Ngaba uphuke isihlakala sakho? (Ukwaphuka kwesandla) Makhe sithethe ngale nto!

Owu, ngaba ukhe wenzeka kakubi esihlahleni xa uwile? Okanye wakha wabetha isandla sakho ngelixa udlala imidlalo, kwaye ngoku indawo idumbile, iluhlaza okwesibhakabhaka, kwaye unentlungu eninzi kangangokuba awukwazi nokuyishukumisa? Emva koko usenokuba nesandla esaphukileyo, oko kuthetha ukuba ithambo elaphukileyo (ukuqhekeka) . Musa ukoyika xa usiva oku, kuba oku kwenzeka kubantu abaninzi. Namhlanje, siza kuthetha ngokweenkcukacha nangokulula ngesandla esaphukileyo, okanye njengoko oogqirha besibiza, "ukuqhekeka kwesandla".

Kuthetha ukuthini ukwaphula isihlakala sale sandla?

Ngamafutshane, "Ukwaphuka Kwesandla" kukuqhekeka kwelungu lesandla okanye elinye okanye amathambo anxulumene nalo. Kukho amathambo amalunga neshumi esandleni sethu, ukusuka esihlahleni ukuya kwisiseko sesandla. Naliphi na kula mathambo linokwaphuka. Amathambo aphambili ngala:

• I-Radius: Eli lelona thambo likhulu kwingalo yakho, ecaleni kobhontsi wakho omkhulu.
• `Ulna` (ithambo le-ulna): Eli lithambo elincinci elisengalo, ecaleni komnwe omncinci.
• Amathambo eCarpal: La ngamathambo amancinci asibhozo akwisihlanganisi sesandla, ekuqaleni kwesandla sakho.

Kwezi , ukwaphuka okuqhelekileyo yinxalenye yethambo elithi ``Radius``` elikufutshane nesandla. Oogqirha bakwabiza oku ngokuthi ``Distal radius fracture``.

Iintlobo zokuqhekeka kwesandla

Isandla singaphulwa ngeendlela ezahlukeneyo. Ezi zahlulwe ngokwendlela yokuphuka kwethambo. Nazi ezinye zeentlobo eziphambili:

• Ukuqhekeka kweColles: Olu lolona hlobo luqhelekileyo. Ukuba uwa ulule ingalo yakho kwaye intende yakho ijonge emhlabeni, isandla sakho sinokugoba ngasemva, nto leyo ebangela olu hlobo lokuqhekeka. Kulapho isiphelo esiphukileyo sethambo leradius sityhalelwa phezulu, ngasemva kwesandla sakho.
• `Ukwaphuka kukaSmith`: Oku kwenzeka xa ingalo igobile phambili kwaye umva wesandla ubetha emhlabeni. Apha, isiphelo esiphukileyo sethambo `(iRadius)` sityhalelwa ezantsi, oko kukuthi, ngasentendeni yesandla.

Ukongeza kwezi ntlobo zimbini ziphambili, oogqirha bahlula la maqhekezo ngezinye iindlela:

• Ukuqhekeka kwamathambo ngaphakathi kwethambo: Ukuba ithambo liyaphuka kwaye umgca wokuqhekeka ungene ngaphakathi kwelungu lesihlathi, liwela kolu hlobo.
• Ukuqhekeka okungaphaya kwe-articular: Kulapho ithambo liqhekeka khona, kodwa umgca wokuqhekeka awungeni ngaphakathi kwejoyinti.
• `Ukuqhekeka okuvulekileyo`: Oku kuyingozi kancinci. Kuba apha ithambo liyaphuka, ulusu luyagqobhozwa luze luphume. Emva koko kukho ithuba elikhulu lokuba iintsholongwane zingene ngenxeba zize zibangele usulelo. Ukuba kwenzeka into efana nale, kufuneka uye esibhedlele ngoko nangoko.
• `Ukuqhekeka okuqhekekileyo`: Apha, ithambo liqhekeka libe ziingceba ezininzi, endaweni yokuba libe kwindawo enye.

