Ingabe isandla sakho silimele kanje? Ake sifunde ngokuphuka kukaBoxer!

Wake washaya isandla sakho odongeni ngentukuthelo? Noma wake washaywa kanzima ngenkathi udlala ezemidlalo? Ngezinye izikhathi, uma lokho kwenzeka, ungaphuka ithambo esandleni sakho, ikakhulukazi ithambo ohlangothini lomunwe wakho wendandatho. Namuhla, sizoxoxa ngalolu hlobo lokuphuka, odokotela abalubiza ngokuthi 'i-Boxer's Fracture.'

Kuyini Ukuphuka Kwebhokisi?

Kalula nje, ukuphuka kwebhokisi kuwukuphuka esandleni sakho. Kuwuhlobo lokuphuka kwe-metacarpal.

Ingemuva lesandla sakho linamathambo amade, aqinile ongawezwa uma uwathinta, futhi yilokho esikubiza ngokuthi ama-metacarpal. Lawa ngamathambo axhumanisa isithupha sakho kanye nama-phalanges eminye iminwe yakho esihlakaleni sakho.

Ukuphuka kwebhokisi kuwukuphuka kwethambo lesihlanu le-metacarpal elixhumanisa umunwe wakho opinkie nesandla sakho . Ngokukhethekile, ukuphela kwalelo thambo elixhumanisa ne-knuckle, ingxenye 'yentamo', kuphukile.

Esikhathini esiningi, ukwelashwa kokuphuka okufana nalokhu kuhilela ukuvimba ingalo nge-splint noma i-cast. Kodwa-ke, uma ukuphuka kukubi kakhulu, ikakhulukazi uma kuhambisana nezinye izingozi, kungase kudingeke ukuhlinzwa.

Ukuphuka Kwebhokisi Elivulekile Nelivaliwe

Manje udokotela wakho uzohlukanisa lokhu kuphuka njengokuqhekeka 'okuvulekile' noma 'okuvaliwe'.

Ukuphuka okuvulekile kwenzeka lapho ithambo eliphukile liphuka esikhumbeni sakho bese liphuma. Lokhu kuyingozi kancane ngoba kuthatha isikhathi eside ukuba inxeba liphole futhi kunethuba elikhulu lokutheleleka.

Uma ithambo liphukile, ithambo liyaphuka, kodwa isikhumba asiphukile. Kubi kakhulu futhi, kodwa ingozi yezinkinga iphansi kuneyokuphuka okuvulekile.

Ukuphuka Kwebhokisi Elilahlekile

Amanye amagama amabili asetshenziswa odokotela yi-'displaced' kanye ne-'nondisplaced'.

Ukuphuka okuphukile kwenzeka lapho izingcezu ezimbili zethambo ziphuka bese zisunduzwa emuva naphambili, zingangeni endaweni yazo, kushiye isikhala esikhulu phakathi kwazo. Kalula nje, ithambo liyanwebeka futhi aliqondile.

Uma ithambo lingaphumi endaweni yalo , ithambo liyaphuka, kodwa izingcezu azikahambi kakhulu, futhi zisafana. Amaphuphu aphumile endaweni yawo ngokuvamile adinga ukuhlinzwa.

Kuvame kangakanani ukuphuka kwebhokisi?

Ukuphuka kwaleli bhokisi empeleni uhlobo oluvame kakhulu lokuphuka kwe-metacarpal esandleni. Eqinisweni, cishe ingxenye yesine (cishe u-25%) wazo zonke izimpaphe ze-metacarpal esandleni zilolu hlobo.

Ziyini izimpawu zokuphuka kwebhokisi?

Kulungile, manje ake sibone ukuthi ziyini izimpawu zokuphuka kwebhokisi.

• Ubuhlungu obukhulu:Lokhu kuyinto eyinhloko. Kubuhlungu lapho isandla sami sasikhona.
• Ukuvuvukala: Ingxenye yesandla esilimele ivuvukala kakhulu.
• Umunwe wepinkie udlula omunye umunwe: Umunwe wakho wepinkie ungase ubonakale sengathi udlula noma udlula ngemuva komunwe wakho wendandatho. Lokhu kubizwa ngokuthi 'ukukhubazeka kokujikeleza' . Kusho ukuthi umunwe ugobile.
• Ukuthamba: Indawo elimele izoba buhlungu uma uyithinta noma uyicindezela.
• Ubunzima bokunyakaza noma ukusebenzisa isandla: Ubunzima bokwenza imisebenzi ngesandla, ukugoba noma ukwelula iminwe.
• Ukushintsha kombala okuluhlaza okwesibhakabhaka: Isikhumba endaweni yokulimala singase sibe luhlaza okwesibhakabhaka noma onsomi.

