Kodi mwana wanu wagwa mwadzidzidzi akusewera? Kapena wachita ngozi pang'ono pabwalo lamasewera? Pambuyo pake, kodi amalira mosalekeza chifukwa dzanja kapena mwendo wake ukupweteka? Kodi malo ovulalawo akuoneka otupa pang'ono komanso okokedwa? Monga kholo, ndi zachilendo kuti mumve mantha kwambiri panthawi ngati iyi. Koma musadandaule. Izi nthawi zambiri zimakhala kusweka pang'ono, komwe kumachitika kawirikawiri mwa ana aang'ono. Ndicho chimene tikulankhula lero.
Kodi kusweka kwa Greenstick n'chiyani? Tiyeni timvetse mosavuta.
Kusweka kwa fupa kotchedwa "Greenstick Fracture" ndi mtundu wa fupa losweka. Komabe, n'kosiyana pang'ono ndi kusweka komwe timakuona nthawi zambiri.
Tangoganizani mutatenga nthambi yopyapyala, yopyapyala kuchokera mumtengo ndikuipinda. Siisweka m'zigawo ziwiri mosavuta, sichoncho? M'malo mwake, imapinda, koma ngati muipinda kwambiri, mbali imodzi yake idzakhala yosweka pang'ono komanso yosweka. Mbali inayo idzakhalabe yolumikizidwa.
Tsopano tangoganizani kuti mwatenga nthambi yakale youma kwambiri ndikuipinda. "Imapindika" ndikusweka m'zidutswa ziwiri.
"Kusweka kwa Greenstick" kuli ngati ndodo yobiriwira yomwe tatchula kale. Timatcha kusweka kumeneku pamene fupa silikusweka kwathunthu m'zigawo ziwiri, koma mng'alu waung'ono wokha umachitika mbali imodzi. Dzinali limachokera ku tanthauzo la mawu oti "ndodo yobiriwira."
Kodi izi zimachitikira ndani nthawi zambiri? N’chifukwa chiyani zimaoneka kuti zimachitikira ana aang’ono okha?
Matendawa otchedwa `Greenstick Fracture` amapezeka kwambiri mwa ana osakwana zaka 10. Ndikosowa kwambiri kuti akuluakulu adwale matendawa. Pali chifukwa chake chenicheni.
Mafupa a ana aang'ono, ndiko kuti, mafupa, ali ngati nthambi zobiriwira. Sanakule mokwanira komanso kukhala ndi calcium. Chifukwa chake, amakhala osinthasintha komanso ofewa kuposa mafupa a akuluakulu. Mafupa a akuluakulu ali ngati nthambi zouma; ndi olimba, kotero amasweka mosavuta ngati chinthu chonga kugwa.
Komanso, ana aang'ono nthawi zonse amathamanga, kulumpha, ndi kusewera. Choncho nthawi zambiri amagwa. Makamaka akagwa, nthawi zambiri amayesetsa kudzipulumutsa mwa kutambasula manja awo ndikuyika pansi. Kenako, mphamvu zambiri zimagwiritsidwa ntchito pamafupa a mkono, zomwe zingayambitse 'Greenstick Fracture' ngati iyi.
Chofunika ndichakuti izi zimachitika kwambiri mwa ana aang'ono. Choncho musamachite mantha mosayenera. Ndi chithandizo choyenera, zimatha kuchiritsidwa kwathunthu.
