Ingabe nawe uphuke ithambo lakho lentamo? (Ukuphuka kwe-Clavicle) Ake sixoxe ngalokhu ngokuningiliziwe!

O, ngezinye izikhathi ngisho nokuwa okuncane kungabangela ubuhlungu obukhulu endaweni yehlombe, akunjalo? Uma kunjalo, ithambo lakho le-collarbone, okungukuthi, ithambo elide elisuka phansi kwentamo liye ehlombe, esilibiza ngokuthi ``Clavicle`` ngesiNgisi, kungenzeka ukuthi liphukile. Lokhu kuyinto eyenzeka ngempela kubantu abaningi, ikakhulukazi izingane ezincane. Ngakho-ke namuhla, ake sifunde ngqo ngalokhu kuphuka kwethambo le-collarbone ``Clavicle Fracture``.

Kusho ukuthini lokhu kuphuka kwethambo le-collarbone? (Ukuphuka kwe-Clavicle)

Kalula nje, ithambo le-collarbone eliphukile livela lapho elinye lamathambo amabili ethambo lakho le-collarbone liphuka. Lawa mathambo amabili atholakala engxenyeni engenhla yesifuba sakho, kusukela phezulu kwethambo lakho lesifuba (sternum) kuya phansi kwehlombe lakho (scapula). Ithambo lakho le-collarbone nehlombe lakho kuyahlangana ukuze kwakheke ijoyinti lehlombe. Ngakho-ke, uma okuthile kushaya ihlombe lakho kanzima, noma uma unengozi, leli thambo le-collarbone lingaphuka kalula.

Yiziphi izinhlobo zamathambo e-collarbone aphukile?

Uma uya kudokotela, bangasebenzisa amagama ahlukene ukuchaza lokhu kuphuka. Bangachaza kanje:

• Ukuphuka Okukodwa Noma Okuhlanganisiwe: Ithambo lakho le-collar lingaphuka endaweni eyodwa, noma lingaqhekeka libe yizicucu ezindaweni eziningi. Uma liphukile ezindaweni ezingaphezu kweyodwa, kubizwa ngokuthi ukuphuka okuhlanganisiwe.
• Kungakhathaliseki ukuthi izingcezu eziphukile zisusiwe noma cha (`Displaced/Nondisplaced`): Ngezinye izikhathi, noma ngabe i-collarbone iphukile, izingcezu eziphukile zingase zihlale lapho zazikhona. Kodwa-ke, uma izingcezu zisusiwe ezindaweni zazo zokuqala, kubizwa ngokuthi ``Displaced fracture``.

Udokotela wakho angasebenzisa uhlelo olukhethekile lokuhlukanisa (njengokuhlukaniswa kukaNeer) ukuze ahlukanise ukwaphuka kwakho. Lokhu kuhlukaniswa kucabangela ukuthi ukwaphuka kukuphi nokuthi ezinye izicubu zonakele yini. Lezi zinhlelo zokuhlukanisa zingasiza udokotela wakho ukuthi ahlole ukulimala kwakho futhi anqume ukwelashwa okungcono kakhulu.

Kuvamile kangakanani ukuthi amathambo e-collar aphuke?

Ukuphuka kwethambo lentamo empeleni kuwukulimala okuvamile. Kubangela phakathi kuka-5% no-10% wabo bonke abaphukile . Ngokumangazayo, kuvame kabili ezinganeni - kubalelwa phakathi kuka-10% no-15% wabo bonke abaphukile ezinganeni. Sekukonke, kuwukuphuka okuvamile kakhulu ebuntwaneni. Futhi kuwukuphuka okuvamile kakhulu ezinganeni lapho zizalwa. Phakathi kuka-1% no-2% wezingane zizophuka ithambo lentamo ngale ndlela.

Ziyini izimpawu zethambo eliphukile?

