Ingaba umntwana wakho uwile waza "waphuka" ingalo okanye umlenze? Isenokuba yi (Buckle Fracture)! Makhe sithethe ngale nto.

Ndiyaqonda indlela omele ukuba woyika ngayo njengomzali ukuba umntwana wakho omncinci uyawa ngequbuliso okanye wenza ingozi encinci ngelixa edlala. Ingakumbi ukuba umntwana wakho omncinci ukhala esithi ingalo okanye umlenze uyabuhlungu, kuyinto eqhelekileyo ukukhathazeka uthi, "Owu, andazi ukuba ndaphuka ithambo na." Kodwa ubusazi na ukuba ezinye zezaphuko ezenzeka kubantwana abancinci (thina oogqirha sizibiza ngokuba 'zizaphuko') zahlukile kancinci kuzaphuko ezenzeka kubantu abadala? Namhlanje siza kuthetha ngohlobo oluthile lwazaphuko oluqhelekileyo kubantwana abancinci, kodwa luhlala luphola ngokukhawuleza ngaphandle kweengxaki ezinkulu. Oku sikubiza ngokuba yi -'Buckle Fracture' . Ngamanye amaxesha kubizwa ngokuba yi -'Torus Fracture.' Ngoko ke, masibone ukuba yintoni, kutheni isenzeka, kwaye masenze ntoni ukuba iyenzeka?

Yintoni 'iBuckle Fracture'? Kwenzeka ntoni kanye kanye?

Ngamafutshane, ukwaphuka kwebhakethi kukuqhekeka okuncinci, okungaphelelanga okuxhaphakileyo kubantwana abancinci. Cinga ngethambo lomntwana omncinci njengesebe lomthi eliluhlaza nelingavuthwanga. Kwenzeka ntoni ukuba ugoba isebe ngolo hlobo? Aliqhekeki ngokupheleleyo libe zizibini, akunjalo? Endaweni yoko, elinye icala lalo ligoba ngaphakathi kancinci, lenze iqhina elincinci okanye iqhubu. Yiloo nto eyenzekayo xa ithambo liqhekeka. Xa ithambo lityhalwa nzima ukusuka kwelinye icala, umaleko ongaphandle oqinileyo wethambo, obizwa ngokuba yi-cortex , ugoba ngaphakathi kancinci kwelinye icala, wenze iqhubu elincinci okanye i-torus njenge-accordion. Into ebalulekileyo kukuba ithambo aliqhekeki ngokupheleleyo libe zimbini. Kwelinye icala, 'i-cortex' isenokuba iphelele. Yiyo loo nto sicinga ukuba oku kukuqhekeka okuzinzileyo. Igama elithi 'torus' livela kwisiGrike/isiLatini, elithetha into efana 'nokujija' okanye 'iqhubu elijikelezileyo'. Ngoko ke igama ngokwalo linika umbono wohlobo lwale qhubu.

Kutheni oku kwenzeka ngakumbi kubantwana abancinci?

Ngoku usenokuba uzibuza, "Kutheni oku kwenzeka kubantwana abancinci kuphela kungekhona kubantu abadala?" Isizathu kukuba amathambo abantwana abancinci, ingakumbi abo bangaphantsi kweminyaka eli-10-12 ubudala, ahlukile kwawabantu abadala.

• Amathambo athambileyo naguquguqukayo: Ngenxa yokuba amathambo abantwana abancinci asakhula, awaqinanga kwaye aqinile njengamathambo abantu abadala. Athambile, aneembobo ezininzi, kwaye aguquguquka. Njengaloo masebe angavuthwanga endikhankanyileyo ngaphambili. Ke ngoko, xa kusetyenziswa amandla amakhulu, ithambo linokuba "ligobe" okanye "liqhawuke" kunokuba "liqhawuke" ngokupheleleyo. Kumntu omdala, olo hlobo lwamandla lunokuqhekeza ithambo ngokupheleleyo, njengentonga eyomileyo.
• I-Periosteum : I-periosteum ejikeleze amathambo abantwana.I-periosteum, okanye isigqubuthelo samathambo, ityebile kwaye inamandla kunakwizikhulile. Ifana nesigqubuthelo esomeleleyo esijikeleze ithambo. Nokuba 'iqhekezekile', le 'periosteum' inamandla ithintela kakhulu iziqwenga zamathambo ukuba zingashukumi (ukufuduka). Leso sesinye isizathu sokuba ezi qhekezeko zizinzile.

