Kutheni amathambo ngamanye amaxesha ephuka nakwizinto ezincinci? (Ukwaphuka Kwesifo) Masifunde ngako.

Khawucinge ukuba uhamba ngaphakathi endlwini yakho uze unyawo lwakho lubambeke ekoneni yekhaphethi okanye kwinqanaba elincinci. Okanye masithi ubethe umlenze wesitulo kancinci. Ngokwesiqhelo, ithambo elikhulu engalweni okanye emlenzeni wethu aliphuki kwinto enjalo, akunjalo? Nangona kunjalo, amathambo abanye abantu abuthathaka kancinci, ngoko ke nento encinci enjalo inokuwaphula. Yiloo nto sithetha ngayo namhlanje (Pathologic Fracture).

Yintoni le (iPathologic Fracture)?

Ngamafutshane, iPathologic Fracture kukuqhekeka kwamathambo . Kodwa oku akwenzeki nje kuphela. Amathambo akho aye aba buthathaka ngenxa yesinye isifo emzimbeni wakho, nto leyo eyenza ukuba aphuke lula kunamathambo aqhelekileyo. Ngamanye amaxesha oogqirha babiza oku ngokuba yiPathologic Fracture.

Khawucinge nje, ukuwa nje, ingozi encinci ngelixa udlala imidlalo, okanye impembelelo encinci umzimba onokuyinyamezela ngokuqhelekileyo, inokubangela ukwaphuka okungapheliyo kumntu onamathambo abuthathaka. Kufana neqhekeza lomthi obolileyo onokuqhekeka nokuba kuncinci kangakanani na.

Zeziphi iintlobo zamathambo ezichaphazeleka kakhulu koku?

Le meko, ebizwa ngokuba yi-pathologic fracture, inokwenzeka nakweyiphi na ithambo emzimbeni. Nangona kunjalo, idla ngokubonakala emathanjeni ahlala eqinile kwaye angaphuki lula . Umzekelo:

• I-Vertebrae : La ngamathambo amancinci abumba umqolo wethu.
• I-pelvis
• I-Humerus : Eli lithambo elikwinxalenye ephezulu yengalo ukusuka egxalabeni ukuya engqinibeni.
• I-Femur : Ithambo elide nelinamandla emzimbeni wethu.
• I-Tibia : Ithambo elingqindilili lomlenze ukusuka edolweni ukuya eqatheni.
• I-Fibula : Ithambo elincinci elihamba ngaxeshanye ne-tibia.

Ngokwesiqhelo, nokuba utyibilika kancinci ngelixa usenza imisebenzi yasekhaya okanye ulahlekelwa yibhalansi yakho xa usehla ngezinyuko, la mathambo makhulu ezingalweni nasemilenzeni yethu awaqhekezi kangako. Nangona kunjalo, ukuba unesifo esiwenza buthathaka amathambo akho, kwanesiganeko esincinci esinjalo sinokubangela ukwaphuka kwethambo .

Ngamanye amaxesha, utyando lunokufuneka ukuze kulungiswe ithambo elaphukileyo. Okanye, utyando lunokufuneka ukuze kuthintelwe ukwaphuka kwethambo ngaphambi kokuba kwenzeke. Ugqirha wakho uya kucebisa nezinye iindlela zonyango kwimeko ebangela ukuba amathambo akho abe buthathaka. Ixesha elithathayo ukuphiliswa lixhomekeke ekubeni leliphi ithambo elaphukileyo kwaye yintoni ebangele oko.

Zithini iimpawu zePathologic Fracture?

Iimpawu zokwaphuka kwethambo zifana kakhulu nezokwaphuka okuqhelekileyo. Nazi:

• Intlungu : Intlungu enzima nenganyamezelekiyo inokubakho.
• Ukudumba : Indawo apho ithambo liphukile khona iya kudumba.
• Ukuthamba: Intlungu ivakala xa ichukunyiswa okanye icinezelwe.
• Ukungakwazi ukuhamba ngokuqhelekileyo : Inxalenye yomzimba echaphazelekayo ayinakushukunyiswa okanye isetyenziswe ngokuqhelekileyo.
• Ukugruzuka okanye ukutshintsha kombala wolusu : Ngamanye amaxesha kungabonakala kuluhlaza okwesibhakabhaka/mfusa.
• Ukukhubazeka okanye iqhuma : Imo okanye iqhuma elingaqhelekanga lingabonakala kwindawo apho kwaqhekeka khona.

