Ingaba umntwana wakho uyawa aze awe ingalo yakhe? Ngaba oku kukwaphuka kwebhanti?

Kuqhelekile ukuba abantwana bethu abancinci bafumane amanxeba amancinci kunye nemikrwelo xa bebaleka bedlala. Kodwa ngamanye amaxesha, ingakumbi emva kwento efana nokuwa, xa behlala bekhalaza ukuba ingalo okanye umlenze wabo uyabuhlungu, kusenokungabi kukukrweleka nje kuphela. Kusenokuba kukuqhekeka kwethambo okuncinci, okanye imeko ebizwa ngokuba yi-'buckle fracture', into eqhelekileyo, ingakumbi kubantwana abancinci, kwaye siza kuthetha ngayo namhlanje.

Yintoni 'iBuckle Fracture'?

Ngamafutshane, 'ukuqhekeka kwe-buckle' kukwaphuka okuqhelekileyo kubantwana abancinci, apho ithambo lingaphuki kubini ngokupheleleyo, kodwa ithambo lonakele. Ngokuchanekileyo, oku 'kukwaphuka okungaphelelanga'. Ngamanye amaxesha oogqirha bakubiza ngokuba 'kukwaphuka okuchaphazelekileyo' okanye 'ukuqhekeka kwe-torus'.

Igama layo livela kwindlela eyenzeka ngayo. Khawuthelekelele utyumza itini yeCoke ye-aluminium engenanto ngesandla. Itini ayiphuki ngokupheleleyo ibe zimbini, akunjalo? Kodwa igoba ngaphakathi kwelinye icala ize iphume njengeqhubu elincinci. Yiloo nto eyenzekayo kumathambo abantwana bethu xa 'iqhubu liqhekekile'. Ngokwesiqhelo, xa uxinzelelo olukhawulezileyo (uxinzelelo) lufakwa ethanjeni, njengaxa umntu ewa, uxinzelelo lubangela ukuba elinye icala lethambo ligobe ngaphandle kancinci, njengeqhubu. Ithambo aliphuki ngokupheleleyo kwaye lahlukane, kodwa endaweni yoko liphuma njengeqhubu elincinci kwindawo enye.

Olu 'qhekeko lwebhakede' lubonakala kakhulu kumathambo amabini engalo ebantwaneni, iradius kunye ne-ulna. Oko kukuthi, kwinxalenye yesandla eqala engqinibeni ukuya esihlahleni. Nangona kunjalo, inokwenzeka nakweyiphi na ithambo elide. Umzekelo:

• Ithambo lethanga (i-femur)
• Ithambo lesifuba (iTibia)
• Ithambo elincinci elingaphandle kweqakala (iFibula)
• Ithambo lengalo ephezulu (iHumerus)

Le meko idla ngokuvela xa abantwana abancinci bewa ngelixa bedlala okanye bebaleka baze babethe phantsi belule iingalo zabo . Ixhaphake kakhulu kubantwana abangaphantsi kweminyaka eli-12 ubudala. Eyona nto ingcono kukuba ayidingi utyando. Ngokuqhelekileyo, kusetyenziswa i-splint, eyinkxaso ethintela ingalo ukuba ingashukumi, okanye ngamanye amaxesha i-cast, eyi-plaster cast ekhusela ithambo ide iphole,.

Yintoni umahluko phakathi kwe-'Buckle Fracture' kunye ne-'Greenstick Fracture'?

Ezi ngokwenene ziintlobo ezimbini 'zokwaphuka kwamathambo okungaphelelanga' okubonwa kubantwana abancinci. La magama anceda ugqirha ukuba aqonde ukuba ithambo lomntwana laphulwe njani, phi, kwaye yintoni.

• Xa kukho 'ukuqhekeka kwebhakede' , uxinzelelo lufakwa ethanjeni, nto leyo ebangela ukuba elinye icala lethambo lidumbe ngaphandle, lenze iqhuma, njengaleyo ndiyikhankanyileyo ngaphambili kwi-aluminium.
• 'Ukuqhekeka kwe-greenstick' kuxa ithambo lomntwana ligobile lize liphuke kubini, kodwa icala elinye kuphela liphuke. Ngaba wakha wazama ukuqhekeza intonga entsha, emanzi yomthi (intonga eluhlaza) ngesandla sakho? Ayingeni "njengentonga eyomileyo ize iphuke kubini, akunjalo? Icala elinye kuphela eliphuke, kwaye elinye icala lisaqhagamshelwe. Kunjalo ke.

