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Intlungu ezantsi kweminwe? Isenokuba yi-(Metacarpal Fracture)!

Intlungu ezantsi kweminwe? Isenokuba yi-(Metacarpal Fracture)!

Ngaba wakha wawa waza wabethelela isandla sakho phantsi, okanye wasibetha eludongeni ngomsindo, waza waziva iintlungu ezibukhali esandleni sakho, ukudumba, kunye nobunzima bokuhambisa iminwe yakho? Ukuba kunjalo, kusenokwenzeka ukuba waphuka ithambo ezantsi kweminwe yakho. Oogqirha bakubiza oku ngokuthi `(Metacarpal Fracture)`. Ungakhathazeki, masithethe ngale nto ngokulula.

Yintoni le `(Metacarpal Fracture)`?

Ngamafutshane, i-`(Metacarpal Fracture)` kukuqhekeka kwethambo esandleni sakho. Ngoku usenokuba uzibuza ukuba zeziphi ii-`(Metacarpals)`. Isandla sakho sinamathambo amade amahlanu adibanisa amathambo amancinci eminwe yakho (abizwa ngokuba yi-`Phalanges`) kunye nesandla. Loo mathambo abizwa ngokuba yi-`(Metacarpals).` Ukuba uchukumisa umva wesandla sakho, uya kukwazi ukuwava la mathambo.

Olu hlobo lokuphuka luyingozi eqhelekileyo . Ludla ngokuvela xa isandla sijijekile okanye siwa, okanye ngenxa yengozi ngexesha lokudlala imidlalo. Ngamanye amaxesha, lunokwenzeka emva kokubethwa kakhulu esandleni.

Eyona nto ingcono kukuba uninzi lwamathambo aqhekekileyo e-metacarpal aludingi utyando olukhulu. Ungasebenzisa nje i-splint okanye i-cast ukuze uthintele isandla sakho kwaye ulinde ukuba ithambo liphiliswe. Nangona kunjalo, amanye amathambo aqhekekileyo anokufuna utyando.

Ngawaphi amathambo `(eMetacarpal)` asezandleni zethu?

Sinamathambo amahlanu e-metacarpal esandleni ngasinye. La anjengeziseko zeminwe yethu emihlanu. Oogqirha bawabiza ngamanani. Ukusuka kwicala lesithupha ukuya kwicala lomnwe omncinci:

  • I-Metacarpal yokuqala: Oku kuqhagamshelwe kubhontsi wakho.
  • I-Second Metacarpal: Ithambo eliqhagamshela kubhontsi.
  • Ithambo lesithathu `(Metacarpal)`: Ithambo eliqhagamshelana nomnwe ophakathi.
  • Ithambo lesine `(Metacarpal)`: Ithambo eliqhagamshela kumnwe wokukhomba (umnwe weringi).
  • Ithambo lesihlanu `(Metacarpal)`: Ithambo eliqhagamshelana nomnwe omncinci.

Ngalinye lala mathambo libaluleke kakhulu ekusebenzeni kwesandla sethu.

Ihlelwa njani i-`(Metacarpal Fracture)`?

Xa usiya kugqirha, baza kuhlola ingalo yakho, mhlawumbi bathathe i-X-ray, baze bahlele ukwaphuka. Olu hlulo lusekelwe ekubeni leliphi ithambo elaphukileyo, imilo yokwaphuka, ukuba kwenzeke njani, nokuba ithambo liphuma eluswini na.

Iintlobo ngokwemilo yokwaphuka

Ezinye iingozi zahlulwe ngokwemilo yomgca ophulwe lithambo:

  • `(Ukwaphuka okujijekileyo)`: Ukuqhekeka okujijekileyo kwithambo.
  • Ukuqhekeka kwethambo eliqhekekileyo: Ukuqhekeka kwethambo okwenzeka ngekona.
  • Ukuqhekeka kwe-Spiral: Ukuqhekeka kwethambo apho ithambo liqhekeka kwi-spiral, njenge-screw.
  • Ukuqhekeka kwecandelo: Ithambo eliqhekeka kwiindawo ezimbini, kunye neqhekeza eliphakathi elihlukanisiweyo.
  • `(Ukuqhekeka okuqhekekileyo)`: Ukuqhekeka apho ithambo lityunyuzwa libe ziingceba ezininzi.
  • Ukuqhekeka kwebhakethi: Kuqhelekile kubantwana abancinci, icala elinye lethambo libonakala ngathi lityumkile kancinci, kodwa aliphuki ngokupheleleyo.
  • `(Ukwaphuka kweenwele)`: Ithambo libonakala ngathi liqhekekile kancinci.

Iindidi ngokwendlela eyenzeke ngayo ikhefu

  • `(Ukuqhekeka kwe-compound)`: Oku yinto ebesithetha ngayo ngaphambili, apho ithambo liqhekeka lize liphume ngomngxuma eluswini. Oku kuyingozi kancinci, kuba kukho amathuba amakhulu okungena kweentsholongwane.
  • `(Ukwaphuka koxinzelelo)`: Ngokufanayo, xa ithambo liphantsi koxinzelelo okanye uxinzelelo olude, kuvela imivumbo emincinci.
  • Ukuqhekeka kwethambo: Ukukrazuka kwethambo okanye i-ligament enamathele kwithambo, nto leyo ebangela ukuba iqhekeza lethambo liphume nalo.

Ingaba ithambo liphuma eluswini? ('Ii-Open vs. Closed Fractures')

Oku kubaluleke kakhulu.

  • `(Ukwaphuka okuvulekileyo)` (Ukwaphuka okuvulekileyo): Apha , ithambo eliphukileyo libonakala ngesikhumba . Kwiimeko ezinjalo, kufuneka kufunwe unyango ngokukhawuleza. Kuba kukho amathuba aphezulu okuba iintsholongwane zingene enxebeni zize zibangele usulelo (`usulelo`). Kuthatha ixesha elide ukuphola.
  • `(Ukwaphuka okuvaliweyo)`: Apha ithambo liphukile, kodwa ulusu aluphukile, kwaye ithambo aliphumi. Oku kunokuba yingozi, kodwa umngcipheko wosulelo uphantsi kune `(Ukwaphuka okuvulekileyo)`.

Ngaba amathambo asusiwe? (`Ii-Displaced Metacarpal Fractures`)

Oogqirha baza kubiza ukwaphuka kwakho ngokuthi "ugxothiwe" okanye "ongagxothwanga."

  • `(Ukwaphuka okushiyekileyo)`: Oku kuthetha ukuba emva kokuba ithambo liphuke, iziqwenga ezibini eziphukileyo ziyahlukana, kushiyeke umsantsa phakathi kwazo. Kufana neziqwenga ezibini zepleyiti ephukileyo ezityhalelwa phambili nangasemva. Ezi ntlobo zokwaphuka zihlala zifuna utyando ukuze zilungiswe .
  • `(Ukuqhekeka okungaphazanyiswanga)`: Apha ithambo lisaphukile, kodwa iziqwenga eziphukileyo azikho kude kangako, uninzi lwazo zikwimigca efanayo.

Apho Ithambo leMetacarpal Linokuqhekeka Khona

Naliphi na icandelo leli thambo le-`(Metacarpal)` linokwaphuka. Kukho iinxalenye ezine eziphambili:

  • Isiseko: Esi sisiphelo sethambo esikude kakhulu kwiminwe, apho liqhagamshela khona namathambo esihlahleni.
  • Umgodi: Inxalenye ende embindini wethambo.
  • Intamo: Yindawo apho isiqu nentloko zidityaniswe khona.
  • Intloko: Isiphelo sethambo esidibana neminwe. Yile nto eyenza "amaqhina" avela phambili xa siqinisa amanqindi ethu.

Iintlobo ezithile zeMetacarpal Fracture

Ukwaphuka kweBoxer

Olu lolona hlobo luqhelekileyo lokuqhekeka kwe-metacarpal . Olunye kuqhekeko olune lwe-metacarpal lolo hlobo. Olu luqhekeko entanyeni yethambo le-metacarpal (ithambo lesihlanu) eliqhagamshela kumnwe omncinci.

