Akuzona zonke izihlakala eziphukile ezifanayo! Ake sixoxe ngeSmith Fracture

Wake wawa walimala kakhulu esihlakaleni sakho? Uma lokho kwenzeka, ngezinye izikhathi ungaphuka ithambo esihlakaleni sakho. Lokhu kuphuka kuhlukile, futhi akwenzeki kubo bonke ngendlela efanayo. Namuhla sizokhuluma ngokuphuka okunjalo, i-Smith Fracture . Uma wazi ngakho, ungahlala uzolile futhi uthole ukwelashwa okufanele ngokushesha uma kwenzeka into efana nale kuwe noma kothile omaziyo.

Kuyini ukuqhekeka kukaSmith?

Kalula nje, ukuphuka kwe-Smith uhlobo olukhethekile lokuphuka esihlakaleni sakho. Kuvame ukwenzeka uma uwa ngenkathi isihlakala sakho sigobile, okusho ukuthi isandla sakho sigobile ngasengalweni yakho, noma uma uthola ukushaywa kanzima ngemuva kwesandla sakho.

Manje ungase ucabange ukuthi, kunezinhlobo eziningi zamagama ala mathambo aphukile, futhi kuyadida. Kuyiqiniso. Cishe uke wezwa ngokuphuka kukaSmith, okuwukuphuka kwe-"distal radius fracture," okuwukuphuka kwengxenye ekude ye-radius, enkulu yamathambo amabili engalweni yakho, eseceleni kwesithupha sakho.

Yonke le mininingwane ibalulekile kudokotela ukuze azi kahle ukuthi yimaphi amathambo esihlakaleni sakho aphukile, ukuthi aphukile kuphi, ukuthi aphukile kanjani, nokuthi abukeka kanjani ngaphakathi. Cabanga ngalokhu njengezilungiselelo zokukhulisa nge-microscope, okuvumela udokotela ukuthi abone ngokujulile ukulimala kwakho. Kodwa-ke, into ebaluleke kakhulu ukukhombisa isihlaka sakho kudokotela ngokushesha okukhulu.

Lokhu kuhluke kanjani kwezinye izihlakala eziphukile?

Uhlobo lokuphuka kwesandla onalo luncike ekutheni ithambo lakho liphukile kanjani nokuthi ukuphuka kubonakala kanjani. Ukuphuka kwe-Smith kuvame ukwenzeka uma uwe isandla sakho sigobile ngaphakathi noma uma uthola ukushaywa kanzima ngemuva kwesandla sakho.

Umehluko phakathi kokuqhekeka kukaSmith kanye nokuqhekeka kukaColles

Manje, uma udokotela ekutshela ukuthi "une-Colles fracture," okwenzekayo ukuthi ingxenye yethambo ephukile esihlakaleni sakho (i-"radius") isunduzwa emuva (dorsally). Okusho ukuthi, ngasemuva kwesandla. Kodwa ekuqhekekeni kwe-Smith, kuphambene nalokho: ingxenye yethambo ephukile isunduzwa phambili (volarly), okungukuthi, ngasesithendeni sesandla. Uyawuqonda umehluko? Lona umehluko omkhulu.

Umehluko phakathi kokuphuka kukaSmith nokuphuka kukaBarton

Ukuphuka kukaBarton kufana nokuphuka kukaSmith. Kokubili kungenzeka lapho ingalo igoba ngaphakathi bese iwela. Kodwa-ke, ekuqhekekeni kukaBarton, ithambo eliphukile liyathambekela phezulu noma kude nengalo yakho, futhi lokhu kuhilela nelunga.

Ubani onamathuba amaningi okuthola i-Smith Fractures?

Eqinisweni, noma ubani angathola ukuphuka kwe-Smith, njengoba lokhu kuvame ukubangelwa ingozi noma ukushaywa kanzima.

