Ingaba igxalaba lakho nalo laphukile? (Ukwaphuka kwegxalaba) Ungakhathazeki, masithethe ngale nto!

Hayi igxalaba lam... ingaba uziva ngathi awukwazi nokulishukumisa? Emva kokuwa okanye ingozi ethile, ngaba ukhe waziva iintlungu ezinkulu kunye nokudumba egxalabeni lakho, okwenza kube nzima nokuphakamisa ingalo yakho? Emva koko usenokuba nokwaphuka kwegxalaba, okulithambo egxalabeni elaphukileyo . Makhe sithethe ngale nto ngokweenkcukacha nangokulula. Ungakhathazeki, olu lwazi luza kukunceda kakhulu.

Yintoni i-Shoulder Fracture?

Ngamafutshane, ukwaphuka kwegxalaba kukuphuka kwethambo kwilungu legxalaba lakho, nto leyo esiyibiza ngokuba "lithambo eliphukileyo" kwintetho yemihla ngemihla.

Ubusazi na ukuba igxalaba lethu lilungu elimangalisayo? Lilungu elisivumela ukuba sishukumise iingalo zethu, siziphakamise, size sizijikelezise ngeendlela ezahlukeneyo. Lenziwe ngamathambo amathathu aphambili. Ukwaphuka kwelinye okanye ngaphezulu kwezi zintathu yinto esiyibiza ngokuba kukuphuka kwegxalaba.

Ngawaphi amathambo aphambili enza igxalaba? Angaphulwa njani?

Ilungu legxalaba lenziwe ngamathambo amathathu aphambili. Naliphi na kula mathathu linokwaphuka. Kulapho ke sibiza khona ngokuthi 'ukuqhekeka kwegxalaba.'

• I-Proximal Humerus: Le yinxalenye ephezulu yethambo elide engalweni yakho engasentla eqhagamshelana negxalaba. Ingaphuka, njengaxa uwe.
• I-Scapula: Eli lithambo elithe tyaba nelingunxantathu esilivayo xa sibeka isandla sethu ngasemva kwegxalaba lethu. Akulula ukuba liphuke kuba ligqunywe kakuhle zizihlunu.
• I-Clavicle: Ekwaziwa ngokuba yi-'collar bone', eli lithambo elincinci nelide eliqala entanyeni ukuya egxalabeni. Eli lithambo elinokwenzeka ukuba liphuke xa uwile ngelixa udlala imidlalo.

Ukuphuka kwamathambo naliphi na kula mathambo kuthathwa njengokuphuka kwamagxa.

Ziqheleke kangakanani ezi zifo zokwaphuka kwamagxa?

Xa kuthelekiswa nezinye iingozi zamagxa, ezifana nokukhubeka kwamagxa, ukwaphuka kwamagxa akuqhelekanga kangako. Nangona kunjalo, zixhaphake kakhulu kwezinye iimeko:

• Ukwaphuka kweClavicle: Oku kuqhelekile kubantwana abancinci, ingakumbi abo badlala imidlalo. Umzekelo, ukuba uwa ngequbuliso ngelixa udlala, oku kunokwenzeka.
• Ukuqhekeka kwe-Proximal Humerus: Oku kuxhaphakile kubantu abaneminyaka engaphezu kwama-65 ubudala, ingakumbi abo banezifo ezinciphisa amathambo (ezifana ne -osteoporosis) . Zinokwenzeka nokuba utyibilika uze uwe ekhaya.
• Ukuqhekeka kweScapula: Oku kunqabile kakhulu kuba kukhuselwe kakuhle zimisipha esifubeni nasemqolo. Akuphuki lula ngaphandle kokuba kukho ingozi enkulu.

Zithini iimpawu zegxalaba elaphukileyo?

Ukuba ugxalathekile, usenokuba nenye okanye ngaphezulu kwezi mpawu. Ukuba ubona nayiphi na kwezi, ngokuqinisekileyo kuya kufuneka ufune ingcebiso kugqirha.

