Kuthekani ukuba waphuke ingalo okanye umlenze? Masithethe ngokwaphuka kwemilenze okugobileyo!

Owu, ngaba uwile? Okanye ngaba kukho ingozi encinci? Ngaba ingalo okanye umlenze wakho ubuhlungu okanye uvuvukile ngequbuliso? Ngamaxesha anjalo, sizibuza ukuba ithambo liphuke na. Namhlanje, siza kuthetha ngohlobo oluthile lokuphuka olunokwenzeka ngamaxesha anje ngala. Oko kukuphuka okunqamlezileyo, okanye njengoko oogqirha bekubiza, ukuphuka okugobileyo (i-Oblique Fracture) .

Yintoni kanye kanye i-Oblique Fracture?

Ngamafutshane, "i-Oblique Fracture" kuxa elinye lamathambo akho liphuka nge-engile, oko kuthetha ukuba nge-engile ethile . Cinga ngayo njengenduku yomthi eqhekeka kubini ngqo, kodwa endaweni yokuqhekeka nge-engile encinci. Kule meko, ithambo liphuka ngokupheleleyo, oko kuthetha ukuba umgca wokuqhekeka uhamba yonke indlela emathanjeni.

Olu hlobo lokwaphuka luxhaphake kakhulu kumathambo amade emzimbeni wethu. Umzekelo:

• I-Femur
• Ithambo lesifuba `(iTibia)`
• Ithambo elingaphandle kwethambo le-shin `(Fibula)`
• Ithambo lengalo ephezulu `(iHumerus)`
• Amathambo engalo (iRadius kunye ne-Ulna)
• UClavicle

Uninzi lwale mingxunya ibangelwa kukuwa okanye iingozi. Ngamanye amaxesha kufuneka utyando ukuze kulungiswe ithambo. Kodwa kwabanye abantu, i-splint okanye i-cast inokunceda. Ixesha elithathwayo ukuze kuphole ngokupheleleyo lixhomekeke ekubeni leliphi ithambo elaphukileyo kwaye laphukile njani. Kudla ngokuthatha iinyanga ezininzi ukuze kuphole.

Yintoni umahluko phakathi kokuqhekeka kwe-oblique kunye nokuqhekeka kwe-spiral?

Ezi ziintlobo ezimbini ezahlukeneyo zokuqhekeka kwamathambo. La magama anceda ugqirha ukuba aqonde indlela ithambo lakho elaphukile ngayo kunye nokuba imilo yalo yaphukileyo injani.

Kwi-"Oblique Fracture" eqhekekileyo, ithambo liyaphuka nge-engile, xa lithe tyaba . Oko kukuthi, ukuqhekeka kufana nomgca othe tyaba phezu kwethambo. Olu hlobo lokuqhekeka lunokwenzeka xa ubunzima buwela kwicala elithe tyaba, njengaxa kusiwa, okanye xa into ethile ingena ngequbuliso kwicala elithe tyaba, njengaxa kuthe kwabakho ingozi yemoto.

Kodwa kwi-`(Spiral Fracture)` ithambo liyaphuka kwi-spiral, njengezinyuko ezijikelezayo . Ezi zixhaphake kakhulu kwiingozi zemidlalo. Khawuthelekelele ukuba umntu ebeza kukujika umlenze wakho ngamandla ngelixa udlala ibhola ekhatywayo.

Ngoko ke yintoni umahluko phakathi kokuqhekeka kwe-oblique kunye nokuqhekeka okunqamlezileyo?

Kuzo zombini iimeko, ukwaphuka kufana nomgca othe tye odlula ethanjeni.

Kodwa kwi-``Oblique Fracture``, umgca ukwi-engile . Kwi-``Transverse Fracture``, umgca unqumla ithambo ngokupheleleyo , oko kukuthi, umi nkqo kubude bethambo.

Nangona kunjalo, kungakhathaliseki ukuba ubiza ntoni na ukwaphuka kwakho, eyona nto ibalulekileyo kukubona ugqirha ngokukhawuleza kwaye uhlolwe.

