Ingabe unenxeba elinje esandleni sakho? Ake sifunde nge-Monteggia Fracture!

Wake waba nengozi ngesandla sakho watshelwa udokotela ukuthi une-'Monteggia Fracture', okusho ithambo eliphukile? Noma wake wezwa leli gama ndawana thize? Empeleni lolu uhlobo lokuphuka oluyinkimbinkimbi kancane. Akuyona nje ithambo eliphukile esandleni sakho. Ngakho-ke, namuhla sizokhuluma ngalesi simo esibizwa ngokuthi 'i-Monteggia Fracture' ngendlela elula ongayiqonda. Akukho okufanele ukwesabe, ake sichaze konke.

Kuyini ukuqhekeka kweMonteggia?

Kulungile, manje ake sibheke ukuthi iyini i-'Monteggia Fracture'. Kalula nje, kuwukuphuka kwengalo yakho. Ingalo yakho iyingxenye yengalo yakho esuka endololwaneni yakho iye esihlakaleni sakho. Ukuphuka kwenzeka engolweni.

Ubuwazi, kunamathambo amabili ayinhloko ebunzini lethu.

• Esinye ithambo le-ulna . Leli litholakala ngaphakathi kwengalo, ohlangothini lapho kukhona khona isithupha sakho (empeleni, uma ubheka isandla sakho intende yakho ibheke phansi, i-ulna ingaseceleni komunwe wakho omncane. Yilokhu odokotela abakubiza ngokuthi ukuma kwesandla).
• Elinye ithambo le-radius . Leli litholakala ohlangothini lwangaphandle lwengalo, ngasezwaneni elikhulu (uma ubheka isandla, njengoba kushiwo ngaphambili).

Manje, ngamandla athile aqinile, ithambo lakho le-ulna liyaphuka eduze kwejoyinti lendololwane. Okwenzekayo ukuthi ijoyinti liba elingazinzile. Ngakho-ke, ingxenye ephezulu yethambo le-radius, ingxenye exhumanisa nejoyinti lendololwane, iyahamba iye emuva naphambili ukusuka lapho kufanele ibe khona. Ngokwezokwelapha, lokhu kubizwa ngokuthi "ukuhlukana." Yilokho esikubiza ngokuthi "i-Monteggia Fracture."

Kubalulekile ukuthi odokotela baqonde ukuthi lokhu kuyinkimbinkimbi kakhulu kunethambo eliphukile. Ngenxa yokuthi kuyawuphazamisa umjovo wendololwane, kudinga ukwelashwa okukhethekile ukuze kuphole kahle. Uma kungenzeka, odokotela bazobuyisela amathambo endaweni yawo ngesandla. Kodwa uma lokho kungenzeki, noma uma kukhona umonakalo omkhulu kumsipha, emthanjeni wegazi, noma emthanjeni ojoyini lakho, kungadingeka ukuhlinzwa.

Uyini umehluko phakathi kokuqhekeka kwemilenze kukaMonteggia noGaleazzi?

Kungenzeka ukuthi uke wezwa 'ngokuphuka kwe-Galeazzi'. Nakuba lokhu okubili kungase kubonakale kufana, kukhona umehluko. Lokhu okubili kungadideka.

• Uma kwenzeka i-Monteggia iphuka , ithambo lakho le-ulna liyaphuka eduze kwejoyinti lendololwane, okwenza ingxenye ephezulu yethambo le-radius iphume ejoyintini.
• Uma kwenzeka ukuphuka kwe-Galeazzi , ithambo lakho le-radius liyaphuka eduze kwejoyinti lesihlakala, bese ingxenye engezansi yethambo le-ulna iphuma kulelo joyinti.

Nasi icebiso elincane lokukhumbula lokhu. Libizwa ngokuthi i-FROG ngesiNgisi. Limele i- Fractured Radius Of Galeazzi . Khona-ke ungakhumbula ukuthi e-Galeazzi, i-radius iphukile. Khona-ke, kulula ukukhumbula ukuthi e-Monteggia, i-ulna iphukile, akunjalo?

Ziyini izimpawu zokuphuka kwe-Monteggia?

Umuntu one-Monteggia Fracture uvame ukuzwa ubuhlungu endololwaneni . Uzozwa ukuphuka engxenyeni yesithathu engaphezulu yengalo yakho. Indawo ingase ivuvuke. Ngezinye izikhathi ungabona amathambo ehamba phambili nangemuva, ngezinye izikhathi awukwazi. Ithambo le-radius nalo libuhlungu.

Ungase uzizwe nezinto ezifana nalezi:

• Kuzwakala sengathi kunzima ukugoba noma ukuqondisa indololwane yakho (ukuhamba okulinganiselwe).
• Ngezinye izikhathi, ithambo le-radius eliphumile lizobuyela ngokuzenzekelayo endaweni yalo yokuqala.

Uma udokotela ekuxilonga, uzobheka nezimpawu zokulimala kwemizwa. Ezimweni ezinjalo, izinto ezinjengalezi zingase zenzeke:

• Umuzwa wokuthuthumela noma umuzwa ofana nezintuthwane ukhasa esandleni (i-paresthesia).
• Ukuzizwa ubuthakathaka engalweni noma esandleni.
• Ubuhlungu obuvela endaweni lapho ithambo liphukile khona.

