Ingabe isihlakala sakho siphukile kanje? Ake sifunde ngengozi kaBarton Fracture!

O, ingabe uwe ndawana thize walimala kakhulu esihlakaleni sakho? Noma mhlawumbe ubhajwe yinto efana nokuwa ebhayisikilini futhi isihlakala sakho sakhubeka? Cabanga nje, esimweni esinjengalesi, akugcini nje ngokuphuka kwethambo esihlakaleni sakho, kodwa ngesikhathi esifanayo, ilunga kuleyo ndawo liyakhubeka, futhi izingcezu zamathambo ziphonswa lapha nalaphaya. Yilokho esikubiza ngokuthi i-Barton Fracture, ukuphuka okuyinkimbinkimbi kancane. Njengoba lokhu kungaba yinto engathí sina, ake sixoxe ngakho ngokuningiliziwe, kulungile?

Kuyini ngempela i-Barton Fracture?

Kalula nje, i-Barton Fracture yilapho ingxenye yesihlakala sakho iphuka khona bese enye ingxenye isuswa endaweni yayo yokuqala. Ukuze kube sobala, i-radius, okuyithambo eliseduze nesihlakala, yiyo ephukayo . Iphinde ixhunywe esihlakaleni, ngakho-ke le nkinga iyenzeka kulelo lunga.

Lokhu kuvame ukwenzeka uma ugoba ingalo yakho, okusho isihlakala sakho, bese uwela nesisindo sakho ngasohlangothini. Cabanga, ubugijima bese ushelela ngokuzumayo ushaye isandla sakho phansi, yilapho lokhu kuphuka kungenzeka khona. Eqinisweni, ithambo le-radius yilona ithambo elivame ukuphuka esandleni sethu. Sekukonke, ama-20% kuphela azo zonke ezinye iziqhekeko eziqhekeka i-radius!

Ingabe zikhona izinhlobo zeBarton Fractures?

Yebo, kunezinhlobo ezimbili eziyinhloko zokuphuka kwethambo likaBarton, kuye ngokuthi ingxenye yethambo isusiwe ngaluphi uhlangothi.

1. Ukuphuka Kwethambo Lomthambo: Yilapho ingxenye yethambo ephukile ivelela ngemuva kwesandla sakho, lapho kukhona khona uzipho. Lokhu kungabangela ukuvuvukala okuncane ngemuva kwesandla sakho.

2. I-Volar Barton Fracture (eyaziwa nangokuthi i-Reverse Barton Fracture): Yilapho ingxenye yethambo ephukile iphuma khona ingalo yakho. Ngokumangalisayo, lezi yizinhlobo ezivame kakhulu zokuqhekeka kwe-reverse Barton.

Ubani onamathuba amaningi okuthola i-Barton Fractures?

Empeleni, noma ubani angathola ukwaphuka okunjalo. Ngoba ubani owaziyo ukuthi kuzokwenzeka nini noma kanjani, akunjalo? Kodwa-ke, ngokusho kocwaningo, ama-70% alawa ma-fracture kaBarton abikwa phakathi kwabesilisa abasebasha . Lokhu kuvame kakhulu phakathi kwabasebenzi bezandla noma abagibeli bezithuthuthu. Lokhu kulimala kungenzeka emsebenzini noma engozini yebhayisikili.

Futhi, une -osteoporosis.Uma unesifo esibizwa ngokuthi i-osteoporosis, usengozini enkulu yokuthola lokhu kuphuka. I-Osteoporosis iyisifo nje lapho amathambo eba buthakathaka futhi ephuka kalula. Ngakho-ke, lapho amathambo ebuthakathaka, ngisho nokuwa okuncane kungabangela umonakalo omkhulu. Ingozi yokuthola lesi sifo ivame ukuba phezulu ngemva kweminyaka engu-50.

Zivame kangakanani izibazi zeBarton Fractures?

Uma sikhuluma iqiniso, ukwaphuka kwe-Barton kuwuhlobo olungavamile lokuphuka . Kunezinhlobo eziningi zokuphuka kwe-saddle ezivame kakhulu. Ngakho-ke, akuzona zonke izinhlobo zokuphuka kwe-saddle ezibangelwa ukuphuka kwe-Barton.

