Ingabe ihlombe lakho nalo liphukile? (Ukuphuka kwehlombe) Ungakhathazeki, ake sixoxe ngalokhu!

O, ihlombe lami... ingabe kuzwakala sengathi awukwazi ngisho nokulishukumisa? Ngemva kokuwa noma ingozi ethile, ingabe uke waba nobuhlungu obukhulu nokuvuvukala ehlombe lakho, okwenza kube nzima ngisho nokuphakamisa ingalo yakho? Khona-ke ungase uphuke ihlombe, okuyithambo eliphukile ehlombe . Ake sixoxe ngalokhu ngokuningiliziwe nangokulula kakhulu. Ungakhathazeki, lolu lwazi luzokusiza kakhulu.

Kuyini Ukuphuka Kwehlombe?

Kalula nje, ukuphuka kwehlombe kuwukuphuka kwethambo elisesihlalweni sakho sehlombe, okuyilokho esikubiza ngokuthi "ithambo eliphukile" enkulumweni yansuku zonke.

Ubuwazi ukuthi ihlombe lethu liyilunga elimangalisayo? Yilunga elisivumela ukuthi sinyakazise izingalo zethu, siziphakamise, futhi sizijikelezise ngezindlela eziningi zokunyakaza. Lakhiwe ngamathambo amathathu ayinhloko. Ukuphuka kwelinye noma ngaphezulu kwalawa amathathu yilokho esikubiza ngokuthi ukuphuka kwehlombe.

Yimaphi amathambo ayinhloko akha ihlombe? Angaphulwa kanjani?

Ilunga lehlombe lakhiwe ngamathambo amathathu ayinhloko. Noma yiliphi kulawa amathathu lingaphuka. Yilapho-ke sikubiza khona ngokuthi 'ukuphuka kwehlombe.'

• I-Proximal Humerus: Lena yingxenye ephezulu yethambo elide engalweni yakho engenhla exhuma ehlombe. Ingaphuka, njengasekuweni.
• I-Scapula: Leli yithambo eliyisicaba, elingunxantathu esilizwayo lapho sibeka isandla sethu ngemuva kwehlombe lethu. Amathuba amancane okuphuka ngoba limbozwe kahle yimisipha.
• I-Clavicle: Eyaziwa nangokuthi 'ithambo lekhola', leli yithambo elincane, elide eliqala phansi kwentamo liye ehlombe. Leli yithambo okungenzeka kakhulu ukuthi liphuke uma uwa ngenkathi udlala imidlalo.

Ukuphuka kwanoma yiliphi lala mathambo kubhekwa njengokuphuka kwehlombe.

Kuvame kangakanani lokhu kuphuka kwamahlombe?

Uma kuqhathaniswa nezinye ukulimala kwamahlombe, njengokukhumuka kwamahlombe, ukuphuka kwamahlombe akuvamile kangako. Kodwa-ke, kuvame kakhulu kwezinye izimo:

• Ukuphuka kwe-Clavicle: Lokhu kuvame kakhulu ezinganeni ezincane, ikakhulukazi labo abadlala imidlalo. Isibonelo, uma uwa ngokuzumayo ngenkathi udlala, lokhu kungenzeka.
• Ukuqhekeka Kwe-Proximal Humerus: Lokhu kuvame kakhulu kubantu abaneminyaka engaphezu kwengu-65, ikakhulukazi labo abanezifo ezinciphisa amathambo (njenge- osteoporosis) . Kungenzeka ngisho noma ushelela futhi uwe ekhaya.
• Ukuphuka kwe-Scapula: Lokhu akuvamile ngoba kuvikelwe kahle yimisipha esifubeni nasemhlane. Akuphuki kalula ngaphandle kokuthi kube nengozi enkulu.

Ziyini izimpawu zehlombe eliphukile?

