Zicabange udlala noma wenza imisebenzi yasekhaya bese ngokuzumayo ushelela bese uyawa. Uma uwa, kungakhathaliseki ukuthi ukwelula isandla sakho noma ukushaya indololwane yakho ngqo, indololwane yakho iqala ukuvuvukala ngenxa yobuhlungu obukhulu. Ngezikhathi ezinjengalezi, sivame ukucabanga ukuthi "Ngiklwebheke ingalo yami." Kodwa kungaba ukuphuka kwendololwane . Nakuba igama lingase lizwakale lesabisa, lesi yisimo esivamile kakhulu, ikakhulukazi ezinganeni. Ngakho-ke namuhla, ake sixoxe ngakho konke okudingeka ukwazi ngalokhu kuphuka kwendololwane.
Kalula nje, kuyini ukuphuka kwendololwane?
Ukuphuka kwendololwane kuwukuphuka noma ukuphuka kwethambo elilodwa noma ngaphezulu esibayeni sakho sendololwane. Kunezizathu eziningana eziyinhloko zokuthi kungani lokhu kungenzeka.
- Ukushaywa ngqo endololwaneni: Uma indololwane ishaya indawo eqinile ngqo ngenxa yengozi, ngesikhathi udlala imidlalo, noma uwela ndawana thize.
- Ukwelula isandla lapho siwa: Lapho sesizowa, ngokwemvelo silula isandla ukuze sisindise umzimba wethu. Kuleli qophelo, sonke isisindo somzimba sidlula engalweni siye endololwaneni, futhi ukucindezela kungaphula ithambo.
- Ukujikisa ingalo: Ngezinye izikhathi, uma ingalo ijikisiwe kakhulu, kuba nengozi yokulimala kwamathambo endololwaneni.
Ingqiniba liyilungu eliyinkimbinkimbi kakhulu elixhumanisa ithambo lengalo engenhla (i-humerus) namathambo amabili engalo engezansi (i-Radius ne-Ulna). Ngakho-ke noma yiliphi kula mathambo amathathu lingaphuka.
Yiziphi izinhlobo eziyinhloko zokuphuka kwendololwane?
Odokotela ngokuvamile bahlukanisa ukwaphuka kwendololwane zibe izinhlobo ezintathu eziyinhloko, kuye ngokuthi ithambo liphuke kuphi. Ake sibheke ukuthi kuyini.
| Uhlobo Lokuphuka | Incazelo elula |
|---|---|
| Ukuphuka kwe-Olecranon | Lesi yisiphetho esicijile sendololwane yakho. Leso yithambo olizwayo uma ubeka indololwane yakho etafuleni. Ngenxa yokuthi leli thambo alimboziwe yimisipha eminingi, lingaphuka kalula uma lishaywa ngqo. Lolu uhlobo oluvame kakhulu lokuphuka kwendololwane. |
| Ukuphuka Kwekhanda Eliyi-Radial | Lokhu kubangelwa ukuphuka kwengxenye engenhla yethambo le-radius engalweni engezansi. Lokhu kuvame ukubangelwa ukucindezela komhlabathi lapho siwa ngengalo yethu eyeluliwe. |
| Ukuphuka Kwe-Distal Humerus | Lokhu kuwukuphuka kwengxenye engezansi yethambo lengalo engenhla (i-humerus), eqala ehlombe iye endololwaneni, eduze kwejoyinti lendololwane. Lokhu akuvamile kangako kunezinye izinhlobo ezimbili, kodwa kungenzeka engozini enkulu noma uma uwa indololwane yakho igobile. |
Kungani lokhu kuvamile ezinganeni?
Ngenxa yokuthi amathambo ezingane asakhula futhi zihlala zigijima futhi zidlala, maningi amathuba okuwa. Ngakho-ke, u-10% kuphela wamathambo ezingane atholakala ephukile endololwaneni.
Ziyini izimpawu zendololwane ephukile?
Amanye amanxeba angabangela ubuhlungu obukhulu kanye nokukhubazeka esandleni. Kodwa ngezinye izikhathi izimpawu azibonakali kangako. Ake sibheke ezinye zezimpawu ezivame kakhulu.
| Isibonakaliso | Kusho ukuthini lokho? |
|---|---|
| Ubuhlungu obungazelelwe, obubukhali | Ngemva nje kwengozi, kuba nobuhlungu obungabekezeleleki. Ungase uzwe ngisho nomsindo othi "pop". |
| Ukuvuvukala nokudumba | Umbala ovuvukile, oluhlaza okwesibhakabhaka/onsomi wendawo engemuva noma ezungeze indololwane. |
| Ukungakwazi ukuxhawulana | Ukuzwa ubuhlungu obukhulu lapho uzama ukugoba, ukwelula, noma ukujikisa indololwane. |
| Ubuthuntu noma ubuthakathaka esandleni | Ukuqaqamba noma ubuthakathaka eminweni noma esandleni. Lokhu kwenzeka lapho ithambo eliphukile licindezela imithambo. |
| Ukukhubazeka | Kwezinye izimo ezinzima, ukuma kwendololwane kungashintsha, futhi kungase kubonakale sengathi ithambo liphuma esikhumbeni. |
Into ebalulekile ukuthi, noma ungashukumisa ingalo yakho, akusho ukuthi ithambo aliphukile. Ngakho-ke uma kukhona ubuhlungu nokuvuvukala, qiniseka ukuthi ubona udokotela.
Udokotela ukuxilonga kanjani lokhu ngqo?
Uma uya kudokotela, uzoqala akubuze ukuthi ingozi yenzeke kanjani abese ehlola indololwane yakho ngokucophelela.