Yini ebangela ukuphuka kwebhokisi?

Imbangela enkulu yalokhu yilapho ushaya isandla sakho ngamandla odongeni noma emnyango ngesibhakela sakho . Abanye abantu benza lokhu uma bethukuthele. Yilapho kwenzeka khona kakhulu. Igama elithi 'ukuphuka kwebhokisi' lisuselwa eqinisweni lokuthi abashayi bebhokisi bavame ukuhlushwa yilokhu kulimala. Futhi, ukushaywa kanzima ngemuva kwesandla sakho kungabangela lolu hlobo lokuphuka.

Ubani osengozini enkulu yalokhu?

Noma ubani angaphula ithambo lesihlanu le-metacarpal ohlangothini lozwane olukhulu. Kodwa abanye abantu basengozini enkulu kancane. Hlola ukuthi ngubani lo:

• Abantu abaneminyaka ephakathi kweyi-10 neyi-40: Lokhu kubonakala kaningi kuleli qembu leminyaka.
• Abasubathi: Ikakhulukazi labo abadlala imidlalo yokuthintana esebenzisa imilenze yabo, njengebhokisi kanye nobuciko bokulwa.
• Abantu abane-osteoporosis: I-Osteoporosis yisifo esibangela ukuba amathambo abe buthaka futhi abe buthakathaka. Abantu abanalesi simo bangaphuka amathambo abo ngisho noma benokulimala okuncane.

Uyibona kanjani i-break of boxer?

Uma uya kudokotela, bazoqala bahlole isandla sakho. Udokotela angase acabange ukuthi kuphukile i-boxer ngokuyithinta nje noma ngokuyibuka nje. Udinga ukutshela udokotela ukuthi kwenzekeni ngaphambi kokuba ulimaze isandla sakho nokuthi wazibona kanjani izimpawu zokuqala.

Yiziphi izivivinyo zokuxilonga?

Udokotela uzothatha ama-X-ray esandla sakho. I-X-ray izokhombisa ngqo ukuthi ithambo lesihlanu le-metacarpal liphukile kuphi nokuthi ukuphuka kubonakala kanjani.

Ngezinye izikhathi, ikakhulukazi uma udinga ukuhlinzwa, ungase futhi wenze i -CT scan (Computed Tomography - CT scan) . I-CT scan ingathatha isithombe esinobukhulu obuthathu (3D) samathambo akho kanye nezicubu ezizungezile.

Kulashwa kanjani ukwaphuka kwebhokisi?

Udokotela wakho uzoncoma ukwelashwa okuzosiza ithambo lakho ukuthi liphole. Uhlobo lokwelashwa oludingayo luzoncika ohlotsheni lokuphuka kwebhokisi onalo nokuthi ngabe unezinye izingozi. Ukwelashwa okuvame kakhulu yile:

Ukungasebenzi kahle

Uma ukuphuka kwebhokisi kungekubi kakhulu, okusho ukuthi izingcezu zamathambo aziqhelelene kakhulu (ukuphuka okungasuswanga), kungadingeka ukuthi ugcine ingalo yakho iboshwe noma iboshwe nge-cast kuphela. Iningi labantu kuzodingeka ligcine ingalo yalo ikule ndawo amasonto amathathu kuya kwayisithupha . Phakathi naleso sikhathi, bazothatha ama-X-ray ukuqinisekisa ukuthi amathambo alulama kahle.

Ukulungiswa ngesandla (Ukunciphisa okuvaliwe)

Uma kwenzeka ukuphuka kwebhokisi okubuhlungu kakhulu, kungadingeka ukuthi ube nenqubo ebizwa ngokuthi 'ukunciphisa okuvaliwe' ukuze ulungise izingcezu zamathambo eziphukile. Kule nqubo, udokotela uzocindezela ngemuva kwesandla sakho bese ebuyisela izingcezu zamathambo eziphukile endaweni yazo. Ngesikhathi wenza lokhu, ngeke uzwe ubuhlungu futhi ungenza okunye kwalokhu okulandelayo:

• I-anesthetic yendawo: Lokhu kuqeda amandla kuphela indawo ezungeze inxeba .
• Imithi yokudambisa ukucindezeleka: Lokhu kuzokwenza uzizwe ukhululekile.
• Ukubulala izinzwa okuvamile: Lokhu kusho ukuthi ngeke uzwe lutho, uzobe ulele.

Ngemva kokulungisa amathambo ngale ndlela, udokotela uzovimba ingalo yakho nge-splint noma i-cast.

Ukuhlinzwa kokuphuka kwebhokisi

Iningi labantu alidingi ukuhlinzwa ukuze kuphuke i-boxer.

