Ngaba ukhe waphuka ithambo kufutshane nesandla sakho? Oku kusenokuba "yi-Chauffeur Fracture"!

Hayi bo! Ingaba isihlathi sakho siyabuhlungu? Mhlawumbi kwenzeka xa uwe, ubethe into ethile, okanye ubetheka kakubi esandleni? Nangona kunokubonakala ngathi kukukruneka okuncinci, ngamanye amaxesha le ntlungu inokuba yinto enzulu ngakumbi. Namhlanje siza kuthetha ngohlobo olukhethekileyo lokuqhekeka esihlahleni. Oku kubizwa ngokuba yi-"Chauffeur Fracture".

Yintoni le "Cracture yoMqhubi"?

Ngamafutshane, "uMqhubi weQhushu" kukwaphuka kwethambo elikufutshane nesandla sakho. Kwingalo yethu, ukusuka engqinibeni ukuya esihlahleni, kukho amathambo amabini amade amakhulu, akunjalo? Elinye yiradius kwaye elinye yi -ulna . Silibiza ngokuba yi-"Chauffeur Fracture" xa isiphelo esithe tyaba seradius (esibizwa ngoogqirha ngokuba yi-radial styloid process) xa isandla siphuka.

Olu luhlobo lokwaphuka olubizwa ngokuba yi- "Distal Radius Fracture" . Oko kukuthi, ukwaphuka kwisiphelo esisezantsi sethambo le-"Radius", kufutshane nesandla. Into ekhethekileyo kukuba, olu "Shofer Fracture" lufikelela kwijoyinti yesandla . Oogqirha babiza ukwaphuka okudlula kwijoyinti efana nale ngokuthi "Intraarticular Fracture" . Uyaqonda? Oko kuthetha ukuba, akusiyo ithambo kuphela, kodwa nejoyinti nayo.

Olu 'qhekeko lweShofer' lubizwa ngamanye amagama aliqela. Usenokuba ukhe weva ngalo:

• Oku kukwabizwa ngokuba yi-"Radial Styloid Fracture" .
• Ikwabizwa ngokuba yi -`(Hutchinson Fracture)` ,
• Le meko ingabizwa ngokuba yi-"Backfire Fracture" .

Ngubani onokuthi abe nolu "qhekeko lweShofer"?

Enyanisweni, nabani na unokuba nokwaphuka okunje. Nangona kunjalo, ngokubanzi, uhlobo lwe-``Distal Radius Fracture``` lokwaphuka, oko kukuthi, ukwaphuka kwethambo le-``Radius``` esihlahleni, lubonakala kakhulu kubantu abancinci abakhutheleyo, okanye kubantu abangaphezu kweminyaka engama-65 ubudala. Lo mngcipheko uphezulu kakhulu kubantu abadala abane -``Osteoporosis``` (isifo sokulahlekelwa ngamathambo). Kuba amathambo abo abuthathaka kancinci kwaye anokwaphuka lula.

Ungamangaliswa kukwazi ukuba olu hlobo lokwaphuka, olubizwa ngokuba yi-"Distal Radius Fracture", lolona hlobo luqhelekileyo lokwaphuka olunyangwa ngoogqirha kumazwe anjenge-United States. Lubangela i-17% yazo zonke iimfanta ezibonwa kumagumbi ongxamiseko!

Kutheni oku kubizwa ngokuba yi-"Chauffeur Fracture"?

Eli gama livakala lingaqhelekanga, akunjalo? Igama elithi "Shofer" lithetha abaqhubi. Ngoko ke lafumana njani elo gama? Kukho ibali elincinci emva kwalo.