Ziqheleke kangakanani ezi zifo zamathambo ezithe tyaba?

Ukuqhekeka kwe-Oblique ngokwenene luhlobo oluqhelekileyo lokuqhekeka, ingakumbi kumathambo amade.

Ngubani onokuba nethuba elikhulu lokuphuhlisa ezi zinto?

Nabani na angaphuka ngolu hlobo. Oku kubangelwa kakhulu kukuwa neengozi. Ukuba unengxaki yokuwa, unamathuba amaninzi okuba nesifo eso. Kwakhona, abantu abane -osteoporosis, isifo esenza amathambo abe buthathaka, basengozini enkulu yokuba nesifo samathambo, kuquka esi (Oblique Fracture).

Zithini iimpawu ze-Oblique Fracture?

Ukuba une-Oblique Fracture, unokufumana iimpawu ezifana nezi:

• Intlungu ebuhlungu
• Ukudumba
• Intlungu xa ichukunyiswa (ukuthamba)
• Ukungakwazi ukuhambisa inxalenye yomzimba enokushukunyiswa ngokuqhelekileyo
• Ukugruzuka okanye ukutshintsha kombala wolusu
• Ukukhubazeka okanye iqhuma elingekho rhoqo liyabonakala kuloo ndawo.

Kubalulekile: Ukuba unenye okanye ngaphezulu kwezi mpawu, kungcono ukufuna ingcebiso kagqirha ngokukhawuleza.

Zithini iingozi ezivulekileyo nezivaliweyo?

Xa ugqirha wakho echaza ukwaphuka, uza kukuxelela ukuba kuvuliwe okanye kuvaliwe . Kwikwaphuka okuvulekileyo , ithambo lakho eliphukileyo liqhekekile eluswini kwaye liphuma. Oku kuthatha ixesha elide ukuphola, kunokwenzeka ukuba kosuleleke, kwaye kunokubangela ezinye iingxaki. Ukwaphuka okuvaliweyo nako kuyingozi, kodwa ithambo aliphumi eluswini.

Zithini iingozi ezisusiweyo?

Oogqirha babiza la maqhekeza ngokuthi ``Displaced`` okanye ``Non-displaced``. ``Displaced Fracture`` kuxa amaqhekeza amabini ethambo ephuka aze ahlukane, kushiyeke umsantsa ojikeleze inxalenye ephukileyo. Khawuthelekelele ukuba waphule intonga yomthi yahlulwe kabini. Ukuba amaqhekeza amabini asasondelelene, ``Non-displaced``. Kodwa ukuba amaqhekeza amabini ahlukanisiwe kwaye anesithuba phakathi kwawo, ``Displaced``. La maqhekeza ``Displaced`` asenokufuna utyando.

Zithini izizathu zokuqhekeka kwemilenze ebhityileyo?

Ukuqhekeka kwe-Oblique kunokwenzeka ukuba ithambo lakho lichaphazeleke nangayiphi na indlela. Oku kwenzeka xa kukho into ebetha ecaleni lomzimba wakho. Ezona zinto zixhaphakileyo zezi:

• Ukuwa (umz., ukutyibilika, ukuwa usuka kwindawo ephakamileyo)
• Iingozi zeemoto
• Iingozi zemidlalo (umz. ukungqubana ngexesha lokudlala ikhilikithi, ibhola ekhatywayo)

Khawuthelekelele, uNimal waya kudlala ikhilikithi waza ngequbuliso wakhubeka wawa ngelixa edlala ibhola. Okanye, u-Sumana aunty watyibilika wawa ngelixa esihla izinyuko ekhaya. Kulapho ke kukho amathuba aphezulu okuwa nokuqhekeka.

Oogqirha bayixilonga njani le nto?

Ugqirha wakho uza kuxilonga ukwaphuka kwe-oblique ngovavanyo lomzimba kunye novavanyo oluthile lwemifanekiso .