Eyona nto ibalulekileyo kukuba nokuba unazo ezi mpawu, ngokuqinisekileyo kufuneka ufune iingcebiso zonyango ukuze wazi ukuba ngaba yiPathologic Fracture okanye akunjalo, kwaye yintoni unobangela.

Kutheni oku kusenzeka? (Ukuqhekeka kwePathologic) Izizathu

Eyona nto ibangela ukuba kubekho i-Pathologic Fracture, ngaphandle kokuba wena ungazi, kukubakho kwengxaki ethile emzimbeni wakho eyenza amathambo akho abe buthathaka ngendlela engaqhelekanga . Ezibini zezona zinto zibangela oku yi-osteoporosis kunye neethumba zamathambo.

Ngenxa ye-osteoporosis

I-Osteoporosis sisifo apho amathambo aba nemingxunya aze abe buthathaka kancinci kancinci . Kungathi asandula ukukhutshelwa ngaphandle ngaphakathi. Oku kwenza amathambo angabi namandla kangako kwaye kube lula ukuba aphuke. Abantu abaninzi bafumanisa ukuba bane-osteoporosis emva kokuba bephuke ithambo. Oku kungenxa yokuba kusenokungabikho zimpawu zicacileyo zesifo ekuqaleni .

Abafazi nabantu abangaphezu kweminyaka engama-65 ubudala basengozini enkulu yokuba ne-osteoporosis. Usenokuba ukhe weva ukuba ootatomkhulu noomakhulu bethu babeza kwaphuka ingalo okanye umlenze nokuba bawa kancinci. Esinye sezizathu eziphambili zaloo nto yi-osteoporosis.

Ngenxa yezihlunu okanye izilonda emathanjeni

Ithumba yingqokelela eqinileyo yeeseli ezingaqhelekanga ezakheka naphi na emzimbeni wethu. Ezinye zezi zinokuba ngumhlaza (ezinobungozi), ngelixa ezinye zinokuba zingengomhlaza (ezingenobungozi). Izilonda zamathambo azizo iithumba eziqinileyo, kodwa ziintsalela zeeseli ezingaqhelekanga ezenza ithambo libe buthathaka.

I-A (Pathologic Fracture) inokwenzeka ukuba ithumba okanye isilonda sikhula ngaphakathi kwethambo, okanye ukuba sisasazeka siye ethanjeni sisuka kwenye indawo. Emva koko imo yendalo kunye namandla ethambo ayancitshiswa.

• Iithumba ezinobungozi: Ukuba unomhlaza wamathambo (i-sarcoma), unokukhula emathanjeni ngokwawo. Nangona kunjalo, kuqheleke kakhulu ukuba umhlaza usasazeke uye emathanjeni usuka kwenye indawo yomzimba (umz., ibele, imiphunga, iprostate) (ukusasazeka kwamathambo).
• Iithumba zamathambo ezingengobungozi: Ezi ziithumba ezingenazo iiseli zomhlaza, kodwa ezikhula emathanjeni. Kukho iintlobo ezahlukeneyo. Naluphi na kwezi ntlobo lunokwenza buthathaka ithambo (ukuqhekeka kwethambo).

Uyixilonga njani ngokuchanekileyo le meko?

Ugqirha uza kukufumanisa ukuba unePathologic Fracture.Kwenziwa uvavanyo lomzimba kunye novavanyo oluhlukeneyo lwemifanekiso .

Okungenani olunye lwezi vavanyo zomfanekiso luya kwenziwa ukuze kuhlolwe ithambo lakho elonzakeleyo kunye nendawo engqongileyo:

• Ii-X-reyi : Ezi zinokubonisa ngokucacileyo ukwaphuka kwamathambo.
• I-MRI Scan (MRI - Magnetic Resonance Imaging) : Oku kukuvumela ukuba ubone kungekuphela nje amathambo, kodwa kunye nezicubu ezithambileyo ezijikelezileyo kunye nezinto ezifana neethumba.
• I-CT scan (i-Computed Tomography scan) : Oku kunokuvelisa imifanekiso eneenkcukacha zamathambo kunye nezicubu ezingqongileyo.

Ngokuxhomekeke kwisizathu sokwaphuka kwamathambo, kunokufuneka wenze olunye uvavanyo. Umzekelo:

• Uvavanyo lwegazi lomhlaza : Jonga iimpawu zomhlaza.
• I-Biopsy : Ukuthatha isampuli encinci yezicubu okanye izicubu uze uzihlolisise phantsi kwe-microscope.
• Uvavanyo loxinano lwamathambo (i-DXA scan) : Oku kubaluleke kakhulu ukujonga i-osteoporosis.

