Ayizizo zonke iintlungu eziqhekekileyo esihlahleni ezifanayo! Masithethe ngeSmith Fracture

Ngaba wakha wawa waza wenzakala kakhulu esihlahleni sakho? Xa oko kusenzeka, ngamanye amaxesha ungaphuka ithambo esihlahleni sakho. Ezi zaphuka zahlukile, kwaye azenzeki kubo bonke abantu ngendlela efanayo. Namhlanje siza kuthetha ngenye yale zaphuka, iSmith Fracture . Ukuba uyazi ngayo, ungahlala uzolile kwaye ufumane unyango olufanelekileyo ngokukhawuleza ukuba into efana nale iyenzeka kuwe okanye kumntu omaziyo.

Yintoni iSmith Fracture?

Ngamafutshane, ukwaphuka kweSmith luhlobo olukhethekileyo lokuphuka esihlahleni sakho. Kudla ngokwenzeka xa uwa ngelixa isihla sakho sigobile, oko kuthetha ukuba isandla sakho sigobile ngasengalweni yakho, okanye ukuba ufumana ukubethwa okunzima ngasemva kwesandla sakho.

Ngoku usenokuba ucinga ukuba, kukho amagama amaninzi ala mathambo aphukileyo, kwaye kuyadida. Yinyani leyo. Mhlawumbi ukhe weva nge-Smith fracture, eyi-"distal radius fracture," eyi-fracture yesiphelo se-distal se-radius, enkulu yamathambo amabini engalweni yakho, esecaleni kwesithupha sakho.

Zonke ezi nkcukacha zibalulekile kugqirha ukuze azi kakuhle ukuba ngawaphi amathambo esihlahleni sakho aphuke, apho aphuke khona, aphuke njani, kwaye abonakala njani ngaphakathi. Cinga ngezi njengezicwangciso zokukhulisa kwi-microscope, ezivumela ugqirha ukuba abone nzulu ukwenzakala kwakho. Nangona kunjalo, eyona nto ibalulekileyo kukubonisa isihlahleni sakho kugqirha ngokukhawuleza.

Oku kwahluke njani kwezinye izihlunu ezaphukileyo?

Uhlobo lokuphuka kwesandla onalo luxhomekeke kwindlela ithambo lakho elaphukile ngayo kunye nendlela elibonakala ngayo elo qhekeko. Ukuphuka kwesandla sikaSmith kudla ngokuvela xa uwe isandla sakho sigobile ngaphakathi okanye xa ubetheka kakhulu ngasemva kwesandla sakho.

Umahluko phakathi kokuqhekeka kukaSmith kunye nokuqhekeka kukaColles

Ngoku, ukuba ugqirha ukuxelela ukuba "une-"Colles fracture", okwenzekayo kukuba iqhekeza lethambo eliphukileyo esihlahleni sakho ("i-radius") lityhalelwa ngasemva (dorsally). Oko kukuthi, ngasemva kwesandla. Kodwa xa i-Smith fracture, kukwahlukile: iqhekeza lethambo eliphukileyo lityhalelwa phambili (volarly), oko kukuthi, kufutshane nesandla. Uyayiqonda na umahluko? Lo ngumahluko ophambili.

Umahluko phakathi kokuqhekeka kukaSmith kunye nokuqhekeka kukaBarton

Ukuqhekeka kwethambo likaBarton kufana nokuqhekeka kwethambo likaSmith. Zombini zinokwenzeka xa ingalo igoba ngaphakathi ize iwe. Nangona kunjalo, xa ithambo likaBarton liqhekeka, ithambo eliphukileyo liyathambekela phezulu okanye kude nengalo yakho, kwaye oku kukwabandakanya nelungu.

Ngubani onokuba nethuba elikhulu lokufumana iSmith Fractures?

Enyanisweni, nabani na unokufumana ukwaphuka kweSmith, njengoko oku kudla ngokubangelwa yingozi okanye ukubethwa okunzima.

