Kuthiwani uma uphuka ingalo noma umlenze? Ake sixoxe ngokuphuka kwe-oblique!

O, ingabe uwile? Noma ingabe kube nengozi encane? Ingabe ingalo noma umlenze wakho ubuhlungu noma uvuvukele ngokuzumayo? Ngezikhathi ezinjalo, sizibuza ukuthi ithambo liphukile yini. Namuhla, sizokhuluma ngohlobo olukhethekile lokuphuka olungenzeka ngezikhathi ezifana nalezi. Lokho ukuphuka okuphambene, noma njengoba odokotela bekubiza kanjalo, ukuphuka okugobile (i-Oblique Fracture) .

Kuyini ngempela i-Oblique Fracture?

Kalula nje, i-"Oblique Fracture" yilapho elinye lamathambo akho liphuka nge-engeli, okusho nge-engeli ethile . Cabanga ngakho njengenduku yokhuni ephuka ibe yizingxenye ezimbili eziqondile, kodwa esikhundleni sokuphuka nge-engeli encane. Kulesi simo, ithambo liphuka ngokuphelele, okusho ukuthi umugqa wokuphuka udlula ethanjeni.

Lezi zinhlobo zokuphuka kwamathambo zivame kakhulu emathanjeni amade emizimba yethu. Isibonelo:

• I-Femur
• Ithambo lesifuba `(i-Tibia)`
• Ithambo elingaphandle kwethambo lomlenze `(Fibula)`
• Ithambo lengalo engenhla `(iHumerus)`
• Amathambo engalo (i-Radius ne-Ulna)
• UClavicle

Iningi lala maphutha abangelwa ukuwa noma izingozi. Ngezinye izikhathi kudingeka ukuhlinzwa ukuze kulungiswe ithambo. Kodwa kwabanye abantu, i-splint noma i-cast ingasiza. Isikhathi esithathwayo ukuze kuphole ngokuphelele sincike ekutheni yiliphi ithambo eliphukile nokuthi liphuke kanjani. Ngokuvamile kuthatha izinyanga eziningana ukuze kuphole.

Uyini umehluko phakathi kokuphuka kwe-oblique kanye nokuphuka kwe-spiral?

Lezi yizinhlobo ezimbili ezahlukene zokuphuka kwamathambo. La magama asiza udokotela ukuqonda ukuthi ithambo lakho liphukile kanjani nokuthi linjani isimo sokuphuka kwamathambo.

Ku-"Oblique Fracture"`, ithambo liyaphuka nge-engela, ngokuthambekela . Okusho ukuthi, ukuphuka kufana nomugqa othambekele ethanjeni. Lezi zinhlobo zokuphuka kungenzeka lapho isisindo siwela ohlangothini olugobile, njengasekuweni, noma lapho into ethile ishaya uhlangothi olugobile ngokuzumayo, njengasengozini yemoto.

Kodwa ku-`(Spiral Fracture)` ithambo liyaphuka ku-spiral, njengezitebhisi ezijikelezayo . Lokhu kuvame kakhulu ezingozini zemidlalo. Cabanga uma othile efika akujikijele umlenze wakho kanzima ngenkathi udlala ibhola.

Ngakho-ke uyini umehluko phakathi kokuphuka kwe-oblique kanye nokuphuka kwe-transverse?

Kuzo zombili izimo, ukuphuka kufana nomugqa oqondile odlula ethanjeni.

Kodwa ku-"Oblique Fracture" ephukile, umugqa use-engeli . Ku-"Transverse Fracture" ephukile, umugqa uwela ngokuphelele ithambo, okungukuthi, uqonde ubude bethambo.

Kodwa-ke, kungakhathaliseki ukuthi ukuphuka kwakho kubizwa ngokuthini, into ebaluleke kakhulu ukubonana nodokotela ngokushesha okukhulu bese uhlolwa.

Zivame kangakanani lezi ziqhekeko ezigobile?

