Ingabe ingane yakho iwile futhi "yaphuka" ingalo noma umlenze? Kungaba yi-(Buckle Fracture)! Ake sixoxe ngalokhu.

Ngiyaqonda ukuthi kumelwe ukuba wesaba kangakanani njengomzali uma ingane yakho iwa ngokuzumayo noma iba nengozi encane ngesikhathi idlala. Ikakhulukazi uma ingane yakho ikhala ngokuthi ingalo noma umlenze ubuhlungu, kuyinto evamile ukukhathazeka, "O, angazi ukuthi ngiphuke ithambo." Kodwa ubuwazi ukuthi ezinye zezaphuka ezenzeka ezinganeni ezincane (thina odokotela sizibiza ngokuthi 'ukuphuka') zihlukile kancane kulezo ezaphuka ezenzeka kubantu abadala? Namuhla sizokhuluma ngohlobo olukhethekile lokuphuka oluvame ezinganeni ezincane, kodwa oluvame ukuphola ngokushesha ngaphandle kwezinkinga ezinkulu. Lokhu sikubiza ngokuthi 'i-Buckle Fracture' . Ngezinye izikhathi kubizwa nangokuthi 'i-Torus Fracture.' Ngakho-ke, ake sibone ukuthi kuyini, kungani kwenzeka, nokuthi yini okufanele uyenze uma kwenzeka?

Kuyini 'Ukuphuka Kwebhakede'? Kwenzekani ngempela?

Kalula nje, ukuphuka kwe-buckle kuwukuphuka okuncane, okungaphelele okuvamile ezinganeni ezincane. Cabanga ngethambo lengane encane njengegatsha eliluhlaza, elingavuthiwe lesihlahla. Kwenzekani uma ugoba igatsha kanjalo? Aliphuki ngokuphelele libe yizicucu ezimbili, akunjalo? Esikhundleni salokho, olunye uhlangothi lwayo lugoba ngaphakathi kancane, lwakha ifindo elincane noma iqhubu. Yilokho okwenzekayo lapho ithambo liqhekeka. Lapho ithambo licindezelwa kanzima ohlangothini olulodwa, ungqimba lwangaphandle oluqinile lwethambo, olubizwa ngokuthi i-cortex , lugoba ngaphakathi kancane ohlangothini olulodwa, lwakha iqhubu elincane noma i-torus njenge-accordion. Into ebalulekile ukuthi ithambo aliqhekeki ngokuphelele libe yizicucu ezimbili. Ngakolunye uhlangothi, 'i-cortex' ingase iphelele. Yingakho sibheka lokhu njengokuphuka okuzinzile. Igama elithi 'torus' livela nasesiGrekini/esiLatini, okusho okuthile okufana 'nokusonta' noma 'iqhubu eliyindilinga'. Ngakho igama ngokwalo linikeza umbono wohlobo lwalokhu kuphuka.

Kungani lokhu kwenzeka kakhulu ezinganeni ezincane?

Manje ungase uzibuze, "Kungani lokhu kwenzeka ezinganeni ezincane kuphela hhayi kubantu abadala?" Isizathu ukuthi amathambo ezingane ezincane, ikakhulukazi labo abangaphansi kweminyaka eyi-10-12 ubudala, ahlukile kwawabantu abadala.

• Amathambo athambile futhi aguquguqukayo: Ngenxa yokuthi amathambo ezingane ezincane asakhula, awaqinile futhi awaqinile njengamathambo amadala. Athambile, anezimbobo eziningi, futhi aguquguquka. Njengalelo gatsha elingavuthiwe engikhulume ngalo ekuqaleni. Ngakho-ke, lapho kusetshenziswa amandla amakhulu, ithambo livame "ukugoba" noma "ukuqhekeka" kunokuba "liqhekeke" ngokuphelele. Kumuntu omdala, lolo hlobo lwamandla luvame ukuphula ithambo ngokuphelele, njengenduku eyomile.
• I-Periosteum : I-periosteum ezungeze amathambo ezingane.I-periosteum, noma isembozo samathambo, ijiyile futhi inamandla kunakwabantu abadala. Ifana nesigqoko esiqinile esizungeze ithambo. Ngisho noma 'kuqhekeka kwe-buckle,' le 'periosteum' eqinile ivimbela kakhulu izingcezu zamathambo ukuthi zingahambi (ukufuduka). Leso esinye isizathu esenza ukuthi lokhu kuqhekeka kuhlale kuzinzile.

Ngenxa yalezi zizathu, lokhu kulimala okubizwa ngokuthi 'ukuphuka kwe-buckle' kuvame ukubonakala ezinganeni ezincane.

Ukulimala okunje kungenzeka kanjani? Ngokuvamile kwenzeka kanjani?

