Akuyona into entsha ukuthi ingane yakho encane iwe ngenkathi idlala, noma ilimale ingalo noma umlenze ngenkathi igijima. Ngokuvamile, sikubheka njengokuphuka okuncane noma ukuklwebheka, kodwa ngezinye izikhathi kungaba yinto engathi sína kakhulu. Amathambo ezingane, ikakhulukazi, anendawo ebuthakathaka eqondene nokukhula kwawo. Lokhu sikubiza ngokuthi 'ipuleti lokukhula' . Namuhla, sikhuluma ngomonakalo kule ndawo, okungukuthi, ukuphuka kwethambo. Lokhu kwaziwa ngokwezokwelapha ngokuthi iSalter-Harris Fracture .
Iyini ipuleti lokukhula?
Kalula nje, ipuleti lokukhula liyindawo ekhethekile eyenziwe nge-cartilage ekugcineni kwamathambo amade engane (njengalawo asezingalweni nasemilenzeni yayo). Cabanga ngayo njengegatsha lomuthi elinwebekayo. Le ndawo yilapho amathambo engane ekhula khona kancane kancane futhi akhule abe usayizi nesimo esifanele. Lapho ukukhula kwengane sekuqediwe, okungukuthi, lapho ifika ebudaleni, le cartilage iyaqina kancane kancane futhi ibe yithambo elijwayelekile.
Lezi zitsha zokukhula zibonakala kakhulu ku:
- Ethanjeni lengalo engenhla
- Amathambo amabili engalweni engezansi (i-radius ne-ulna)
- Emathanjeni esandla
- Ethanjeni lethanga
Njengoba le ndawo ibaluleke kakhulu ekukhuleni kwengane, kumelwe nakanjani sikhathazeke nganoma yimuphi umonakalo kule ndawo.
Ingabe kukhona izinhlobo zokuphuka kwezinyawo kukaSalter-Harris?
Yebo, odokotela bahlukanisa lokhu kuphuka kwemisipha kube izinhlobo ezinhlanu eziyinhloko, kuye ngokuthi kwenzeka kanjani. Akudingeki wazi okuningi ngalokhu, kodwa kuhle ukwazi okuncane ngakho ukuze kube lula ukukuqonda lapho udokotela ekuchazela.
| Uhlobo lokuphuka | Kuchazwe kalula |
|---|---|
| Uhlobo 1 | Ipuleti lokukhula lihlukana ngokuphelele, njengokungathi liyashelela ekugcineni kwethambo. |
| Uhlobo 2 | Ukuphuka okwenzeka epuletini lokukhula kudlulela engxenyeni ephakathi (umgodi) wethambo. Lolu hlobo luvame kakhulu ezinganeni. |
| Uhlobo 3 | Ukuphuka kubangela ukuthi ingxenye yepuleti lokukhula kanye nengxenye yengxenye yethambo ihlukane. Lokhu kuvame kakhulu ezinganeni ezincane, lapho amapuleti okukhula eqala ukuqina . |
| Uhlobo 4 | Lokhu kufana nohlobo lwesithathu, kodwa kukhulu kakhulu. Ukuphuka kwethambo kudlulela epuletini lokukhula, kuthinta imikhawulo yethambo kanye nephakathi kwethambo. |
| Uhlobo 5 | Ukucindezela okukhulu ethanjeni kubangela ukuthi i-growth plate ichotshozwe futhi ichotshozwe. Lesi yisimo esingavamile kodwa esibucayi. |
Ngingazi kanjani ukuthi into efana nale yenzeke enganeni yami? (Izimpawu)
Uma ubona lezi zimpawu ngemva kokuwa kwengane, khathazeka.
- Ubuhlungu bethambo: Ingane ikhala ngobuhlungu lapho indawo elimele ithintwa.
- Ukuvuvukala: Indawo elimele ivuvukele.
- Ukubukeka okungajwayelekile: Ingalo noma umlenze ubonakala unwetshiwe, ugobile, noma ungavamile.
- Ukungakwazi ukusebenzisa: Ingane ayikwazi ukunyakaza noma ukusebenzisa ingalo noma umlenze olimele.
