Ingaba isihlathi sakho siphuke ngolu hlobo? Masifunde ngengozi kaBarton Fracture!

Owu, ngaba uwe ndaweni ithile waza wonzakala kakhulu esihlahleni sakho? Okanye mhlawumbi ubhajwe yinto efana nokuwa ebhayisekileni waza isandla sakho sakruneka? Khawuthelekelele, kwimeko efana nale, ayisiyiyo nje kuphela ithambo esihlahleni sakho eliqhekekayo, kodwa kwangaxeshanye, ilungu kuloo ndawo liyaphuma, kwaye iziqwenga zamathambo ziphoswa apha naphaya. Yiloo nto siyibiza ngokuba yiBarton Fracture, ukwaphuka okuntsonkothileyo kancinci. Ekubeni oku kunokuba yinto enzulu kancinci, masithethe ngako ngokweenkcukacha, kulungile?

Yintoni kanye kanye iBarton Fracture?

Ngamafutshane, iBarton Fracture iyenzeka xa inxalenye yesandla sakho iphuka kwaye enye inxalenye isuswa kwindawo yayo yokuqala. Ngokuchanekileyo, iradius, elithambo elikufutshane nesandla, yileyo iphukayo . Ikwaqhagamshelwe kwijoyinti yesandla, ngoko ke le ngxaki iyenzeka kuloo joyinti.

Oku kwenzeka rhoqo xa ugoba ingalo yakho, oko kukuthi isihlakala sakho, uze uwe nobunzima bakho bukwelo cala. Khawuthelekelele, ububaleka uze ngequbuliso utyibilike uze ubethe isandla sakho emhlabeni, kulapho oku kuqhekeka kunokwenzeka khona. Enyanisweni, ithambo leradius lelona thambo liqhele ukwaphuka esandleni sethu. Lilonke, yi-20% kuphela yazo zonke ezinye izaphuka ezizaphuka kwiradius!

Ngaba kukho iintlobo zeBarton Fractures?

Ewe, kukho iintlobo ezimbini eziphambili zokwaphuka kwethambo likaBarton, kuxhomekeke kwicala apho iqhekeza lethambo lisusiwe khona.

1. Uqhekeko lweDorsal Barton: Kulapho iqhekeza lethambo eliphukileyo liphuma khona ngasemva kwesandla sakho, apho kukho khona uzipho. Oku kunokubangela ukuba kuvele ukudumba okuncinci ngasemva kwesandla sakho.

2. I-Volar Barton Fracture (ekwaziwa ngokuba yi-Reverse Barton Fracture): Kulapho iqhekeza lethambo eliphukileyo liphuma khona liye engalweni yakho. Okumangalisayo kukuba, ezi zezona ntlobo zixhaphakileyo ze-reverse Barton fractures.

Ngubani onokuba nethuba elikhulu lokufumana iBarton Fractures?

Enyanisweni, nabani na angaphuka ngolu hlobo. Kuba ngubani owaziyo ukuba kuza kwenzeka nini okanye njani, akunjalo? Nangona kunjalo, ngokutsho kophando, ama-70% ezi zifo zaphuka zikaBarton zixelwa phakathi kwamadoda aselula . Oku kuqheleke kakhulu phakathi kwabasebenzi bezandla okanye abakhweli beebhayisekile. Oku kwenzakala kunokwenzeka emsebenzini okanye kwingozi yebhayisekile.

Kwakhona, une -osteoporosis.Ukuba unesifo esibizwa ngokuba yi-osteoporosis, usemngciphekweni omkhulu wokufumana olu qhekeko. I-Osteoporosis sisifo nje apho amathambo aba buthathaka kwaye aphuke lula. Ngoko ke, xa amathambo ebuthathaka, nokuba ukuwa okuncinci kunokubangela umonakalo omkhulu. Umngcipheko wokufumana esi sifo uhlala uphezulu emva kweminyaka engama-50.

Zixhaphake kangakanani iiBarton Fractures?

