Uma sesizowela, into yokuqala esiyenzayo ngaphandle kokuqaphela ukuzama ukuzisindisa ngokubeka izandla zethu phansi. Cabanga ukuthi ushelele ezitebhisini, noma ukhubeke kokuthile ngenkathi uhamba. Ngaleso sikhathi, sizama ukuvimba umzimba wethu ukuthi ungashayi phansi ngokubeka izandla zethu phansi. Kodwa uma senza lokho, isisindo somzimba wethu wonke siya esihlakaleni sethu ngokuzumayo. Ngokucindezeleka okukhulu okufika ngaleso sikhathi, kunethuba elikhulu lokuphuka ithambo esihlakaleni . Yingakho sibiza ukuphuka kwesihlakala , okuyinto evame kakhulu, ngokuthi "i-Colles Fracture" kwezokwelapha.
Kalula nje, kuyini i-Colles Fracture?
Kulungile, ake sikuchaze kalula lokhu. Kunamathambo amabili amakhulu esandleni sakho, kusukela endololwaneni yakho kuya esihlakaleni sakho . Elikhulu, ohlangothini lwesithupha, libizwa ngokuthi i-radius. I-Colles Fracture ukuphuka kwethambo le-radius, eliseduze kakhulu nesihlakala , cishe i-intshi ngaphezu kwesihlakala .
Okukhethekile ngalokhu ukuthi lapho ithambo liphuka, ingxenye ephukile idonswa esandleni. Kufana nokuthi ingxenye eyodwa yegatsha elincane eliphukile kabili igobile. Lesi yisimo esibuhlungu kakhulu nesibucayi esidinga ukunakekelwa kwezokwelapha ngokushesha.
Uma usola ukuthi uphukile esihlakaleni , ungacabangi ngisho nokuselapha ekhaya. Into engcono kakhulu ongayenza ukuya emnyangweni wezimo eziphuthumayo wesibhedlela esiseduze, noma i-ETU (Emergency Treatment Unit), ngokushesha okukhulu.
Ubani okungenzeka kakhulu ukuthi abhekane nalesi simo?
Nakuba i-Colles Fracture ingenzeka kunoma ubani wanoma yimuphi ubudala, amaqembu athile asengozini enkulu.
- Abesifazane abangaphezu kweminyaka engama-60: Le ngozi iphezulu kakhulu kwabesifazane asebekhulile abanesimo esibizwa ngokuthi "i-Osteoporosis." Kalula nje, "i-Osteoporosis" yisifo lapho amathambo eba buthakathaka, aqhekeke, futhi aphuke kalula njengoba sikhula. Ngezinye izikhathi abantu abazi nokuthi banalesi sifo. Ngisho nokushelela nokuwa okuncane kungabangela ukuba ithambo liphuke.
- Abadlali: Abantu abadlala imidlalo efana nekhilikithi, ibhola likanobhutshuzwayo, kanye nokuskeyitha nabo basengozini ngoba bavame ukuwa.
- Ezinye izingozi: Lezi zinhlobo zokuphuka kwemisipha zingase zenzeke nasezingozini ezinkulu njengezingozi zezimoto, ukuwa emabhayisekilini, kanye nokuwa ngenkathi ugibele amahhashi.
I-osteoporosis ihlobene kanjani nalokhu?
Ingalo yakhoUma uphuka ithambo ngenxa yokuwa okuncane, kungaba uphawu lokuthi ungase ube ne-osteoporosis. Amathambo aphilile futhi aqinile awaphuki kalula ngenxa yokuwa okuncane. Ngakho-ke, kuwukuhlakanipha ukukhuluma nodokotela wakho ngalokhu bese uhlolelwa i-osteoporosis. Manje kunezindlela ezinhle zokwelapha lokhu.
Ziyini izimpawu ze-Colles Fracture?
