Kuyini ukuphuka okuphambene? (Ukuphuka Okuphambene) - Ake sifunde ngalokhu kalula!

Wake wawa walimala kabi ingalo noma umlenze? Noma wake waphuka ithambo ngesikhathi udlala ikhilikithi, ushaywa ibhola, noma engozini yemoto? Mhlawumbe udokotela ukutshelile " ngokuphuka okuphambeneyo ." Kusho ukuthini ngempela lokhu? Kulungile, ake sixoxe ngalokhu ngemininingwane ethe xaxa , njengokungathi utshela umngane.

Kuyini ngempela 'ukuphuka okuphambene'?

Kalula nje, ukuphuka okuphambeneyo kuwukuphuka kwelinye lamathambo akho. Cabanga ngethambo lakho njengenduku ende. Ukuphuka kwenzeka ngokuma ngobude benduku, noma ngaphesheya kwayo. Kufana nomuntu onqamula induku phakathi. Lokhu kubizwa nangokuthi ukuphuka okuphelele , ngoba umugqa ophukile udlula ethanjeni lonke.

Lezi zinhlobo zokuphuka kwemisipha zivame ukubonakala emathanjeni amade emizimba yethu. Nazi izibonelo ezimbalwa:

• I-Femur (ingxenye engenhla yomlenze wakho)
• I-Tibia (ithambo elijiyile elingaphambili komlenze wakho)
• I-Fibula - ithambo elincane elitholakala eduze kwe-tibia
• Ithambo lengalo engenhla (`I-Humerus` - ithambo elisuka ehlombe lakho liye endololwaneni yakho)
• Amathambo engalo yangaphambili (`Irediyasi` kanye ne-`Ulna` - amathambo amabili kusukela endololwaneni kuya esihlakaleni)
• Ithambo lekhola (i-Clavicle)

Yiziphi izimbangela eziyinhloko zalolu hlobo lokuphuka?

Lokhu kuphuka, okubizwa ngokuthi 'ukuphuka okuphambene', kuvame ukwenzeka ngenxa yengozi noma ukulimala . Cabanga ngento efana nokuwa ngokuzumayo, ingozi yemoto, noma ukushayeka kanzima ngenkathi udlala.

Ngezinye izikhathi kudingeka ukuhlinzwa ukuze kulungiswe ukwaphuka okunje. Kodwa kwabanye abantu, i-splint noma i-cast ingasiza ekugcineni ithambo lisendaweni yalo. Isikhathi esithathwayo ukuze liphiliswe ngokugcwele sincike ekutheni hlobo luni lwethambo oluphukile nokuthi ukulimala kwenzeke kanjani. Iningi labantu lithatha izinyanga eziningana ukuze lilulame ngokugcwele kulesi simo.

Ingabe 'ukuphuka okuphambene' kanye 'nokuphuka kwenqubo ephambene' kuyinto efanayo?

Yilapho okungadida khona kancane. Nakuba amagama athi 'ukuphuka kwethambo' kanye 'nokuphuka kwethambo kwe-transverse' ezwakala efana, lezi yizinhlobo ezimbili ezahlukene zokuphuka kwethambo .

'Ukuphuka kwethambo' esisanda kukhuluma ngakho kuwukuphuka kobude bethambo. Nakuba lokhu kungenzeka kunoma yiliphi ithambo, kuvame ukwenzeka emathanjeni amade, njengasengozini engazelelwe njengokuwa.

Kodwa-ke, 'ukuphuka kwenqubo eguquguqukayo' kuwukuphuka komgogodla.Okunye ukwaphuka. Umgogodla wethu wakhiwe ngamathambo amancane abizwa ngokuthi ama-vertebrae. Lawa ma-vertebrae anezimbobo ezincane zamathambo kuzo zombili izinhlangothi, ezibizwa ngokuthi ama-transverse process. Ukuphuka kwala mathambo kubizwa ngokuthi i-transverse process fracture. Lokhu kungenzeka futhi engozini. Ngezinye izikhathi, ngenxa ye-osteoporosis (isifo lapho amathambo eba buthakathaka futhi ephuka), la mathambo angaphuka ngaphandle kokuqaphela. Nakuba lokhu kwaphuka kungenzeka noma kuphi emgogodleni, kuvame kakhulu emhlane ongezansi (umgogodla we-lumbar).

