Ngaba wakha wayibona indlela iintloko neentamo zethu eziphoswa ngayo ngasemva xa imoto ngequbuliso ibhuleka ngamandla, okanye xa siwela ndaweni ithile? Okanye ngaba sakha safumana ingozi entanyeni ngelixa sidlala imidlalo? Namhlanje siza kuthetha ngenye yezona ngozi zinzima ezinokwenzeka entanyeni kwimeko enjalo. Nangona igama lale nto liyoyikisa kancinci, kubaluleke kakhulu ukukwazi kakuhle oku.
Yintoni i-Hangman's Fracture?
Ngamafutshane, oku kukwaphuka kwenkqubo yamathambo entanyeni yethu. Masiqale siqonde kancinci malunga nokwakheka kwentamo yethu.
Umqolo wethu wenziwe ngamathambo amancinci abekwe phezu komnye. Siwabiza ngokuba 'zii-vertebrae'. Kukho ii-vertebrae ezi-7 ezinjalo entanyeni. Siwabiza la ma-vertebrae omlomo wesibeleko. La ngawo akhusela intambo yemithambo-luvo ebaluleke kakhulu ehla isuka engqondweni yethu ebizwa ngokuba yi-spinal cord. I-Hangman's Fracture kukuqhekeka kwe-vertebra yesibini entanyeni (C2 okanye i-axis) kumacala omabini. Eli thambo le-C2 limile njengendandatho, kwaye intambo yomqolo idlula kuloo ndandatho. Ngoko ke, ukwaphuka kwale thambo kunokuba yinto embi kakhulu. Nangona igama livakala lisoyikisa, le meko ixhaphake kakhulu ngezinye izizathu ngaphandle kokuxhoma, njengoko igama lisitsho.
Yintoni ebangela le meko?
Olu qhekeko lwenzeka xa intloko iphoswa ngequbuliso, ngokukhawuleza nangokunamandla ngasemva naphezulu. Kwizonyango, oku sikubiza ngokuba kukwenzakala kwe-hyperextension. Oku kuthetha ukuba intamo igoba ngasemva ngaphaya komlinganiselo wayo oqhelekileyo. Cinga ngezi meko:
- Iingozi zeemoto: Ingakumbi xa sitshayiswa kakhulu yimoto evela ngaphambili, umzimba wethu umiswa yibhanti yesihlalo , kodwa intloko yethu iphoswa phambili ize ibuyele umva kwakhona. Ngeli xesha, kufakwa amandla amaninzi entanyeni.
- Ukuntywila: Ukuba utsibela ngentloko emanzini anganzulu.
- Iingozi zemidlalo: Kwimidlalo enefuthe elikhulu efana neragbi nebhola ekhatywayo.
- Ukuwa usuka kwindawo ephakamileyo: Ingakumbi ukuba uwa intloko yakho iphoswe ngasemva.
Eyona nto ibalulekileyo kukuba xa siphuke intamo, sonke soyika ukuba umqolo uya konakala. Kodwa kwiimeko ezininzi, kule ngxaki yokuxhoma, umqolo awonakalanga ngexesha lengozi.
Nangona kunjalo, oku kungaba kukwaphuka okungazinzanga. Oku kuthetha ukuba ukuba akuphathwanga kakuhle, iziqwenga zamathambo eziphukileyo zinokutshintsha kwaye ekugqibeleni zonakalise umqolo. Ukuba oku kuyenzeka, intlungu,
ukukhubazeka, kunye, okanye nokufa kunokubakho. Ke ngoko, kubalulekile ukubona ugqirha kwangoko emva kwayo nayiphi na ingozi ebangela ukuba intloko iphoswe ngasemva.
Iingozi kubantu abadala
Ngenxa yokuba amathambo aba buthathaka njengoko sikhula, nokuba ukuwa okuncinci ngamanye amaxesha kunokubangela ukwaphuka okukhulu ngolu hlobo. Lo mngcipheko uphezulu kakhulu kubantu abane-
osteoporosis (isifo esibangela ukuba amathambo abe mancinci), umhlaza osasazeke emathanjeni, okanye ukungabikho
kwevithamini D. Zithini iimpawu zoku?
Xa ukwaphuka okunje kwenzeka kwingozi, kunokwenzeka ukuba kubekho olunye okanye ngaphezulu kwezi mpawu zilandelayo. Nangona kunjalo, khumbula ukuba ukuba kukho ezinye iingozi kwingozi, iintlungu zentamo zisenokungavakali ekuqaleni.
| Uphawu | Inkcazo |
|---|
| Intlungu ebuhlungu entanyeni | Uziva iintlungu ezininzi kangangokuba awukwazi nokunyakaza intamo yakho. |
| Ukuba ndindisholo okanye ubuthathaka | Ukuba ndindisholo okanye ukuziva ubuthathaka ezingalweni, emilenzeni, okanye kwezinye iindawo zomzimba. Oku kungaba luphawu lokuba umqolo uchaphazelekile. |
| Imivumbo ejikeleze intamo | Ukudumba okuluhlaza okwesibhakabhaka/omfusa phantsi kwesikhumba sentamo ngenxa yengozi. |
| Ubunzima bokuphefumla | Olu luphawu olubi kakhulu. Ukonakala komqolo kunokuchaphazela imithambo-luvo enceda ekuphefumleni. |
Emva kwengozi efana nale, eyona nto ingcono onokuyenza kukugcina intamo yesigulana ingashukumi kangangoko unako kwaye ngoko nangoko usise kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele.
Oogqirha bayifumana njani le nto?