Kodwa kukhona into eyodwa ebalulekile eyingozi. Leyo yi -osteoporosis.Uma une-osteoporosis, amathambo akho angase aphuke kalula kunomuntu ovamile. Nakuba kungenzeka kunoma ubani, cishe kungenzeka ngokuphindwe kane kwabesifazane kunabesilisa. Futhi, abantu abangaphezu kweminyaka engu-50 basengozini enkulu yokuthola i-osteoporosis.

Sivame kangakanani lesi simo?

Ngokwesilinganiso, ukwaphuka kwesandla kubalelwa ku-20% wabo bonke ukwaphuka kwethambo okubonwa eminyangweni yezimo eziphuthumayo. Futhi kungokwesibili ukuphuka kwethambo okuvame kakhulu kubantu abaneminyaka engaphezu kwengu-50.

Kodwa uma kuqhathaniswa nezinye izihlakala eziphukile, izihlakala zeSmith azivamile . Zibalelwa cishe ku-5% wazo zonke izihlakala eziphukile. Lokho kungaphansi kwezihlakala zeColles.

Ziyini izimpawu zalokhu?

Ungase ube nezimpawu ezinjengalezi ngesikhathi sokuphuka kwe-Smith:

• Ubuhlungu obukhulu esihlakaleni.
• Ukuvuvukala .
• Ububele uma buthintwa.
• Ukungakwazi ukuhambisa isihlakala sakho ngaphandle kobuhlungu.
• Ukuphuka esihlakaleni, mhlawumbe kube nombala oluhlaza okwesibhakabhaka/onsomi.
• Ukukhubazeka okungavamile noma iqhubu liyabonakala esihlakaleni. Kunjengokungathi isimo sesandla sishintshile.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Ukuwa kuyimbangela evame kakhulu. Iningi labantu abathola ukuphuka kwe-Smith bayawa ingalo yabo igobile ngaphakathi, ishaya umgogodla wesihlakala.

Ngaphezu kwalokho, izingozi zezimoto, ukulimala kwezemidlalo (isibonelo, ukuwa ebhayisikilini, ukuwa eskateboard), kanye nezinye izingozi ezinkulu nazo zingabangela ukuphuka kukaSmith.

Udokotela angase asebenzise igama elifana nokuthi "indlela yokulimala" ukuchaza imbangela yesihlakala sakho esiphukile. Liyigama nje elisetshenziswa odokotela, futhi libasiza baqonde ukuthi ulimele kanjani.

Udokotela ukuthola kanjani lokhu?

Ukuphela kwendlela yokwazi ngokuqinisekile uma une-Smith fracture iwukuhlolwa kwe-``(X-ray)``` . Lokhu kungatshela udokotela ukuthi yimaphi amathambo owaphulile, uhlobo luni lokuphuka onalo, nokuthi izingcezu eziphukile ziya kuphi. I-``((X-ray)``` ngokuqinisekile ithathwa kunoma yikuphi ukuphuka kwesihlakala.

Ngaphezu kokuqinisekisa ukuthi isihlakala sakho siphukile, i-X-ray inikeza udokotela olunye ulwazi olubalulekile. Isibonelo, ukuthi ikhefu lihlanzekile kangakanani, ukuthi zingaki izingcezu ezikhona, ukuthi isikhala singakanani phakathi kwamathambo, nokuthi amanye amathambo onakele yini.

Ngezinye izikhathi, i-CT scan noma i-MRI ingenziwa ukuqinisekisa noma ukuqeda umonakalo kwezinye izingxenye zesihlakala, njengemisipha, imisipha, kanye nemisipha.

Ukuhlolwa okudingeka ukwenze kuzoncika esibangweni kanye nobukhulu bokulimala kwakho. Uma ukuphuka kwesandla sakho kubangelwe ingozi enkulu, njengengozi yemoto noma ukuwa esitebhisini, ungadinga ukuhlolwa okwengeziwe.

Yiziphi izindlela zokwelapha ezitholakalayo?