Ziqheleke kangakanani iintlungu zokuqhekeka kwesandla?

Oku kuqheleke kakhulu kunokuba unokucinga. Umzekelo, eMelika kuphela, kubikwa ukwaphuka okungaphezulu kwama-450,000 minyaka le. Kula maqhekeza, malunga ne-1 kwi-6 yi-"Distal radius fracture", oko kukuthi, ukwaphuka kwethambo le-"Radius" esihlahleni esisithethe ngaso ngaphambili. Le meko isenokuba ifana naseSri Lanka, kuba ukuwa neengozi zenzeka kakhulu.

Ungazi njani ngokuqinisekileyo ukuba isihlunu sakho saphukile? (Iimpawu)

Ukuba unesandla esaphukileyo, unokufumana enye okanye ngaphezulu kwezi mpawu:

• Intlungu ebuhlungu nengapheliyo: Olu luphawu oluphambili. Intlungu inokuba nzima kangangokuba awukwazi nokushukumisa ingalo yakho.
• Ukudumba: Indawo ejikeleze ingalo ephukileyo idumbile kakhulu.
• Ukuthamba: Ukuba uchukumisa okanye ucinezela indawo ephukileyo, kubangela intlungu enganyamezelekiyo.
• Ukugruzuka: Ngamanye amaxesha ulusu olujikeleze ithambo eliphukileyo lunokuba luhlaza okwesibhakabhaka okanye mfusa.
• Ukuqina kwesandla: Kuba nzima ukugoba okanye ukolula isandla esihlahleni.
• Ukukhubazeka kwesandla: Ngamanye amaxesha inxalenye ephukileyo yesandla inokubonakala ngathi yoluliwe okanye igobile ngendlela engaqhelekanga. Abanye abantu bathi kubonakala ngathi isandla "sigobile."
• Ukurhawuzelela kwiminwe: Abanye abantu banokuziva ngathi iminwe yabo iyarhawuzelela.

Kubalulekile: Ukuba unale mpawu, musa ukucinga nje ukuba, "Iza kuba ngcono yodwa." Ngokuqinisekileyo bonana nogqirha uze uhlolwe.

Kutheni iingalo ziphuka ngolu hlobo? (Izizathu)

Amaxesha amaninzi, ukwaphuka kwesandla kwenzeka xa ingalo iwela yoluliwe, okanye xa isandla sibetheka emhlabeni okanye eludongeni. Emva koko ubunzima bomzimba wonke buwela engalweni, kwaye ithambo lingaphuka esihlahleni. Khawuthelekelele, usiwa ngelixa uzama ukubamba ibhola ngelixa udlala ikhilikithi, okanye utyibilika kwigumbi lokuhlambela, okanye usiwa ebhayisekileni... Oku kunokwenzeka nangaliphi na ixesha.

Izizathu zokuqhekeka kwezandla kubantu abaselula nakwabo bangaphezulu kweminyaka engama-60 zahlukile kancinci.

• Abantu Abaselula: Ukuphuka kwesandla somntu oselula kudla ngokubangelwa sisiganeko esinamandla aphezulu . Umzekelo, ukuwa kwindawo ephakamileyo, njengeleli, ingozi yemoto, okanye ukuwa okukhulu okanye ukungqubana ngexesha lokudlala imidlalo.
• Abantu abangaphezu kwama-60 eminyaka ubudala: Ukuphuka kwesandla kweli qela leminyaka akuyongozi enkulu ngokwenene. Kunokwenzeka ngenxa yesiganeko esingenamandla kakhulu. Umzekelo, ukutyibilika nokuwa kancinci xa umi kunokubangela oku. Isizathu esiphambili soku kukuba amathambo aphelelwa ngamandla njengoko sikhula.

