Ingaba isandla sakho silimele ngolu hlobo? Masifunde ngeBoxer's Fracture!

Ngaba wakha wabethelela isandla sakho eludongeni ngenxa yomsindo? Okanye wakha wabethwa kabuhlungu ngelixa udlala imidlalo? Ngamanye amaxesha, xa oko kusenzeka, ungaphuka ithambo esandleni sakho, ingakumbi ithambo elisecaleni lomnwe wakho weringi. Namhlanje, siza kuthetha ngolu hlobo lokuqhekeka, oogqirha abalubiza ngokuba yi-'Boxer's Fracture.'

Yintoni iBoxer's Fracture?

Ngamafutshane, ukwaphuka kwebhokisi kukuqhekeka esandleni sakho. Luhlobo lokuqhekeka kwe-metacarpal.

Umva wesandla sakho unamathambo amade, aqinileyo onokuwava xa uwachukumisa, kwaye yiloo nto siyibiza ngokuba zii-metacarpal. La ngamathambo adibanisa ubhontsi wakho kunye nee-phalanges zeminye iminwe yakho esihlahleni sakho.

Ukuqhekeka kwebhokisi kukuqhekeka kwethambo lesihlanu le-metacarpal elidibanisa umnwe wakho opinkie esihlahleni sakho . Ngokukodwa, isiphelo sethambo eliqhagamshela kwi-knuckle, inxalenye 'yentamo', siyaphukile.

Amaxesha amaninzi, unyango lokwaphuka okunje lubandakanya ukuvala ingalo nge-splint okanye i-cast. Nangona kunjalo, ukuba ukwaphuka kukhulu, ingakumbi ukuba kuhamba nezinye iingozi, utyando lunokufuneka.

Ukwaphuka kweBoxer evulekileyo nevaliweyo

Ngoku ugqirha wakho uza kuluhlu olu qhekeko njengoluvulekileyo okanye oluvaliweyo.

Ukuqhekeka okuvulekileyo kuxa ithambo eliphukileyo liqhekeza ulusu lwakho lize liphume. Oku kuyingozi kancinci kuba kuthatha ixesha elide ukuba inxeba liphole kwaye kukho amathuba aphezulu osulelo.

Xa ithambo liqhekekile, ithambo liyaphuka, kodwa ulusu aluphukanga. Kwakhona kuyingozi kakhulu, kodwa umngcipheko weengxaki uphantsi kunowokuqhekeka okuvulekileyo.

Ukwaphuka kweBoxer egxothiweyo

Amanye amagama amabini asetyenziswa ngoogqirha ngu-'displaced' kunye no-'nondisplaced'.

Ukuqhekeka okushiyekileyo kuxa iziqwenga ezibini zethambo ziqhekeka zize zityhalelwe phambili nangasemva, zingabikho endaweni yazo, nto leyo eshiya umsantsa omkhulu phakathi kwazo. Ngamafutshane, ithambo liyoluliwe kwaye alithanga nkqo.

Xa ithambo liqhekekile , ithambo liyaphuka, kodwa iziqwenga azikahambi kakhulu, kwaye zisakwindawo efanayo. Iithambo eziqhekekileyo zihlala zifuna utyando.

Kuqheleke kangakanani ukwaphuka kwebhokisi?

Ukuqhekeka kwale bhokisi lolona hlobo luqhelekileyo lokuqhekeka kwe-metacarpal esandleni. Enyanisweni, malunga nekota (malunga ne-25%) yazo zonke ii-metacarpal fractures esandleni zezo hlobo.

Zithini iimpawu zokuphuka kwebhokisi?

Kulungile, ngoku masibone ukuba zithini iimpawu zokuphuka kwebhokisi.

• Intlungu ebuhlungu:Le yeyona nto iphambili. Ibuhlungu apho isandla sam besikhona.
• Ukudumba: Inxalenye yesandla eyonzakeleyo idumba kakhulu.
• Umnwe kaPinkie udlula komnye umnwe: Umnwe wakho kaPinkie ungabonakala ngathi udlula okanye udlula emva komnwe wakho weringi. Oku kubizwa ngokuba 'yi-rotational deformity' . Kuthetha ukuba umnwe ujijekile.
• Ukuthamba: Indawo eyonzakeleyo iya kuba buhlungu ukuba uyayichukumisa okanye uyicinezela.
• Ubunzima bokushukuma okanye ukusebenzisa isandla: Ubunzima bokwenza imisebenzi ngesandla, ukugoba okanye ukolula iminwe.
• Ukutshintsha kombala oluhlaza okwesibhakabhaka: Ulusu kwindawo yokwenzakala lunokuba luhlaza okwesibhakabhaka okanye mfusa.