Ukwelashwa kokuphuka kwe-Smith yakho kuzoncika ebunzimeni bokuphuka kokuqala. Amathambo akho aphukile adinga ukuphola futhi aphinde ahlangane. Kunezindlela eziningana zokuwagcina eqinile.

Ukungakwazi ukunyakaza yisenzo sokungashukumisi isandla.

Uma ukwaphuka kwakho kungekubi kakhulu, futhi amathambo engaqhelelene kakhulu (awasuswanga endaweni yawo noma asuswe kancane), kungadingeka ukuthi ufake i-splint noma i-cast esandleni sakho kuphela. I-splint ivame ukuhlala amasonto amathathu kuya kwamahlanu. I-cast ingahlala isikhathi eside, ngokuvamile amasonto ayisithupha kuya kwayisishiyagalombili . Kungadingeka futhi ukuthi wenze enye i-X-ray ukuqinisekisa ukuthi amathambo akho alulama kahle.

Ukunciphisa okuvaliwe

Uma kwenzeka ukwaphuka okukhulu, okusho ukuthi kukhona ukwaphuka okususiwe, kungadingeka ukuthi ube nento ebizwa ngokuthi i-closed reduction ukuze ubuyisele amathambo akho endaweni yawo. Lokhu akusikho ukuhlinzwa. Kulokhu, udokotela uzobamba isandla sakho nesihlakala sakho bese ezidonsa ukuze aqondise amathambo aphukile. Ukuze akusize uzizwe ubuhlungu obuncane ngenkathi wenza lokhu, unganikezwa okunye kwalokhu okulandelayo:

• Ukwelashwa ngezinzwa kwendawo kuzoqeda ubuhlungu esihlakaleni sakho nasesandleni kuphela.
• Imithi yokudambisa ubuthongo (imithi ekwenza uzizwe ulele) izokusiza uphumule.
• Uzolaliswa (i-anesthesia ejwayelekile) kuyo yonke inqubo.

Ngemva kokunciphisa okuvaliwe, udokotela wakho uzofaka i-cast noma i-splint esihlakaleni sakho. Ngemuva kwalokho kuzodingeka ubone uchwepheshe ukuze axoxe ngezinketho zakho zokwelapha.

Ingabe udinga ukuhlinzwa?

Uma kwenzeka ukwaphuka okukhulu kakhulu, okungukuthi, uma kwenzeka ukwaphuka okungenakulungiseka kahle ngokuthi "kuncishiswe ukuvala", noma uma kwenzeka kwenzeka ukwaphuka okungazinzile, kudingeka ukuhlinzwa. Udokotela wakho ohlinzayo uzolungisa amathambo aphukile (ukunciphisa okuvulekile) bese efaka ipuleti lensimbi nezikulufu esihlakaleni sakho ukuze zibambeke ndawonye (ukuqinisa kwangaphakathi).

Ukululama ngemva kokuhlinzwa kuthatha isikhathi eside kunezinye izinqubo. Ngemva kokuhlinzwa, kuzodingeka ugqoke i-splint ukuze uvikele amathambo akho futhi uwasize alulame. Uzodinga nokwelashwa ngokomzimba ukuze kukusize uthole amandla nokunyakaza.

Yini engenziwa ngobuhlungu?

Kubalulekile ukukhuluma nodokotela wakho ngaphambi kokuthatha noma yimuphi umuthi wokunciphisa ubuhlungu ngemva kwanoma yikuphi ukwelashwa. Imithi yokunciphisa ubuhlungu etholakala ngaphandle kwemithi kadokotela (njenge-ibuprofen noma i-acetaminophen) ingasiza ekunciphiseni ubuhlungu nokuvuvukala. Yisebenzise njengoba nje udokotela wakho ekutshelile.

Uyivimbela kanjani into efana nale ukuthi ingenzeki?