Njengoko igama lisitsho, oku kwenzeka rhoqo xa isandla sibethelwa ngento enzima . Umzekelo, kunokwenzeka xa ubethe udonga ngomsindo, okanye xa ibhokisana iphosa isibhakela esingafanelekanga. Yiyo loo nto ibizwa ngokuba yi-"Boxer's fracture".

UBennett noRolando Baqhekeka

Ezi ziingceba ezichaphazela ilungu elisezantsi kwethambo le-metacarpal (lokuqala) lobhontsi. Ezi zinzima ngakumbi kwaye kusenokwenzeka ukuba zifuna utyando .

Ngubani onokuba nethuba elikhulu lokuphuhlisa ezi `(Metacarpal Fractures)`?

Nabani na angaphula ithambo esandleni sakhe ngolu hlobo. Nangona kunjalo, amanye amaqela asengozini enkulu:

  • Abantu abaphakathi kweminyaka eli-10 nengama-40 ubudala: Ngenxa yokuba abantu abakweli qela leminyaka bekhuthele, banamathuba amaninzi okuba neengozi zemidlalo kunye nokuwa.
  • Amadoda: Oku kusenokuba kungenxa yokuba amadoda adla ngokusebenza kakhulu emzimbeni kwaye enza imisebenzi enobungozi kunabafazi.
  • Abafazi abangaphezu kwama-50: Kule minyaka, ingakumbi emva kokuya exesheni, umngcipheko wokuba ne-osteoporosis (isifo sokulahlekelwa ngamathambo) uphezulu, nto leyo ebangela ukuba amathambo abe buthathaka aze aphuke lula.

Ziqheleke kangakanani ii-`(Metacarpal Fractures)`?

Ezi zixhaphake kakhulu . Enyanisweni, lolona hlobo lwesithathu oluxhaphakileyo lokuqhekeka. Ukuqhekeka kweMetacarpal kubangela i-10% yazo zonke iiqhekeko!

Ukophuka kwe-Metacarpal yeyona nto ixhaphakileyo kwisandla, ingakumbi kubantu abancinci abaneminyaka eli-18 ukuya kwengama-34 ubudala.

I-`(Metacarpal Fracture)` iyichaphazela njani umzimba wam?

Ukongeza kwiimpawu ezifana neentlungu nokudumba, ukwaphuka kwe-metacarpal kunokwenza kube nzima kakhulu, ukuba akunakwenzeka, ukuba usebenzise isandla sakho ngendlela eqhelekileyo.

Ufanele ukuphephe ukusebenzisa isandla sakho kangangoko unakho de siphole. Thetha nogqirha wakho malunga nezinto omele uziphephe kunye nexesha omele ulilumke ngalo. Ukubeka ubunzima esandleni sakho ngaphambi kokuba ithambo liphole kakuhle kunokonakalisa ithambo kwakhona kwaye kubangele iingxaki ezingaphezulu.

Zithini iimpawu ze-`(Metacarpal Fracture)`?

Usenokuba nenye okanye ngaphezulu kwezi mpawu:

  • Intlungu ebuhlungu: Ingakumbi xa uchukumisa okanye ushukumisa isandla.
  • Ukudumba: Inxalenye ephukileyo yesandla iyadumba.
  • Ukuthamba: Indawo eqhekekileyo ibuhlungu xa ichukunyiswa .
  • Ubunzima bokushukuma okanye ukusebenzisa isandla.
  • Ukugruzuka: Ngamanye amaxesha amahlwili egazi anokubangela ukuba ulusu lube luhlaza okwesibhakabhaka.
  • Utshintsho kwimo yesandla okanye into efana neqhuma: Iqhuma okanye ukugoba okungaqhelekanga kunokubonakala esandleni.

Ukuba ithambo le-metacarpal laphuka, nezinye izicwili ezijikelezileyo zinokonakala. Ezi ziquka:

  • Iiligamenti
  • Iitendon
  • Izihlunu

Zithini izizathu ze-`(Metacarpal Fractures)`?

Oku kudla ngokubangelwa zezi zinto zilandelayo:

  • Ukuwa: Unobangela omkhulu wokuwa kukutyibilika emhlabeni.
  • Iingozi zemidlalo: Iingozi ezenzeka xa kudlalwa ikhilikithi, iragbi, okanye nawuphi na omnye umdlalo.
  • Ezinye iimeko ezingxamisekileyo: Izinto ezifana neengozi zeemoto.
  • Iingozi emsebenzini:Kwiindawo apho kwenziwa khona umsebenzi, njengokwakha.

Ngamanye amaxesha, ukwaphuka kwe-metacarpal kunokwenzeka ngenxa yezinye iimeko zempilo ezichaphazela iminwe. Umzekelo, uhlobo lwethumba elingengomhlaza elibizwa ngokuba yi-enchondroma lunokwenza ithambo libe buthathaka kwaye lubangele ukuba liphuke.

I-Osteoporosis kunye nokuqhekeka kwamathambo

Ukuba amathambo akho abuthathaka ngenxa yesifo esibizwa ngokuba yi-osteoporosis, usengozini enkulu yokuphuka ithambo.

I-Osteoporosis ibangela ukuba amathambo abe mancinci, abe buthathaka, kwaye anokuqhekeka ngequbuliso nangokungalindelekanga. Abantu abaninzi abazi ukuba bane-osteoporosis de baphuke ithambo! Oku kungenxa yokuba ayibonisi zimpawu zicacileyo ekuqaleni.

Abafazi abangaphezu kweminyaka engama-50 ubudala basengozini enkulu yokuba ne-osteoporosis. Kungcono ukuthetha nogqirha wakho ukuze ufumane uvavanyo lobunzima bamathambo. Oku kunokunceda ekufumaneni le meko ngaphambi kokuba ithambo liqhekeke.

Ungayibona njani i-`(Metacarpal Fracture)`?

Ugqirha wakho uza kuhlola isandla sakho kwaye angenza uvavanyo oluninzi lwemifanekiso.

Amaxesha amaninzi, ugqirha uya kukwazi ukubona ukuba kukho ukwaphuka ngokujonga nje isandla. Nangona kunjalo, kufuneka uvavanyo lomfanekiso ukuqinisekisa ukuba leliphi ithambo elaphukileyo kunye nohlobo lokwaphuka kwalo.

Luhlobo luni lovavanyo oluqhutywayo?

Ngokwesiqhelo kwenziwa olunye okanye ngaphezulu kwezi vavanyo:

  • `(X-ray)` (Uvavanyo lwe-X-ray): Olu vavanyo lusetyenziswa kakhulu ukujonga ukuba kukho ukwaphuka na kunye nokuba ithambo lonakele kangakanani na.
  • `(I-Computed Tomography) (CT) scan` (I-CT scan): Oku kunokuvelisa umfanekiso ocacileyo, onemilinganiselo emithathu (`3D`) kune-`(X-ray)`. Ugqirha /ugqirha wotyando unokufumana umbono ongcono kungekuphela nje ngamathambo, kodwa nakwizicwili ezijikelezileyo.
  • Uvavanyo lobuninzi bamathambo: Ngamanye amaxesha lubizwa ngokuba yi-DEXA scan, oku kunceda ekufumaneni i-osteoporosis.

Indlela yokunyanga `(Metacarpal Fracture)`?

Unyango olufumanayo luya kuxhomekeka kuhlobo lokwaphuka kwakho, indlela okwenzeke ngayo, kunye nokuba umonakalo owenziwe emathanjeni ungakanani.