Imbangela eyinhloko yalolu hlobo 'lokuphuka kwe-buckle' amandla angazelelwe asetshenziswa ku-axis ende yethambo. Izingane ezincane ziyadlala, ziyagijima, ziyagxuma, futhi ziyadlala. Ngakho-ke kuvamile ukuthi kwenzeke izingozi ezincane ngalezi zikhathi. Lokhu kulimala kuvame ukubonakala:

• Ukuwa ngesandla eseluliwe (FOOSH): Lesi yisona sizathu esivame kakhulu. Cabanga ngengane yakho igijima endaweni yokudlala bese ishaya isandla sayo ngokuzumayo. Esimweni esinjalo, isisindo sonke somzimba singase sehle engalweni bese sibeka ingcindezi ethanjeni esihlakaleni noma engalweni. Yilapho-ke kungenzeka khona ukuthi 'kuqhekeke ibhande'.
• Ukushaywa okuqondile: Ngezinye izikhathi, lapho okuthile kushaya ingalo noma umlenze ngqo, lolu hlobo lokuphuka lungenzeka ngenxa yomthelela.
• Ukugxuma kanye nezingozi zemidlalo : Lezi zinhlobo zokulimala zingase zenzeke nalapho ugxuma usuka endaweni ephakeme noma ngezinye izingozi ngenkathi udlala imidlalo.

Lokhu 'kuphuka kwe-buckle' kuvame ukubonakala e-radius nase-ulna , ikakhulukazi eduze kwesihlakala. Ngezinye izikhathi kungabonakala nase-tibia nase-fibula, kodwa akuvamile kakhulu kunasesandleni.

Ngingazi kanjani ukuthi ingane yami 'iphuke kabi'? Ziyini izimpawu?

Manje ungase uzibuze, "Ngingazi kanjani ukuthi ingane yami inalokhu?" Izimpawu 'zokwaphuka kwe-buckle' zingase zingabi zimbi njengoba ungase ucabange. Kodwa-ke, qaphela lezi zinto:

• Ubuhlungu endaweni yokulimala: Ingane ingase ithi ingalo noma umlenze wayo uyabuhlungu. Ubuhlungu bungakhula uma ithinta noma icindezela indawo ( ukuthamba ).
• Ukuvuvukala: Ungase uqaphele ukuvuvukala okuzungezile indawo yokulimala. Ngezinye izikhathi lokhu kungase kungabonakali.
• Ukungathandi ukusebenzisa: Ingane ingase ingafuni ukusebenzisa ingalo noma umlenze olimele. Isibonelo, uma kuyisandla, ingase ingakwazi ukubamba lutho ngaleso sandla, noma uma kuyinyawo, ingase ingafuni ukubeka lowo mlenze phansi noma ukuhamba.
• Ukukhubazeka: Ezimweni eziningi 'zokuphuka kwe-buckle', akukho ukukhubazeka okuphawulekayo. Ngakho-ke, ungacabangi ukuthi, "Ingalo ayigobile, ngakho ayiphukile."
• Ukuphuka: Ngezinye izikhathi isikhumba esizungeze ukulimala singase sishintshe umbala.Kushintshile, futhi kubonakala ukuphuka okuluhlaza okwesibhakabhaka okunsomi.

Okubalulekile: Ezinye izingane zizwela kakhulu ebuhlungwini futhi zingase zikhale kakhulu ngisho nangemva kokulimala okuncane. Ezinye zingase zingakhathali kakhulu ngobuhlungu. Ngakho-ke, qaphela kakhulu ukuziphatha kwengane yakho nalokho ekushoyo. Uma unokungabaza, qiniseka ukuthi ufuna iseluleko sezokwelapha.

Udokotela ukuxilonga kanjani lokhu? Yiziphi izivivinyo abazenzayo?

Uma uyisa ingane yakho kudokotela, into yokuqala udokotela noma umhlengikazi angayenza ukubuza ingane nawe ngengozi. Ngemuva kwalokho, bazohlola ingane. Bazohlola ukuthi indawo elimele ivuvukele yini, ukuthi iyabuhlungu yini uma ithintwa, nokuthi isitho singasuswa yini. Kodwa-ke, ukuze uqiniseke ukuthi kukhona 'ukuphuka kwe-buckle' noma cha, kufanele nakanjani uthathe 'i-X-ray'. Kusesithombeni 'se-X-ray' lapho ungabona khona ngokucacile ukugoba okuncane noma 'i-buckle' ethanjeni engikushilo ekuqaleni. Ungesabi ukuthatha 'i-X-ray'. Esimweni esinjengalesi, 'i-X-ray' ngeke ilimaze ingane. Ulwazi olunikezayo lubaluleke kakhulu ekunikezeni ingane ukwelashwa okufanele.

