Ingabe ingane yakho encane iwile ngokuzumayo ngenkathi idlala? Noma ingabe ibe nengozi encane enkundleni yokudlala? Ngemva kwalokho, ingabe iyakhala ingayeki ngoba ingalo noma umlenze wayo ubuhlungu? Ingabe indawo elimele ibukeka ivuvukele futhi idonsekile? Njengomzali, kuyinto evamile ngawe ukuzizwa wesaba kakhulu ngesikhathi esinjengalesi. Kodwa ungakhathazeki. Lokhu kuvame ukuba ukuphuka okuncane, okuvamile ezinganeni ezincane. Yilokho esikhuluma ngakho namuhla.
Kuyini ukuqhekeka kwe-Greenstick? Masiqonde kalula
I-"Greenstick Fracture" uhlobo lwethambo eliphukile. Kodwa-ke, leli lihlukile kancane ekuqhekekeni okuvamile esikubonayo.
Cabanga uthatha igatsha eliluhlaza, elincane esihlahleni uligobe. Aliqhekeki kalula libe yizicucu ezimbili, akunjalo? Kunalokho, liyagoba, kodwa uma uligoba kakhulu, uhlangothi olulodwa lwalo luzoqhekeka kancane futhi luqhekeke. Olunye uhlangothi luzoqhubeka luxhunywe.
Manje ake ucabange ukuthi uthatha igatsha elidala elomile kakhulu bese uligoba. Liyagoba bese liqhekeka libe yizicucu ezimbili.
"Ukuqhekeka kwe-Greenstick" kufana nenduku eluhlaza okukhulunywe ngayo ekuqaleni. Lokhu sikubiza ngokuthi ukuqhekeka lapho ithambo lingaqhekeki ngokuphelele libe yizicucu ezimbili, kodwa kwenzeka ukuqhekeka okuncane ohlangothini olulodwa. Leli gama livela encazelweni yegama elithi "induku eluhlaza."
Lokhu kwenzeka kubani kaningi? Kungani kubonakala sengathi kwenzeka ezinganeni ezincane kuphela?
Lesi simo esibizwa ngokuthi i-'Greenstick Fracture' sivame ukubonakala ezinganeni ezingaphansi kweminyaka eyi-10. Akuvamile kakhulu ukuthi abantu abadala babe nalesi simo. Kunesizathu esithile saso.
Amathambo ezingane ezincane, okungukuthi, amathambo, afana nalawo magatsha aluhlaza. Awakakhuli ngokugcwele futhi awakabi nama-calcite. Ngakho-ke, aguquguquka kakhulu futhi athambile kunamathambo abantu abadala. Amathambo abantu abadala afana nalawo magatsha abunile; aqinile, ngakho-ke aphuka kalula abe yizicucu uma kwenzeka into efana nokuwa.
Futhi, izingane ezincane zihlala zigijima, zigxumagxuma, futhi zidlala. Ngakho-ke maningi amathuba okuwa. Ikakhulukazi uma ziwela, zivame ukuzama ukuzisindisa ngokwalula izingalo zazo kakhulu bese zizibeka phansi. Ngemuva kwalokho, kusetshenziswa amandla amaningi emathanjeni engalo, okungabangela 'i-Greenstick Fracture' efana nale.
Into ebalulekile ukuthi lokhu kuvame kakhulu ezinganeni ezincane. Ngakho-ke ungesabi ngokungadingekile. Ngokwelashwa okufanele, kungalapheka ngokuphelele.
