Uma unengane encane eyisilima ekhaya, kuvamile ukuthi iwele lapha nalaphaya bese ithola ukulimala okuncane. Kodwa ngezinye izikhathi, ngisho nokuwa okuncane kungabangela umonakalo omkhulu kunalokho ocabanga. Ikakhulukazi uma kukhulunywa ngamathambo ezingane ezincane, amathambo azo ahlukile kancane kwawabantu abadala. Namuhla, sizokhuluma ngokuphuka kwethambo okungenzeka ezinganeni ezinjalo ezincane.
Iyini le "Greenstick Fracture"?
Kalula nje, "i-Greenstick Fracture" uhlobo lokuphuka oluvame ezinganeni ezincane. Cabanga uthatha igatsha esihlahleni esisha, esimanzi kancane bese uligoba. Kwenzekani? Esikhundleni sokuthi liqhekeke ngokuphelele libe yizicucu ezimbili, liqhekeke kancane ohlangothini olulodwa futhi lisanamathele kolunye uhlangothi? Lingase lilenga njengentambo. Yilokho okushiwo "i-Greenstick Fracture". Leli igama elinikezwa ukuphuka lapho ithambo lingaqhekeki ngokuphelele libe yizicucu ezimbili, kodwa kunalokho linoqhekeko oluncane noma ukuqhekeka kolunye uhlangothi. Libizwa ngokuthi "i-Greenstick Fracture" ngoba libukeka sengathi "igatsha eliluhlaza" liqhekeke.
Kungani lokhu kuvame kakhulu ezinganeni ezincane?
Manje ungase uzibuze, "Kungani lokhu kwenzeka ezinganeni hhayi kubantu abadala?" Isizathu ukuthi amathambo ezingane, ikakhulukazi lawo angaphansi kweminyaka eyi-10, awaqinile futhi awaguquguquki njengawabantu abadala. Athambile kancane futhi aguquguquka kakhudlwana, njengalelo gatsha elisha engikhulume ngalo ekuqaleni. Ngokwezokwelapha, amathambo awo ane-`(Collagen)` eningi futhi angaphansi kwe-`(Minerals)`. Ngakho-ke, lapho kwenzeka umthelela, njengokuwa, ithambo livame ukuqhekeka ohlangothini olulodwa kunokuba liphuke ngokuphelele libe yizicucu ezimbili. Kumuntu omdala, ukuwa okunjalo kungabangela ukuthi ithambo liphuke ngokuphelele, ngaphesheya. Kodwa lokhu `(Greenstick Fracture)` kubangelwa lokhu kuguquguquka okukhethekile emathanjeni ezingane.
Kwenzeka kanjani lokhu `(Greenstick Fracture)`? Ziyini izimbangela?
Manje cishe ucabanga ukuthi, "Hawu Nkulunkulu wami, lokhu kungenzeka kanjani enganeni yami?" Akudingeki kube yingozi enkulu. Ngisho nezinto ezincane njengokugijima nokudlala zingabangela lesi simo. Izimbangela ezivame kakhulu yilezi:
- Ukuwa ngenkathi udlala : Ngokuvamile, izingane ziwela ngesandla eseluliwe, esihlakaleni noma engalweni. Lokhu kungenzeka kusofa, embhedeni, noma ezintweni zokudlala noma zokudlala.
- Ukulimala Emlenzeni : Uma ukhubeka bese uwela ngenkathi ugijima noma udlala, ungaba ne-Greenstick Fracture emathanjeni omlenze ongezansi (i-Tibia, i-Fibula).
- Ukuwa ebhayisikilini : Lesi simo singabonakala nasezinganeni ezindala eziwa ngenkathi zigibela ibhayisikili.
- Ukulimala kwezemidlaloLolu hlobo lokulimala lungenzeka uma ushaywa yibhola ngenkathi udlala imidlalo yesikole, isibonelo, ikhilikithi, noma uma ushayisana nomunye umdlalo.
- Ukushaywa okuqondile : Uma into eqinile ishaya ingalo noma umlenze ngqo, ingabangela lolu hlobo lokuqhuma.
Okubaluleke kakhulu, lokhu kuvame ukwenzeka emathanjeni engalo (`(Amathambo engalo yangaphambili - i-Radius, i-Ulna)`) kanye namathambo emilenze engezansi (`(Amathambo emilenze engezansi - i-Tibia, i-Fibula)`). Futhi, ukwaphuka okunjalo kungabonakala ethanjeni le-collarbone (`(i-Clavicle noma i-Collarbone)`).
