Khawuthelekelele ubaleka ngesantya esiphezulu uze ngequbuliso uyeke, okanye xa udlala ikhilikithi, ibhola ibetha incam yomnwe wakho ngesantya esikhulu. Kukho isandi esithi “pop” kunye nentlungu enganyamezelekiyo. Indawo iyadumba ize ibe luhlaza okwesibhakabhaka. Kwimeko enjalo, usenokuba ufumene into enzulu ngaphezu kokukruneka nje. Namhlanje sithetha ngokwenzakala okunjalo, i- ‘Avulsion Fracture’ .
Ngamafutshane, yintoni i-Avulsion Fracture?
I-'Avulsion Fracture' yinto elula kakhulu. Izihlunu zomzimba wethu zidibene namathambo ngamabhanti aqinileyo abizwa ngokuba yi-'tendons'. Amathambo adibene ngamabhanti abizwa ngokuba yi-'ligaments'. Khawuthelekelele ukuba xa enye yezi 'tendons' okanye 'ligaments' itsalwa ngamandla ngequbuliso, iqhekeza elincinci lethambo elidityaniswe nalo liyaphuma. Yiloo nto siyibiza ngokuba yi-'Avulsion Fracture'.
Ukuze kube yinyani, okwenzekayo kweli tyala kukuba endaweni yokuphuka kwe-tendon/ligament, iqhekeza lethambo elinamathele kulo liyaphuma.
Le meko ixhaphake kakhulu kubantu abaselula abadlala imidlalo. Ixhaphake kakhulu kumalungu afana nesinqe, ingqiniba, kunye neqakala. Nangona kunjalo, inokwenzeka naphi na apho isiqwenga semisipha sidibana khona nethambo.
Kutheni oku kusenzeka? Zithini izizathu?
Isizathu esiphambili solu hlobo lokuqhekeka ngamandla angalindelekanga ngequbuliso. Umzekelo, xa ubaleka kwicala elinye uze ngequbuliso ujike kwelinye icala, izihlunu zakho zitsala kwelinye icala kwaye ithambo liye kwelinye icala. Ngamaxesha anje, umsipha endikhankanye ngawo ngaphambili unokufakwa phantsi koxinzelelo olukhulu kwaye iqhekeza lethambo lingaphuma.
Oku kubangelwa ngokubanzi yi:
- Iingozi zemidlalo: Ingakumbi kwimidlalo equka ukubaleka ngokukhawuleza, ukuma ngequbuliso, ukutsiba, ukubhowula ngokukhawuleza, okanye ukukhaba.
- Iingozi : Izinto ezifana nokuwa, iingozi zeemoto.
- Amandla aphantsi amathambo : Amathambo abantwana abancinci nabakhulayo akakakhuli ngokupheleleyo. Ngenxa yoko, amathambo abo awanawo amandla aneleyo kunee-tendon kunye ne-ligaments zabo. Oku kukwabangelwa kubuthathaka kwamathambo kubantu abadala ngenxa yeemeko ezifana ne-osteoporosis (isifo sokuncipha kwamathambo).
Lo mngcipheko uphezulu kakhulu kwabo badlala le midlalo ilandelayo:
- Imidlalo yezemidlalo (Umdyarho kunye nebala)
- Ithenisi
- Ibhola ekhatywayo/Ibhola ekhatywayo
- Ihoki
- Umdaniso
- Ijimnastiki
- Ukutyibiliza eSkiing
Kunqabile kakhulu ukuba ukwaphuka kwesisu kuvele ngenxa yengxaki yemfuza, usulelo, umhlaza, okanye njengengxaki yotyando.
Iintlobo eziqhelekileyo zokuqhekeka kwe-avulsion
Ezi zifo zinokwenzeka kwiindawo ezahlukeneyo zomzimba. Makhe sijonge ezona ntlobo zixhaphakileyo.
| Uhlobo lokuqhekeka | Inkcazo |
|---|---|
| I-pelvic | Kwenzeka esinqeni, ezinqeni, okanye emathangeni. Kungabangelwa kukuxhuzula ngequbuliso kwezihlunu zethanga okanye zesisu xa utsiba, ubaleka, okanye ukhaba. Olu hlobo lokuqhekeka lunokwenzeka kumntu omdala ukuba uyawa. |
| I-Fibular | I-fibula lithambo elingaphandle komlenze ongezantsi. Olu qhekeko lunokwenzeka xa umlenze ugoba ngequbuliso ngaphakathi (njengeqatha elityumkileyo). Oku kunzulu ngakumbi kunokutyumza kweqatha okuqhelekileyo. |
| Ingqiniba (i-Medial Epicondyle) | Oku kwenzeka kwithambo elibonakalayo ngaphakathi kwengqiniba. Kuqhelekile kakhulu kubantwana abaphakathi kweminyaka eli-9 ukuya kweli-14 ubudala abadlala imidlalo ekhawulezayo efana nebaseball kunye nekriketi. |
| Umnwe | Kukho iintlobo ezimbini zale nto. I-Mallet Finger (umnwe we-baseball) kuxa into efana nebhola yekhilikithi ibetha incam yomnwe, umthambo owelula umnwe uphuma neqhekeza lethambo. Emva koko umnwe awunakolulwa ngokupheleleyo. I-Jersey Finger kuxa umntu ebambe impahla (ijezi) aze ayitsale ngequbuliso, umthambo ogoba umnwe uphuma neqhekeza lethambo. Emva koko umnwe awunakolulwa ngokupheleleyo. |
Zithini iimpawu zoku?
Ukuba uphuke i-avulsion, unokufumana iintlungu eziqatha, ezingalindelekanga kunye nesandi sokuphuma okanye sokuphuma. Ngaphandle koko, iimpawu zingahluka ngokuxhomekeke kwindawo apho ukwenzakala kwenzeke khona.