Ngaphambili, oko kukuthi, ekuqaleni kwenkulungwane yama-20, iimoto zazingaqaliswa ngokujika isitshixo njengoko zinjalo ngoku. Kwakukho isiphatho esikhulu se-crank (intonga eyayijikwa ngesandla) ngaphambili kwemoto. Injini yayiqaliswa ngokuyijika ngamandla ngasekunene (ngasekunene).Khawucinge nje ngomsebenzi omkhulu ababewenza abaqhubi (abaqhubi) ngaloo mihla. Ngoko ke, ngamanye amaxesha, njengoko injini `iqala`, 'isiphatho se-crank' sibuyela umva ngequbuliso. Njengomlilo obuyela umva. Emva koko umntu owayejika i-crank ngequbuliso ubuyela esihlahleni, aphule incam yethambo `(i-Radius)` ebesithethe ngalo ngaphambili.

Kwakungenxa yesi siganeko apho ugqirha wamathambo waseFransi uJust Lucas-Championnière wathi olu qhekeko "luqhekeko lomqhubi," mhlawumbi ngenxa yokuba lwaluqhelekile phakathi kwabaqhubi ngelo xesha.

Zithini izizathu zokuba kubekho "ukuqhekeka kweShofer"?

Isizathu esiphambili kukulimala okukhulu esihlahleni. Oku kunokwenzeka ngeendlela ezahlukeneyo:

• Ukuwa ngesandla esoluliweyo: Xa siwa, solula isandla size sichukumise umhlaba ngesandla sethu. Ngelo xesha, ubunzima bomzimba wonke budlula esihlahleni, nto leyo enokubangela olu hlobo lokuqhekeka. Nokuba kukutyibilika nokuwa okuncinci kunokubangela oku.
• Ukubetheka okuqatha ngasemva (kwicala elingaphezulu) lesandla: Oku kunokwenzeka ukuba into enzima iwela okanye ikubethe ndaweni ithile.
• Iingozi zeemoto: Zibangelwa zizinto ezifana nokutshayiswa sisiteringi kwingozi yemoto.
• Ukulimala kwezemidlalo: Oku kunokwenzeka ingakumbi xa udlala imidlalo yokudibanisa umzimba, efana neragbi kunye nebhola ekhatywayo. Kunokwenzeka naxa uwa ngelixa utyibiliza okanye utyibiliza i-snowboard.

Zithini iimpawu "zokwaphuka kweSchaufer"?

Ukuba une-'Shofer fracture', ungabona ezi mpawu zilandelayo esihlahleni sakho:

• Imivumbo: Kusenokubakho imivumbo eluhlaza okwesibhakabhaka okanye emfusa.
• Ukunyakaza okulinganiselweyo: Ubunzima bokujika isihlakala, ukusiphakamisa nokusihlisa.
• Intlungu ebuhlungu: Intlungu iba nzima ngakumbi xa ushukumisa isandla okanye uzama ukuchukumisa into ethile.
• Ukudumba: Indawo ejikeleze isihlathi inokuba nokudumba okukhulu.
• Ukuthamba: Kubuhlungu xa kuchukunyiswa okanye kucinezelwa.
• Inkangeleko engaqhelekanga yesandla: Isandla sinokuba sikhubazekile, soluliwe, okanye sibe neqhuma elingaqhelekanga.

Ukuba unale mpawu, kufuneka ubone ugqirha ngoko nangoko. Musa ukuzinyanga.

Uyibona njani "iShofer fracture"?

Xa usiya kugqirha, baza kuqala bakubuze ngeempawu zakho kunye nendlela ezenzeke ngayo. Emva koko baza kuhlola isihlathi sakho kunye nezinye iindawo zesandla sakho ukuze babone ukuba akukho nanye ingozi, ukudumba, okanye utshintsho kwimo. Baza kujonga nokusebenza kwemithambo-luvo yakho esandleni sakho nakwiminwe yakho. Ukongeza, banokwenza olu vavanyo lulandelayo:

• I-X-reyi: Oku kungabonisa ngqo apho ithambo liphuke khona kunye nokuba liphuke kangaphi. Ugqirha unokuthelekisa ubude bamathambo e-radius kwiingalo zakho zombini.
• I-CT scan okanye i-MRI:Ezi zinokuqinisekisa ngakumbi ukwaphuka kwaye zibonise ngokucacileyo ukuba kukho nawuphi na umonakalo kwimisipha ejikelezileyo, kwimisipha, okanye kwizicubu ezithambileyo. Asinguye wonke umntu odinga oku, kodwa ezi mvavanyo zinokuba luncedo kwiimeko ezinzima.