Ngenxa yezi zizathu, olu konzakala lubizwa ngokuba yi-'buckle fracture' luqhele ukubonwa kubantwana abancinci.

Ingenzeka njani ingozi efana nale? Idla ngokwenzeka njani?

Eyona nto ibangela olu hlobo 'lokwaphuka kwebhakede' ngamandla angxamisekileyo asetyenziswa kwi-long axis yethambo. Abantwana abancinci bayadlala, bayabaleka, bayatsiba, kwaye bayadlala. Ngoko ke kuqhelekile ukuba kwenzeke iingozi ezincinci ngeli xesha. Olu konzakala lubonakala kakhulu:

• Ukuwa ngesandla esoluliweyo (FOOSH): Le yeyona nto ixhaphakileyo. Khawuthelekelele umntwana wakho ebaleka ebaleni lokudlala aze ngequbuliso abethe isandla sakhe. Kwimeko enjalo, ubunzima bomzimba bunokwehla engalweni bubeke uxinzelelo kwithambo elisesihlahleni okanye engalweni. Kulapho ke kunokwenzeka ukuba kubekho 'ukuqhekeka kwebhakede'.
• Ukubetheka ngqo: Ngamanye amaxesha, xa into ibetha ingalo okanye umlenze ngokuthe ngqo, olu hlobo lokuqhekeka lunokwenzeka ngenxa yempembelelo.
• Ukutsiba kunye neengozi zemidlalo : Olu hlobo lokulimala lunokwenzeka xa utsiba usuka kwindawo ephakamileyo okanye ngezinye iingozi ngelixa udlala imidlalo.

Ezi 'buckle fractures' zibonakala kakhulu kwi-radius nakwi-ulna , ingakumbi kufutshane nesandla. Zingabonakala ngamanye amaxesha kwi-tibia nakwi-fibula, kodwa azixhaphakanga kangako kunasesandleni.

Ndingazi njani ukuba umntwana wam 'une-buccal fracture'? Zithini iimpawu?

Ngoku usenokuba uzibuza, "Ndingazi njani ngokuqinisekileyo ukuba umntwana wam unale nto?" Iimpawu 'zokwaphuka kwebhakede' zisenokungabi nzima njengoko unokucinga. Nangona kunjalo, qaphela ezi zinto:

• Intlungu kwindawo yokwenzakala: Umntwana usenokuthi ingalo okanye umlenze wakhe ubuhlungu. Intlungu inokwanda ukuba uchukumisa okanye ucinezela indawo ( ukuthamba ).
• Ukudumba: Usenokubona ukudumba okukufutshane nendawo yokwenzakala. Ngamanye amaxesha oku kusenokungabonakali.
• Ukungafuni ukusebenzisa: Umntwana usenokungafuni ukusebenzisa ingalo okanye umlenze olimeleyo. Umzekelo, xa isandla sisebenza, usenokungakwazi ukubamba nantoni na ngaloo sandla, okanye xa umlenze ungasebenzi, usenokungafuni ukubeka loo mlenze phantsi okanye ukuhamba.
• Ukukhubazeka: Kwiimeko ezininzi 'zokwaphuka kwebhakede', akukho kukhubazeka kubalulekileyo. Ngoko ke, musa ukucinga ukuba, "Ingalo ayigobanga, ngoko ke ayiphukanga."
• Ukugruzuka: Ngamanye amaxesha ulusu olujikeleze ukwenzakala lunokutshintsha umbala.Itshintshile, kwaye kubonakala inxeba eliluhlaza okwesibhakabhaka.