- Bazocindezela indololwane yakho babheke noma yiziphi izindawo ezibuhlungu.
- Hlola ukuthi azikho yini izingcezu zamathambo eziphukile ezilimele isikhumba.
- Hlola ukushaya kwenhliziyo esihlakaleni ukuqinisekisa ukuthi kukhona ukujikeleza kwegazi okuhle esandleni.
- Bazokucela ukuthi uhambise ingalo yakho ngangokunokwenzeka futhi uhlole ububanzi bokunyakaza kwakho.
Ngemva kwalokho, bazoyala ukuhlolwa okuningana ukuze bathole uhlobo oluqondile lokuphuka.
- Ama-X-ray: Lokhu ukuhlolwa okubaluleke kakhulu nokubalulekile. Kungabonisa ngokucacile ukuthi ithambo liphukile kuphi kanye nohlobo lokuphuka kwalo.
- I-CT Scan: Kwezinye izinhlobo zokuphuka okuyinkimbinkimbi, i-CT scan ingasiza ekutholeni isithombe sethambo esinezinhlangothi ezintathu (3D) futhi inqume ukuthi ukuhlinzwa kuyadingeka yini.
- I-MRI Scan: I-MRI scan ingenziwa uma kukhona ukusola ukuthi ukuphuka kulimaze imisipha ezungezile noma ezinye izicubu ezithambile.
Iphathwa kanjani?
Ukwelashwa kuncike ebunzimeni bokuphuka kwakho. Kunezindlela ezimbili zokwelapha eziyinhloko.
1. Ukwelashwa Okungahlinzwa
Lokhu kwelashwa kusetshenziswa ezimweni lapho ithambo liphukile kodwa izingcezu zihlala endaweni efanayo ( ukuphuka okungasuswanga ).
- Ukufakwa kwe-Cast: Kufakwa i-cast endololwaneni ukusiza amathambo ukuthi aqondane kahle.
- Ukugqoka i-splint noma i-sling: Kwabanye abaphukile kancane, lokhu kusetshenziselwa ukusekela indololwane nokunciphisa ukunyakaza.
2. Ukwelashwa Kokuhlinzwa
Uma izingcezu zamathambo seziphumile futhi sezihambile ( ukuphuka okususiwe)), kudingeka ukuhlinzwa ukuze babuyiselwe ezikhundleni zabo ezifanele futhi balungiswe. Lapha, udokotela,
- Izingcezu zamathambo ziyabekwa kabusha futhi zilungiswe kusetshenziswa izikhonkwane ezincane, izikulufo, noma amapuleti ensimbi ukuze zihlale zisendaweni yazo.
Ukwelashwa kwasekuqaleni kokuphuka kwethambo ezinganeni kubaluleke kakhulu ngoba amathambo azo asakhula, futhi uma engelashwa ngokushesha nangendlela efanele, amathambo angase aphazamiseke noma aphazamise ukusebenza kwesandla esikhathini esizayo.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Lokhu kuyahlukahluka kuye ngohlobo lwengozi yakho.
- Ngokuvamile, kufanele ugqoke i-plaster noma i-splint cishe amasonto amathathu kuya kwayisithupha.
- Iningi labantu lingabuyela emisebenzini evamile ngemva kwezinyanga ezingaba ngu-4.
- Kodwa ngezinye izikhathi kungathatha unyaka noma ngaphezulu ukuphulukiswa ngokuphelele nokuthola amandla nokuguquguquka owawunakho esandleni sakho.
Ngemva kokususa ukhonkolo, ungase uzizwe ukuqina esandleni sakho, noma ungase ungakwazi ukugoba noma ukuqondisa isandla sakho ngendlela ongathanda ngayo. Lokhu kuvamile. Yingakho udokotela wakho ezokudlulisela ekwelashweni ngokomzimba . Uma wenza izivivinyo umelaphi wakho womzimba akufundisa zona ngqo, ungabuyisa amandla nokunyakaza ngokushesha esandleni sakho.
Kufanele ubonane nodokotela ngokushesha nini?
Uma ulimele endololwaneni futhi unezinye zezimpawu ezilandelayo, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
- Uma kukhona ubuhlungu obungabekezeleleki.
- Uma isimo sendololwane sishintshile ngokusobala.
- Uma ithambo eliphukile lihlabe isikhumba futhi liphuma.
- Uma une-stumps noma i-handing ezandleni noma eminweni yakho.
Ukufuna ukwelashwa kusenesikhathi kubalulekile ukuze kuvinjelwe izinkinga zesikhathi esizayo futhi kwelapheke ngokuphelele isandla.
Umlayezo Wokuya Nawe Ekhaya
- Uma ulimele endololwaneni futhi uzwa ubuhlungu obukhulu nokuvuvukala, ungacabangi nje ukuthi "une-sprain," kodwa bona udokotela ngokushesha. Kungcono ukuya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze nawe.
- Ngisho noma ungashukumisa ingalo yakho kancane, kungenzeka ukuthi ithambo lingaphuka. Ngakho-ke, kubalulekile ukuthola ukuhlolwa kwezokwelapha.
- Landela ukwelashwa (i-cast, ukuhlinzwa) okunikezwe udokotela ngqo. Thatha imithi yobuhlungu njengoba uyalelwe.
- Kujwayelekile ukuthi isandla sakho sizizwe siqinile ngemva kokususa iplasta.Ukwenza izivivinyo zokwelapha ngomzimba ngendlela efanele kubaluleke kakhulu ukuze ululame ngokushesha.
- Yiba nesineke ngesikhathi senqubo yokuphulukiswa. Qonda ukuthi kuzothatha isikhathi ukululama ngokugcwele.
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