Uma uphuka isihlakala sakho , uzwa ubuhlungu obukhulu. Kanye nalokho, ungase uqaphele ezinye izimpawu eziningana.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu obukhulu | Ubuhlungu obubukhali, obungabekezeleleki obuvela esihlakaleni esiphukile. |
| Ukuvuvukala | Indawo ezungeze ukuqhekeka iqala ukuvuvukala kakhulu. |
| Okuluhlaza okwesibhakabhaka/ukulimaza | Igazi lingase ligeleze ngaphansi kwesikhumba, okubangela ukuba indawo ibe luhlaza okwesibhakabhaka noma onsomi. |
| Ukubukeka okungavamile (Ukukhubazeka) | Lesi esinye sezici ezivelele kakhulu ze-Colles Fracture. Ingalo ingabonakala igobile ngendlela exakile, igobile, futhi igobile phezulu, njengefoloko. |
| Ubunzima bokuhamba | Ungase ungakwazi ukujikisa isihlakala sakho ngendlela evamile, noma ukusishukumisa phezulu naphansi. Kungase kube nzima nokunyakaza iminwe yakho. |
Yiziphi izinkinga ezingaba khona uma zingelashwa?
Uma i-Colles Fracture ingelashwa kahle, futhi ngezinye izikhathi ngisho nangokwelashwa, kungaba nezinkinga ezithile. Kubaluleke kakhulu ukuzazi lezi.
| Inkinga | Incazelo elula |
|---|---|
| Ukuqina kwesihlakala | Lena inkinga evame kakhulu. Ngemva kokususwa kwe-cast, kungaba nzima ukugoba noma ukuqondisa isihlakala inyanga eyodwa noma ezimbili. Lokhu kungagwenywa kakhulu ngokwelashwa ngokomzimba. |
| Isifo Segumbi | Isimo esibuhlungu nesinzima esibangelwa ukucindezeleka okukhulu emisipheni yesandla. Lesi yisimo esiphuthumayo. |
| I-Malunion | Izingcezu ezimbili zamathambo eziphukile zingase zingaqondani ngokuphelele, kodwa zingase zihlukane kancane. Lokhu kungashintsha ukubukeka kwesihlakala futhi kubangele ubuhlungu obuqhubekayo. |
| Ukulimala Kwemizwa | Uma ithambo liphuka, imizwa eseduze ingalimala. Isibonelo, isimo esibizwa ngokuthi "i-Carpal Tunnel Syndrome" singavela. Kulokhu, imizwa esihlakaleni iyacindezelwa, okubangela ukungazweli nobuhlungu esandleni naseminweni. |
| I-Osteoarthritis Yesibili | Ngemva kwesikhathi esithile, isifo samathambo singakhula esilungwini lapho ithambo laphuka khona. Lokhu kubangela ubuhlungu nokuvuvukala esilungwini. |
Udokotela ukuxilonga kanjani lokhu? Kuyini ukwelashwa?
Uma uya ku-ETU, udokotela uzoqala akubuze ukuthi ingozi yenzeke kanjani, ubuhlungu obuzwayo, kanye nezimpawu onazo. Ngemuva kwalokho uzohlola isandla sakho.
Ngemuva kwalokho, kwenziwa i-X-ray ukuze kubonakale ukuthi ithambo liphukile yini, futhi uma kunjalo, liphukile kuphi futhi kanjani. I-X-ray ingaqinisekisa ngokucacile ukuthi kukhona yini i-'Colles Fracture'.
Izindlela zokwelapha
Kunemigomo emibili eyinhloko yokwelapha. Eyokuqala ukubuyisela izingcezu zamathambo eziphukile endaweni yazo efanele (Ukunciphisa). Eyesibili ukuvimba ithambo ukuze liphinde liphole (Ukuvimbela).
1. Ukwelashwa okungadingi ukuhlinzwa:
Lena yindlela yokwelapha evame ukusetshenziswa. Lapha, udokotela uzokunikeza umuthi wokukwenza ungabi namandla esihlakaleni sakho bese ebuyisela kancane kancane izingcezu zethambo eziphukile endaweni yazo ngenkathi edonsa isandla sakho. Lokhu kubizwa ngokuthi "ukusetha kabusha". Ngemuva kwalokho, kufakwa i-plaster cast kusukela ngaphansi kwendololwane kuya phakathi komunwe ukuze amathambo agcinwe endaweni yawo. Le plaster cast ngokuvamile idinga ukugqokwa cishe amasonto ayisithupha . Phakathi nalesi sikhathi, ithambo eliphukile lizophola futhi liphinde lihlangane.
