Uphuke isihlakala sakho? (Ukuphuka Kwesihlakala) Ake sixoxe ngalokhu!

O, ingabe uke ulimele kabi esihlakaleni uma uwa? Noma wake washaya isandla sakho ngenkathi udlala imidlalo, manje indawo ivuvukele, iluhlaza okwesibhakabhaka, futhi inobuhlungu obukhulu kangangokuthi awukwazi ngisho nokushukumisa? Khona-ke ungase ube nesihlakala esiphukile, okusho ukuthi ithambo eliphukile (ukuphuka) . Ungesabi uma uzwa lokhu, ngoba lokhu kwenzeka kubantu abaningi. Namuhla, sizoxoxa ngokuningiliziwe nangokumane ngesihlakala esiphukile, noma njengoba odokotela besibiza kanjalo, "Ukuphuka Kwesihlakala".

Kusho ukuthini ukuphula isihlakala salesi sandla?

Kalula nje, "Ukuphuka Kwesihlakala" kuwukuphuka kwesihlakala noma elinye noma ngaphezulu lamathambo ahlobene naso. Kunamathambo angaba yishumi esandleni sethu, kusukela esihlakaleni kuya phansi kwesandla. Noma yiliphi lalawa lingaphuka. Amathambo ayinhloko yilawa:

• I-Radius: Leli yithambo elikhulu kunawo wonke engalweni yakho, ohlangothini lozwane lwakho olukhulu.
• `Ulna` (ithambo le-ulna): Leli yithambo elincane engalweni, ohlangothini lomunwe omncane.
• Amathambo e-Carpal: Lawa amathambo amancane ayisishiyagalombili atholakala ngaphakathi kwejoyinti lesihlakala, ekuqaleni kwesandla sakho.

Kulezi , ukuphuka okuvame kakhulu yingxenye yethambo elithi "Radius" eliseduze kakhulu nesandla. Odokotela babiza lokhu ngokuthi "ukuphuka kwe-Distal radius".

Izinhlobo zokuphuka kwengalo

Kunezinhlobo eziningana ezahlukene zokuphuka kwesandla. Lezi zihlukaniswa ngokwendlela yokuphuka kwesandla. Nazi ezinye zezinhlobo eziyinhloko:

• Ukuphuka kwe-Colles: Lolu uhlobo oluvame kakhulu. Uma uwa ingalo yakho yeluliwe nesandla sakho sibheke phansi, isihlakala sakho singagoba emuva, okubangela lolu hlobo lokuphuka. Yilapho ingxenye ephukile yethambo le-radius isunduzelwa phezulu, ngasemuva kwesandla sakho.
• `Ukwaphuka kukaSmith`: Lokhu kwenzeka lapho ingalo igobile phambili futhi ingemuva lesandla lishaya phansi. Lapha, ingxenye ephukile yethambo `(i-Radius)` icindezelwa phansi, okungukuthi, ngasentendeni yesandla.

Ngaphezu kwalezi zinhlobo ezimbili eziyinhloko, odokotela bahlukanisa la ma-fracture ngezinye izindlela:

• Ukuphuka kwangaphakathi kwethambo: Uma ithambo liphuka futhi umugqa wokuphuka ungene ngaphakathi kwejoyinti lesihlakala, kungokwesihlobo salolu hlobo.
• Ukuphuka kwe-Extra-articular: Yilapho ithambo liphuka khona, kodwa umugqa wokuphuka awungeni ngaphakathi kwejoyinti.
• `Ukuphuka okuvulekile`: Lokhu kuyingozi kancane. Ngoba lapha ithambo liyaphuka, isikhumba siyabhobozwa bese siphuma. Bese kuba nethuba elikhulu lokuthi amagciwane angene ngenxeba futhi abangele ukutheleleka. Uma kwenzeka into efana nale, udinga ukuya esibhedlela ngokushesha.
• `Ukuphuka okuqhekekile`: Lapha, ithambo liqhekeka libe yizicucu eziningana, kunokuba libe sendaweni eyodwa.