Ukungakwazi ukuhamba kwesandla

Ukuba ukwaphuka kwakho akukubi kakhulu, oko kuthetha ukuba amathambo akakho kude kakhulu (ukwaphuka okungasuswanga kwindawo ethile), kuya kufuneka uphumle kwi-'splint' okanye 'cast' kangangeentsuku ezimbalwa . Uninzi lwabantu kuya kufuneka bagcine ingalo yabo ingasebenzi kangangeeveki ezintathu ukuya kwezintandathu. Ngeli xesha, baya kuthatha ii-X-ray ukuqinisekisa ukuba amathambo ayaphola ngokufanelekileyo.

`(Ukunciphisa Okuvaliweyo)` (Ukunciphisa Okuvaliweyo)

Kwaphuka kakhulu, apho amathambo ahlukene kakhulu, ugqirha unokufuna ukusebenzisa izandla zakhe aze afake uxinzelelo lwangaphandle ukuze "abuyisele" ithambo eliphukileyo endaweni yalo . Oku kubizwa ngokuba yi-"closed reduction". Ukuze aphephe iintlungu ngelixa esenza oku, unokusebenzisa enye yezi ndlela:

  • I-anesthetic yendawo inikwa kuphela indawo ephukileyo ukuze ivale iintlungu.
  • Kunikwa amayeza okuthomalalisa umzimba wonke.
  • Kungenjalo, uza kunikwa i-anesthesia ukuze ulale ngokupheleleyo.

Emva kokunciphisa okuvaliweyo, isandla sakho siya kufakwa kwi-splint okanye kwi-plaster.

Utyando (``Utyando``) (``Utyando``)

Ezinye izaphuko ze-metacarpal zifuna utyando . Ngokuxhomekeke kuhlobo lokwaphuka kunye nobungakanani bomonakalo emathanjeni, ugqirha wakho angasebenzisa iindlela ezahlukeneyo.

Ukulungiswa Kwangaphakathi

Okwenzekayo koku kukuba ugqirha otyandayo ‘ubeka’ iziqwenga zethambo lakho eziphukileyo aze azilungise endaweni yazo. Kulapho ke iziqwenga zethambo zihlangana kakuhle kwaye ziphiliswe. Oku kwenzeka rhoqo ngento ebizwa ngokuba yi- "internal fixation." Oko kukuthi, ugqirha otyandayo ufaka izixhobo zesinyithi ngaphakathi kwethambo lakho aze alungise ithambo.

Izinto ezisetyenzisiweyo koku:

  • Iipleyiti nezikrufu: Iipleyiti zesinyithi zifakwa ethanjeni, ziqiniswe ngezikrufu, kwaye iziqwenga eziqhekekileyo zibanjwa kunye.
  • Iiphini (okanye iintambo ze-K): Iziqwenga ezincinci zethambo (ezincinci kakhulu ukuba zingalungiswa ngezinye iindlela) zibanjwa endaweni yazo kusetyenziswa iiphini ezincinci ezenziwe ngentsimbi engagqwaliyo.

Uninzi lwexesha, ezi ziqwenga zesinyithi zihlala emzimbeni ubomi bonke. Nangona kunjalo, ngamanye amaxesha, ingakumbi ukuba ii-pin zifakiwe, kuya kufuneka wenze olunye utyando oluncinci ukuze kususwe ii-pin emva kokuba ithambo lipholile.

Ukutshintshwa kwamalungu (`iArthroplasty`)

Ukuba unelungu elaphukileyo okanye elonakele kakhulu esandleni sakho, kunokufuneka wenze i-arthroplasty (ukutshintshwa kwamalungu). Oku kuquka ukususa ilungu elonakeleyo uze ulifake elinye ilungu elenziweyo. Nangona kunjalo, oku akufuneki rhoqo xa kukho ukwaphuka kwe-metacarpal.

Ukufakelwa Kwamathambo

Ukuba ukwaphuka kwe-metacarpal yakho kususwe kakhulu, kuqhekeke, okanye kuneengxaki zethambo elingapholi kakuhle, kunokufuneka ukuba ufakwe ithambo . Oku kubandakanya ukuba ugqirha athathe izicubu zethambo ezongezelelweyo aze azifake kwindawo ephukileyo ukunceda ithambo liphile. Emva koko, bahlala besenza i-internal fixation ukuze babambe iziqwenga ndawonye de kukhule ithambo elitsha.

Kukho iindlela ezahlukeneyo zokufumana izicubu zale thambo:

  • Ukusuka kwenye indawo emzimbeni wakho - ngokuqhelekileyo ngaphezulu kwethambo lesinqe.
  • Kusuka komnye umnikeli (`umnikeli wangaphandle`).
  • Isiqwenga sokutshintsha esenziweyo.

Emva kotyando, ingalo yakho iya kungasebenzi. Uza kunikwa i-splint okanye i-cast, kwaye kulapho kuphela apho uza kukwazi ukuqala ukusebenzisa ingalo yakho kwakhona. Kusenokufuneka uphinde wenze unyango lomsebenzi ukuze ubuyisele umgama oqhelekileyo wokunyakaza.

Ngawaphi amayeza asetyenziswa kwi-`(Metacarpal Fracture)`?

Ukuze unciphise iintlungu, ungafumana amayeza athengiswa ngaphandle kwemvume kagqirha afana ne-"NSAIDs" (umz. "Aspirin", "Ibuprofen") kunye ne-"(Acetaminophen)" (umz. "Paracetamol") anokubangela ukopha emva kotyando. Ke ngoko, ugqirha wakho uza kukuxelela ngqo ukuba zeziphi iintlungu ezikufaneleyo. Kubaluleke kakhulu ukuthatha amayeza kanye njengoko ekuxelela.

Ukwaphuka kweMetacarpal kunye neengxaki zayo zonyango

Nokuba utyando lwenziwe okanye akunjalo, ngamanye amaxesha iingxaki zinokubakho. Ezinye zazo zezi:

  • `(Malunion)`: Oku kwenzeka xa iziqwenga zamathambo eziphukileyo zidibana gwenxa (njengenqindi).
  • `(Ukungadibani)`: Amathambo angadibani kakuhle, okanye angadibani kwaphela.
  • Usulelo lwamathambo (i-Osteomyelitis): Ukuba ukhe waphuka ithambo (lapho ithambo liqhekeke khona eluswini), usemngciphekweni omkhulu wokufumana usulelo lwebhaktheriya.
  • Ukuqina kwesandla: Abantu abakhe baphuka i-metacarpal badla ngokuziva beqinile kwindawo abaphuke kuyo. Oku kuqina kunokuncipha ngokuzivocavoca ekhaya kunye nonyango lomsebenzi.
  • I-Acute Comppartment Syndrome (ACS): Le yimeko enzima kakhulu. Uxinzelelo ngaphakathi kwemisipha luyanda, ukuhamba kwegazi kuyaphazamiseka, kwaye umonakalo wezicubu unokwenzeka. Oku kunokukhokelela kumonakalo ongunaphakade kwimithambo-luvo nakwimisipha.

Kubalulekile: Ukuba ngequbuliso ufumana iintlungu ezinganyamezelekiyo, ukudumba, ukungakhululeki, okanye utshintsho lombala esandleni sakho, bonana nogqirha ngokukhawuleza.

Ndiza kuziva bhetele nini emva konyango?

Kungathatha iiveki ezininzi ukuba iimpawu zakho ziphele. Intlungu iya kuqala ukuncipha kwiintsuku ezimbalwa. Nangona kunjalo, kuya kuthatha malunga neeveki ezintandathu ukuba ithambo liphole ngokupheleleyo.

Ngokuxhomekeke kuhlobo lonyango olufumeneyo (i-splint, i-cast, okanye utyando), ixesha eliza kuthatha ukuba uqale ukushukumisa ingalo yakho kwakhona liya kwahluka. Lidla ngokuthatha iiveki ezimbalwa.

Ukuba uqhubeka unentlungu enzima nenganyamezelekiyo, yazisa ugqirha wakho ngoko nangoko.

Ungayinciphisa njani ingozi ye-`(Metacarpal Fracture)`?