Zithini izinto ezibangela umngcipheko? (Izinto ezibangela umngcipheko)

Abanye abantu basengozini enkulu yokuphuka izihlunu kunabanye. Oku kuyinyani ngakumbi kubantu abanesifo esibizwa ngokuba yi-osteoporosis . I-Osteoporosis yimeko apho amathambo aba buthathaka kwaye aphuke lula.

Kukho nezinye izinto ezininzi ezibangela umngcipheko kubantu abangaphezu kweminyaka engama-60 ubudala:

• Ukuncipha koxinano lweeminerali zamathambo (i-Osteopenia): Oku kukhokelela kwi-Osteoporosis.
• Ukuba ngumfazi: Abafazi basengozini enkulu kunamadoda.
• Ukuba mhlophe: (Le yinyaniso echazwe ngokwedatha yamazwe ngamazwe.)
• Ukuba nembali yosapho lwakho yokwaphuka okunjalo.
• Ukuyeka ukuya exesheni kwangethuba.

Zithini iingxaki zale meko?

Ukuba ayinyangwa kakuhle, ngamanye amaxesha ukwaphuka kwesandla kunokukhokelela kwiingxaki ezahlukeneyo. Ezi ziquka:

• Ukuqhambuka kwemisipha esandleni.
• I-Carpal tunnel syndrome: Imeko ebangela ukungaziva buhlungu esandleni ngenxa yokucinezelwa komthambo odlula esihlahleni.
• Isifo seCompartment: Yimeko enzima apho ukudumba kuphazamisa ukuhamba kwegazi ukuya kwizicwili zengalo kwaye kwandisa uxinzelelo.
• I-Complex regional pain syndrome: Imeko ebangela iintlungu eziqatha ezingapheliyo kunye nokudumba.
• I-arthritis yesandla: Ekuhambeni kwexesha, i-arthritis yelungu inokukhula.

Yiyo loo nto kuthiwa ukuba ukrokrela ukuba ingalo yakho yaphukile, kufuneka ubone ugqirha ngoko nangoko.

Ugqirha uyixilonga njani le nto?

Xa usiya kugqirha, uza kuqala akubuze ukuba kwenzeke njani kwaye zithini iimpawu zakho. Emva koko uza kuhlola isandla sakho ngononophelo, asigobe ukusuka kwelinye icala ukuya kwelinye ('uvavanyo lomzimba').

Kodwa ukuze wazi kakuhle ukuba kukho ukwaphuka, ukuba kukuphi, kwaye kuyingozi kangakanani , ngokuqinisekileyo kufuneka wenze uvavanyo lwe-'X-ray' (X-ray). Ngamanye amaxesha, ukongeza kokuqhekeka, ugqirha unokucebisa i-'CT scan' (CT scan) okanye i-'MRI scan' (MRI scan) ukuze abone ukuba kukho umonakalo kwi-'ligaments' (ligaments), 'tendons' (tendons), kunye ne-'nerves' ('spinal cords' ) esandleni.

Luluphi unyango lwale nto?

Unyango lwesandla esaphukileyo luxhomekeke kwizinto ezininzi, kuquka:

• Uhlobo lokwaphuka: Iintlobo ezifana no-`Colles` kunye no-`Smith` esithethe ngazo ngaphambili.
• Ubunzima bokwaphuka: Nokuba ithambo liqhekeke kancinci, okanye liqhekeke libe ziingceba, okanye nokuba ligqobhoze ulusu laza laphuma.
• Nokuba kukho ezinye iingozi: Ngamanye amaxesha, umthambo wegazi okanye imithambo-luvo inokonakala kunye nokuqhekeka kwethambo.
• Ubudala bakho, indlela osebenza ngayo, nokuba le yisandla sakho esilawulayo na nazo zidlala indima.

Inyathelo lokuqala kunyango kukubuyisela ithambo elaphukileyo endaweni yalo. Emva koko, ithambo kufuneka lingasebenzi de liphole, lithintelwe ukuba lingaphinde lishukume.