Iphathwa njani "iShofer fracture"?

Eyona njongo iphambili yoogqirha kukulungelelanisa amathambo aphukileyo nokuwagcina endaweni yawo de aphole kakuhle. Unyango 'lokwaphuka kukaSchaufer' lunokwahluka kumntu nomntu. Kuxhomekeke kwizinto ezifana nezi:

• Ubunzima bokwaphuka.
• Ingaba ukwenzakala kusezandleni zakho ezilawulayo?
• Ngaba iziqwenga zamathambo zisusiwe apho zazikhona?
• Inqanaba lakho eliqhelekileyo lomsebenzi.
• iminyaka yakho.
• Ngaba kukho ezinye izinto ezenzekileyo emilenzeni, kwaye ngaba ziya kubangela ubunzima bokusebenza okanye ukuthwala ubunzima ngenxa yale ngozi?

Kukho unyango olungenalo utyando nolwe-'Shofer fractures'. Kwiimeko ezininzi, utyando luyafuneka ukuze olu hlobo lwe-fractures luphiliswe kakuhle.

Unyango olungelulo utyando:

• Ukunciphisa kunye nokufaka i-Closed Casting: Ugqirha uza kwenza i-incision eluswini lwakho aze alungise ithambo elaphukileyo (mhlawumbi ngokunciphisa intlungu kancinci). Emva koko, i-splint (inkxaso yexeshana ethintela intshukumo) iya kunxitywa kangangeentsuku ezimbalwa. Nje ukuba ukudumba kuphele, kuya kususwa kwaye kufakwe i-plaster cast. Uya kuhlolwa kwakhona malunga neeveki ezimbini ukuya kwezintathu kwaye i-cast inokutshintshwa ukuba kuyimfuneko. I-cast iya kususwa ngokupheleleyo malunga neeveki ezintandathu.

Unyango lotyando:

• Ukulungiswa Kwangaphandle: Kule nkqubo, ugqirha ufaka isizinzisi esihlangwini sakho esebenzisa iiphini zesinyithi. Le nkqubo isetyenziswa xa i-cast yodwa ingakwazi ukubamba iziqwenga zamathambo endaweni yazo, okanye ukuba kukho ukwenzakala okuninzi okunzulu.
• Ukunciphisa Ukuvulwa Okuncinci: Kule nkqubo, ugqirha wenza umsikelo omncinci aze abuyisele iziqwenga zamathambo endaweni yazo. Emva koko kusetyenziswa isixhobo sokulungisa sangaphandle ukuze sizibambe endaweni yazo. Le nkqubo ingasetyenziswa ukuba iziqwenga zamathambo zingaphezulu kweemilimitha ezi-2.
• Ukunciphisa Okuvulekileyo kunye Nokulungiswa Kwangaphakathi (i-ORIF): Olu lolona tyando luqhelekileyo xa kukho ukwaphuka kweShofer. Ugqirha wenza i-incision ngaphambili kwesandla sakho (ecaleni apho siva khona ukubetha kwentliziyo - inxalenye ye-volar), ulungisa iziqwenga zamathambo ezaphukileyo, aze asebenzise ipleyiti yesinyithi kunye nezikrufu ukuzibamba endaweni yazo.Abanye oogqirha botyando ngoku basebenzisa iteknoloji yokuprinta ye-3D ukwenza iimodeli zamathambo afanelekileyo ukuze kwandiswe ukuchaneka kotyando.

Ngaba unyango lunokubangela iingxaki okanye iziphumo ebezingalindelekanga?