- Ukushintsha kombala okuluhlaza okwesibhakabhaka/okunsomi: Igazi selingene ngaphansi kwesikhumba, okwenza kube sengathi liphukile.
- Ukuzwela ekuthinteni: Ingane izwa ubuhlungu ngisho nalapho indawo ithintwa.
Ingane encane kakhulu ingase ingakwazi ukukutshela ukuthi ilimele nini. Uma ingane yakho iyeka ngokuzumayo ukusebenzisa ingalo noma umlenze, ibamba ingalo noma umlenze olimele eduze komzimba wayo, noma ixhuga lapho ihamba, qaphela lokhu.
Kungani izingane zithola lezi zinhlobo zokuphuka kwamathambo?
Isizathu esiyinhloko salokhu izingozi.
- Ukuwa: Ukuwa ngenkathi udlala, ugibele ibhayisikili, ukhuphuka izihlahla, njll.
- Izingozi zemidlalo: Izingozi ezenzeka ngesikhathi kudlalwa imidlalo efana nekhilikithi, ibhola likanobhutshuzwayo, i-basketball, kanye ne-gymnastics.
- Izingozi zezimoto.
Ngaphezu kwalokho, ukuziqeqesha ngokweqile emdlalweni ofanayo isikhathi eside, ikakhulukazi ngaphambi kokuba umzimba wengane ukhule ngokugcwele, kungabangela ingcindezi eqhubekayo ezitsheni zokukhula, okuholela kulezi zinhlobo zokuphuka.
Ubani osengozini enkulu yalesi simo?
Nakuba lokhu kungenzeka kunoma yimuphi umntwana, ingozi iphakeme kancane kwabanye.
- Intsha: Lokhu kuphuka kwamathambo kuvame ukubikwa kakhulu kuleli qembu leminyaka.
- Abafana: Abafana banamathuba aphindwe kabili okuthola lesi simo kunamantombazane. Lokhu kungenxa yokuthi amantombazane akhula ngokushesha, futhi ama-growing plate awo aqina abe amathambo aqinile ngokushesha.
- Abasubathi: Izingane ezivame ukudlala imidlalo yokugxuma nokugijima (i-basketball, i-gymnastics, i-skiing) zisengozini enkulu.
Ingabe lokhu kungaba nomthelela wesikhathi eside?
Izindaba ezinhle ukuthi isikhathi esiningi, uma kwelashwa ngendlela efanele futhi ngokushesha, akukho miphumela yesikhathi eside. Into ebaluleke kakhulu ukubona udokotela bese uqala ukwelashwa zingakapheli isonto ngemuva kwengozi.
Kodwa-ke, akuvamile kakhulu, ikakhulukazi uma kuphuka kakhulu (Uhlobo 4, 5) noma uma ukwelashwa kuyephuza, kungase kube nezinkinga ezithile.
- I-Malunion: Ithambo eliphukile aliqondile kahle.
- Ukungabi naso isibopho: Ithambo eliphukile alihlangani kahle.
- Ukukhubazeka kokukhula: Ithambo elonakele lingakhula kancane. Isibonelo, leyo ngalo noma umlenze ungase ube mfushane kancane kunomunye. Kulesi simo, kungadingeka ukuhlinzwa ukuze kuvinjelwe lokhu.
Udokotela ukuxilonga kanjani lokhu ngqo?
Uma uyisa ingane yakho kudokotela, izoqala ngokuyihlola ngokucophelela. Bazobheka ukulimala, ukuvuvukala, kanye nobuhlungu. Bazophinde bakuqhathanise nengalo noma umlenze ophilile. Udokotela uzokubuza imibuzo efana nokuthi ingozi yenzeke kanjani nokuthi waqala nini ukuzwa izimpawu.
Ngemva kwalokho, kwenziwa izivivinyo eziningana ukuhlola isimo sethambo.
- I-X-ray: Lokhu kuvame ukubona ukuphuka.
- I-MRI noma i-CT scan: Ngezinye izikhathi lezi zivivinyo zingadingeka ukuze kubhekwe ukuthi kukhona yini amanxeba noma umonakalo ezicutshini ezizungezile ezingabonakali kahle ku-X-ray.
