Ingaba umntwana wakho uyawa aze azive ebuhlungu engalweni okanye emlenzeni? Masifunde ngale Greenstick Fracture?

Kuqhelekile ukuba abantwana bawa kancinci baze benzeke xa bedlala, bebaleka, kwaye bedlala. Kodwa ngamanye amaxesha, nokuba ukuwa okuncinci kunokubangela ukwenzakala okukhulu engalweni okanye emlenzeni. Kwiimeko ezinjalo, kunokuba yinto engaphezulu kokukruneka nje, kwaye kunokuba yithambo elaphukileyo. Namhlanje, sithetha ngohlobo oluqhelekileyo, kodwa olwahlukileyo kancinci lokuqhekeka kwabantwana abancinci. Oko kubizwa ngokuba yi-greenstick fracture .

Yintoni iGreenstick Fracture?

Ngamafutshane, olu luhlobo lokwaphuka kwethambo, oko kuthetha ukwaphuka kwethambo. Kodwa kukho into ekhethekileyo ngale nto. Njengoko igama lisitsho, kufana nokugoba intonga eluhlaza . Khawuthelekelele ukuba uthatha intonga entsha, eluhlaza uze uyigobe. Ayiqhekeki ngokupheleleyo ibe zimbini, akunjalo? Ivele nje iphume kancinci kwelinye icala, okanye ibonakale ngathi iqhekekile. Yiyo loo nto ukwaphuka kwentonga eluhlaza kufana nayo.

Amathambo abantwana, njengaloo masebe aluhlaza, athambile kancinci. Awaqhekeki kubini ngokukhawuleza njengabantu abadala. Endaweni yoko, xa kusetyenziswa amandla, elinye icala lethambo liyaqhekeka kancinci, okanye liyaqhekeka njengokuqhuma. Aliyi kwaphuka ngokupheleleyo libe ziingceba ezibini . Ithambo liya kwaphuka kwelinye icala, kwaye elinye icala liya kugoba.

Ngubani ofumana ezi zinto kakhulu?

Le meko, ebizwa ngokuba yi-"Greenstick Fracture" , ixhaphake kakhulu kubantwana abangaphantsi kweminyaka eli-10 ubudala. Isizathu esiphambili soku kukuba, njengoko benditshilo ngaphambili, amathambo abo akakakhuli ngokupheleleyo, ngoko ke athambile kwaye aguquguquka ngakumbi. Ithambo kumntu omdala linokuqhekeka libe ziingceba ezininzi ngaloo ndlela yamandla.

Oku kungenzeka kumathambo emilenzeni nasezingalweni ngawaphi amathambo?

Olu hlobo lokwaphuka ludla ngokuvela kumathambo amade omzimba . Umzekelo:

• Ithambo elingalweni yethu engasentla ((Humerus))
• Amathambo amabini akwingalo ((Radius) kunye (Ulna))
• Amathambo amancinci kwiminwe nakwiinzwane ((Phalanges))
• Ithambo elikhulu ethangeni ((Femur))
• Ithambo lesifuba (iFibula)

Kukwiindawo ezinje apho uhlala ubona khona "iGreenstick Fracture".

Ixhaphake kangakanani le meko?

Ukuqhekeka kwe-greenstick kuqheleke kakhulu kubantwana abancinci. Kwamanye amazwe, izibalo zibonisa ukuba izigidi zabantwana zihlushwa yile meko minyaka le. Ngoko ke ukuba into efana nale iyenzeka kumntwana wakho, khumbula ukuba ayiqhelekanga kangako.

Zithini iimpawu zoku?

Ukuba umntwana wakho unengxaki efana nale, unokubona iimpawu ezifana nezi:

• Kukho intlungu ebuhlungu kakhulu , ingakumbi xa uchukumisa indawo eyonzakeleyo.
• Indawo eyonzakeleyo inokuba luhlaza okwesibhakabhaka kwaye ibonakale ikruqukile .
• Umntwana angakhala ngenxa yentlungu xa echukunyiswa.
• Kubonakala ukudumba kwindawo eyonzakeleyo.
• Ngamanye amaxesha ilungu lomzimba elimeleyo, njengengalo okanye umlenzeIsenokubonakala ngathi inwebekile okanye ijijekile kunesiqhelo.

Ukuba ubona uphawu olunje, kungcono ukubona ugqirha endaweni yokucinga ukuba yimvuthuluka nje.

Yintoni ebangela oku?

Nantoni na ebeka amandla amaninzi kwithambo elide lomntwana inokubangela ukwaphuka kwe-greenstick. Cinga ngayo, abantwana bethu bawa ngelixa bebaleka kwaye betsiba. Ingakumbi xa bewa belule iingalo zabo kwaye izandla zabo ziphantsi, oku kunokwenzeka kumathambo asezandleni zabo. Kwakhona:

• Iingozi xa udlala imidlalo : njengokudlala ibhola ekhatywayo, ukubhabha iikhayithi, kunye nokukhwela imithi.
• Ukulimala okunje kunokwenzeka nakwiingozi zeemoto .

Ngubani osengozini enkulu?