Ukuphuka kwe-collarbone kungabangela izimpawu ezifana nalezi:

• Ubuhlungu bamathambo: Ukuphuka kwethambo lentamo kungadala ubuhlungu obukhulu . Kuye ngokuthi ithambo liqhekeke kuphi, ubuhlungu bungase buzwakale ehlombe, eduze kwesisekelo sentamo, noma phakathi nethambo.
• Ubunzima bokuhambisa umzimba:Ungase uzwe ukuqina ehlombe noma engalweni yakho, noma ubuhlungu bungase bukhule uma uzama ukulishukumisa. Ungase uzwe umsindo wokuchofoza uma ulishukumisa, noma kungase kuzwakale sengathi amathambo ayaqhekeka .
• Ukuvuvukala: Uma noma yiliphi ithambo liphukile, izicubu ezithambile ezizungezile ziyavuvukala. Ngenxa yokuthi i-collarbone iseduze kakhulu nesikhumba, ngokuvamile ungakubona futhi uzizwe ukuvuvukala.
• Ukuphambuka/ushintsho olubonakalayo: Ungase uqaphele ukuthi okuthile odongeni lwakho lwamathambo sekushintshile kusukela lapho kwakunjalo khona. Amahlombe akho angase abukeke ephansi ngendlela engavamile, noma ithambo lakho lentamo lingase lingabukeki lilingana nhlangothi zombili.
• Ukuphuka: Uma izingcezu zamathambo eziphukile zihambahamba, zingabangela ukulimala kwezicubu ezithambile, okubangela ubuhlungu uma zicindezelwa futhi ngezinye izikhathi ziphuka. Ungase uqaphele ukufiphala noma ukushintsha kombala wesikhumba eduze kwethambo lentamo.
• Ukufakwa Kwetende Lesikhumba: Uma ithambo liphukile, ithambo eliphukile ngezinye izikhathi lingaphuma esikhumbeni njengezinsika zetende. Lokhu kungabonakala njengeqhubu ngaphansi kwesikhumba.

Yiziphi izimbangela eziyinhloko zokuphuka kwamathambo e-collarbone?

Ithambo le-collar livame ukuphuka ngengozi, okungukuthi, "i-Trauma". Izimbangela ezivame kakhulu yilezi:

• Ukuwa: Ukuwa ehlombe noma engalweni eyeluliwe kuyimbangela evamile yokuphuka kwethambo lentamo. Cabanga ngakho njengokushaya ihlombe lakho ngenkathi ucwila ngenkathi udlala ikhilikithi, noma ukushelela endlini yokugezela bese ulimala ihlombe lakho.
• Ukushayisana: Ukushayisana kwamahlombe kuyimbangela evamile yokulimala ngesikhathi semidlalo. Ngisho nezingane ezincane zingashayisana ngenkathi zidlala.
• Izingozi zemoto: Engozini yemoto, umzimba wakho ungashayisa ideshibhodi, noma i-airbag ingasakazeka, okubangela ukulimala.
• Ukulimala kokuzalwa: Izingane zingaphuka amathambo azo entanyeni uma amahlombe azo echotshoziwe ngesikhathi sokuzalwa.

Wazi kanjani ukuthi ikhola iphukile?

Uma ucabanga ukuthi une-collarbone ephukile, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha. Udokotela uzokwenza okulandelayo:

• Ngiyazibuza ukuthi kwenzekeni kuwe.
• Uthinta indawo elimele bese eyihlola.
• Kwenziwa i-X-ray ukuqinisekisa ukuphuka.

Ama-X-ray angabonisa ukuthi ukuphuka kwakho kukuphi, uhlobo luni, nokuthi amanye amathambo aphukile yini. Uma unokulimala okuyinkimbinkimbi kakhulu, noma uma unokulimala okungaphezu kokukodwa, udokotela wakho angase futhi akucele ukuthi uhlolwe nge-CT scan (i-Computed Tomography scan) ukuze abone imininingwane eyengeziwe.

Iyini indlela yokwelapha i-collarbone ephukile?

Iningi lamathambo aphukile liphola kahle ngokwelashwa okulula. Ukuhlinzwa kuyadingeka emaphesenti amancane kakhulu ezimo.

Ukwelashwa okujwayelekile kwethambo lentamo eliphukile yilokhu:

• Ukungakwazi ukuhamba: Ukuphuka kwamathambo amaningi e-collarbone kuyaziphola ngokwako.Nakuba ingaphola, kubaluleke kakhulu ukuvimbela ithambo eliphukile ukuthi linganyakazi kuze kube yilapho liphola. Udokotela wakho uzokunika i-sling noma i-shoulder immobilizer. Kuzodingeka uyigqoke amasonto ambalwa.
• Ukuqeda ubuhlungu: Ungadinga imithi yokwelapha ubuhlungu emasontweni amabili okuqala okuphulukiswa. Ngemva kwalokho, ungasebenzisa imithi yokwelapha ubuhlungu ethengiswa ngaphandle kwemithi kadokotela (OTC), njenge-aspirin, i-ibuprofen, kanye ne-acetaminophen. Kungasiza futhi ukufaka iqhwa endaweni ephukile cishe imizuzu engama-20 ngesikhathi.
• Ukuqapha: Udokotela wakho uzoqhubeka nokuqapha ukwaphuka kwakho kuze kube yilapho kuphola. Bazothatha ama-X-ray ukuqinisekisa ukuthi kuphola kahle. Lokhu kubalulekile ngoba ngezinye izikhathi ithambo lingase lingapholi ngokuphelele (ukungahlangani). Uma lokhu kwenzeka, udokotela wakho kungadingeka angenelele.
• Ukwelashwa ngokomzimba: Uma ithambo seliqala ukuphola, udokotela wakho uzokunikeza izivivinyo ezithile okufanele uzenze kancane kancane. Lokhu kuzosiza ekuvimbeleni izicubu ezithambile ukuthi zingaqini kakhulu ngenkathi ingalo yakho ingasebenzi. Uma ithambo selipholile ngokuphelele, ungaqala ukwakha amandla emisipha futhi.

Ukuhlinzwa

Kungadingeka uhlinzwe uma izingcezu zamathambo ziqhelelene kakhulu (ukuphuka kwe-clavicle okukhumukile kakhulu) noma uma ezinye izicubu, njenge-tendon, i-ligament, imithambo yegazi, noma i-nerve, zonakele.

Ukuhlinzwa kwethambo lentamo eliphukile kuhilela (1) ukuhlanganisa izingcezu eziphukile kanye (2) ukuzilungisa ngezikhonkwane, amapuleti, nezikulufo ukuze zingashukumi. Odokotela bakubiza lokhu ngokuthi (1) "ukunciphisa okuvulekile" kanye (2) "ukubopha kwangaphakathi."

Kwenzekani uma ukuphuka kwethambo lentamo kungelashwa?

Nakuba ungase ungadingi ukuhlinzwa uma uphuka ithambo lakho lentamo, kusabalulekile ukuba nodokotela oqeqeshiwe ahlole ukulimala kwakho. Uzofuna ukuqinisekisa ukuthi amathambo akho aphukile aphulukiswa kahle nokuthi azikho ezinye izingozi zangaphakathi ezidinga ukwelashwa.

Uzokweluleka nangendlela yokuzinakekela ekhaya. Lokhu kubaluleke kakhulu ekululameni kwakho. Uma ihlombe lakho lingavimbeki kahle, lingakuphazamisa ukululama kwakho. Uma ungazenzi kahle izivivinyo, ihlombe lakho lingaqina futhi liqandiswe ('ihlombe eliqandisiwe'). Uma ungayi ukuyohlolwa nodokotela wakho, ungase ungaboni zinkinga.

Khumbula, noma ngabe kubonakala kuyinto encane, kungabangela izinkinga kamuva uma kungelashwa kahle.

Kuthatha isikhathi esingakanani ukuthi ithambo lentamo liphole?

Isikhathi esithathayo ukuze ithambo lentamo liphole singahluka. Kuya ngokuthi ukuphuka kwakho kukhulu kangakanani nokuthi uneminyaka emingaki. Izingane, ezimathambo azo asakhula, zivame ukuphola ngokushesha kunabantu abadala.Ngokuvamile, ukululama kungathatha lesi sikhathi:

• Kwabantu abadala: amasonto angu-8 kuya kwangu-12.
• Ezinganeni ezincane: amasonto ayi-6 kuya kwayi-8.
• Ezinganeni ezingaphansi kweminyaka engu-8: amasonto amathathu kuya kwayisithupha.
• Kumntwana osanda kuzalwa: cishe amasonto amabili.

Udokotela wakho uzokutshela ukuthi ungaqhubeka nini nemisebenzi evamile.

Ngingaqala nini ukudlala futhi?

Iningi labantu lingabuyela kwezemidlalo uma ithambo labo lentamo selipholile ngokuphelele futhi kungekho buhlungu lapho linyakazisa imizimba yabo. Kodwa-ke, uma udlala imidlalo yokuxhumana, kungathatha isikhathi ukuthi amandla akho abuye. Ngaphambi kokuba uhlolwe, udokotela wakho uzophinde athathe i-X-ray akuhlole.

Ingabe ithambo lentamo eliphukile lingabangela izinkinga zesikhathi eside?