Yini oyenzayo uma 'uqhekeke nge-buckle'? Kwelashwa kanjani?

Izindaba ezinhle ukuthi 'ukuphuka kwe-buckle' kuvame ukuba ukulimala okuphola kahle kakhulu futhi ngokushesha, ngaphandle kwezinkinga ezinkulu. Ngakho-ke, ukwelashwa kuvame ukuba lula.

• Ukungasebenzi: Ukwelashwa okuyinhloko ukuvimbela ithambo elilimele ukuba lingakwazi ukuhambahamba ngokulivimbela ukuthi lingakwazi ukuhambahamba. Kulokhu, sisebenzisa:
• I-splint: Lena i-splint yesikhashana, ngezinye izikhathi eyenziwe nge-fiberglass noma i-plaster, ebekwa ohlangothini olulodwa lwengalo/umlenze bese igoqwa ngebhandeji.
• 'I-Cast': Lena 'i-plaster' esiyaziyo sonke. Iboshwe ngokuqinile kune-'splint', futhi ivimbela ngokuphelele ithambo.

Udokotela uzonquma ukuthi uzosebenzisa i-splint noma i-cast, kuye ngohlobo lokulimala kanye nobudala bengane. Lokhu kuvimbela ukunyakaza kunciphisa ubuhlungu, kunikeza ithambo lonke elikudingayo ukuze liphole kahle, futhi kuvimbele ukulimala okwengeziwe.

• Ubude besikhathi: Ngokuvamile, lokhu 'kuqhekeka' noma 'ukuphonswa' kudinga ukugcinwa cishe amasonto amathathu kuya kwamane . Amanye 'ama-buckle fractures' amancane angathatha isikhathi esincane.

• Ama-Painkiller : Uma ingane isezinhlungwini, umuthi wokuqeda ubuhlungu ofana ne-Paracetamol unganikezwa njengoba udokotela eqondisile.

Into ebalulekile ukuthi lokhu 'kuqhekeka kwe-buckle' kuwukuqhekeka okuzinzile ngokwemvelo.Lokhu kusho ukuthi mancane kakhulu amathuba okuthi izingcezu zamathambo zihambe. Ngakho-ke, isidingo sokuhlinzwa asivamile.

Udokotela uzokutshela ukuthi ubuye nini ukuzohlolwa. Ngaleso sikhathi, ungaya uyokhipha ukhonkolo.

Kuzothatha isikhathi esingakanani ukuthi leli nxeba liphole? Ingabe lizophola ngokuphelele?

Lena induduzo enkulu kakhulu ongaba nayo njengomzali. Ikhono lezingane ezincane lokwelapha amathambo azo liyamangalisa!

• Ukuphola okusheshayo: 'Ukuphuka kwe-buckle' kuphola cishe ngokuphelele emavikini ambalwa. Ithambo liphola kahle futhi liqine ngesikhathi 'i-cast' isendaweni.
• Ukululama okuphelele: Azikho izinkinga zesikhathi eside ezibangelwa yilezi zingozi. Ithambo lengane lizokhula liqine njengoba lalinjalo. Amathambo ezingane anekhono elimangalisayo 'lokuzilungisa', okusho ukuthi angazilungisa kabusha. Ngakho-ke, indawo lapho 'ibhakede' elincane lalikhona ekugcineni lizoba ithambo elijwayelekile.
• Ngemva kokususwa kwe-cast: Lapho i-cast isusiwe, isikhumba singase some kancane futhi singase siqhekeke. Ilunga lingase lizizwe liqinile kancane futhi imisipha ingazizwa ibuthakathaka kancane. Lokhu kuvamile. Ngemva kwezinsuku ezimbalwa, lokhu kuzophela njengoba ingane iphinda isebenzise ingalo/umlenze ngendlela evamile. Ngezinye izikhathi udokotela angase ancome ukwelashwa ngokomzimba , okungasiza ukusheshisa ukululama.

Yini okufanele ngiyenze njengomzali? Yiziphi izinto okudingeka ngikhathazeke ngazo?

Uma ingane ilimala kanje, kunezinto eziningana ongazenza njengomzali.