Isizathu sokuba zombini 'ii-buckle fractures' kunye 'nee-greenstick fractures' zixhaphake kakhulu ebantwaneni kunakwabantu abadala kukuba amathambo abantwana athambile kwaye aguquguquka ngakumbi kunamathambo abantu abadala. Awaphuki lula njengeplastiki okanye iglasi. Yiyo loo nto amathambo abantwana enokugoba aze aqhekeke ngolu hlobo kunokuba aphuke ngokupheleleyo.

Nangona kunjalo, kungakhathaliseki ukuba ubiza ntoni na ngokuba yithambo lomntwana wakho elaphukileyo, inyathelo lokuqala elibalulekileyo kukubona ugqirha ngokukhawuleza.

Ngaba kukho ukwaphuka kwe-buckle ezandleni, kwiminwe, nakubhontsi?

Le meko, ebizwa ngokuba yi-'buckle fracture,' idla ngokuchaphazela amathambo amade ebantwaneni. Akuqhelekanga ukuba i-'buckle fracture' ivele kumathambo amancinci ezandla, iminwe, okanye ubhontsi. Ukuba umntwana wakho ukhalaza ngentlungu ezandleni okanye kwiminwe yakhe, isenokuba ngumnwe otyumkileyo okanye umnwe owaphukileyo. Ngoko ke, kungcono ukuthetha nogqirha ukuba uneempawu ezintsha.

Ixhaphake kangakanani i-'Buckle Fracture'?

Le yimeko eqhelekileyo kakhulu. Omnye kubantwana abane abaphuka ithambo (omnye kwaba-4) uphuke ithambo. Kwakhona, isiqingatha (50%) sazo zonke izihlunu zaphuka ebantwaneni abancinci silulo hlobo lophuke.

Ngubani ofumana 'iBuckle Fracture'?

'Ukuqhekeka kwe-buckle' (okubizwa ngokuba kukuqhekeka kwe-impact) kuxhaphake kakhulu kubantwana abangaphantsi kweminyaka eli-12 ubudala. Isizathu kukuba, njengoko besitshilo ngaphambili, imizimba yabantwana isakhula, ngoko ke amathambo abo athambile kwaye aguquguquka ngakumbi kunalawo abantu abadala. Njengoko sikhula, amathambo ethu alahlekelwa kancinci kancinci yiloo bhetyebhetye. Ngenxa yokuba amathambo abantwana athambile, anokuthi aqhekeke ngolu hlobo (kunye nezinye ii-fractures ezingaphelelanga) kunokuba aqhekeke ngokupheleleyo.

Nangona abantu abadala benokuba nale 'buckle fracture', ayiqhelekanga kakhulu. Ngamanye amaxesha inokwenzeka nakubantu abadala abanamathambo asicaba, njengeembambo. Kwakhona, abantu abanezifo ezinciphisa amathambo, ezifana ne-osteoporosis, basengozini enkulu yokufumana zonke iintlobo zokwaphuka kwamathambo, kuquka 'buckle fractures'.

Zithini iimpawu ze-'Buckle Fracture'?

Ukuba umntwana wakho 'une-buccal fracture', unokubona iimpawu ezifana nezi:

• Intlungu: Usenokuziva iintlungu xa uchukumisa indawo eyonzakeleyo okanye ushukumisa ingalo/umlenze ochaphazelekayo.
• Ukudumba: Indawo eyonzakeleyo ingadumba.
• Ukuthamba: Indawo eyonzakeleyo inokuba buhlungu ngakumbi xa uyichukumisa kunezinye iindawo.
• Ukugruzuka okanye ukutshintsha kombala wolusu: Ngamanye amaxesha ungabona umbala oluhlaza okwesibhakabhaka okanye omfusa kwindawo yokwenzakala.
• Ukukhubazeka okanye iqhuma: Ukuba kukho into ebonakalayo, njengeqhuma okanye iqhuma, engaqhelekanga ukubonwa kuloo nxalenye yomzimba womntwana.
• Kubantwana abancinci: Abanye abantwana abancinci basenokungakwazi ukuthetha kakuhle ngentlungu, ngoko ke banokuzama ukuphepha ukusebenzisa isandla esonzakeleyo. Umzekelo, banokubamba amathoyizi ngesandla esinye kuphela, okanye ukuba umlenze wenzakele, banokuwubeka phantsi loo mlenze baze bangavumi ukuhamba.