Iingxaki ezivela kunyango zinokwahluka kumntu nomntu. Eyona ngxaki ixhaphakileyo yimeko ebizwa ngokuba yi-"malunion", apho ithambo liphola ngendlela eyahlukileyo kunaleyo laliyiyo xa laliphola okokuqala. Oku kunokubangela ukuba ithambo lifinyezwe kancinci, litsaleke, okanye lijijeke.

Ezinye iingxaki ezinokubonwa ziquka:

• I-Arthritis: Oku kuthetha ukudumba kwamalungu. Ekuhambeni kwexesha, iintlungu kunye nokuqina kwamalungu kunokwenzeka.
• Ukungadibani: Ngamanye amaxesha iziqwenga zamathambo zisenokungadibani kakuhle.
• Isifo seCompartment: Oku kukunyuka okuyingozi koxinzelelo ngaphakathi kwezihlunu zengalo. Le yimeko engxamisekileyo.
• I-Complex Regional Pain Syndrome (CRPS): Oku kubangela iintlungu ezigqithisileyo kunye nokudumba.
• Usulelo: Kukho ithuba elincinci lokuba usulelo luvele kwindawo yotyando.
• Ukulimala kwamalungu okanye imisipha: Ezi zingonakaliswa kunye nokwaphuka.
• Ukuphazamiseka kwemithambo-luvo: Umzekelo, iimeko ezifana ne -carpal tunnel syndrome zinokwenzeka.
• Intlungu engapheliyo, ukuqina, okanye ukungakwazi ukuphinda ushukume ngokupheleleyo.
• Intlungu yesandla esinqeni.

Ndiza kuziva ngcono ngokukhawuleza kangakanani emva konyango?

Ixesha lokuchacha liyahluka kumntu nomntu. Ukuba umdala, okanye ukuba unezinye izifo ezifana ne -osteoporosis okanye isifo seswekile, kungathatha ixesha elide ukuba uchache. Kubalulekile ukuba nomonde kwaye ulandele imiyalelo kagqirha wakho.

Ungayinciphisa njani ingozi "yokwaphuka kwe-Schaufer"?

Nangona umngcipheko wolu hlobo lokuqhekeka ungenakupheliswa ngokupheleleyo, kukho izinto esinokuzenza ukuze siwunciphise:

• Yenza umthambo wokuthwala ubunzima: izinto ezifana nokuhamba, ukubaleka, nokudanisa. Kwakhona, yenza umthambo wokuxhathisa: njengokuphakamisa iintsimbi. Ezi ziqinisa amathambo.
• Yitya ukutya okunempilo okutyebileyo kwi -calcium kunye ne-vitamin D.
• Thintela okanye ulawule i-osteoporosis (ukulahleka kwamathambo): ngokutya ukutya okufanelekileyo, ukuzilolonga, kunye nokusela amayeza njengoko ugqirha wakho eyalela ukuba kuyimfuneko.
• Yeka ukutshaya nokusebenzisa iimveliso zecuba ngokupheleleyo. Ukutshaya kuphazamisana nokuphiliswa kwamathambo.
• Amanye amayeza owasebenzisayo anokuchaphazela ukufunxwa kwe-calcium kunye neevithamini emzimbeni.Ngoko ke, thetha nogqirha wakho malunga namayeza owasebenzisayo.
• Thatha amanyathelo okuthintela ukuwa ekhaya: izinto ezinje ngokufaka ii-handrails kwizinyuko kunye nee-bars zokubamba kwigumbi lokuhlambela.
• Ukuba udlala imidlalo echaphazela kakhulu (njengebhola ekhatywayo, iragbi), okanye ubandakanyeka kwimisebenzi efana nokutyibiliza emgceni okanye ukutyibiliza eqhweni, qiniseka ukuba unxibe izikhuseli zesandla kunye nezinye izixhobo zokuzikhusela.

Yintoni onokuyilindela ukuba "une-Shofer fracture"?

Ukuba utyando lwe-'Shofer fracture', ugqirha uza kukufaka i-splint esihlahleni sakho kangangeeveki ezimbini. Emva koko, xa ubuyela kugqirha, uza kukunika i-splint esuswayo ukuze uyinxibe kangangeeveki ezine.