Uyini umehluko phakathi 'kokuqhekeka okuphambene' kanye 'nokuqhekeka okungabonakali'?

Zombili lezi zinhlobo zokuphuka kwethambo ezidlula ngqo ethanjeni. Kodwa kunomehluko omncane.

• 'Ekuqhekekeni okuphambene', ukuqhekeka kuwela ithambo, okungukuthi, kuqonde ngqo kubude bethambo.
• 'Ekuqhekekeni kwe-Oblique ', ukuphuka kudlula ethanjeni, okungukuthi, nge-engela.

Kodwa-ke, kungakhathaliseki ukuthi ukuphuka kwakho kubizwa ngokuthini, into ebaluleke kakhulu ukubona udokotela ngokushesha okukhulu bese uhlolwa .

Kuvame kangakanani lokhu 'kuphuka kwe-transverse'? Ubani onamathuba amaningi okukuthola?

'Ukuphuka kwethambo okuguquguqukayo' uhlobo oluvame kakhulu lokuphuka kwethambo , ikakhulukazi emathanjeni amade. Kungenzeka kunoma ubani. Kubangelwa kakhulu izingozi nokulimala.

Uma uvame ukuwa, kungenzeka kakhulu ukuthi ube nalolu hlobo lokuphuka. Futhi, abantu abane -osteoporosis (amathambo abuthakathaka) basengozini enkulu yokuphuka, okuhlanganisa nokuphuka okuphambene.

Yiziphi izici 'zokwaphuka okuphambene'?

Ngalolu hlobo lokuphuka, ungase ube nezimpawu ezifana nalezi:

• Ubuhlungu obukhulu: Bubuhlungu lapho kwenzeka khona ukuphuka.
• Ukuvuvukala: Indawo elimele iyavuvukala.
• Ukuthamba: Ubuhlungu buyanda uma uthinta noma ucindezela indawo ephukile.
• Ukungakwazi ukunyakaza ngendlela evamile: Uma ingxenye yomzimba, njengengalo noma umlenze, iphukile, kuba nzima ukuyinyakazisa noma ukuyisebenzisa ngendlela evamile.
• Ukuphuka noma ukushintsha kombala: Ungase uqaphele ukuphuka noma ukushintsha kombala okuluhlaza okwesibhakabhaka endaweni yokulimala.
• Ukusonteka noma ifindo: Ngezinye izikhathi ingxenye ephukile ingase ibonakale igobile ngendlela engavamile, idonswe, noma iphakanyiswe njengefindo.

Ayini amakhefu 'Avuliwe' kanye 'Avaliwe'?

Udokotela wakho uzohlukanisa ukuphuka ngokuthi 'kuvuliwe' noma 'kuvaliwe'.

• "Ukuphuka okuvulekile" kwenzeka lapho ingxenye yethambo eliphukile iphuma esikhumbeni sakho. Lokhu kuyingozi kancane ngoba kungabangela ukutheleleka.Amathuba okugula aphezulu, futhi kuthatha isikhathi eside ukululama.
• 'Ukuphuka okuvaliwe' kwenzeka lapho ithambo liphukile kodwa isikhumba singonakali futhi ithambo lingabonakali. Lokhu nakho kuyingozi, kodwa ingozi yokutheleleka iphansi.

Kuyini ukwaphuka 'kwabafuduki' kanye 'nokungafuduki'?

Lawa amanye amagama amabili asetshenziswa odokotela.