Zithini izizathu zokuba kubekho i-'Buckle Fracture'?

Uninzi 'lwaphuka kwebhakede' lwenzeka xa abantwana abancinci bewa baze bazame ukuzisindisa ngokubeka iingalo zabo phambi kwabo baze babethe phantsi . Amandla okuwa abeka uxinzelelo emathanjeni abo, nto leyo ebangela 'lwaphuka kwebhakede'. Yiyo loo nto le meko idla ngokuchaphazela amathambo asezingalo (i-radius kunye ne-ulna) zabantwana. Khawuthelekelele ukuba unyana wakho wayedlala ebaleni waza wawa ngequbuliso, wabetha isandla sakhe. Okanye masithi intombi yakho yaya ecaleni kancinci ngelixa ikhwele ibhayisekile yayo yaza yabetha phantsi. Kulapho olu hlobo lokulimala lunokwenzeka khona.

Ungayibona njani 'iBuckle Fracture'?

Xa usisa umntwana wakho kugqirha, uza kuqala enze uvavanyo lomzimba . Oko kukuthi, uza kuva ukwenzakala, ajonge ukudumba, kunye nentlungu. Emva koko, baza kuphinda bacele i-X-ray ukuqinisekisa ukuba kukho ukwaphuka kwaye babone ukuba loluphi uhlobo lomonakalo owenzekileyo ethanjeni.

Zinyangwa njani iintsiba ze-buckle?

'Ukuqhekeka kwe-buckle' (okubizwa ngokuba 'kukuqhekeka okuchaphazelekileyo') kudla ngokuphathwa nge -'splint' . Oku kukwabizwa ngokuba yi-'immobilization', oko kuthetha ukugcina ithambo elonzakeleyo lingashukumi. Kwabanye abantwana, oogqirha banokucebisa 'i-cast', eyi-plaster cast. Ugqirha wakho uza kukuxelela ukuba loluphi unyango olulungele umntwana wakho. Olu 'splint' okanye 'cast' lunokukhusela ithambo lomntwana wakho elonakeleyo ekonakalisweni okungakumbi, luncede ekunciphiseni iintlungu, kwaye luncede ukuba bahlale bekhululekile.

Uninzi lwabantwana kuya kufuneka banxibe i-splint kangangeeveki ezimbini ukuya kwezintathu. Ubungakanani bexesha abafanele balinxibe buxhomekeke ekubeni iimpawu zomntwana (ezifana neentlungu nokudumba) ziphucuka ngokukhawuleza kangakanani.

Ukuze unciphise iintlungu, ungathatha ii-NSAID (i-Non-Steroidal Anti-Inflammatory Drugs) ezifana ne-Aspirin okanye i-Ibuprofen, njengoko ugqirha wakho ekuyalele. Nangona kunjalo,Kufuneka ulumke kakhulu xa unika abantwana i-aspirin, kuba inokubangela izifo ezinzulu ezifana ne-Reye's syndrome, ngoko ke ungayiniki ngaphandle kwengcebiso kagqirha. Ugqirha wakho uza kukuchazela ukuba zeziphi amayeza onokumnika umntwana wakho kwaye angakanani.

Ngaba ukwaphuka kwebhakethi kuya kuziphilisa ngokwako? Kwenzeka ntoni ukuba akunyangwa?

Nangona 'ukuphuka kwesisu' kungengobungozi kangako njengezinye izaphuko, ungaze uzityeshele iimpawu ezifana nentlungu, ukudumba, kunye nokuthamba. Ukuba umntwana wakho 'uqhekeke kwisisu' kwaye akanyangwa kakuhle, oku kunokukhokelela kwiingxaki ezifana nezi:

• I-Malunion: Iziqwenga zamathambo eziphukileyo zisenokungahambelani kakuhle xa ziphola.
• Ukungadibani: Iziqwenga zamathambo eziphukileyo zisenokungadibani ngokupheleleyo, okanye zingadibani konke konke.
• Ukuwohloka kweempawu: Ukuba azinyangwa, iimpawu ezifana nentlungu emntwaneni zinokuba mandundu ngokuhamba kwexesha, nto leyo eyandisa ixesha elithathwayo ukuze aphile.

