Uke waphuka ithambo eduze kwesihlakala sakho? Lokhu kungaba "ukuphuka komshayeli"!

Hawu! Ingabe isihlakala sakho siyabuhlungu? Mhlawumbe kwenzeka uma uwa, ushaya okuthile, noma ushayeka kabi esandleni? Ngisho noma kungase kubonakale sengathi ukuklwebheka okuncane, ngezinye izikhathi lobu buhlungu bungaba yinto engathi sína kakhulu. Namuhla sizokhuluma ngohlobo olukhethekile lokuphuka esihlakaleni. Lokhu kubizwa ngokuthi "Ukwaphuka Komshayeli".

Kuyini lokhu "Ukuphuka Komshayeli"?

Kalula nje, "i-Chauffeur Fracture" iwukuphuka kwethambo eduze kwesihlakala sakho. Engalweni yethu, kusukela endololwaneni kuya esihlakaleni, kunamathambo amabili amade amakhulu, akunjalo? Elinye yi -radius kanti elinye yi -ulna . Sibiza ngokuthi "i-Chauffeur Fracture" lapho ukuphela okuqondile kwe-radius (odokotela abayibiza ngokuthi inqubo ye-radial styloid) esihlakaleni kuphuka.

Empeleni lolu uhlobo lokuphuka olubizwa ngokuthi "Distal Radius Fracture" . Okusho ukuthi, ukuphuka engxenyeni engezansi yethambo "le-Radius", eduze kwesihlakala. Into ekhethekile ukuthi, lokhu "Shofer Fracture" kudlulela esihlangwini . Odokotela babiza ukuphuka okudlula esihlangwini esinjengalesi ngokuthi "Intraarticular Fracture" . Uyaqonda? Lokho kusho ukuthi, akulona ithambo kuphela, kodwa futhi nesihlangwini.

Lokhu 'kuphuka kwe-Shofer' kubizwa ngamanye amagama amaningana. Kungenzeka ukuthi uke wezwa ngakho:

• Lokhu kubizwa nangokuthi "i-Radial Styloid Fracture" .
• Futhi ibizwa ngokuthi `(Hutchinson Fracture)` ,
• Lesi simo singabizwa nangokuthi "i-Backfire Fracture" .

Ubani onamathuba amaningi okuthuthukisa lokhu "kuphuka kwe-Shofer"?

Eqinisweni, noma ubani angaba nokuphuka okunje. Kodwa-ke, ngokuvamile, uhlobo lokuphuka kwe-``Distal Radius Fracture``, okungukuthi, ukuphuka kwethambo le-``Radius`` endaweni yesihlakala, kuvame ukubonakala kubantu abasha abakhuthele, noma kubantu abangaphezu kweminyaka engu-65. Le ngozi iphezulu kakhulu kubantu asebekhulile abane -``Osteoporosis`` (isifo sokulahlekelwa amathambo). Ngoba amathambo abo abuthakathaka kancane futhi angaphuka kalula.

Ungase umangale ukwazi ukuthi lolu hlobo lokuphuka, olubizwa ngokuthi "i-Distal Radius Fracture", uhlobo lokuphuka oluvame kakhulu oluphathwa odokotela emazweni afana ne-United States. Lubangela u-17% wabo bonke ukuphuka okubonwa ezindlini eziphuthumayo!

Kungani lokhu kubizwa ngokuthi "uMshayeli Ophukile"?

Leli gama lizwakala lingavamile, akunjalo? Igama elithi "Shofer" lisho abashayeli. Ngakho-ke lalithola kanjani lelo gama? Kukhona indaba encane ngemuva kwalo.