• 'Ukuphuka okuphukile' yilapho izingcezu zethambo eziphukile ziphushelwa ngaphandle, okubangela igebe phakathi kwazo. Ngokuqondile, izingcezu zethambo ziyadonswa ndawonye . Lezi zinhlobo zokuphuka zivame ukudinga ukuhlinzwa ukuze ziqonde.
• 'Ukuphuka okungasuswanga' nakho kuwukuphuka lapho ithambo liphuka khona, kodwa izingcezu eziphukile azihambanga kakhulu futhi aziqhekeki. Zisaqondile.

Odokotela bakuthola kanjani ukuphuka okuphambeneyo? (Ukuxilongwa)

Udokotela uzokwenza ukuhlolwa ngokomzimba ngokuyinhloko ukuze ahlole lolu hlobo lokuphuka. Ngaphezu kwalokho, bangenza izivivinyo zezithombe ezifana nalezi:

• I-X-ray: Lena yindlela kuphela yokubona ukuthi kukhona yini ukuphuka nokuthi umonakalo ongakanani owenzekile.
• I-MRI (I-Magnetic Resonance Imaging): Ngezinye izikhathi udokotela udinga ukuthola isithombe esiphelele sezicubu ezizungeze ithambo, njengemisipha, izicubu ezixhumeneyo, nezinye izitho zomzimba, ukuze abone ukuthi kukhona yini umonakalo. Ezimweni ezinjalo, i-MRI ingenziwa.
• I-CT scan: Uma udinga ukuhlinzwa, udokotela ohlinzayo uzodinga isithombe esicacile nesiningiliziwe somonakalo emathanjeni. I-CT scan ingenziwa uma i-X-ray ingacacile futhi ihlele ukuhlinzwa.

Iphathwa kanjani i-transverse fracture?

Ukwelashwa kokuphuka kwakho okuphambene kuncike ekutheni kukhulu kangakanani. Umgomo oyinhloko ukusiza izingcezu zamathambo eziphukile zelapheke kahle. Ukuze benze lokhu, odokotela basebenzisa izindlela zokwelapha ezifana nalezi:

Ukunciphisa ukunyakaza (Ukungasebenzi)

Uma ukwaphuka kwakho kungekubi kakhulu, okusho ukuthi izingcezu zamathambo aziqhelelene kakhulu (`ezingekho endaweni yazo`), kungadingeka ukuthi ufake i-splint noma i-cast ukuze ugcine indawo ingahambi. I-splint ivame ukuhlala amasonto amathathu kuya kwamahlanu. I-cast izohlala isikhathi eside, cishe amasonto ayisithupha kuya kwayisishiyagalombili. Kodwa-ke, kuzodingeka wenze ama-X-ray njalo ukuze uqinisekise ukuthi ithambo liphola kahle.

'Ukunciphisa Okuvaliwe'

Uma kwenzeka amanxeba aphukile kakhulu, lapho izingcezu zamathambo zisuswa khona, kusetshenziswa 'ukunciphisa okuvaliwe' ukuze kubuyiselwe endaweni yazo.Kumele kwenziwe. Lokhu akusikho ukuhlinzwa. Udokotela uzobamba, acindezele, futhi adonse ingaphandle lomzimba wakho ukuze aqondise izingcezu zamathambo aphukile ngaphakathi. Ukuze aqiniseke ukuthi awuzizwa ubuhlungu ngenkathi enza lokhu, uzokwenza enye yalezi zinto:

• I-anesthetic yendawo inikezwa ukuze iqede kuphela indawo lapho kwaphuka khona.
• Kunikezwa imithi yokudambisa umzimba wonke.
• Noma, uzonikezwa i-anesthesia ejwayelekile, ezokulalisa ngokuphelele ukuze ungezwa lutho.

Ngemva kokuba amathambo eselungisiwe ngale ndlela, kufakwa i-splint noma i-plaster.