Yintoni ebangela ukwaphuka kwebhokisi?

Eyona nto ibangela oku kukuba xa ubethe isandla sakho ngamandla eludongeni okanye emnyango ngenqindi . Abanye abantu benza oku xa benomsindo. Kulapho ke kwenzeka khona kakhulu. Igama elithi 'ukuphuka kwebhokisi' livela kwinto yokuba iibhokisi zihlala zihlupheka ngenxa yale ngozi. Kwakhona, ukubetheka okunzima ngasemva kwesandla sakho kunokubangela olu hlobo lokuphuka.

Ngubani osengozini enkulu yoku?

Nabani na angaphula ithambo lesihlanu le-metacarpal ecaleni kobhontsi omkhulu. Kodwa abanye abantu basengozini enkulu kancinci. Jonga ukuba ngubani lo:

• Abantu abaphakathi kweminyaka eli-10 nengama-40 ubudala: Oku kubonakala rhoqo kweli qela leminyaka.
• Abadlali: Ingakumbi abo badlala imidlalo yokudibanisa amalungu omzimba, njengebhokisi kunye nemidlalo yokulwa.
• Abantu abane-osteoporosis: I-Osteoporosis sisifo esibangela ukuba amathambo abe buthathaka kwaye aqine. Abantu abanale meko banokuphuka amathambo abo nokuba benzakele kancinci.

Uyibona njani into yokuba i-boxer yaphukile?

Xa usiya kugqirha, baza kuqala bahlole isandla sakho. Ugqirha usenokucinga ukuba kukwaphuka kwebhokisi ngokuyichukumisa okanye ngokuyijonga nje. Kufuneka uxelele ugqirha ukuba kwenzeke ntoni ngaphambi kokuba wenzekele isandla sakho kunye nendlela owaqala ngayo ukuqaphela iimpawu.

Zithini iimvavanyo zokuxilonga?

Ugqirha uza kuthatha ii-X-reyi zesandla sakho. I-X-reyi iza kubonisa ngqo apho ithambo lesihlanu le-metacarpal laphukile khona kunye nokuba injani na i-fracture.

Ngamanye amaxesha, ingakumbi ukuba kufuneka utyando, ungenza ne -CT scan (Computed Tomography - CT scan) . I-CT scan ingathatha umfanekiso we-three-dimensional (3D) wamathambo akho kunye nezicubu ezingqongileyo.

Zinyangwa njani iintlungu zebhokisi?

Ugqirha wakho uza kucebisa unyango oluza kunceda ithambo lakho liphile. Uhlobo lonyango olufunayo luya kuxhomekeka kuhlobo lokwaphuka kwebhokisi onayo kunye nokuba unayo eminye imingxunya. Unyango oluqhelekileyo lolu:

Ukungakwazi ukuhambahamba

Ukuba ukwaphuka kwebhokisi akukubi kakhulu, oko kuthetha ukuba iziqwenga zamathambo azikude kakhulu (ukuqhekeka okungasuswanga), ungadinga kuphela ukugcina ingalo yakho ikwi-splint okanye i-cast. Uninzi lwabantu kuya kufuneka bagcine ingalo yabo ikule ndawo kangangeeveki ezintathu ukuya kwezintandathu . Phakathi kwezi, baya kuthatha ii-X-ray ukuqinisekisa ukuba amathambo ayaphola ngokufanelekileyo.

Ukulungiswa ngesandla (Ukunciphisa okuvaliweyo)

Ukuba uqhekeke kakhulu kwibhokisi, kunokufuneka wenze inkqubo ebizwa ngokuba yi-'closed reduction' ukuze ulungelelanise amathambo aphukileyo. Kule nkqubo, ugqirha uza kucinezela umva wesandla sakho aze abuyisele amathambo aphukileyo endaweni yawo. Ngelixa usenza oku, awuyi kuva ntlungu kwaye ungenza enye yezi zinto zilandelayo:

• I-anesthetic yendawo: Oku kunciphisa kuphela indawo ejikeleze inxeba .
• Izinto zokuthomalalisa umzimba: Oku kuya kukwenza uzive ukhululekile.
• I-anesthesia eqhelekileyo: Oku kuthetha ukuba awuyi kuva nto, uza kube ulele.

Emva kokulungelelanisa amathambo ngale ndlela, ugqirha uza kuyivala ingalo yakho nge-splint okanye i-cast.

Utyando lokwaphuka kwebhokisi

Uninzi lwabantu aludingi tyando ukuze kuphuke i-boxer.