Xa uziswa esibhedlele, ugqirha uza kuqala akuhlole ngokwasemzimbeni. Baza kujonga ukuba akukho ntlungu okanye ukukrweleka. Baza kujonga nokuba akukho buthathaka okanye ubuthathaka kwiingalo zakho nasemilenzeni ukuze babone ukuba akukho monakalo na kumqolo wakho. Emva koko, ngokuqinisekileyo baza kwenza uphando oluthile ngemifanekiso.
- I-X - ray: Kuthathwa i-X-ray ukujonga ikakhulu ukwaphuka kwethambo.
- I-CT Scan: Le yeyona ndlela ilungileyo yokufumanisa olu hlobo lokwaphuka. I-CT scan ingabonisa ubukhali bokwaphuka , nokuba iziqwenga eziphukileyo zisusiwe, nokuba unxibelelwano namathambo angaphantsi luphazamisekile na kumfanekiso ocacileyo, onemilinganiselo emithathu (3D).
- I-MRI Scan: Kwezinye iimeko, i-MRI scan ingafuneka. I-MRI ingajonga ngokweenkcukacha kungekuphela nje amathambo, kodwa nakwizicwili ezithambileyo, ezifana nomqolo kunye neediski eziphakathi kwamathambo omqolo, ukuze ibone umonakalo.
Ngokusekelwe kulwazi oluvela kwezi mvavanyo, ugqirha wakho uza kuhlela ukwaphuka kwakho. Oko kukuthi, baza kukwahlula ngokwendlela okwaphuka ngayo kunye nendlela amathambo asuswe ngayo. Olu hlulo luza kumisela unyango olungcono kuwe.
Iphathwa njani?
Unyango luxhomekeke kubukhulu bokwaphuka, nokuba ukwaphuka kuzinzile okanye akuzinzanga, nokuba iidiski eziphakathi kwamathambo omqolo zonakele, nokuba umthambo womqolo uchaphazelekile na. Kukho iindlela ezimbini eziphambili zonyango.
1. Unyango olungelulo utyando (Ukulungiswa Kwangaphandle) 2. Utyando (Ukulungiswa Kwangaphakathi)
| Indlela yonyango | Inkcazo |
|---|
| Isixhasi somlomo wesibeleko | Ukuba ukwaphuka akukubi kakhulu, ikhola yentamo eqinileyo eyenziwe ngeplastiki inokunxitywa kangangeenyanga eziliqela ukuze intamo ingashukumi. |
| Ivesti yeHalo | Esi sisixhobo esinzima kancinci. Ukuba ukwaphuka akuzinzanga, sisetyenziselwa ukugcina intamo ingashukumi ngokupheleleyo. Indandatho yesinyithi ibekwa entloko ize ibotshelelwe ekhakhayini ngeepini ezincinci. Indandatho emva koko iqhagamshelwe kwivesti enxitywa esifubeni ngeentonga. Oku kunokubonakala kuyoyikisa kancinci, kodwa kubaluleke kakhulu ukuba ithambo liphole kakuhle. Olu nyango silubiza ngokuba yi-immobilization . |
| Ukuba notyando | Ukuba ukwaphuka kukhulu kakhulu, ukuba ithambo eliphukileyo liphumile kakhulu, okanye ukuba kukho ukucinezelwa komqolo, utyando lunokufuneka. Ngexesha lotyando, amathambo aphukileyo abuyiselwa endaweni yawo aze alungiswe ngezikrufu, iintonga, okanye iipleyiti. Ngamanye amaxesha, utyando luyafuneka ukuba ithambo aliphili ngokungakwazi ukuhamba. |
Iindaba ezimnandi zezokuba malunga ne-90% yamathambo aqhekekileyo anokunyangwa ngokupheleleyo ngaphandle kotyando, ngonyango lokuthintela ukuhamba njengeHalo Vest.
Injani indlela yokuchacha?
Ukuba ufumana unyango olufanelekileyo ngexesha elifanelekileyo, unethuba elihle lokuchacha ngokupheleleyo kule meko. Uhlalutyo lweengxelo zophando ezingama-32 lufumanise ukuba uhlobo oluncinci kakhulu lokuqhekeka kwe-hangman lunokunyangeka nge-100% ngokuthintela ukuhamba kuphela. Kolunye uphando, ama-85% ezigulane ezingama-30 ezinale meko zachacha ngokupheleleyo kunyaka omnye. Ke ngoko, eyona nto ibalulekileyo kukungawutyesheli ingozi kwaye ufune iingcebiso zonyango ngoko nangoko. Emva koko ugqirha wakho uya kukunika unyango olufanelekileyo kwaye asebenzele ukuba uphile ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- Ukuqhekeka kwe-Hangman kukwaphuka kwe-vertebra yesibini yomlomo wesibeleko (C2). Le yimeko enzima kakhulu.
- Le meko idla ngokubangelwa kukuba intloko nentamo zibuyela umva ngokukhawuleza ngexesha leengozi zeemoto, ukuwa ukusuka kwindawo ephakamileyo, okanye iingozi zemidlalo.
- Iimpawu zingabandakanya iintlungu eziqatha entanyeni, ukungaziva mnandi , ubuthathaka, okanye ubunzima bokuphefumla .
- Ungaze uzame ukuhambisa intamo yakho emva kwengozi efana nale. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko.
- Ukuba ufumana unyango olufanelekileyo (i-brace yentamo, i-halo vest, okanye utyando) ngexesha elifanelekileyo, amathuba okuchacha ngokupheleleyo kule meko aphezulu kakhulu. Ngoko ke musa ukoyika kwaye ulandele icebiso likagqirha wakho.
Ukuqhekeka kweHangman, Ukuqhekeka kweHangman, Ukuqhekeka kweNtlalo, Umqolo we-C2, Ukulimala kweNtlalo, Intambo yoMgogodla, Iingozi zeemoto, Intlungu yeNtlalo
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