Esikhathini esidlule, okungukuthi, ekuqaleni kwekhulu lama-20, izimoto zazingaqalwa ngokujika ukhiye njengoba zinjalo manje. Kwakukhona isibambo esikhulu se-crank (induku eyayiphendulwa ngesandla) ngaphambili kwemoto. Injini yayiqalwa ngokuyijika ngamandla ngokwewashi (ngakwesokudla).Cabanga ukuthi abashayeli (abashayeli) kwakufanele benze umsebenzi ongakanani ngalezo zinsuku. Ngakho-ke, ngezinye izikhathi, njengoba injini 'iqala', 'isibambo se-crank' siyaphenduka ngokuzumayo. Njengokungathi 'ukubuyela emuva'. Bese umuntu owayephendula i-crank ngokuzumayo ubuyela esihlakaleni, ephula isihloko salelo thambo '(le-Radius)' esikhulume ngalo ngaphambili.

Kwakungenxa yalesi sigameko lapho udokotela ohlinzayo wamathambo waseFrance uJust Lucas-Championnière aqamba lokhu kuphuka ngokuthi “ukuphuka komshayeli,” mhlawumbe ngoba kwakuvamile phakathi kwabashayeli ngaleso sikhathi.

Yiziphi izimbangela "zokuphuka kwe-Shofer"?

Imbangela eyinhloko uhlobo oluthile lokulimala okukhulu esihlakaleni. Lokhu kungenzeka ngezindlela ezahlukene:

• Ukuwa ngesandla eseluliwe: Uma siwa, sifinyelela isandla bese sithinta umhlabathi ngesandla sethu. Ngaleso sikhathi, isisindo somzimba wonke sidlula esihlakaleni, okungaholela kulolu hlobo lokuphuka. Ngisho nokushelela nokuwa okuncane kungabangela lokhu.
• Ukushaywa kanzima ngemuva (ohlangothini olungaphezulu) lwesandla: Lokhu kungenzeka uma into enzima iwela noma ikushaye ndawana thize.
• Izingozi zezimoto: Zibangelwa izinto ezifana nokushayisa isiteringi engozini yemoto.
• Ukulimala kwezemidlalo: Lokhu kungenzeka ikakhulukazi lapho udlala imidlalo yokuthintana, njenge-rugby nebhola. Kungenzeka futhi uma uwa ngenkathi uskeyitha noma ugibela i-snowboarding.

Ziyini izimpawu "zokwaphuka kwe-Schaufer"?

Uma une-'Shofer fracture', ungase uqaphele lezi zimpawu ezilandelayo esihlakaleni sakho:

• Imivimbo: Kungase kube nemivimbo eluhlaza okwesibhakabhaka noma onsomi.
• Ukunyakaza okulinganiselwe: Ubunzima bokujika isihlakala, ukusiphakamisa nokusehlisa.
• Ubuhlungu obukhulu: Ubuhlungu bukhulu kakhulu uma ushukumisa isandla noma uzama ukuthinta okuthile.
• Ukuvuvukala: Indawo ezungeze isihlakala ingavuvukala kakhulu.
• Ubumnene: Kubuhlungu uma kuthintwa noma kucindezelwa.
• Ukubukeka okungavamile kwesihlakala: Isandla singase sigogeke, selulwe, noma sibukeke njengeqhubu elingavamile.

Uma unalezi zimpawu, kufanele ubonane nodokotela ngokushesha. Ungaziphilisi.

Uyibona kanjani "i-Shofer fracture"?

Uma uya kudokotela, bazoqala bakubuze ngezimpawu zakho nokuthi zenzeke kanjani. Bese bezohlola isihlakala sakho nezinye izingxenye zesandla sakho ukuze babone ukuthi kukhona ukulimala, ukuvuvukala, noma izinguquko esimweni. Bazohlola nokusebenza kwemizwa yakho esandleni sakho kanye neminwe. Ngaphezu kwalokho, bangenza lezi zivivinyo ezilandelayo:

• I-X-ray: Lokhu kungabonisa ngqo ukuthi ithambo liphuke kuphi nokuthi liphuke kangaki izingcezu. Udokotela angaqhathanisa nobude bamathambo e-radius ezingalweni zakho zombili.
• I-CT scan noma i-MRI:Lokhu kungaqinisekisa ngokwengeziwe ukuphuka futhi kubonise ngokusobala ukuthi kukhona yini umonakalo emithanjeni ezungezile, emithanjeni, noma ezicutshini ezithambile. Akuwona wonke umuntu odinga lokhu, kodwa lokhu kuhlolwa kungaba usizo kwezinye izimo eziyinkimbinkimbi.

