Njengomama, uzizwa wesaba kangakanani lapho ingane yakho encane eyisilima iqala ukukhala ngokuzumayo ngoba ingalo noma umlenze wayo ubuhlungu ngemva kokudlala? Ngisho noma iwe kancane noma ishayeka ndawana thize, kuyinto evamile ukukhathazeka, "O, angazi ukuthi kukhona yini okungathi sína okwenzeke enganeni yami." Namuhla sizokhuluma ngokuphuka kwethambo okuvamile ezinganeni ezincane, kodwa uma unolwazi olufanele, kungaphola ngokushesha. Lokhu sikubiza ngokuthi "i-Greenstick Fracture". Igama lingase lizwakale lingavamile, kodwa ake sixoxe ngakho kalula.
Kuyini ukuphuka kwe-greenstick?
Kalula nje, "i-Greenstick Fracture" iyithambo enganeni (siyibiza ngokuthi ithambo)
elingaphuki kabili ngokuphelele, kodwa livele liphume ohlangothini olulodwa. Kufana nokuthi uma uthatha induku eluhlaza noma induku yokhuni eluhlaza bese uzama ukuyigoba, olunye uhlangothi luyaphuma, kodwa olunye uhlangothi aluphuki ngokuphelele, akunjalo? Yilokho okwenzekayo. Yingakho ibizwa ngokuthi "i-greenstick." Cabanga ngengane yakho idlala enkundleni yokudlala bese isandla sayo siwa ngokuzumayo. Bese kuba nokucindezela okuncane ethanjeni elisesandleni sayo. Kumuntu omdala, ithambo lingase liphuke kabili ngokuphelele. Kodwa amathambo ezingane ezincane ahlukile kancane.
Kungani lokhu kuvame kakhulu ezinganeni ezincane?
Lesi simo, esibizwa ngokuthi "i-Greenstick Fracture,"
sivame ukubonakala ezinganeni ezingaphansi kweminyaka eyi-10. Kunesizathu esithile salokhu. Okusho ukuthi, amathambo ezingane ezincane
athambile futhi aguquguquka kakhulu kunamathambo abantu abadala.
Uhlobo lwamathambo ezingane
Ithambo lengane lifana negatsha lesihlahla elisanda kukhula. Liyagoba kancane, kodwa aliphuki, ngoba linomswakama omningi, okusho ukuthi liyaphila kakhulu. I-membrane encane (i-periosteum) ezungeze amathambo ezingane nayo ijiyile futhi inamandla kuneyabantu abadala. Ngakho-ke uma ithambo licindezelwa, esikhundleni sokuphuka ngokuphelele, le periosteum, esiza ekubambeni ithambo ndawonye, iyagoba noma iqhume ohlangothini olulodwa.
Uma sikhuluma iqiniso, amathambo ezingane aneprotheni ebizwa ngokuthi "i-collagen" futhi "anezamaminerali" ezimbalwa . Yingakho enalokhu kuguquguquka .
Umehluko ngamathambo abantu abadala
Manje, amathambo amadala awanjalo. Akhule ngokuhamba kwesikhathi, agcwele amaminerali afana ne-calcium, futhi aqinile, kodwa omile kancane. Njengenduku yokhuni eyomiswe kahle. Uma uzama ukuyigoba, izoqhekeka kabili, hhayi nje ukuqhekeka ohlangothini olulodwa njengenduku eluhlaza. Ngokufanayo, uma umuntu omdala elimele, ithambo lingase liphuke ngokuphelele ("ukuphuka okuphelele``). Kodwa ngenxa yalokhu kuguquguquka okukhethekile emathanjeni ezingane ezincane, ithambo lizogoba noma liqhekeke ohlangothini olulodwa kuphela. Olunye uhlangothi lungase lusaphelele.
Kwenzeka kanjani into efana nale? Yiziphi izizathu ezivamile?
Izingane ezincane zimatasa kakhulu. Ziyagijima, zigxume, zikhuphuke ezihlahleni, futhi zidlale. Ngakho-ke kuyinto evamile ukuthi zithole ukuwa okuncane kanye nemihuzuko ngenkathi zenza lezi zinto. Imbangela eyinhloko ye-"Greenstick Fracture"
ukuwa . Cabanga ngakho ngale ndlela:
- Ingane yakho encane iyawa ngenkathi idlala ngesandla eseluliwe. Lesi ngokuvamile yisona sizathu esiyinhloko sokuthi "i-Greenstick Fracture " iqhume esihlakaleni noma engalweni.
- Ngezinye izikhathi kungabangelwa ukushaywa ngqo engalweni noma emlenzeni okuvela kuthoyizi noma okunye.