Zeziphi ezi mvavanyo ezizama ukufumanisa?

Emva kovavanyo lomzimba, ungenza olunye okanye ngaphezulu kwezi vavanyo:

• Ii-X-reyi: I-X-reyi inokuqinisekisa ukuba uphuke ithambo okanye uphuke elinye ithambo. Ingabonisa nobungakanani bomonakalo ethanjeni.
• I-Magnetic Resonance Imaging (MRI): Ngamanye amaxesha ugqirha wakho uya kuyalela i-MRI. Oku kunokujonga umonakalo emathanjeni akho nakwizicwili ezijikelezileyo. Oku kubalulekile ukuze kubonwe ukuba kukho nawuphi na umonakalo kwimisipha yakho, kwizicwili ezidityanisiweyo, okanye kwizitho zomzimba.
• I-CT scan: Ukuba udinga utyando, ugqirha wakho okanye ugqirha wakho kuya kufuneka azi kakuhle ukuba mkhulu kangakanani umonakalo owenziwe emathanjeni akho. I-CT scan inokuvelisa umfanekiso ocacileyo noneenkcukacha ngakumbi ngamathambo kunye nezicwili ezingqongileyo kune-X-ray. Ukuba i-X-ray ayicacanga, unokufuna i-CT scan ukuze ucwangcise utyando lwakho.

Ziphathwa njani ii-oblique fractures?

Unyango lwe-"Oblique Fracture" yakho luxhomekeke kubukhulu bokwaphuka kokuqala. Amathambo akho aphukileyo kufuneka aphile aze aphile. Ugqirha wakho uza kusebenzisa unyango olwahlukeneyo kuxhomekeke ekubeni onakele kangakanani kwaye yintoni ebangele ukwaphuka.

Ukungakwazi ukuhambahamba

Ukuba ukwaphuka kwakho akukubi kakhulu, oko kuthetha ukuba iziqwenga zethambo azikude kakhulu ('azikho kwindawo yazo'), unokukwazi ukuphola ngokufaka nje i-splint okanye i-cast . I-splint iya kuhlala malunga neeveki ezintathu ukuya kwezintlanu. I-cast iya kuhlala ixesha elide, idla ngokuba ziiveki ezintandathu ukuya kwezisibhozo. Kuzo zombini iimeko, kuya kufuneka uphinde wenze i-X-ray ukuqinisekisa ukuba ithambo liyaphola ngokufanelekileyo.

Uhlengahlengiso lwesandla (Ukunciphisa okuValiweyo)

Kwabo baphuke kakhulu, inkqubo engeyoyotyando ebizwa ngokuba yi-closed reduction isetyenziselwa ukulungisa ithambo eliphuke kakhulu. Kule nkqubo, ugqirha ubamba ithambo eliphuke kakhulu ngaphandle komzimba wakho, alicinezele aze alitsale kwakhona endaweni yalo. Ngexesha le nkqubo, uza kunikwa enye yezi zinto zilandelayo ukunceda ukunciphisa iintlungu:

• I-anesthetic yendawo yokuthomalalisa kuphela indawo ephukileyo.
• Ii-sedatives zokuphumla umzimba wonke.
• I-anesthesia eqhelekileyo iya kukwenza ulale kuyo yonke inkqubo.

Emva kokwenza le "Closed Reduction", ugqirha uza kukufaka i-splint okanye i-plaster.

Utyando lwe-Oblique Fractures (Utyando lwe-Oblique Fracture)

Xa amathambo akho ephukile kakhulu, kufuneka utyando. Ugqirha uza kulungisa amathambo akho aze awalungise ukuze angashukumi. Kuphela emva koko aza kuphola.