Kubalulekile: Abanye abantwana baziva kabuhlungu kakhulu kwaye banokukhala kakhulu nangona benze ingozi encinci. Abanye basenokungakhathali kangako ngentlungu. Ngoko ke, nika ingqalelo kwindlela umntwana wakho aziphethe ngayo kunye nento ayithethayo. Ukuba unamathandabuzo, qiniseka ukuba ucela ingcebiso kugqirha.

Ugqirha uyixilonga njani le nto? Zeziphi iimvavanyo abazenzayo?

Xa usisa umntwana wakho kugqirha, into yokuqala ugqirha okanye umongikazi aza kuyenza kukubuza umntwana nawe ngengozi. Emva koko, baza kumhlola umntwana. Baza kujonga ukuba indawo eyonzakeleyo idumbile na, ukuba iyabuhlungu na xa ichukunyiswa, kwaye ukuba ilungu lingashukunyiswa na. Nangona kunjalo, ukuze uqiniseke ukuba kukho 'ukuqhekeka kwebhakede' okanye akunjalo, kufuneka ngokuqinisekileyo uthathe 'i-X-ray'. Kukumfanekiso 'we-X-ray' apho unokubona ngokucacileyo ukugoba okuncinci okanye 'ibhakede' kwithambo endikukhankanyileyo ngaphambili. Musa ukoyika ukuthatha 'i-X-ray'. Kwimeko efana nale, 'i-X-ray' ayizukulimaza umntwana. Ulwazi olunikayo lubaluleke kakhulu ekunikeni umntwana unyango olufanelekileyo.

Wenza ntoni xa uqhekeke i-buckle? Inyangwa njani?

Iindaba ezimnandi zezokuba 'ukuphuka kwe-buckle' kudla ngokuba kukwenzakala okuphola kakuhle nangokukhawuleza, ngaphandle kweengxaki ezinkulu. Ngoko ke, unyango ludla ngokuba lula.

• Ukuthintela ukuhambahamba: Unyango oluphambili kukuthintela ukuhambahamba kwethambo elonzakeleyo ngokulithintela ukuba lingakwazi ukuhambahamba. Kule nto, sisebenzisa:
• I-splint: Le yi-splint yexeshana, ngamanye amaxesha eyenziwe nge-fiberglass okanye i-plaster, ebekwa kwelinye icala lengalo/umlenze ize isongwe ngebhandishi.
• 'I-Cast': Le 'yiplasta' esiyaziyo sonke. Ibotshelelwe ngokuqinileyo kune-'splint', kwaye iyayithintela ngokupheleleyo ithambo.

Ugqirha uza kugqiba ukuba asebenzise i-splint okanye i-cast, kuxhomekeke kuhlobo lokulimala kunye nobudala bomntwana. Oku kunciphisa iintlungu, kunika ithambo lonke ixesha elifunekayo ukuze liphole kakuhle, kwaye kuthintela ukwenzakala okungakumbi.

• Ubude bexesha: Ngokwesiqhelo, olu 'splint' okanye 'cast' kufuneka lugcinwe malunga neeveki ezi-3 ukuya kwezi-4 . Ezinye 'ii-buckle fractures' ezincinci zinokuthatha ixesha elincinci.

• Iipilisi zokunciphisa iintlungu : Ukuba umntwana uneentlungu, unokunikwa ipilisi elula yokunciphisa iintlungu efana neParacetamol njengoko ugqirha eyalele.

Into ebalulekileyo kukuba ezi 'ziqhekezo ze-buckle' ziqhekezo ezizinzileyo ngokwemvelo.Oku kuthetha ukuba amathuba okuba amathambo ajikeleze anqabile. Ngenxa yoko, isidingo sotyando sinqabile kakhulu.