• Intlungu ebuhlungu emagxeni: Olu luphawu oluphambili. Intlungu ngamanye amaxesha isenokunganyamezeleki.
• Ukudumba:Kunokubakho ukudumba okuninzi kwindawo apho kwaqhekeka khona.
• Ukudumba okanye ukutshintsha kombala wolusu: Indawo ephukileyo inokuba luhlaza okwesibhakabhaka/mfusa.
• Ukungakwazi ukushukuma okanye ukusebenzisa igxalaba: Kunokuba nzima kakhulu, okanye akunakwenzeka, ukuphakamisa okanye ukujikelezisa ingalo.
• Iqhuma elingaqhelekanga, iqhuma, okanye utshintsho kwimo lunokubonwa egxalabeni: Ukuba ubona umahluko xa ulijonga kwelinye igxala, nalo olo luphawu.

Kubalulekile: Ukuba unale mpawu, musa ukuzama ukulungisa igxalaba lakho okanye ukuzixhoma. Bonana nogqirha ngokukhawuleza.

Kutheni le nto la magxa aphuka?

Uninzi lwaphuka kwamagxa luvela xa kukho ukubetheka okuqatha okanye ukwenzakala egxalabeni ngequbuliso. Cinga ngeemeko ezinje:

• Iingozi zemidlalo: Ukuwa ngelixa udlala, ukungqubana nomnye umntu, ukubethwa yinto efana nebhola.
• Ukuwa: Ukutyibilika nokuwa ngomnyango, ukutyibilika kwigumbi lokuhlambela, ukuwa usuka kwindawo ephakamileyo (umz., emthini, elelini). Ngamanye amaxesha oku kunokwenzeka xa uhamba esitalatweni.
• Iingozi zezithuthi: Ukungqubana ngqo egxalabeni kwiingozi zemoto, ibhayisekile, okanye isithuthi esinamavili amathathu kunokuliqhekeza.

Ngubani osengozini enkulu yokuqhekeka kwamagxa?

Nabani na angaphuka igxalaba. Nangona kunjalo, abanye abantu basengozini enkulu kancinci:

• Abantwana kunye nabantu abancinci: banamathuba amaninzi okubandakanyeka kwiingozi kuba bayasebenza.
• Abantu abangaphezu kweminyaka engama-65 ubudala: basengozini enkulu yokuwa kwaye banokuba namathambo abuthathaka.
• Abantu abanamathambo abuthathaka: Abantu abane -osteoporosis okanye i-osteopenia basengozini enkulu yokuphuka ithambo, nokuba bawile kancinci. I-Osteoporosis sisifo apho amathambo aba mancinci, abuthathaka, kwaye aqhekeke lula. Abantu abaninzi bafumanisa ukuba banesi sifo emva kokuba bephuke ithambo. Oku kungenxa yokuba asinazo iimpawu ezinkulu ekuqaleni.

Ziziphi iingxaki ezinokubakho xa igxalaba laphukile?

Ukwaphuka kwegxalaba akuyonto ilula. Ngamanye amaxesha kunokukhokelela kwezinye iingxaki:

• Ukuqina Okuqhubekayo: Abantu abaninzi banokuqhubeka nokuba nokuqina kwilungu nasemva kokuba ukwaphuka kwegxalaba labo kupholile.
• I-Arthritis: Ukuphuka kwegxalaba kunokunyusa umngcipheko wokuba nesifo samathambo kuloo gxalaba kwixesha elizayo.
• Iintsholongwane: Ukuba ithambo eliphukileyo liqhekeza ulusu (ukuqhekeka okuvulekileyo), oko kuthetha ukuba inxeba livulekile, kukho umngcipheko omkhulu wokosuleleka kwamathambo ( i-osteomyelitis ).
• Ukonakala kwezinye izicwili: Kunqabile kakhulu, ingozi efanayo eyabangela ukwaphuka kwegxalaba inokubangela umonakalo nakwezinye iindawo zegxalaba. Umzekelo:
• Izihlunu
• Iiligamenti
• Iitendon
• Imiva
• Ivazi yegazi

Ungazi njani ngokuqinisekileyo ukuba igxalaba laphukile?