Inyaniso kukuba, ukwaphuka kwesandla sikaBarton luhlobo olungaqhelekanga lokuqhekeka kwesandla . Kukho ezinye iintlobo ezininzi, ezixhaphakileyo zokuqhekeka kwesandla. Ngoko ke, ayizizo zonke iintlobo zokuqhekeka kwesandla ezibangelwa kukuqhekeka kwesandla sikaBarton.

Ziziphi izizathu eziphambili zokuhlukana?

Oku kuqheleke kakhulu, oko kukuthi, oku kuqheleke kakhulu, kubangelwa kukuwa . Njengoko bekutshiwo ngaphambili, oku kwenzeka xa usiwa kangangokuba isandla sakho sichukumisa umhlaba. Ukongeza, ukwaphuka okunjalo kunokwenzeka nakwiingozi ezinzima ezifana neengozi zeemoto kunye neengozi zeebhayisekile.

Zithini iimpawu zeBarton Fracture?

Iimpawu zokwaphuka kweBarton zifana kakhulu nezo zabanye ukwaphuka kwe-distal radius esixoxe ngayo ngaphambili. Ungahlangabezana nezinto ezifana nezi:

• Ukugruzuka nokukruzuka esihlahleni: Emva kokuwa, indawo inokuba luhlaza okwesibhakabhaka kwaye ikruzuke.
• Ukudumba okanye iqhuma esihlahleni: Xa iqhekeza lethambo lihamba, linokudumba lize libonakale njengeqhuma.
• Ukungakwazi ukuhambisa isihlakala ngaphandle kwentlungu: Intlungu inokuba nkulu kangangokuba awukwazi nokushukumisa isandla sakho.
• Iminwe ebuhlungu okanye ebuhlungu: Ngamanye amaxesha, ukuba kukho uxinzelelo oluncinci kwimithambo-luvo, iminwe ebuhlungu ingavakala ngathi ayinamandla.
• Ukudumba: Isandla singadumba kakhulu.
• Intlungu ebuhlungu esihlahleni: Olu luphawu oluphambili. Intlungu inokuba nzima ukuyinyamezela.

Khawucinge nje, ukuba ungawa ngelixa udlala ikhilikithi waza wenzakala isandla sakho ngolu hlobo, ubungenakukwazi ukwenza imisebenzi yakho yemihla ngemihla. Kungoko ke, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngokukhawuleza ukuba ufumana iimpawu ezinje.

Oogqirha bayixilonga njani iBarton Fracture?

Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho, ukuba zinzima kangakanani, kunye nendlela eyenzekileyo ngayo ingozi. Emva koko, ugqirha uza kuyalela i-X-ray ukuze abone ukuba unethambo elaphukileyo na kwaye loluphi uhlobo lokwaphuka. I-X-ray inokunceda ugqirha abone:

• Ngaba kukho amanye amathambo aphukileyo?
• Zikude kangakanani iziqwenga zamathambo eziphukileyo?
• Nokuba umphezulu wethambo eliphukileyo urhabaxa okanye uthambile.

Ngamanye amaxesha, jonga imisipha yakho, izihlunu kunye nemisipha ukuze ubone ukuba akukho monakalo na.Kunokwenziwa i-CT scan okanye i-MRI .

Imibuzo enokubuzwa ngugqirha

• "Unentlungu engakanani?"
• "Zingakanani iimpawu zakho?"
• "Ungakwazi ukushukumisa isandla sakho?"
• "Ulimele njani esi sandla?"
• "Le ngozi yenzeke nini?"

Ugqirha uya kukwazi ukuqonda ngokuchanekileyo imeko ngokusekelwe kwiimpendulo zakho kwimibuzo efana nale.

Uyiphatha njani into ephukileyo ngolu hlobo?

Ugqirha wakho uza kuqala ngokubeka i-splint esihlahleni sakho ukuze singashukumi. Emva koko, uza kukuthumela kugqirha wamathambo. Oogqirha bamathambo banyanga ukwenzakala kwamathambo, izihlunu, imisipha kunye nemisipha.