Kodwa uma uphukile, uphukile, noma uphukile, udokotela wakho angase akuncome ukuthi uhlinzwe. Futhi, uma kukhona umonakalo ethanjeni kanye nakwezinye izicubu ezizungezile, kungase kudingeke uhlinzwe. Ikakhulukazi, uma uphukile ubangele ukuthi uzwane lwakho olukhulu luhambe phezu kozwane olunye (ukungasebenzi kahle), kungenzeka ukuthi uhlinzwe.

Udokotela ohlinzayo ubuyisela izingcezu zamathambo akho endaweni yazo bese ezilungisa ndawonye, ​​ukuze zivumelane kahle. Lokhu kuvame ukwenziwa ngokusebenzisa 'i-internal fixation' . Lokhu kusho ukuthi udokotela ohlinzayo ufaka izikhonkwane, izikulufo, noma ipuleti ethanjeni lakho ukuze abambe izingcezu ndawonye. Ngemva kokuba ithambo selipholile, kungadingeka ukuthi uphinde uhlinzwe ukuze kususwe i-fixation.

Izinkinga ezingaba khona ngenxa yokuhlinzwa

Izinkinga eziyinhloko ezingaba khona ngemva kokuhlinzwa kokuphuka kwebhokisi yilezi:

• I-Malunion: Lokhu kwenzeka lapho izingcezu zamathambo eziphukile zingahlangani kahle njengoba ziphola. Lokhu kungashintsha ukuma kwesandla futhi kunciphise ukusebenza kwesandla.
• Ukungabi yinhlangano: Ngezinye izikhathi izingcezu zamathambo zingase zingahlangani kahle, noma zingase zingahlangani nhlobo.
• Ukutheleleka kwamathambo (i-Osteomyelitis):Uma uke waphuka, okusho ukuthi ithambo liphuke esikhumbeni, usengozini enkulu yokuthola ukutheleleka ngamagciwane.
• Ukuqina esandleni: Abantu abake baphuka i-boxer bavame ukuzwa ukuqina eduze kwethambo eliphukile. Lokhu kuqina kungancishiswa ngokuzivocavoca ekhaya kanye nokwelashwa ngokomsebenzi .
• I-Acute Comppartment Syndrome (ACS): Lesi yisimo esiyingozi. Ingcindezi engaphakathi kwemisipha yengalo iyanda, futhi ukugeleza kwegazi kungaphazamiseka. Lokhu kungaholela ekulimaleni okungapheli kwemisipha kanye nemizwa.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Kungathatha amasonto ambalwa ukuthi izimpawu zakho ziphele. Ubuhlungu buzoqala ukuncipha ezinsukwini ezimbalwa. Kodwa kuzothatha cishe amasonto ayisithupha ukuthi ithambo lakho liphinde liqine ngokugcwele.

Kuye ngohlobo lokwelashwa olutholile, ungase ukwazi ukunyakaza nokusebenzisa isandla sakho futhi emavikini ambalwa.

Kodwa khumbula, uma ubuhlungu obungabekezeleleki futhi bungapheli, kufanele ubonane nodokotela ngokushesha.

Yini ongayilindela uma uphukelwe yibhokisi?

Cishe ungalulama ngokuphelele ekulimaleni komshayi webhokisi.

Ungase udinge nokwelashwa ngokomsebenzi ukuze uthole amandla nokunyakaza esandleni sakho.

Kuthatha isikhathi esingakanani ukuthi ukuphuka kwebhokisi kuphole?

Iningi labantu lithatha cishe inyanga noma ezimbili ukuphulukiswa ekuqhekekeni kwebhokisi. Ukuthi kuthatha isikhathi esingakanani kuwe kuncike ebunzimeni bokuqhekeka kanye nokwelashwa okutholile.

Eqinisweni, isikhathi esithathwayo ukuze umzimba ululame siyahlukahluka kuye ngomuntu nomuntu. Buza udokotela wakho noma udokotela ohlinzayo ukuthi kuzothatha isikhathi esingakanani kuye ngesimo sakho.

Ingabe ngeke ngikwazi ukuya emsebenzini/esikoleni ngenxa yalokhu?

Ungase ungakwazi ukuya emsebenzini noma esikoleni kuze kube yilapho isandla sakho siphola. Lokhu kunzima kakhulu uma kwenzeka ukuphuka esandleni sakho esilawulayo, okuyisandla ovame ukusisebenzisa, njengesandla obhala ngaso noma owenza omunye umsebenzi ngaso.

Iningi labantu lingaphinde liqale imisebenzi yomzimba (njengezemidlalo) ngemva kwamasonto angaba yisishiyagalombili .

