Ingaba unenxeba elinje esandleni sakho? Masifunde ngeMonteggia Fracture!

Ngaba wakha wehlelwa yingozi ngesandla sakho waza waxelelwa ngugqirha ukuba une-'Monteggia Fracture', nto leyo ethetha ithambo elaphukileyo? Okanye wakha weva eli gama ndaweni ithile? Olu luhlobo oluntsonkothileyo lokuqhekeka. Asikuko nje ukuqhekeka kwethambo esandleni sakho. Ngoko ke, namhlanje siza kuthetha ngale meko ibizwa ngokuba yi-'Monteggia Fracture' ngendlela elula onokuyiqonda. Akukho nto yokoyika, masichaze yonke into.

Yintoni iMonteggia Fracture?

Kulungile, ngoku makhe sijonge ukuba yintoni i-'Monteggia Fracture'. Ngamafutshane, kukuqhekeka kwengalo yakho. Ingalo yinxalenye yengalo yakho esuka kwingqiniba yakho iye esihlahleni sakho. Ukuqhekeka kwenzeka kwi-elbow joint.

Ubusazi na, kukho amathambo amabini aphambili ebunzini lethu?

• Elinye lithambo le-ulna . Eli likwicala elingaphakathi lengalo, kwicala apho ubhontsi wakho ukhona (eneneni, ukuba ujonga isandla sakho isandla sakho sijonge ezantsi, i-ulna ikwicala lomnwe wakho omncinci. Oku kubizwa ngoogqirha ngokuba yindawo yesandla).
• Elinye lithambo leradius . Eli likwicala elingaphandle lengalo, ngasebhontsini elikhulu (xa ujonge isandla, njengoko bekutshiwo ngaphambili).

Ngoku, ngamandla athile anamandla, ithambo lakho le-ulna liyaphuka kufutshane ne-elbow joint. Okwenzekayo kukuba i-joint iba yinto engaguqukiyo. Ngoko ke, isiphelo esiphezulu sethambo le-radius, inxalenye eqhagamshelana ne-elbow joint, sihamba sibuyela umva ukusuka apho kufanele ukuba sibe khona. Ngokwezonyango, oku kubizwa ngokuba yi-"dislocation." Yiloo nto siyibiza ngokuba yi-"Monteggia Fracture."

Kubalulekile ukuba oogqirha baqonde ukuba oku kunzima kakhulu kunokuba yithambo elaphukileyo. Ngenxa yokuba kuyawuphazamisa umdibaniso wengqiniba, kufuna unyango olukhethekileyo ukuze kuphole kakuhle. Ukuba kunokwenzeka, oogqirha baya kubuyisela amathambo endaweni yawo ngesandla. Kodwa ukuba oko akunakwenzeka, okanye ukuba kukho umonakalo omkhulu kumthambo, umthambo wegazi, okanye umthambo kwilungu lakho, unokufuna utyando.

Yintoni umahluko phakathi kweMonteggia kunye neGaleazzi fractures?

Usenokuba ukhe weva 'ngokwaphuka kweGaleazzi'. Nangona ezi zimbini zisenokubonakala zifana, kukho umahluko. Ezi zimbini zinokubhideka.

• Xa iMonteggia yaphuka , ithambo lakho le-ulna liyaphuka kufutshane ne-elbow joint, nto leyo ebangela ukuba isiphelo esiphezulu sethambo le-radius siphume kwi-joint.
• Xa iGaleazzi fracture iphukile , i-radius bone yakho iyaphuka kufutshane ne-wrist joint, kwaye isiphelo esisezantsi se-ulna bone siphuma kuloo joint.

Nantsi icebiso elincinci lokukhumbula oku. Ibizwa ngokuba yiFROG ngesiNgesi. Imele iFractured Radius Of Galeazzi . Emva koko ungakhumbula ukuba kwiGaleazzi, iradius yaphukile. Emva koko, kulula ukukhumbula ukuba eMonteggia, i-ulna yaphukile, akunjalo?

Zithini iimpawu zokuphuka kweMonteggia?

Umntu oneMonteggia Fracture udla ngokuva iintlungu engqinibeni . Uza kuziva ukwaphuka kwenxalenye yesithathu ephezulu yengalo yakho. Indawo isenokudumba. Ngamanye amaxesha unokubona amathambo ehambahamba, ngamanye amaxesha awukwazi. Ithambo le-radius nalo libuhlungu.

Ungaziva nezinto ezinje:

• Kuvakala ngathi kunzima ukugoba okanye ukolula ingqiniba yakho (umgama omncinci wokunyakaza).
• Ngamanye amaxesha, ithambo le-radius elikhutshiweyo libuyela ngokuzenzekelayo kwindawo yalo yokuqala.

Xa ugqirha ekuxilonga, uya kukhangela neempawu zokulimala kwemithambo-luvo. Kwiimeko ezinjalo, izinto ezinje ngezi zinokwenzeka:

• Imvakalelo yokurhawuzelela okanye ukuziva ngathi ziimbovane ziyarhubuluza esandleni (i-paresthesia).
• Ukuziva ubuthathaka engalweni okanye esandleni.
• Intlungu ephuma kwindawo apho ithambo liphukile khona.