'Ukuphuka kweShofer' kunokubangela iintlungu kangangeentsuku ezimbalwa ukuya kwiiveki ezimbalwa. Ukunciphisa iintlungu, ugqirha wakho unokukunika amayeza okudambisa iintlungu anjenge `(Ibuprofen)` okanye `(Acetaminophen)` . Ukuba iintlungu zinzima, unokunikwa amayeza anamandla.

Ugqirha wakho uza kukufundisa nemithambo elula ukukunceda ushukumise isandla sakho neminwe yakho kancinci . Banokucebisa nonyango lomzimba ukukunceda ufumane amandla kunye nokunyakaza esihlahleni sakho. Oku kubaluleke kakhulu.

Ngaba oku kunokuba nemiphumo yexesha elide?

Kunokubakho ukuqina kunye nentlungu esihlahleni ukuya kuthi ga kwiminyaka emibini . Unyango lomzimba lunokunceda ukubuyisela umgama ophezulu wokushukuma esihlahleni.

Ngokwesiqhelo, ungaqalisa imisebenzi elula efana nokudada kwisithuba senyanga okanye ezimbini emva kokuba i-cast isusiwe okanye emva kotyando. Kuthatha malunga neenyanga ezintathu ukuya kwezintandathu ukuqala imisebenzi enzima efana ne-rugby kunye ne-snowboarding.

Kungathatha ubuncinane unyaka ukuze umntu aphile ngokupheleleyo. Kwabanye abantu, ingakumbi:

• Ukuba inxeba libi kakhulu,
• Ukuba uneminyaka engaphezu kwama-50 ubudala,
• Ukuba unesifo samathambo (isifo samalungu),

Kunokubakho neentlungu ezingapheliyo okanye ukuqina esihlahleni.

Ndifanele ndimbone nini ugqirha?

Nokuba emva kokufakwa isamente okanye utyando, ukuba awukwazi ukuhambisa iminwe yakho ngenxa yokudumba okanye intlungu kwiiyure ezingama-24, bona ugqirha ngoko nangoko. Kuya kufuneka uzame ukubuyisela umgama opheleleyo wokunyakaza kwiminwe yakho ngokukhawuleza. Kwakhona, qiniseka ukuba ulandela ugqirha wakho njengoko kuyalelwe ngexesha lonyango lwakho. Oku kuya kunceda ekuchongeni naziphi na iingxaki ezinokuvela ngexesha lokuchacha kwakho.

Umyalezo Wokuya Ekhaya

Kulungile, ngoku uyaqonda ukuba "uMqhubi oQhawulekileyo" esithethe ngawo namhlanje kukuqhekeka kwethambo elikufutshane nesandla. Oku kungenzeka ngenxa yokuwa, ingozi, njl.njl.

Eyona nto ibalulekileyo kukungabi naxhala xa unesilonda esinje, kodwa kukufuna iingcebiso zonyango ngokukhawuleza. Oogqirha banokunyanga ngempumelelo ezi 'Shofer fractures' ngokufaka iplasta, ukubopha izixhobo zangaphandle, okanye ukwenza utyando.

Ukuba uneengxaki emva konyango, thetha nogqirha wakho ngaloo nto uze ufumane amayeza afunekayo okanye unyango lomzimba. Nangona kungathatha ixesha, uninzi lwabantu luyakwazi ukuqhubeka nemisebenzi yabo yesiqhelo kwiinyanga ezimbalwa. Ngoko ke, kubalulekile ukuba nomonde kwaye ulandele imiyalelo kagqirha wakho ngexesha lonyango! Ndikunqwenelela ukuba uphile ngokukhawuleza!

Ukwaphuka komqhubi, Ukwaphuka kwesitayile se-radial, Ukwaphuka kwesandla, Ukwaphuka kwamathambo, Intlungu yesandla, Intlungu yesandla, Ukwaphuka kwesangqa