Uyinyanga njani i-(Pathologic Fracture)?

Unyango lwePathologic Fracture luxhomekeke ekubeni leliphi ithambo elaphukileyo kwaye yintoni ebangele oko . Njengazo zonke ezinye izaphuko, olu hlobo lulandelayo lusetyenziswa kwiPathologic Fractures:

• Ukungakwazi ukuhamba: Kusenokufuneka unxibe isamente okanye i-splint. Ixesha omele ulinxibe liya kuxhomekeka kuhlobo lwethambo elaphukileyo. Uninzi lwabantu kuya kufuneka lufake isamente kangangeeveki ezininzi. Kusenokufuneka wenze ii-X-ray ukujonga ukuba ithambo liphola kakuhle na.
• Utyando: Ezinye izaphuko zesifo zifuna utyando. Ugqirha `ubeka` ithambo elaphukileyo aze alilungise endaweni yalo de liphole lize liphinde lihlangane. Eyona ndlela ixhaphakileyo `kukulungisa kwangaphakathi`. Oku kuthetha ukuba ugqirha ufaka iipleyiti zesinyithi, izikrufu, okanye iiphini ethanjeni. Ngamanye amaxesha ezi zinokuhlala endaweni yazo ubomi bonke. Abanye abantu banokufuna olunye utyando ukuze bazisuse kamva.
• Unyango ngemitha: Ukuba ugqirha angafumana ithumba okanye isilonda ngaphambi kokuba ithambo liphuke, unyango ngemitha lunokunikwa ukuze lutshabalalise. Olu nyango lutshabalalisa ukukhula okungaqhelekanga kwithambo kwaye luvumela iiseli zamathambo eziphilileyo ukuba zikhule kwakhona. Unyango ngemitha lunokunikwa emva kotyando ngenxa yokwaphuka kwethambo okubangelwe ngumhlaza wamathambo.
• Ukunyanga imeko engundoqo: Oku kubaluleke kakhulu.Ungadinga nezinye iindlela zonyango zokunyanga imeko engundoqo okanye ithumba elibangele ukwaphuka. Umzekelo, ukuba unomhlaza, kuya kufuneka usebenze nogqirha wezifo zomhlaza. Ugqirha wakho uya kukuchazela into omawuyilindele kunye nohlobo lonyango oza kulufuna.

Ezinye iingxaki ezinokwenzeka ngenxa yePathologic Fracture

Ukwaphuka kwezicubu ezibangela izifo, njengezinye iziphako, kunokubangela iingxaki ezithile. Ezinye zazo zezi:

• I-Acute Comppartment Syndrome (ACS): Oku kwenzeka xa uxinzelelo ngaphakathi kwimisipha lusanda kwaye ukuhamba kwegazi kwizicubu kunqanyulwa. Oku kunokubangela umonakalo ongapheliyo kwimisipha nakwimithambo-luvo.
• I-Malunion: Xa amathambo aphukileyo engadibani kakuhle ngexesha lokuphiliswa.
• Umanyano: Ithambo elingakabuyi ngokupheleleyo okanye ngokuyinxenye.

Kuthatha ixesha elingakanani ukuba i-(Pathologic Fracture) iphole?

Ixesha elithathayo ukuze i-Pathologic Fracture iphiliswe lixhomekeke kwizinto ezininzi:

• Leliphi ithambo elaphukileyo?
• Yintoni ebangela ukwaphuka kwamathambo?
• Luhlobo luni lonyango obulufuna?
• Ngaba ukhe wenzakala na kwezinye izinto?

Kudla ngokuthatha iinyanga ezininzi ukuba ithambo elaphukileyo liphole. Thetha nogqirha wakho okanye ugqirha wakho malunga nexesha elifanelekileyo kwimeko yakho ethile. Ixesha lakho lokuchacha liya kuxhomekeka kwimeko esisiseko ebangele ukwaphuka. Kwanasemva kokuba ithambo elaphukileyo liphole, iimeko ezifana ne-osteoporosis, iithumba zamathambo ezingengobungozi, okanye umhlaza zinokufuna ixesha elongezelelweyo lokunyanga.

Ngaba ezi ntlobo zokwaphuka zingathintelwa?