Kodwa kukho into enye ebalulekileyo ebeka emngciphekweni. Loo nto yi -osteoporosis.Ukuba une-osteoporosis, amathambo akho anokuba sengozini yokuphuka lula kunomntu oqhelekileyo. Nangona inokwenzeka nakubani na, inokwenzeka ngokuphindwe kane kubafazi kunamadoda. Kwakhona, abantu abangaphezu kweminyaka engama-50 basengozini enkulu yokuba ne-osteoporosis.

Ixhaphake kangakanani le meko?

Ngokomndilili, ukwaphuka kwesandla kubalelwa kwi-20% yazo zonke izaphuko ezibonwa kumasebe ongxamiseko. Kwakhona zezona zaphuko zesibini ezixhaphakileyo kubantu abangaphezu kweminyaka engama-50 ubudala.

Kodwa xa kuthelekiswa nezinye izaphuko zesandla, izaphuko zeSmith aziqhelekanga . Zimalunga ne-5% yazo zonke izaphuko zesandla. Oko kungaphantsi kunezaphuko zeColles.

Zithini iimpawu zoku?

Unokufumana iimpawu ezifana nezi ngexesha lokuphuka kweSmith:

• Intlungu ebuhlungu esihlahleni.
• Ukudumba .
• Ukuthamba xa kuchukunyiswa.
• Ukungakwazi ukuhambisa isihlakala sakho ngaphandle kwentlungu.
• Ukugruzuka esihlahleni, mhlawumbi umbala oluhlaza okwesibhakabhaka/omfusa.
• Isiphene okanye iqhubu elingaqhelekanga liyabonakala esihlahleni. Kungathi imilo yesandla itshintshile.

Kutheni oku kusenzeka? Zithini izizathu?

Ukuwa yeyona nto ixhaphakileyo. Uninzi lwabantu abafumana ukwaphuka kweSmith bayawa bengalo yabo igobile ngaphakathi, ibetha umqolo wesandla.

Ukongeza, iingozi zeemoto, ukwenzakala kwezemidlalo (umzekelo, ukuwa ebhayisekileni, ukuwa kwi-skateboard), kunye nezinye iingozi ezinzima nazo zinokubangela ukwaphuka kwamathambo kaSmith.

Ugqirha angasebenzisa igama elifana nelithi "indlela yokwenzakala" ukuchaza unobangela wesandla sakho esaphukileyo. Ligama nje elisetyenziswa ngoogqirha, kwaye libanceda baqonde indlela owenzakele ngayo.

Ugqirha uyifumana njani le nto?

Eyona ndlela yokwazi ngokuqinisekileyo ukuba uphuke iSmith kukwenza uvavanyo lwe-``(X-ray)``` . Oku kunokuxelela ugqirha ukuba ngawaphi amathambo owaphuke, loluphi uhlobo lophuke onalo, kunye nokuba iziqwenga eziphukileyo ziya phi. Ngokuqinisekileyo i-``((X-ray)``` iyathathwa nakweyiphi na into eyaphuke isihlahla.

Ukongeza ekuqinisekiseni ukuba isihlunu sakho saphukile, i-X-ray inika ugqirha ulwazi oluninzi olubalulekileyo. Umzekelo, ukuba ikhefu licocekile kangakanani, ukuba zingaphi iziqwenga ezikhoyo, ukuba isithuba singakanani phakathi kwamathambo, nokuba amanye amathambo onakele na.

Ngamanye amaxesha, i-CT scan okanye i-MRI inokwenziwa ukuqinisekisa okanye ukuthintela umonakalo kwezinye iindawo zesandla, ezifana nezihlunu, imisipha, kunye nemisipha.

Uvavanyo ekufuneka ulwenze luya kuxhomekeka kwisizathu kunye nobukhulu bokwenzakala kwakho. Ukuba ukwaphuka kwesandla sakho kubangelwe yingozi enkulu, njengengozi yemoto okanye ukuwa kwileli, unokufuna olunye uvavanyo.

