Ngaba nawe waphukile i-collarbone yakho? (Ukwaphuka kweClavicle) Makhe sithethe ngale nto ngokweenkcukacha!

Owu, ngamanye amaxesha nokuwa okuncinci kunokubangela iintlungu ezininzi kwindawo yegxalaba, akunjalo? Kwimeko enjalo, ithambo lakho lekhola, oko kukuthi, ithambo elide elisuka ezantsi kwentamo ukuya egxalabeni, esilibiza ngokuba yi-"Clavicle" ngesiNgesi, lisenokuba laphukile. Le yinto eyenzekayo kubantu abaninzi, ingakumbi abantwana abancinci. Ke namhlanje, masifunde ngqo ngale ngxunya yekhola "Clavicle Fracture".

Kuthetha ukuthini oku kwaphuka kwethambo lekhola? (Ukuqhekeka kweClavicle)

Ngamafutshane, ithambo lekhola liqhekeka xa elinye lamathambo amabini kwithambo lakho lekhola liqhekeka. La mathambo mabini akwinxalenye ephezulu yesifuba sakho, ukusuka phezulu kwethambo lakho lesifuba (sternum) ukuya kwisiseko sehlombe lakho (scapula). Ithambo lakho lekhola kunye nehlombe ziyadibana ukuze zenze i-joint yehlombe. Ngoko ke, ukuba kukho into ebetha igxalaba lakho ngamandla, okanye ukuba wenze ingozi, eli thambo lekhola linokwaphuka lula.

Ziziphi iintlobo zamathambo ekhola aphukileyo?

Xa usiya kugqirha, banokusebenzisa amagama ahlukeneyo ukuchaza olu qhekeko. Banokuchaza ngolu hlobo:

• Ukwaphuka kwethambo elinye okanye elinye: Ithambo lakho lekhola lingaphuka kwindawo enye, okanye lingaqhekeka libe ziingceba kwiindawo ezininzi. Ukuba laphukile kwiindawo ezingaphezu kwenye, kuthiwa yi-comminuted fracture.
• Nokuba iziqwenga eziphukileyo zisusiwe okanye azisuswanga (`Displaced/Nondisplaced`): Ngamanye amaxesha, nangona i-collarbone yaphukile, iziqwenga eziphukileyo zisenokuhlala kanye apho zazikhona. Nangona kunjalo, ukuba iziqwenga zisusiwe kwiindawo zazo zokuqala, kubizwa ngokuba yi-`Displaced fracture``.

Ugqirha wakho angasebenzisa inkqubo ekhethekileyo yokwahlulahlula (njengokwahlulwahlulwa kukaNeer) ukwahlulahlula ukwaphuka kwakho. Olu hluhlu luqwalasela apho ukwaphuka kukhoyo kunye nokuba ezinye izicwili zonakele na. Ezi nkqubo zokwahlulahlula zinokunceda ugqirha wakho ukuba ahlole ukwenzakala kwakho aze amisele unyango olungcono.

Kuqheleke kangakanani ukuba amathambo ekhola aphuke?

Ithambo lekhola eliphukileyo ngokwenene liyenzakala eqhelekileyo. Libalelwa phakathi kwe-5% kunye ne-10% yazo zonke izaphuko . Okumangalisayo kukuba, lixhaphake kabini ebantwaneni – libalelwa phakathi kwe-10% kunye ne-15% yazo zonke izaphuko ebantwaneni. Lilonke, lelona qhekeza lixhaphakileyo ebantwaneni. Likwayelona qhekeza lixhaphakileyo ebantwaneni xa bezalwa. Phakathi kwe-1% kunye ne-2% yeentsana ziya kwaphuka ithambo lekhola ngale ndlela.

Zithini iimpawu ze-collarbone eyaphukileyo?

I-collarbone eyaphukileyo ingabangela iimpawu ezifana nezi:

• Intlungu yamathambo: Ithambo lekhola eliphukileyo linokubangela iintlungu eziqatha . Ngokuxhomekeke kwindawo apho ithambo liqhekeke khona, iintlungu zinokuvakala egxalabeni, kufutshane nesiseko sentamo, okanye embindini wethambo.
• Ubunzima bokushukumisa umzimba:Usenokuziva ukuqina egxalabeni okanye engalweni yakho, okanye intlungu inokwanda xa uzama ukuyishukumisa. Usenokuva isandi sokunqakraza xa uyishukumisa, okanye usenokuvakalelwa ngathi amathambo ayaqhekeka .
• Ukudumba: Xa ithambo liphukile, izicwili ezithambileyo ezijikeleze lona ziyadumba. Ngenxa yokuba i-collarbone ikufutshane kakhulu nolusu, unokubona kwaye uzive ukudumba.
• Ukuphambuka/utshintsho olubonakalayo: Ungaphawula ukuba kukho into ethile emathanjeni akho etshintshile ukusuka apho yayikhona ngaphambili. Amagxa akho asenokubonakala esezantsi ngendlela engaqhelekanga, okanye ithambo lakho lentamo lisenokungabonakali lilingana kumacala omabini.
• Ukugruzuka: Ukuba iziqwenga zamathambo eziphukileyo ziyahambahamba, zinokubangela ukwenzakala kwezicubu ezithambileyo, okubangela iintlungu xa zicinezelwe kwaye ngamanye amaxesha zigruzuka. Ungabona ukuba mnyama okanye umbala wesikhumba ecaleni kwethambo lentamo.
• Ukufakwa kweentente zolusu: Xa ithambo liqhekekile, ithambo eliphukileyo ngamanye amaxesha linokuphuma eluswini njengeepali zetente. Oku kunokubonakala njengeqhubu elingaphantsi kolusu.

Zithini izizathu eziphambili zokuqhekeka kwamathambo e-collarbone?

Ithambo lekhola lidla ngokwaphuka ngengozi, oko kukuthi, "iTrauma". Ezona zinto zixhaphakileyo zezi:

• Ukuwa: Ukuwa egxalabeni okanye engalweni eyoluliweyo yimbangela eqhelekileyo yokuphuka kwethambo lentamo. Cinga ngako njengokubetha igxala lakho ngelixa untywila ngelixa udlala ikhilikithi, okanye ukutyibilika kwigumbi lokuhlambela uze ulimele igxala lakho.
• Ukungqubana: Ukungqubana kwamagxa kukwenzakala okuqhelekileyo ngexesha lemidlalo. Kwanabantwana abancinci banokungqubana ngelixa bedlala.
• Iingozi zemoto: Kwingozi yemoto, umzimba wakho ungangena kwideshibhodi, okanye i-airbag ingasasazeka, nto leyo ebangela ukwenzakala.
• Ukulimala kokuzalwa: Iintsana zinokwaphuka amathambo azo entanyeni ukuba amahlombe azo atyumkile ngexesha lokuzalwa.

Ungazi njani ngokuqinisekileyo ukuba ikhola yaphukile?

Ukuba ucinga ukuba une-collarbone eyaphukileyo, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngoko nangoko. Ugqirha uza kwenza oku kulandelayo:

• Ndiyazibuza ukuba kwenzeke ntoni kuwe.
• Uchukumisa indawo eyonzakeleyo aze ayihlole.
• Kwenziwa i-X-ray ukuqinisekisa ukwaphuka.

Ii-X-reyi zinokubonisa apho ukwaphuka kwakho kukuphi, luhlobo luni, kwaye nokuba amanye amathambo aphukile na. Ukuba unokwenzakala okuntsonkothileyo, okanye ukuba uneengozi ezingaphezu kwesinye, ugqirha wakho unokuyalela ukuba kwenziwe i-CT scan (i-Computed Tomography scan) ukuze abone iinkcukacha ezithe vetshe.

Luluphi unyango lwe-collarbone ephukileyo?

Uninzi lwamathambo aqhekekileyo entanyeni aphiliswa kakuhle ngonyango olulula. Utyando lufuneka kuphela kwipesenti encinci kakhulu yamatyala.

Unyango oluqhelekileyo lwe-collarbone ephukileyo lulandelayo:

• Ukungakwazi ukuhamba: Iintlobo ezininzi ze-collarbone fractures ziyaphola ngokwazo.Nangona inokuphola, kubaluleke kakhulu ukugcina ithambo elaphukileyo lingashukumi de liphole. Ugqirha wakho uza kukunika i-sling okanye i-shoulder immobilizer. Kuya kufuneka uyinxibe kangangeeveki eziliqela.
• Ukuphelisa iintlungu: Ungadinga amayeza okuphelisa iintlungu abhalwe ngugqirha kwiiveki ezimbini zokuqala zokuphiliswa. Emva koko, ungasebenzisa amayeza okuphelisa iintlungu athengiswa ngaphandle kwe-odolo (OTC), afana ne-aspirin, i-ibuprofen, kunye ne-acetaminophen. Inokunceda nokufaka umkhenkce kwindawo ephukileyo malunga nemizuzu engama-20 ngexesha.
• Ukubeka iliso: Ugqirha wakho uza kuqhubeka ebeka iliso ekwaphukeni kwakho de kuphole. Baza kuthatha ii-X-ray ukuqinisekisa ukuba kuphola kakuhle. Oku kubalulekile kuba ngamanye amaxesha ithambo lisenokungaphili ngokupheleleyo (ukungadibani). Ukuba oku kuyenzeka, ugqirha wakho kuya kufuneka angenelele.
• Unyango lomzimba: Xa ithambo liqala ukuphola, ugqirha wakho uza kukunika imithambo oza kuyenza kancinci kancinci. Oku kuya kunceda ukuthintela izicubu ezithambileyo ukuba zingaqini kakhulu ngelixa ingalo yakho ingashukumi. Xa ithambo lipholile ngokupheleleyo, ungaqala ukwakha amandla emisipha kwakhona.

Utyando

Ungadinga utyando ukuba iziqwenga zamathambo zikude kakhulu (ukuqhekeka kwe-clavicle okushiyeke kakhulu) okanye ukuba ezinye izicwili, ezifana ne-tendon, i-ligament, imithambo yegazi, okanye i-nerve, zonakele.

Utyando lwethambo lekhola eliphukileyo lubandakanya (1) ukubuyisela iziqwenga eziqhekekileyo kunye (2) ukuzilungisa ngeepini, iipleyiti, kunye nezikrufu ukuze zingashukumi. Oogqirha bakubiza oku ngokuthi (1) "ukunciphisa okuvulekileyo" kunye (2) "nokulungiswa kwangaphakathi."

Kuthekani ukuba ukwaphuka kwe-collarbone akwenziwanga unyango?

Nangona usenokungadingi utyando ukuba waphukile i-collarbone yakho, kusabalulekile ukuba ugqirha ofanelekileyo ahlole ukwenzakala kwakho. Uza kufuna ukuqinisekisa ukuba amathambo akho aphukileyo ayaphola kakuhle kwaye akukho ezinye iingozi zangaphakathi ezifuna unyango.

Uza kukucebisa nangendlela yokuzinyamekela ekhaya. Oku kubaluleke kakhulu ekuchacheni kwakho. Ukuba igxalaba lakho alizange likwazi ukuhamba kakuhle, linokukuthintela ekuchacheni kwakho. Ukuba awuzenzi kakuhle izivivinyo, igxalaba lakho linokuba lukhuni kwaye liqandiswe ('igxalaba eliqandisiweyo'). Ukuba awuyi kugqirha wakho ukuya kuhlolwa, usenokungaziboni naziphi na iingxaki.

Khumbula, nokuba kubonakala ngathi yinto encinci, inokubangela iingxaki kamva ukuba ayinyangwa kakuhle.

Kuthatha ixesha elingakanani ukuba ithambo lentamo liphole?

Ixesha elithathwayo ukuze ithambo lentamo liphole linokwahluka. Kuxhomekeke ekubeni ukwaphuka kwakho kukhulu kangakanani kwaye uneminyaka emingaphi. Abantwana, abanamathambo asakhula, bathambekele ekupholeni ngokukhawuleza kunabantu abadala.Ngokwesiqhelo, ukuphola kungathatha eli xesha lilandelayo:

• Kwabantu abadala: Iiveki ezisi-8 ukuya kwezili-12.
• Kubantwana abancinci: Iiveki ezi-6 ukuya kwezi-8.
• Kubantwana abangaphantsi kweminyaka esi-8 ubudala: iiveki ezi-3 ukuya kwezi-6.
• Kusana olusandul’ ukuzalwa: malunga neeveki ezimbini.

Ugqirha wakho uza kukuxelela ukuba ungaphinda nini wenze imisebenzi eqhelekileyo.

Ndingaqala nini ukudlala kwakhona?

Uninzi lwabantu lunokubuyela kwimidlalo xa ithambo labo lentamo lipholile ngokupheleleyo kwaye akukho ntlungu xa beshukumisa imizimba yabo. Nangona kunjalo, ukuba udlala imidlalo yokudibanisa umzimba, kungathatha ixesha ukuba amandla akho abuyele. Ngaphambi kokuba ucoceke, ugqirha wakho uza kuthatha enye i-X-ray aze akuhlole.

Ngaba i-collarbone ephukileyo ingabangela iingxaki ezihlala ixesha elide?