Zeziphi iimithambo-luvo ezinokonakala ngenxa yokuqhekeka kweMonteggia?

Ukuqhekeka kweMonteggia kungonakalisa i-radial nerve yakho okanye i-median nerve yakho . Eyona ngozi ixhaphakileyo kukwenzakala kwe-posterior interosseous nerve (PIN), elisebe le-radial nerve. Ukuba le mithambo yonakele, unokuba nobunzima bokunweba iminwe yakho nobhontsi.

Iindaba ezimnandi zezokuba uninzi lwexesha, umonakalo wemithambo-luvo obangelwa yiMonteggia Fracture awukho mkhulu (`neurapraxia`). Oku kuthetha ukuba imithambo-luvo iyaxinwa okwethutyana. Oku kudla ngokuziphilisa ngokwako kwiinyanga ezimbalwa. Ukuba akwenzeki njalo, kunokulungiswa ngotyando.

Yintoni ebangela ukwaphuka kweMonteggia?

Oku kudla ngokubangelwa kukwenzakala okubuhlungu . Ezona zizathu zixhaphakileyo zezi:

• Uwela ulule ingalo yakho . Khawuthelekelele utyibilika ngelixa ubaleka kwaye ingalo yakho ibambeke emhlabeni.
• Ukuwa ukusuka kwindawo ephakamileyo kangangokuba ingqiniba ibethe emhlabeni .
• Ukubetheka nzima ngqo ngasemva kwengqiniba .

Oogqirha bakuqonda njani oku kanye kanye?

Xa ufumene ingozi ngesandla sakho, ugqirha uya kuqala enze uvavanyo lomzimba , aze emva koko athathe ii-X-ray.Uvavanyo luyenziwa. Ukusuka kuvavanyo lomzimba, ugqirha ufumana umbono wento amakayijonge kwi-X-ray.

Ukuze uxilonge ngokuchanekileyo iMonteggia Fracture, kuya kufuneka uthathe ii-X-ray zengalo yakho kunye nengqiniba. Ii-X- ray zengalo ziya kubonisa ukwaphuka kwethambo le-ulna. Ii-X-ray zengqiniba ziya kubonisa ukuqhekeka kwentloko ye-radial.

Nangona kunjalo, zombini ukwaphuka kwe-ulna kunye nokuqhekeka kwe-radius ngamanye amaxesha kunokuba nzima kakhulu . Ngenxa yoko, kulula ukungaziboni ezi meko. Ezi meko kunokuba nzima ukuzibona , ingakumbi kubantwana abancinci . Ngamanye amaxesha ukwaphuka kuncinci kangangokuba akubonakali, okanye ithambo linokugoba kancinci. Ngamanye amaxesha, i-radius eqhekekileyo iya kubuyela endaweni yayo ngaphambi kokuba ubone ugqirha. Ke ngoko, ukuze wazi ngokuqinisekileyo ukuba 'yiMonteggia Fracture', kufuneka uyihlolisise ngononophelo ukuze ubone ukuba kukho na ubungqina bokwaphuka kwangaphambili.

Iphathwa njani i-Monteggia fracture?

Unyango lokwaphuka kweMonteggia lwahlukile kancinci kunonyango lwethambo eliphukileyo. Oku kungenxa yokuba lubandakanya ukukhubeka kwamalungu. Xa ithambo likhutshiwe, izicubu ezihlala zilibamba endaweni yazo ziyalulwa okanye zikrazuke. Kwanasemva kokuba ithambo libuyiselwe endaweni yalo, kuthatha ixesha ukuba ezi zicubu ziphiliswe. Ilungu alikazinzi. Ke ngoko, kukho ithuba lokuba izicubu ziya kuphinda zonakale, okanye ithambo likhubeke kwakhona.

Ukuze kunyangwe ngempumelelo i-'Monteggia Fracture', kufuneka kwenzeke oku kulandelayo:

• Ithambo le-ulna kufuneka libuyiselwe kwindawo yalo eyiyo .
• Ithambo leradius kufuneka libuyiselwe kwindawo yalo eyiyo .
• La mathambo mabini kufuneka agcinwe eqinile kwindawo apho adibana khona ade aphole.

Ukuze benze oku, oogqirha badla ngokuzama iindlela zonyango ezigcina ulusu lwabo lusempilweni kuqala. Kuphela xa behluleka apho bakhetha utyando. Enyanisweni, uninzi lwabantwana abancinci aludingi utyando, kodwa abantu abadala badla ngokulufuna. Isizathu soku kukuba amathambo kunye nezicubu zabantwana zisakhula, ngoko ke kulula ukuzilungisa nokuziphilisa ngokukhawuleza. Amathambo amalunga abantu abadala awanakwenzeka ukuba aphile ngokwawo ngaphandle koncedo, kwaye awanakwenzeka ukuba abe kwindawo efanelekileyo.