Ziyini izimpawu ze-`(Greenstick Fracture)`? Uyibona kanjani?
Kulungile, manje ake sibone ukuthi ungayibona kanjani ingozi efana nale. Njengoba izingane zisencane, azazi ngempela ukuthi kwenzekani. Ngakho nguwe okudingeka uqaphele lezi zimpawu.
- Ubuhlungu obukhulu : Uma ingane ikhala noma izwa ubuhlungu lapho indawo elimele ithintwa noma lapho ingalo/umlenze ushukunyiswa, lokho kuyisibonakaliso esikhulu.
- Ukuvuvukala : Indawo elimele ingase ivuvuke kakhulu . Ingase ivuvuke ngokushesha, noma ingathatha isikhathi.
- Okuluhlaza okwesibhakabhaka noma okushintshile umbala : Ngezinye izikhathi kungaba luhlaza okwesibhakabhaka noma obomvu, njengokuphuka.
- Ukungathandi ukusebenzisa ingalo/umlenze : Uma ingane inqikaza ukusebenzisa ingalo/umlenze , njengokungaluli isandla, ukungalithathi ithoyizi, noma ukungalibeki phansi lelo mlenze, lokho nakho kuyisibonakaliso esibalulekile.
- Ukuma noma ukugoba okungajwayelekile (`(Ukukhubazeka)`) : Ngezinye izikhathi ukugoba okuncane noma ukugoba okungavamile engalweni noma emlenzeni kungabonakala. Kodwa-ke, lokhu akubonakali ngaso sonke isikhathi. Ku-`(Greenstick Fracture)`, ngokuvamile akukho ukugoba okukhulu.
- Ukuthi uzwe umsindo 'we-kadas' : Ngezinye izikhathi ungawuzwa umsindo omncane uma uwa, kodwa akuwona wonke umuntu owenza lokho, ngakho awukwazi ukukukholwa.
Okubalulekile: Ngezinye izikhathi lezi zimpawu zingase zingabonakali zimbi kangako. Ngisho noma ingane yakho ikhala kancane futhi ubuhlungu bubonakala sengathi sebuphelile, kungcono ukubona udokotela uma unenkinga. Ungakushayi indiva ngoba nje kuyinkinga encane.
Udokotela ukuqinisekisa kanjani lokhu?
Uma uyisa ingane yakho kudokotela, izoqala ikubuze ukuthi ukulimala kwenzeke kanjani, ukuthi ziyini izimpawu, nokuthi ingane injani. Ngemuva kwalokho, bazoyihlola ngokucophelela ingane. Bazoyizwa ingozi, befuna noma yikuphi ukuvuvukala noma ubuhlungu.
Bese, ukuqinisekisa ngokuqinisekile ukuthi lokhu kuqhekeka, into ebaluleke kakhulu ukwenza isivivinyo se-``(X-ray)```.I-`(X-ray)` iyindlela kuphela yokubona kahle ukuthi kukhona ukuphuka ethanjeni, ukuthi luhlobo luni lokuphuka, i-`(Greenstick Fracture)`, noma ukuphuka okuphelele. Njengoba ngishilo, i-`(X-ray)` cishe izobonisa ukuqhekeka okuncane ohlangothini olulodwa lwethambo, kanti olunye uhlangothi luphelele.
Yikuphi ukwelashwa odokotela abakunikezayo nge-"Greenstick Fracture"?
Kulungile, uma i-X-ray iqinisekisa ukuthi i-Greenstick Fracture, udokotela uzoqala ukwelashwa. Into eyinhloko ukulungisa ithambo eliphukile kahle, alibuyisele endaweni yalo yokuqala, bese elivumela ukuthi liphole. Lokhu kubizwa ngokuthi ukungasebenzi kahle.
- Ukufaka i-cast : Ngokuvamile, kusetshenziswa i-"Plaster of Paris cast" noma i-"Fiberglass cast". Le cast ivimba ingalo/umlenze olimele ukuze ingakwazi ukunyakaza. Lokhu kuvumela ithambo ukuthi liphole ngokukhululeka nangokufanele. Le cast ivame ukuhlala cishe amasonto amane kuya kwayisithupha. Lokhu kunqunywa udokotela, kuye ngohlobo lokuphuka, kanye nobudala bengane.