Ukuphuka kwe-oblique empeleni kuyindlela evamile kakhulu yokuphuka, ikakhulukazi emathanjeni amade.

Ubani onamathuba amaningi okuthuthukisa lezi zinto?

Noma ubani angaphuka kanje. Lokhu kubangelwa kakhulu ukuwa nezingozi. Uma uthambekele ekuweni, kungenzeka kakhulu ukuthi uphuke. Futhi, abantu abane -osteoporosis, isifo esenza amathambo abe buthaka, basengozini enkulu yanoma yiluphi uhlobo lokuphuka, okuhlanganisa nalokhu (i-Oblique Fracture).

Ziyini izimpawu ze-Oblique Fracture?

Uma une-Oblique Fracture, ungase ube nezimpawu ezifana nalezi:

• Ubuhlungu obukhulu
• Ukuvuvukala
• Ubuhlungu uma uthinta (ukuthamba)
• Ukungakwazi ukuhambisa ingxenye yomzimba evame ukushukunyiswa
• Ukuphuka noma ukushintsha kombala wesikhumba
• Ukukhubazeka noma iqhubu elingavamile ukuba khona liyabonakala kuleyo ndawo.

Okubalulekile: Uma unesinye noma ngaphezulu salezi zimpawu, kungcono ukufuna iseluleko sezokwelapha ngokushesha.

Kuyini ukuqhekeka okuvulekile nokuvaliwe?

Uma udokotela wakho ehlukanisa ukwaphuka, uzokutshela ukuthi kuvuliwe noma kuvaliwe . Ekuqhekekeni okuvulekile , ithambo lakho eliphukile liphukile esikhumbeni futhi liyaphuma. Lokhu kuthatha isikhathi eside ukuphola, kunamathuba amaningi okutheleleka, futhi kungabangela ezinye izinkinga. Ukuqhekeka okuvaliwe nakho kuyingozi, kodwa ithambo aliphumi esikhumbeni.

Kuyini ukwaphuka kwamathambo okususiwe?

Odokotela babiza lokhu kuphuka ngokuthi ``Kususiwe`` noma ``Kungasusiwe``. ``Ukuqhekeka Okususiwe`` yilapho izingcezu ezimbili zethambo ziphuka bese zihlukaniswa, kushiye isikhala esizungeze ingxenye ephukile. Cabanga ukuthi uphule induku yokhuni phakathi. Uma izingcezu ezimbili zisasondelene, ``Kususiwe``. Kodwa uma izingcezu ezimbili zisuswa futhi zinesikhala phakathi kwazo, ``Kususiwe``. `` Lokhu kuqhekeka ``Kususiwe`` cishe kuzodinga ukuhlinzwa.

Ziyini izimbangela zokuqhekeka kwe-oblique?

Ukuphuka kwe-Oblique kungenzeka uma ithambo lakho lithinteka nganoma iyiphi indlela. Lokhu kuvame ukwenzeka uma okuthile kuthinta uhlangothi lomzimba wakho. Izimbangela ezivame kakhulu yilezi:

• Ukuwa (isb., ukushelela, ukuwa usuka endaweni ephakeme)
• Izingozi zezimoto
• Izingozi zemidlalo (isb. ukushayisana ngesikhathi udlala ikhilikithi, ibhola likanobhutshuzwayo)

Cabanga nje, uNimal waya kodlala ikhilikithi wakhubeka ngokuzumayo wawa ngesikhathi edlala ibhola. Noma, u-anti kaSumana washelela wawa ngenkathi ehla izitebhisi ekhaya. Yilapho-ke kunethuba elikhulu lokuwa nokuphuka.

Odokotela bakuthola kanjani lokhu?

Udokotela wakho uzohlonza ukuphuka kwe-oblique ngokuhlolwa ngokomzimba kanye nokuhlolwa kwezithombe .

Yiziphi lezi zivivinyo ezizama ukuzithola?