- Izingozi ezincane ezenzeka ngesikhathi udlala imidlalo, isibonelo, ukudlala ibhola noma ukugibela ibhayisikili.
Kulolu hlobo lwengozi, ithambo livele lihlaselwe amandla okugoba noma amandla okujika. Nakuba amandla anganele ukuphula ithambo ngokuphelele, anele ukulibangela ukuba liqhekeke ohlangothini olulodwa, njengenduku eluhlaza.
Ziyini izimpawu? Ungazibona kanjani?
Manje ungase uzibuze, "Ngingazi kanjani ukuthi ingane yami ine-"Greenstick Fracture"?" Nazi ezinye izimpawu okufanele uziqaphele:
- Ubuhlungu obukhulu: Uma ingane iqhubeka nokukhala futhi isezinhlungwini, yenqaba ngisho nokuthinta indawo lapho kwenzeke khona ingozi, njengengalo noma umlenze, lokho kuyisibonakaliso esikhulu.
- Ukuvuvukala: Indawo elimele ingase ivuvuke futhi mhlawumbe ibomvu .
- Ukungathandi ukusebenzisa izitho zomzimba: Isibonelo, uma kuziwa esandleni, isiguli singase singathandi ukubamba noma ukuphakamisa noma yini ngesandla saso. Uma kuziwa emlenzeni, isiguli singase singakwazi ukuhamba ngaphandle kokuzama ukuhamba noma ukuthwala isisindo.
- Ukukhubazeka: Ngezinye izikhathi ithambo eliphukile engalweni noma emlenzeni lingase libonakale ligobile kancane noma libe nesimo esingajwayelekile . Kodwa-ke, akuwona wonke ama-greenstick fractures analesi simo esikhulu. Ngezinye izikhathi kuba nokuvuvukala okuncane nobuhlungu.
- Kubuhlungu uma kuthintwa: Indawo lapho kwenzeke khona ingozi ingaba buhlungu kakhulu kangangokuthi ngeke ukwazi ngisho nokuyithinta.
Okubaluleke kakhulu: Uma ingane iwa futhi iqhubeka nokukhononda ngobuhlungu, ukuvuvukala, noma ukulahlekelwa ukusebenzisa isitho esithintekile, ungasithathi njengento encane nje. Kungcono ukufuna iseluleko sezokwelapha.
Kufanele ngimbone nini udokotela?
Uma ingane yakho encane ibe nengozi futhi ikhombisa uphawu olulodwa noma ngaphezulu engilukhulume ekuqaleni,
bona udokotela ngokushesha. Ikakhulukazi:
- Uma ubuhlungu bungapheli ngemva kwamahora ambalwa.
- Uma ukuvuvukala kuba kubi kakhulu.
- Uma ubona noma yiziphi izinguquko esimweni sezingalo noma imilenze yakho.
- Uma ingane ingafuni ukunyakaza noma ukusebenzisa izingalo/imilenze yayo.
Ngezikhathi ezinjengalezi, kubalulekile ukubona udokotela ngokushesha okukhulu kunokumane ugcobe uwoyela ekhaya bese ulinda. Ngoba uma ungelashwa kahle, kunethuba elikhulu lokuthi ithambo lizophinde libuyele esimweni esingalungile noma liphuke kalula.
Odokotela bakuthola kanjani lokhu ngqo?
Uma uya kudokotela, into yokuqala abayenzayo ukukubuza ngengozi. Bese behlola ingane. Babheka ubuhlungu, ukuvuvukala, kanye noshintsho esimweni sayo. Bese,
bavame uku-oda i-X-ray ukuze babone ukuthi kwenzekeni ethanjeni. I-X-ray iyindlela kuphela yokubona ukuthi ithambo liphukile, ligobile, noma liphukile, noma ukuthi liphukile yini i-greenstick. I-X-ray ingabonisa ngokucacile ithambo, elifana nenduku eluhlaza, lapho uhlangothi olulodwa luphukile kanti olunye uhlangothi lugobile.
Iyini indlela yokwelapha? Ingabe kuzolulama maduze?
Uma kutholakala ukuthi une-"Greenstick Fracture", ungesabi.
Lezi zivame ukuba yizimo ezingelapheka kakhulu, futhi zivame ezinganeni ezincane. Njengokwelashwa, udokotela uvame ukufaka i-banding ethanjeni eliphukile ukuze alisize liqine kahle futhi alivimbele ukuthi liphinde linyakaze.
