Kuthiwani uma ingalo yakho iphuka? (Ingalo Ephukile) Ake sixoxe ngalokhu ngokuningiliziwe!

O, ingabe ingalo yakho yaqala ukulimaza kakhulu ngokuzumayo? Mhlawumbe kwakungemva kokuwa, noma mhlawumbe kwakungenxa yokudlala imidlalo. Ingabe ingalo yakho ivuvukele, iluhlaza okwesibhakabhaka, futhi mhlawumbe ukuma kwengalo yakho kushintshile kancane? Uma kunjalo, kungenzeka ukuthi unengalo ephukile. Ungakhathazeki, lokhu kuvame kakhulu kunalokho ocabanga. Ake sixoxe ngakho konke ngokucacile nangokulula namuhla.

Kuyini ukuphuka kwesikhumba?

Kalula nje, ingalo ephukile iwukuphuka kwethambo engalweni yakho. Kunamathambo amathathu ayinhloko engalweni yethu. Ake sibheke ukuthi ayini.

• I-humerus: Leli yithambo lengalo engenhla. Uma sikhuluma iqiniso, yilona kuphela ithambo elide elisuka ehlombe liye endololwaneni.
• I-Ulna: Lokhu kutholakala ngaphakathi kwengalo yakho. Kungenye yamathambo amabili ohlangothini lapho kukhona khona umunwe wakho omncane.
• I-Radius: Leli thambo lingaphandle kwesihlakala, kodwa ngaphakathi. Okusho ukuthi, ithambo ohlangothini lapho kukhona khona isithupha sakho.

Cabanga nje, ngezinye izikhathi engozini enkulu, wonke la mathambo amathathu angaphuka ngesikhathi esisodwa. Kodwa esikhathini esiningi, elilodwa kuphela kulawa mathambo amathathu liyaphuka.

Uma uphula ingalo, ngezinye izikhathi kudingeka ukuhlinzwa ukuze kulungiswe ithambo kahle. Kodwa akuwona wonke umuntu odinga ukuhlinzwa. Abanye abantu bangaphulukiswa nge-cast, i-splint, noma i-brace. Kodwa-ke, ukwelashwa ngokomzimba kuyadingeka ngempela ukuze kubuyiselwe amandla nokunyakaza engalweni.

Yiziphi izinhlobo zezingalo eziphukile?

Ngaphezu kokwazi ukuthi yiliphi ithambo elisesandleni sakho eliphukile, odokotela bahlukanisa lawa ma-fracture. Okusho ukuthi, bawaqamba ngokuthi aphukile kanjani. Lokhu kuvumela udokotela ukuthi aqonde ngokushesha ukuthi yiliphi ithambo eliphukile nokuthi kanjani.

Kunezinhlobo ezihlukaniswa ngokwesimo sokuphuka:

• Ukuphuka okuphambene: Ukuphuka kwethambo ngqo ngaphesheya.
• Ukuphuka kwe-Oblique: Ithambo eliphuka eceleni.
• Ukuphuka kwe-Spiral: Ukuphuka lapho ithambo lijikijelwa khona ku-spiral. Lokhu kuvame ukwenzeka lapho ingalo ijikijelwe.
• Ukuphuka kwengxenye: Ithambo eliqhekeka libe yizicucu ezingaphezu kwezimbili endaweni efanayo, okusho ukuthi ingxenye ephakathi kwethambo ihlukene.
• Ukuphuka kwethambo: Ithambo liphukile libe yizicucu eziningi, njengokungathi lichotshoziwe.
• Ukuphuka kwebhakede/okuthintekile: Lokhu kuvame kakhulu ezinganeni ezincane. Ithambo aliphuki ngokuphelele, kodwa ligoba kancane ngaphakathi kolunye uhlangothi. Ngokuqondile, amathambo ayasunduzelwa ndawonye.