Ngemva kokuhlolwa ngokomzimba, ungase ube nokuhlolwa okukodwa noma ngaphezulu kwalokhu:

• Ama-X-ray: I-X-ray ingaqinisekisa ukuthi une-oblique fracture noma olunye uhlobo lwe-bone fracture. Ingabonisa futhi izinga lomonakalo ethanjeni.
• I-Magnetic Resonance Imaging (MRI): Ngezinye izikhathi udokotela wakho uzo-oda i-MRI. Lokhu kungabheka umonakalo emathanjeni akho nasezicutshini ezizungezile. Lokhu kubalulekile ukuze kubonakale ukuthi kukhona yini umonakalo emisipheni yakho, ezicutshini ezixhumeneyo, noma ezithweni zomzimba.
• I-CT scan: Uma udinga ukuhlinzwa, udokotela wakho noma udokotela ohlinzayo kuzodingeka azi kahle ukuthi umonakalo ongakanani owenzekile emathanjeni akho. I-CT scan ingaveza isithombe esicacile nesiningiliziwe samathambo nezicubu ezizungezile kune-X-ray. Uma i-X-ray ingaphelele, ungadinga i-CT scan ukuze uhlele ukuhlinzwa kwakho.

Kuphathwa kanjani ukuphuka kwe-oblique?

Ukwelashwa kwe-"Oblique Fracture" yakho kuzoncika ebunzimeni bokuphuka kokuqala. Amathambo akho aphukile adinga ukuphola nokuphola. Udokotela wakho uzosebenzisa izindlela zokwelapha ezahlukene kuye ngokuthi onakele kangakanani nokuthi yini ebangele ukuphuka.

Ukungasebenzi kahle

Uma ukwaphuka kwakho kungekubi kakhulu, okusho ukuthi izingcezu zethambo aziqhelelene kakhulu (`ezingekho endaweni yazo`), ungase ukwazi ukululama nge -splint noma i-cast kuphela. I-splint izohlala cishe amasonto amathathu kuya kwamahlanu. I-cast izohlala isikhathi eside, ngokuvamile amasonto ayisithupha kuya kwayisishiyagalombili. Kunoma yikuphi, kuzodingeka wenze enye i-X-ray ukuqinisekisa ukuthi ithambo liphola kahle.

Ukulungiswa Kwesandla (Ukunciphisa Okuvaliwe)

Uma kwenzeka ukwaphuka okukhulu, inqubo engadingi ukuhlinzwa ebizwa ngokuthi ukunciphisa okuvaliwe isetshenziswa ukuqondisa kabusha ithambo eliphukile. Kule nqubo, udokotela ubamba ithambo eliphukile ngaphandle komzimba wakho, alicindezele futhi alibuyisele endaweni yalo. Phakathi nale nqubo, uzonikezwa okunye kwalokhu okulandelayo ukusiza ekunciphiseni ubuhlungu:

• I-anesthetic yendawo ukuze iqede kuphela indawo ephukile.
• Ama-sedative okuphumula umzimba wonke.
• Ukubulala izinzwa okuvamile kuzokulalisa phakathi nayo yonke inqubo.

Ngemva kokwenza lokhu "Ukunciphisa Okuvaliwe", udokotela uzokufaka i-splint noma i-plaster.

Ukuhlinzwa Kwama-Oblique Fractures (Ukuhlinzwa Kwama-Oblique Fracture)

Uma kwenzeka amanxeba abuhlungu kakhulu, kudingeka ukuhlinzwa. Udokotela ohlinzayo uzolungisa amathambo akho futhi awalungise ukuze anganyakazi. Kulapho-ke kuphela lapho ezophola khona.