Iphathwa kanjani "i-Shofer fracture"?

Umgomo oyinhloko wodokotela ukulungisa amathambo aphukile nokuwagcina endaweni yawo aze aphole kahle. Ukwelashwa 'kokuphuka kwe-Schaufer' kungahluka kumuntu nomuntu. Kuncike ezintweni ezifana nalezi:

• Ubunzima bokuphuka.
• Ingabe ukulimala kusezandleni zakho ezibusayo?
• Ingabe izingcezu zamathambo zisusiwe lapho zazikhona?
• Izinga lakho lomsebenzi elijwayelekile.
• iminyaka yakho.
• Ingabe kukhona okunye ukulimala kwamalungu omzimba, futhi ingabe kuzobangela ubunzima bokusebenza noma ukuthwala isisindo ngalokhu kulimala?

Kunezindlela zokwelapha ezingezona ezokuhlinzwa nezokuhlinzwa 'zokuphuka kwe-Shofer'. Ezimweni eziningi, ukuhlinzwa kuyadingeka ukuze lolu hlobo lokuphuka kwe-Shofer luphole kahle.

Ukwelashwa okungeyona eyokuhlinzwa:

• Ukunciphisa Nokubumba Okuvaliwe: Udokotela uzokwenza i-incision esikhumbeni sakho futhi alungise ithambo eliphukile (mhlawumbe ngokunciphisa ubuhlungu kancane). Ngemva kwalokho, i-splint (isisekelo sesikhashana esivimbela ukunyakaza) izogqokwa izinsuku ezimbalwa. Uma ukuvuvukala sekuphelile, kuzosuswa bese kufakwa i-plaster cast. Uzohlolwa kabusha cishe emavikini amabili kuya kwamathathu futhi i-cast ingashintshwa uma kudingeka. I-cast ngokuvamile izosuswa ngokuphelele emavikini ayisithupha.

Ukwelashwa ngokuhlinzwa:

• Ukuqina Kwangaphandle: Kule nqubo, udokotela ufaka i-stabilizer esihlangwini sakho esebenzisa izikhonkwane zensimbi. Le nqubo isetshenziswa lapho i-cast yodwa ingakwazi ukubamba izingcezu zamathambo endaweni yazo, noma uma kunezimo eziningi ezimbi.
• Ukunciphisa Okuvulekile Okulinganiselwe: Kule nqubo, udokotela wenza ukusika okuncane bese ehambisa izingcezu zamathambo endaweni yazo. Kusetshenziswa idivayisi yokuqinisa yangaphandle ukuze izibambe endaweni yazo. Le nqubo ingasetshenziswa uma izingcezu zamathambo zingaphezu kwamamilimitha amabili ukusuka endaweni yazo.
• Ukunciphisa Okuvulekile Nokulungiswa Kwangaphakathi (i-ORIF): Lokhu kuyindlela yokuhlinzwa evame kakhulu yokuphuka kwe-Shofer. Udokotela ohlinzayo wenza i-incision ngaphambili kwesandla sakho (ohlangothini lapho sizwa khona ukushaya kwenhliziyo - ingxenye ye-volar), uqondisa kabusha izingcezu zamathambo eziphukile, bese esebenzisa ipuleti lensimbi nezikulufo ukuze azibambe endaweni yazo.Abanye odokotela abahlinzayo manje basebenzisa ubuchwepheshe bokuphrinta be-3D ukudala amamodeli amathambo afanele ukuze kwandiswe ukunemba kokuhlinzwa.

Ingabe ukwelashwa kungabanga izinkinga noma imiphumela emibi?

