Ingaba umntwana wakho ukrunekile ingalo okanye umlenze? Ngaba oku kungaba 'kukuqhekeka kwe-greenstick'?

Ukuba umntwana wakho omncinci okrwada uyadlala aze ngequbuliso aqale ukukhala, ebambe ingalo okanye umlenze, kuyoyikisa, akunjalo? Nangona iingozi ziqhelekile kubantwana abancinci, ngamanye amaxesha inokuba lithambo elaphukileyo, okanye 'ukuqhekeka'. Namhlanje siza kuthetha ngohlobo olukhethekileyo lokuqhekeka kwamathambo oluqhelekile kubantwana abancinci. Oku kubizwa ngokuba yi -'Greenstick Fracture' . Eli gama lisenokuvakala lingaqhelekanga, kodwa masilichaze ngokulula.

Yintoni 'iGreenstick Fracture'? Kulula kakhulu!

Igama elithi 'greenstick' livela kumzekeliso omhle kakhulu. Khawuthelekelele uthatha isebe lomthi elitsha, eliselula uze uzame ukuliqhekeza. Ngaba isebe liqhekeka kubini ngequbuliso? Hayi, akunjalo? Ligobile kwelinye icala, linemigca kunye namaqhekeza amancinci aphumayo, kodwa elinye icala aliqhekeki konke konke, akunjalo? Yile ndlela le 'greenstick' eqhekeka ngayo.

Ngamafutshane, 'ukuphuka kwe-greenstick' yimeko apho ithambo lomntwana laphukile kwelinye icala, kodwa hayi kwelinye. Njengentonga eluhlaza, ithambo aliqhekeki ngokupheleleyo. Liyagoba kancinci, kwaye kukho ukuqhekeka okuncinci kwelinye icala. Oku kwahlukile kancinci kukwaphuka kwabantu abadala.

Kutheni oku kwenzeka ngakumbi kubantwana abancinci?

Ngoku usenokuba uzibuza, "Kutheni oku kwenzeka kubantwana kungekhona kubantu abadala?" Isizathu kukuba amathambo abantwana abancinci, ingakumbi abo bangaphantsi kweminyaka eli-10 ubudala, awanamandla kwaye akavuthwanga njengamathambo abantu abadala.

Cinga ngale ndlela: amathambo abantwana abancinci afana namasebe omthi aluhlaza, abuthathaka esithethe ngawo ngaphambili. Aneeseli ezininzi ezisakhula, kwaye aneproteni eninzi ebizwa ngokuba yi-collagen. Oku kuwenza athambe kancinci kwaye abe bhetyebhetye ngakumbi. Oko kuthetha ukuba anokugoba lula. Ngoko ke, xa kusetyenziswa amandla, ithambo linokugoba kwelinye icala lize liqhekeke, endaweni yokuqhekeka ngokupheleleyo libe ziindidi ezimbini.

Kwakhona, inwebu encinci ebizwa ngokuba yi-periosteum ejikeleze amathambo abantwana ityebile kancinci kwaye inamandla kuneyabantu abadala. Le nwebu yinxalenye ebalulekileyo yethambo enika igazi emathanjeni kwaye yenza iiseli ezintsha zamathambo. La mandla akwanceda ithambo ukuba liphuke kwelinye icala, endaweni yokuba liphuke ngokupheleleyo.

Amathambo abantu abadala kunye nabantwana abancinci, abadala kancinci, akhulile ngakumbi, atyebile, kwaye anjengesebe elomileyo. Ngoko ke ukuba kusetyenziswa amandla kwithambo elinjalo, kunokwenzeka ukuba liqhekeke ngokupheleleyo libe ziindidi ezimbini.

Kwenzeka njani oku kuqhekeka 'kwe-greenstick'? Zithini izizathu eziqhelekileyo?

Abantwana abancinci abanamda kwinkohlakalo yabo. Bayabaleka, bayatsiba, bakhwele imithi, kwaye badlale. Ngoko ke akuqhelekanga ukuba kwenzeke iingozi ezincinci ngamaxesha anje. Isizathu esiphambili sokuphuka 'kwe-greenstick' kukuwa .

• Ukuwa ebhedini, esitulweni, okanye esofeni ngelixa udlala.
• Ukuwa kwizixhobo zokudlala (isilayidi, ujingi).
• Ukulahlekelwa yibhalansi nokuwa xa ubaleka okanye utsiba.
• Isandla esoluliweyo – Oku kunokubangela umonakalo emathanjeni esihlahleni .