Amanye ama-fracture ahlukaniswa ngokwendlela okwenzeke ngayo:

• Ukuphuka kokucindezeleka:Ngokuhamba kwesikhathi, ithambo liyabuthaka kancane kancane futhi liphuke ngenxa yokuthwala isisindo okuqhubekayo endaweni efanayo. Lokhu kungenzeka kubadlali.
• Ukuphuka kwe-Avulsion: Ukuphuka lapho umsipha noma i-ligament inamathela ethanjeni, okubangela ukuba ingxenye encane yethambo iphume ngenxa yamandla omsipha noma i-tendon ewudonsayo.

Ngakho-ke, ungase ube nokuphuka kwe-humerus okuphambene noma ukuphuka kwe-radius ehlukanisiwe. Lawa magama asiza udokotela ukuthi asho ngokushesha nangokunembile ukuthi yiliphi ithambo eliphukile nokuthi kwenzekeni kulo.

Kuvamile kangakanani lokhu?

Ukuphuka kwengalo, okuwukuphuka kwe-ulna noma i-radius, empeleni kuvame kakhulu, ikakhulukazi ezinganeni ezincane kanye nentsha. Ochwepheshe bathi cishe ingane eyodwa kweziyi-100 iphuka i-ulna noma i-radius yayo minyaka yonke. Cabanga ukuthi lokho kuvame kangakanani!

Kodwa-ke, ukuphuka kwe-humerus, ithambo lengalo engenhla, akuvamile kangako. Eqinisweni, ukuphuka kwe-humerus kubalwa ngaphansi kuka-10% wazo zonke izimpaphe.

Ziyini izimpawu zengalo ephukile?

Okulandelayo yizimpawu eziyinhloko zengalo ephukile:

• Ubuhlungu obukhulu: Lokhu kuyinto eyinhloko. Ngezinye izikhathi ubuhlungu bungabekezeleleki.
• Ukuvuvukala: Kunokuvuvukala okuningi okuzungeze ukuphuka.
• Ububele: Ingxenye ephukile ibuhlungu uma ithintwa noma icindezelwa.
• Ukungakwazi ukunyakaza noma ukusebenzisa isandla: Kuba nzima kakhulu, uma kungenzeki, ukuphakamisa, ukunyakaza, noma ukwenza noma yini ngesandla.
• Ukuphuka noma ukushintsha kombala: Isikhumba esizungeze ukulimala singase sibe luhlaza okwesibhakabhaka noma nsomi.
• Ukukhubazeka: Kuyabonakala iqhubu noma ukuvela okungekho ngokuvamile esandleni. Lokhu kusho ukuthi isimo sesandla sibonakala sishintshile.

Ibukeka kanjani ingalo ephukile?

Ngokuvamile, ingalo ephukile izobukeka ngendlela ehlukile uma uyibuka okokuqala. Ungase uqaphele ukuvuvukala nokushintsha kombala (oluhlaza okwesibhakabhaka/onsomi) eduze kwenxeba eliphukile. Ungase futhi uqaphele iqhubu noma ukukhubazeka lapho uthinta ingalo noma uyibheka ngaphandle. Kwezinye izimo ezimbi kakhulu, ithambo eliphukile lingase livele ngisho nasesikhumbeni.

Yiziphi izimbangela zengalo ephukile?

Ngokuvamile, ingalo ephukile ibangelwa uhlobo oluthile lwengozi (ukuhlukumezeka). Izimbangela ezivame kakhulu yilezi:

• Ukuwa: Ikakhulukazi uma uwa phambili izingalo zakho zeluliwe. Cabanga ngezinto ezifana nokuwa ebhayisikilini, ukuwa esihlahleni, noma ukushelela endaweni eshelelayo ekhaya.
• Izingozi zezimoto: Kukhona ingozi enkulu yokuphuka ingalo yakho ezingozini zezimoto nezebhayisikili.
• Izingozi zemidlalo: Izandla zingaphuka uma kudlalwa imidlalo enomthelela omkhulu njengekhilikithi, ibhola likanobhutshuzwayo, kanye neragbi.

Ubani osengozini enkulu yalokhu?