• Ukuba iziqwenga zamathambo zisendaweni yazo: Ugqirha angayifaka i-plaster cast ('i-cast') ngoko nangoko ethanjeni ide iphole.
• Ukuba iziqwenga zamathambo azikho kwindawo yazo: Ugqirha kuya kufuneka azibuyisele endaweni yazo iziqwenga zamathambo. Oku kubizwa ngokuba yi-'reduction' .

`Ukunciphisa okuvaliweyo` (unyango olungasikeki ulusu)

Le yindlela engeyoyotyando. Oku kuthetha ukuba ugqirha akayi kukunqumla ulusu, kodwa uza kulungelelanisa nje iziqwenga zamathambo ngaphandle. Emva koko, baza kubeka i-splint okanye i-cast ukuze babambe iziqwenga zamathambo endaweni yazo. I-splint idla ngokunxitywa iintsuku ezimbalwa ukuze kuvumeleke ukudumba kuphele. I-cast idla ngokunxitywa emva kweentsuku ezimbalwa okanye iveki (xa ukudumba kuphelile). I-cast ingadinga ukutshintshwa njengoko ukudumba kuphelile.

Ugqirha wakho uza kuthatha ii-X-rays veki nganye ukuze ajonge ukuphiliswa kwakho, ubuncinane iiveki ezintathu. Emva koko, baza kuthatha enye i-X-ray kwiiveki ezintandathu. Ngelo xesha, isamente iya kususwa kwaye uya kuyalelwa ukuba uqalise unyango lomzimba ukuphucula ukusebenza kwesandla sakho kunye nokuhamba kwaso. Ungayalelwa nokuba unxibe i-splint okwethutyana ukukhusela isihlunu sakho.

`Ukunciphisa okuvulekileyo` (ukulungiswa kotyando)

Le yindlela yotyando. Ngamanye amaxesha indlela yokunciphisa evaliweyo ayisebenzi. Ugqirha kuya kufuneka enze i-incision esihlahleni aze alungelelanise amathambo. Emva koko, baya kusebenzisa enye okanye ezingaphezulu kwezi ndlela ukubamba amathambo ndawonye de aphole:

• `Cast` (iplasta)
• `Ipleyiti nezikrufu`: Iziqwenga zamathambo ziyadityaniswa, kubekwa ipleyiti yesinyithi phezulu, kwaye kusetyenziswa izikrufu ukuziqinisa.
• `Isakhelo sesinyithi esineephini`
• `I-External fixator`: Oku kuquka ukufaka iiphini emathanjeni uze uzincamathisele kwisakhelo sangaphandle. Esi sakhelo sibamba amathambo ndawonye de aphole ngaphakathi.

Kuthatha ixesha elingakanani ukuba ukukruneka kwesandla kuphole?

Ixesha elithathwayo ukuze ukwaphuka kwesandla kuphole lixhomekeke kwizinto ezininzi, kuquka ubukhali bokwaphuka kunye nohlobo lonyango.

• Ukunciphisa okuvaliweyo: Uza kuba kwi-splint iintsuku ezimbalwa, uze emva koko ufake i-cast iiveki ezine ukuya kwezintandathu. Emva koko, kungathatha iinyanga ezintathu okanye ngaphezulu ukubuyela kwimisebenzi yakho yesiqhelo.
• Ukunciphisa okuvulekileyo (ukulungiswa ngotyando): Le ndlela ithatha ixesha elide ukuphola.

Ngexesha lokuphiliswa, ugqirha wakho uza kukuxelela ukuba ushukumise iminwe yakho, iingqiniba, namagxa (kangangoko kunokwenzeka) ukuthintela ukuqina kwengalo yakho. Baza kukuxelela nokuba ugcine ingalo yakho ingaphezulu kwenqanaba lentliziyo yakho ukuze unciphise ukudumba. Ngokuxhomekeke kwimiyalelo kagqirha wakho, unokucelwa ukuba uqalise ukuhambisa iingalo zakho.Ungathunyelwa kwingcali yezonyango ukuze akuncede ufumane amandla, ukusebenza, kunye nokuhamba.

