzi endimele ndiyiphephe ngexesha lokubuyisela? 

Ziphephe imisebenzi echaphazela kakhulu umzimba, ukuphakamisa izinto ezisindayo, kunye nemidlalo de ugqirha wakho akunike imvume. Iintshukumo ezithambileyo kunye nokuzivocavoca umzimba ziyakhuthazwa, kodwa mamela umzimba wakho kwaye uphephe nayiphi na imisebenzi ebangela iintlungu.

Ndingayilawula njani intlungu emva kotyando? 

Ulawulo lweentlungu lungabandakanya amayeza amiselweyo, iipakethi zomkhenkce, kunye nokuphakama kwelungu elichaphazelekayo. Landela imiyalelo kagqirha wakho malunga namayeza kwaye uxele nayiphi na intlungu enzima okanye engapheliyo.

Ngaba unyango lomzimba luyimfuneko emva kokulungiswa kwethambo? 

Ewe, unyango lomzimba ludla ngokucetyiswa ukunceda ukubuyisela amandla, ukuguquguquka, kunye nokusebenza kwindawo echaphazelekayo. Ingcali yakho yonyango iya kukukhokela kwimithambo eyenzelwe iimfuno zakho zokuchacha.

Zeziphi iimpawu zosulelo endifanele ndizijonge? 

Jonga ukwanda kobomvu, ukudumba, ubushushu, okanye ukukhutshwa kwindawo yotyando, kunye nomkhuhlane okanye ukubanda. Ukuba ubona nayiphi na kwezi mpawu, qhagamshelana nomboneleli wakho wezempilo ngokukhawuleza.

Ndingathatha amayeza athengiswa ngaphandle kwemvume kagqirha ukuze ndincede iintlungu? 

Soloko uqhagamshelana nogqirha wakho ngaphambi kokuba uthathe nawaphi na amayeza athengiswa ngaphandle kwemvume kagqirha, njengoko amanye anokuphazamisana nokunciphisa iintlungu ezichazwe ngugqirha okanye achaphazele ukuphiliswa.

Kuza kufuneka ndiziphephe ixesha elingakanani izinto ezibangela ubunzima? 

Ixesha lokuphepha imisebenzi yokuthwala ubunzima liyahluka ngokwendlela umntu ngamnye kunye nohlobo lokwaphuka. Ngokubanzi, kunokuthatha iiveki ezimbalwa ukuya kwiinyanga ezininzi. Ugqirha wakho uya kunika izikhokelo ezithile ngokusekelwe kwinkqubela yakho yokuphiliswa.

Ndingenza ntoni xa ndidumba? 

Ukudumba kuqhelekile emva kotyando. Ukuphakamisa ilungu elichaphazelekayo, ukufaka iipakethe zomkhenkce, kunye nokulandela icebiso likagqirha wakho kunokunceda ekulawuleni oku. Ukuba ukudumba kuyaqhubeka okanye kuya kuba mandundu, qhagamshelana nomboneleli wakho wezempilo.

Ngaba abantwana banokufakwa amathambo ngezikrufu? 

Ewe, abantwana bangenza olu hlobo lwenkqubo ukuba baphuke amanxeba afuna utyando. Iingcali zamathambo zabantwana ziya kuvavanya iindlela zonyango ezilungileyo ngokusekwe kubudala bomntwana kunye nokukhula kwakhe.

Iyintoni indima yesondlo ekubuyiseleni ubomi? 

Isondlo sidlala indima ebalulekileyo ekubuyiseleni impilo. Ukutya okutyebileyo ngeevithamini kunye neeminerali, ngakumbi i-calcium kunye ne-vitamin D, kuxhasa ukuphiliswa kwamathambo. Nxibelelana nengcali yesondlo ukuze ufumane iingcebiso zokutya ezilungiselelwe wena.

Kukangaphi apho ndiya kufuna idinga lokulandelisa? 

Amadinga okulandela emva konyango adla ngokucwangciswa rhoqo emva kweeveki ezimbalwa ngexesha lokuqala lokuchacha. Ugqirha wakho uza kujonga indlela aphiliswa ngayo ngovavanyo lomzimba kunye nee-X-ray.

Kuthekani ukuba ndinemeko esele ikhona? 

Yazisa umniki-nkonzo wakho wezempilo malunga nazo naziphi na iimeko ezikhoyo, njengoko zinokuchaphazela ukuchacha kwakho. Ugqirha wakho uza kuyilungisa isicwangciso sakho sonyango ngokufanelekileyo.

Ndingabuyela kwimidlalo emva kokuphila? 

Uninzi lwezigulana lunokubuyela kwimidlalo emva kokuba luphilile ngokupheleleyo, kodwa kubalulekile ukulandela icebiso likagqirha wakho kwaye kancinci kancinci ubuyele kwimisebenzi yomzimba ukuze uthintele ukwenzakala kwakhona.

Ndingenza ntoni ukuba ndiziva ndinexhala malunga notyando? 

Kuqhelekile ukuba nexhala ngaphambi kotyando. Xoxa ngeengxaki zakho nomboneleli wakho wezempilo, onokukunika isiqinisekiso nolwazi olunokukunceda uthomalalise ixhala lakho.

Ngaba ndiza kufuna uncedo ekhaya emva kotyando? 

Izigulana ezininzi ziyazuza ngokufumana uncedo ekhaya ngexesha lokuqala lokuchacha. Oku kunokunceda kwimisebenzi yemihla ngemihla kwaye kuqinisekise ukuba ulandela imiyalelo yokhathalelo emva kotyando.

Ndingalilungiselela njani ikhaya lam ukuba lichache? 

Lungisa ikhaya lakho ngokudala indawo ekhululekileyo yokuchacha, ukususa iingozi ezinokubangela ukukhubeka, nokuqinisekisa ukufikelela lula kwizinto ezibalulekileyo. Cinga ngokuba nomntu onokukunceda kwiintsuku zokuqala emva kotyando.

Kuthekani ukuba ndine-allergies kumayeza? 

Yazisa umniki-nkonzo wakho wezempilo malunga nazo naziphi na izinto ezibangela ukunganyamezelani namayeza ngaphambi kotyando. Baza kuqinisekisa ukuba ufumana ezinye iindlela ezikhuselekileyo zokulawula iintlungu kunye ne-anesthesia.

Ndifanele ndiqhagamshelane nini nogqirha wam emva kotyando? 

Nxibelelana nogqirha wakho ukuba ufumana iintlungu eziqatha, iimpawu zosulelo, okanye naziphi na iimpawu ezingaqhelekanga. Kungcono ukuba ulumke kwaye ufune ingcebiso kagqirha.
 

isiphelo

Ukuqinisa amathambo ngezikrufu yinkqubo ebalulekileyo enokuphucula kakhulu ukuchacha emva kokwaphuka kwamathambo, nto leyo ekhokelela kwiziphumo zempilo eziphucukileyo kunye nomgangatho wobomi. Ukuqonda inkqubo yokuchacha, iingenelo, kunye nemibuzo enokubakho kunokunika amandla izigulana ukuba zenze izigqibo ezinolwazi. Soloko uqhagamshelana neengcali zonyango ukuze uxoxe ngemeko yakho ethile kwaye uqinisekise ukuba ufumana unyango olufanelekileyo.