Kodwa ukuba uqhekeke ngokuvulekileyo, uqhekeke oluphumileyo, okanye uqhekeke oluqhekekileyo, ugqirha wakho unokucebisa utyando. Kwakhona, ukuba kukho umonakalo kwithambo kunye nezinye izicwili ezingqongileyo, utyando lunokufuneka. Ngokukodwa, ukuba uqhekeko lubangele ukuba uzwane lwakho olukhulu luhambe phezu kolunye uzwane (i-malrotation), utyando lunokufuneka.

Ugqirha ubuyisela iziqwenga zamathambo akho endaweni yazo aze azilungise, ukuze zivumelane kakuhle. Oku kudla ngokwenziwa ngokusebenzisa 'i-internal fixation' . Oku kuthetha ukuba ugqirha ufaka iiphini, izikrufu, okanye ipleyiti ethanjeni lakho ukuze abambe iziqwenga ndawonye. Emva kokuba ithambo liphilile, unokufuna olunye utyando ukuze ususe i-fixation.

Iingxaki ezinokubakho ngenxa yotyando

Iingxaki eziphambili ezinokubakho emva kotyando lokwaphuka kwebhokisi zezi:

• I-Malunion: Oku kwenzeka xa iziqwenga zamathambo eziphukileyo zingahambelani kakuhle njengoko ziphola. Oku kunokutshintsha imo yesandla kwaye kunciphise ukusebenza kwesandla.
• Ukungadibani: Ngamanye amaxesha iziqwenga zamathambo zisenokungadibani kakuhle, okanye zisenokungadibani kwaphela.
• Usulelo lwamathambo (i-Osteomyelitis):Ukuba ubuneqheke elivulekileyo, oko kuthetha ukuba ithambo liqhekekile eluswini, usemngciphekweni omkhulu wokufumana usulelo lwebhaktheriya.
• Ukuqina kwesandla: Abantu abakhe baphuka i-boxer badla ngokuziva beqinile bejikeleze ithambo elaphukileyo. Oku kuqina kunokuncipha ngokuzivocavoca ekhaya kunye nonyango lomsebenzi .
• I-Acute Comppartment Syndrome (ACS): Le yimeko eyingozi. Uxinzelelo ngaphakathi kwemisipha yengalo luyanda, kwaye ukuhamba kwegazi kunokuphazamiseka. Oku kunokukhokelela kumonakalo ongunaphakade kwimisipha kunye nemithambo-luvo.

Ndiza kuziva bhetele nini emva konyango?

Kungathatha iiveki ezimbalwa ukuba iimpawu zakho ziphele. Intlungu iza kuqala ukuncipha kwiintsuku ezimbalwa. Kodwa kuza kuthatha malunga neeveki ezintandathu ukuba ithambo lakho liphinde libe namandla apheleleyo.

Ngokuxhomekeke kuhlobo lonyango olufumeneyo, unokukwazi ukushukuma nokusebenzisa isandla sakho kwakhona kwiiveki ezimbalwa.

Kodwa khumbula, ukuba unentlungu enganyamezelekiyo kwaye ayipheli, kufuneka ubone ugqirha ngokukhawuleza.

Ungalindela ntoni ukuba uphukelwe yibhokisi?

Kusenokwenzeka ukuba ungaphila ngokupheleleyo emva kokuphuka kwebhokisi.

Usenokufuna nonyango lomsebenzi ukuze ufumane amandla kunye nentshukumo esandleni sakho.

Kuthatha ixesha elingakanani ukuba ukwaphuka kwebhokisi kuphole?

Uninzi lwabantu luthatha malunga nenyanga okanye ezimbini ukuphola emva kokuphuka kwebhokisi. Ixesha elithathayo kuwe lixhomekeke kubukhulu bokwaphuka kunye nonyango olufumeneyo.

Enyanisweni, ixesha elithathwayo ukuze umzimba uphiliswe liyahluka kumntu nomntu. Buza ugqirha wakho okanye ugqirha ukuba kuza kuthatha ixesha elingakanani kuxhomekeke kwimeko yakho.

Ngaba andizukukwazi ukuya emsebenzini/esikolweni ngenxa yesi sizathu?

Usenokungakwazi ukuya emsebenzini okanye esikolweni de isandla sakho siphole. Oku kunzima ngakumbi ukuba ukwaphuka kwenzeke kwisandla sakho esilawulayo, esisandla osisebenzisa rhoqo, njengesandla obhala ngaso okanye owenza omnye umsebenzi ngaso.

Uninzi lwabantu lunokuphinda luqalise imisebenzi yomzimba (njengemidlalo) emva kweeveki ezisibhozo .

Nangona kunjalo, kufuneka uhlale uqhagamshelana nogqirha okanye ugqirha ngaphambi kokuba uqale nantoni na kwakhona. Ingakumbi ukuba ithambo lakho laphukile ngelixa udlala umdlalo okanye usenza into ethile, qiniseka ukuba ucela ingcebiso ngaphambi kokuba uqale kwakhona.