Landela la macebiso ngokubanzi ukuze uzikhusele kwiingozi:

  • Soloko unxibe ibhanti yakho xa ukhwela izithuthi.
  • Nxiba izixhobo zokhuseleko ezifanelekileyo xa udlala imidlalo okanye usenza umsebenzi onobungozi.
  • Gcina ikhaya lakho nendawo osebenza kuyo icocekile ngokususa izinto ezinokubangela ukuba utyibilike okanye ukhubeke.
  • Xa uthatha into evela phezulu, sebenzisa isixhobo esifanelekileyo (njengeleli) endaweni yokukhwela ezitulweni okanye etafileni.
  • Landela indlela yokutya kunye nesicwangciso sokuzilolonga esinceda ukugcina impilo entle yamathambo.
  • Ukuba uneminyaka engaphezu kwama-50 ubudala, okanye ukuba kukho umntu kusapho lwakho onesifo sokudumba kwamathambo, thetha nogqirha wakho malunga novavanyo lokuqina kwamathambo.
  • Ukuba unengxaki yokuhamba okanye usemngciphekweni omkhulu wokuwa, sebenzisa induku okanye i-walker.

Ndingalindela ntoni ukuba ndine-`(Metacarpal Fracture)`?

Nokuba waphule ithambo le-`(Metacarpal)`, kusenokwenzeka ukuba ubuyele esiqhelweni ngokupheleleyo.

Kuya kufuneka wenze unyango lomsebenzi ukuze ufumane amandla kunye nokunyakaza esandleni sakho. Oku kuya kukunceda kakhulu ukuba uqhubeke nokusebenza ngendlela eqhelekileyo.

Kuthatha ixesha elingakanani ukuba i-`(Metacarpal Fracture)` iphole?

Ixesha lokuchacha liya kwahluka ngokuxhomekeke kubukhulu bokwaphuka kwakho kunye nonyango olufumeneyo. Uninzi lwabantu lunokuchacha kwisithuba senyanga okanye ezimbini.

Nangona kunjalo, umzimba womntu wonke uphilisa ngokwahlukileyo. Buza ugqirha wakho okanye ugqirha ukuba kuza kuthatha ixesha elingakanani ukuphiliswa, kuxhomekeke kwimeko yakho.

Ngaba andizukukwazi ukuya emsebenzini/esikolweni?

Usenokungakwazi ukuya emsebenzini okanye esikolweni de isandla sakho siphole, ingakumbi ukuba sisandla sakho esilawulayo (njengesandla osisebenzisa rhoqo).

Uninzi lwabantu lunokubuyela kwimisebenzi yomzimba efana nemidlalo emva kweeveki ezisibhozo. Nangona kunjalo, kufuneka uhlale ujongana nogqirha wakho ngaphambi kokuba uqale imisebenzi enjalo kwakhona.

Ndingaya nini kwigumbi likaxakeka?

Ukuba ucinga ukuba une-metacarpal fracture okanye elinye ithambo elaphukileyo esandleni sakho, kufuneka ubone ugqirha ngokukhawuleza. Yiya kwigumbi likaxakeka ngokukhawuleza, ingakumbi ukuba unezinye zezi mpawu:

  • Intlungu enzima kakhulu.
  • Ukuba awukwazi ukuhambisa isandla okanye iminwe yakho ngokuqhelekileyo.
  • Ukuba inkangeleko yesandla sakho itshintshe kakhulu (njengokuba soluliwe, sinamaqhuqhuva).
  • Ukuba unokubona ithambo ngesikhumba.
  • Ukuba isandla sakho sisandula ukujika sibe luhlaza okwesibhakabhaka kunye nezi mpawu.

Ukuba ufumene ingozi enkulu (ukwenzakala), yiya esibhedlele ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa usiya kugqirha, kuyanceda ukubuza le mibuzo:

  • Luhlobo luni lokwaphuka endinalo?
  • Ngaba ndiza kufuna utyando?
  • Kuza kuthatha ixesha elingakanani ukuphiliswa?
  • Ndiza kukwazi nini ukudlala imidlalo nokwenza umthambo kwakhona?

Ukwaphuka ithambo esandleni sakho kunokuba yinto ecaphukisayo, ingakumbi xa kuphazamisana nemisebenzi yakho yemihla ngemihla (njengokubhala okanye ukubamba ifowuni yakho). Kodwa khumbula, nokuba udinga utyando, ungaphila ngokupheleleyo emva kokwaphuka kwethambo (iMetacarpal Fracture)`.

Okokugqibela, khumbula oku (Umyalezo Wokuya Ekhaya)

Ukuphuka kwethambo elisecaleni komnwe, okwaziwa ngokuba yithambo elaphukileyo, kunokwenzeka nakubani na. Kunokubangelwa kukuwa, ingozi yezemidlalo, okanye ukubethwa ngequbuliso.

Eyona nto ibalulekileyo kukufuna ingcebiso kagqirha ngokukhawuleza ukuba ukrokrela ukuba unolu hlobo lokulimala. Ugqirha uza kukuxilonga, athathe i-X-ray ukuba kuyimfuneko, aze akunike unyango olufanelekileyo. Oku kungabandakanya ukufaka isamente okanye utyando oluncinci.

Khumbula, ngonyango olufanelekileyo nokuphumla, uninzi lwabantu luyaphola ngokupheleleyo kwaye luyakwazi ukusebenzisa izandla zalo ngokuqhelekileyo kwakhona. Ngoko ke, ungoyiki. Landela imiyalelo kagqirha wakho ngokuchanekileyo.

Ukuba ucinga ukuba usenokuba sengozini yokuba ne-osteoporosis (ingakumbi ukuba kukho umntu kusapho lwakho onayo), thetha nogqirha wakho ngayo. Uvavanyo lobunzima bamathambo lunokunceda ekufumaneni imeko ngaphambi kokuba ithambo liqhekeke.

👩🏽‍⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)

💬 Ingaba i-Ependymoma ngumhlaza wobuchopho?

Ewe! Olu luhlobo lwethumba olukhula kwinkqubo yethu yemithambo-luvo (ingqondo kunye nomqolo). Kukho inkqubo phakathi kwengqondo yethu nomqolo ethwala ulwelo olucacileyo olubizwa ngokuba yi-cerebrospinal fluid (CSF). Lo mhlaza ukhula 'kwiiseli ze-ependymal' ezenza olu lwelo.

💬 Ingaba lo mhlaza udla ngokuvela kubantu abadala okanye ebantwaneni?

Nangona inokwenzeka nakweyiphi na iminyaka, ama-70% ezi thumba zenzeka kubantwana abancinci nakwiintsana. Kubantwana, ezi thumba zihlala zikhula kwi-posterior fossa (inxalenye esezantsi yobuchopho). Kubantu abadala, zihlala zikhula kwi-spinal cord kunokuba zikhule engqondweni.

💬 Zeziphi iimpawu ezibonakaliswa ngumntwana xa esi sifo sikhula engqondweni?

Ithumba lithintela ukuhamba kolwelo lomgogodla (CSF). Oku kubangela ukuba ingqondo izaliswe ngamanzi kwaye konyuse uxinzelelo (Hydrocephalus), okubangela ukuba umntwana abe neentloko ezibuhlungu ezinganyamezelekiyo (ingakumbi kusasa), ahlanze kakhulu, abone izinto ezingaqondakaliyo, kwaye angabi naso isibindi. Oku kudla ngokufuna utyando lobuchopho ukuze kususwe ngokupheleleyo ithumba kunye nemitha.


ukwaphuka kwe - metacarpal, ukwaphuka kwesandla, ukwaphuka kwethambo, iingxaki zesandla, ukwaphuka kwebhokisi, utyando lwesandla, ukuphiliswa kwethambo

Frequently Asked Questions (FAQ)

Luhlobo luni lovavanyo oluqhutywayo?