- I-Splint : Kwezinye izimo, i-"splint" ingasetshenziswa kuqala kuze kube yilapho ukuvuvukala kwehle kancane, bese kufakwa i-cast ngemva kwezinsuku ezimbalwa. I-"splint" ifana ne-cast, kodwa iqinile ohlangothini olulodwa futhi ingalungiswa ngezintambo ze-"Velcro" ngakolunye uhlangothi.
- Ama-Painkiller : Ukuze unciphise ubuhlungu ingane yakho ebuzwayo, udokotela wakho angase akuncome ama-painkiller njenge-Paracetamol (Panadol).
- Ama-aphoyintimenti okulandelela : Ngesikhathi i-cast isekhona, futhi ngisho nangemva kokukhishwa kwe-cast, kufanele uye kudokotela kaningi ngendlela othanda ngayo. Angase athathe enye i-X-ray ukuze ahlole ukuthi ithambo liyaphola kahle futhi lisesimweni esihle.
Yiziphi izinto okufanele uzicabangele lapho unakekela ingane ekhaya? (Ngesikhathi ugqoke i-cast)
Ngemva kokufika ekhaya usuka eqenjini, unesibopho esikhulu sokunakekela ingane yakho encane. Nakekela lezi zinto:
- Ungamanzisi i-cast : Uma ugeza noma wenza noma yini ehilela amanzi, vala i-cast kahle nge-`(Isikhwama sepulasitiki)` noma into engangeni manzi. Ukumanzisa kungenza i-cast ibe buthaka futhi kubangele izinkinga zesikhumba (`(Ukucasuka kwesikhumba)` noma `(Ukutheleleka)`).
- Ungafaki lutho ngaphakathi kwe-cast : Ngezinye izikhathi uma kukhona ukulunywa, izingane ezincane zizama ukufaka izinto ezifana namapeni, amapensela, nezingcezu zokhuni ngaphakathi kwe-cast. Ungabavumeli benze lokho. Lokhu kungalimaza isikhumba futhi kubangele `(Ukutheleleka)`. Uma kukhona ukulunywa, tshela udokotela , uzokutshela ikhambi (mhlawumbe ungafaka `(I-Hair dryer)` ku-`(I-cool setting)` bese ubacela ukuthi babambe umoya).
- Qaphela ukuvuvukala kanye nokuba ndikindiki : Hlola njalo ukuthi iminwe engalweni/emlenzeni ofake i-cast ivuvukile, iphenduka ibe luhlaza okwesibhakabhaka, noma ukuthi ingane ibonakala indikindiki.Hlola futhi ukuthi iminwe yakho ibanda noma imhlophe. Uma kunjalo, i-cast ingase iqine kakhulu noma ingase ivimbele ukuhamba kwegazi. Uma lokhu kwenzeka , bona udokotela ngokushesha.
- Phakamisa ingalo/umlenze : Ezinsukwini zokuqala, gcina ingalo/umlenze olimele uphakeme, ngangokunokwenzeka, ngomcamelo, ngaphezu kancane kwezinga lenhliziyo. Lokhu kuzosiza ekunciphiseni ukuvuvukala.
- Hlola ukuthi imiphetho yesamente iyabangela ukulimala yini : Imiphetho yesamente ngezinye izikhathi ingacindezela esikhumbeni bese ibangela ukulimala. Uma lokhu kwenzeka, tshela udokotela wakho .
- Hlola iphunga elibi : Uma kukhona iphunga elibi elivela ngaphakathi kwesamente, kungaba uphawu lokutheleleka. Uma kunjalo, tshela udokotela wakho .
Ingabe lokhu kuzophola ngokuphelele? Ingabe kuzophinde kube yinkinga futhi?
Lona ngumbuzo omkhulu abazali abaningi abawubuzayo futhi abawucabangayo. Yebo, "i-Greenstick Fracture" iwukulimala okuvame ukuphola kahle futhi ngaphandle kwezinkinga ezinkulu. Amathambo ezingane ezincane akhula futhi aphole ngokushesha okukhulu. Uma uwaphatha kahle njengoba udokotela esho, futhi uma uwanakekela kahle ngenkathi egqoke i-cast, ithambo lizoqina njengakuqala.
