Ingabe ingane yakho encane iyawa bese ilimala ingalo yayo? Ingabe lokhu kungaba ukuphuka kwebhande?

Kujwayelekile ukuthi izingane zethu ezincane zithole ukusikeka okuncane kanye nemihuzuko lapho zigijima zidlala. Kodwa ngezinye izikhathi, ikakhulukazi ngemva kokuwa, lapho ziqhubeka nokukhononda ngokuthi ingalo noma umlenze wazo ubuhlungu, kungase kungabi ukuklwebheka nje kuphela. Kungaba ukuphuka kwethambo okuncane, noma isimo esibizwa ngokuthi 'ukuphuka kwe-buckle', okuvamile, ikakhulukazi ezinganeni ezincane, futhi sizokhuluma ngakho namuhla.

Kuyini 'Ukuphuka Kwebhakede'?

Kalula nje, 'ukuphuka kwe-buckle' kuwukuphuka okuvamile ezinganeni ezincane, lapho ithambo lingaphuki khona ngokuphelele, kodwa ithambo lonakele. Uma sikhuluma iqiniso, lokhu 'ukuphuka okungaphelele'. Ngezinye izikhathi odokotela bakubiza nangokuthi 'ukuphuka okuthintekile' noma 'ukuphuka kwe-torus'.

Ithola igama layo ngendlela okwenzeka ngayo. Cabanga ngokuchoboza ithini le-aluminium Coke elingenalutho ngesandla. Ithini aliphuki ngokuphelele libe yizingxenye ezimbili, akunjalo? Kodwa ligoba ngaphakathi kolunye uhlangothi futhi linamathele njengeqhubu elincane. Yilokho okwenzeka emathanjeni ezingane zethu lapho 'kuqhekeka iqhubu'. Ngokuvamile, lapho kufakwa ingcindezi engazelelwe (ukucindezela) ethanjeni, njengalapho kuwa, ingcindezi ibangela ukuthi uhlangothi olulodwa lwethambo lugobe kancane ngaphandle, njengeqhubu. Ithambo aliphuki ngokuphelele futhi lihlukane, kodwa kunalokho linamathela njengeqhubu elincane endaweni eyodwa.

Lokhu 'kuphuka kwe-buckle' kuvame ukubonakala emathanjeni amabili engalo ezinganeni, i-radius kanye ne-ulna. Okusho ukuthi, engxenyeni yesandla eqala endololwaneni iye esihlakaleni. Kodwa-ke, kungenzeka kunoma yiliphi ithambo elide. Isibonelo:

• Ithambo lethanga (i-femur)
• Ithambo lesifuba (i-tibia)
• Ithambo elincane elingaphandle kweqakala (i-Fibula)
• Ithambo lengalo engenhla (iHumerus)

Lesi simo sivame ukwenzeka lapho izingane ezincane ziwela phansi zidlala noma zigijima bese zishaya phansi izingalo zazo zeluliwe . Sivame kakhulu ezinganeni ezingaphansi kweminyaka eyi-12. Ingxenye engcono kakhulu ukuthi ngokuvamile asidingi ukuhlinzwa. Ngokuvamile, kusetshenziswa i-splint, okuyi-support evimbela ingalo ukuthi inganyakazi, noma ngezinye izikhathi i-cast, okuyi-plaster cast evikela ithambo kuze kube yilapho iphola,.

Uyini umehluko phakathi kwe-'Buckle Fracture' kanye ne-'Greenstick Fracture'?

Empeleni lezi yizinhlobo ezimbili 'zokwaphuka kwamathambo okungaphelele' okubonakala ezinganeni ezincane. La magama asiza udokotela ukuqonda ukuthi ithambo lengane liphukile kanjani, kuphi, nokuthi liphukile kanjani.

• Uma 'kuphuka i-buckle' , ingcindezi ifakwa ethanjeni, okwenza uhlangothi olulodwa lwethambo luvuvuke ngaphandle, lwakhe iqhubu, njengaleyo aluminium engikhulume ngayo ekuqaleni.
• 'Ukuphuka kwe-greenstick' kwenzeka lapho ithambo lengane ligobile futhi liphuka phakathi, kodwa uhlangothi olulodwa kuphela luphukile. Wake wazama ukuphula induku entsha yokhuni emanzi (induku eluhlaza) ngesandla sakho? Ayigobi njengenduku eyomile bese iphuka phakathi, akunjalo? Uhlangothi olulodwa kuphela oluphukile, kanti olunye uhlangothi lusaxhumene. Kunjalo-ke.