Ukuphuka kwengalo cishe njalo kwenzeka ngengozi. Njengoba ukuwa kuyimbangela ehamba phambili yokuphuka kwengalo, kubalulekile ukugcina ikhaya lakho nendawo yakho yokusebenza ingenazo izinto ezingakukhubekisa noma abanye. Qaphela izintambo, imicamelo, namathoyizi phansi. Futhi, qiniseka ukuthi amalungu omndeni wakho angaphezu kweminyaka engu-50 ayazijwayeza imikhuba emihle yokuvimbela ukuwa.

Futhi, khuluma nodokotela wakho mayelana ne-osteoporosis nokuthi ungawagcina kanjani amathambo akho eqinile ngezinto ezifana nokudla (okucebile nge-calcium ne-vitamin D), ukuvivinya umzimba, kanye nokuhlolwa njalo kokuqina kwamathambo.

Kuthatha isikhathi esingakanani ukuphulukiswa?

Isikhathi esithathayo ukuze ululame sincike ebunzimeni bokuphuka kwakho kanye nokwelashwa okutholile. Kungathatha noma yikuphi kusukela ezinyangeni ezimbalwa kuya ngaphezu konyaka ukuze ululame ngokugcwele.

• Uma kusetshenziswa i-splint noma i-cast: cishe amasonto ayisithupha.
• Uma une-closed reduction: Uma ungafuni ukuhlinzwa, ungaya ekhaya ngalolo suku. Kuzodingeka ugqoke i-splint/cast okungenani amasonto ayisithupha kuya kwayisishiyagalombili.
• Uma uhlinzwa: Kuthatha cishe inyanga eyodwa kuya kwezintathu ukululama ngemva kokuhlinzwa. Uzodinga futhi amasonto amane kuya kwayisithupha okuvuselelwa kanye nokwelashwa ngokomzimba.

Abantu abaningi bangase babe nokuqina nobuhlungu esihlakaleni sabo izinyanga, ngisho neminyaka, ngemva kokuba ukuphuka kwabo sekupholile. Yingakho kubalulekile ukwenza izivivinyo eziyalelwa udokotela wakho.

Ngizokwazi nini ukubuyela emsebenzini nasesikoleni?

Kungakhathaliseki ukuthi uthola ukwelashwa okunjani, ukuphuka kwe-Smith kuzothinta impilo yakho kuze kube yilapho kuphola:

• Ukufunda, ukubhala, nokusebenzisa ikhompyutha kungaba nzima, ikakhulukazi uma isandla sakho esilawulayo siphukile.
• Uma uke wahlinzwa, uzodinga ukwelashwa ngokomzimba ukuze uvuselele amandla akho.
• Ngisho noma ukuhlinzwa kungadingeki, udokotela wakho uzokufundisa ezinye izivivinyo zokusiza ukugcina ukunyakaza okuhlukahlukene kanye nokuguquguquka esandleni sakho nasesihlakaleni sakho.

Udokotela uzophinde akuchazele ukuthi uzobe ungakwazi ukuya emsebenzini, esikoleni, noma kweminye imisebenzi isikhathi esingakanani.

Iningi labantu lingaqhubeka nokuzivocavoca okulula (ukuhamba, ukugijima, ukuzivocavoca umzimba ongezansi) zingakapheli inyanga noma ezimbili ngemuva kokususwa kwe-cast noma ngemuva kokuhlinzwa. Kodwa-ke, kungathatha izinyanga ezintathu kuya kweziyisithupha ukuqala kabusha ukuzivocavoca okunzima noma imidlalo yokuxhumana.

Yiziphi ezinye izinkinga ezingabangelwa yilokhu?