Njengoko bekutshiwo ngaphambili, abantwana abangaphantsi kweminyaka eli-10 ngabona basemngciphekweni omkhulu. Kukho izizathu ezahlukeneyo zoku:

• Ukuguquguquka nokuthamba kwamathambo abo .
• Abantwana abancinci bawa rhoqo kunabantwana abadala kuba ibhalansi yabo ayikakhuli ngokupheleleyo.
• Nokuba uwile, uhlala ubetha phantsi ngeengalo zakho zoluliwe , nto leyo ebangela uxinzelelo olukhulu emathanjeni akho.

Ukongeza, abantwana abangondlekanga okanye abaswele i-vitamin D ((Vitamin D)) nabo basengozini enkulu yokuqhekeka kwamathambo. Oku kungenxa yokuba i-vitamin D ibalulekile kumathambo aqinileyo. Abantu abadala abafane babe nale ntsholongwane ye-greenstick. Amathambo abo adla ngokuqhekeka ngokupheleleyo.

Ugqirha uyibona njani le nto?

Ugqirha uza kuyixilonga le nto ngokuqala enze uvavanyo lomzimba kumntwana, aze emva koko, ukuba kuyimfuneko, enze uvavanyo lomfanekiso .

Ugqirha uza kuhlola ngononophelo indawo yokwenzakala komntwana kunye nendawo ejikelezileyo. Kubaluleke kakhulu ukuxelela ugqirha iinkcukacha ezininzi kangangoko usaziyo, ezifana nendlela umntwana awe ngayo kunye nento abeyenza xa kwenzeka loo nto.

Luhlobo luni lovavanyo oluqhutywayo?

I-X-ray idla ngokwenziwa ukuqinisekisa ukuba iGreenstick Fracture ikwindawo evulekileyo. I-X-ray yeyona ndlela ikuphela kwayo yokubona ukuba ikwindawo eqhekekileyo injani na kwaye ikwindawo ephi.

Ngamanye amaxesha, ingakumbi ukuba kufuneka utyando, i-MRI (Magnetic Resonance Imaging) okanye i-CT (Computed Tomography) scan ingenziwa. Ezi zinokubonelela ngombono omhle we-three-dimensional wezicubu ezijikeleze ithambo, ezifana nezihlunu kunye nemithambo yegazi.

Zithini iindlela zonyango?

Amaxesha amaninzi, la maqhekezo e-greenstick anyangwa ngokuthintela ithambo nge-cast . Umntwana wakho kuya kufuneka anxibe i-cast kangangeeveki ezintandathu . Ngeli xesha, kuya kuthathwa ii-X-ray ukuqinisekisa ukuba ithambo liphola kakuhle.

Ngaba ukwaphuka kwe-greenstick kufuna utyando?

Nangona inganyangwa rhoqo nge-cast, ngamanye amaxesha utyando lunokufuneka. Ingakumbi ukuba ithambo likhubeke kakhulu okanye ligobile nge-engile enzima , utyando lunokufuneka ukuze ithambo liphilise kakuhle.

Ngexesha lotyando, ugqirha ulungisa ithambo aze asebenzise iiphini zesinyithi ukulibamba endaweni yalo. Oku kubizwa ngokuba yi-internal fixation . Emva kokuba ithambo liphilile, kufuneka olunye utyando oluncinci ukuze kususwe iiphini.

Ngaba kukho naziphi na iingxaki xa kutyandwa?

Njengakwezinye iintlobo zotyando, iingxaki ezincinci zinokwenzeka, kodwa aziqhelekanga.

• Malunion : Oku kuthetha ukuba xa ithambo liphola, alihambelani kakuhle, kodwa liphola kancinci ecaleni.
• Ukungadibani : Ukungaphumeleli kwamathambo ukudibana kakuhle, okanye ukudibana kuyalibaziseka.
• I-Acute Compartment Syndrome (ACS) : Oku kwenzeka xa uxinzelelo luqokelelana ngaphakathi kwezihlunu ezijikeleze ukwenzakala, nto leyo ethintela ukuhamba kwegazi. Oku kunokubangela umonakalo kwizihlunu nakwimithambo-luvo. Oku kuyinto engxamisekileyo kancinci.

Ezi ngxaki azixhaphakanga, kodwa kungcono ukuthetha nogqirha wakho ngale nto uze uhlale unolwazi.

Ingathintelwa njani into efana nale ukuba ingenzeki?

Kunzima kakhulu ukuthintela ngokupheleleyo umntwana ukuba angawi okanye abe nengozi. Abantwana abancinci liqela elihamba ngokukhawuleza. Kodwa kukho izinto esinokuzenza ukunciphisa umngcipheko:

• Wonke umntu, ingakumbi abantwana, ufanele anxibe iibhanti zokhuseleko ngokufanelekileyo xa ekhwele iimoto.
• Jonga ukuba abantwana basebenzisa izixhobo zokhuseleko ezifanelekileyo (ezifana nezigcina-ntloko kunye nee-knee pads) xa bedlala imidlalo okanye bekhwela iibhayisekile.
• Musa ukushiya izinto ezingafunekiyo zithe tyaba endlwini apho abantwana banokukhubeka khona . Gcina indlu icocekile.
• Fundisa abantwana ukusebenzisa izixhobo ezifanelekileyo (ezifana neleli) endaweni yokukhwela ezitulweni okanye etafileni xa befikelela kwinto engaphezulu kwabo.
• Musa ukuvumela abantwana abancinci bakhwele ezitulweni, etafileni, okanye kwiikhawuntara . Banokuwela lula.