Ngokwesiqhelo kwenziwa olunye okanye ngaphezulu kwezi vavanyo:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Intlungu ezantsi kweminwe? Isenokuba yi-(Metacarpal Fracture)!
IimpawuMeyi 6, 2026

Intlungu ezantsi kweminwe? Isenokuba yi-(Metacarpal Fracture)!

Ngaba wakha wawa waza wabethelela isandla sakho phantsi, okanye wasibetha eludongeni ngomsindo, waza waziva iintlungu ezibukhali esandleni sakho, ukudumba, kunye nobunzima bokuhambisa iminwe yakho? Ukuba kunjalo, kusenokwenzeka ukuba waphuka ithambo ezantsi kweminwe yakho. Oogqirha bakubiza oku ngokuthi `(Metacarpal Fracture)`. Ungakhathazeki, masithethe ngale nto ngokulula.

Yintoni le `(Metacarpal Fracture)`?

Ngamafutshane, i-`(Metacarpal Fracture)` kukuqhekeka kwethambo esandleni sakho. Ngoku usenokuba uzibuza ukuba zeziphi ii-`(Metacarpals)`. Isandla sakho sinamathambo amade amahlanu adibanisa amathambo amancinci eminwe yakho (abizwa ngokuba yi-`Phalanges`) kunye nesandla. Loo mathambo abizwa ngokuba yi-`(Metacarpals).` Ukuba uchukumisa umva wesandla sakho, uya kukwazi ukuwava la mathambo.

Olu hlobo lokuphuka luyingozi eqhelekileyo . Ludla ngokuvela xa isandla sijijekile okanye siwa, okanye ngenxa yengozi ngexesha lokudlala imidlalo. Ngamanye amaxesha, lunokwenzeka emva kokubethwa kakhulu esandleni.

Eyona nto ingcono kukuba uninzi lwamathambo aqhekekileyo e-metacarpal aludingi utyando olukhulu. Ungasebenzisa nje i-splint okanye i-cast ukuze uthintele isandla sakho kwaye ulinde ukuba ithambo liphiliswe. Nangona kunjalo, amanye amathambo aqhekekileyo anokufuna utyando.

Ngawaphi amathambo `(eMetacarpal)` asezandleni zethu?

Sinamathambo amahlanu e-metacarpal esandleni ngasinye. La anjengeziseko zeminwe yethu emihlanu. Oogqirha bawabiza ngamanani. Ukusuka kwicala lesithupha ukuya kwicala lomnwe omncinci:

  • I-Metacarpal yokuqala: Oku kuqhagamshelwe kubhontsi wakho.
  • I-Second Metacarpal: Ithambo eliqhagamshela kubhontsi.
  • Ithambo lesithathu `(Metacarpal)`: Ithambo eliqhagamshelana nomnwe ophakathi.
  • Ithambo lesine `(Metacarpal)`: Ithambo eliqhagamshela kumnwe wokukhomba (umnwe weringi).
  • Ithambo lesihlanu `(Metacarpal)`: Ithambo eliqhagamshelana nomnwe omncinci.

Ngalinye lala mathambo libaluleke kakhulu ekusebenzeni kwesandla sethu.

Ihlelwa njani i-`(Metacarpal Fracture)`?

Xa usiya kugqirha, baza kuhlola ingalo yakho, mhlawumbi bathathe i-X-ray, baze bahlele ukwaphuka. Olu hlulo lusekelwe ekubeni leliphi ithambo elaphukileyo, imilo yokwaphuka, ukuba kwenzeke njani, nokuba ithambo liphuma eluswini na.

Iintlobo ngokwemilo yokwaphuka

Ezinye iingozi zahlulwe ngokwemilo yomgca ophulwe lithambo:

  • `(Ukwaphuka okujijekileyo)`: Ukuqhekeka okujijekileyo kwithambo.
  • Ukuqhekeka kwethambo eliqhekekileyo: Ukuqhekeka kwethambo okwenzeka ngekona.
  • Ukuqhekeka kwe-Spiral: Ukuqhekeka kwethambo apho ithambo liqhekeka kwi-spiral, njenge-screw.
  • Ukuqhekeka kwecandelo: Ithambo eliqhekeka kwiindawo ezimbini, kunye neqhekeza eliphakathi elihlukanisiweyo.
  • `(Ukuqhekeka okuqhekekileyo)`: Ukuqhekeka apho ithambo lityunyuzwa libe ziingceba ezininzi.
  • Ukuqhekeka kwebhakethi: Kuqhelekile kubantwana abancinci, icala elinye lethambo libonakala ngathi lityumkile kancinci, kodwa aliphuki ngokupheleleyo.
  • `(Ukwaphuka kweenwele)`: Ithambo libonakala ngathi liqhekekile kancinci.

Iindidi ngokwendlela eyenzeke ngayo ikhefu

  • `(Ukuqhekeka kwe-compound)`: Oku yinto ebesithetha ngayo ngaphambili, apho ithambo liqhekeka lize liphume ngomngxuma eluswini. Oku kuyingozi kancinci, kuba kukho amathuba amakhulu okungena kweentsholongwane.
  • `(Ukwaphuka koxinzelelo)`: Ngokufanayo, xa ithambo liphantsi koxinzelelo okanye uxinzelelo olude, kuvela imivumbo emincinci.
  • Ukuqhekeka kwethambo: Ukukrazuka kwethambo okanye i-ligament enamathele kwithambo, nto leyo ebangela ukuba iqhekeza lethambo liphume nalo.

Ingaba ithambo liphuma eluswini? ('Ii-Open vs. Closed Fractures')

Oku kubaluleke kakhulu.

  • `(Ukwaphuka okuvulekileyo)` (Ukwaphuka okuvulekileyo): Apha , ithambo eliphukileyo libonakala ngesikhumba . Kwiimeko ezinjalo, kufuneka kufunwe unyango ngokukhawuleza. Kuba kukho amathuba aphezulu okuba iintsholongwane zingene enxebeni zize zibangele usulelo (`usulelo`). Kuthatha ixesha elide ukuphola.
  • `(Ukwaphuka okuvaliweyo)`: Apha ithambo liphukile, kodwa ulusu aluphukile, kwaye ithambo aliphumi. Oku kunokuba yingozi, kodwa umngcipheko wosulelo uphantsi kune `(Ukwaphuka okuvulekileyo)`.

Ngaba amathambo asusiwe? (`Ii-Displaced Metacarpal Fractures`)

Oogqirha baza kubiza ukwaphuka kwakho ngokuthi "ugxothiwe" okanye "ongagxothwanga."

  • `(Ukwaphuka okushiyekileyo)`: Oku kuthetha ukuba emva kokuba ithambo liphuke, iziqwenga ezibini eziphukileyo ziyahlukana, kushiyeke umsantsa phakathi kwazo. Kufana neziqwenga ezibini zepleyiti ephukileyo ezityhalelwa phambili nangasemva. Ezi ntlobo zokwaphuka zihlala zifuna utyando ukuze zilungiswe .
  • `(Ukuqhekeka okungaphazanyiswanga)`: Apha ithambo lisaphukile, kodwa iziqwenga eziphukileyo azikho kude kangako, uninzi lwazo zikwimigca efanayo.

Apho Ithambo leMetacarpal Linokuqhekeka Khona

Naliphi na icandelo leli thambo le-`(Metacarpal)` linokwaphuka. Kukho iinxalenye ezine eziphambili:

  • Isiseko: Esi sisiphelo sethambo esikude kakhulu kwiminwe, apho liqhagamshela khona namathambo esihlahleni.
  • Umgodi: Inxalenye ende embindini wethambo.
  • Intamo: Yindawo apho isiqu nentloko zidityaniswe khona.
  • Intloko: Isiphelo sethambo esidibana neminwe. Yile nto eyenza "amaqhina" avela phambili xa siqinisa amanqindi ethu.