Izimpawu zokuthi ingane yakho ingaba ne-Greenstick Fracture
Bheka lezi zimpawu ngemva kokuba ingane yakho ibe sengozini. Uma kukhona eyodwa noma ngaphezulu yalezi zimpawu, kungaba yithambo eliphukile.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ubuhlungu obukhulu | Ingane izwa ubuhlungu obungabekezeleleki endaweni yokulimala, ikakhulukazi lapho ithinta noma ishukumisa isandla. |
| Ukuvuvukala | Ukuvuvukala okuzungeze ithambo elilimele. |
| Ukuphuka | Ihlule legazi ngaphansi kwesikhumba libangela ukuthi indawo elimele ibe luhlaza okwesibhakabhaka, onsomi, noma omnyama. |
| Ukugoba noma ukwelulwa okungajwayelekile | Isitho, njengengalo noma umlenze, sibonakala seluliwe, sihlukile esimweni saso esijwayelekile. Lesi yisici esibalulekile salokhu kuphuka. |
| Ububele uma buthintwa | Ingane izwa ubuhlungu obukhulu uma icindezela indawo elimele ngomunwe. |
Amathambo avame ukuthinteka yilokhu kulimala yilawa:
Ukuphuka kwe-Greenstick kuvame ukuthinta amathambo amade.
- Ithambo lengalo engenhla (iHumerus)
- Amathambo engalweni engezansi (i-Radius ne-Ulna)
- Amathambo eminwe (`Phalanges`)
- Ithambo lethanga (i-femur)
- I-Fibula
Ukuthola kanjani lokhu, Dokotela?
Uma uyisa ingane yakho kudokotela, izoqala ngokubuza ingane kanye nawe ngengozi. Bese bezohlola indawo elimele. Bazobheka ngokucophelela ukuvuvukala, ukuklwebheka, nezinye izimpawu zokulimala.
Ngemuva kwalokho, ukuze kuqinisekiswe ukuthi kukhona yini ukuphuka kwethambo nokubona ukuthi uhlobo luni ngempela, kwenziwa i-X-ray.Udokotela anganquma ngokucacile ngesithombe se-X-ray ukuthi ithambo liphukile ngokuphelele noma ukuthi liphukile njengohlobo 'lwe-Greenstick'.
Akuvamile kakhulu, uma ukuphuka kuyinkimbinkimbi kakhulu noma uma kukhona ukusolakala komonakalo emisipheni noma emithanjeni yegazi ezungezile, i-MRI noma i-CT scan nayo inganconywa.
Ilashwa Kanjani I-Greenstick Fracture?
Ukwelapha lesi simo ngokuvamile kulula kakhulu.
1. Ukufaka iplasta (Ukuvimbela ukunyakaza kwe-Cast)
Ukwelashwa okuyinhloko kwamathambo amaningi aphukile yi-greenstick ukufaka i-cast ethanjeni ukuze lihlale lingashukumi. Ngokubeka ithambo eliphukile endaweni efanele nokubeka i-cast kulo, ithambo linethuba lokuphulukiswa kahle ngaphandle kokuphazamiseka.
- Ngokuvamile, kufanele ugqoke le plasta cishe amasonto amane kuya kwayisithupha .
- Phakathi nalesi sikhathi, udokotela uthi sidinga ukuthatha enye i-X-ray ukuze sibone ukuthi ithambo liyaphola kahle yini.
2. Ukuhlinzwa
Ukuhlinzwa akuvamile ukudingeka. Uma i-engeli yokuphuka inzima kakhulu , okusho ukuthi ingalo noma umlenze ugobile kakhulu, udokotela wakho angase akuncome ukuhlinzwa.
Lokhu kuhlinzwa kuhilela ukusetha/ukulungisa kabusha ithambo nokufaka izikhonkwane zensimbi ukuze zilibambe endaweni yalo . Lokhu kubizwa ngokuthi 'ukulungiswa kwangaphakathi'. Uma ithambo selipholile ngokuphelele, izikhonkwane ziyasuswa kolunye ukuhlinzwa okuncane.
Izinkinga ezingaba khona ngenxa yokuhlinzwa
Njenganoma yikuphi ukuhlinzwa, kunezimo ezingavamile kakhulu lapho kungase kube nezinkinga khona.
- I-Malunion: Ithambo elingahlangani kahle njengoba liphola. Ukungahambisani kahle okuncane.
- Ukuhlangana: Izingcezu ezimbili zethambo azibuyi nhlobo ndawonye.