Iningi lamathambo aphukile liphola ngokuphelele ngaphandle kwezinkinga. Kodwa-ke, uma ukwaphuka kwakho kungapholi ngokwako (okungahlangani), ungaqhubeka nobuhlungu kuze kube yilapho udokotela ekwazi ukukulungisa ngokuhlinzwa. Uma izingcezu zamathambo ziphola kahle, ungase usale nokukhubazeka kwamathambo okubonakalayo. Uma ukwaphuka kwakho kuseduze nejoyinti lehlombe, ngezinye izikhathi izingcezu zamathambo zingalimaza i-cartilage ejoyintini, okubangela ubuhlungu bamalunga kamuva.

Iqhubu lapho ithambo selipholile khona (`Ama-bone calluses`)

Abanye abantu, ikakhulukazi izingane, bangase babe neqhubu ethanjeni ngemva kokuba ukuphuka sekupholile. Lokhu kubizwa ngokuthi "i-Bone callus". Kufana nesibazi esikhumbeni. Akuyona ingozi futhi kuzoncipha ngokuhamba kwesikhathi. Kungase kunyamalale ngemva konyaka, kodwa ngezinye izikhathi kungase kuhlale iqhubu elincane.

Yini okufanele uyenze futhi ungayiyenzi uma ithambo lakho lentamo liphukile futhi liphola?

Uma ululama entanyeni ephukile, landela lawa macebiso:

Izinto okufanele zenziwe:

• Gcina i-sling noma i-immobilizer yakho isebenza usuku lonke nobusuku. Yikhumule kuphela uma ugeza.
• Sebenzisa imithi yokubulala izinhlungu uma kudingeka, kodwa kuphela njengoba uqondiswe udokotela wakho.
• Shukumisa amahlombe akho, izingalo, nezandla kancane nsuku zonke njengoba kuyalelwe.
• Yiya njalo lapho uhlolwa nodokotela wakho.

Izinto okungafanele zenziwe:

• Ngaphandle kokuba udokotela wakho ekuyalile, ungaxubi imithi yokubulala izinhlungu.
• Ungathathi umuthi ongaphezu komthamo onconywayo.
• Uma usadinga i-sling noma i-immobilizer, ungashayeli.
• Ungaphakamisi, ucindezele, noma udonse noma yini ngezandla zakho kuze kube yilapho udokotela wakho ekunike imvume.

Kufanele ubonane nini nodokotela?

Uma uhlangabezana nanoma yiziphi zalezi zimpawu ezintsha noma ezingavamile , thintana nodokotela ngokushesha:

• Ubunzima bokuphefumula.
• Ukuba ndikindiki noma ukulahlekelwa umuzwa ezithweni.
• Ubuthakathaka noma ubuthakathaka.
• Ubuhlungu obusha noma obuya buba bubi.

Ithambo lakho le-collarbone lingase lingabonakali njengendawo esengozini yokulimala, kodwa kungenzeka ngoba lixhunywe ehlombe lakho. Noma yimaphi amandla abalulekile ashaya ihlombe lakho angadluliselwa ehlombe lakho le-collarbone. Ngenxa yalokhu, ukuphuka kwethambo le-collarbone kuvame kakhulu kunalokho ongase ukucabange, ikakhulukazi ezinganeni. Ukuphuka kwethambo le-collarbone okuningi kuyaphola ngaphandle kwezinkinga. Landela imiyalelo kadokotela wakho ukuze wenze ukululama kwakho kube bushelelezi ngangokunokwenzeka.

Ekugcineni, umyalezo okufanele uwuthathe uye ekhaya:

Ngakho-ke, ithambo lentamo eliphukile (i-Clavicle Fracture) akuyona into okufanele uyesabe, kodwa yinto okufanele inakwe futhi yelashwe ngokwemiyalelo kadokotela. Ikakhulukazi uma unobuhlungu obukhulu endaweni yehlombe, ukuvuvukala, noma ubunzima bokuhambisa ingalo yakho ngemva kokuwa noma ingozi, ungakushayi indiva bese ubonisa udokotela.

• Ukuphumula okufanele kanye nokuvimbela ukunyakaza kubaluleke kakhulu.
• Yenza izivivinyo ezichazwe udokotela.
• Hamba uyohlolwa ngesikhathi.

Uma wenza lezi zinto ngendlela efanele, uzolulama ngokushesha futhi ukwazi ukubuyela emisebenzini yakho evamile. Khumbula, impilo yakho isezandleni zakho!

Ukuphuka kwe - Clavicle, Ukulimala kwehlombe, Ukuphuka kwethambo, Ukuphuka kwethambo, Ukuphuka kwe-Clavicle, Ukulimala kwehlombe