Ukulungiswa Kwangaphakathi

Amaxesha amaninzi, oku kwenziwa kusetyenziswa into ebizwa ngokuba yi -internal fixation . Oku kuthetha ukuba ugqirha ufaka iziqwenga zesinyithi (ezifana neentonga, iipleyiti, okanye iiphini) ethanjeni lakho ukuze alibambe endaweni yalo. Emva koko, kuya kufuneka uphumze inxalenye yomzimba wakho ebityandwe kuyo de ithambo liphole ngokupheleleyo.

Kukho iindlela ezahlukeneyo ``zokulungisa kwangaphakathi``:

• Iinduku: Yintonga efakwa embindini wethambo ukusuka phezulu ukuya ezantsi.
• Iipleyiti kunye nezikrufu: Iipleyiti zesinyithi ezifakwe izikrufu emathanjeni ukuze zibambe iziqwenga zamathambo ndawonye.
• Iiphini kunye neengcingo: Ezi zisetyenziselwa ukubamba ndawonye iziqwenga zamathambo ezincinci kunezinye izixhobo zokubambelela. Zihlala zisetyenziswa kunye neephini okanye iipleyiti.

Abanye abantu baphila nezi ziqwenga zesinyithi emizimbeni yabo. Abanye abantu kufuneka baphinde batyandwe ukuze zisuswe.

Ukulungiswa Kwangaphandle

Kusenokufuneka ukuba ufakwe i-external fixation . Oku kuquka ukuba ugqirha afake ii-pin emzimbeni wakho kumacala omabini ethambo elaphukileyo aze afake ii-pin kwisakhelo okanye kwi-brace ngaphandle komzimba wakho. Oku kudla ngokwenziwa okwethutyana. Oku kwenziwa ukuze ithambo lihlale ixesha elide kwaye liqale ukuphiliswa ngaphambi kokuba kwenziwe i-internal fixation.

Ukutshintshwa Kwamalungu (i-Arthroplasty)

Ukuba unelungu eliphukileyo, njengethanga lakho, idolo, okanye igxalaba, kunokufuneka utshintshelwe ilungu (i-arthroplasty) . Ugqirha ususa ilungu lakho elonakeleyo aze alitshintshe ngelungu elenziweyo. Eli lungu elenziweyo linokwenziwa ngesinyithi, iseramikhi, okanye iplastiki eqinileyo. Ilungu lakho elitsha liza kujongeka kwaye lishukume njengelungu lakho lendalo.

Ukufakelwa Kwamathambo

Ukuba i-Oblique Fracture yakho 'ilahlekile' kakhulu, oko kuthetha ukuba iziqwenga zamathambo zijikeleze kakhulu, kwaye ithambo alipholi kakuhle kwaye liphola kancinci, unokufuna ukufakelwa ithambo . Ugqirha uza kufaka izicwili zethambo ezongezelelweyo ukuze abuyisele kwakhona ithambo lakho elaphukileyo. Emva koko, ngesiqhelo ngokufakelwa kwangaphakathi, iziqwenga zibanjwa kunye de ithambo likhule kwakhona. Izicwili zale thambo zingathathwa kwiindawo ezahlukeneyo:

• Ukusuka kwenye indawo emzimbeni wakho - ngokuqhelekileyo ingaphezulu kwethambo lakho lesinqe.
• Kusuka komnye umnikeli.
• Isiqwenga esenziwe ngobuchule.

Utyando lwe-`(Oblique Fracture)` ludla ngokwenziwa ngaphandle kokuhlala esibhedlele (`iinkqubo zokungalali`), kwaye ungaya ekhaya ngaloo mini inye. Nangona kunjalo, ukuba lutyando lwethambo elikhulu njenge-femur, kuya kufuneka uhlale esibhedlele iintsuku ezininzi.

Emva kotyando, ithambo elaphukileyo liya kungasebenzi. Kuya kufuneka unxibe i-brace, i-splint, okanye i-cast ngaphambi kokuba uphinde ubeke ubunzima kwinxalenye okanye uyisebenzise njengoko ubusenza ngaphambi kokuba ithambo liphuke.