• Ungesabi futhi funa iseluleko sezokwelapha: Uma ingane yakho iwile, ingalo noma umlenze ubuhlungu, ivuvukele, noma uma unokungabaza, ungesabi futhi ubone udokotela ngokushesha. Ungenzi isimo sibe sibi kakhulu ngokugcoba uwoyela noma ukugcoba kakhulu ekhaya.
• Qaphela nge-cast noma i-splint:
• Gcina komile: Ungavumeli i-cast imanzi. Yimboze ngeshidi le-polythene elingangeni manzi uma ugeza.
• Yigcine ihlanzekile: Ungavumeli izinto ezifana nothuli, isihlabathi, noma izinhlayiya zokudla zingene ngaphakathi 'kwe-cast'.
• Ungafaki lutho ngaphakathi: Ungafaki lutho ebhodweni, njengommese, induku, noma ipeni, ngoba lokhu kungalimaza isikhumba.
• Uma kukhona izinkinga nge-cast: Uma i-cast ibonakala iqine kakhulu, uma iminwe yakho iluhlaza okwesibhakabhaka noma ingazwakali, uma i-cast inuka kabi, noma uma kukhona inxeba, yazisa udokotela ngokushesha.
• Landela imiyalelo kadokotela:Landela imiyalelo kadokotela wakho ngqo mayelana nokuthi kufanele ugcine isikhathi esingakanani ugqoke i-cast, ukuthi kufanele ubuye nini ukuzoyithatha, nokuthi yimiphi imisebenzi emihle nengalungile kuwe.
• Sekela ingane yakho: Ukugqoka i-cast kungaba yinto engakhululekile enganeni. Khuluma nayo ngothando futhi uyikhuthaze.

Ingabe ukulimala okunje kungavinjelwa ukuthi kungenzeki futhi?

Kunzima ukuvimbela ngokuphelele izingozi ezincane ukuthi zenzeke ezinganeni ezincane ngesikhathi zidlala futhi zidlala. Kuyingxenye yokukhula kwengane. Kodwa-ke, kunezinto ezithile esingazenza ukunciphisa ingozi yezingozi:

• Indawo yokudlala ephephile: Qiniseka ukuthi izindawo lapho izingane zidlala khona ziphephile ngangokunokwenzeka. Qaphela imiphetho ebukhali nezindawo ezishelelayo.
• Izimpahla zokuphepha ngesikhathi semidlalo: Uma ingane yakho idlala imidlalo (isib. ukugibela ibhayisikili, ukuskiya), yikhuthaze ukuthi isebenzise izinto zokuphepha ezifanele (isigqoko sokuzivikela, ama-knee pad, ama-elbow pad).
• Ukudla okunempilo: Ukunikeza izingane ukudla okucebile nge-calcium kanye ne-vitamin D kusiza ukuqinisa amathambo azo. Nakuba lokhu kungavimbeli ngqo 'ukuphuka kwe-buckle', kubaluleke kakhulu empilweni yamathambo iyonke.

Kodwa khumbula, ngisho noma kunjalo, ngezinye izikhathi izingozi ezingalindelekile zingenzeka. Uma lokho kwenzeka, kubalulekile ukwenza into efanele ngaphandle kokwethuka.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke sesikhulume kakhulu nge-'Buckle Fracture'. Okokugcina, nazi izinto ezibalulekile okufanele uzikhumbule:

• 'Ukuphuka kwe-buckle' ukulimala okuvamile ezinganeni ezincane (ikakhulukazi labo abangaphansi kweminyaka eyi-10 ubudala), lapho ithambo lingaphukile ngokuphelele, kodwa kubonakala sengathi "lishaya" kancane ohlangothini olulodwa.
• Lokhu ngokuvamile akuzona ukulimala okukhulu. Lokhu kungenxa yokuthi amathambo ezingane athambile.
• Izimpawu zifaka phakathi ubuhlungu, ukuvuvukala, kanye nokungafuni ukusebenzisa ingalo/umlenze olimele .
• Ukuhlolwa kwe-X-ray kuyindlela kuphela yokuqinisekisa lokho.
• Ukwelashwa kuvame ukuhilela ukugqoka i-splint noma i-cast amasonto ama-3-4. Ukuhlinzwa akuvamile.
• Lezi zilonda ziphola kahle kakhulu futhi ngokushesha, futhi ngokuvamile azishiyi izinkinga zesikhathi eside.
• Uma usola ukuthi ingane yakho ilimele kanje, ungesabi futhi ubone udokotela ngokushesha.
• Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo ukuze ingane ilulame ngokushesha.

Ngakho-ke, ngithemba ukuthi ukwesaba kwakho nokungabaza kwakho mayelana 'nokuphuka kwe-buckle' sekuqediwe. Ukwazi lolu hlobo lolwazi kuzoba wusizo kakhulu kuwe esimweni esiphuthumayo. Ngifisela izingane zakho impilo enempilo nephumelelayo! Ukuphuka kwe-Buckle, Ukuphuka kwethambo, Amathambo ezingane, Ukuphuka kwe-Torus, Ukuphuka kwesandla, Ukuphuka kwemilenze, Impilo yezingane, Ukuphuka kwe-Buckle, Ukuphuka kwe-Torus, ukuphuka kwezingane, ukulimala kwamathambo, amathambo ezingane, i-splint, i-cast