Ngaba umntwana wakho omncinci uwile ngequbuliso ngelixa edlala? Okanye ngaba wenze ingozi encinci ebaleni lokudlala? Emva koko, ngaba uyakhala engayeki kuba ingalo okanye umlenze wakhe ubuhlungu? Ngaba indawo eyonzakeleyo ibonakala idumbile kwaye itsalekile? Njengomzali, kuqhelekile ukuba uzive usoyika kakhulu ngexesha elinje. Kodwa ungakhathazeki. Oku kudla ngokuba kukuqhekeka okuncinci, okuxhaphakileyo kubantwana abancinci. Yiloo nto sithetha ngayo namhlanje.
Yintoni iGreenstick Fracture? Masiyiqonde ngokulula
I-"Greenstick Fracture" luhlobo lwethambo elaphukileyo. Nangona kunjalo, yahlukile kancinci kwiimfantu esiqhele ukuzibona.
Khawuthelekelele uthatha isebe eliluhlaza, elibhityileyo emthini uze uligobe. Aliqhekeki libe ziingceba ezibini lula, akunjalo? Endaweni yoko, liyagoba, kodwa ukuba uligoba kakhulu, elinye icala lalo liya kuqhekeka kancinci kwaye liqhekeke. Elinye icala liya kuqhubeka liqhagamshelwe.
Ngoku khawucinge nje ukuba uthatha isebe elidala nelomileyo kakhulu uze uligobe. Liyaqhekeka lize liqhekeke libe ziingceba ezimbini.
``I-Greenstick Fracture`` ifana ne-green stick ekhankanyiweyo ngaphambili. Siyibiza le fracture xa ithambo lingaqhekeki ngokupheleleyo libe ziingceba ezimbini, kodwa kuvela umngxuma omncinci kwicala elinye. Eli gama livela kwintsingiselo yegama elithi ``green stick.''
Ngubani odla ngokukwenzeka oku? Kutheni kubonakala ngathi kwenzeka kubantwana abancinci kuphela?
Le meko ibizwa ngokuba yi-'Greenstick Fracture' idla ngokubonakala kubantwana abangaphantsi kweminyaka eli-10 ubudala. Kunqabile kakhulu ukuba abantu abadala babe nale meko. Kukho isizathu esithile sale nto.
Amathambo abantwana abancinci, oko kukuthi, amathambo, afana nala masebe aluhlaza. Awakakhuli ngokupheleleyo kwaye akakaqini. Ngenxa yoko, aguquguquka ngakumbi kwaye athambile kunamathambo abantu abadala. Amathambo abantu abadala afana nala masebe abunileyo; aqinile, ngoko ke aqhekeka lula abe ziingceba xa kukho into efana nokuwa.
Kwakhona, abantwana abancinci bahlala bebaleka, betsiba, kwaye bedlala. Ngoko ke banamathuba amaninzi okuwa. Ingakumbi xa bewa, bahlala bezama ukuzisindisa ngokwalula iingalo zabo baze bazibeke phantsi. Emva koko, kusetyenziswa amandla amaninzi emathanjeni engalo, nto leyo enokubangela ukuba kubekho i-'Greenstick Fracture' efana nale.
Into ebalulekileyo kukuba oku kuqhelekile kakhulu ebantwaneni abancinci. Ngoko ke musani ukoyika ngokungeyomfuneko. Ngonyango olufanelekileyo, lunokunyangeka ngokupheleleyo.
Iimpawu zokuba umntwana wakho usenokuba neGreenstick Fracture
Khangela ezi mpawu emva kokuba umntwana wakho efumene ingozi. Ukuba kukho enye okanye ngaphezulu kwezi mpawu, isenokuba lithambo elaphukileyo.