Ngawaphi amayeza anikwayo xa kukho ukukruquka nokuqhekeka kwamathambo?

Ezinye iintlungu, ezifana ne-aspirin okanye i-ibuprofen ( NSAIDs ), zinokubangela ukopha kunye nezinye iingxaki emva kotyando. Ugqirha wakho uza kukuxelela ngamayeza onokuwasebenzisa ukunceda ukunciphisa iintlungu emva kotyando.

Ziziphi iingxaki zonyango lwamathambo aqhekekileyo ngenxa yoxinzelelo?

Ezinye zeengxaki ezinokubakho emva kotyando zezi:

• I-Acute Comppartment Syndrome (ACS): Ukuba uxinzelelo ngaphakathi kwemisipha luyanda kwaye ukuhamba kwegazi kwizicubu kunqanyulwe, umonakalo osisigxina kwimisipha nakwimithambo-luvo unokwenzeka.
• I-Malunion: Imeko apho ithambo eliphukileyo lingapholi kakuhle kodwa endaweni yoko lihlangana ngendlela engafanelekanga.
• Ukungadibani: Ukungaphumeleli kwamathambo ukubuya ngokupheleleyo nangokufanelekileyo.
• Usulelo lwamathambo (i-Osteomyelitis): Ukuba uphuke ithambo (lapho ithambo liphuke khona eluswini), usenokuba sengozini enkulu yosulelo lwebhaktiriya.
• Ezinye iingozi zangaphakathi: Ukwaphuka kwamalungu omzimba kunokonakalisa izihlunu ezijikelezileyo, imithambo-luvo, imithambo yegazi, imisipha, kunye nemisipha.

Ndiza kuziva bhetele nini emva konyango?

Kungathatha iiveki ezininzi ukuba iimpawu zakho ziphele. Ngokuxhomekeke kuhlobo lotyando olwenzileyo ukulungisa i-`(Oblique Fracture)` yakho kunye namathambo aphukileyo, unokukwazi ukuqala ukuhambahamba kwakhona kwiiveki ezimbalwa.

Ingqwalasela engxamisekileyo: Ukuba unentlungu enganyamezelekiyo nengapheziyo, fowunela ugqirha wakho ngoko nangoko.

Ingancitshiswa njani ingozi yokuqhekeka kwamalungu ngolu hlobo?

Landela la macebiso okhuseleko ngokubanzi ukuze unciphise ukwenzakala okubangelwa ziingozi:

• Soloko unxibe ibhanti yakho xa uqhuba.
• Nxiba izixhobo zokhuseleko ezifanelekileyo xa udlala imidlalo neminye imisebenzi.
• Gcina ikhaya lakho nendawo osebenza kuyo icocekile kwaye ingenazo izinto ezinokubangela ukuba utyibilike, uwe kwaye ukhubeke.
• Soloko usebenzisa izixhobo okanye izixhobo ezifanelekileyo ukufikelela kwizinto ezivela phezulu. Ungaze ukhwele ezitulweni, etafileni, okanye kwiikhawuntara.
• Landela indlela yokutya kunye nesicwangciso sokuzilolonga esinceda ukugcina impilo entle yamathambo.
• Ukuba ungaphezulu kweminyaka engama-50, okanye ukuba kukho umntu okwintsapho yakhoUkuba une-osteoporosis, thetha nogqirha wakho malunga novavanyo lobunzima bamathambo.
• Ukuba unengxaki yokuhamba okanye usemngciphekweni omkhulu wokuwa, sebenzisa intonga yakho okanye isixhobo sokuhamba .

Ngaba ukuQhawuka kwe-Oblique kunokuthintelwa?

`(Ukuqhekeka kwe-Oblique)` Ekubeni kudla ngokubangelwa kukuwa okanye ezinye iingozi, akukho nto ingako onokuyenza ukuze uzithintele. Nangona kunjalo, ungasebenzisa intonga okanye i-walker ukuze womeleze ukuzinza kwakho xa uhamba kwaye uthintele ukuwa.