Yimiphi imizwa engonakaliswa ukuphuka kweMonteggia?

Ukuphuka kwe-Monteggia kungalimaza i-radial nerve yakho noma i-median nerve yakho . Ukulimala okuvame kakhulu ku-posterior interosseous nerve (PIN), okuyigatsha le-radial nerve. Uma le nerve yonakele, ungase ube nobunzima bokwelula iminwe yakho nesithupha.

Izindaba ezinhle ukuthi isikhathi esiningi, umonakalo wemizwa ovela ku-Monteggia Fracture mncane kakhulu (`neurapraxia`). Lokhu kusho ukuthi imizwa iyacindezelwa okwesikhashana. Lokhu kuvame ukuphola ngokwako phakathi nezinyanga ezimbalwa. Uma kungenjalo, kungalungiswa ngokuhlinzwa.

Yini ebangela ukuphuka kweMonteggia?

Lokhu kuvame ukubangelwa ukulimala okubuhlungu . Izimbangela ezivame kakhulu yilezi:

• Uyawa ulule ingalo yakho . Zicabange ushelela ngenkathi ugijima bese ingalo yakho inamathela phansi.
• Ukuwa kusuka phezulu ukuze ingqiniba ishaye phansi .
• Ukushaya kanzima ngqo ngemuva kwendololwane .

Odokotela bakuthola kanjani lokhu ngqo?

Uma usengozini ngesandla sakho, udokotela uzoqala ngokukuhlola ngokomzimba . Bese bethatha ama-X-ray.Ukuhlolwa kwenziwa. Kusukela ekuhlolweni ngokomzimba, udokotela uthola umbono wokuthi yini okufanele ayibheke kuma-X-ray.

Ukuze uhlole ngokunembile i-Monteggia Fracture, kuzodingeka uthathe ama-X-ray engalo yakho kanye nendololwane. Ama-X- ray engalo azobonisa ukuphuka kwethambo le-ulna. Ama-X-ray endololwane azobonisa ukuhlukana kwekhanda okuqondile.

Kodwa-ke, kokubili ukuphuka kwe-ulna kanye nokuphuka kwe-radius ngezinye izikhathi kungaba yinto ecashile kakhulu . Ngakho-ke, kungalahleka kalula. Lezi zimo kungaba nzima ukuzibona , ikakhulukazi ezinganeni ezincane . Ngezinye izikhathi ukuphuka kuncane kangangokuthi akubonakali ngisho nokubonakala, noma ithambo lingase ligobe kancane. Ngezinye izikhathi, i-radius ephukile izobuyela endaweni yayo yodwa ngaphambi kokuthi ubone udokotela. Ngakho-ke, ukuze wazi ngokuqinisekile ukuthi 'yi-Monteggia Fracture', udinga ukuyihlola ngokucophelela ukuze ubone ukuthi kukhona yini ubufakazi bokuphuka kwangaphambilini.

Iphathwa kanjani i-Monteggia fracture?

Ukwelashwa kokuphuka kweMonteggia kuhlukile kancane kunokwelapha ithambo eliphukile elilula. Lokhu kungenxa yokuthi kuhilela ukuhlukana kwamalunga. Uma ithambo lihlukana, izicubu ezivame ukulibamba endaweni yazo ziyanwebeka noma ziklebhuke. Ngisho nangemva kokuba ithambo selibuyiselwe endaweni yalo, kuthatha isikhathi ukuthi lezi zicubu zelapheke. Ilunga lisalokhu lingazinzile. Ngakho-ke, kunethuba lokuthi izicubu zizophinde zonakale, noma ithambo liphinde lihlukane.

Ukuze welaphe ngempumelelo 'i-Monteggia Fracture', okulandelayo kumele kwenzeke:

• Ithambo le-ulna lidinga ukubuyiselwa endaweni yalo efanele .
• Ithambo le-radius lidinga ukubuyiselwa endaweni yalo efanele .
• La mathambo amabili kudingeka agcinwe eqinile lapho kuhlangana khona izicubu aze aphole.

Ukuze benze lokhu, odokotela bavame ukuzama izindlela zokwelapha ezilondolozayo kuqala. Kuphela uma behluleka lapho bephendukela ekuhlinzweni. Eqinisweni, iningi lezingane ezincane alidingi ukuhlinzwa, kodwa abantu abadala bavame ukukwenza. Isizathu salokhu ukuthi amathambo nezicubu zezingane zisakhula, ngakho kulula ukuzilungisa nokuphulukisa ngokushesha. Amathambo asemalungeni abantu abadala awanawo amathuba amaningi okuphulukisa ewodwa ngaphandle kosizo, futhi awanawo amathuba amaningi okuba sendaweni efanele.