| Uphawu | Ingcaciso elula |
|---|---|
| Intlungu ebuhlungu | Umntwana ufumana iintlungu ezinganyamezelekiyo kwindawo yokwenzakala, ingakumbi xa echukumisa okanye eshukumisa isandla. |
| Ukudumba | Ukudumba okujikeleze ithambo elilimeleyo. |
| Ukugruzuka | Igazi eliqhekekileyo phantsi kolusu libangela ukuba indawo eyonzakeleyo ibe luhlaza okwesibhakabhaka, mfusa, okanye ibe mnyama. |
| Ukugoba okanye ukolulwa ngendlela engaqhelekanga | Ilungu, njengengalo okanye umlenze, libonakala linwebekile, lahlukile kwimo yalo eqhelekileyo. Olu luphawu oluphambili lwale ngxaki yokuqhekeka. |
| Ukuthamba xa kuchukunyiswa | Umntwana uziva iintlungu eziqatha xa ecinezela indawo eyonzakeleyo ngomnwe. |
Amathambo achaphazeleka kakhulu yile ngozi ngala:
Ukuqhekeka kweGreenstick kudla ngokuchaphazela amathambo amade.
- Ithambo lengalo ephezulu (iHumerus)
- Amathambo engalo esezantsi (iRadius kunye ne-Ulna)
- Amathambo eminwe (`Phalanges`)
- Ithambo lethanga (i-femur)
- I-Fibula
Uyifumana njani le nto, Gqirha?
Xa usisa umntwana wakho kugqirha, uza kuqala abuze umntwana kunye nawe ngengozi eyenzekileyo. Emva koko baza kuhlola indawo eyonzakeleyo. Baza kujonga ngononophelo ukuba akukho ukudumba, ukukrweleka, kunye nezinye iimpawu zokulimala.
Emva koko, ukuqinisekisa ukuba kukho ukwaphuka kwamathambo nokubona ukuba loluphi uhlobo, kwenziwa i-X-ray.Ugqirha unokufumanisa ngokucacileyo kumfanekiso we-X-ray ukuba ithambo laphukile ngokupheleleyo okanye ukuba liqhekekile ngohlobo 'lweGreenstick'.
Kunqabile kakhulu, ukuba ukwaphuka kuyinkimbinkimbi okanye ukuba kukho ukurhanelwa komonakalo kwimisipha ejikelezileyo okanye kwimithambo yegazi, i-MRI okanye i-CT scan nayo ingacetyiswa.
Inyangwa njani iGreenstick Fracture?
Ukunyanga le meko kudla ngokuba lula kakhulu.
1. Ukubeka iplasta (Ukuthintela ukushukuma kweCast)
Unyango oluphambili lweentlobo ezininzi zamathambo aqhekekileyo kukubeka i-cast ethanjeni ukuze lihlale lingashukumi. Ngokubeka ithambo elaphukileyo kwindawo efanelekileyo nokubeka i-cast kulo, ithambo linethuba lokuphiliswa kakuhle ngaphandle kokuphazamiseka.
- Ngokwesiqhelo, kufuneka unxibe le plasta kangangeeveki ezi-4 ukuya kwezi-6 .
- Ngeli xesha, ugqirha uthi kufuneka siphinde sithathe i-X-ray ukuze sibone ukuba ithambo liyaphola kakuhle na.
2. Utyando
Utyando alufuneki rhoqo. Ukuba i-engile yokwaphuka inzima kakhulu , oko kuthetha ukuba ingalo okanye umlenze ugobile kakhulu, ugqirha wakho unokucebisa utyando.
Olu tyando lubandakanya ukuseta/ukulungelelanisa ithambo kunye nokufaka iiphini zesinyithi ukuze zilibambe endaweni yazo . Oku kubizwa ngokuba yi-'internal fixation'. Nje ukuba ithambo liphole ngokupheleleyo, iiphini ziyasuswa kolunye utyando oluncinci.
Iingxaki ezinokubakho ngenxa yotyando
Njengakwezinye iindlela zotyando, kukho iimeko ezingaqhelekanga apho iingxaki zinokwenzeka khona.
- I-Malunion: Ithambo elingadibani kakuhle njengoko liphola. Ukungahambi kakuhle kancinci.
- Umanyano: Iziqwenga ezibini zethambo azibuyi ndawonye konke konke.