Singayinciphisa njani ingozi yolu hlobo lwengozi?

Ukuze unciphise umngcipheko wolu hlobo lokulimala, landela la macebiso alula okhuseleko:

• Xa unomsindo okanye ucaphukile, ungaze ubethe eludongeni, phantsi, okanye nakweyiphi na into eqinileyo. Le yeyona nto ibalulekileyo.
• Soloko unxibe ibhanti xa ukhwela imoto.
• Nxiba izixhobo zokuzikhusela ezifanelekileyo kuyo yonke imisebenzi nemidlalo.
• Landela indlela yokutya kunye nesicwangciso sokuzilolonga esinceda ukugcina amathambo akho esempilweni.
• Ukuba uneminyaka engaphezu kwama-50 ubudala, okanye ukuba kukho umntu kusapho lwakho onesifo sokudumba kwamathambo, thetha nogqirha wakho uze ucinge ngokwenza uvavanyo lokuqina kwamathambo .

Kunini apho kufuneka uye esibhedlele ngokukhawuleza?

Ukuba ucinga ukuba uphuke i-boxer's fracture (okanye naluphi na olunye uphuke ithambo), kufuneka ubone ugqirha ngokukhawuleza. Ukuba unezinye zeempawu ezilandelayo, yiya kwigumbi longxamiseko ngokukhawuleza:

• Intlungu enganyamezelekiyo.
• Ukuba awukwazi ukuhambisa isandla okanye iminwe yakho ngokuqhelekileyo.
• Ukuba inkangeleko yesandla sakho itshintshe kakhulu.
• Ukuba ithambo lakho liphuma eluswini lwakho.
• Ukudumba.
• Ukuba uqalile ukufumana ubuluhlaza obutsha kunye nezinye iimpawu.

Ndingayibuza ntoni ugqirha?

Kungcono ukubuza le mibuzo xa ubona ugqirha wakho:

• Luhlobo luni lokwaphuka endinalo?
• Ngaba ndiza kufuna utyando?
• Kuza kufuneka ndinxibe i-splint okanye i-cast ixesha elingakanani?
• Kunini apho kukhuselekileyo ukuphinda wenze imisebenzi yomzimba efana nemidlalo?

Ngaba ukwaphuka kwebhokisi kuza kuphola ngokwako?

Hayi, ukwaphuka kwebhokisi akusoze kuphole ngokwako. Naluphi na ukwaphuka kufuneka luhlolwe kakuhle kwaye lunyangwe ngugqirha. Ukuba ushiya ukwaphuka kwebhokisi kunganyangwanga, usemngciphekweni omkhulu wokufumana iingxaki ezifana ne-malonion.

'I-malunion' kuxa ithambo elaphukileyo lidibana, kodwa lingekho kwindawo efanelekileyo, kwindawo efanelekileyo. Lidibana. Ukuba oko kuyenzeka, unokuba nobunzima bokusebenzisa ubhontsi wakho kamva, kwaye usenokuba nethuba elingcono lokwaphuka ithambo elifanayo kwakhona kwixesha elizayo.

Ukuba wenzakele ingalo yakho kwaye ubona iimpawu zokuphuka kwebhokisi, yiya kwigumbi longxamiseko ngokukhawuleza. Nokuba ithambo lakho alaphukanga, ugqirha ngokuqinisekileyo kufuneka ahlole ukwenzakala kwakho.

Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule

Ukuphuka kwebhokisi kukwaphuka kwethambo esandleni sakho. Igama layo livela kwindlela eyenzeka ngayo rhoqo – xa ubetha isandla sakho ngesibhakela kwinto enzima. Nangona oku kukwenzakala okuqhelekileyo ngexesha lemidlalo, kunokwenzeka naxa ubetha udonga okanye enye into enzima ngomsindo.

Kuyacaphukisa ukuphoswa ziiveki ezimbalwa zoqeqesho, ukhuphiswano, okanye eminye imisebenzi. Kodwa ungaphila ngokupheleleyo emva kokuphuka kwebhokisi. Musa ukuyityeshela iimpawu ezifana nentlungu yengalo kunye nokudumba, ingakumbi emva kokwenzakala.Yiya kugqirha ngokukhawuleza ukuze ufumane ukuxilongwa. Okukhona ugqirha efumanisa ukuba ithambo lakho le-metacarpal elaphukileyo liya kuqala ukuphola ngokukhawuleza.

Ukuphuka kwebhokisi , ukwaphuka kwesandla, ukwaphuka kwe-metacarpal, iintlungu zesandla, ukudumba kwesandla, ukwenzakala kwezemidlalo, unyango lwamathambo