Ngoko ke, bubulumko ukufuna ingcebiso kagqirha ukuba unamathandabuzo, nokuba kukwenzakala okuncinci.

Ziziphi iingxaki ezinokubakho ngexesha lonyango?

Xa kunyangwa 'i-buckle fracture', oku kulandelayo ngamanye amaxesha kunokwenzeka:

• Ukuphinda Ulimele: Ukuba umntwana uthatha inxaxheba kwimisebenzi yomzimba efana nemidlalo kungekudala (ngaphambi kokuba aphile), ithambo linokwenzakala kwakhona okanye laphuke kakhulu.
• Ezinye iingozi zangaphakathi: Ukuqhekeka kunokubangela umonakalo kwizihlunu ezingqongileyo, kwiimithambo-luvo, kwimithambo yegazi, kwimisipha, nakwimisipha.
• Iziphumo ebezingalindelekanga ze-NSAIDs: Ezi pilisi zokuphelisa iintlungu zinokubangela ukopha, izilonda zesisu, ukuqaqamba kwesisu, kunye neengxaki zamathumbu kwabanye abantu. Yiyo loo nto kufuneka usebenzise amayeza kuphela njengoko kuyalelwe ngugqirha wakho.

Umntwana uza kuziva ngcono nini emva kokuqala unyango?

Abantwana abaninzi bafumana isiqabu ngoko nangoko kwaye baphucuke kwiintlungu emva kokuba i-splint ifakiwe. Nangona kunjalo, kudla ngokuthatha iiveki ezininzi ukuba iimpawu ziphele ngokupheleleyo. Ngenxa yokuba i-splint igcina ithambo lisendaweni yalo, inokunciphisa kakhulu iintlungu.

Ukuba umntwana wakho uneentlungu ezinganyamezelekiyo kwaye azipheli, bonana nogqirha ngokukhawuleza.

Ndingawunciphisa njani umngcipheko womntwana wam wokwaphuka kwebhanti?

Nangona kungekho ndlela ipheleleyo yokuthintela ukwaphuka kwamalungu omzimba, unganciphisa umngcipheko wokwenzakala komntwana wakho ngokulandela la macebiso okhuseleko ngokubanzi:

• Nxiba amabhanti ezihlalo xa ukhwela izithuthi.
• Nxiba izixhobo zokuzikhusela ezifanelekileyo xa udlala imidlalo okanye usenza umthambo.(umz. isigcina-ntloko, ii-knee pads).
• Susa kwaye ugcine izinto ezinokubangela iingozi ekhayeni lakho nakwiindawo zokudlala ngendlela ehlelekileyo.
• Xa ufikelela kwinto ephezulu endlwini , sebenzisa into efanelekileyo, njengeleli. Fundisa abantwana ukuba bangakhweli ezitulweni nasezitafileni.
• Khuthaza umntwana wakho ukuba alandele ukutya okunesondlo kunye nenkqubo yokuzilolonga enceda ukugcina impilo entle yamathambo.

'Ukuqhekeka kwebhakede' kudla ngokubangelwa ziingozi ezifana nokuwa ngequbuliso, ngoko ke kunzima ukuzithintela ngokupheleleyo. Nangona kunjalo, kubalulekile ukunikela ingqalelo encinci kubantwana abancinci xa bedlala kwaye wenze indawo ekhuselekileyo kubo.

Ukuba umdala, ungaphezulu kweminyaka engama-50 ubudala, okanye unembali yentsapho ene-osteoporosis, kungcono ukuthetha nogqirha malunga nokufumana uvavanyo lokuqina kwamathambo.

Yintoni endinokuyilindela ukuba umntwana wam une-'Buckle Fracture'?

Ungalindela ukuba umntwana wakho aphile ngokupheleleyo. 'Ukuphuka kwesisu' yingxaki yexeshana. Umntwana akayi kuva iintlungu ezinde okanye ezinye iziphumo emva koku.

Amaqhekeza achaphazelekileyo aphiliswa ngokukhawuleza xa kuthelekiswa namanye amaqhekeza. Abantwana badla ngokunxiba i-splint iiveki ezi-2-3 kuphela. Xa iimpawu ezifana nentlungu kunye nokuthamba ziphelile, uninzi lweemeko azidingi unyango olongezelelweyo okanye utyelelo olulandelayo.