- Ukudumba: Indawo eyonzakeleyo idumbile kakhulu.
- Ukugruzuka: Ukopha phantsi kolusu, okubangela ukuba lujike lube luhlaza okwesibhakabhaka/mfusa.
- Kusenokubakho nokopha kwegazi .
- Usenokuziva ungenazimvakalelo okanye urhawuzelelwa .
- Kuba nzima ukuhambisa ilungu elonzakeleyo okanye ukuma nobunzima belo cala.
- Intlungu ingasasazeka phezulu okanye ezantsi ukusuka kwindawo yokwenzakala.
Uyifumana njani le nto kanye kanye?
Ukuba wenzakele ngolu hlobo, eyona nto ingcono onokuyenza kukubona ugqirha ngoko nangoko . Uza kukubuza ngeempawu zakho kunye nendlela eyenzeke ngayo ingozi. Emva koko baza kwenza uvavanyo lomzimba. Ngamanye amaxesha, nokuba lolu vavanyo lulodwa lunokukuxelela ukuba ngaba kukwaphuka kwe-avulsion.
Kodwa ukuze uqiniseke kwaye ubone ukuba akukho monakalo mkhulu na (umz., ukuqhekeka ngokupheleleyo kwe-ligament), ugqirha wakho uya kuyalela ukuba kwenziwe i-X-ray okanye mhlawumbi i -CT scan .
Iphathwa njani?
Iindaba ezimnandi zezokuba uninzi lwamathambo aqhekekileyo anokunyangwa ngaphandle kotyando.
Unyango olungelulo utyando
Unyango luhlala lubandakanya:
1. Ukuphumla kunye nomkhenkce: Kubalulekile ukuphumla indawo eyonzakeleyo. Umkhenkce ungafakwa ukunciphisa iintlungu kunye nokudumba. Ugqirha uza kumnika amayeza okubulala iintlungu.
2. Ukungakwazi ukuhamba: Ukuze ilungu elonzakeleyo lingashukumi, kunokufuneka usebenzise i-splint (njengomnwe), i-brace (njenge-elbow), okanye i-plaster of Paris (cast). Ukuba sisinqe okanye umlenze, kunokufuneka usebenzise ii-crutches okwethutyana.
3. Ukuzilolonga: Xa ithambo liqala ukuphola, ugqirha wakho unokucebisa ukuba kwenziwe i-physiotherapy ukuze kuphinde kusebenze umgudu opheleleyo kwilungu, kuqiniswe izihlunu, kwaye kuncediswe kwinkqubo yokuphiliswa kwethambo.
Utyando
Ngamanye amaxesha utyando luyimfuneko. Ezi ziquka:
- Ukuba iqhekeza lethambo eliphumileyo lisuke kude kakhulu nethambo eliphambili.
- Ukuba ipleyiti yokukhula komntwana yonakele.
Ezi zinto zilandelayo zihlala zenziwa ngexesha lotyando:
- Ukunciphisa Okuvulekileyo: Ukubuyisela iqhekeza lethambo elikhululekileyo kwindawo yalo efanelekileyo.
- Ukulungiswa Kwangaphakathi: Ukusebenzisa iingcingo, izikrufu, okanye iipleyiti zesinyithi ukubamba ithambo lide liphole.
Zingathintelwa njani ezi ngxaki?
Bathi, “Ukuthintela kungcono kunonyango.” Ngoko ke kukho iindlela zokuthintela iingozi ezinje.
- Ukuzifudumeza: Kubalulekile ukuzifudumeza kakuhle ngaphambi kokuba udlale nawuphi na umdlalo.
- Ukuqinisa izihlunu: Ngaphambi kokuba uqale ixesha lemidlalo, thatha inxaxheba kwinkqubo yokuzilolonga yokuqinisa izihlunu ethile kuloo mdlalo.
- Musa ukudlala ngentlungu: Ukuba uhlala uziva iintlungu ngelixa usenza umsebenzi ofanayo, musa ukuzityeshela. Phumla, ufake umkhenkce, mhlawumbi ubone ugqirha ukuze akunike ingcebiso.
Khumbula, ukuba ubuyela ekudlaleni umdlalo ofanayo ngaphambi kokuba ukwenzakala kuphole ngokupheleleyo, unamathuba amaninzi okuphinda wenzeke kakubi.
Umyalezo Wokuya Ekhaya
- ``I-Avulsion Fracture`` kuxa iqhekeza elincinci lethambo likrazulwa yibhande eliqinileyo (i-tendon/ligament).
- Oku kuxhaphake kakhulu kubantu abaselula abadlala imidlalo nabakhula. Kunokubangelwa naziingozi.
- Iimpawu eziphambili ziintlungu ezikhawulezileyo neziqatha, isandi "esiqhumayo", kunye nokudumba.
- Nangona inokunyangwa rhoqo ngokuphumla, umkhenkce, kunye nonyango lomzimba, ngamanye amaxesha utyando luyimfuneko.
- Ukuba wena okanye umntwana wakho unezinye zezi mpawu, musani ukuzityeshela, bonana nogqirha ngokukhawuleza uze ufumane unyango olufanelekileyo. Unyango olukhawulezileyo lunokuthintela iingxaki ezihlala ixesha elide.
ukwaphuka kwethambo eSinhala, ukwaphuka kwethambo, unyango lokuphuka kwethambo, ukwenzakala kwezemidlalo, iintlungu zamalungu, ukwenzakala kwemisipha eSinhala, ukwenzakala kwemisipha eSinhala, xa ithambo liphukile, unyango lomzimba
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