Ugqirha uza kuhlola igxalaba lakho aze enze uvavanyo olukhethekileyo lomfanekiso ukuze abone ukuba igxalaba lakho laphukile na. Ukuba uya kwiSebe leNgxamiseko (ETU) emva kwengozi, oogqirha balapho banokukufumanisa oku.

Zithini ezi mvavanyo zokuthatha imifanekiso?

• Ii-X-reyi: Le yinto yokuqala oza kuyenza. I-X-reyi inokuqinisekisa ukuba kukho nawaphi na amaqhekeza amathambo ize ibone ukuba makhulu kangakanani umonakalo owenziweyo emathanjeni.
• I-Magnetic Resonance Imaging (MRI): Ngamanye amaxesha, i-MRI inokwenziwa ukujonga umonakalo, ingakumbi kwizicubu ezithambileyo (ezifana nemisipha kunye nemisipha). Oku kunokubonelela ngomfanekiso opheleleyo womonakalo emathanjeni kunye nemeko yezicubu ezijikelezileyo.
• I-Computed Tomography Scan (CT Scan): I-CT scan ingajonga ithambo kunye nezicubu ezingqongileyo ngokweenkcukacha ezingaphezulu kune-X-ray. Oku kubaluleke kakhulu ukuba utyando, njengoko kuvumela ugqirha ukuba afumane umfanekiso ocacileyo wokwaphuka.

Ngaba amathambo aphukileyo asusiwe? (Amathambo aphumileyo xa ethelekiswa nalawo angaphumiyo)

Xa ugqirha wakho echaza ukwaphuka kwakho, uza kukuxelela ukuba 'kugxothiwe' okanye 'akugxothwanga'.

• Ukuqhekeka okushiyekileyo kuxa iziqwenga ezibini eziqhekekileyo zikude kakhulu, nto leyo edala umsantsa omkhulu phakathi kwazo. Kufana nethambo eliphukileyo phakathi kwendlela. Olu hlobo lokuqhekeka ludla ngokufuna utyando.
• Xa ithambo liqhekekile , ithambo lisaphukile, kodwa iziqwenga eziphukileyo azikahambi kakhulu, zisamile kakuhle. Ngamanye amaxesha ezi zinokunyangeka ngaphandle kotyando.

Ingaba inxeba livulekile okanye livaliwe? (Iingozi ezivulekileyo vs. ezivaliweyo)

Ugqirha uza kuluhlu olu qhekeko ngokuthi 'luvuliwe' okanye 'luvaliwe'.

• Xa ithambo liqhekekile , ithambo eliqhekekileyo liyaqhekeka eluswini lize liphume. Oku kukwabizwa ngokuba 'yi-compound fracture'. Le yimeko engxamisekileyo! Umngcipheko wosulelo kunye nezinye iingxaki uphezulu kakhulu xa ithambo liqhekekile. Cinga nje, xa ithambo livezwa, iintsholongwane zinokungena ngokulula, akunjalo?
• Ukuqhekeka okuvaliweyo nako kuyinto embi kakhulu, kodwa ithambo aliphumi eluswini.

Iphathwa njani inxeba elaphukileyo egxalabeni?

Unyango lwegxalaba lakho luxhomekeke ekubeni leliphi ithambo elaphukileyo, ukuba linzima kangakanani (njengokukhubeka okanye ukuvuleka), nokuba ngaba unezinye iingxwelerha.