Yiziphi izizathu eziyinhloko zalokhu kuhlukana?

Ngokuvamile, okungukuthi, ngokuvamile, lokhu kubangelwa ukuwa . Njengoba kushiwo ngaphambili, lokhu kwenzeka uma uwa kangangokuthi isandla sakho sithinta phansi. Ngaphezu kwalokho, ukwaphuka okunjalo kungenzeka nasezingozini ezinkulu njengezingozi zezimoto kanye nezingozi zesithuthuthu.

Ziyini izimpawu ze-Barton Fracture?

Izimpawu zokuphuka kwe-Barton zifana kakhulu nezezinye izinhlobo zokuphuka kwe-distal radius esixoxe ngazo ekuqaleni. Ungase ubhekane nezinto ezifana nalezi:

• Ukuphuka nokuphuka esihlakaleni: Ngemva kokuwa, indawo ingaba luhlaza okwesibhakabhaka futhi ivuvuke.
• Ukuvuvukala noma iqhubu esihlakaleni: Uma ingxenye yethambo inyakaza, ingavuvukala futhi ibonakale njengeqhubu.
• Ukungakwazi ukuhambisa isihlakala ngaphandle kobuhlungu: Ubuhlungu bungaba bukhulu kangangokuthi awukwazi ngisho nokuhambisa isandla sakho.
• Iminwe ebuhlungu noma ebuhlungu: Ngezinye izikhathi, uma kukhona ukucindezeleka okuncane emizweni, iminwe ebuhlungu ingase izwakale indikindiki.
• Ukuvuvukala: Isihlakala singavuvukala kakhulu.
• Ubuhlungu obukhulu esihlakaleni: Lolu uphawu oluyinhloko. Ubuhlungu bungabekezeleleka.

Cabanga nje, uma ungawa ngenkathi udlala ikhilikithi futhi ulimele isandla sakho kanje, ubungeke ukwazi ukwenza imisebenzi yakho yansuku zonke. Ngakho-ke, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma uhlangabezana nezimpawu ezinjengalezi.

Odokotela bakuthola kanjani ukuthi uBarton Fracture unesifo?

Uma uya kudokotela, uzoqala akubuze ngezimpawu zakho, ukuthi zimbi kangakanani, nokuthi ukulimala kwenzeke kanjani. Ngemuva kwalokho, udokotela uzokuyala i-X-ray ukuze abone ukuthi unethambo eliphukile yini nokuthi hlobo luni lokuphuka. I-X-ray ingasiza udokotela ukuthi abone:

• Ingabe kukhona amanye amathambo aphukile?
• Ziqhelelene kangakanani izingcezu zamathambo eziphukile?
• Ukuthi ubuso bethambo eliphukile buyaguquguquka noma bubushelelezi.

Ngezinye izikhathi, hlola imisipha yakho, imisipha, kanye nemisipha ukuze ubone ukuthi kukhona yini umonakalo.Kungenziwa ne-CT scan noma i-MRI .

Imibuzo udokotela angase akubuze yona

• "Ubuhlungu obungakanani?"
• "Zingakanani izimpawu zakho?"
• "Ungakwazi yini ukunyakazisa isihlakala sakho?"
• "Ulimele kanjani lesi sihlakala?"
• "Lokhu kulimala kwenzeke nini?"

Udokotela uzokwazi ukuqonda ngokunembile isimo ngokusekelwe ezimpendulweni zakho zemibuzo efana nale.

Uphatha kanjani ukuphuka okunje?

Udokotela wakho uzoqala ngokufaka i-bant esihlakaleni sakho ukuze singanyakazi. Ngemuva kwalokho, uzokudlulisela kudokotela ohlinza amathambo. Odokotela abahlinza amathambo belapha ukulimala kwamathambo, imisipha, imisipha kanye nemisipha.