Ukuphuka kwe-Smith kungabangela izinkinga ezinjengalezi, yingakho kubalulekile ukuthola ukwelashwa okufanele:

• I-Acute compartment syndrome (ACS) : Ukucindezela okwandayo ngaphakathi kwemisipha yengalo yakho kungabangela ukuthi igazi liphume liye ezicutshini, okubangela ukulimala okungapheli kwemisipha kanye nemizwa. Lesi yisimo esiphuthumayo.
• `(Malunion)` : Lokhu kwenzeka lapho amathambo akho aphukile engapholi kahle futhi engalingani kahle.
• I-Carpal tunnel syndrome : Ukuphuka kwesandla okungapholi kahle kungabangela ukucindezelwa kwe-median nerve esihlakaleni, okubangela ubuhlungu, ukungazweli, kanye nobuthakathaka esandleni.
• Ukutheleleka kwamathambo (i-osteomyelitis) : Uma une-wrack esihlakaleni evulekile (lapho ithambo liphuka khona esikhumbeni), usengozini enkulu yokuthola ukutheleleka ngamagciwane.
• Okunye ukulimala kwangaphakathi : Ukuphuka kwemisipha kungalimaza nemisipha, imizwa, imithambo yegazi, imisipha, kanye nemisipha ezungeze ukulimala kwakho.
• I-Arthritis : Ngokuhamba kwesikhathi, i-arthritis ingakhula esilungwini esilimele.

Kufanele ngimbone nini udokotela?

Uma ucabanga ukuthi unesihlakala esiphukile, thola usizo ngokushesha okukhulu . Yiya egumbini lezimo eziphuthumayo uma ube sengozini futhi unalezi zimpawu:

• Ubuhlungu obukhulu.
• Ukuvuvukala.
• Kubuhlungu uma kuthintwa.
• Awukwazi ukushukumisa isihlakala sakho.
• Uma isihlakala sibukeka sigobile futhi sikhubazekile ngendlela exakile.
• Uma iminwe yakho ishaya noma ishintsha umbala.

Tshela udokotela noma abasebenzi bezimo eziphuthumayo ukuthi kwenzekeni ngempela .

Yimiphi imibuzo okufanele uyibuze udokotela?

Ungakhohlwa ukubuza le mibuzo uma uya kudokotela. Ngaleyo ndlela, ungaqonda yonke into ngokucacile.

• Uhlobo luni lokuphuka enginalo? Ingabe ukuphuka kukaSmith?
• Ingabe kuzodingeka ngifake i-splint noma i-cast? Isikhathi esingakanani?
• Ingabe ngidinga ukuhlinzwa?
• Ingabe ngizodinga ukwelashwa ngokomzimba?
• Ngingayisebenzisa nini isihlakala esiphukile?
• Ngingadlala nini ezemidlalo noma ukuzivocavoca?
• Ingalo yami izophola nini ngokuphelele?
• Yiziphi ezinye izinto okufanele ngizenze futhi ngizigweme ekhaya?
• Kufanele ngiphinde ngimbone nini udokotela?

Okokugcina, into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Ukuphuka ithambo kuhlale kuyesabisa, ikakhulukazi uma kuyingozi enkulu. Ngenhlanhla, ukuphuka kwesandla, okuhlanganisa nokuphuka kukaSmith, kungelashwa. Ngokwelashwa okufanele kanye neseluleko sikadokotela, abantu abaningi bangabuyela ekwenzeni konke ababekwenza ngaphambi kokulimala.

Uma ucabanga ukuthi uphuke i-Smith noma olunye uhlobo lwe-wrack esihlakaleni, ungachithi isikhathi bese uyahlolwa ngokushesha okukhulu.Uma unezici ezithile eziyingozi, njenge-osteoporosis, ungakhohlwa ukukhuluma nodokotela wakho ngezindlela zokugcina amathambo akho eqinile nokuvimbela ukuphuka. Impilo yakho isezandleni zakho!

Ukuphuka kwesihlakala, ukuphuka kukaSmith, ukuphuka kwesandla, ukuphuka kwamathambo, ubuhlungu besihlakala, ukwelashwa kwesihlakala, ukuphuka kukaSmith