2. Ukuhlinzwa:
Ngezinye izikhathi, uma ithambo liphukile laba yizicucu eziningi noma leluliwe kakhulu ukuba lingalungiswa ngesandla, kungase kudingeke ukuhlinzwa. Lokhu kwenziwa udokotela ohlinza amathambo. Isikhumba siyasikwa, izicucu zamathambo aphukile ziyabekwa kabusha, bese kusetshenziswa izinto ezilandelayo ukuze zihlale endaweni yazo:
- Izikhonkwane zensimbi
- Amapuleti ensimbi
- Izikulufu
- I-fixator yangaphandle
Ngemva kokuhlinzwa, kuzofakwa iplasta noma i-splint esandleni.
Kuzothatha isikhathi esingakanani ukululama? Ngingabuyela esimweni esijwayelekile?
I-cast ivame ukususwa ngemva kwamasonto ayisithupha. Kodwa-ke, isandla sakho asiphulukiswa ngokuphelele uma sisuswa. Kungase kube nokuqina okuthile kanye nobuhlungu esihlakaleni .
Kungathatha noma yikuphi kusukela ezinyangeni eziyisithupha kuya onyakeni ukuze kuphinde kusebenze ngokugcwele, okusho ukuthi ngo-100%, isandla sakho siphinde sisebenze njengoba sasinjalo ngaphambi kwengozi. Lokhu kuyahlukahluka kuye ngomuntu nomuntu.
Ngemva kokususwa kwe-cast, udokotela wakho uzokudlulisela ekwelashweni ngokomzimba . Uchwepheshe wezokwelapha ngokomzimba uzokufundisa izivivinyo ezithile ukuze akusize uphinde ushukumise isihlakala sakho futhi andise amandla esandleni sakho. Ukwenza lezi zivivinyo ngendlela efanele kubaluleke kakhulu ukuze ululame ngokushesha.
Uzophinde ubone nini udokotela
Uma uhlangabezana nalezi zimpawu, kungakhathaliseki ukuthi ugqoke i-plaster noma ngemva kokuyisusa, kufanele ubonane nodokotela wakho ngokushesha .
- Uma ubuhlungu bungasabekezeleleki.
- Uma ungakwazi ukuhambisa iminwe yakho noma uma umbala weminwe yakho ushintsha (oluhlaza okwesibhakabhaka, omhlophe, noma ophuzi).
- Uma uzwa ukuqaqamba noma ukuba ndikindiki eminweni yakho.
- Uma kukhona iphunga elibi elivela ngaphakathi kweplasta.
- Uma iplasta izwakala iqine kakhulu.
Kubalulekile ukufuna iseluleko sezokwelapha ngokushesha ngoba lokhu kungaba yizimpawu zenkinga.
Umlayezo Wokuya Nawe Ekhaya
- Ukuphuka kwe-Colles kuwukuphuka kwesandla okubuhlungu, okuvame ukuba buhlungu okwenzeka lapho isandla siwela phansi.
- Uma uzwa ubuhlungu obukhulu, ukuvuvukala, kanye nobuhlungu obungavamile esihlakaleni sakho , kungaba ukuphuka.
- Uma ungabaza, ungazami ukwelashwa ekhaya bese uya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
- Lolu hlobo lokuphuka kwamathambo kwabesifazane asebekhulile lungaba uphawu lwe-osteoporosis, ngakho-ke khuluma nodokotela wakho nangalokho.
- Ngemva kokwelashwa, ukwelashwa ngokomzimba kanye nokuzivocavoca kubalulekile ukuze ululame ngokugcwele.
- Ukulandela imiyalelo kadokotela ngqo kubalulekile ukuze ululame ngokushesha futhi ngempumelelo.
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