Isizathu sokuthi kokubili 'ukuphuka kwe-buckle' kanye 'nokuphuka kwe-greenstick' kwenzeka kaningi ezinganeni kunabantu abadala ukuthi amathambo ezingane athambile futhi aguquguquka kakhulu kunamathambo abantu abadala. Awaphuki kalula njengepulasitiki noma ingilazi. Yingakho amathambo ezingane evame ukugoba nokuqhekeka kanjena kunokuba aphuke ngokuphelele.

Nokho, kungakhathaliseki ukuthi ubiza ngani ithambo lengane yakho eliphukile, isinyathelo sokuqala esibaluleke kakhulu ukubona udokotela ngokushesha okukhulu.

Ingabe kuphuka ama-buckle ezandleni, eminweni, nasezithupheni?

Lesi simo, esibizwa ngokuthi 'ukuphuka kwe-buckle,' sivame ukuthinta amathambo amade ezinganeni. Akuvamile ukuthi 'ukuphuka kwe-buckle' kwenzeke emathanjeni amancane ezandla, iminwe, noma isithupha. Uma ingane yakho ikhala ngobuhlungu ezandleni noma eminweni yayo, kungaba umunwe ophukile noma umunwe ophukile. Ngakho-ke, kungcono ukukhuluma nodokotela uma unezimpawu ezintsha.

Kuvame kangakanani 'ukuphuka kwe-Buckle'?

Lesi yisimo esivame kakhulu. Ingane eyodwa kwezine ephuka ithambo (eyodwa kwezine) ine-'buckle fracture'. Futhi, ingxenye (50%) yazo zonke izihlakala eziphukile ezinganeni ezincane ilolu hlobo lokuphuka.

Ubani othola 'i-Buckle Fracture'?

'Ukuqhekeka kwe-buckle' (okubizwa nangokuthi ukuqhekeka kwe-imptive) kuvame kakhulu ezinganeni ezingaphansi kweminyaka engu-12. Isizathu ukuthi, njengoba sesixoxile ngaphambili, imizimba yezingane isakhula, ngakho-ke amathambo azo athambile futhi aguquguquka kakhulu kunawabantu abadala. Njengoba sikhula, amathambo ethu alahlekelwa kancane kancane yilokho kuguquguquka. Ngenxa yokuthi amathambo ezingane athambile, maningi amathuba okuphuka kanje (kanye nokunye ukuqhekeka okungaphelele) kunokuba aphuke ngokuphelele.

Nakuba abantu abadala bengaba nalokhu 'kuphuka kwe-buckle', akuvamile kakhulu. Ngezinye izikhathi kungenzeka kubantu abadala abanamathambo asicaba, njengezimbambo. Futhi, abantu abanezifo ezinciphisa amathambo, njenge-osteoporosis, basengozini enkulu yokuqhekeka kwazo zonke izinhlobo, okuhlanganisa 'nokuqhekeka kwe-buckle'.

Ziyini izimpawu 'zokwaphuka kwe-Buckle'?

Uma ingane yakho 'iphuke kabi', ungase ubone izimpawu ezifana nalezi:

• Ubuhlungu: Ungase uzwe ubuhlungu uma uthinta indawo elimele noma ushukumisa ingalo/umlenze othintekile.
• Ukuvuvukala: Indawo elimele ingase ivuvuke.
• Ubuhlungu: Indawo elimele ingase ibe buhlungu kakhulu uma uyithinta kunezinye izindawo.
• Ukuphuka noma ukushintsha kombala wesikhumba: Ngezinye izikhathi ungase ubone ukushintsha kombala okuluhlaza okwesibhakabhaka noma okunsomi endaweni yokulimala.
• Ukukhubazeka noma iqhubu: Uma kukhona into ebonakalayo, njengeqhubu noma iqhubu, engavamile ukubonakala kuleyo ngxenye yomzimba wengane.
• Ezinganeni ezincane: Ezinye izingane ezincane zingase zingakwazi ukukhuluma kahle ngobuhlungu, ngakho zingase zizame ukugwema ukusebenzisa isandla esilimele. Isibonelo, zingase zibambe amathoyizi ngesandla esisodwa kuphela, noma uma umlenze ulimele, zingase zibeke lowo mlenze phansi futhi zenqabe ukuhamba.