Kusenokwenzeka ukuba, kuya kufuneka wenze utyando olubizwa ngokuba yi -Open Reduction and Internal Fixation (ORIF) . Oku kunokuvakala njengegama elintsonkothileyo, kodwa ngokulula, kusebenza ngolu hlobo:

1. Ukunciphisa Ulusu Oluvulekileyo: Ugqirha wenza umngxuma omncinci eluswini, afumane amathambo aphukileyo, aze awabuyisele kwindawo yawo yokuqala.

2. Ukulungiswa Kwangaphakathi: Emva koko, iziqwenga zamathambo eziziswe kwindawo efanelekileyo zibanjwa kunye kusetyenziswa iziqwenga ezincinci zentambo (iiphini), iintonga, iipleyiti, izikrufu, njl. Ngamanye amaxesha ezininzi kwezi zingasetyenziswa kunye.

Ukunciphisa iintlungu emva kolu tyando, ugqirha wakho unokucebisa ukuba uthathe amayeza okudambisa iintlungu anjenge -acetaminophen (umz. iTylenol®) kunye ne -ibuprofen (umz. i-Advil®, i-Motrin®) .

Kuthatha ixesha elingakanani ukuba iBarton Fracture iphole?

Oku kunokwahluka kumntu nomntu. Kodwa ngokubanzi,

• Ukuba awutyandwanga (nto leyo esenokungabi yimfuneko kwezinye iimeko, kodwa utyando ludla ngokuba yimfuneko xa uBarton ephukile), kuya kufuneka unxibe isamente esihlahleni sakho kangangeeveki ezintandathu.
• Kwanasemva kotyando, kusenokufuneka unxibe i-plaster cast okanye i-splint okwethutyana.
• Emva koko, kuya kufuneka wenze unyango lomzimba , apho uya kuphinda ufumane intshukumo namandla esihlahleni sakho kancinci kancinci.

Uza kuqala ukuziva ungcono kwiinyanga ezimbalwa. Nangona kunjalo, kungathatha unyaka wonke ukuba ingalo yakho iphiliswe ngokupheleleyo kwaye iphinde ifumane amandla ayo. Ke ngoko, kubalulekile ukuba nomonde kwaye uthathe inxaxheba kunyango. Qiniseka ukuba ubuza ugqirha wakho ukuba ungaqala nini kwakhona ukuzilolonga kwaye ungadlala nini imidlalo efana nebhola ekhatywayo kunye nehoki.

Ingancitshiswa njani le ngozi?

Asinakukwazi ukuqikelela ukuba ezi ngozi ziza kwenzeka nini kwaye njani. Kodwa singalumka kancinci:

• Lumka kakhulu xa udlala imidlalo, usenza umsebenzi wezandla, uqhuba ibhayisekile, okanye unyuka indawo ephakamileyo njengeleli.
• Ukuba usengozini enkulu yokuba ne-osteoporosis (ingakumbi ukuba uneminyaka engaphezu kwama-50 ubudala), susa iingozi zokukhubeka ekhayeni lakho.
• Ukuba usebenzisa induku okanye i-walker, ungalibali ukuyisebenzisa rhoqo.

Injani imeko emva kokwaphuka kukaBarton? (Imbono/Ukuqikelela)

Iindaba ezimnandi zezokuba uninzi lwabantu lunokubuyela kwimisebenzi yalo yemihla ngemihla emva kokwaphuka kukaBarton. Nangona kunjalo, kuthatha ixesha, unyango olufanelekileyo, kunye nonyango olufanelekileyo lomzimba.

Ziziphi iingxaki ezinokubakho emva kotyando?