Cishe, kuzodingeka wenze ukuhlinzwa okubizwa ngokuthi i-Open Reduction and Internal Fixation (ORIF) . Lokhu kungase kuzwakale njengegama eliyinkimbinkimbi, kodwa ngamagama alula, kusebenza kanje:

1. Ukunciphisa Okuvulekile: Udokotela ohlinzayo wenza ukusika okuncane esikhumbeni, athole izingcezu zamathambo eziphukile, bese ezibuyisela esimweni sazo sokuqala.

2. Ukuqina Kwangaphakathi: Bese kuthi izingcezu zamathambo ezilethwe endaweni efanele zibanjwe ndawonye kusetshenziswa izingcezu ezincane zocingo (izikhonkwane), izinduku, amapuleti, izikulufo, njll. Ngezinye izikhathi eziningana zalezi zingasetshenziswa ndawonye.

Ukuze unciphise ubuhlungu ngemva kwalokhu kuhlinzwa, udokotela wakho angase ancome ukuthi uphuze imithi yokubulala izinhlungu efana ne -acetaminophen (isib. iTylenol®) kanye ne-ibuprofen (isib. i-Advil®, i-Motrin®) .

Kuthatha isikhathi esingakanani ukuthi i-Barton Fracture iphole?

Lokhu kungahluka kumuntu nomuntu. Kodwa ngokuvamile,

• Uma ungenalo ukuhlinzwa (okungase kungadingeki kwezinye izimo, kodwa ukuhlinzwa kuvame ukudingeka ukuze uphuke uBarton), kuzodingeka ufake i-cast esihlakaleni sakho cishe amasonto ayisithupha.
• Ngisho nangemva kokuhlinzwa, kungase kudingeke ugqoke i-plaster cast noma i-splint isikhashana.
• Ngemva kwalokho, kuzodingeka wenze ukwelashwa ngokomzimba , lapho uzophinde uthole khona ukunyakaza namandla esihlakaleni sakho kancane kancane.

Uzoqala ukuzizwa ungcono ezinyangeni ezimbalwa. Kodwa-ke, kungathatha isikhathi esingangonyaka ukuthi ingalo yakho iphole ngokuphelele futhi ithole amandla ayo. Ngakho-ke, kubalulekile ukuba nesineke futhi uhlanganyele ekwelashweni. Qiniseka ukuthi ubuza udokotela wakho ukuthi ungaqala nini ukuzivocavoca futhi nokuthi ungadlala nini imidlalo yokuxhumana efana nebhola lezinyawo kanye ne-hockey.

Ingancishiswa kanjani le ngozi?

Asikwazi ukubikezela ukuthi lezi zingozi zizokwenzeka nini futhi kanjani. Kodwa singaqaphela kancane:

• Qaphela kakhulu lapho udlala imidlalo, wenza umsebenzi wezandla, ugibela isithuthuthu, noma ukhuphuka indawo ephakeme njengesitebhisi.
• Uma usengozini enkulu yokuthola i-osteoporosis (ikakhulukazi uma uneminyaka engaphezu kwengu-50 ubudala), susa izingozi zokukhubeka ekhaya lakho.
• Uma usebenzisa udondolo noma i-walker, ungakhohlwa ukuyisebenzisa njalo.

Uyini umbono ngemva kokwaphuka kukaBarton? (Umbono/Isibikezelo)

Izindaba ezinhle ukuthi abantu abaningi bangabuyela emisebenzini yabo evamile yansuku zonke ngemva kokuphuka kukaBarton. Kodwa-ke, kuthatha isikhathi, ukwelashwa okufanele, kanye nokwelashwa ngokomzimba okufanele.

Yiziphi izinkinga ezingaba khona ngemva kokuhlinzwa?