Iintlobo ezithile zeMetacarpal Fracture

Ukwaphuka kweBoxer

Olu lolona hlobo luqhelekileyo lokuqhekeka kwe-metacarpal . Olunye kuqhekeko olune lwe-metacarpal lolo hlobo. Olu luqhekeko entanyeni yethambo le-metacarpal (ithambo lesihlanu) eliqhagamshela kumnwe omncinci.

Njengoko igama lisitsho, oku kwenzeka rhoqo xa isandla sibethelwa ngento enzima . Umzekelo, kunokwenzeka xa ubethe udonga ngomsindo, okanye xa ibhokisana iphosa isibhakela esingafanelekanga. Yiyo loo nto ibizwa ngokuba yi-"Boxer's fracture".

UBennett noRolando Baqhekeka

Ezi ziingceba ezichaphazela ilungu elisezantsi kwethambo le-metacarpal (lokuqala) lobhontsi. Ezi zinzima ngakumbi kwaye kusenokwenzeka ukuba zifuna utyando .

Ngubani onokuba nethuba elikhulu lokuphuhlisa ezi `(Metacarpal Fractures)`?

Nabani na angaphula ithambo esandleni sakhe ngolu hlobo. Nangona kunjalo, amanye amaqela asengozini enkulu:

  • Abantu abaphakathi kweminyaka eli-10 nengama-40 ubudala: Ngenxa yokuba abantu abakweli qela leminyaka bekhuthele, banamathuba amaninzi okuba neengozi zemidlalo kunye nokuwa.
  • Amadoda: Oku kusenokuba kungenxa yokuba amadoda adla ngokusebenza kakhulu emzimbeni kwaye enza imisebenzi enobungozi kunabafazi.
  • Abafazi abangaphezu kwama-50: Kule minyaka, ingakumbi emva kokuya exesheni, umngcipheko wokuba ne-osteoporosis (isifo sokulahlekelwa ngamathambo) uphezulu, nto leyo ebangela ukuba amathambo abe buthathaka aze aphuke lula.

Ziqheleke kangakanani ii-`(Metacarpal Fractures)`?

Ezi zixhaphake kakhulu . Enyanisweni, lolona hlobo lwesithathu oluxhaphakileyo lokuqhekeka. Ukuqhekeka kweMetacarpal kubangela i-10% yazo zonke iiqhekeko!

Ukophuka kwe-Metacarpal yeyona nto ixhaphakileyo kwisandla, ingakumbi kubantu abancinci abaneminyaka eli-18 ukuya kwengama-34 ubudala.

I-`(Metacarpal Fracture)` iyichaphazela njani umzimba wam?

Ukongeza kwiimpawu ezifana neentlungu nokudumba, ukwaphuka kwe-metacarpal kunokwenza kube nzima kakhulu, ukuba akunakwenzeka, ukuba usebenzise isandla sakho ngendlela eqhelekileyo.

Ufanele ukuphephe ukusebenzisa isandla sakho kangangoko unakho de siphole. Thetha nogqirha wakho malunga nezinto omele uziphephe kunye nexesha omele ulilumke ngalo. Ukubeka ubunzima esandleni sakho ngaphambi kokuba ithambo liphole kakuhle kunokonakalisa ithambo kwakhona kwaye kubangele iingxaki ezingaphezulu.

Zithini iimpawu ze-`(Metacarpal Fracture)`?

Usenokuba nenye okanye ngaphezulu kwezi mpawu:

  • Intlungu ebuhlungu: Ingakumbi xa uchukumisa okanye ushukumisa isandla.
  • Ukudumba: Inxalenye ephukileyo yesandla iyadumba.
  • Ukuthamba: Indawo eqhekekileyo ibuhlungu xa ichukunyiswa .
  • Ubunzima bokushukuma okanye ukusebenzisa isandla.
  • Ukugruzuka: Ngamanye amaxesha amahlwili egazi anokubangela ukuba ulusu lube luhlaza okwesibhakabhaka.
  • Utshintsho kwimo yesandla okanye into efana neqhuma: Iqhuma okanye ukugoba okungaqhelekanga kunokubonakala esandleni.

Ukuba ithambo le-metacarpal laphuka, nezinye izicwili ezijikelezileyo zinokonakala. Ezi ziquka:

  • Iiligamenti
  • Iitendon
  • Izihlunu

Zithini izizathu ze-`(Metacarpal Fractures)`?

Oku kudla ngokubangelwa zezi zinto zilandelayo:

  • Ukuwa: Unobangela omkhulu wokuwa kukutyibilika emhlabeni.
  • Iingozi zemidlalo: Iingozi ezenzeka xa kudlalwa ikhilikithi, iragbi, okanye nawuphi na omnye umdlalo.
  • Ezinye iimeko ezingxamisekileyo: Izinto ezifana neengozi zeemoto.
  • Iingozi emsebenzini:Kwiindawo apho kwenziwa khona umsebenzi, njengokwakha.

Ngamanye amaxesha, ukwaphuka kwe-metacarpal kunokwenzeka ngenxa yezinye iimeko zempilo ezichaphazela iminwe. Umzekelo, uhlobo lwethumba elingengomhlaza elibizwa ngokuba yi-enchondroma lunokwenza ithambo libe buthathaka kwaye lubangele ukuba liphuke.

I-Osteoporosis kunye nokuqhekeka kwamathambo

Ukuba amathambo akho abuthathaka ngenxa yesifo esibizwa ngokuba yi-osteoporosis, usengozini enkulu yokuphuka ithambo.

I-Osteoporosis ibangela ukuba amathambo abe mancinci, abe buthathaka, kwaye anokuqhekeka ngequbuliso nangokungalindelekanga. Abantu abaninzi abazi ukuba bane-osteoporosis de baphuke ithambo! Oku kungenxa yokuba ayibonisi zimpawu zicacileyo ekuqaleni.

Abafazi abangaphezu kweminyaka engama-50 ubudala basengozini enkulu yokuba ne-osteoporosis. Kungcono ukuthetha nogqirha wakho ukuze ufumane uvavanyo lobunzima bamathambo. Oku kunokunceda ekufumaneni le meko ngaphambi kokuba ithambo liqhekeke.

Ungayibona njani i-`(Metacarpal Fracture)`?

Ugqirha wakho uza kuhlola isandla sakho kwaye angenza uvavanyo oluninzi lwemifanekiso.

Amaxesha amaninzi, ugqirha uya kukwazi ukubona ukuba kukho ukwaphuka ngokujonga nje isandla. Nangona kunjalo, kufuneka uvavanyo lomfanekiso ukuqinisekisa ukuba leliphi ithambo elaphukileyo kunye nohlobo lokwaphuka kwalo.

Luhlobo luni lovavanyo oluqhutywayo?

Ngokwesiqhelo kwenziwa olunye okanye ngaphezulu kwezi vavanyo:

  • `(X-ray)` (Uvavanyo lwe-X-ray): Olu vavanyo lusetyenziswa kakhulu ukujonga ukuba kukho ukwaphuka na kunye nokuba ithambo lonakele kangakanani na.
  • `(I-Computed Tomography) (CT) scan` (I-CT scan): Oku kunokuvelisa umfanekiso ocacileyo, onemilinganiselo emithathu (`3D`) kune-`(X-ray)`. Ugqirha /ugqirha wotyando unokufumana umbono ongcono kungekuphela nje ngamathambo, kodwa nakwizicwili ezijikelezileyo.
  • Uvavanyo lobuninzi bamathambo: Ngamanye amaxesha lubizwa ngokuba yi-DEXA scan, oku kunceda ekufumaneni i-osteoporosis.

Indlela yokunyanga `(Metacarpal Fracture)`?

Unyango olufumanayo luya kuxhomekeka kuhlobo lokwaphuka kwakho, indlela okwenzeke ngayo, kunye nokuba umonakalo owenziwe emathanjeni ungakanani.