Izindlela zokwelapha ezijwayelekile
- Ukufakwa kwe-plaster of Paris (POP): Lokhu kuvame ukwenziwa. Ukufakwa kwe-full cast kubekwa engalweni noma emlenzeni ukuze kuvimbe ithambo. Lokhu kuzodingeka kushiywe endaweni yalo amasonto amaningana. Ngokuvamile, kuzothatha cishe amasonto amane kuya kwayisithupha.
- I-Splint: Ngezinye izikhathi, ikakhulukazi uma kunokuvuvukala okuningi, i-splint (into engaqinile njenge-cast futhi esekela ohlangothini olulodwa kuphela) ingasetshenziswa kuqala, bese kufakwa i-cast ngemva kokwehla kokuvuvukala. Ngaphandle kwalokho, uma ukuphuka kungekubi kakhulu, i-splint ingashiywa isikhathi eside.
Ngesikhathi lesi sigxobo noma i-splint sisendaweni yaso, ithambo liqala ukuphola ngaphakathi.
Wenzani ngobuhlungu?
Udokotela
uzonikeza ingane umuthi wokunciphisa ubuhlungu ukuze inciphise ubuhlungu. Ngokuvamile, kunikezwa into efana ne-"Paracetamol". Kufanele inikezwe njengoba nje udokotela esho, nangesikhathi esifanele. Kungase kube nobuhlungu nokungakhululeki ezinsukwini ezimbalwa zokuqala ngemva kokufakwa kwe-cast. Ngezikhathi ezinjalo, ukugcina ingalo noma umlenze uphakeme kancane nakho kunganciphisa ubuhlungu.
Isikhathi sokululama nezinto okufanele uziqaphele
Ngokuvamile
kuthatha cishe amasonto amane kuya kwayisithupha ukuthi i-"Greenstick Fracture" iphole. Kodwa-ke, lokhu kungahluka kancane kumntwana ngamunye, kuye ngohlobo lwe-fracture. Udokotela uzokutshela ukuthi uyikhiphe nini i-cast. Ngesikhathi i-cast isekhona, qaphela okulandelayo:
- Ungamanzisi i-cast: Uma ugeza noma wenza noma yini ehilela amanzi, vala i-cast ngokuqinile ngesikhwama sepulasitiki noma into engangeni manzi. Ukuyimanzisa kungabangela izinkinga zesikhumba futhi kwenze i-cast ibe buthaka.
- Ungafaki lutho ngaphakathi kwe-cast: Ngezinye izikhathi, lapho beklwebha, izingane ezincane zizama ukufaka izinto ezifana nama-ruler nama-pen ngaphakathi kwe-cast. Ungakwenzi lokho. Kungabangela ukulimala kwesikhumba kanye nokutheleleka.
- Hlola isikhumba esizungeze i-cast: Hlola njalo emaphethelweni e-cast ukuze ubone ukuthi kukhona ukubomvu, izilonda, noma amabhamuza. Uma ubona noma yikuphi kwalokhu, tshela udokotela wakho .
- Hlola umbala kanye nokushisa kweminwe: Hlola ukuthi iminwe ebonakalayo nge-cast esandleni noma emlenzeni wakho iluhlaza okwesibhakabhaka, iphaphathekile, ayizwakali, noma ibanda kakhulu. Uma kunjalo, kusho ukuthi i-cast iqinile kakhulu futhi ingase ivimbele ukuhamba kwegazi. Kufanele wazise udokotela wakho ngokushesha.
Ngisho nangemva kokususwa kwesamente, udinga ukuqaphela kancane kuze kube yilapho udokotela ekuyala. Akukuhle ukugijima, ukugxuma, noma ukuphakamisa izinsimbi ngokushesha. Udinga ukujwayela imisebenzi evamile futhi. Ngezinye izikhathi uzotshelwa ukuthi wenze izivivinyo ezincane ukuze ubuyisele ukunyakaza kwezingalo noma imilenze yakho.
Ingabe lokhu kungabangela ezinye izinkinga?
I-"Greenstick Fracture" ivame ukwelashwa ngendlela efanele futhi ngokushesha,
futhi ngokuvamile azikho izinkinga zesikhathi eside. Ithambo liyaphola ngokuphelele, futhi ingane ingagijima futhi idlale njengakuqala. Kodwa-ke, uma ingelashwa kahle, noma uma imiyalelo kadokotela ingalandelwa kahle, ngezinye izikhathi kungaba nezinkinga ezimbalwa ezincane. Isibonelo:
- I-Malunion: Uma ithambo lingavimbeki kahle nge-cast noma i-splint, ithambo lingase liphazamiseke kancane. Lokhu kungagcina kuthinte ukusebenza kwengalo noma umlenze.