Zeziphi iindlela zonyango ezikhoyo?

Unyango lokwaphuka kweSmith yakho luya kuxhomekeka kubukhulu bokwaphuka kwayo kokuqala. Amathambo akho aphukileyo kufuneka aphile aze aphinde ahlangane. Kukho iindlela ezahlukeneyo zokuwagcina eqinile.

Ukungakwazi ukuhamba sisenzo sokungashukumisi isandla.

Ukuba ukwaphuka kwakho akukubi kakhulu, kwaye amathambo akakude kakhulu (awasuswanga kwindawo yawo okanye awasuswanga kakhulu), ungadinga kuphela ukunxiba i-splint okanye i-cast esandleni sakho. I-splint idla ngokuhlala iiveki ezintathu ukuya kwezintlanu. I-cast inokuhlala ixesha elide, idla ngokuhlala iiveki ezintandathu ukuya kwezisibhozo . Ungadinga kwakhona ukwenza i-X-ray ukuqinisekisa ukuba amathambo akho aphola kakuhle.

Ukunciphisa okuvaliweyo

Kwabo baqhekeke kakhulu, oko kuthetha ukuba baqhekeke ngokukhululekileyo, kunokufuneka ukuba ube nento ebizwa ngokuba yi- "closed reduction" ukuze amathambo akho abuyele endaweni yawo. Olu asilotyando. Kulo mba, ugqirha uza kubamba isandla sakho nesandla sakho aze azitsale ukuze alungelelanise amathambo aqhekekileyo. Ukuze akuncede uzive ungeva ntlungu ingako ngelixa usenza oku, unokunikwa enye yezi zinto zilandelayo:

• I-anesthetic yendawo iya kuyenza buthathaka ingalo yakho nesandla sakho kuphela.
• Amayeza okuthomalalisa (amayeza akwenza uzive ulele) enza umzimba wakho wonke uzive ukhululekile.
• Uza kulaliswa (i-anesthesia eqhelekileyo) kuyo yonke inkqubo.

Emva kokunciphisa okuvaliweyo, ugqirha wakho uza kubeka isamente okanye i-splint esihlahleni sakho. Emva koko kuya kufuneka ubone ingcali ukuze ixoxe ngeendlela zonyango lwakho.

Ngaba udinga utyando?

Kwaphuka okunzima kakhulu, oko kukuthi, ukwaphuka okungenakulungiswa ngokufanelekileyo nge-"closed reduction", okanye kwaphuka okungenazinzo, kufuneka utyando. Ugqirha wakho uza kulungelelanisa amathambo aphukileyo (open reduction), aze abeke ipleyiti yesinyithi kunye nezikrufu ngaphakathi kwesandla sakho ukuze zibambeke kunye (i-internal fixation).

Ukuchacha emva kotyando kuthatha ixesha elide kunezinye iinkqubo. Emva kotyando, kuya kufuneka unxibe i-splint ukuze ukhusele amathambo akho kwaye uwancede aphile. Kuya kufuneka nonyango lomzimba ukuze ufumane amandla kunye nokuhambahamba.

Yintoni enokwenziwa ngentlungu?

Kubalulekile ukuthetha nogqirha wakho ngaphambi kokuba uthathe naliphi na iyeza lokunciphisa iintlungu emva kwalo naluphi na unyango. Izithomalalisi zentlungu ezithengiswa ngaphandle kwemvume kagqirha (ezifana ne-ibuprofen okanye i-acetaminophen) zinokunceda ukunciphisa iintlungu nokudumba. Zisebenzise kanye njengoko ugqirha wakho ekuxelele.

Ungayithintela njani into efana nale ukuba ingenzeki?

