Likotsi tsa lipapali
2K 1 20.04.2019 (e ntlafalitsoeng la ho qetela: 20.04.2019)
Mesifa ea bokhabane bo ka morao ba bosali e kenyelletsa li-biceps, semimembranosus le mesitendinosus mesifa. Li-sprains tsa bona, hammoho le li-ligaments le tendon tsa bona, ke likotsi tse tloaelehileng. Hangata, lefu lena le fumanoa ho baatlelete le ba sebetsang ofising.
Etiology ea tšenyo
Genese e ipapisitse le:
- hypotrophy ea mesifa ea bokamorao ba botšehali;
- metsamao e bohale;
- litlamorao tse tobileng le tse nyarosang.
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Matšoao a khatello ea mesifa
Bothata ba matšoao bo fapana ho latela boholo ba phetoho ea mesifa. Ho na le likhato tse tharo tsa ho otlolla:
- Ho na le bohloko bo bohloko bo opang. Ha ho ho ruruha.
- Ho na le bohloko bo itekanetseng. Ho ruruha le ho longoa hoa khoneha.
- Meokho ea mesifa (hangata e nang le tšenyo ea methapo le likhoele tsa methapo) e ka khethoa. Ho na le bohloko bo boholo bo teng. Edema le hematomas li fumaneha sebakeng se ka morao sa serope.
Flexors lengoleng le li-extensors lethekeng le tsona li ka fokotsoa.
Matšoao a senyehileng a ligament
E khetholloa ke:
- bohloko ba bohloko bo sa tšoaneng;
- meeli ea mefuta e mengata ea ho sisinyeha;
- ponahalo ea edema le hematomas;
- ho hloka botsitso lenonyellong la letheka khahlano le semelo sa tšenyo e mpe ho lisebelisoa tsa ligament, maemong a mang ho phatloha ho felletseng ha li-ligaments (ho tsamaeang le maikutlo a ho penya).
Mekhoa ea ho hlahloba le nako ea ho bona ngaka
Boemo ba lefu lena bo fumanoa ka lebaka la litletlebo tsa mokuli le lintlha tsa tlhahlobo tse tloaelehileng bakeng sa ho otlolla. Ka phapang e fapaneng, ho ka etsahala X-ray, ultrasound, CT le MRI.
Thuso ea pele le mekhoa ea kalafo
Lihoreng tse 48 tse qalang kamora ho tsoa likotsi, ka likhato tse 1-2, ho beoa ha khatello ea tlama le ho fokotsa ts'ebetso ea makoloi ho bontšitsoe. Motsamao o khonahala ka molamu kapa melamu. Cold compresses (leqhoa le ka botlolong ea polasetiki, sebaka sa ho futhumatsa kapa mokotla) bakeng sa metsotso e 15-20 makhetlo a mangata ka letsatsi ho khothaletsoa. Leoto le lemetseng le tlameha ho fuoa boemo bo phahameng, haholo-holo boemong ba pelo. Haeba ho hlokahala, sebelisa li-NSAID ka mokhoa oa matlapa kapa mafura (Diclofenac), li-analgesics le li-relaxation tsa mesifa e bohareng (Midocalm, Baclofen). Kamora lihora tse 48 mme ha bohloko ba bohloko bo kokobela, o ka fetolela kalafong ea kalafo le ERT (tlasa taolo ea ngaka ea hau).
Ha u le sehlopheng sa 3, ka ho phatloha ho felletseng ha mesifa, methapo le methapo, ho bontšoa kalafo ea ho buoa ka ho nchafatsa lisele tse senyehileng le suture. Kamora ho fola, ho sebelisoa meaho ea kalafo ea boikoetliso.
Qalong boikoetliso ha bo sebetse feela. Ha nako e ntse e ea, lenane la mejaro e lumelletsoeng le ntse le hola. Mokuli o lumelloa ho ikoetlisa ka li-simulators kapa ho sebetsa ha bobebe. Ha o etsa boikoetliso ba ho fola, hopola hore motsamao o lokela ho ba boreleli. Boikoetliso ba physiotherapy bo ka tlatsetsoa ka electrophoresis, kalafo ea leqhubu, magnetotherapy, lits'ebetso tsa ozokerite le kalafo ea kalafo.
Ka mekhahlelo eohle ea ho otlolla, ho sebelisoa li-multivitamine kapa livithamini C, E, sehlopha B (B1, B2, B6, B12) ho bontšoa.
Meriana ea setso
Boemong ba tlhabollo, ho ka sebelisoa tse latelang:
- Compress ea tsoekere ea onion, eo hlooho ea eiee e khethiloeng ka eona, e kopantsoeng le tsoekere e nyane ebe e sebelisoa sebakeng se lemetseng hora e le 1.
- Finyella bosiu bo le bong ho tsoa kopong ea makhasi a k'habeche, litapole le mahe a linotsi.
- Bandage ea letsopa e putsoa e ipapisitse le lekhasi la semela. Motsoako o sebelisoa ho gauze, e sebelisoang sebakeng sa bothata mme e koahetsoe ka mokotla oa polasetiki.
Nako ea ho hlaphoheloa
Nako ea ho hlaphoheloa ha bonolo ho isa boholong e ka ba libeke tse 2-3. Ka degree e boletsoeng (ea boraro), ho ka nka likhoeli tse tšeletseng hore motho a fole ka botlalo.
Ka kalafo e lekaneng, ho fola ho felletse. Ponelopele e ntle.
Thibelo
Mehato ea thibelo e latela ho latela melao e bonolo:
- Pele o ikoetlisa haholo, ho hlokahala hore o futhumale ho futhumatsa mesifa le ho e otlolla.
- Mejaro e lokela ho eketseha butle-butle.
- Ho tlanya ho ka sebelisoa e le mokhoa oa thibelo nakong ea boikoetliso.
- Thuto ea 'mele e lokela ho ba kamehla.
- Haeba u ikutloa u sa phutholoha, ho molemo ho emisa boikoetliso bona.