- Ukuphinda kuqhekeke: Uma i-cast isusiwe ingakalapheki kahle futhi ukulimala okufanayo kwenzeka futhi, ithambo lingase liphuke futhi.
- Ngezinye izikhathi, akuvamile kakhulu, kungaba nomthelela omncane ekukhuleni kwethambo ('ukulimala kwe-growth plate'), ikakhulukazi uma ukuphuka kwenzeka eduze komunye wemikhawulo ekhulayo yethambo (growth plate). Kodwa-ke, lokhu akuvamile kakhulu endabeni ethi ``Greenstick Fracture``.
Yingakho kubaluleke kakhulu ukubona udokotela bese uthola ukwelashwa njengoba kunconywa, noma ngabe kuyingozi encane.
Uvikela kanjani ingane yakho kulezi zinhlobo zokulimala?
Kukhona isisho esithi “ukuvimbela kuyindlela engcono kakhulu yokwelapha.” Ngakho-ke, kunezinto ezimbalwa esingazenza ukuze sivikele izingane zethu ezincane ku-‘(Greenstick Fracture)’ ngangokunokwenzeka:
- Yenza indawo yasekhaya lakho iphephe: Beka izindawo ezishelelayo (ukhaphethi, ukhaphethi) ezindaweni lapho izingane ezincane zigijima futhi zigxuma khona. Ungashiyi izinto ezifana namathoyizi zilele phansi. Zingabhidlika kuwo bese ziwela phansi.
- Qaphela lapho udlala: Hlala ubheke kuzo, ikakhulukazi lapho udlala ezindaweni zokudlala kanye nasezindaweni zokukhuphuka. Qaphela ezindaweni lapho kunobungozi bokuwa khona.
- Izinto zokuphepha: Khuthaza ingane yakho ukuthi isebenzise izigqoko zokuzivikela, ama-knee pad, nama-elbow pad lapho idlala imidlalo efana nokugibela ibhayisikili nokuskeyitha.
- Ukudla okunomsoco : Nika ingane yakho ukudla okuqukethe i-calcium ne -vitamin D (ubisi, iyogathi, ushizi, imifino eluhlaza, inhlanzi) ukuze kuqiniswe amathambo. Lokhu kusiza ukugcina amathambo ephilile.
- Indlela yokuwa ngendlela efanele (Izinzwa zokuzivikela): Lokhu kunzima kancane, kodwa lapho izingane zivunyelwe ukudlala ngenkuthalo kusukela zisencane, ziyajwayela ukulawula imizimba yazo ngokubeka izandla nezinyawo zazo kahle lapho ziwela ngengozi, ukuvimbela izingozi ezinkulu.
Kungase kungenzeki ukuvimbela izingozi ngo-100% wesikhathi, ngoba izingane ezincane zinonya kakhulu. Kodwa-ke, singayinciphisa kakhulu ingozi.
Izinto okufanele uzikhumbule ngamafuphi
Kulungile, ngakho-ke ngithemba ukuthi usuyaqonda kahle "i-Greenstick Fracture" esikhulume ngayo namuhla. Okokugcina, ake sizikhumbuze izinto ezibaluleke kakhulu:
- "(I-Greenstick Fracture)" yisimo esisebantwaneni abancane lapho ithambo liqhekeka khona ohlangothini olulodwa kuphela futhi lingaphuki ngokuphelele. Njenge-greenstick.
- Lokhu kuvamile ezinganeni ezingaphansi kweminyaka eyi-10 ubudala, ngoba amathambo azo athambile futhi aguquguquka.
- Ukuwa kuyimbangela eyinhloko.
- Izimpawu eziyinhloko ubuhlungu, ukuvuvukala, kanye nokungafuni ukusebenzisa ingalo/umlenze.
- Uma ungabaza, bonana nodokotela ngokushesha. I-X-ray yiyona ndlela kuphela yokuqinisekisa.
- Ukwelashwa kuhilela ukufakwa kwesamente noma i-splint. Iyaphola cishe emavikini angu-4-6.
- Ukulandela imiyalelo kadokotela wakho ngokucophelela kubaluleke kakhulu ukuze ululame ngokushesha futhi uvimbele izinkinga.
Khumbula, uma kwenzeka into efana nalena enganeni yakho, ungesabi. Lesi yisimo esingelapheka kakhulu. Ngothando lwakho, ukunakekelwa, kanye neseluleko sikadokotela, ingane yakho izophinde idlale ngokushesha!
Uma uneminye imibuzo, ungabi namahloni okubuza udokotela womndeni wakho. Bahlala bekulungele ukukusiza.
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