Ewe, inokuthintelwa ukuya kuthi ga kwinqanaba elithile. Ukuba ugqirha wakho unokufumanisa ithumba, isilonda, okanye iimpawu ze-osteoporosis ngaphambi kokuba ithambo liphuke, kukho ithuba elihle lokuba ukwaphuka kwe-pathological kunokuthintelwa. Ngamanye amaxesha, iithumba kunye neemeko ezenza amathambo abe buthathaka zinokubangela iintlungu ngaphambi kokuba ithambo liphuke. Oku kubizwa ngokuba "kukuphuka kwe-pathological okuzayo," okuthetha "ukuphuka kwethambo okunokwenzeka kungekudala." Ukuba uziva nayiphi na intlungu entsha yethambo , bona ugqirha ngoko nangoko.

Ngamanye amaxesha, utyando (olubizwa ngokuba yi-prophylactic fixation) lunokwenziwa ukuze kususwe ithumba okanye isilonda ngaphambi kokuba ithambo liphuke. Ukuba une-osteoporosis okanye enye imeko echaphazela uxinano lwamathambo, ugqirha wakho unokucebisa amayeza kunye nolunye unyango lokuqinisa amathambo akho kunye nokunciphisa umngcipheko wokuqhekeka kwamathambo.

Kubalulekile ukuba uhlolwe ngugqirha kube kanye ngonyaka (okanye rhoqo njengoko ugqirha wakho ecebisa).Kwakhona, ukuba ufumana naziphi na iimpawu ezintsha, ezinje ngentlungu ejikeleze ithambo okanye intlungu xa ulicinezela, xelela ugqirha wakho ngoko nangoko. Ukuba ucinga ukuba usemngciphekweni, buza ugqirha wakho malunga novavanyo lwemfuza lomhlaza okanye uvavanyo loxinano lwamathambo, olunokufumanisa i-osteoporosis kwangethuba.

Ufanele uye nini esibhedlele ngoko nangoko? (Xa kukho imeko engxamisekileyo)

Ukuba ucinga ukuba unethambo elaphukileyo, ingakumbi ukuba unale mpawu, yiya kwigumbi likaxakeka ngokukhawuleza :

• Intlungu enzima kakhulu.
• Ukuba awukwazi ukushukumisa inxalenye yomzimba wakho.
• Ukuba inxalenye yomzimba ibonakala ingaqhelekanga, okanye ibonakala ingekho kwindawo yayo.
• Ukuba ithambo libonakala ngesikhumba.
• Ukuba kukho ukudumba.
• Ukuba kuye kwavela imivumbo emitsha kunye nezi mpawu.

Imibuzo omele uyibuze ugqirha wakho

Ungabuza ugqirha wakho imibuzo efana nale:

• Leliphi ithambo elaphukileyo?
• Ingaba le yiPathologic Fracture okanye lolunye uhlobo lokwaphuka?
• Ngaba ndiza kufuna unyango olungakumbi?
• Yeyiphi imeko yezonyango ebangele oku kwaphuka?
• Ngaba ndinomhlaza?

Ukuphuka kwethambo kusoloko kuyoyikisa. Kunokuba koyikisa nangakumbi xa kusenzeka ngenxa yemeko yempilo ongayaziyo. Ugqirha wakho uza kukuchazela ukuba yintoni ebangele ukwaphuka kwethambo, indlela onokunceda ngayo umzimba wakho uphile, kunye nonyango olufunekayo ukulawula unobangela oyintloko.

Ungaze woyike ukubuza imibuzo. Okukhona uyiqonda ngcono imeko yakho yempilo, kokukhona uya kuba nentembelo ngakumbi ekuhlangabezaneni noko kuza kwenzeka.

Ekugqibeleni (Umyalezo Wokuya Ekhaya)

Ukwaphuka kwethambo yimeko enzima kakhulu. Nangona kunjalo, inokulawulwa ngokuxilongwa nonyango olufanelekileyo . Eyona nto ibalulekileyo kukunyamekela impilo yamathambo akho kwaye ufumane unyango ukuba ufumana naziphi na iimpawu ezingaqhelekanga. Vula kugqirha wakho, ubuze imibuzo yakho, kwaye ulandele isicwangciso sakho sonyango. Uya kukwazi ukumelana nale meko ngempumelelo.

Ukwaphuka Kwethambo , Ukwaphuka Kwamathambo, Amathambo Abuthathaka, I-Osteoporosis, Ithumba Lamathambo, Umhlaza Wamathambo, Impilo Yamathambo