Izinkinga ezivela ekwelashweni zingahluka kumuntu nomuntu. Inkinga evame kakhulu yisimo esibizwa ngokuthi "malunion", lapho ithambo liphola ngendlela ehlukile kunangesikhathi liphola okokuqala. Lokhu kungabangela ukuthi ithambo lifinyezwe kancane, lidonseke, noma lijike.

Ezinye izinkinga ezingabonakala zifaka:

• I-Arthritis: Lokhu kusho ukuvuvukala kwamalunga. Ngokuhamba kwesikhathi, ubuhlungu nokuqina kwamalunga kungavela.
• Ukungabi yinhlangano: Ngezinye izikhathi izingcezu zamathambo zingase zingahlangani kahle.
• I-Compartment Syndrome: Lokhu kungukwanda okuyingozi kokucindezeleka ngaphakathi kwemisipha yengalo. Lokhu kuyisimo esiphuthumayo.
• I-Complex Regional Pain Syndrome (CRPS): Lokhu kubangela ubuhlungu obukhulu kanye nokuvuvukala.
• Ukutheleleka: Kunethuba elincane lokuthi ukutheleleka kwenzeke endaweni yokuhlinzwa.
• Ukulimala kwamalunga noma imisipha: Lokhu kungalimaza kanye nokuqhekeka.
• Ukuphazamiseka kwemizwa: Isibonelo, izimo ezifana ne -carpal tunnel syndrome zingaba khona.
• Ubuhlungu obuqhubekayo, ukuqina, noma ukungakwazi ukuphinda ushukumise ngokugcwele.
• Ubuhlungu esihlakaleni se-Ulnar.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Isikhathi sokululama siyahlukahluka kuye ngomuntu nomuntu. Uma usukhulile, noma uma unezinye izimo zezokwelapha ezifana ne -osteoporosis noma isifo sikashukela, kungathatha isikhathi eside ukululama. Kubalulekile ukubekezela nokulandela imiyalelo kadokotela wakho.

Ungayinciphisa kanjani ingozi "yokuphuka kwe-Schaufer"?

Nakuba ingozi yalolu hlobo lokuphuka ingenakuqedwa ngokuphelele, kunezinto esingazenza ukuze siyinciphise:

• Yenza izivivinyo zokuthwala izinsimbi: izinto ezifana nokuhamba, ukugijima, nokudansa. Futhi, yenza izivivinyo zokumelana nokucindezeleka: njengokuphakamisa izinsimbi. Lokhu kuqinisa amathambo.
• Yidla ukudla okunempilo okucebile nge -calcium kanye ne-vitamin D.
• Vimbela noma ulawule i-osteoporosis (ukulahlekelwa amathambo): ngokudla ngendlela efanele, ukuzivocavoca, kanye nokuthatha imithi njengoba kunqunywe udokotela wakho uma kudingeka.
• Yeka ukubhema nokusebenzisa imikhiqizo kagwayi ngokuphelele. Ukubhema kuphazamisa ukuphulukiswa kwamathambo.
• Eminye imithi oyithathayo ingathinta ukumuncwa kwe-calcium namavithamini emzimbeni.Ngakho-ke, khuluma nodokotela wakho ngemithi oyiphuzayo.
• Thatha izinyathelo zokuvimbela ukuwa ekhaya: izinto ezifana nokufaka izikhonkwane ezitebhisini kanye nezinsimbi zokubamba endlini yokugezela.
• Uma udlala imidlalo ethinta kakhulu (njengebhola, i-rugby), noma uhlanganyela emisebenzini efana nokuskeyitha emgqeni noma ukugibela i-snowboarding, qiniseka ukuthi ugqoka izivikelo zesandla nezinye izimpahla zokuzivikela.

Yini ongayilindela uma une-"Shofer fracture"?

Uma uhlinzwa ngenxa yokuphuka kwe-'Shofer', udokotela ohlinzayo uzofaka i-balt esihlakaleni sakho cishe amasonto amabili. Ngemuva kwalokho, uma ubuyela ukuyobona udokotela, uzokunika i-balt esuswayo ukuze uyigqoke cishe amasonto amane.