Ukungakwazi ukuhambahamba

Ukuba ukwaphuka akukubi kakhulu, oko kuthetha ukuba amathambo akakho kude kakhulu (ukuqhekeka okungasuswanga), unokufuna ukusebenzisa isilingi okanye i-brace kuphela. Ixesha omele ulinxibe eli liza kuxhomekeka kwisizathu sokuqhekeka kunye nohlobo lokuqhekeka. Kudla ngokuthatha iiveki ezimbalwa. Unokufuna kwakhona ukwenza ii-X-ray rhoqo ukuqinisekisa ukuba amathambo akho ayaphola ngokufanelekileyo.

Amaxesha amaninzi, ukwaphuka kwe-clavicle kunye ne-scapula kufuna kuphela ukungasebenzi ngolu hlobo, kulandele unyango lomzimba ukuze kubuyiselwe intshukumo yamagxa.

Utyando Lokwaphuka Kwamagxa

Amanye amanxeba aphukayo afuna utyando, ingakumbi:

• Ukuba iziqwenga zamathambo aphukileyo zihambe kakhulu (Displaced Fracture).
• Ukuba ukwaphuka kuvuliwe (Ukuqhekeka Okuvulekileyo).
• Ukuba i-glenoid, indawo apho ithambo lakho lengalo ephezulu (i-humerus) liphumle khona, yonakele.

Iintlobo eziqhelekileyo zotyando lokwaphuka kwamagxa zezi:

1. Ukunciphisa okuVulekileyo kunye nokuLungiswa kwangaphakathi (i-ORIF)

Kulapho ugqirha otyandayo ebeka khona amathambo akho aphukileyo kwiindawo zawo ezifanelekileyo, aze awalungise ukuze akhule kunye ngokufanelekileyo. Oku kudla ngokwenziwa 'ngokufakelwa kwangaphakathi'. Oku kuthetha ukuba ugqirha otyandayo ufaka iipleyiti zesinyithi, izikrufu, okanye iiphini ethanjeni lakho ukuze alibambe lide liphole ithambo. Ngamanye amaxesha ezi ziqwenga zesinyithi zingahlala emzimbeni wakho ubomi bonke. Abanye abantu banokufuna olunye utyando ukuze bawasuse kamva.

2. Ukutshintshwa Kwamalungu (i-Arthroplasty)

I-Arthroplasty lutyando lokutshintsha amalungu. Ukuba ilungu lakho legxalaba lonakele kakhulu ngenxa yokuqhekeka, kunokufuneka wenze utyando lokutshintsha igxalaba. Ugqirha uza kulisusa ilungu elonakeleyo aze alifake ilungu elenziweyo (prosthesis).

Ngaba kukho naziphi na iingxaki ezinokubakho ngenxa yotyando?

Iingxaki ezibangelwa kutyando lokwaphuka kwamagxa aziqhelekanga, kodwa ngamanye amaxesha oku kulandelayo kunokwenzeka:

• I-Acute Comppartment Syndrome (ACS): Ukuba uxinzelelo ngaphakathi kwezihlunu zakho luyanda kwaye ukuhamba kwegazi kwiithishu kuyayeka, kunokubangela umonakalo ongunaphakade kwimisipha nakwimithambo-luvo.
• Malunion: Oku kwenzeka xa amathambo akho aphukileyo engahambelani kakuhle njengoko ephola.
• Ukungadibani: Ngamanye amaxesha amathambo asenokungadibani ngokupheleleyo, okanye angadibani kwaphela.
• Iingxaki eziqhelekileyo zotyando ezifana nosulelo, ukopha kakhulu, kunye neengxaki ezinxulumene ne-anesthesia.

Kuthatha ixesha elingakanani ukuphola kwigxalaba elaphukileyo? Ndimele ndilindele ntoni?

Abantu abaninzi abaphuka igxalaba baya kufuna unyango lomzimba kangangeenyanga eziliqela ngexesha lokuchacha kwabo.Kufuneka ukwenze oko. Ingcali yezonyango ingakunceda ufumane amandla kunye nomgama wokunyakaza (ukuba ungashukumisa kangakanani igxalaba lakho). Ukwenza le mithambo ngokuchanekileyo kubaluleke kakhulu ukuze uphile ngokukhawuleza.