Nokuba sele zonke iindlela zonyango zigqityiwe, usenokuziva iintlungu okanye ukuqina. Kungathatha iinyanga ezintandathu ukuya kwezilishumi elinesibini ukuze ufumane intuthuzelo epheleleyo, amandla kunye nokuguquguquka. Ngoko ke yiba nomonde ngonyango lwakho.

Ngaba ungakuthintela ukwaphuka kwesandla?

Uninzi lwamathambo aqhekekileyo lubangelwa kukuwa kunye neengozi, ngoko ke kunzima ukuwathintela. Nangona kunjalo, ukugcina amathambo esempilweni, ingakumbi abo baneminyaka engaphezu kwama-60, kunokunceda ukunciphisa lo mngcipheko. Ukuba unesifo esifana ne-osteoporosis, thetha nogqirha wakho malunga nento onokuyenza ukugcina amathambo akho eqinile. Ukutya okunesondlo, i-calcium, i-vitamin D, kunye nokuzilolonga kunokunceda.

Ndifanele ndimbone nini ugqirha?

Ukuba wenzakele esihlahleni sakho okanye ucinga ukuba ithambo lakho laphukile, ngokuqinisekileyo kufuneka ufune uncedo lwezonyango.

• Ukuba ukwenzakala akubuhlungu kakhulu kwaye akubonakali ngathi ithambo liphuma, ungalinda usuku okanye ngaphezulu ngaphambi kokuba ubone ugqirha. Okwangoku, khusela isihlakala sakho nge-splint. Faka umkhenkce kwaye ugcine ingalo yakho iphakanyisiwe.
• Nangona kunjalo, ukuba inxeba libuhlungu kakhulu, okanye ukuba imo yesandla itshintshile ngokucacileyo (njengokuba itsaliwe), kufuneka uye kwagqirha okanye kwigumbi likaxakeka nomntu ngoko nangoko. Musa ukulibazisa.

Ndingayibuza yiphi imibuzo ugqirha?

Ukuba unesandla esaphukileyo, kungcono ukubuza ugqirha wakho imibuzo efana nale:

• Luhlobo luni lokuqhekeka kwesandla endinalo?
• Yeyiphi eyona ndlela ilungileyo yokunyanga oku?
• Ndingenza ntoni ekhaya ukunciphisa iintlungu?
• Ndiza kukwazi nini ukusebenzisa ingalo yam kwakhona?
• Ndingenza ntoni ukuthintela olu hlobo lweziphene kwixesha elizayo?

Okokugqibela, umyalezo oya ekhaya

Hayi, kuqhelekile ukuziva usoyika xa usiwa kwaye ingalo yakho ibuhlungu kwaye idumba. Kodwa khumbula, awuwedwa.

Eyona nto ibalulekileyo kukufuna iingcebiso zonyango ngokukhawuleza. Ugqirha angakuxelela ukuba loluphi uhlobo lokwaphuka olukufumeneyo kunye nonyango olufanelekileyo.

Inkqubo yokuphiliswa ingathatha ixesha, kodwa ngonyango olufanelekileyo kunye nonyango lomzimba njengoko ugqirha wakho ekuyalele, uya kukwazi ukusebenzisa ingalo yakho njengoko ubuqhele ukwenza, kwaye uya kukwazi ukuphepha iingxaki. Ngoko ke, hlala uqinile kwaye ube nomonde ngonyango lwakho!

Ukuphuka kwesandla , ukwaphuka kwesandla, ukwaphuka kwesandla, ukwaphuka kweColles, ukwaphuka kukaSmith, intlungu yesandla