Ngaba umntwana wam akayi kukwazi ukuya esikolweni okanye ukuthatha inxaxheba kwimisebenzi ethile?

'Ukuphuka kwebhakede' akuthethi ukuba umntwana makayeke ukuya esikolweni. Nangona kunjalo, kufuneka aphephe imisebenzi enzima yomzimba efana nemidlalo de iimpawu ziphele ngokupheleleyo kwaye kangangeeveki ezimbini.

Uninzi lwabantwana lunokubuyela kuyo yonke imidlalo yabo neminye imisebenzi emva kwenyanga. Ugqirha wakho uza kukuxelela ukuba kufuneka uziphephe ixesha elingakanani imisebenzi ethile.

Iyintoni imbonakalo yokuqhekeka kwebhakethi?

Ithemba lokuba umntwana wakho uza kuphinda aphile ubomi obuqhelekileyo, aze aphile ngaphandle kwentlungu okanye ezinye iimpawu ezimbangela ukuba aphulukane nomqolo wakhe .

Ndingaya nini kwiGumbi loNgxamiseko?

Ukuba ucinga ukuba umntwana wakho 'une-buckle fracture' - okanye naliphi na elinye ithambo elaphukileyo - kufuneka ubone ugqirha ngokukhawuleza. Ukuba unezinye zeempawu ezilandelayo, yiya kwigumbi longxamiseko ngokukhawuleza:

• Intlungu enzima kakhulu.
• Ukungakwazi ukushukumisa inxalenye yomzimba enokushukunyiswa ngokuqhelekileyo.
• Inxalenye yomzimba ibonakala yahlukile kuneqhelekileyo, okanye ibonakala ingekho kwindawo yayo.
• Ukuba ulusu luqhekekile kwaye ithambo liyabonakala.
• Ukudumba.
• Ezi mpawu zihamba kunye nokuvela kwemivumbo emitsha.

Ukuba wena okanye umntwana wakho niye nafumana ingozi enkulu (ukwenzakala), yiyani kwigumbi likaxakeka ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ungabuza ugqirha imibuzo efana nale malunga nemeko yomntwana wakho:

• Leliphi ithambo elaphukileyo?
• Ingaba umntwana wam 'une-buckle fracture' okanye olunye uhlobo lokwaphuka?
• Kuza kufuneka umntwana wam anxibe i-splint ixesha elingakanani?
• Kuza kuthatha ixesha elingakanani ukuphiliswa?
• Angaqala nini kwakhona imisebenzi yomzimba (njengokudlala)?

Kuqhelekile ukuba nawuphi na umzali abe noloyiko xa umntwana wakhe enzakele, ingakumbi xa esiva ukuba unethambo elaphukileyo. Kodwa khumbula, 'ukuphuka kwe-buckle' kukwenzakala okunokunyangwa kakhulu, kwaye kuqhelekile kubantwana abancinci. Oko kuthetha ukuba ugqirha wakho unokukufumanisa aze akunyange ngokukhawuleza. Cacisa umntwana wakho ngokwenzakala kwakhe, isizathu sokuba aza kunxiba 'i-splint' kunye nexesha elingakanani. Mchazele ukuba oku kwenzakala kokwexeshana kwaye angadlala kwaye athathe inxaxheba kuyo yonke imisebenzi ayithandayo xa umzimba wakhe upholile.

Khumbula ezona zinto zibalulekileyo (Umyalezo oya nawo ekhaya)

• 'Ukuqhekeka kwe-buckle' kukuqhekeka apho ithambo lingaphuki ngokupheleleyo, kwaye kuqhelekile ebantwaneni abancinci.
• Oku kwenzeka rhoqo ngenxa yokuwa, ingakumbi xa isandla sibanjwe phantsi.
• Funa ingcebiso kagqirha ukuba ufumana iimpawu ezifana nentlungu, ukudumba, okanye ukungasebenzisi ingalo/umlenze wakho.
• Oku kudla ngokuphola kwiiveki ezi-2-3 nge-splint. Akufuneki utyando.
• Umntwana uyachacha ngokupheleleyo kwaye akanazo iziphumo ezihlala ixesha elide.
• Kuphephe ukwenza umthambo onzima de ugqirha wakho akuxelele ukuba wenze njalo.

Ndikunqwenelela umntwana wakho ukuba aphile ngokukhawuleza!

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