Ngaphandle kwezi ngxaki, kunokubakho ezinye izizathu:

• Iingozi zemidlalo: Ukungqubana nokuwa kwenzeka xa abantwana abancinci bedlala imidlalo efana nebhola ekhatywayo, ikhilikithi, kunye nebhola yomnyazi.
• Ukubethelwa ngqo: Ukuba kukho into ekubethela ngamandla engalweni okanye emlenzeni.
• Ngamanye amaxesha, ukukruneka okanye ukutsaleka kwengalo okanye umlenze kunokubangela olu hlobo lokuqhekeka.

Amaxesha amaninzi, la maqhekeza ayenzeka kumathambo engalo (i-radius kunye ne-ulna) kunye namathambo emilenze esezantsi (i-tibia kunye ne-fibula) . Nangona kunjalo, ngamanye amaxesha anokwenzeka kwiindawo ezifana ne-clavicle okanye i-collarbone.

Ndingazi njani ukuba umntwana wam uphuke i-'greenstick'? Zithini iimpawu?

Njengomzali, ukuba ubona naluphi na utshintsho kumntwana wakho, kubalulekile ukuba unikele ingqalelo. Iimpawu zokuphuka kwe-'greenstick' ziquka:

• Intlungu: Olu luphawu oluphambili. Umntwana angakhala ngenxa yentlungu xa indawo eyonzakeleyo ichukunyiswa, icinezelwe, okanye ishukunyiswa.
• Ukudumba: Kusenokubakho ukudumba okujikeleze indawo apho kwaqhekeka khona.
• Ukudumba okanye ukuba bomvu: Ngamanye amaxesha ungabona ukudumba okanye ukuba bomvu kumphezulu wesikhumba.
• Ukungafuni ukusebenzisa ingalo/umlenze: Umntwana usenokungafuni ukusebenza, ukudlala, okanye ukuphakamisa iintsimbi ngaloo ngalo okanye umlenze ngenxa yentlungu.
• Ukukhubazeka: Kwezinye iindawo ezaphukileyo 'ze-greenstick', imilo yengalo okanye umlenze inokutshintsha kancinci, ibonakale ngathi yoluliwe. Nangona kunjalo, oku akusoloko kuyinguqu enkulu. Ngamanye amaxesha oku kunokuba lutshintsho oluncinci kakhulu.

Kubalulekile: Ngamanye amaxesha iimpawu zokuphuka kwe-'greenstick' zisenokungabi nzima kangako. Umntwana usenokuba neentlungu ezithile kodwa akwazi ukuqhubeka edlala. Ke ngoko, ukuba umntwana wakho ukhalaza ngentlungu emva kwengozi, okanye ukuba unamathandabuzo, ngokuqinisekileyo kuya kufuneka ufune ingcebiso kagqirha.

Ugqirha ufumanisa njani ngokuchanekileyo 'i-greenstick fracture'?

Xa usisa umntwana wakho kugqirha, into yokuqala aza kuyenza kukubuza umntwana nawe malunga nendlela eyenzeke ngayo ingozi. Emva koko, baza kumxilonga umntwana.

• Bajonga indawo enentlungu, ukudumba, kunye nokukrweleka.
• Bayajonga ukuba bayakwazi na ukuzishukumisa iingalo/imilenze yabo kunye nokuba bangazishukumisa kangakanani na.
• Ngamanye amaxesha bajonga ukuba akukho monakalo na kwimithambo-luvo okanye kwimithambo yegazi.

Emva kolu vavanyo lokuqala, ukuba kukho nakuphi na ukurhanelwa kokuba kukho ukwaphuka, ugqirha ngokuqinisekileyo uya kuyalela ukuba kwenziwe i-X-ray.Ithi makwenziwe. 'I-X-ray' yeyona ndlela yokujonga ngqo ukuba kukho ukwaphuka kwethambo, luhlobo luni lokuqhekeka, kwaye bungakanani umonakalo owenziweyo. Ukwaphuka 'kwe-greenstick' kubonakala ngokucacileyo kwi-'X-ray' njengoko ithambo ligobile kwaye ligobile kwelinye icala.

Luluphi unyango lwale nto? Ngaba umntwana uza kuphila ngokukhawuleza?

Ukuba ukwaphuka 'kwe-greenstick' kuqinisekisiwe, injongo ephambili yonyango kukulungisa ithambo elaphukileyo ngokufanelekileyo nokubonelela ngokunqandeka okufunekayo ukuze likwazi ukuphola njengoko lalinjalo ngaphambili.