- I-Acute Compartment Syndrome (ACS): Le yimeko engxamisekileyo neyingozi. Uxinzelelo olungaphakathi kwigumbi elijikeleze ithambo luyanda kakhulu, lunqande ukuhamba kwegazi kwaye lubangele umonakalo ongapheliyo kwimisipha nakwimithambo-luvo. Ukuba intlungu iyaqhubeka nokuba mandundu emva kokwenzakala, okanye ukuba ufumana ukungakhululeki okanye ukurhawuzelelwa kwamalungu akho, kufuneka ubone ugqirha ngoko nangoko.
Kuthatha ixesha elingakanani ukuphiliswa? Kwenzeka ntoni emva koko?
Uninzi lwee-greenstick fractures ziyaphola ngokupheleleyo kwiiveki ezintandathu , kodwa ngeli xesha zinokuhluka kancinci ngokuxhomekeke kubudala bomntwana, uhlobo lwethambo elaphukileyo, kunye nohlobo lwe-fracture.
Emva kokuba iplasta isusiwe, umntwana kufuneka agcinwe kude nemisebenzi yokubaleka nokutsiba, ingakumbi imidlalo, de ugqirha amxelele ukuba enjenjalo. Emva kwexesha elithile, umntwana uya kukwazi ukwenza yonke imisebenzi yakhe yesiqhelo ngaphandle kweengxaki.
Kubalulekile: Umntwana ophuke i-greenstick engalweni usengozini enkulu yokuphuka ithambo elifanayo kwakhona kwixesha elizayo. Ke ngoko, kubaluleke kakhulu ukubonelela ngonyango olufanelekileyo kwangoko nje ukuba kwenzeke ukwenzakala kokuqala.
Ngaba iingozi ezinje zingathintelwa?
Nangona iingozi zingenakuthintelwa ngokupheleleyo, zininzi izinto esinokuzenza ukuqinisekisa ukhuseleko lwabantwana bethu.
- Izixhobo zokhuseleko: Nxiba izixhobo zokhuseleko ezifanelekileyo (izigcina-ntloko, iipedi) xa ukhwela ibhayisekile okanye udlala imidlalo efana nekhilikithi.
- Imeko yasekhaya: Musa ukubeka izinto (amathoyizi, amanzi) phantsi apho abantwana banokutyibilika baze bawe khona endlwini.
- Umdlalo okhuselekileyo: Musa ukuvumela abantwana bakhwele ezitulweni, etafileni, okanye kwiikhawuntara ukuze badlale.
- Isondlo: Nika umntwana wakho ukutya okunesondlo esityebileyo esine -calcium kunye ne-vitamin D. Ezi zondlo zibalulekile kumathambo aqinileyo.
Ixesha lokubona ugqirha ngoko nangoko uze uye kwi-ETU
Xa umntwana efumene ingozi, kubaluleke kakhulu ukwazi ukuba uza kubonana nini nogqirha kwaye uza kuya nini kwiYunithi yoNyango oluNgxamisekileyo (ETU).
| Amathuba | Kwenziwe ntoni |
|---|---|
| Ixesha lokubona ugqirha rhoqo |
|
| Ixesha lokuya kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ngoko nangoko |
|
Umyalezo Wokuya Ekhaya
- I-"Greenstick Fracture" yingxaki eyenzeka kakhulu kumathambo athambileyo naguquguqukayo abantwana abancinci, apho ithambo lingaphuki ngokupheleleyo libe ziingceba.
- Oku kufana nokugoba isebe lomthi elingavuthwanga uze wenze umgca kwelinye icala.
- Iimpawu eziphambili ziintlungu, ukudumba, kunye nokubonakala ngathi ubuthathaka.
- Unyango ludla ngokufakwa isamente ukuze ithambo liphile. Utyando alufuneki rhoqo.
- Ukuba umntwana ube sengozini kwaye ukrokrela ukuba ithambo lakhe liphukile, musa ukoyika kwaye ubone ugqirha ngokukhawuleza. Landela imiyalelo yakhe.
- Ngonyango olufanelekileyo, le meko inokuphiliswa ngokupheleleyo, kwaye umntwana unokubuyela ebomini obuqhelekileyo ngaphandle kwemiphumo yexesha elide.
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