Ukungakwazi ukuhamba kwesandla

Ukuba ukwaphuka kwakho akukubi kakhulu, oko kuthetha ukuba amathambo akakho kude kakhulu (ukwaphuka okungasuswanga kwindawo ethile), kuya kufuneka uphumle kwi-'splint' okanye 'cast' kangangeentsuku ezimbalwa . Uninzi lwabantu kuya kufuneka bagcine ingalo yabo ingasebenzi kangangeeveki ezintathu ukuya kwezintandathu. Ngeli xesha, baya kuthatha ii-X-ray ukuqinisekisa ukuba amathambo ayaphola ngokufanelekileyo.

`(Ukunciphisa Okuvaliweyo)` (Ukunciphisa Okuvaliweyo)

Kwaphuka kakhulu, apho amathambo ahlukene kakhulu, ugqirha unokufuna ukusebenzisa izandla zakhe aze afake uxinzelelo lwangaphandle ukuze "abuyisele" ithambo eliphukileyo endaweni yalo . Oku kubizwa ngokuba yi-"closed reduction". Ukuze aphephe iintlungu ngelixa esenza oku, unokusebenzisa enye yezi ndlela:

  • I-anesthetic yendawo inikwa kuphela indawo ephukileyo ukuze ivale iintlungu.
  • Kunikwa amayeza okuthomalalisa umzimba wonke.
  • Kungenjalo, uza kunikwa i-anesthesia ukuze ulale ngokupheleleyo.

Emva kokunciphisa okuvaliweyo, isandla sakho siya kufakwa kwi-splint okanye kwi-plaster.

Utyando (``Utyando``) (``Utyando``)

Ezinye izaphuko ze-metacarpal zifuna utyando . Ngokuxhomekeke kuhlobo lokwaphuka kunye nobungakanani bomonakalo emathanjeni, ugqirha wakho angasebenzisa iindlela ezahlukeneyo.

Ukulungiswa Kwangaphakathi

Okwenzekayo koku kukuba ugqirha otyandayo ‘ubeka’ iziqwenga zethambo lakho eziphukileyo aze azilungise endaweni yazo. Kulapho ke iziqwenga zethambo zihlangana kakuhle kwaye ziphiliswe. Oku kwenzeka rhoqo ngento ebizwa ngokuba yi- "internal fixation." Oko kukuthi, ugqirha otyandayo ufaka izixhobo zesinyithi ngaphakathi kwethambo lakho aze alungise ithambo.

Izinto ezisetyenzisiweyo koku:

  • Iipleyiti nezikrufu: Iipleyiti zesinyithi zifakwa ethanjeni, ziqiniswe ngezikrufu, kwaye iziqwenga eziqhekekileyo zibanjwa kunye.
  • Iiphini (okanye iintambo ze-K): Iziqwenga ezincinci zethambo (ezincinci kakhulu ukuba zingalungiswa ngezinye iindlela) zibanjwa endaweni yazo kusetyenziswa iiphini ezincinci ezenziwe ngentsimbi engagqwaliyo.

Uninzi lwexesha, ezi ziqwenga zesinyithi zihlala emzimbeni ubomi bonke. Nangona kunjalo, ngamanye amaxesha, ingakumbi ukuba ii-pin zifakiwe, kuya kufuneka wenze olunye utyando oluncinci ukuze kususwe ii-pin emva kokuba ithambo lipholile.

Ukutshintshwa kwamalungu (`iArthroplasty`)

Ukuba unelungu elaphukileyo okanye elonakele kakhulu esandleni sakho, kunokufuneka wenze i-arthroplasty (ukutshintshwa kwamalungu). Oku kuquka ukususa ilungu elonakeleyo uze ulifake elinye ilungu elenziweyo. Nangona kunjalo, oku akufuneki rhoqo xa kukho ukwaphuka kwe-metacarpal.

Ukufakelwa Kwamathambo

Ukuba ukwaphuka kwe-metacarpal yakho kususwe kakhulu, kuqhekeke, okanye kuneengxaki zethambo elingapholi kakuhle, kunokufuneka ukuba ufakwe ithambo . Oku kubandakanya ukuba ugqirha athathe izicubu zethambo ezongezelelweyo aze azifake kwindawo ephukileyo ukunceda ithambo liphile. Emva koko, bahlala besenza i-internal fixation ukuze babambe iziqwenga ndawonye de kukhule ithambo elitsha.

Kukho iindlela ezahlukeneyo zokufumana izicubu zale thambo:

  • Ukusuka kwenye indawo emzimbeni wakho - ngokuqhelekileyo ngaphezulu kwethambo lesinqe.
  • Kusuka komnye umnikeli (`umnikeli wangaphandle`).
  • Isiqwenga sokutshintsha esenziweyo.

Emva kotyando, ingalo yakho iya kungasebenzi. Uza kunikwa i-splint okanye i-cast, kwaye kulapho kuphela apho uza kukwazi ukuqala ukusebenzisa ingalo yakho kwakhona. Kusenokufuneka uphinde wenze unyango lomsebenzi ukuze ubuyisele umgama oqhelekileyo wokunyakaza.

Ngawaphi amayeza asetyenziswa kwi-`(Metacarpal Fracture)`?

Ukuze unciphise iintlungu, ungafumana amayeza athengiswa ngaphandle kwemvume kagqirha afana ne-"NSAIDs" (umz. "Aspirin", "Ibuprofen") kunye ne-"(Acetaminophen)" (umz. "Paracetamol") anokubangela ukopha emva kotyando. Ke ngoko, ugqirha wakho uza kukuxelela ngqo ukuba zeziphi iintlungu ezikufaneleyo. Kubaluleke kakhulu ukuthatha amayeza kanye njengoko ekuxelela.

Ukwaphuka kweMetacarpal kunye neengxaki zayo zonyango

Nokuba utyando lwenziwe okanye akunjalo, ngamanye amaxesha iingxaki zinokubakho. Ezinye zazo zezi:

  • `(Malunion)`: Oku kwenzeka xa iziqwenga zamathambo eziphukileyo zidibana gwenxa (njengenqindi).
  • `(Ukungadibani)`: Amathambo angadibani kakuhle, okanye angadibani kwaphela.
  • Usulelo lwamathambo (i-Osteomyelitis): Ukuba ukhe waphuka ithambo (lapho ithambo liqhekeke khona eluswini), usemngciphekweni omkhulu wokufumana usulelo lwebhaktheriya.
  • Ukuqina kwesandla: Abantu abakhe baphuka i-metacarpal badla ngokuziva beqinile kwindawo abaphuke kuyo. Oku kuqina kunokuncipha ngokuzivocavoca ekhaya kunye nonyango lomsebenzi.
  • I-Acute Comppartment Syndrome (ACS): Le yimeko enzima kakhulu. Uxinzelelo ngaphakathi kwemisipha luyanda, ukuhamba kwegazi kuyaphazamiseka, kwaye umonakalo wezicubu unokwenzeka. Oku kunokukhokelela kumonakalo ongunaphakade kwimithambo-luvo nakwimisipha.

Kubalulekile: Ukuba ngequbuliso ufumana iintlungu ezinganyamezelekiyo, ukudumba, ukungakhululeki, okanye utshintsho lombala esandleni sakho, bonana nogqirha ngokukhawuleza.

Ndiza kuziva bhetele nini emva konyango?

Kungathatha iiveki ezininzi ukuba iimpawu zakho ziphele. Intlungu iya kuqala ukuncipha kwiintsuku ezimbalwa. Nangona kunjalo, kuya kuthatha malunga neeveki ezintandathu ukuba ithambo liphole ngokupheleleyo.

Ngokuxhomekeke kuhlobo lonyango olufumeneyo (i-splint, i-cast, okanye utyando), ixesha eliza kuthatha ukuba uqale ukushukumisa ingalo yakho kwakhona liya kwahluka. Lidla ngokuthatha iiveki ezimbalwa.

Ukuba uqhubeka unentlungu enzima nenganyamezelekiyo, yazisa ugqirha wakho ngoko nangoko.

Ungayinciphisa njani ingozi ye-`(Metacarpal Fracture)`?