Ugqirha uza kukuxelela ukuba ubuye nini ukuze uhlolwe. Ngelo xesha, ungaya uyokususa isamente.

Kuza kuthatha ixesha elingakanani ukuba eli nxeba liphole? Ngaba liza kuphola ngokupheleleyo?

Le yeyona nto ithuthuzelayo unokuba nayo njengomzali. Amandla abantwana abancinci okuphilisa amathambo abo ayamangalisa!

• Ukuphola ngokukhawuleza: 'Ukwaphuka kwe-buckle' kuphola phantse ngokupheleleyo kwiiveki ezimbalwa. Ithambo liphola kakuhle kwaye liba namandla ngexesha 'lokubumba'.
• Ukuchacha ngokupheleleyo: Akukho ngxaki yexesha elide ngenxa yale mingxunya. Ithambo lomntwana liya kukhula liqine njengoko lalinjalo. Amathambo abantwana anamandla amangalisayo 'okutshintsha', oko kuthetha ukuba angazilungisa ngokutsha. Ngoko ke, indawo apho loo 'bhakede' incinci yayikhona ekugqibeleni iya kuba lithambo eliqhelekileyo.
• Emva kokuba i-cast isusiwe: Xa i-cast isusiwe, ulusu lunokuba lomile kancinci kwaye lunokuxobuka. Ilungu lisenokuziva liqinile kancinci kwaye izihlunu zingaziva zibuthathaka kancinci. Oku kuqhelekile. Emva kweentsuku ezimbalwa, ezi ziya kuphela njengoko umntwana ephinda asebenzise ingalo/umlenze ngendlela eqhelekileyo. Ngamanye amaxesha ugqirha unokucebisa unyango lwe-physiotherapy , olunokunceda ukukhawulezisa ukuchacha.

Ndingenza ntoni njengomzali? Zeziphi izinto ekufuneka ndizixhalabele?

Xa umntwana efumana ukwenzakala okunje, zininzi izinto onokuzenza njengomzali.

• Musa ukoyika kwaye funa ingcebiso kagqirha: Ukuba umntwana wakho uwile, unengalo okanye umlenze obuhlungu, uvuvukile, okanye ukuba unamathandabuzo, musa ukoyika kwaye ubone ugqirha ngoko nangoko. Musa ukwenza imeko ibe mandundu ngokufaka ioyile okanye ukuhlikihla ngakumbi ekhaya.
• Lumka ngesamente okanye i-splint:
• Gcina yomile: Musa ukuvumela isamente ukuba imanzi. Yigqume ngeshiti yeplastiki engangeni manzi xa uhlamba.
• Yigcine icocekile: Musa ukuvumela izinto ezinje ngothuli, isanti, okanye amasuntswana okutya angene ngaphakathi 'kwesamente'.
• Musa ukufaka nantoni na ngaphakathi: Musa ukufaka nantoni na kwisamente, njengemela, intonga, okanye ipeni. Oku kungonakalisa ulusu.
• Ukuba kukho naziphi na iingxaki ngesamente: Ukuba isamente ibonakala iqine kakhulu, ukuba iminwe yakho iluhlaza okwesibhakabhaka okanye ayibonakali, ukuba isamente inuka kakubi, okanye ukuba kukho inxeba, yazisa ugqirha ngokukhawuleza.
• Landela imiyalelo kagqirha:Landela imiyalelo kagqirha wakho ngqo malunga nokuba kufuneka uyigcine ixesha elingakanani i-cast, nini apho kufuneka ubuye khona ukuze uyithathe, kunye nemisebenzi elungileyo nengalunganga kuwe.
• Xhasa umntwana wakho: Ukunxiba isamente kunokuba yinto engathandekiyo kumntwana. Thetha naye ngothando kwaye umkhuthaze.

Ngaba ukwenzakala okunje kungathintelwa ukuba kungenzeki kwakhona?