Kwakhona, ukuba une -osteoporosis , ukuyinyanga kunokuthintela ukulahleka kobunzima bamathambo kwixesha elizayo.

Ndingalindela ntoni ukuba ndinokuqhekeka kwe-oblique?

Ukuba une-Oblique Fracture, ungalindela ukuba uphile ngokupheleleyo . Kodwa kuya kuthatha ixesha.

Kusenokufuneka wenze i-physiotherapy ukuze ufumane amandla kunye nomgama wokunyakaza kwilungu lomzimba elonzakeleyo.

Kuthatha ixesha elingakanani ukuba ukwaphuka okuthe tyaba kuphole?

Ixesha elithathayo ukuze uphile lixhomekeke kubukhulu bokwaphuka kwakho kunye nonyango olufumeneyo. Uninzi lwabantu luthatha iinyanga ezininzi ukuze luphile kwi-Oblique Fracture.

Nangona kunjalo, zininzi ezinye izinto ezinokuchaphazela ixesha elithathwa ngumzimba wakho ukuba uphile. Thetha nogqirha wakho okanye ugqirha wakho malunga nexesha elifanelekileyo kwimeko yakho ethile.

Ngaba andizukukwazi ukuya emsebenzini/esikolweni?

Ixesha oza kungakwazi ukuya emsebenzini, esikolweni, okanye kwezinye izinto liza kwahluka ngokuxhomekeke ekubeni wenzakele kangakanani na kwaye ngawaphi amathambo aphukileyo.

Ngelixa uphola, thetha nogqirha wakho ngaphambi kokuba uqalise nayiphi na imisebenzi yomzimba.

Okokugqibela, malunga nokuqhekeka kwe-oblique...

Ithemba le-`(Oblique Fracture)` lilungile. Nokuba utyando, kufuneka uphile ngokupheleleyo.

Ndingaya nini kwiGumbi loNgxamiseko?

Ukuba ucinga ukuba "une-Oblique Fracture" okanye naluphi na olunye uqhekeko lwethambo, kufuneka ubone ugqirha ngokukhawuleza. Yiya kwigumbi longxamiseko ukuba unenye yezi mpawu:

• Intlungu enganyamezelekiyo.
• Ukuba awukwazi ukushukumisa inxalenye yomzimba wakho, unokushukumisa ngokuqhelekileyo.
• Ukuba inxalenye yomzimba wakho itshintshile ngokwenkangeleko okanye iphuma endaweni yayo .
• Ukuba unokubona ithambo liphuma eluswini.
• Ukudumba.
• Ukuba, kunye nezinye iimpawu, kuvela imivumbo emitsha ngequbuliso.

Ukuba ufumene ingozi, yiya kwigumbi likaxakeka ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha wam?

• Ngowuphi uthambo lwam owaphukileyo?
• Ngaba ndine-Oblique Fracture okanye olunye uhlobo lokwaphuka?
• Ngaba kufuneka ndityandwe?
• Iza kuthatha ixesha elingakanani ukuphila?
• Ndingawuqala nini kwakhona umsebenzi womzimba?

Ukuphuka kwethambo elingqindilili akusoloko kuyinto etshintsha ubomi, kodwa kunokoyikisa ukwazi ukuba unethambo elaphukileyo. Ukuphuka kwethambo elingqindilili kusabela kakuhle kunyango, kwaye kukho iindlela ezininzi zokunceda amathambo akho nomzimba wakho ukuba uphile kakuhle. Thetha nogqirha wakho malunga nendlela onokuwagcina ngayo amathambo akho omelele kwaye esempilweni, kwaye ufumane uvavanyo rhoqo loxinano lwamathambo ukuba ungaphezulu kweminyaka engama-50 okanye unembali yosapho lwakho ye-osteoporosis.

Ukwaphuka , Ukwaphuka kwe-Oblique, Impilo yeThambo, IThambo, Uncedo lokuQala, Utyando