Uma unehlombe eliphukile, ungase ube nesinye noma ngaphezulu salezi zimpawu. Uma ubona noma yikuphi kwalokhu, kufanele nakanjani ufune iseluleko sezokwelapha.

• Ubuhlungu obukhulu ehlombe: Lolu uphawu oluyinhloko. Ubuhlungu ngezinye izikhathi bungabekezeleleki.
• Ukuvuvukala:Kungase kube nokuvuvukala okuningi eduze kwendawo lapho kwaqhekeka khona.
• Ukulimala noma ukushintsha kombala wesikhumba: Indawo ephukile ingase ibe luhlaza okwesibhakabhaka/nsomi.
• Ukungakwazi ukunyakaza noma ukusebenzisa ihlombe: Kungaba nzima kakhulu, noma akunakwenzeka, ukuphakamisa noma ukuzungezisa ingalo.
• Iqhubu elingavamile, iqhubu, noma ushintsho esimweni kungabonakala ehlombe: Uma ubona umehluko uma ulibheka kwelinye ihlombe, lokho nakho kuyisibonakaliso.

Okubalulekile: Uma unalezi zimpawu, ungazami ukulungisa ihlombe lakho noma ukuzihlomisa. Bonana nodokotela ngokushesha.

Kungani lokhu kuphuka kwamahlombe kwenzeka?

Ukuphuka kwamahlombe amaningi kwenzeka uma kukhona ukushaywa okungazelelwe, okunamandla noma ukulimala ehlombe. Cabanga ngezimo ezinjengalezi:

• Izingozi zemidlalo: Ukuwa ngenkathi udlala, ukushayisana nomunye umuntu, ukushaywa yinto efana nebhola.
• Ukuwa: Ukushelela nokuwa ngomnyango, ukushelela endlini yokugezela, ukuwa usuka endaweni ephakeme (isb., esihlahleni, esitebhisini). Ngezinye izikhathi kungenzeka ngisho nalapho uhamba emgwaqweni.
• Izingozi zezimoto: Ukushayeka ngqo ehlombe ezingozini zemoto, ibhayisikili, noma zamabhayisikili amathathu kungayilimaza.

Ubani osengozini enkulu yokuphuka kwamahlombe?

Noma ubani angaphula ihlombe. Kodwa-ke, abanye abantu basengozini enkulu kancane:

• Izingane kanye nentsha: banamathuba amaningi okubandakanyeka ezingozini ngoba bayasebenza.
• Abantu abaneminyaka engaphezu kwengu-65 ubudala: basengozini enkulu yokuwa futhi bangase babe namathambo abuthakathaka.
• Abantu abanamathambo abuthakathaka: Abantu abane -osteoporosis noma i-osteopenia basengozini enkulu yokuphuka ithambo, ngisho noma bewa kancane. I-Osteoporosis yisifo lapho amathambo eba mancane, abe buthakathaka, futhi aqhekeke kalula. Abantu abaningi bathola ukuthi banalesi sifo ngemva kokuphuka ithambo. Lokhu kungenxa yokuthi asinazo izimpawu ezinkulu ekuqaleni.

Yiziphi izinkinga ezingaba khona ngenxa yehlombe eliphukile?

Ukuphuka kwehlombe akuyona into elula. Ngezinye izikhathi kungaholela kwezinye izinkinga:

• Ukuqina Okuqhubekayo: Abantu abaningi bangase baqhubeke nokuba nokuqina okuthile emalungeni ngisho nangemva kokuba ukuphuka kwamahlombe abo sekupholile.
• I-Arthritis: Ukuphuka kwehlombe kungandisa ingozi yokuthola i-arthritis kulelo hlombe esikhathini esizayo.
• Ukutheleleka: Uma ithambo eliphukile liphuka esikhumbeni (ukuphuka okuvulekile), okusho ukuthi inxeba livulekile, kunengozi enkulu yokutheleleka ngamathambo ( i-osteomyelitis ).
• Ukulimala kwezinye izicubu: Akuvamile kakhulu, ingozi efanayo eyabangela ukuphuka kwehlombe ingabangela nomonakalo kwezinye izingxenye zehlombe. Isibonelo:
• Imisipha
• Ama-Ligaments
• Ama-Tendon
• Imizwa
• Imithambo Yegazi

Wazi kanjani ukuthi ihlombe liphukile?