Zizindikiro zosonyeza kuti mwana wanu akhoza kukhala ndi vuto la kusweka kwa Greenstick
Yang'anani zizindikiro izi mwana wanu akachita ngozi. Ngati chimodzi mwa zizindikirozi chilipo, chikhoza kukhala fupa losweka.
| Chizindikiro | Kufotokozera kosavuta |
|---|---|
| Ululu waukulu | Mwanayo amamva ululu wosapiririka pamalo pomwe pavulalapo, makamaka akakhudza kapena kusuntha dzanja lake. |
| Kutupa | Kutupa mozungulira fupa lovulala. |
| Kutupa | Magazi oundana pansi pa khungu amachititsa kuti malo ovulalawo asinthe kukhala abuluu, ofiirira, kapena akuda. |
| Wopindika kapena wotambasulidwa modabwitsa | Chiwalo, monga mkono kapena mwendo, chimawoneka chotambasuka, mosiyana ndi mawonekedwe ake achizolowezi. Ichi ndi chizindikiro chachikulu cha kusweka kumeneku. |
| Kukoma mtima kukakhudzidwa | Mwanayo amamva kupweteka kwambiri akamakanikiza malo ovulala ndi chala. |
Mafupa omwe amakhudzidwa kwambiri ndi kuvulala kumeneku ndi awa:
Kusweka kwa mafupa a Greenstick nthawi zambiri kumakhudza mafupa ataliatali.
- Fupa la mkono wapamwamba (Humerus)
- Mafupa a mkono wapansi (Radius ndi Ulna)
- Mafupa a zala (`Phalanges`)
- Chifuwa cha ntchafu (femur)
- Fibula
Kodi mwapeza bwanji izi, Dokotala?
Mukapita ndi mwana wanu kwa dokotala, iye adzayamba wafunsa mwanayo ndi inu za ngoziyo. Kenako adzafufuza malo ovulalawo. Adzayang'anitsitsa ngati pali kutupa, mabala, ndi zizindikiro zina za kuvulalako.
Kenako, kuti atsimikizire ngati pali kusweka ndi kuona mtundu wake weniweni, X-ray imachitidwa.Dokotala amatha kudziwa bwino kuchokera pachithunzi cha X-ray ngati fupa lasweka kwathunthu kapena ngati ndi kusweka kwa mtundu wa 'Greenstick'.
Kawirikawiri, ngati kusweka kwa fupa kuli kovuta kwambiri kapena ngati pali kukayikira kuti minofu yozungulira kapena mitsempha yamagazi yawonongeka, MRI kapena CT scan ingakulimbikitseninso.
Kodi Kusweka kwa Greenstick Kumachiritsidwa Bwanji?
Kuchiza vutoli nthawi zambiri kumakhala kosavuta.
1. Kuyika pulasitala (Cast Immobilization)
Chithandizo chachikulu cha kusweka kwa mafupa ambiri a greenstick ndikuyika chitsulo pa fupa kuti lisasunthe. Mwa kuyika fupa losweka pamalo oyenera ndikuyika chitsulocho, fupa limakhala ndi mwayi wochira bwino popanda kusokonezedwa.
- Kawirikawiri, muyenera kuvala pulasitala iyi kwa milungu pafupifupi 4 mpaka 6 .
- Panthawiyi, dokotala akuti tifunika kutenga X-ray ina kuti tiwone ngati fupa likuchira bwino.
2. Opaleshoni
Opaleshoni siifunikira kawirikawiri. Ngati ngodya ya kusweka kwa fupa ndi yoopsa kwambiri , zomwe zikutanthauza kuti mkono kapena mwendo wapindika kwambiri, dokotala wanu angakulangizeni opaleshoni.
Opaleshoni iyi imaphatikizapo kukhazikitsa/kusintha fupa ndikuyika zipini zachitsulo kuti ziligwire bwino . Izi zimatchedwa `kukhazikika kwamkati`. Fupa likachira bwino, zipinizo zimachotsedwa mu opaleshoni ina yaying'ono.
Mavuto omwe angakhalepo chifukwa cha opaleshoni
Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zochitika zochepa kwambiri pomwe mavuto angachitike.
- Malunion: Fupa lomwe siligwirizana bwino pamene likuchira. Kusakhazikika bwino pang'ono.
- Kusagwirizana: Zidutswa ziwiri za fupa sizibwererana konse.