Nakuba ingalo ephukile ingenzeka kunoma ubani, abanye abantu basengozini enkulu kancane:

• Izingane ezincane nezingane ezincane: Zivame ukuwa ngoba zihlala zigijima futhi zidlala.
• Abadlali abadlala imidlalo enomthelela omkhulu.
• Abantu abangaphezu kweminyaka engama-65 ubudala: Ikakhulukazi labo abasengozini enkulu yokuwa. Lokhu kungenzeka ngenxa yokungalingani kahle lapho uhamba.
• Abantu abanezinkinga zempilo ezithinta ukuminyana kwamathambo: Isibonelo, abantu abanezifo zamathambo ezihambisana nokwakheka kwamathambo .

Abantu abane -osteoporosis noma i-osteopenia basengozini enkulu yokuphuka kwamathambo, ikakhulukazi ngenxa yokuwa. I-Osteoporosis ibangela ukuba amathambo abe buthakathaka. Khona-ke, ngisho nento encane kakhulu ingabangela ukuba ithambo liphuke ngokuzumayo. Abantu abaningi abazi ukuthi bane-osteoporosis baze baphuke ithambo. Lokhu kungenxa yokuthi ayinazo izimpawu ezithile ekuqaleni.

Odokotela bakuthola kanjani lokhu?

Udokotela uzoxilonga ingalo ephukile ngokuhlolwa ngokomzimba kanye nokuhlolwa kwezithombe. Uma uya egumbini lezimo eziphuthumayo (ETU) ngemva kwengozi yemoto, odokotela lapho bazokwazi ukuxilonga lokhu ngokushesha.

Hlobo luni lokuhlolwa oluzokwenziwa?

Ukuze uthole isithombe esicacile sokuphuka, kungenziwa olunye noma ngaphezulu lwalezi zivivinyo:

• Ama-X-ray: I-X-ray ingabonisa ngqo ukuthi ithambo liphukile nokuthi umonakalo ungakanani. Lolu ukuhlolwa kokuqala okukhulu okwenziwayo.
• I-Magnetic Resonance Imaging (MRI): Ngezinye izikhathi, udokotela wakho angase ancome i-MRI ukuze ahlole ngokugcwele umonakalo emathanjeni nasezicutshini ezithambile ezizungezile. I-MRI ingabona kangcono i-cartilage kanye ne-ligaments ezizungeze amathambo.
• I-Computed Tomography (i-CT scan): I-CT scan ivumela udokotela noma udokotela ohlinzayo ukuthola isithombe esiningiliziwe samathambo kune-X-ray.

Iyini indlela yokwelapha ingalo ephukile?

Indlela ophatha ngayo ingalo yakho ephukile incike ezicini ezifana nokuthi yiliphi ithambo eliphukile nokuthi unazo yini ezinye izilima.

Ukungasebenzi kahle

Uma ukuphuka kungekubi kakhulu, okusho ukuthi izingcezu zamathambo azikho endaweni yazo ( ukuphuka okungasuswanga ), ungase ukwazi ukuqhubeka ne -plaster ye-Paris cast noma i-splint kuphela . Ukuthi lokhu kuzothatha isikhathi esingakanani kuncike ohlotsheni lokuphuka. Abantu abaningi kuzodingeka bagqoke i-cast amasonto ambalwa. Kungase kudingeke futhi ukuthi uthathwe ama-X-ray ngezikhathi ezithile ukuqinisekisa ukuthi ithambo liphola kahle.

Ukuhlinzwa

Ezinye iziphazamiso zezandla zidinga ukuhlinzwa.

Ukuhlinzwa okuvamile kakhulu ukuhlinzwa kokunciphisa okuvulekile nge-internal fixation (ORIF). Kulokhu, udokotela ohlinzayo ubeka izingcezu zamathambo aphukile ezindaweni zazo ezifanele, bese ezilungisa ukuze zikwazi ukulingana futhi zelapheke. Lokhu kuvame ukwenziwa ngokusebenzisa i-internal fixation. Lokhu kusho ukuthi udokotela ohlinzayo ufaka amapuleti ensimbi, izikulufo, noma izikhonkwane ethanjeni lakho ukuze alibambe lihlale endaweni yalo kuze kube yilapho liphola.