Kunzima ukuthintela ngokupheleleyo iingozi ezincinci ukuba zenzeke kubantwana abancinci ngelixa bedlala kwaye bedlala. Yinxalenye yokukhula komntwana. Nangona kunjalo, kukho izinto esinokuzenza ukunciphisa umngcipheko weengozi:

• Indawo yokudlala ekhuselekileyo: Qinisekisa ukuba iindawo abantwana abadlala kuzo zikhuselekile kangangoko. Lumka imiphetho ebukhali kunye neendawo ezityibilikayo.
• Izixhobo zokhuseleko ngexesha lemidlalo: Ukuba umntwana wakho udlala imidlalo (umz., ukukhwela ibhayisekile, ukutyibiliza ngesantya esiphezulu), mkhuthaze ukuba asebenzise izixhobo zokhuseleko ezifanelekileyo (isigcina-ntloko, ii-knee pads, ii-elbow pads).
• Isondlo esifanelekileyo: Ukunika abantwana ukutya okutyebileyo kwi-calcium kunye ne-vitamin D kunceda ukuqinisa amathambo abo. Nangona oku kungathinteli ngokuthe ngqo 'ukuqhekeka kwe-buckle', kubaluleke kakhulu kwimpilo yamathambo iyonke.

Kodwa khumbula, nangona kunjalo, ngamanye amaxesha iingozi ezingalindelekanga zinokwenzeka. Xa oko kusenzeka, kubalulekile ukwenza into elungileyo ngaphandle kokukhathazeka.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe kakhulu nge-'Buckle Fracture'. Okokugqibela, nazi izinto ezibalulekileyo ekufuneka uzikhumbule:

• 'Ukuphuka kwe-buckle' kukwenzakala okuxhaphakileyo kubantwana abancinci (ingakumbi abo bangaphantsi kweminyaka eli-10 ubudala), apho ithambo lingaphukanga ngokupheleleyo, kodwa libonakala ngathi "liqhekezeka" kancinci kwelinye icala.
• Ezi azisoloko zibangela iingozi ezinkulu. Oku kungenxa yokuba amathambo abantwana athambile.
• Iimpawu ziquka intlungu, ukudumba, kunye nokungafuni ukusebenzisa ingalo/umlenze owonzakeleyo .
• Uvavanyo lwe-X-ray yeyona ndlela ikuphela kwayo yokuqinisekisa oko.
• Unyango ludla ngokubandakanya ukunxitywa kwe-splint okanye i-cast iiveki ezi-3-4. Utyando alufuneki rhoqo.
• La manxeba aphiliswa kakuhle kwaye ngokukhawuleza, kwaye adla ngokungashiyi naziphi na iingxaki zexesha elide.
• Ukuba ukrokrela ukuba umntwana wakho wenzeke ingozi efana nale, musa ukoyika kwaye ubone ugqirha ngoko nangoko.
• Kubaluleke kakhulu ukulandela imiyalelo kagqirha ngqo ukuze umntwana aphile ngokukhawuleza.

Ngoko ke, ndiyathemba ukuba uloyiko lwakho kunye namathandabuzo malunga 'nokuqhekeka kwebhakede' apheliswe. Ukwazi olu hlobo lolwazi kuya kuba luncedo kakhulu kuwe xa kukho imeko engxamisekileyo. Ndinqwenelela abantwana bakho ubomi obusempilweni nobunempumelelo! Ukuqhekeka kwebhakede, Ukuqhekeka kwamathambo, Amathambo abantwana, Ukuqhekeka kweTorus, Ukuqhekeka kwesandla, Ukuqhekeka kwemilenze, Impilo yabantwana, Ukuqhekeka kwebhakede, Ukuqhekeka kweTorus, ukuqhekeka kwamathambo abantwana, ukwenzakala kwamathambo, i-orthopedics yabantwana, i-splint, i-cast