Kuvame kangakanani ukuphuka kwezingalo?

Lokhu empeleni kuvame kakhulu kunalokho ongakucabanga. Isibonelo, e-United States kuphela, kubikwa ukuphuka okungaphezu kuka-450,000 minyaka yonke. Kulokhu, cishe ukuphuka okukodwa kwabayisithupha kuyi-"Distal radius fracture", okungukuthi, ukuphuka kwethambo le-"Radius" esihlakaleni esikhulume ngakho ngaphambili. Lesi simo singase sifane eSri Lanka, ngoba ukuwa nezingozi kwenzeka kakhulu.

Wazi kanjani ukuthi isihlakala sakho siphukile? (Izimpawu)

Uma unesandla esiphukile, ungase ube nesinye noma ngaphezulu salezi zimpawu:

• Ubuhlungu obukhulu nobungapheli: Lolu uphawu oluyinhloko. Ubuhlungu bungaba bukhulu kangangokuthi awukwazi ngisho nokunyakaza ingalo yakho.
• Ukuvuvukala: Indawo ezungeze ingalo ephukile ivuvukele kakhulu.
• Ukuthamba: Uma uthinta noma ucindezela indawo ephukile, kubangela ubuhlungu obungabekezeleleki.
• Ukuphuka: Ngezinye izikhathi isikhumba esizungeze ithambo eliphukile singaba luhlaza okwesibhakabhaka noma onsomi.
• Ukuqina kwesandla: Kuba nzima ukugoba noma ukuqondisa isandla esihlakaleni.
• Ukukhubazeka kwesandla: Ngezinye izikhathi ingxenye ephukile yesandla ingase ibonakale iluliwe noma igobile ngendlela engavamile. Abanye abantu bathi kubukeka sengathi isandla "sigobile."
• Ukuqaqamba kweminwe: Abanye abantu bangase bazizwe sengathi iminwe yabo iyaqaqamba.

Okubalulekile: Uma unalezi zimpawu, ungacabangi nje ukuthi, "Kuzoba ngcono ngokwakho." Ngokuqinisekile bonana nodokotela bese uhlolwa.

Kungani izihlakala ziphuka kanje? (Izizathu)

Ngokuvamile, ukuphuka kwesandla kwenzeka lapho ingalo iwela phansi, noma lapho isandla sishaya phansi noma odongeni. Bese isisindo somzimba wonke siwela engalweni, futhi ithambo lingaphuka esihlakaleni. Cabanga, uwela ngenkathi uzama ukubamba ibhola ngenkathi udlala ikhilikithi, noma ushelela endlini yokugezela, noma uwela ebhayisikilini... Lokhu kungenzeka nganoma yisiphi isikhathi.

Izimbangela zokuphuka kwezihlakala kubantu abasha kanye nalabo abaneminyaka engaphezu kwengu-60 zihlukile kancane.

• Intsha: Ukuphuka kwesandla somuntu osemusha kuvame ukubangelwa yisigameko esinamandla kakhulu . Isibonelo, ukuwa kusuka endaweni ephakeme, njengesitebhisi, ingozi yemoto, noma ukuwa kanzima noma ukushayisana ngenkathi edlala imidlalo.
• Abantu abangaphezu kweminyaka engama-60: Ukuphuka kwesandla kuleli qembu leminyaka akuyona ingozi enkulu ngempela. Kungenzeka ngenxa yesigameko esingenamandla amaningi. Isibonelo, ukushelela nokuwa kancane umi kungabangela lokhu. Isizathu esiyinhloko salokhu ukuthi amathambo alahlekelwa amandla njengoba siguga.