Ukulungiswa Kwangaphakathi

Ngokuvamile, lokhu kwenziwa kusetshenziswa into ebizwa ngokuthi i-internal fixation . Lokhu kusho ukuthi udokotela ohlinzayo ufaka izingcezu zensimbi (njengezinduku, amapuleti, noma amaphini) ethanjeni lakho ukuze alibambe endaweni yalo. Ngemva kwalokho, kuzodingeka uphumule ingxenye yomzimba wakho ehlinzwe kuze kube yilapho ithambo selipholile ngokuphelele.

Kunezindlela eziningana ``zokulungisa kwangaphakathi``:

• Izinduku: Induku efakwa phakathi kwethambo kusukela phezulu kuya phansi.
• Amapuleti nezikulufo: Amapuleti ensimbi afakwe izikulufo ethanjeni ukuze abambe izingcezu zamathambo ndawonye.
• Izikhonkwane nezintambo: Lezi zisetshenziselwa ukubamba ndawonye izingcezu ezincane zamathambo kunezinye izinto zokubopha. Ngokuvamile zisetshenziswa kanye nezikhonkwane noma amapuleti.

Abanye abantu baphila nalezi zingcezu zensimbi emizimbeni yabo. Abanye abantu kufanele baphinde bahlinzwe ukuze zisuswe.

Ukulungiswa Kwangaphandle

Kungase kudingeke futhi ukuthi ube nokufakelwa kwangaphandle . Lokhu kuhilela ukuthi udokotela ohlinzayo afake izikhonkwane emzimbeni wakho ohlangothini ngalunye lwethambo eliphukile bese enamathisela izikhonkwane ohlakeni noma esisekelweni sangaphandle somzimba wakho. Lokhu kuvame ukwenziwa okwesikhashana. Lokhu kwenzelwa ukunikeza ithambo isikhathi sokuzinza nokuqala ukuphola ngaphambi kokuba kwenziwe ukufakwa kwangaphakathi.

Ukufakwa Kwamalunga (i-Arthroplasty)

Uma unelunga eliphukile, njengesinqe sakho, idolo, noma ihlombe, kungadingeka ukuthi ufakwe ilunga esikhundleni salo (i-arthroplasty) . Udokotela ohlinzayo ususa ilunga lakho elonakele bese elifaka ilunga lokwenziwa esikhundleni salo. Leli lunga lokwenziwa lingenziwa ngensimbi, i-ceramic, noma ipulasitiki eqinile. Ilunga lakho elisha lizobukeka futhi linyakaze njengelunga lakho lemvelo.

Ukuxhunyelelwa Kwamathambo

Uma i-Oblique Fracture yakho 'igugile' kakhulu, okusho ukuthi izingcezu zamathambo zihambe kakhulu, futhi ithambo alipholi kahle futhi liphuza ukuphola, kungadingeka ukuthi uhlinzwe ngethambo . Udokotela ohlinzayo uzofaka izicubu zethambo ezengeziwe ukuze axhume kabusha ithambo lakho eliphukile. Ngemuva kwalokho, ngokuvamile ngokufakwa kwangaphakathi, izingcezu zibanjwa ndawonye kuze kube yilapho ithambo likhula futhi. Izicubu zalesi sihlahla zingathathwa ezindaweni ezahlukene:

• Ukusuka kwenye indawo emzimbeni wakho - ngokuvamile ingxenye ephezulu yethambo lakho lesinqe.
• Kusuka komunye umnikeli.
• Ingcezu eyenziwe ngobuciko.

Ukuhlinzwa kwe-`(Oblique Fracture)` kuvame ukwenziwa ngaphandle kokuhlala esibhedlela (`izinqubo zokulaliswa esibhedlela`), futhi ungaya ekhaya ngalolo suku. Kodwa-ke, uma kuwukuhlinzwa kwethambo elikhulu njenge-femur, kuzodingeka uhlale esibhedlela izinsuku eziningana.

Ngemva kokuhlinzwa, ithambo eliphukile lizoyeka ukusebenza. Kuzodingeka ugqoke i-brace, i-splint, noma i-cast ngaphambi kokuthi uphinde ubeke isisindo engxenyeni noma uyisebenzise njengoba wenzile ngaphambi kokuba ithambo liphuke.