Ukuphuka kwesandla phantse kusoloko kwenzeka ngengozi. Ekubeni ukuwa kuyeyona nto iphambili ebangela ukwaphuka kwesandla, kubalulekile ukugcina ikhaya lakho nendawo osebenza kuyo zingenazo izinto ezinokukukhubekisa okanye zikhubeke kwabanye. Lumka kwiintambo, imiqamelo, kunye nezinto zokudlala phantsi. Kwakhona, qiniseka ukuba amalungu osapho lwakho angaphezu kweminyaka engama-50 ubudala aqhelisela imikhwa emihle yokuthintela ukuwa.

Kwakhona, thetha nogqirha wakho malunga ne-osteoporosis kunye nendlela onokuwagcina ngayo amathambo akho omelele ngezinto ezifana nokutya (okutyebileyo kwi-calcium kunye ne-vitamin D), ukuzilolonga, kunye nokuhlolwa rhoqo kobunzima bamathambo.

Kuthatha ixesha elingakanani ukuphiliswa?

Ixesha elithathwayo ukuze uphile lixhomekeke kubukhulu bokwaphuka kwakho kunye nonyango olufumeneyo. Kungathatha naphi na ukusuka kwiinyanga ezimbalwa ukuya ngaphezulu konyaka ukuze uphile ngokupheleleyo.

• Ukuba kusetyenziswa i-splint okanye i-cast: malunga neeveki ezintandathu.
• Ukuba une-closed reduction: Ukuba awufuni utyando, ungaya ekhaya ngaloo mini inye. Kuya kufuneka unxibe i-splint/cast ubuncinane iiveki ezintandathu ukuya kwezisibhozo.
• Ukuba utyando: Kuthatha malunga nenyanga enye ukuya kwezintathu ukuze uphile emva kotyando. Kuya kufuneka nokuba iiveki ezine ukuya kwezintandathu zokuvuselelwa kunye nonyango lomzimba.

Abantu abaninzi banokuba nokuqina kunye neentlungu esihlahleni sabo kangangeenyanga, kwaneminyaka, emva kokuba ukwaphuka kwabo kupholile. Yiyo loo nto kubalulekile ukwenza umthambo owunikwa ngugqirha wakho.

Ndiza kukwazi nini ukubuyela emsebenzini nasesikolweni?

Nokuba ufumana unyango olunjani na, ukwaphuka kweSmith kuya kuchaphazela ubomi bakho de kuphole:

• Ukufunda, ukubhala, nokusebenzisa ikhompyutha kunokuba nzima, ingakumbi ukuba isandla sakho esilawulayo saphukile.
• Ukuba ukhe watyandwa, kuya kufuneka unyango lomzimba ukuze ubuyisele amandla akho.
• Nokuba utyando alufuneki, ugqirha wakho uza kukufundisa ezinye iindlela zokuzilolonga ukuze ugcine isandla sakho kunye nesandla sakho siguquguquka kwaye sithambe.

Ugqirha uza kukuchazela nokuba uza kukwazi ukuya emsebenzini, esikolweni, okanye kwezinye izinto ixesha elide kangakanani.

Uninzi lwabantu lunokuphinda luqalise umthambo olula (ukuhamba, ukubaleka, umthambo womzimba ongezantsi) kwisithuba senyanga okanye ezimbini emva kokuba i-cast isusiwe okanye emva kotyando. Nangona kunjalo, kungathatha iinyanga ezintathu ukuya kwezintandathu ukuqala umthambo onzima okanye imidlalo yokudibanisa umzimba.

Zeziphi ezinye iingxaki ezinokubangela oku?