Ngezinye izikhathi, izinkinga zingavela ngemva kokuhlinzwa. Kunethuba elincane lokuthi lezi zinto zizokwenzeka ngemva kokuhlinzwa ngenxa yokuphuka kukaBarton:

• I-Acute Comppartment Syndrome (ACS): Lokhu kwenzeka lapho ukugeleza kwegazi ezingxenyeni ezibalulekile zomzimba kunqamuka. Lokhu kungabangela umonakalo ezinzwa nasemisipheni. Lokhu kuyisimo esiphuthumayo.
• I-Osteomyelitis: Uma une-break evulekile - okusho ukuthi ithambo liphuke esikhumbeni - usengozini enkulu yokuthola ukutheleleka.
• I-Carpal Tunnel Syndrome: Lesi simo singase senzeke uma isihlakala esiphukile singapholi kahle. Singabangela ubuhlungu, ubuthakathaka, kanye nokungazweli. Kodwa kunezindlela zokwelapha lokhu.
• I-Complex Regional Pain Syndrome (CRPS): Lesi yisimo esibuhlungu kakhulu. Sivela lapho imizwa ishukunyiswa kakhulu ngemva kokulimala, okubangela ukuba ingasebenzi kahle.
• I-Malunion: Lokhu kusho ukuthi uma izingcezu zamathambo akho aphukile ziphola, azihlangani kahle futhi azilingani kahle.
• Okunye ukulimala kwezicubu ezizungezile: Amathambo aphukile angalimaza nemisipha ezungezile, imithambo yegazi, imizwa, imisipha, kanye nemisipha.

Uma ukhathazekile noma ukhathazekile ngalezi zinkinga, qiniseka ukuthi ukhuluma nodokotela wakho. Kunezindlela zokwelapha ezinhle kwezinye izinto.

Yiziphi izikhathi ezinhle kakhulu zokuya kudokotela?

• Uma uneminyaka engaphezu kwengu-50 ubudala futhi wake waphuka ithambo, umhlinzeki wakho wezempilo oyinhloko angase afune ukukuhlola ukuthi awunaso yini isifo sokuwohloka kwamathambo. Ukuphuka ithambo kusho ukuthi amathambo akho angase abe buthakathaka.

Kunini lapho kudingeka uye khona eMnyangweni Wezimo Eziphuthumayo?

Uma ucabanga ukuthi kungenzeka ukuthi uphuke isihlakala sakho, kungcono ukuya ekamelweni lezimo eziphuthumayo eliseduze ngokushesha . Ikakhulukazi uma:

• Uma ubuhlungu bakho bubucayi kakhulu.
• Uma isihlakala sakho sibukeka singajwayelekile (njengokungathi sikhubazekile).
• Uma isihlakala singasasebenzi.
• Uma iminwe yakho ishintshe umbala (njengoluhlaza okwesibhakabhaka, omhlophe, noma ophuzi).

Imibuzo ebalulekile okufanele uyibuze udokotela wakho

Uma ubona udokotela, ungakhohlwa ukubuza le mibuzo:

• "Ingabe ngidinga ngempela ukuhlinzwa?"
• "Luhlobo luni lokuphuka enginalo?"
• "Ngizokwazi nini ukususa iplasta yami?"
• "Ngingabuyela nini emisebenzini yami evamile?"

Into ebaluleke kakhulu okufanele uyikhumbule (Umyalezo Wokuya Ekhaya)

Khumbula, uma uwa isihlakala sakho sigobile, ingxenye yaso ingase iphuke futhi ingxenye yaso ingase ikhumuke. Lokhu kusho ukuthi ungase ube ne-Barton Fracture. Uma ilunga libonakala sengathi alikho endaweni yalo, kungaba yi-Barton Fracture. Ama-X-ray angasiza odokotela ukuthi banqume ukuthi hlobo luni lokuphuka. Ezimweni eziningi, ukuhlinzwa kuyindlela engcono kakhulu yokwelapha.

Uma unezimpawu ze-Barton Fracture, iya ekamelweni lezimo eziphuthumayo eliseduze ngokushesha . Lokhu kuphuka kwemisipha kungelashwa, futhi uma welashwa ngokushesha, unganciphisa ubuhlungu futhi uqale ukuphulukiswa ngokushesha. Ngikufisela ukululama okusheshayo!

Ukuphuka kukaBarton , ukuphuka kwesandla, ukuphuka kwesandla, ubuhlungu besandla, ukuhlinzwa kwamathambo, ukuhlinzwa kwe-ORIF, ukuphulukiswa kwamathambo