Yintoni omele uyilindele ukuba into efana nale yenzeke kumntwana wakho?

Uninzi lwabantwana abaphuke i-greenstick bayaphola ngokupheleleyo . Xa ithambo lipholile, banokubaleka, badlale, baze benze umsebenzi wesikolo njengesiqhelo. Nangona kunjalo, licebo elihle ukujonga ugqirha wakho ngaphambi kokuba uqalise imidlalo okanye eminye imisebenzi kwakhona.

Ukuba kukho ukwaphuka kwethambo, ingakumbi kwingalo, kukho umngcipheko omncinci wokuphuka kwethambo elifanayo kwakhona kwixesha elizayo ukuba alinyangwa kakuhle. Kungoko ke, kubaluleke kakhulu ukubona ugqirha ngokukhawuleza ukuba uneentlungu okanye ukudumba.

Kuthatha ixesha elingakanani ukuchacha?

Kudla ngokuthatha malunga neeveki ezintandathu ukuba ukwaphuka okunje kuphole.Iya kuphela. Kodwa ingahluka ngokuxhomekeke kwizinto ezifana nohlobo lwethambo elilimeleyo, uhlobo lokuphuka (njengokuba ligobile kangakanani, ukuba lingakanani inxeba), ubudala bomntwana, nokuba kukho ezinye iingozi. Ugqirha wakho uza kukuxelela ukuba kuza kuthatha ixesha elingakanani kwaye ungaqala nini ukubaleka kwakhona.

Ndifanele ndimbone nini ugqirha?

Ukuba umntwana unentlungu okanye ukudumba kwindawo yethambo emva kokuwa okanye enye ingozi, qiniseka ukuba ubona ugqirha. Musa ukuyityeshela loo nto.

Ufanele uye nini kwigumbi likaxakeka (ER)?

Kwimeko enjalo, ngokuqinisekileyo kuya kufuneka uye kwigumbi likaxakeka lesibhedlele ( ETU ) ngoko nangoko:

• Ukuba kukho intlungu enganyamezelekiyo .
• Ukuba awukwazi ukuhambisa inxalenye yomzimba wakho eyonzakeleyo.
• Ukuba indawo eyonzakeleyo ibonakala yahlukile kwimilo yayo eqhelekileyo, okanye yoluliwe okanye ijijekile .
• Ukuba ulusu luqhekekile kwaye ithambo liyabonakala (oku kunqabile kwii-greensticks, kodwa kunokwenzeka).
• Ukuba idumbile kakhulu .
• Ukuba ubona imivumbo emitsha okanye imivumbo ehamba nezi mpawu.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa ubona ugqirha, ungabuza imibuzo efana nale ukuze uqonde ngcono imeko:

• Ngaba umntwana wam uphuke i-greenstick okanye wenzakele kwenye indawo?
• Ndifanele ndigcine iplasta ixesha elingakanani?
• Ngaba udinga utyando? Ukuba kunjalo, loluphi uhlobo?
• Iza kuthatha ixesha elingakanani ukuphila?
• Uyinyamekela njani iplasta xa ikwindawo yayo? Akufanele ukuba imanzi?
• Zeziphi izinto umntwana anokuzisebenzisa kwaye angenakwenza de aphile? Ngaba angaya esikolweni?
• Iyintoni ingozi yokuba ukwaphuka okufanayo kuphinde kwenzeke kwixesha elizayo? Ngaba kukho into enokwenziwa ukunciphisa oku?

Izinto ezibaluleke kakhulu ekufuneka sizikhumbule

Kuqhelekile ukuba abazali bazive besoyika kwaye bexhalabile xa befumanisa ukuba umntwana wakho uneentlungu, ingakumbi ukuba unethambo elaphukileyo. Kodwa eyona nto ilungileyo kukuba, uninzi lwabantwana abanezaphuko zeGreenstick bayaphola ngokupheleleyo . Xa ithambo lipholile, abanazo naziphi na iziphumo okanye iingxaki ezihlala ixesha elide.

Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha ngokuchanekileyo. Lungisa iplasta ngokufanelekileyo, ubuyele kugqirha ngeentsuku akuxelela zona, uze uphumze umntwana wakho. Emva koko ungamgcina ekhuselekile umntwana wakho ade aphile.

Ukuba uneminye imibuzo, ungoyiki ukubuza ugqirha wakho.

Ukuqhekeka kweGreenstick , Ukuqhekeka kweGreenstick, Ukuqhekeka kwabantwana, Iimpawu zokuqhekeka, Unyango lokuqhekeka, Impilo yabantwana, Impilo yamathambo