Ngamanye amaxesha, iingxaki zinokwenzeka emva kotyando. Kukho ithuba elincinci lokuba ezi zinto ziya kwenzeka emva kotyando lokwaphuka kukaBarton:

• I-Acute Comppartment Syndrome (ACS): Oku kuxa ukuhamba kwegazi kwiindawo ezibalulekileyo zomzimba kunqanyulwa. Oku kunokubangela umonakalo kwimithambo-luvo nakwimisipha. Le yimeko engxamisekileyo.
• I-Osteomyelitis: Ukuba uneqhekeza elivulekileyo – oko kuthetha ukuba ithambo liqhekekile eluswini – usemngciphekweni omkhulu wokufumana usulelo.
• I-Carpal Tunnel Syndrome: Le meko inokwenzeka ukuba isandla esaphukileyo asiphili kakuhle. Inokubangela iintlungu, ubuthathaka, kunye nokungaziva mnandi. Kodwa kukho unyango loku.
• I-Complex Regional Pain Syndrome (CRPS): Le yimeko ebuhlungu kakhulu. Iyenzeka xa imithambo-luvo ivuseleleka kakhulu emva kokwenzakala, nto leyo ebangela ukuba ingasebenzi kakuhle.
• UMalunion: Oku kuthetha ukuba xa amathambo akho aphukileyo ephola, awahambelani kakuhle kwaye ayalunganga.
• Eminye imonakalo kwizicubu ezingqongileyo: Amathambo aphukileyo angonakalisa nezihlunu ezingqongileyo, imithambo yegazi, imithambo-luvo, imisipha kunye nemisipha.

Ukuba ukhathazekile okanye unenkxalabo malunga nezi ngxaki, qiniseka ukuba uthetha nogqirha wakho. Kukho unyango olufanelekileyo kwezinye izinto.

Ngawaphi amaxesha afanelekileyo okubonana nogqirha?

• Ukuba uneminyaka engaphezu kwama-50 ubudala kwaye wakha waphuka ithambo, umniki-nkonzo wakho oyintloko unokufuna ukukuhlola ukuba awunayo na i-osteoporosis. Ukuphuka ithambo kuthetha ukuba amathambo akho asenokuba buthathaka.

Kufuneka uye nini kwiSebe leeNgxamiseko?

Ukuba ucinga ukuba usenokuba waphukile esihlahleni sakho, kungcono uye kwigumbi likaxakeka elikufutshane ngoko nangoko . Ingakumbi ukuba:

• Ukuba intlungu yakho inzima kakhulu.
• Ukuba isihlakala sakho sibonakala singaqhelekanga (njengokungathi sikhubazekile).
• Ukuba isihlakala siphelelwe ngamandla.
• Ukuba iminwe yakho itshintshile umbala (njengombala oluhlaza okwesibhakabhaka, omhlophe, okanye ongwevu).

Imibuzo ebalulekileyo yokubuza ugqirha wakho

Xa ubona ugqirha, ungalibali ukubuza le mibuzo:

• "Ngaba ndiyaludinga ngokwenene utyando?"
• "Luhlobo luni lokwaphuka endinalo?"
• "Ndiza kukwazi nini ukukhupha iplasta yam?"
• "Ndingabuyela nini kwimisebenzi yam yesiqhelo?"

Eyona nto ibalulekileyo ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Khumbula, ukuba uwa ugobile isandla sakho, inxalenye yaso ingaphuka kwaye inxalenye yaso ingaphuma kwindawo yayo. Oku kuthetha ukuba usenokuba neBarton Fracture. Ukuba ilungu libonakala ngathi alikho endaweni yalo, lisenokuba yiBarton Fracture. Ii-X-ray zinokunceda oogqirha ukuba bafumanise ukuba loluphi uhlobo lokwaphuka. Kwiimeko ezininzi, utyando lolona nyango lungcono.

Ukuba uneempawu zeBarton Fracture, yiya kwigumbi likaxakeka elikufutshane ngokukhawuleza . Ezi zaphuko zinokunyangwa, kwaye ukuba zinyangwa ngokukhawuleza, unganciphisa iintlungu kwaye uqale ukuphola ngokukhawuleza. Ndikunqwenelela ukuchacha ngokukhawuleza!

Ukwaphuka kukaBarton , ukwaphuka kwesandla, ukwaphuka kwesandla, iintlungu zesandla, utyando lwamathambo, utyando lwe-ORIF, ukuphiliswa kwamathambo