Ukuphuka kwamagxa kakhulu kunokubangela ukuqina okungapheliyo okanye ukuncipha kokuhamba kwegxalaba. Ugqirha wakho okanye ugqirha uza kukuchazela oku.

Lixesha lokuphiliswa

Ixesha elithathayo ukuba ihlombe lakho liphole lixhomekeke kwizinto ezininzi:

• Leliphi ithambo elaphukileyo?
• Hayi indlela okubaluleke ngayo ukwahlukana.
• Luluphi unyango obuludinga (utyando okanye akunjalo).
• Ubudala bakho kunye nempilo yakho iyonke.
• Indlela oyenza kakuhle ngayo imithambo yonyango lomzimba.

Kungathatha naphi na ukusuka kwiiveki ezimbalwa ukuya kwiinyanga ezimbalwa ukuze uphile ngokupheleleyo. Kwezinye iimeko ezinzima, kungathatha ixesha elide. Buza ugqirha wakho okanye ugqirha wakho malunga nexesha elifanelekileyo kwimeko yakho.

Buza ugqirha wakho ukuba ungaqhubeka nini nokuzilolonga nokudlala imidlalo. Kufuneka ugcine igxalaba lakho lishukuma ukuze lingaqini ngelixa liphola, kodwa ungalisebenzisi igxalaba lakho elaphukileyo kwezemidlalo okanye ekuphakamiseni izinto ezinzima de ugqirha wakho athi kulungile . Ukwenza njalo kunokubangela ukuba ukwenzakala kubuye.

Ungazikhusela njani kwiintlungu zamagxa?

"Kungcono ukuthintela ingozi kunokuzisola emva kokuba yenzekile." Ngoko ke landela la macebiso okhuseleko:

• Soloko unxibe ibhanti xa uhamba ngezithuthi.
• Nxiba izixhobo zokhuseleko ezifanelekileyo (umz. isigcina-ntloko, ii-shoulder pads) ngexesha lomdlalo okanye umsebenzi.
• Gcina ikhaya lakho nendawo yakho yokusebenza icocekile kwaye ingenazo izinto ezinokutyibilika nokuwa. Lumka ukuba umgangatho umanzi.
• Xa uthatha nantoni na evela phezulu, soloko usebenzisa isixhobo okanye izixhobo ezifanelekileyo . Ungaze ukhwele ezitulweni okanye etafileni.
• Landela ukutya okunempilo kunye nesicwangciso sokuzilolonga esityebileyo kwi-calcium kunye ne-vitamin D ukuze ugcine amathambo esempilweni.
• Ukuba uneminyaka engaphezu kwama-65 ubudala, okanye ukuba kukho umntu kusapho lwakho onesifo sokudumba kwamathambo, thetha nogqirha wakho malunga novavanyo lokuqina kwamathambo.
• Ukuba unengxaki yokuhamba okanye usemngciphekweni omkhulu wokuwa, sebenzisa induku okanye i-walker .

Kufuneka uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba ucinga ukuba igxalaba lakho laphukile (okanye naliphi na elinye ithambo) , yiya kwigumbi longxamiseko ngokukhawuleza . Ukuba unenye okanye ngaphezulu kwezi mpawu zilandelayo, ngokuqinisekileyo kuya kufuneka uye kwi-ER:

• Intlungu enzima kakhulu.
• Ukuba awukwazi ukushukumisa amahlombe akho ngokuqhelekileyo.
• Ukuba igxalaba okanye ingalo yakho ibonakala ingaqhelekanga okanye itshintshile indawo yayo (ukukhubazeka).
• Ukuba ithambo lakho libonakala ngesikhumba (i-Open Fracture).
• Ukudumba okukhulu.
• Kunye nezinye iimpawu, kukho imivumbo emitsha ebonakala.
• Ukuba une-hayindwo okanye i-palesa esandleni sakho (oku kungaba luphawu lomonakalo kwi-blood flow okanye kwi-nerves).