- I-Acute Compartment Syndrome (ACS): Lesi yisimo esiphuthumayo esibucayi. Ingcindezi engaphakathi kwengxenye ezungeze ithambo iyanda kakhulu, inqamule ukugeleza kwegazi futhi ibangele umonakalo ongapheli emisipheni nasezinzwa. Uma ubuhlungu buqhubeka nokuba bubi ngemva kokulimala, noma uma uzwa ukungakhululeki noma ukuqaqamba ezithweni zakho, kufanele ubonane nodokotela ngokushesha.
Kuthatha isikhathi esingakanani ukuphulukiswa? Kwenzekani ngemva kwalokho?
Iningi lama-fracture e-greenstick liphola ngokuphelele emavikini ayisithupha , kodwa kulokhu kungahluka kancane kuye ngeminyaka yengane, uhlobo lwethambo eliphukile, kanye nohlobo lokuphuka.
Ngemva kokususwa kweplasta, ingane kufanele igcinwe kude nemisebenzi yokugijima nokugxuma, ikakhulukazi ezemidlalo, kuze kube yilapho udokotela eyitshela ukuthi yenze kanjalo. Ngemva kwesikhashana, ingane izokwazi ukwenza yonke imisebenzi yayo evamile ngaphandle kwezinkinga.
Okubalulekile: Ingane ephuke i-greenstick engalweni isengozini ekhulayo yokuphuka ithambo elifanayo futhi esikhathini esizayo. Ngakho-ke, kubaluleke kakhulu ukunikeza ukwelashwa okufanele ngokushesha nje lapho kuvela ukulimala kokuqala.
Ingabe izingozi ezinjengalezi zingavinjelwa?
Nakuba izingozi zingenakuvinjelwa izikhathi eziyi-100%, kunezinto eziningana esingazenza ukuqinisekisa ukuphepha kwezingane zethu.
- Imishini yokuphepha: Gqoka imishini yokuphepha efanele (izigqoko zokuzivikela, ama-pad) uma ugibela ibhayisikili noma udlala imidlalo efana nekhilikithi.
- Indawo yasekhaya: Ungabeki izinto (amathoyizi, amanzi) phansi lapho izingane zingashelela khona ziwele ngaphakathi endlini.
- Ukudlala ngokuphephile: Ungavumeli izingane zikhwele ezihlalweni, ematafuleni, noma emakhandeni ukuze zidlale.
- Ukudla Okunomsoco: Nikeza ingane yakho ukudla okunempilo okucebile nge -calcium kanye ne-vitamin D. Lezi zakhi zibalulekile emathanjeni aqinile.
Isikhathi sokubona udokotela ngokushesha bese uya ku-ETU
Uma ingane isengozini, kubaluleke kakhulu ukwazi ukuthi kufanele ibonane nini nodokotela nokuthi kufanele iye nini e-Emergency Treatment Unit (ETU).
| Ithuba | Okufanele ngikwenze |
|---|---|
| Isikhathi esivame ukubonwa ngaso udokotela |
|
| Isikhathi sokuya e-Emergency Treatment Unit (ETU) ngokushesha |
|
Umlayezo Wokuya Nawe Ekhaya
- I-"Greenstick Fracture" iwukuphuka okuvame ukwenzeka emathanjeni athambile, aguquguqukayo ezingane ezincane, lapho ithambo lingaphuki khona ngokuphelele libe yizicucu.
- Lokhu kufana nokugoba igatsha lomuthi elingavuthiwe bese wenza umugqa ohlangothini olulodwa.
- Izimpawu eziyinhloko ubuhlungu, ukuvuvukala, kanye nokubonakala sengathi uyaxega.
- Ukwelashwa kuvame ukwenziwa nge-cast ukuze ithambo liphole. Ukuhlinzwa akuvamile ukwenziwa.
- Uma ingane ibe sengozini futhi usola ukuthi ithambo liphukile, ungesabi futhi ubone udokotela ngokushesha okukhulu. Landela imiyalelo yakhe.
- Ngokwelashwa okufanele, lesi simo singalapheka ngokuphelele, futhi ingane ingabuyela empilweni evamile ngaphandle kwemiphumela yesikhathi eside.
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