Yiziphi izici eziyingozi? (Izici Eziyingozi)

Abanye abantu basengozini enkulu yokuphuka izihlakala kunabanye. Lokhu kuyiqiniso ikakhulukazi kubantu abanesifo esibizwa ngokuthi i-osteoporosis . I-Osteoporosis yisimo lapho amathambo eba buthakathaka futhi aphuke kalula.

Kunezinye izici eziningana eziyingozi kubantu abangaphezu kweminyaka engama-60 ubudala:

• Ukuncipha kwamaminerali emathanjeni (i-Osteopenia): Lokhu kuyisandulela se-Osteoporosis.
• Ukuba ngowesifazane: Abesifazane basengozini enkulu kunabesilisa.
• Ukuba mhlophe: (Leli iqiniso elishiwo ngokwemininingwane yamazwe ngamazwe.)
• Ukuba nomlando womndeni walezi zifo ezibuhlungu.
• Ukunqamuka kokuya esikhathini kusenesikhathi.

Yiziphi izinkinga zalesi simo?

Uma kungelashwa kahle, ngezinye izikhathi ukuphuka kwesandla kungaholela ezinkingeni ezahlukahlukene. Lokhu kufaka phakathi:

• Ukuqhekeka komsipha esandleni.
• I-Carpal tunnel syndrome: Isimo esibangela ukungazweli kanye nobuhlungu esandleni ngenxa yokucindezelwa kwenzwa edlula esihlakaleni.
• I-Compartment syndrome: Isimo esibi lapho ukuvuvukala kuphazamisa khona ukugeleza kwegazi ezicutshini zengalo futhi kwandise ingcindezi.
• I-Complex regional pain syndrome: Isimo esibangela ubuhlungu obukhulu obuqhubekayo nokuvuvukala.
• I-arthritis yesihlakala: Ngokuhamba kwesikhathi, i-arthritis yesihlanganisi ingakhula.

Yingakho kuthiwa uma usola ukuthi unengalo ephukile, kufanele ubonane nodokotela ngokushesha.

Udokotela uhlonza kanjani lokhu?

Uma uya kudokotela, uzoqala akubuze ukuthi kwenzeke kanjani nokuthi ziyini izimpawu zakho. Ngemuva kwalokho uzohlola isandla sakho ngokucophelela, asigobe kusukela kolunye uhlangothi kuya kolunye ('ukuhlolwa ngokomzimba').

Kodwa ukuze wazi kahle ukuthi kukhona yini ukwaphuka, ukuthi kukuphi, nokuthi kuyingozi kangakanani , udinga ngempela ukuhlolwa kwe-'X-ray' (X-ray). Ngezinye izikhathi, ngaphezu kokuphuka, udokotela angase futhi ancome i-'CT scan' (CT scan) noma i-'MRI scan' (MRI scan) ukuze abone ukuthi kukhona yini umonakalo kuma-'ligaments' (ligaments), ama-'tendons' (ama-tendon), kanye nama-'nerves' ('spinal cords' ) esandleni.

Iyini indlela yokwelapha lokhu?

Ukwelashwa kwengalo ephukile kuncike ezintweni eziningana, okuhlanganisa:

• Uhlobo lokuphuka: Izinhlobo ezifana no-`Colles` no-`Smith` esikhulume ngazo ngaphambilini.
• Ubunzima bokuphuka: Kungakhathaliseki ukuthi ithambo liqhekeke kancane, noma liphukile laba yizicucu, noma ngabe isikhumba sibhoboziwe futhi siphumile.
• Kungakhathaliseki ukuthi kukhona okunye ukulimala: Ngezinye izikhathi, umthambo wegazi noma inzwa kungase kulimale kanye nokuqhekeka kwethambo.
• Iminyaka yakho, ukuthi usebenza kangakanani, nokuthi ngabe lesi yisandla sakho esilawulayo yini nakho kudlala indima.

Isinyathelo sokuqala sokwelashwa ukubuyisela ithambo eliphukile endaweni yalo. Ngemuva kwalokho, ithambo kumele lingasebenzi kuze kube yilapho liphola, livinjwe ukuthi lingaphinde linyakaze.