Landela la macebiso ngokubanzi ukuze uzikhusele kwiingozi:

  • Soloko unxibe ibhanti yakho xa ukhwela izithuthi.
  • Nxiba izixhobo zokhuseleko ezifanelekileyo xa udlala imidlalo okanye usenza umsebenzi onobungozi.
  • Gcina ikhaya lakho nendawo osebenza kuyo icocekile ngokususa izinto ezinokubangela ukuba utyibilike okanye ukhubeke.
  • Xa uthatha into evela phezulu, sebenzisa isixhobo esifanelekileyo (njengeleli) endaweni yokukhwela ezitulweni okanye etafileni.
  • Landela indlela yokutya kunye nesicwangciso sokuzilolonga esinceda ukugcina impilo entle yamathambo.
  • Ukuba uneminyaka engaphezu kwama-50 ubudala, okanye ukuba kukho umntu kusapho lwakho onesifo sokudumba kwamathambo, thetha nogqirha wakho malunga novavanyo lokuqina kwamathambo.
  • Ukuba unengxaki yokuhamba okanye usemngciphekweni omkhulu wokuwa, sebenzisa induku okanye i-walker.

Ndingalindela ntoni ukuba ndine-`(Metacarpal Fracture)`?

Nokuba waphule ithambo le-`(Metacarpal)`, kusenokwenzeka ukuba ubuyele esiqhelweni ngokupheleleyo.

Kuya kufuneka wenze unyango lomsebenzi ukuze ufumane amandla kunye nokunyakaza esandleni sakho. Oku kuya kukunceda kakhulu ukuba uqhubeke nokusebenza ngendlela eqhelekileyo.

Kuthatha ixesha elingakanani ukuba i-`(Metacarpal Fracture)` iphole?

Ixesha lokuchacha liya kwahluka ngokuxhomekeke kubukhulu bokwaphuka kwakho kunye nonyango olufumeneyo. Uninzi lwabantu lunokuchacha kwisithuba senyanga okanye ezimbini.

Nangona kunjalo, umzimba womntu wonke uphilisa ngokwahlukileyo. Buza ugqirha wakho okanye ugqirha ukuba kuza kuthatha ixesha elingakanani ukuphiliswa, kuxhomekeke kwimeko yakho.

Ngaba andizukukwazi ukuya emsebenzini/esikolweni?

Usenokungakwazi ukuya emsebenzini okanye esikolweni de isandla sakho siphole, ingakumbi ukuba sisandla sakho esilawulayo (njengesandla osisebenzisa rhoqo).

Uninzi lwabantu lunokubuyela kwimisebenzi yomzimba efana nemidlalo emva kweeveki ezisibhozo. Nangona kunjalo, kufuneka uhlale ujongana nogqirha wakho ngaphambi kokuba uqale imisebenzi enjalo kwakhona.

Ndingaya nini kwigumbi likaxakeka?

Ukuba ucinga ukuba une-metacarpal fracture okanye elinye ithambo elaphukileyo esandleni sakho, kufuneka ubone ugqirha ngokukhawuleza. Yiya kwigumbi likaxakeka ngokukhawuleza, ingakumbi ukuba unezinye zezi mpawu:

  • Intlungu enzima kakhulu.
  • Ukuba awukwazi ukuhambisa isandla okanye iminwe yakho ngokuqhelekileyo.
  • Ukuba inkangeleko yesandla sakho itshintshe kakhulu (njengokuba soluliwe, sinamaqhuqhuva).
  • Ukuba unokubona ithambo ngesikhumba.
  • Ukuba isandla sakho sisandula ukujika sibe luhlaza okwesibhakabhaka kunye nezi mpawu.

Ukuba ufumene ingozi enkulu (ukwenzakala), yiya esibhedlele ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa usiya kugqirha, kuyanceda ukubuza le mibuzo:

  • Luhlobo luni lokwaphuka endinalo?
  • Ngaba ndiza kufuna utyando?
  • Kuza kuthatha ixesha elingakanani ukuphiliswa?
  • Ndiza kukwazi nini ukudlala imidlalo nokwenza umthambo kwakhona?

Ukwaphuka ithambo esandleni sakho kunokuba yinto ecaphukisayo, ingakumbi xa kuphazamisana nemisebenzi yakho yemihla ngemihla (njengokubhala okanye ukubamba ifowuni yakho). Kodwa khumbula, nokuba udinga utyando, ungaphila ngokupheleleyo emva kokwaphuka kwethambo (iMetacarpal Fracture)`.

Okokugqibela, khumbula oku (Umyalezo Wokuya Ekhaya)

Ukuphuka kwethambo elisecaleni komnwe, okwaziwa ngokuba yithambo elaphukileyo, kunokwenzeka nakubani na. Kunokubangelwa kukuwa, ingozi yezemidlalo, okanye ukubethwa ngequbuliso.

Eyona nto ibalulekileyo kukufuna ingcebiso kagqirha ngokukhawuleza ukuba ukrokrela ukuba unolu hlobo lokulimala. Ugqirha uza kukuxilonga, athathe i-X-ray ukuba kuyimfuneko, aze akunike unyango olufanelekileyo. Oku kungabandakanya ukufaka isamente okanye utyando oluncinci.

Khumbula, ngonyango olufanelekileyo nokuphumla, uninzi lwabantu luyaphola ngokupheleleyo kwaye luyakwazi ukusebenzisa izandla zalo ngokuqhelekileyo kwakhona. Ngoko ke, ungoyiki. Landela imiyalelo kagqirha wakho ngokuchanekileyo.

Ukuba ucinga ukuba usenokuba sengozini yokuba ne-osteoporosis (ingakumbi ukuba kukho umntu kusapho lwakho onayo), thetha nogqirha wakho ngayo. Uvavanyo lobunzima bamathambo lunokunceda ekufumaneni imeko ngaphambi kokuba ithambo liqhekeke.

👩🏽‍⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)

💬 Ingaba i-Ependymoma ngumhlaza wobuchopho?

Ewe! Olu luhlobo lwethumba olukhula kwinkqubo yethu yemithambo-luvo (ingqondo kunye nomqolo). Kukho inkqubo phakathi kwengqondo yethu nomqolo ethwala ulwelo olucacileyo olubizwa ngokuba yi-cerebrospinal fluid (CSF). Lo mhlaza ukhula 'kwiiseli ze-ependymal' ezenza olu lwelo.

💬 Ingaba lo mhlaza udla ngokuvela kubantu abadala okanye ebantwaneni?

Nangona inokwenzeka nakweyiphi na iminyaka, ama-70% ezi thumba zenzeka kubantwana abancinci nakwiintsana. Kubantwana, ezi thumba zihlala zikhula kwi-posterior fossa (inxalenye esezantsi yobuchopho). Kubantu abadala, zihlala zikhula kwi-spinal cord kunokuba zikhule engqondweni.

💬 Zeziphi iimpawu ezibonakaliswa ngumntwana xa esi sifo sikhula engqondweni?

Ithumba lithintela ukuhamba kolwelo lomgogodla (CSF). Oku kubangela ukuba ingqondo izaliswe ngamanzi kwaye konyuse uxinzelelo (Hydrocephalus), okubangela ukuba umntwana abe neentloko ezibuhlungu ezinganyamezelekiyo (ingakumbi kusasa), ahlanze kakhulu, abone izinto ezingaqondakaliyo, kwaye angabi naso isibindi. Oku kudla ngokufuna utyando lobuchopho ukuze kususwe ngokupheleleyo ithumba kunye nemitha.


ukwaphuka kwe - metacarpal, ukwaphuka kwesandla, ukwaphuka kwethambo, iingxaki zesandla, ukwaphuka kwebhokisi, utyando lwesandla, ukuphiliswa kwethambo

Frequently Asked Questions (FAQ)

Luhlobo luni lovavanyo oluqhutywayo?

Ngokwesiqhelo kwenziwa olunye okanye ngaphezulu kwezi vavanyo:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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