Iphathwa kanjani?
Ukwelashwa okuvamile nokuphumelela kakhulu kwalokhu ukufaka i-cast, njenge-Plaster of Paris (POP) noma i-Fiberglass.Lokhu kuzobamba ithambo eliphukile endaweni yalo futhi kulivikele kuze kube yilapho selipholile. Udokotela wakho uzokuchazela ukuthi hlobo luni lwe-cast ingane yakho edingayo, ukuthi kufanele ibe ngakanani endaweni yayo, nokuthi ungayinakekela kanjani. I-cast ngokuvamile izogqokwa cishe amasonto angu-4-6.
Uma kwenzeka ukwaphuka okukhulu (amamaki 3, 4, noma 5), kungase kudingeke ukuhlinzwa . Kodwa-ke, lokhu akuvamile kakhulu. Kulesi simo, udokotela ohlinzayo uhlela kabusha izingcezu zamathambo futhi asebenzise amadivayisi okuqinisa amathambo anjengezikulufo, amaphini, noma amapuleti ukuze azibambe endaweni yazo. Lokhu kubizwa ngokuthi "Ukuqinisa Kwangaphakathi." Ngemva kokuba ithambo selipholile, ngezinye izikhathi kudingeka olunye ukuhlinzwa okuncane ukuze kususwe amadivayisi.
Kufanele ngiyise ingane yami kudokotela ngokushesha nini?
Uma ingane yakho iwele kakhulu noma ingozi, bona udokotela ngokushesha. Ikakhulukazi uma usola ukuthi ingane yakho iphukile ithambo, yiyise e-ETU (Emergency Treatment Unit) yesibhedlela esiseduze .
Uma unezinye zezimpawu ezilandelayo, ungalibali:
- Uma kukhona ubuhlungu obukhulu .
- Uma ungakwazi ngisho nokunyakaza ingalo noma umlenze.
- Uma ingalo noma umlenze weluliwe ngokucacile futhi ubukeka umumo ongavamile .
- Uma ithambo eliphukile libonakala ngesikhumba .
- Uma ivuvukele kakhulu .
- Uma lezi zimpawu zihambisana nokubonakala okubuhlungu ngokuzumayo noma ukushintsha kombala wesikhumba .
Khumbula, ukuvumela ingane yakho ukuthi igijime, igxume, noma idlale futhi ngaphambi kokuba ithambo liphole ngokuphelele kwandisa ingozi yezinkinga. Ngakho-ke gcina ingane yakho iphumule kuze kube yilapho udokotela wakho ekuyala ukuba wenze kanjalo.
Kuvamile ngabazali ukwesaba lapho ingane yabo ilimele. Kodwa lokhu kuphuka kwe-growth plate cishe kuyalungiseka ngokuphelele uma kutholakale futhi kwelashwa kusenesikhathi. Isikhathi sibaluleke kakhulu. Uma unenkinga, into engcono kakhulu ongayenza ukuyisa ingane yakho kudokotela ngaphandle kokulibala.
Umlayezo Wokuya Nawe Ekhaya
- Amapuleti okukhula ekugcineni kwamathambo amade ezingane ayizindawo zesimiso samathambo azo ezibuthakathaka kancane futhi ezilimala kalula.
- Uma ingane izwa ubuhlungu, ukuvuvukala, noma ukuqina engalweni noma emlenzeni ngemva kokuwa, ungacabangi ukuthi kumane nje kuwukulimala okuncane futhi nakanjani bheka udokotela.
- Ngokubona nokwelapha ukuphuka okunjalo ngokushesha okukhulu, umthelela ongaba khona ekukhuleni kwethambo lengane esikhathini esizayo ungancishiswa.
- Iningi lezingane liyalulama ngokuphelele ngaphandle kwezinkinga zesikhathi eside ngemva kokwelashwa okufanele.
- Kubaluleke kakhulu ukulandela iseluleko sezokwelapha kuze kube yilapho ingane yakho isivunyelwe ukubuyela kwezemidlalo noma emisebenzini evamile.
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