Udokotela uzohlola ihlombe lakho futhi enze izivivinyo ezikhethekile zokuthatha izithombe ukuze anqume ukuthi ihlombe lakho liphukile yini. Uma uya eMnyangweni Wezimo Eziphuthumayo (ETU) ngemva kwengozi, odokotela balapho bangakuthola lokhu.

Ziyini lezi zivivinyo zezithombe?

• Ama-X-ray: Lena yinto yokuqala eyenziwayo. I-X-ray ingaqinisekisa noma yikuphi ukuphuka kwamathambo futhi ibone ukuthi kungakanani umonakalo owenziwe emathanjeni.
• Isithombe Sokubukana Kwe-Magnetic (MRI): Ngezinye izikhathi, i-MRI ingenziwa ukuze kubhekwe umonakalo, ikakhulukazi ezicutshini ezithambile (njengemisipha kanye nemisipha). Lokhu kunganikeza isithombe esiphelele somonakalo emathanjeni kanye nesimo sezicubu ezizungezile.
• I-Computed Tomography Scan (CT Scan): I-CT scan ingabheka ithambo nezicubu ezizungezile ngokuningiliziwe kune-X-ray. Lokhu kubaluleke kakhulu uma uhlinzwa, njengoba kuvumela udokotela ohlinzayo ukuba athole isithombe esicacile sokuphuka.

Ingabe amathambo aphukile asusiwe? (Asusiwe endaweni yawo vs. Aphukile endaweni yawo)

Uma udokotela wakho echaza ukuphuka kwakho, uzosho ukuthi 'kususiwe' noma 'akususiwe'.

• Ukuphuka okuphukile kwenzeka lapho izingcezu ezimbili eziphukile ziqhelelene kakhulu, okudala igebe elikhulu phakathi kwazo. Kufana nethambo eliphukile phakathi komgwaqo. Lezi zinhlobo zokuphuka zivame ukudinga ukuhlinzwa.
• Uma ithambo lingaphumi endaweni yalo , lisuke lisaphukile, kodwa izingcezu eziphukile azikahambi kakhulu, zisaqondile. Lokhu ngezinye izikhathi kungelashwa ngaphandle kokuhlinzwa.

Ingabe inxeba livulekile noma livaliwe? (Livulekile vs. Ama-Closed Fractures)

Udokotela uzophinde ahlukanise lokhu kuphuka ngokuthi 'kuvuliwe' noma 'kuvaliwe'.

• Uma ithambo liphukile , ithambo eliphukile liyaphuka esikhumbeni bese liphuma. Lokhu kubizwa nangokuthi 'ukuphuka okuhlanganisiwe'. Lokhu kuyisimo esiphuthumayo! Ingozi yokutheleleka nezinye izinkinga iphezulu kakhulu uma ithambo liphukile. Cabanga nje, uma ithambo livezwa, amagciwane angangena kalula, akunjalo?
• Ukuphuka okuvalekile nakho kuyinto embi kakhulu, kodwa ithambo aliphumi esikhumbeni.

Iphathwa kanjani i-shoulder fracture?

Ukwelashwa kwehlombe lakho kuncike ekutheni yiliphi ithambo eliphukile, ukuthi linzima kangakanani (njengokukhumuka noma ukuvuleka), nokuthi ngabe unezinye izingozi.