Yimiphi imithi enikezwayo yokwephuka nokuqhekeka kwemisipha?

Amanye ama-painkiller, njenge-aspirin noma i-ibuprofen ( NSAIDs ), angabangela ukopha kanye nezinye izinkinga ngemva kokuhlinzwa. Udokotela wakho ohlinzayo uzokutshela ngemithi ongayithatha ukusiza ukunciphisa ubuhlungu ngemva kokuhlinzwa.

Yiziphi izinkinga zokwelashwa kokuphuka kokucindezeleka?

Ezinye zezinkinga ezingaba khona zokuhlinzwa yilezi:

• I-Acute Comppartment Syndrome (ACS): Uma ingcindezi ngaphakathi kwemisipha ikhuphuka futhi ukugeleza kwegazi kuya ezicutshini kunqamuka, kungadala umonakalo ongapheli emisipheni nasezinzwa.
• I-Malunion: Isimo lapho ithambo eliphukile lingapholi kahle futhi esikhundleni salokho lihlangana ngendlela engafanele.
• Ukungahlangani: Ukwehluleka kwamathambo ukuhlangana ngokuphelele nangokufanele.
• Ukutheleleka kwamathambo (i-Osteomyelitis): Uma une-break evulekile (lapho ithambo liqhekeke khona esikhumbeni), kungenzeka kakhulu ukuthi ube nokutheleleka ngamagciwane.
• Okunye ukulimala kwangaphakathi: Ukuphuka kwemisipha kungalimaza nemisipha ezungezile, imizwa, imithambo yegazi, imisipha, kanye nemisipha.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Kungathatha amasonto ambalwa ukuthi izimpawu zakho ziphele. Kuye ngohlobo lokuhlinzwa okwadingeka ulungise '(i-Oblique Fracture)' yakho nokuthi yimaphi amathambo aphukile, ungase ukwazi ukuqala ukuhambahamba futhi emavikini ambalwa.

Ukunakekelwa Okuphuthumayo: Uma ubuhlungu obungabekezeleleki obungapheli, shayela udokotela wakho ngokushesha.

Ingozi yokuqhekeka kwamathambo kanje ingancishiswa kanjani?

Landela lawa macebiso okuphepha ukuze unciphise ukulimala okubangelwa izingozi:

• Gqoka ibhande lakho lesihlalo njalo uma ushayela.
• Gqoka imishini yokuphepha efanele lapho udlala imidlalo neminye imisebenzi.
• Gcina ikhaya lakho nendawo yakho yokusebenza ihlanzekile futhi ingenazo izinto ezingabangela ukuba ushelele futhi uwe.
• Sebenzisa amathuluzi noma imishini efanele njalo ukuze ufinyelele izinto usuka phezulu. Ungalokothi ukhwele ezihlalweni, ematafuleni, noma emakhawunteni.
• Landela uhlelo lokudla kanye nokuzivocavoca olusiza ekugcineni amathambo enempilo enhle.
• Uma uneminyaka engaphezu kwengu-50, noma uma kukhona umuntu emndenini wakhoUma une-osteoporosis, khuluma nodokotela wakho mayelana nokuhlolwa kokuqina kwamathambo.
• Uma unenkinga yokuhamba noma usengozini enkulu yokuwa, sebenzisa induku yakho noma i-walker .

Ingabe ukuqhekeka kwe-Oblique kungavinjelwa?

`(Ukuphuka Kwama-Oblique)` Njengoba kuvame ukwenzeka ngenxa yokuwa noma ezinye izingozi, akukho okuningi ongakwenza ukuze ukuvimbele. Kodwa-ke, ungasebenzisa udondolo noma i-walker ukuze wandise ukuzinza kwakho lapho uhamba futhi uvimbele ukuwa.