'Ukuphuka kwe-Shofer' kungabangela ubuhlungu izinsuku ezimbalwa kuya emavikini ambalwa. Ukuze unciphise ubuhlungu, udokotela wakho angase akunike imithi yobuhlungu efana ne -'(Ibuprofen)` noma `(Acetaminophen)` . Uma ubuhlungu bukhulu, unganikezwa imithi enamandla.

Udokotela wakho uzokufundisa nokuzivocavoca okulula ukukusiza ukuthi uhambise isihlakala sakho neminwe kancane . Bangase batuse nokwelashwa ngokomzimba ukukusiza ukuthi uthole amandla nokunyakaza esihlakaleni sakho. Lokhu kubaluleke kakhulu.

Ingabe lokhu kungaba nemiphumela yesikhathi eside?

Kungase kube nokuqina nobuhlungu esihlakaleni kuze kube yiminyaka emibili . Ukwelashwa ngokomzimba kungasiza ekubuyiseleni ububanzi obukhulu bokunyakaza esihlakaleni.

Ngokuvamile, ungaqhubeka nemisebenzi elula njengokubhukuda zingakapheli inyanga noma ezimbili ngemuva kokususwa kwe-cast noma ngemuva kokuhlinzwa. Kuthatha cishe izinyanga ezintathu kuya kweziyisithupha ukuqala imisebenzi enzima njenge-rugby kanye ne-snowboarding.

Kungathatha okungenani unyaka wonke ukululama ngokuphelele. Kwabanye abantu, ikakhulukazi:

• Uma inxeba libi kakhulu,
• Uma uneminyaka engaphezu kwengu-50 ubudala,
• Uma unesifo samalunga (i- osteoarthritis ),

Kungase kube nobuhlungu obungapheli noma ukuqina esihlakaleni.

Kufanele ngimbone nini udokotela?

Kungakhathaliseki ukuthi ngemva kokufakwa ukhonkolo noma ukuhlinzwa, uma ungakwazi ukuhambisa iminwe yakho ngenxa yokuvuvukala noma ubuhlungu zingakapheli amahora angama-24, bona udokotela ngokushesha. Kufanele uzame ukubuyisela ukunyakaza okugcwele eminweni yakho ngokushesha okukhulu. Futhi, qiniseka ukuthi ulandela udokotela wakho njengoba kuyalelwe ngesikhathi sokwelashwa kwakho. Lokhu kuzosiza ekuboneni noma yiziphi izinkinga ezingase ziphakame ngesikhathi sokululama kwakho.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, manje usuyaqonda ukuthi "uMshayeli Ophukile" esikhulume ngaye namuhla ukuphuka kwethambo eliseduze nesandla. Lokhu kungenzeka ngokuwa, ingozi, njll.

Into ebaluleke kakhulu ukungathuki uma ulimele kanje, kodwa ukufuna iseluleko sezokwelapha ngokushesha. Odokotela bangazilapha ngempumelelo lezi 'ziphuphu zeShofer' ngokufaka iplasta, ukuhlanganisa amadivayisi angaphandle, noma ukwenza ukuhlinzwa.

Uma unezinkinga ngemva kokwelashwa, khuluma nodokotela wakho ngakho bese uthola imithi edingekayo noma ukwelashwa ngokomzimba. Nakuba kungathatha isikhathi, abantu abaningi bayakwazi ukuqhubeka nemisebenzi yabo evamile zingakapheli izinyanga ezimbalwa. Ngakho-ke, kubalulekile ukubekezela nokulandela imiyalelo kadokotela wakho ngesikhathi sokwelashwa! Ngikufisela ukululama okusheshayo!

Ukuphuka Komshayeli, Ukuphuka Kwe-Radial Styloid, Ukuphuka Kwesihlakala, Ukuphuka Kwamathambo, Ubuhlungu Besandla, Ubuhlungu Besihlakala, Ukuphuka Kwe-Radius