Ukungasebenzi kahle

Uma ukuphuka kungekubi kakhulu, okusho ukuthi amathambo awaqhelelene kakhulu (ukuphuka okungasuswanga), kungadingeka usebenzise i-sling noma i-brace kuphela. Isikhathi osidingayo ukukugqoka lokhu kuzoncika embangweni wokuphuka kanye nohlobo lokuphuka. Ngokuvamile kuzohlala amasonto ambalwa. Kungadingeka futhi ukuthi wenze ama-X-ray avamile ukuqinisekisa ukuthi amathambo akho alulama kahle.

Esikhathini esiningi, ukuphuka kwe-clavicle kanye ne-scapula kudinga kuphela ukungasebenzi kanje, kulandelwe ukwelashwa ngokomzimba ukuze kubuyiselwe ukunyakaza kwamahlombe.

Ukuhlinzwa Kokuphuka Kwamahlombe

Amanye ama-fracture ehlombe adinga ukuhlinzwa, ikakhulukazi:

• Uma izingcezu zamathambo aphukile sezihambe kakhulu (i-Displaced Fracture).
• Uma ukuphuka kuvulekile (Ukuphuka Okuvulekile).
• Uma i-glenoid, indawo lapho ithambo lakho lengalo elingaphezulu (i-humerus) liphumule khona, yonakele.

Izinhlobo ezivame kakhulu zokuhlinzwa kokuphuka kwamahlombe yilezi:

1. Ukunciphisa Okuvulekile kanye Nokulungiswa Kwangaphakathi (i-ORIF)

Yilapho udokotela ohlinzayo ebeka khona amathambo akho aphukile ezindaweni zawo ezifanele, bese ewalungisa ukuze akhule ndawonye kahle. Lokhu kuvame ukwenziwa 'ngokufakwa kwangaphakathi'. Lokhu kusho ukuthi udokotela ohlinzayo ufaka amapuleti ensimbi, izikulufo, noma izikhonkwane ethanjeni lakho ukuze alibambe endaweni yalo kuze kube yilapho ithambo liphola. Ngezinye izikhathi lezi zingcezu zensimbi zingahlala emzimbeni wakho impilo yonke. Abanye abantu bangadinga ukuhlinzwa okunye ukuze basuswe kamuva.

2. Ukufakwa Kwamalunga (i-Arthroplasty)

I-Arthroplasty iwukuhlinzwa kokufaka esikhundleni samalunga. Uma ihlombe lakho lonakele kakhulu ngenxa yokuphuka, kungadingeka ukuthi uhlinzwe esikhundleni samalunga. Udokotela ohlinzayo uzosusa ihlombe elonakele bese elifaka ilunga lokwenziwa (prosthesis).

Ingabe zikhona izinkinga ezingaba khona ngenxa yokuhlinzwa?

Izinkinga ezibangelwa ukuhlinzwa kokuphuka kwehlombe azivamile, kodwa ngezinye izikhathi okulandelayo kungenzeka:

• I-Acute Comppartment Syndrome (ACS): Uma ingcindezi engaphakathi kwemisipha yakho ikhula futhi ukugeleza kwegazi ezicutshini kuyeka, kungabangela umonakalo ongapheli emisipheni nasezinzwa.
• Malunion: Lokhu kwenzeka lapho amathambo akho aphukile engalingani kahle njengoba ephola.
• Ukungahlanganisi: Ngezinye izikhathi amathambo angase angahlangani ngokuphelele, noma angahlangani nhlobo.
• Izinkinga ezivamile zokuhlinzwa ezifana nokutheleleka, ukopha ngokweqile, kanye nezinkinga ezihlobene nokubulala izinzwa.

Kuthatha isikhathi esingakanani ukuphola ehlombe eliphukile? Yini okufanele ngiyilindele?

Abantu abaningi abaphuka ihlombe bazodinga ukwelashwa ngokomzimba izinyanga eziningana ngesikhathi belulama.Kufanele ukwenze. Udokotela wezokwelapha angakusiza ukuthi uthole amandla nokunyakaza okude (ukuthi ungashukumisa kangakanani ihlombe lakho). Ukwenza lezi zivivinyo ngendlela efanele kubaluleke kakhulu ukuze ululame ngokushesha.