Oku kudla ngokusetyenziswa kakhulu kwezi zinto zilandelayo:

• Ukusebenzisa iPlasta yeParis Cast: Oku kubizwa ngokuba "kukufaka iplasta engalweni/emlenzeni wakho." Oku kuthintela ithambo elaphukileyo kwaye kunceda amathambo amabini ukuba aphile kakuhle. Le plasta idla ngokushiywa iiveki ezi-4 ukuya kwezi-6 . Oku kumiselwa ngugqirha.
• I-Splint: Ngamanye amaxesha, ingakumbi ukuba kukho ukudumba okuninzi, i-splint ingasetyenziswa kuqala, emva koko i-cast ingasetyenziswa emva kokuba ukudumba kuphelile. I-splint sisixhobo esingenamixokelelwane ngokupheleleyo njenge-cast, kodwa inceda ukugcina ithambo lisendaweni yalo.

Kunye nolu nyango, ugqirha uza kunika umntwana wakho amayeza okudambisa iintlungu afana neParacetamol okanye i-Ibuprofen ukunciphisa intlungu ayifumanayo umntwana wakho. Ungaze unike umntwana wakho ezinye iintlungu ngaphandle kwengcebiso kagqirha wakho.

Iindaba ezimnandi zezokuba amathambo abantwana aphiliswa ngokukhawuleza kakhulu kunabantu abadala! Imizimba yabo ivelisa iiseli ezintsha ngesantya esiphezulu. Ngoko ke, ngonyango olufanelekileyo, ukwaphuka 'kwe-greenstick' kudla ngokuphiliswa ngokupheleleyo, aze umntwana akwazi ukubaleka, atsibe, aze adlale kwakhona.

Ziziphi izinto ekufuneka ziqwalaselwe xa unyamekela umntwana ekhaya?

Emva kokuba umntwana wakho eze ekhaya efake isamente, ingqalelo yakho ibaluleke kakhulu.

• Musa ukuvumela isamente ukuba imanzi: Gquma isamente ngengxowa yeplastiki okanye into engangeni manzi xa uhlamba okanye uhlamba amalungu akho. Ukumanzisa kunokubangela iingxaki zesikhumba kwaye kwenze isamente ibe buthathaka.
• Musa ukufaka nantoni na ngaphakathi kwesamente: Ngamanye amaxesha abantwana bazama ukufaka izinto ezifana neepensele okanye iintonga ngaphakathi kwesamente xa befumana ukurhawuzelelwa. Oku kungonakalisa ulusu kwaye kubangele usulelo. Menze umntwana wakho aqonde ukuba oku akunjalo.
• Nciphisa ukudumba: Kwiintsuku ezimbalwa zokuqala, gcina ingalo/umlenze owonzakeleyo uphakanyisiwe ngomqamelo kangangoko unako. Oku kuya kunciphisa ukudumba.
• Hlala ujonge abadlali:
• Ukuba i-cast ibonakala iqine kakhulu (ukuba iminwe iluhlaza okwesibhakabhaka, iyarhawuzelela, okanye idumbile kakhulu).
• Ukuba i-cast ibonakala ikhululekile kakhulu .
• Ukuba kukho ivumba elibi elivela kwi-cast.
• Ukuba umntwana uhlala ekhalaza ngeentlungu okanye enomkhuhlane ngelixa efakwe isamente.

Ukuba ubona into efana nale, bonana nogqirha ngokukhawuleza.

• Jonga imeko yolusu: Jonga ukuba akukho bomvu na kunye namadyungudyungu ajikeleze imiphetho yesamente.

Ngaba oku kungabangela ezinye iingxaki? Ngaba yinto ekufuneka uyixhalabele?

Ixesha elininzi, ukwaphuka kwe-'greenstick' kuyaphola ngokupheleleyo ngaphandle kweengxaki. Akuyichaphazeli indlela umntwana akhula ngayo amathambo okanye indlela asetyenziswa ngayo kwilungu lakhe kwixesha elizayo.

Nangona kunjalo, kukho iingxaki ezimbalwa ezinokwenzeka rhoqo. Kulungile ukuzazi ezo zinto, kodwa ungazoyiki ngokungeyomfuneko.

• Ukwaphuka kwakhona: Ukuba umntwana wenza umsebenzi onzima kakhulu emva kokuba i-cast isusiwe, ngaphambi kokuba ithambo liqine ngokupheleleyo, kukho ithuba elincinci lokuba ukwaphuka kwakhona. Ngoko ke, njengoko ugqirha esitsho, kubalulekile ukubuyela kancinci kancinci kwimisebenzi eqhelekileyo.
• Ukulimala kweGrowth Plate: Ukuba ukwaphuka kwenzeka kufutshane nelungu, kufutshane ne-growth plate yethambo, kunokubakho impembelelo encinci kule growth plate. Oogqirha baya kujonga oku kwaye banokuthatha i-X-ray ukuba kuyimfuneko.
• Isifo seCompartment Syndrome: Esi sisifo esingaqhelekanga kodwa esinzulu esifuna ingqalelo ekhawulezileyo . Oku kwenzeka xa ukwenzakala kubangela uxinzelelo ngaphakathi kwezicubu zemisipha ezijikeleze ithambo, nto leyo echaphazela ukuhamba kwegazi kunye nemithambo-luvo. Ukuba ufumana iintlungu ezinganyamezelekiyo, ukungakhululeki, ukuphaphatheka, okanye intlungu eyenza kube nzima ukushukumisa ingalo/umlenze wakho, kufuneka ufune unyango olukhawulezileyo. Nangona kunjalo, kwakhona, oku akubonakali rhoqo kwiimfanta ze-'greenstick'.