- Matenda Oopsa a Chipinda Chozungulira (ACS): Uwu ndi vuto lalikulu ladzidzidzi. Kupanikizika mkati mwa chipinda chozungulira fupa kumawonjezeka kwambiri, kumadula magazi ndikuwononga minofu ndi mitsempha kwamuyaya. Ngati ululu ukupitirirabe kukulirakulira pambuyo pa kuvulala, kapena ngati mukumva dzanzi kapena kumva kupweteka m'miyendo yanu, muyenera kuwona dokotala nthawi yomweyo.
Kodi zimatenga nthawi yayitali bwanji kuti munthu achire? Nanga chimachitika n'chiyani pambuyo pake?
Mafupa ambiri osweka a greenstick amachira kwathunthu pakatha milungu isanu ndi umodzi , koma nthawi ino amatha kusiyana pang'ono kutengera msinkhu wa mwana, mtundu wa fupa losweka, komanso mtundu wa fupa losweka.
Pambuyo poti pulasitala yachotsedwa, mwanayo ayenera kupewa kuchita zinthu zothamanga ndi kulumpha, makamaka masewera, mpaka dokotala atamuuza kuti achite zimenezo. Patapita kanthawi, mwanayo adzatha kuchita zinthu zake zonse zachizolowezi popanda vuto lililonse.
Chofunika: Mwana amene wathyoka mkono wa greenstick ali ndi chiopsezo chowonjezeka cha kuthyoka fupa lomwelo mtsogolo. Chifukwa chake, ndikofunikira kwambiri kupereka chithandizo choyenera mwamsanga kuvulala koyamba kukachitika.
Kodi ngozi ngati izi zingapewedwe?
Ngakhale kuti ngozi sizingapewedwe 100%, pali zinthu zingapo zomwe tingachite kuti ana athu akhale otetezeka.
- Zipangizo zodzitetezera: Valani zida zodzitetezera zoyenera (zipewa, mapepala) mukakwera njinga kapena mukamasewera masewera monga cricket.
- Malo okhala kunyumba: Musaike zinthu (zoseweretsa, madzi) pansi pomwe ana angagwere ndi kugwa m'nyumba.
- Maseŵero otetezeka: Musalole ana kukwera pa mipando, matebulo, kapena makauntala kuti azisewera.
- Zakudya: Perekani mwana wanu chakudya chokwanira chokhala ndi calcium ndi vitamini D wambiri. Zakudya zimenezi ndizofunikira kwambiri kuti mafupa akhale olimba.
Nthawi yoti mukaonane ndi dokotala nthawi yomweyo ndikupita ku ETU
Mwana akachita ngozi, ndikofunikira kwambiri kudziwa nthawi yoti akaone dokotala komanso nthawi yoti akapite ku Emergency Treatment Unit (ETU).
| Mwayi | Zoyenera kuchita |
|---|---|
| Nthawi yoti mukaonane ndi dokotala nthawi zambiri |
|
| Nthawi yoti mupite ku Emergency Treatment Unit (ETU) nthawi yomweyo |
|
Uthenga Wopita Nawo Kunyumba
- "Kusweka kwa Greenstick" ndi kusweka komwe kumachitika nthawi zambiri m'mafupa ofewa komanso osinthasintha a ana aang'ono, pomwe fupa silisweka kwathunthu kukhala zidutswa.
- Izi zili ngati kupinda nthambi ya mtengo wosaphika ndikupanga mzere mbali imodzi.
- Zizindikiro zazikulu ndi ululu, kutupa, ndi kuoneka ngati wofooka.
- Chithandizo nthawi zambiri chimakhala ndi pulasitala kuti fupa lichiritse. Opaleshoni siifunikira kawirikawiri.
- Ngati mwana wachita ngozi ndipo mukuganiza kuti fupa lake lasweka, musachite mantha ndipo pitani kwa dokotala mwamsanga. Tsatirani malangizo ake.
- Ndi chithandizo choyenera, vutoli limatha kuchiritsidwa kwathunthu, ndipo mwanayo akhoza kubwerera ku moyo wabwinobwino popanda zotsatirapo zake za nthawi yayitali.
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