Ukuphuka okukhulu kwamahlombe kungabangela ukuqina okungapheli noma ukwehla kokunyakaza ehlombe. Udokotela wakho noma udokotela ohlinzayo uzochaza lokhu kuwe.

Isikhathi sokuphulukiswa

Ukuthi kuthatha isikhathi esingakanani ukuthi ihlombe lakho liphole kuncike ezintweni eziningana:

• Yiliphi ithambo elaphukile?
• Yeka ukuthi ukuhlukana kuyingozi kangakanani.
• Yikuphi ukwelashwa obekudinga (ukuhlinzwa noma cha).
• Ubudala bakho kanye nempilo yakho iyonke.
• Indlela ozenza kahle ngayo izivivinyo zokwelapha ngokomzimba.

Kungathatha noma yikuphi kusukela emavikini ambalwa kuya ezinyangeni ezimbalwa ukululama ngokuphelele. Kwezinye izimo ezinzima kakhulu, kungathatha isikhathi eside. Buza udokotela wakho noma udokotela ohlinzayo mayelana nesikhathi esifanele isimo sakho.

Buza udokotela wakho ukuthi ungaqhubeka nini nokuzivocavoca nokudlala imidlalo. Kufanele ugcine ihlombe lakho lihamba ukuze lingaqini ngesikhathi lisaphola, kodwa ungalisebenzisi ihlombe lakho eliphukile kwezemidlalo noma ekuphakamiseni okunzima kuze kube yilapho udokotela wakho ethi kulungile . Ukwenza kanjalo kungabangela ukuthi ukulimala kubuye.

Ungazivikela kanjani ekuqhekekeni kwamahlombe?

"Kungcono ukuvimbela ingozi kunokuzisola ngemva kokuba yenzeke." Ngakho-ke landela lawa macebiso okuphepha:

• Gqoka ibhande lesihlalo njalo uma uhamba ngezimoto.
• Gqoka imishini yokuphepha efanele (isib. isigqoko sokuzivikela, ama-shoulder pad) ngesikhathi somdlalo noma umsebenzi.
• Gcina ikhaya lakho nendawo yakho yokusebenza icocekile futhi ingenazo izinto ezingashelela futhi ziwe. Qaphela uma phansi kumanzi.
• Uma uthatha noma yini evela phezulu, sebenzisa ithuluzi noma imishini efanele ngaso sonke isikhathi. Ungalokothi ukhwele ezihlalweni noma ematafuleni.
• Landela uhlelo lokudla kanye nokuzivocavoca olucebile nge-calcium kanye ne-vitamin D ukuze usize ekugcineni impilo enhle yamathambo.
• Uma uneminyaka engaphezu kwengu-65 ubudala, noma uma othile emndenini wakho ene-osteoporosis, khuluma nodokotela wakho mayelana nokuhlolwa kokuqina kwamathambo.
• Uma unenkinga yokuhamba noma usengozini enkulu yokuwa, sebenzisa induku noma i-walker .

Kunini lapho kudingeka uye e-Emergency Treatment Unit (ETU) ?

Uma ucabanga ukuthi uphuke ihlombe (noma elinye ithambo) , iya ekamelweni lezimo eziphuthumayo ngokushesha . Uma unesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, kufanele nakanjani uye ku-ER:

• Ubuhlungu obukhulu kakhulu.
• Uma ungakwazi ukushukumisa amahlombe akho ngendlela evamile.
• Uma ihlombe noma ingalo yakho ibukeka ingajwayelekile noma ishintshe indawo yayo (ukukhubazeka).
• Uma ithambo lakho libonakala ngesikhumba (i-Open Fracture).
• Ukuvuvukala okukhulu.
• Kanye nalezi ezinye izimpawu, kuvela imivimbo emisha.
• Uma une-ndimuncwa noma ubomvu esandleni sakho (lokhu kungaba uphawu lomonakalo egazini noma emithanjeni).