• Uma izingcezu zamathambo zikhona: Udokotela angase afake i-plaster cast (i-'cast`) ngokushesha ethanjeni kuze kube yilapho liphola.
• Uma izingcezu zamathambo zingasekho endaweni yazo: Udokotela kuzodingeka abuyisele izingcezu zamathambo endaweni yazo. Lokhu kubizwa ngokuthi 'ukunciphisa' .

`Ukunciphisa okuvaliwe` (ukwelashwa okungasiki isikhumba)

Lena inqubo engeyona eyokuhlinzwa. Lokhu kusho ukuthi udokotela ngeke akusike isikhumba, kodwa uzomane alungise izingcezu zamathambo ngaphandle. Ngemuva kwalokho, bazofaka i-splint noma i-cast ukuze babambe izingcezu zamathambo endaweni yazo. I-splint ivame ukugqokwa izinsuku ezimbalwa ukuze kuvunyelwe ukuvuvukala kuphele. I-cast ivame ukugqokwa ngemva kwezinsuku ezimbalwa noma isonto (lapho ukuvuvukala sekuphelile). I-cast ingadinga ukushintshwa njengoba ukuvuvukala kuncipha.

Udokotela wakho uzothatha ama-X-ray masonto onke ukuze aqaphe ukuphulukiswa kwakho, okungenani amasonto amathathu. Ngemuva kwalokho, bazothatha enye i-X-ray cishe emavikini ayisithupha. Ngaleso sikhathi, i-cast izosuswa futhi uzoyalwa ukuba uqale ukwelashwa ngokomzimba ukuze uthuthukise ukusebenza kwesandla sakho kanye nokunyakaza kwaso. Ungase futhi uyalwe ukuthi ugqoke i-splint isikhashana ukuze uvikele isihlakala sakho.

`Ukunciphisa okuvulekile` (ukulungiswa kokuhlinzwa)

Lena inqubo yokuhlinzwa. Ngezinye izikhathi indlela yokunciphisa evaliwe ayisebenzi. Udokotela kuzodingeka enze i-incision esihlakaleni bese eqondisa amathambo. Ngemuva kwalokho, bazosebenzisa enye noma ngaphezulu yalezi zindlela ukubopha amathambo ndawonye aze aphole:

• `I-Cast` (iplasta)
• `Ipuleti nezikulufo`: Izingcezu zamathambo ziyahlanganiswa, kubekwa ipuleti lensimbi phezulu, bese kusetshenziswa izikulufo ukuze ziboshwe.
• `Uhlaka lwensimbi olunezikhonkwane`
• `I-External fixator`: Lokhu kuhilela ukufaka izikhonkwane emathanjeni bese uzinamathisela ohlakeni lwangaphandle. Loluhlaka lubamba amathambo ndawonye aze aphole ngaphakathi.

Kuthatha isikhathi esingakanani ukuthi ukuklwebheka kwesandla kuphole?

Isikhathi esithathayo ukuze ukuphuka kwesandla kuphole sincike ezintweni eziningana, okuhlanganisa nobunzima bokuphuka kanye nohlobo lokwelashwa.

• Ukunciphisa okuvaliwe: Uzohlala e-splint izinsuku ezimbalwa, kulandele ukufakwa kwe-cast amasonto amane kuya kwayisithupha. Ngemva kwalokho, kungathatha izinyanga ezintathu noma ngaphezulu ukubuyela emisebenzini yakho evamile.
• Ukunciphisa okuvulekile (ukulungiswa kokuhlinzwa): Le ndlela ithatha isikhathi eside ukuphulukiswa.