Yiziphi izimbangela 'zokwaphuka kwe-Buckle'?

Iningi 'lokuphuka kwe-buckle' lenzeka lapho izingane ezincane ziwela phansi bese zizama ukuzisindisa ngokwelula izingalo zazo phambi kwazo bese zishaya phansi . Amandla okuwa acindezela amathambo azo, okubangela 'ukuphuka kwe-buckle'. Yingakho lesi simo sivame ukuthinta amathambo ezingalweni (i-radius ne-ulna) zezingane. Cabanga ukuthi indodana yakho yayidlala egcekeni yawa ngokuzumayo, yashaya isandla sayo. Noma ake sithi indodakazi yakho yaya eceleni kancane ngenkathi igibela ibhayisikili layo yashaya phansi. Yilapho lolu hlobo lokulimala lungenzeka khona.

Ungayibona kanjani 'i-Buckle Fracture'?

Uma uyisa ingane yakho kudokotela, izoqala ngokuyihlola ngokomzimba . Okusho ukuthi, izokuzwa ukulimala, ihlole ukuvuvukala nobuhlungu. Ngemuva kwalokho, izovame uku-oda i-X-ray ukuqinisekisa ukuthi kukhona yini ukwaphuka nokubona ukuthi hlobo luni lomonakalo olwenzekile ethanjeni.

Kulashwa kanjani ukuphuka kwe-buckle?

'Ukuphuka kwe-buckle' (okubizwa nangokuthi 'ukuphuka okuthintekile') kuvame ukwelashwa nge -'splint' . Lokhu kubizwa nangokuthi 'ukungasebenzi', okusho ukugcina ithambo elilimele linganyakazi. Kwabanye abantwana, odokotela bangase batuse 'i-cast', okuyi-plaster cast. Udokotela wakho uzokutshela ukuthi yikuphi ukwelashwa okungcono kakhulu enganeni yakho. Lokhu 'splint' noma 'cast' kungavikela ithambo elilimele lengane yakho ekulimaleni okwengeziwe, kusize ekunciphiseni ubuhlungu, futhi kusize ukuyigcina ikhululekile.

Iningi lezingane kuzodingeka lifake i-splint cishe amasonto amabili kuya kwamathathu. Ukuthi kudingeka bayifake isikhathi esingakanani kuncike ekutheni izimpawu zengane (njengobuhlungu nokuvuvukala) zithuthuka ngokushesha kangakanani.

Ukuze unciphise ubuhlungu, ungathatha ama-NSAID (Izidakamizwa Ezingezona I-Steroidal Anti-Inflammatory) njenge-Aspirin noma i-Ibuprofen, njengoba kunqunywe udokotela wakho. Kodwa-ke,Kufanele uqaphele kakhulu lapho unikeza izingane i-aspirin, njengoba ingabangela izimo ezibucayi njenge-Reye's syndrome, ngakho ungayiniki ngaphandle kweseluleko sikadokotela. Udokotela wakho uzokuchazela ukuthi yimiphi imithi ongayinika ingane yakho nokuthi ingakanani.

Ingabe Ukuphuka Kwebhakede Kuzophola Kodwa? Kwenzekani Uma Kungelashwa?

Nakuba 'ukuphuka kwe-buccal' kungekubi kangako njengokunye ukuphuka kwe-buccal, ungalokothi ungazinaki izimpawu ezifana nobuhlungu, ukuvuvukala, kanye nokuthamba. Uma ingane yakho 'iphuka kwe-buccal' futhi ingelashwa kahle, kungaholela ezinkingeni ezifana nalezi:

• I-Malunion: Izingcezu zamathambo eziphukile zingase zingahlangani kahle lapho ziphola.
• Ukungahlanganisi: Izingcezu zamathambo aphukile kungenzeka zingahlangani ngokuphelele, noma zingahlangani nhlobo.
• Ukuwohloka kwezimpawu: Uma zingelashwa, izimpawu ezifana nobuhlungu enganeni zingase zibe zimbi kakhulu ngokuhamba kwesikhathi, kwandise isikhathi esithathayo ukuze ilulame.