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Uma ubona udokotela wakho, ungesabi ukubuza noma yimiphi imibuzo onayo. Ukuthola ukuqonda okucacile kubaluleke kakhulu enkambisweni yokuphulukiswa. Isibonelo, ungase ubuze le mibuzo:

• Yiliphi ithambo eliphukile? Lingakanani ithambo eliphukile?
• Ingabe ngidinga ukuhlinzwa? Kuzokwenzekani uma ngikwenza?
• Kuzodingeka ngigqoke isilingi noma i-brace isikhathi esingakanani?
• Yini engenziwa ngobuhlungu?
• Ngingaqala nini ukuzivocavoca nokudlala imidlalo futhi?
• Ingabe ukwelashwa ngokomzimba kuyodingeka? Uma kunjalo, kufanele kuqale nini?
• Ngingakwazi yini ukuhambisa indololwane yami, isihlakala kanye neminwe ukuze zingaqini kuze kube yilapho ihlombe lami liphola?
• Ingabe kukhona izinto ezikhethekile okufanele ngiziqaphele ekhaya?

Ungakwazi yini ukuhambisa ihlombe eliphukile?

Uma uphuka ihlombe, ungase ukwazi ukulishukumisa noma ungeke ukwazi ukulishukumisa. Kodwa uma wenza kanjalo, uzozwa ubuhlungu obukhulu. Ngeke ukwazi ukushukumisa ihlombe lakho ngendlela evamile.

Ungalokothi uzame ukusebenzisa ihlombe lakho ngenkani ngemva kwengozi. Uma uke waba sengozini futhi ucabanga ukuthi unethambo eliphukile, hamba uye ekamelweni lezimo eziphuthumayo ngokushesha.

Udokotela wakho noma udokotela ohlinzayo uzokutshela ukuthi ungaqala nini ukunyakaza ingalo nehlombe lakho futhi ngemva kokuba ukwaphuka kwakho sekupholile. Udokotela wakho ohlinzayo uzokufundisa ukuzivocavoca nokwelula ukuze kuqiniswe imisipha ezungeze ihlombe lakho njengoba ululama. Ngesikhathi ihlombe lakho lilulama, ungase ukwazi ukuhambisa ezinye izingxenye zengalo yakho, njengendololwane yakho, isihlakala, neminwe, ngaphandle kokuzikhandla. Buza udokotela wakho ngalokhu futhi.

Ngakho-ke, yiziphi izinto zokugcina okufanele uzikhumbule? (Umyalezo Wokuya Ekhaya)

Ukuphuka kwehlombe kuwukuphuka kwethambo elisejoyintini lehlombe. Lokhu kulimala kuvame ukwenzeka ngokuzumayo, ngesikhathi esingalindele. Ngakho kungaba yinto eyesabekayo kancane, kodwa lokho kuvamile.

Into ebaluleke kakhulu ukuthola ukunakekelwa okufanele kwezokwelapha nokulandela imiyalelo kadokotela wakho ngqo. Ngisho noma usuhlinzwe, ihlombe lakho kufanele liphole ezinyangeni ezimbalwa. Ungase uzizwe ukuqina ehlombe lakho isikhashana. Kodwa-ke, abantu abaningi bangaphinde bathole amandla amaningi kanye nobubanzi bokunyakaza kwabo ngokwelashwa ngokomzimba.

Ngakho-ke ungesabi, yiba nesineke, landela imiyalelo kadokotela, futhi ufune ukwelashwa. Kwangathi ungalulama ngokushesha!

Ukuphuka kwehlombe , Ukuphuka kwehlombe, Ukuphuka kwehlombe IsiSinhala, Ubuhlungu behlombe, Ukwelashwa kokuphuka, Ukuhlinzwa kwehlombe, Ukwelashwa ngokomzimba