Oogqirha badla ngokujongana nayo yonke le nto, ngoko ke akufuneki ukhathazeke.

Singenza ntoni ukuthintela iingozi ezinjalo?

Bathi, “Ukuthintela kungcono kunonyango.” Nangona singenakuzinqanda ngokupheleleyo iingozi ebantwaneni abancinci, kukho izinto esinokuzenza ukuze sizinciphise:

• Ukubeka iliso kubantu abadala ngelixa abantwana bedlala: Lumka ngakumbi xa abantwana abancinci bedlala kwiindawo zokudlala okanye kwiindawo eziphakamileyo.
• Khusela imeko-bume yekhaya lakho: Lumka kwiiplanga ezityibilikayo, qiniseka ukuba akukho fenitshala ingazinzanga abantwana abanokukhwela kuyo, kwaye ufake iinethi zokhuseleko kwiifestile.
• Izixhobo zokhuseleko kwimidlalo: Ukuba umntwana wakho udlala imidlalo, mkhuthaze ukuba asebenzise izixhobo zokhuseleko (izigcina-ntloko, iipedi) ezifanelekileyo kuloo mdlalo.
• Iindawo zokudlala ezikhuselekileyo: Khetha iindawo zokudlala ezikhuselekileyo zabantwana, ezineendawo ezithambileyo (umz. ingca, iimathi zerabha).
• Isondlo samathambo asempilweni: Ukuze umntwana wakho aqhubeke ephilile, mnike ukutya okutyebileyo kwi -calcium kunye ne -vitamin D (ubisi, iyogathi, itshizi, imifuno eluhlaza, intlanzi). Ukuba kuyimfuneko, mnike izongezo zesondlo njengoko ugqirha wakho eyalele.

Kunini apho kufuneka ubone ugqirha ngokukhawuleza?

Qiniseka ukuba ubona ugqirha ngoko nangoko ukuba:

• Ukuba umntwana unentlungu ebuhlungu, ukudumba, okanye utshintsho kwimilo engalweni/emlenzeni emva kwengozi.
• Ukuba umntwana akafuni ukusebenzisa loo ngalo/umlenze okanye akakwazi ukuwushukumisa.
• Ukuba, ngelixa unxibe isamente, iminwe engaphantsi kwesamente ijika ibe luhlaza okwesibhakabhaka, iphaphathekile, idumbe kakhulu, iyarhawuzelela, okanye iziva ibanda kakhulu .
• Ukuba isamente ivumba kakubi okanye umntwana unomkhuhlane .
• Ukuba i-cast iyaphuka okanye iyakhululeka.

Umyalezo Wokuya Ekhaya

Nangona 'iGreenstick Fracture' iyinto eqhelekileyo kubantwana abancinci, ukuba unolwazi olufanelekileyo ngayo, ungayisingatha ngaphandle kokoyika ngokungeyomfuneko.

Khumbula:

* Ukwaphuka kwethambo 'eliluhlaza' lithambo labantwana eligobile kwicala elinye kwaye lityumkile. Aliphuki ngokupheleleyo libe ziingceba ezimbini.

* Oku kuqhelekile kubantwana abangaphantsi kweminyaka eli-10 ubudala, kuba amathambo abo athambile kwaye aguquguquka.

* Ukuwa yeyona nto iphambili.

* Intlungu, ukudumba, kunye nokungafuni ukusebenzisa ingalo/umlenze zezona mpawu ziphambili.

* Indlela ekuphela kwayo yokufumanisa ngokuqinisekileyo kukusebenzisa i-X-ray.

* Unyango oluphambili kukuyivala nge-plaster cast.

* Amathambo abantwana aphiliswa ngokukhawuleza.

* Kubaluleke kakhulu ukulandela imiyalelo kagqirha ngokuchanekileyo.

Ukuba into efana nale iyenzeka kumntwana wakho, musa ukoyika, kwaye funa ingcebiso kagqirha ngoko nangoko. Ngonyango olufanelekileyo, umntwana wakho uya kuphila ngokukhawuleza aze aqhubeke nemisebenzi yakhe yesiqhelo!

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