Ngakho-ke, kuwukuhlakanipha ukufuna iseluleko sezokwelapha uma unemibuzo, noma ngabe ukulimala okuncane.

Yiziphi izinkinga ezingaba khona ngesikhathi sokwelashwa?

Lapho welapha 'ukuphuka kwe-buckle', okulandelayo ngezinye izikhathi kungenzeka:

• Ukulimala Kabusha: Uma ingane ihlanganyela emisebenzini yomzimba efana nemidlalo kusenesikhathi (ngaphambi kokuphola), ithambo lingase lilimale futhi noma liphuke kakhulu.
• Okunye ukulimala kwangaphakathi: Ukuphuka kungalimaza nemisipha ezungezile, imizwa, imithambo yegazi, imisipha, kanye nemisipha.
• Imiphumela emibi ye-NSAID: Lawa maphilisi obuhlungu angabangela ukuphuma kwegazi, izilonda zesisu, ukuqaqamba kwesisu, kanye nezinkinga zamathumbu kwabanye abantu. Yingakho kufanele usebenzise umuthi kuphela njengoba uqondiswe udokotela wakho.

Ingane izozizwa ingcono ngokushesha kangakanani ngemva kokuqala ukwelashwa?

Izingane eziningi zithola impumuzo ngokushesha kanye nokuthuthuka ebuhlungwini ngemva kokufakwa kwe-banding. Kodwa-ke, ngokuvamile kuthatha amasonto ambalwa ukuthi izimpawu ziphele ngokuphelele. Ngenxa yokuthi i-banding igcina ithambo lisendaweni yalo, inganciphisa kakhulu ubuhlungu.

Uma ingane yakho isezinhlungwini ezingabekezeleleki futhi zingapheli, bona udokotela ngokushesha.

Ngingayinciphisa kanjani ingozi yengane yami yokuphuka kwe-buckle?

Nakuba kungekho ndlela eyi-100% yokuvimbela ukuphuka kwamathambo, unganciphisa ingozi yokulimala kwengane yakho ngokulandela lawa macebiso okuphepha ajwayelekile:

• Gqoka amabhande esihlalo njalo uma uhamba ngezimoto.
• Gqoka imishini yokuzivikela efanele lapho udlala imidlalo noma uvivinya umzimba.(isib. isigqoko sokuzivikela, ama-knee pad).
• Susa futhi ugcine izinto ezingadala izingozi ekhaya lakho nasezindaweni zokudlala ngendlela ehlelekile.
• Uma ufinyelela into ephezulu endlini , sebenzisa into efanele, njengesitebhisi. Fundisa izingane ukuthi zingakhweli ezihlalweni nasematafuleni.
• Khuthaza ingane yakho ukuba ilandele ukudla okulinganiselayo kanye nesimiso sokuzivocavoca esiza ukugcina impilo enhle yamathambo.

'Ukuphuka kwe-buckle' kuvame ukubangelwa izingozi ezifana nokuwa ngokuzumayo, ngakho-ke kunzima ukukuvimbela ngokuphelele. Kodwa-ke, kubalulekile ukunaka kancane izingane ezincane uma zidlala futhi udale indawo ephephile kuzo.

Uma usukhulile, uneminyaka engaphezu kwengu-50, noma unomlando womndeni we-osteoporosis, kungumqondo omuhle ukukhuluma nodokotela mayelana nokuhlolwa kokuqina kwamathambo.

Yini engingayilindela uma ingane yami ine-'Buckle Fracture'?

Ungalindela ukuthi ingane yakho ilulame ngokugcwele. 'Ukuphuka kwe-buccal' kuyinkinga yesikhashana. Ingane ngeke ibhekane nobuhlungu besikhathi eside noma eminye imiphumela ngemva kwalokhu.

Ukuphuka okuthintekile kuphola ngokushesha kakhulu uma kuqhathaniswa nokunye ukuphuka. Izingane ngokuvamile zidinga ukugqoka i-splint amasonto ama-2-3 kuphela. Uma izimpawu ezifana nobuhlungu nokuthamba seziphelile, izimo eziningi azidingi ukwelashwa okwengeziwe noma ukuvakashelwa okulandelayo.

Ingabe ingane yami ngeke ikwazi ukuya esikoleni noma ukuhlanganyela emisebenzini?