Ukuphuka kweSmith kunokubangela iingxaki ezinje ngezi, yiyo loo nto kubalulekile ukufumana unyango olufanelekileyo:

• I-Acute compartment syndrome (ACS) : Uxinzelelo oluphezulu ngaphakathi kwemisipha yengalo yakho lunokubangela ukuba igazi liphume liye kwiithishu, nto leyo ebangela umonakalo ongapheliyo kwimisipha nakwimithambo-luvo. Le yimeko engxamisekileyo.
• `(Malunion)` : Oku kwenzeka xa amathambo akho aphukileyo engaphili kakuhle kwaye engalungelelananga kakuhle.
• I-Carpal tunnel syndrome : Ukuphuka kwesandla okungaphili kakuhle kunokubangela ukucinezelwa kwe-median nerve esihlahleni, okubangela intlungu, ukungakhululeki, kunye nobuthathaka esandleni.
• Ukosuleleka kwamathambo (i-osteomyelitis) : Ukuba unesacholo esivulekileyo (esivulekayo apho ithambo liqhekeka khona eluswini), usemngciphekweni omkhulu wokufumana usulelo lwebhaktheriya.
• Ezinye iingozi zangaphakathi : Ukwaphuka kwamalungu omzimba kunokonakalisa izihlunu, imithambo-luvo, imithambo yegazi, imisipha, kunye nemisipha ejikeleze ukwenzakala kwakho.
• I-Arthritis : Ekuhambeni kwexesha, i-arthritis inokukhula kwilungu elonzakeleyo.

Ndifanele ndimbone nini ugqirha?

Ukuba ucinga ukuba isandla sakho saphukile, fumana uncedo ngokukhawuleza . Yiya kwigumbi likaxakeka ukuba ukhe waba sengozini kwaye unezi mpawu:

• Intlungu ebuhlungu.
• Ukudumba.
• Kubuhlungu xa kuchukunyiswa.
• Awunakushukumisa isihlakala sakho.
• Ukuba isihlakala sibonakala sigobile kwaye sikhubazekile ngendlela engaqhelekanga.
• Ukuba iminwe yakho iyarhawuzelela okanye ijika ibe mhlophe.

Xelela ugqirha okanye abasebenzi bezonyango ukuba kwenzeke ntoni kanye kanye .

Yeyiphi imibuzo omele uyibuze ugqirha?

Ungalibali ukubuza le mibuzo xa usiya kugqirha. Ngale ndlela, unokuyiqonda yonke into ngokucacileyo.

• Luhlobo luni lokwaphuka endinalo? Ingaba lukwaphuka kukaSmith?
• Ngaba kuya kufuneka ndinxibe i-splint okanye i-cast? Ixesha elingakanani?
• Ngaba kufuneka ndityandwe?
• Ngaba ndiza kuyidinga unyango lomzimba?
• Ndingayisebenzisa nini isihlahla esiphukileyo?
• Ndingadlala nini imidlalo okanye umthambo?
• Ingalo yam iza kuphola nini ngokupheleleyo?
• Zeziphi ezinye izinto ekufuneka ndizenze kwaye ndiziphephe ekhaya?
• Ndifanele ndiphinde ndimbone ugqirha kwakhona?

Okokugqibela, eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

Ukuphuka kwethambo kusoloko kuyoyikisa, ingakumbi ukuba yingozi enkulu. Ngethamsanqa, ukwaphuka kwesandla, kuquka ukwaphuka kukaSmith, kunokunyangeka. Ngonyango olufanelekileyo kunye neengcebiso zikagqirha, uninzi lwabantu lunokubuyela ekwenzeni yonke into ababeyenza ngaphambi kokwenzakala.

Ukuba ucinga ukuba une-Smith fracture okanye naluphi na olunye uhlobo lwe-wrack esihlahleni, musa ukuchitha ixesha kwaye yiya kuhlolwa ngokukhawuleza.Ukuba unezinto ezithile ezibangela umngcipheko, ezinje nge-osteoporosis, ungalibali ukuthetha nogqirha wakho malunga neendlela zokugcina amathambo akho omelele kwaye uthintele ukwaphuka kwamathambo. Impilo yakho isezandleni zakho!

Ukuphuka kwesandla , ukwaphuka kwesandla sikaSmith, ukwaphuka kwesandla, ukwaphuka kwethambo, iintlungu zesandla, unyango lwesandla, ukuqhekeka kwesandla sikaSmith