Kodwa-ke, kufanele uhlale ubonana nodokotela noma udokotela ohlinzayo ngaphambi kokuqala noma yini futhi. Ikakhulukazi uma ithambo lakho liphukile ngenkathi udlala umdlalo noma wenza okuthile okuqondile, qiniseka ukuthi ucela iseluleko ngaphambi kokuqala futhi.

Singanciphisa kanjani ingozi yalolu hlobo lwengozi?

Ukuze unciphise ingozi yalolu hlobo lokulimala, landela lawa macebiso okuphepha alula:

• Uma uthukuthele noma ucasukile, ungalokothi ushaye izindonga, phansi, noma enye into eqinile. Lena yinto ebaluleke kakhulu.
• Gqoka ibhande lesihlalo njalo uma ugibele imoto.
• Gqoka imishini yokuzivikela efanele kuyo yonke imisebenzi kanye nemidlalo.
• Landela uhlelo lokudla nokuzivocavoca olusiza ekugcineni amathambo akho ephilile.
• Uma uneminyaka engaphezu kwengu-50 ubudala, noma uma othile emndenini wakho ene-osteoporosis, khuluma nodokotela wakho bese ucabanga ngokuhlolwa kokuqina kwamathambo .

Kunini lapho kudingeka uye esibhedlela ngokushesha?

Uma ucabanga ukuthi uphuke i-boxer (noma olunye uphuke ithambo), kufanele ubonane nodokotela ngokushesha okukhulu. Uma unezinye zezimpawu ezilandelayo, iya ekamelweni lezimo eziphuthumayo ngokushesha:

• Ubuhlungu obungabekezeleleki.
• Uma ungakwazi ukuhambisa isandla noma iminwe yakho ngendlela evamile.
• Uma ukubukeka kwesandla sakho kushintshe kakhulu.
• Uma ithambo lakho liphuma esikhumbeni sakho.
• Ukuvuvukala.
• Uma usuqalile ukuzwa ubuluhlaza obusha kanye nalezi ezinye izimpawu.

Yini okufanele ngiyibuze udokotela?

Kungumqondo omuhle ukubuza le mibuzo uma ubona udokotela wakho:

• Uhlobo luni lokuphuka enginalo?
• Ingabe ngizodinga ukuhlinzwa?
• Kuzodingeka ngigqoke i-splint noma i-cast isikhathi esingakanani?
• Kunini lapho kuphephile khona ukuqala kabusha imisebenzi yomzimba efana nezemidlalo?

Ingabe ukuphuka kwebhokisi kuzophola ngokwako?

Cha, ukwaphuka kwebhokisi ngeke kuphole ngokwako. Noma yikuphi ukwaphuka kufanele kuhlolwe kahle futhi kwelashwe udokotela. Uma ushiya ukwaphuka kwebhokisi kungelashwa, usengozini enkulu kakhulu yokuthola izinkinga ezifana ne-malunion.

'I-malunion' yilapho ithambo eliphukile lihlangana ndawonye, ​​kodwa hhayi endaweni efanele, endaweni efanele. Lihlangana ndawonye. Uma lokho kwenzeka, ungase ube nobunzima bokusebenzisa isithupha sakho kamuva, futhi ungase uphuke ithambo elifanayo futhi esikhathini esizayo.

Uma ulimele ingalo yakho futhi ubona izimpawu zokuphuka kwebhokisi, iya ekamelweni lezimo eziphuthumayo ngokushesha. Ngisho noma ithambo lakho lingaphukile, udokotela kufanele nakanjani ahlole ukulimala kwakho.

Okokugcina, izinto ezimbalwa okufanele uzikhumbule

Ukuphuka kwebhokisi kuyithambo eliphukile esandleni sakho. Leli gama livela endleleni okwenzeka ngayo ngokuvamile - uma ushaya isandla sakho ngesibhakela entweni eqinile. Nakuba lokhu kuyimbangela evamile yokulimala ngesikhathi semidlalo, kungenzeka futhi uma ushaya udonga noma enye into eqinile ngentukuthelo.

Kuyacasula ukuphuthelwa amasonto ambalwa okuqeqeshwa, ukuncintisana, noma eminye imisebenzi. Kodwa ungalulama ngokuphelele ekuphukeni komshayi webhokisi. Ungazinaki izimpawu ezifana nobuhlungu bengalo nokuvuvukala, ikakhulukazi ngemva kokulimala.Bonana nodokotela ngokushesha ukuze uthole ukuxilongwa. Uma udokotela esheshe athole ukuthi kukhona yini i-boxer breakdown, ithambo lakho le-metacarpal eliphukile lizoqala ukuphola ngokushesha.

Ukuphuka kwebhokisi , ukuphuka kwesandla, ukuphuka kwe-metacarpal, ubuhlungu besandla, ukuvuvukala kwesandla, ukulimala kwezemidlalo, ukwelashwa kwamathambo