'Ukuphuka kwebhakede' akusho ukuthi ingane kufanele iyeke ukuya esikoleni. Kodwa-ke, kufanele igweme imisebenzi enzima yomzimba njengezemidlalo kuze kube yilapho izimpawu seziphelile ngokuphelele futhi kube amanye amasonto amabili.

Iningi lezingane lingabuyela kuzo zonke imidlalo yalo kanye neminye imisebenzi yalo ngemva kwenyanga. Udokotela wakho uzokutshela ukuthi kufanele ugweme isikhathi esingakanani imisebenzi ethile.

Iyini inhloso yokuphuka kwebhakede?

Umbono 'wokuphuka kwe-buckle' muhle kakhulu. Ingane yakho izolulama ngokuphelele futhi izophila ngaphandle kobuhlungu besikhathi eside noma ezinye izimpawu.

Kufanele ngiye nini eGumbini Lezimo Eziphuthumayo?

Uma ucabanga ukuthi ingane yakho 'inokuphuka kwe-buckle' - noma elinye ithambo eliphukile - kufanele ubone udokotela ngokushesha okukhulu. Uma benanoma yiziphi izimpawu ezilandelayo, iya ekamelweni lezimo eziphuthumayo ngokushesha:

• Ubuhlungu obukhulu kakhulu.
• Ukungakwazi ukuhambisa ingxenye yomzimba evame ukushukunyiswa.
• Ingxenye yomzimba ibukeka ihlukile kunejwayelekile, noma ibonakala ingekho endaweni yayo.
• Uma isikhumba siqhekekile futhi ithambo libonakala.
• Ukuvuvukala.
• Lezi zimpawu zihambisana nokuvela kwemivimbo emisha.

Uma wena noma ingane yakho niye nabhekana nengozi enkulu (ukulimala), iya ekamelweni lezimo eziphuthumayo ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza udokotela imibuzo efana nale mayelana nesimo sengane yakho:

• Yiliphi ithambo eliphukile?
• Ingabe ingane yami 'inokuphuka kwe-buckle' noma olunye uhlobo lokuphuka?
• Ingane yami izodinga isikhathi esingakanani ukugqoka i-splint?
• Kuzothatha isikhathi esingakanani ukuphulukiswa?
• Angaqala nini imisebenzi yomzimba (njengokudlala) futhi?

Kujwayelekile ukuthi noma yimuphi umzali esaba lapho ingane yakhe ilimele, ikakhulukazi uma ezwa ukuthi inethambo eliphukile. Kodwa khumbula, 'ukuphuka kwe-buckle' kuyinxeba elingelapheka kakhulu, futhi kuvamile ezinganeni ezincane. Lokho kusho ukuthi udokotela wakho angalixilonga futhi aliphathe ngokushesha. Chaza ingane yakho ngokulimala kwayo, ukuthi kungani izogqoka 'i-splint' nokuthi isikhathi esingakanani. Mchazele ukuthi lokhu kulimala kungokwesikhashana nokuthi angadlala futhi ahlanganyele kuyo yonke imisebenzi ayithandayo uma umzimba wakhe usupholile.

Khumbula izinto ezibaluleke kakhulu (Umyalezo Wokuya Ekhaya)

• 'Ukuphuka kwe-buckle' kuwukuphuka lapho ithambo lingaphuki ngokuphelele, futhi kuvamile ezinganeni ezincane.
• Lokhu kuvame kakhulu ukwenzeka ngenxa yokuwa, ikakhulukazi uma isandla sibanjwe phansi.
• Funa iseluleko sezokwelapha uma uhlangabezana nezimpawu ezifana nobuhlungu, ukuvuvukala, noma ukungasebenzisi ingalo/umlenze wakho.
• Lokhu kuvame ukuphola emavikini ama-2-3 nge-bant. Akudingeki ukuhlinzwa.
• Ingane ilulama ngokuphelele futhi ayinazo izinkinga zesikhathi eside.
• Gwema umsebenzi onzima womzimba kuze kube yilapho udokotela wakho ekuyala ukuba wenze kanjalo.

Ngifisela ingane yakho ukululama okusheshayo!

ukuphuka kwebhande, ukuphuka okuthintekile, ukuphuka kwe-torus, ukuphuka kwezingane, ukuphuka kwamathambo, ukuphuka kwezingane, impilo yezingane