Nazi iindlela zonyango:

• Ukunciphisa okuvaliweyo:'Ukunciphisa' kuthetha ukubuyisela ithambo elisusiweyo endaweni yalo. 'Ukunciphisa okuvaliweyo' kuthetha ukulungisa ilungu ngesandla ngaphandle kotyando. Nanini na xa kunokwenzeka, oogqirha baya kuzama ukwenza oku kuqala. Oku kwenziwa ngelixa uphantsi kwe-anesthesia. Emva koko, kuya kufuneka unxibe isamente okanye i-splint ukuze ubambe ithambo endaweni yalo de liphole.
• Ukunciphisa okuvulekileyo kunye nokulungiswa kwangaphakathi (ORIF): Ukuba ukunciphisa okuvaliweyo akunakwenzeka, ukhetho olulandelayo lutyando (ukunciphisa okuvulekileyo). Ukulungiswa kwangaphakathi kubandakanya ukubuyisela onke amathambo endaweni yawo nokuwabamba endaweni yawo. Ngamanye amaxesha, ugqirha wotyando kuya kufuneka aphinde afake ithambo le-ulna ngaphambi kokubuyisela i-radius endaweni yawo. Ezinye izicubu ezonakeleyo zinokufuna ukunyangwa okanye zisuswe.

Kuthatha ixesha elingakanani ukuphola emva kokuqhekeka kweMonteggia?

Uninzi lwabantu lunokubuyela kwimisebenzi eqhelekileyo kwiiveki ezisi-8 ukuya kwezili-12 emva konyango. Abadlali bezemidlalo kunye nabo banemisebenzi enzima emzimbeni banokuthatha ixesha elide.

Ukuba une-closed reduction, kunokufuneka unxibe i-cast kangangeeveki ezi-6 ukuya kwezi-8. Ukuba utyando, kunokufuneka unxibe i-cast malunga neeveki ezi-3. Emva koko, kunokufuneka wenze i-occupational therapy okanye i-physiotherapy kangangeeveki ezimbalwa ukuze ufumane ukuguquguquka kunye nomgama wokunyakaza esandleni sakho.

Injani imeko emva konyango lokwaphuka kweMonteggia?

Xa uxilongwa ngexesha elifanelekileyo kwaye unyango olufanelekileyo luphumelela, uninzi lwabantu luyaphola ngaphandle kweengxaki ezinkulu. Nangona kunjalo, ngenxa yokuba oku kukwenzakala okukhulu, akuqhelekanga ukuba umntu abe nokuqina kwengqiniba, iintlungu ezingapheliyo, kunye nobuthathaka emva konyango. Malunga ne-10% yabantu bafumana umonakalo wemithambo-luvo okwethutyana, onokuhlala iinyanga ezininzi.

Into ebalulekileyo kukuba ukuba iMonteggia Fracture ayibonwa kwaye ayinyangwa kangangeeveki ezininzi, kunzima ukunyanga ngempumelelo. Inokubangela nomonakalo wexesha elide.

Xa ingalo yakho yaphukile kufutshane nelungu, kubalulekile ukuqwalasela ukuba kungenzeka ukuba ilungu ngokwalo lonakele. Kunzima ukufumanisa xa unezilima ezimbini kwindawo enye, kufutshane nelungu elinye. Nangona kunjalo, ukuba iimpawu zakho ziyaqhubeka zikukhathaza emva konyango, musa ukuzityeshela nje. Bona ugqirha wakho kwakhona. Baza kukulumkela ukuba bangalibazisi unyango olufanelekileyo lokwaphuka kweMonteggia, endaweni yokukuphepha.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

• Ukuqhekeka kweMonteggia kukuqhekeka apho ithambo le-ulna lengalo liphuka kwingqiniba, nto leyo ebangela ukuba ithambo le-radius liphume kwilungu.
• Oku kunzima kakhulu kunokuba nje kukwaphuka, kuba i-elbow joint ayizinzanga.
• Oku kunokwenzeka ngenxa yezinto ezinje ngokuwa kunye nokubetheka ngqo engqinibeni.
• Iimpawu eziphambili ziintlungu zengqiniba, ukudumba, kunye nokungakwazi ukuhambisa ingalo kakuhle. Kukwakho nethuba elincinci lokonakala kwemithambo-luvo.
• Ukuze uyichonge ngokuchanekileyo, kufuneka uthathe i-X-ray ebunzini lakho nakwingqiniba.
• Abantwana abancinci banokulungiswa ngaphandle kotyando, kodwa abantu abadala banokufuna utyando.
• Ukuba isifo siqatshelwe kwangethuba size sinyangwe ngokufanelekileyo, kunokwenzeka ukuba umntu achache kakuhle. Ukuba sibambezelekile, iingxaki zinokubakho.
• Ukuba uyaqhubeka nokuba neentlungu okanye ukungakhululeki emva konyango, qiniseka ukuba ubona ugqirha.

Ndiyathemba ukuba olu lwazi luluncedo kuwe. Ukuba unemibuzo, ungathandabuzi ukubuza ugqirha wakho. Hlala usempilweni!

Ukwaphuka kweMonteggia , ukwenzakala kwengqiniba, ukwaphuka kwethambo, ulna, iradius, ukwaphuka kwesandla, utyando