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Xa ubona ugqirha wakho, ungoyiki ukubuza nayiphi na imibuzo onayo. Ukufumana ukuqonda okucacileyo kubaluleke kakhulu kwinkqubo yokuphiliswa. Umzekelo, ungabuza le mibuzo:

• Leliphi ithambo elaphukileyo? Lingakanani ityala?
• Ngaba kufuneka ndityandwe? Kuza kwenzeka ntoni ukuba ndityandwe?
• Kuza kufuneka ndinxibe isilingi okanye i-brace ixesha elingakanani?
• Yintoni enokwenziwa ngentlungu?
• Ndingaqala nini ukuzilolonga nokudlala imidlalo kwakhona?
• Ngaba unyango lomzimba luya kufuneka? Ukuba kunjalo, lufanele luqale nini?
• Ndingayishukumisa na ingqiniba yam, isihlakala sam, neminwe yam ukuze zingaqini de igxalaba lam liphole?
• Ngaba kukho izinto ezikhethekileyo ekufuneka ndizilumkele ekhaya?

Ngaba ungalishukumisa igxalaba elaphukileyo?

Xa uphuke igxalaba, usenokuba nakho okanye ungakwazi ukulishukumisa. Kodwa ukuba wenza njalo, uya kuziva iintlungu ezininzi. Awuyi kukwazi ukushukumisa igxalaba lakho ngokuqhelekileyo.

Ungaze uzame ukusebenzisa igxalaba lakho ngenkani emva kwengozi. Ukuba ukhe wehlelwa yingozi kwaye ucinga ukuba ithambo lakho laphukile, yiya kwigumbi longxamiseko ngokukhawuleza.

Ugqirha wakho okanye ugqirha wakho uza kukuxelela ukuba ungaqala nini ukushukumisa ingalo yakho negxalaba lakho kwakhona emva kokuba ukwaphuka kwakho kupholile. Ingcali yakho yomzimba iza kukufundisa imithambo kunye nokolula ukuze kuqiniswe izihlunu ezijikeleze igxalaba lakho njengoko uphola. Ngelixa igxalaba lakho liphola, unokukwazi ukuhambisa ezinye iindawo zengalo yakho, njengengqiniba yakho, isihlathi, kunye neminwe, ngaphandle kokuzihluba. Buza ugqirha wakho ngale nto.

Ngoko ke, zeziphi izinto zokugqibela ekufuneka uzikhumbule? (Umyalezo Wokubuyela Ekhaya)

Ukuphuka kwegxalaba kukuphuka kwethambo kwilungu legxalaba. Ezi zingozi zidla ngokwenzeka ngequbuliso, xa singazilindelanga. Ngoko ke kunokuba yinto eyoyikisayo kancinci, kodwa oko kuqhelekile.

Eyona nto ibalulekileyo kukufumana unyango olufanelekileyo nokulandela imiyalelo kagqirha wakho ngokuchanekileyo. Nokuba sele utyando, ilungu lakho legxalaba kufuneka liphole kwiinyanga ezimbalwa. Usenokuziva ukuqina kwegxalaba lakho okwethutyana. Nangona kunjalo, uninzi lwabantu lunokuphinda lufumane amandla alo kunye nomgama wokunyakaza ngonyango lomzimba.

Ngoko ke ungoyiki, yiba nomonde, landela imiyalelo kagqirha, kwaye ufune unyango. Ngamana ungaphila ngokukhawuleza!

Ukuphuka kwegxalaba , Ukuphuka kwegxalaba, Ukuqhekeka kwegxalaba IsiSinhala, Intlungu yegxalaba, Unyango lokuqhekeka, Utyando lwegxalaba, Unyango lomzimba