Futhi, uma une -osteoporosis , ukuyelapha kungavimbela ukulahlekelwa okwengeziwe kokuqina kwamathambo esikhathini esizayo.

Yini engingayilindela uma nginokuphuka kwe-oblique?

Uma une-Oblique Fracture, ungalindela ukululama ngokuphelele . Kodwa kuzothatha isikhathi.

Kungase kudingeke futhi ukuthi wenze i-physiotherapy ukuze uthole amandla nokunyakaza okuhlukahlukene engxenyeni yomzimba elimele.

Kuthatha isikhathi esingakanani ukuthi ukuphuka kwe-oblique kuphole?

Isikhathi esithathayo ukuze ululame sincike ebunzimeni bokuphuka kwakho kanye nokwelashwa okutholile. Iningi labantu lithatha izinyanga eziningana ukuze lilulame ekuqhekekeni kwe-Oblique.

Kodwa-ke, kunezinye izici eziningi ezingathinta ukuthi kuthatha isikhathi esingakanani ukuthi umzimba wakho ululame. Khuluma nodokotela wakho noma udokotela ohlinzayo mayelana nesikhathi esifanele isimo sakho.

Ingabe ngeke ngikwazi ukuya emsebenzini/esikoleni?

Isikhathi ongeke ukwazi ukuya emsebenzini, esikoleni, noma kweminye imisebenzi sizohluka kuye ngokuthi ulimele kangakanani nokuthi yimaphi amathambo aphukile.

Ngesikhathi usalulama, khuluma nodokotela wakho ohlinzayo noma udokotela ngaphambi kokuba uqale noma yimuphi umsebenzi womzimba.

Ekugcineni, mayelana nokuqhekeka kwe-oblique...

Umbono weningi le-`(Oblique Fracture)` muhle. Ngisho noma uhlinzwa, kufanele ululame ngokuphelele.

Kufanele ngiye nini eGumbini Lezimo Eziphuthumayo?

Uma ucabanga ukuthi "une-Oblique Fracture" noma olunye uhlobo lwethambo eliphukile, kufanele ubonane nodokotela ngokushesha okukhulu. Yiya ekamelweni eliphuthumayo uma unezinye zalezi zimpawu:

• Ubuhlungu obungabekezeleleki.
• Uma ungakwazi ukuhambisa ingxenye yomzimba wakho, ungayihambisa ngokujwayelekile.
• Uma ingxenye yomzimba wakho ishintshile ekubukekeni noma iphuma endaweni yayo .
• Uma ungabona ithambo liphuma esikhumbeni.
• Ukuvuvukala.
• Uma, kanye nalezi ezinye izimpawu, kuvela imihuzuko emisha ngokuzumayo.

Uma uke waba nengozi, hamba uye ekamelweni lezimo eziphuthumayo ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

• Yiliphi ithambo lami eliphukile?
• Ingabe nginayo i-Oblique Fracture noma olunye uhlobo lokuphuka?
• Ingabe ngidinga ukuhlinzwa?
• Kuzothatha isikhathi engingakanani ukuphola?
• Ngingaqala nini futhi umsebenzi womzimba?

Ukuphuka kwethambo eligobile ngokuvamile akuyona into eshintsha impilo, kodwa kungaba yinto eyesabekayo ukwazi ukuthi unethambo eliphukile. Ukuphuka kwethambo eligobile kusabela kahle ekwelashweni, futhi kunezindlela eziningi zokusiza amathambo akho nomzimba wakho ukuthi uphulukiswe kahle. Khuluma nodokotela wakho ngendlela ongawagcina ngayo amathambo akho eqinile futhi enempilo, futhi uthole ukuhlolwa kokuqina kwamathambo njalo uma uneminyaka engaphezu kwengu-50 noma unomlando womndeni we-osteoporosis.

Ukuphuka , Ukuphuka Okuvalekile, Impilo Yamathambo, Ithambo, Usizo Lokuqala, Ukuhlinzwa