Uninzi lwamathambo aqhekekileyo aphiliswa ngokupheleleyo ngaphandle kweengxaki. Nangona kunjalo, ukuba ukwaphuka kwakho akuphiliswa ngokwako (ukungadibani), ungaqhubeka unentlungu de ugqirha akwazi ukuyilungisa ngotyando. Ukuba amathambo aqhekekileyo ngokuchanekileyo, ungashiywa unokukhubazeka kwethambo okubonakalayo. Ukuba ukwaphuka kwakho kukufutshane nelungu legxalaba, ngamanye amaxesha amathambo aqhekekayo anokonakalisa i-cartilage elunguleni, nto leyo ebangela intlungu yamalungu kamva.

Iqhuma apho ithambo liphole khona (`Iingqumba zamathambo`)

Abanye abantu, ingakumbi abantwana, banokuba neqhuma ethanjeni emva kokuba ukwaphuka kupholile. Oku kubizwa ngokuba yi-"Bone callus". Kufana nesilonda eluswini. Akunabungozi kwaye kuya kuncipha ngokuhamba kwexesha. Kusenokunyamalala emva konyaka, kodwa ngamanye amaxesha iqhuma elincinci lisenokusala.

Yintoni omele uyenze kwaye ungayiyenzi xa i-collarbone yakho yaphukile kwaye iphola?

Ukuba uyaphola emva kwethambo lentamo elaphukileyo, landela la macebiso:

Izinto zokwenza:

• Gcina i-sling okanye i-immobilizer yakho isebenza imini nobusuku. Yikhulule kuphela xa uhlamba.
• Sebenzisa amayeza okudambisa iintlungu xa kufuneka, kodwa kuphela njengoko ugqirha wakho ekuyalele.
• Shukumisa amahlombe, iingalo, kunye nezandla zakho kancinci yonke imihla njengoko kuyalelwe.
• Yiya rhoqo kugqirha wakho xa uxilongwa.

Izinto ekungamele zenziwe:

• Ngaphandle kokuba ugqirha wakho ekucebisile ukuba wenze njalo, musa ukuxuba amayeza okudambisa iintlungu.
• Musa ukuthatha amayeza angaphezu kwedosi ecetyiswayo.
• Ukuba usafuna isilingi okanye isixhobo sokuyithintela imoto ukuba ihambe, musa ukuqhuba.
• Musa ukuphakamisa, ukutyhala, okanye ukutsala nantoni na ngezandla zakho de ugqirha wakho akunike imvume.

Ufanele uye nini kugqirha?

Ukuba ufumana naziphi na kwezi mpawu zintsha okanye ezingaqhelekanga , bona ugqirha ngokukhawuleza:

• Ubunzima bokuphefumla.
• Ukungaziva okanye ukulahlekelwa yimvakalelo kwimilenze.
• Ubuthathaka okanye ubuthathaka.
• Intlungu entsha okanye eyandayo.

Ithambo lakho lentamo lisenokungabonakali ngathi yindawo esengozini yokwenzakala, kodwa kungenxa yokuba liqhagamshelwe egxalabeni lakho. Naliphi na amandla abalulekileyo abetha egxalabeni lakho anokudluliselwa kwithambo lakho lentamo. Ngenxa yesi sizathu, ukwaphuka kwethambo lentamo kuqheleke kakhulu kunokuba unokucinga, ingakumbi ebantwaneni. Uninzi lwamathambo entamo luyaphola ngaphandle kweengxaki. Landela imiyalelo kagqirha wakho ukuze uphile ubomi obulula kangangoko.

Okokugqibela, umyalezo oya ekhaya:

Ngoko ke, ithambo lekhola elaphukileyo (iClavicle Fracture) asinto yokoyika, kodwa yinto ekufuneka inikwe ingqalelo kwaye inyangwe ngokwemiyalelo kagqirha. Ingakumbi ukuba unentlungu eqatha kwindawo yegxalaba, ukudumba, okanye ubunzima bokuhambisa ingalo yakho emva kokuwa okanye ingozi, musa ukuyityeshela kwaye uyibonise ugqirha.

• Ukuphumla okufanelekileyo kunye nokungakwazi ukuhambahamba kubaluleke kakhulu.
• Yenza imithambo echazwe ngugqirha.
• Yiya kuhlolwa ngexesha.

Ukuba uzenza ezi zinto ngokuchanekileyo, uya kuphila ngokukhawuleza kwaye ukwazi ukubuyela kwimisebenzi yakho yesiqhelo. Khumbula, impilo yakho isezandleni zakho!

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