Ngemva kokususwa kwe-cast, ingalo/umlenze ungase uqale uqine kancane (`(Ukuqina)`) futhi kube nzima ukuwunyakazisa. Lokhu kuvamile. Ngemva kwezinsuku ezimbalwa, udokotela angakutshela ukuthi wenze izivivinyo ezithambile (`(izivivinyo ezithambile)`). Ngemva kwalokho, ingane ingadlala, igijime, futhi igxume njengenjwayelo futhi.
Kodwa-ke, uma kungelashwa kahle, noma uma i-cast ingasetshenziswanga kahle, ngezinye izikhathi ithambo lingaba yi-malunion. Lokhu kusho ukuthi ithambo lingaphola kahle. Ngakho-ke, kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo. Kodwa-ke, izinkinga ezinjengalezi azivamile kakhulu uma kwenzeka ukuphuka kwe-greenstick.
Ingabe kukhona esingakwenza ukuvimbela izingozi ezinjalo?
Kunzima ukuvimbela izingozi ngo-100%. Kuvamile ukuthi izingane ezincane ziwe futhi zithole ukulimala okuncane ngenkathi zidlala noma zijikajika. Kodwa singacabanga kancane ngokuphepha kwazo bese sizama ukunciphisa izingozi.
- Indawo yokudlala ephephile : Qiniseka ukuthi azikho izinto ezibukhali noma izindawo ezishelelayo ezindaweni lapho izingane zidlala khona. Kungaba kuhle uma ungafaka into efana ne-"Soft matting" ngaphansi kwenkundla yokudlala.
- Ukuqapha : Hlala uqaphile izingane ezincane, ikakhulukazi uma zikhuphuka izindawo eziphakeme, zigijima, zigxuma, noma zidlala.
- Izingubo zokuzivikela kwezemidlalo : Uma ingane yakho idlala imidlalo, yikhuthaze ukuthi isebenzise izingubo zokuzivikela ezifanele, njengezigqoko zokuzivikela, ama-knee pad, ama-elbow pad, kanye nezivikelo zesandla.
- Ukuvikela indawo yasekhaya: Uma unengane encane, unganciphisa izingozi ngokufaka izinsimbi zokulala ezizungeze umbhede, amasango okuphepha ezitebhisini, kanye neziqaphi zamafasitela emafasiteleni.
Ngisho noma ingane ilimala ngokuzumayo, ingabe kudingeka ibone udokotela?
Ngezinye izikhathi, uma sithola ukulimala okuncane noma ukuklwebheka, simane sithathe umuthi ekhaya bese siwushiya wodwa. Kodwa-ke, uma izimpawu engizikhulumile ekuqaleni, okungukuthi , uma ingane iqhubeka nokukhala ngemva kokuwa, uma isezinhlungwini futhi ingakwazi ukuhambisa ingalo noma umlenze, uma kukhona ukuvuvukala noma ukuthamba endaweni yokulimala, kungcono kakhulu ukubona udokotela. Ungalindi. Ngoba kungenzeka ukuthi kukhona into engathi sína kakhulu ngaphakathi kunalokho okubonakalayo ngaphandle. Uma uthola ukwelashwa ngokushesha, ungaphola ngokushesha futhi uvimbele izinkinga ezingase zivele kamuva.
Isifinyezo Somyalezo Ofanele Uwuthathe Ekhaya
Ngakho-ke, "i-Greenstick Fracture" iwukulimala kwamathambo okuvamile ezinganeni ezincane, njengegatsha elisha eliphuka ohlangothini olulodwa kuphela. Uma lokhu kwelashwa kahle, kuzophola ngokuphelele, akukho okufanele ukhathazeke ngakho. Uma ingane yakho inolu hlobo lokulimala, ungesabi. Bona udokotela ngokushesha ngangokunokwenzeka bese ukwelapha njengoba encoma. Nakekela ingane yakho kahle ngenkathi i-cast isesendaweni yayo. Usuku lapho ingane yakho izobe igijima futhi idlala futhi alukude. Into ebaluleke kakhulu ukunaka kwakho, ukubekezela, nokulandela imiyalelo kadokotela ngqo.
Ukuphuka Kwe - Greenstick, Ukuphuka Kwezingane, Ukuphuka Kwethambo, Ukuphuka Kwe-Greenstick, Impilo Yengane, Ukwelashwa Kwamathambo, Izingozi Ezinganeni Ezincane











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