Lezi zingcezu zensimbi zingase zihlale ethanjeni lakho impilo yakho yonke. Abanye abantu kungadingeka baphinde bahlinzwe ukuze basuswe.

Izinkinga zokuhlinzwa kokuphuka kwamathambo

Izinkinga ezivela ekuhlinzweni azivamile, kodwa ngezinye izikhathi izinto ezinjengalezi zingenzeka:

• I-Acute Comppartment Syndrome (ACS): Ukucindezela okwandayo ngaphakathi kwemisipha kuvimbela igazi ukuthi ligeleze kahle liye ezicutshini. Lokhu kungabangela umonakalo ohlala njalo wemisipha kanye nemizwa. Lesi yisimo esiphuthumayo.
• I-Malunion: Ithambo eliphukile elingahlangani kahle lapho liphola.
• Ukungahlanganisi: Ithambo alihlanganisi ngokuphelele, noma alihlanganisi nhlobo.

Kuthatha isikhathi esingakanani ukuthi ingalo ephukile iphole?

Ngokuvamile kuthatha izinyanga eziningana ukuthi ingalo ephukile iphole. Abantu abaningi abaphukile izingalo zabo bazodinga izinyanga eziningana zokwelapha ngokomzimba . Udokotela wezokwelapha ngokomzimba angakusiza ukuthi uthole amandla engalweni yakho futhi andise ububanzi bokunyakaza kwakho. Udokotela wakho noma udokotela ohlinzayo uzokutshela ukuthi yini ongayilindela.

Isikhathi sokwelapha isandla

Ukuthi kuthatha isikhathi esingakanani ukuthi isandla sakho siphole kuncike ezintweni eziningana:

• Yiliphi ithambo elaphukile?
• Iyini imbangela yekhefu?
• Hlobo luni lokwelashwa obeludinga?
• Ingabe kukhona okunye ukulimala okuke kwaba khona?

Iningi lamathambo aphukile lithatha izinyanga eziningana ukuphola. Buza udokotela wakho noma udokotela ohlinzayo mayelana nesikhathi esifanele isimo sakho.

Buza udokotela wakho ukuthi ungaqhubeka nini nemisebenzi yomzimba. Kungase kudingeke ukuthi uhambise ingalo yakho kancane ukuze uvimbele ukuqina komzimba ngenkathi ululama, kodwa ungaqali ukudlala imidlalo, ukuzivocavoca, noma ukuphakamisa izinsimbi kuze kube yilapho udokotela wakho ekuyala ukuba wenze kanjalo.

Ungakuvimbela kanjani ukuphuka kwengalo?

Kungase kungenzeki ukuvimbela ngokuphelele ukuphuka kwengalo, njengoba lokhu kulimala kuvame ukwenzeka ngenxa yezingozi ezingahleliwe. Kodwa-ke, unganciphisa ingozi yakho ngokulandela lawa macebiso okuphepha ajwayelekile:

• Gqoka ibhande lesihlalo njalo uma ugibele imoto.
• Gqoka imishini yokuphepha efanele kuyo yonke imisebenzi nemidlalo.
• Gcina ikhaya lakho nendawo yakho yokusebenza icocekile ngokususa izinto ezingakukhubekisa noma zikhube omunye umuntu.
• Sebenzisa amathuluzi noma imishini efanele njalo ukuze ufinyelele izinto usuka phezulu. Ungakhweli ezihlalweni noma ematafuleni.
• Landela uhlelo lokudla nokuzivocavoca olusiza ekugcineni amathambo akho ephilile .
• Uma uneminyaka engaphezu kwengu-65 ubudala, noma uma othile emndenini wakho ene -osteoporosis , khuluma nodokotela wakho mayelana nokuhlolwa kokuqina kwamathambo.
• Uma unenkinga yokuhamba noma usengozini enkulu yokuwa, sebenzisa induku noma i-walker.