Nazi izindlela zokwelapha:

• Ukunciphisa okuvaliwe:'Ukunciphisa' kusho ukubuyisela ithambo elisusiwe endaweni yalo. 'Ukunciphisa okuvaliwe' kusho ukulungisa ukuphuka ngesandla ngaphandle kokuhlinzwa. Noma nini lapho kungenzeka, odokotela bazozama ukwenza lokhu kuqala. Lokhu kwenziwa ngenkathi ungaphansi kwe-anesthesia. Ngemva kwalokho, kuzodingeka ugqoke i-cast noma i-splint ukuze ubambe ithambo endaweni yalo kuze kube yilapho liphola.
• Ukunciphisa okuvulekile kanye nokulungiswa kwangaphakathi (i-ORIF): Uma ukunciphisa okuvaliwe kungenzeki, inketho elandelayo ukuhlinzwa (ukunciphisa okuvulekile). Ukulungisa kwangaphakathi kuhilela ukubuyisela wonke amathambo endaweni yawo nokuwabamba endaweni yawo. Ngezinye izikhathi, udokotela ohlinzayo kuzodingeka aphinde anamathisele ithambo le-ulna ngaphambi kokubuyisela i-radius endaweni yawo. Ezinye izicubu ezonakele nazo zingadinga ukwelashwa noma ukususwa.

Kuthatha isikhathi esingakanani ukuphulukiswa ekuqhekekeni kweMonteggia?

Iningi labantu lingabuyela emisebenzini evamile zingakapheli amasonto angu-8 kuya kwangu-12 emva kokwelashwa. Abadlali kanye nalabo abanemisebenzi enzima ngokomzimba bangathatha isikhathi eside.

Uma une-closed reduction, kungadingeka ukuthi ugqoke i-cast cishe amasonto ayi-6 kuya kwayi-8. Uma uhlinzwa, kungadingeka ukuthi ugqoke i-cast cishe amasonto ama-3. Ngemva kwalokho, kungadingeka ukuthi wenze i-occupational therapy noma i-physiotherapy amasonto ambalwa ukuze uthole ukuguquguquka kanye nobubanzi bokunyakaza esandleni sakho.

Sinjani isimo ngemva kokwelashwa kokuphuka kwe-Monteggia?

Ngokuthola isifo ngesikhathi esifanele kanye nokwelashwa okufanele, abantu abaningi bayalulama ngaphandle kwezinkinga ezinkulu. Kodwa-ke, ngenxa yokuthi lokhu kuwukulimala okukhulu, akuvamile ukuzwa ukuqina kwendololwane, ubuhlungu obuqhubekayo, kanye nobuthakathaka ngemva kokwelashwa. Cishe abantu abayi-10% babhekana nokulimala kwesikhashana kwemizwa, okungahlala izinyanga eziningana.

Into ebalulekile ukuthi uma i-Monteggia Fracture ingatholakali futhi ishiywe ingelashwa amasonto amaningana, kunzima ukwelapha ngempumelelo. Kungabangela nomonakalo wesikhathi eside.

Uma ingalo yakho iphukile eduze kwejoyinti, kubalulekile ukucabangela ukuthi kungenzeka ukuthi ijoyinti ngokwalo lonakele. Kunzima ukubona ukuthi unezimo ezimbili zokulimala endaweni efanayo, eduze kwejoyinti elifanayo. Kodwa-ke, uma izimpawu zakho ziqhubeka nokukukhathaza ngemva kokwelashwa, ungazinaki nje. Bona udokotela wakho futhi. Bazoqaphela ukuthi bangalibazisi ukwelashwa okufanele kokuphuka kweMonteggia, kunokuba bakugweme.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

• Ukuphuka kwe-Monteggia kuwukuphuka lapho ithambo le-ulna lengalo liphuka khona endololwaneni, okubangela ukuba ithambo le-radius liphume ejoyintini.
• Lokhu kuyinkimbinkimbi kakhulu kunokuphuka nje, ngoba ilunga lendololwane liyaba lingazinzi.
• Lokhu kungenzeka ngenxa yezinto ezifana nokuwa kanye nokushaywa ngqo endololwaneni.
• Izimpawu eziyinhloko ubuhlungu bendololwane, ukuvuvukala, kanye nokungakwazi ukuhambisa ingalo kahle. Kukhona nethuba elincane lokulimala kwemizwa.
• Ukuze uyibone kahle, udinga ukuthatha i-X-ray ebunzini lakho nasendololwaneni.
• Izingane ezincane zivame ukulungiswa ngaphandle kokuhlinzwa, kodwa abantu abadala bangadinga ukuhlinzwa.
• Uma lesi sifo sibonakala kusenesikhathi futhi selashwa kahle, kungenzeka ukululama okuhle. Uma sekwephuzile, kungase kube nezinkinga.
• Uma uqhubeka nobuhlungu noma ukungakhululeki ngemva kokwelashwa, qiniseka ukuthi ubona udokotela.

Ngithemba ukuthi lolu lwazi luwusizo kuwe. Uma unemibuzo, ungangabazi ukubuza udokotela wakho. Hlala uphilile!

Ukuphuka kweMonteggia , ukulimala kwendololwane, ukuphuka, i-ulna, i-radius, ukuphuka kwesandla, ukuhlinzwa