Ngesikhathi senqubo yokuphulukiswa, udokotela wakho uzokutshela ukuthi uhambise iminwe yakho, izindololwane, namahlombe (ngangokunokwenzeka) ukuze uvimbele ukuqina kwengalo yakho. Bazokutshela nokuthi ugcine ingalo yakho ingaphezulu kwezinga lenhliziyo yakho ukuze unciphise ukuvuvukala. Kuye ngemiyalelo kadokotela wakho, ungase ucelwe nokuthi uqale ukuhambisa izihlakala zakho.Ungathunyelwa futhi kudokotela wezokwelapha ngokomzimba ukuze akusize uthole amandla, ukusebenza, kanye nokunyakaza.

Ngisho noma sekuqediwe konke ukwelashwa, ungase usazizwa ubuhlungu noma ukuqina. Kungathatha izinyanga eziyisithupha kuya kweziyishumi nambili ukuthola induduzo ephelele, amandla, kanye nokuguquguquka. Ngakho-ke yiba nesineke ngokwelashwa kwakho.

Ungakwazi yini ukuvimbela ukuphuka kwengalo?

Ukuphuka kwesandla okuningi kubangelwa ukuwa nezingozi, ngakho-ke kunzima ukukuvimbela. Kodwa-ke, ukugcina impilo enhle yamathambo, ikakhulukazi kulabo abaneminyaka engaphezu kwengu-60, kungasiza ekunciphiseni le ngozi. Uma unesifo esifana ne-osteoporosis, khuluma nodokotela wakho ngalokho ongakwenza ukuze ugcine amathambo akho eqinile. Ukudla okunempilo, i-calcium, i-vitamin D, kanye nokuzivocavoca umzimba kungasiza.

Kufanele ngimbone nini udokotela?

Uma ulimele esihlakaleni sakho noma ucabanga ukuthi unethambo eliphukile, kufanele nakanjani ufune usizo lwezokwelapha.

• Uma ukulimala kungebuhlungu kakhulu futhi kungabonakali sengathi ithambo liyaphuma, cishe ungalinda usuku noma ngaphezulu ngaphambi kokuya kudokotela. Okwamanje, vikela isihlakala sakho nge-bant. Faka iqhwa bese ugcina ingalo yakho iphakeme.
• Kodwa-ke, uma inxeba libuhlungu kakhulu, noma uma isimo sesandla sishintshile ngokusobala (njengokungathi sidonswe), kufanele uye ngokushesha kudokotela noma egumbini lezimo eziphuthumayo nothile. Ungalibali.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma unesandla esiphukile, kuwumqondo omuhle ukubuza udokotela wakho imibuzo efana nale:

• Hlobo luni lokuphuka kwesandla enginalo?
• Yikuphi ukwelashwa okungcono kakhulu kwalokhu?
• Yini engingayenza ekhaya ukuze nginciphise ubuhlungu?
• Ngizokwazi nini ukusebenzisa ingalo yami futhi?
• Yini okufanele ngiyenze ukuze ngivimbele lezi zinhlobo zokuphazamiseka esikhathini esizayo?

Ekugcineni, umyalezo okufanele uwuthathe uye nawo ekhaya

O, kuvamile ukuzizwa wesaba uma uwa futhi isihlakala sakho sibuhlungu futhi sivuvukala. Kodwa khumbula, awuwedwa.

Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha okukhulu. Udokotela angakutshela ngqo ukuthi hlobo luni lokuphuka olunalo nokuthi yiluphi ukwelashwa okungcono kakhulu ngalo.

Inqubo yokuphulukiswa ingathatha isikhathi, kodwa ngokwelashwa okufanele kanye nokwelashwa ngokomzimba njengoba kuyalelwe udokotela wakho, uzokwazi ukusebenzisa ingalo yakho njengoba ubuvame ukwenza, futhi uzokwazi ukugwema izinkinga. Ngakho-ke, hlala uqinile futhi ubekezele ngokwelashwa kwakho!

Ukuphuka kwesihlakala, ukuphuka kwesandla, ukuphuka kwesihlakala, ukuphuka kukaColles, ukuphuka kukaSmith, ubuhlungu besihlakala