Kufanele uye nini eGumbini Eliphuthumayo?

Uma ucabanga ukuthi ingalo yakho iphukile, iya egumbini lezimo eziphuthumayo ngokushesha. Ngokuqinisekile iya ku-ER uma unezinye zalezi zimpawu:

• Ubuhlungu obungabekezeleleki.
• Uma ungakwazi ukuxhawulana.
• Uma ukubukeka kwesandla sakho kushintshile ngokucacile , uma kubonakala kungafanele.
• Uma ungabona ithambo ngesikhumba.
• Ukuvuvukala.
• Lezi zimpawu zihambisana nokuvela ngokuzumayo kwemivimbo emisha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungase ufune ukubuza udokotela wakho le mibuzo:

• Yiliphi ithambo eliphukile esandleni sami?
• Ingabe ngidinga ukuhlinzwa?
• Kuzodingeka ngigqoke i-plaster cast isikhathi esingakanani?
• Kuzothatha isikhathi esingakanani ukwenza ukwelashwa ngokomzimba?
• Ngingaqhubeka nini nemisebenzi evamile njengomsebenzi nezemidlalo?

Ngingazi kanjani ukuthi ingalo yami iphukile noma iphukile?

Ukuphuka kwamathambo kanye nokuqhekeka yizimo ezimbili ezihluke ngokuphelele ezingase zenzeke ezingozini ezifanayo, kodwa zihluke kakhulu.

Ukuphuka kwenzeka lapho ithambo lonakaliswa yinto ethile, okubangela ukuba liqhekeke, liphuke, noma liphuke. Ungase uzwe umsindo "wokuqhekeka" lapho ingalo yakho iphuka.

Ukuklwebheka kwenzeka lapho elinye lama-ligaments akho (izibopho zezicubu ezixhumanisa amathambo) lelula noma lidabuka. Ungaklwebheka isihlakala sakho, indololwane, noma ihlombe. Ngezinye izikhathi, ungaklwebheka ilunga elilodwa noma ngaphezulu esandleni sakho, njengoba nje ubungenza uma ube sengozini.

Ukuphula noma yiliphi ithambo, kungaba yingalo noma umlenze, kuyinto eyesabekayo. Ngaphezu kobuhlungu, ukuvuvukala, kanye nokulahlekelwa ukusetshenziswa, ungazizwa ukhungathekile kakhulu. Kodwa ungasheshi inqubo yokuphulukisa. Nika umzimba wakho isikhathi esidingekayo sokuphulukisa ithambo eliphukile. Izindaba ezinhle ukuthi izandla eziningi eziphukile ziphola kahle ngaphandle kwemiphumela yesikhathi eside.

Uma kufanele ugqoke i-cast, buza udokotela wakho noma udokotela ohlinzayo ukuthi ungayinakekela kanjani. Bazokunikeza imiyalelo yokuthi ungayinakekela kanjani emisebenzini yansuku zonke, njengokugeza nokugqoka.

Okokugcina, izinto okufanele uzikhumbule

Ingalo ephukile ingaba ukulimala okukhulu, kodwa ngokwelashwa okufanele nokunakekelwa, ungalulama ngokuphelele. Kubalulekile ukuqonda izimpawu nokufuna iseluleko sezokwelapha ngesikhathi esifanele. Futhi, ukulandela ukwelashwa njengoba kunqunywe udokotela wakho nokwenza ukwelashwa ngokomzimba ngendlela efanele kubalulekile ukuze ululame ngokushesha. Kungcono ukuthatha zonke izinyathelo zokuphepha ukuze uzivikele ezingozini. Ngikufisela ukululama okusheshayo!

Ingalo ephukile, Ithambo eliphukile, Ingalo ephukile, I-Humerus, I-Ulna, I-Radius, Ukulimala kwesandla, Ingalo ephukile, Ithambo eliphukile