Ukuhlinzwa Kokuqhekeka Okuguquguqukayo - Ukulungiswa Kwangaphakathi

Uma kwenzeka ukwaphuka okukhulu kakhulu , kudingeka ukuhlinzwa . Udokotela ohlinzayo uzobuyisela izingcezu eziphukile ezindaweni zazo ezifanele futhi asebenzise izinduku zensimbi ukuze azibambe ndawonye zize ziphole. Lokhu kubizwa ngokuthi 'ukulungiswa kwangaphakathi' . Ngesikhathi izinduku zensimbi zisendaweni yazo, akufanele usebenzise leyo ngxenye yomzimba wakho kakhulu kuze kube yilapho ithambo liphola.

Kunezindlela eziningana 'zokulungisa kwangaphakathi':

• Izinduku: Induku yensimbi ifakwa ngethambo, kusukela phezulu kuya phansi.
• Amapuleti nezikulufo: Amapuleti ensimbi afakwa ukuze abambe izingcezu zamathambo ndawonye futhi aboshwe ethanjeni ngezikulufo.
• Izikhonkwane nezintambo: Uma kunezingcezu zamathambo ezincane kakhulu ukuthi zingangena kwezinye izinto zokubopha, izikhonkwane nezintambo zisetshenziselwa ukuzibamba ndawonye. Lezi zivame ukusetshenziswa kanye nezinduku noma amapuleti.

Abanye abantu banezingcezu zensimbi emizimbeni yabo impilo yabo yonke. Kwabanye, kuzodingeka bahlinzwe ukuze bazisuse kamuva.

Lokhu kuhlinzwa 'kokuqhekeka kwethambo' kuvame ukwenziwa njengezinqubo zokulaliswa esibhedlela , okusho ukuthi ungaya ekhaya ngalolo suku. Kodwa-ke, uma uhlinzwa ithambo elikhulu njenge-femur, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa.

Ngemva kokuhlinzwa, ingxenye yomzimba enethambo eliphukile kuzodingeka ingasebenzi. Kungafakwa i-brace , i-splint, noma i-cast kuyo. Kungaleso sikhathi kuphela lapho ungaqala khona ukufaka isisindo engxenyeni bese uyisebenzisa njengakuqala.

Yimiphi imithi esetshenziswa ekwelapheni? Ingabe kufanele ngikhathazeke ngama-NSAID?

Ama-NSAID (njenge-aspirin ne-ibuprofen), avame ukusetshenziswa njengemithi yokuqeda ubuhlungu, angabangela ukopha kanye nezinye izinkinga ngemva kokuhlinzwa. Ngakho-ke, udokotela wakho ohlinzayo uzokutshela ukuthi imiphi imithi ongayithatha ukuze unciphise ubuhlungu ngemva kokuhlinzwa.

Imiphumela emibi ye-NSAID:

* Ukopha

* Izilonda zesisu (`Izilonda`)

* Isisu esibuhlungu

* Izinkinga zamathumbu

Yiziphi izinkinga ezingaba khona ngenxa yokwelashwa kokuqhekeka okuphambene?

Izinkinga ezilandelayo zingase zenzeke ngemva kokuhlinzwa:

• I-Acute Comppartment Syndrome (ACS): Ukucindezeleka okukhulu ngaphakathi kwemisipha, ukuntuleka kwegazi, kanye nomonakalo ohlala njalo wemisipha kanye nemizwa kungenzeka.
• ``Malunion``: Isimo lapho ithambo eliphukile lingapholi kahle, kodwa liyanwebeka futhi lidonseke ndawonye.
• Ukungabi naso isibopho: Amathambo awapholi ndawonye kahle, noma awapholi nhlobo.
• Ukutheleleka kwamathambo (i-Osteomyelitis): Uma ithambo liphuka esikhumbeni, njengasekuqhekekeni okuvulekile, kunengozi enkulu yokutheleleka ngamagciwane.
• Okunye ukulimala kwangaphakathi: Ithambo eliphukile lingabangela nomonakalo emisipheni ezungezile, ezinzwa, emithanjeni yegazi, emisipha, kanye nasemisipha.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Kungathatha amasonto ambalwa ukuthi izimpawu zakho ziphele. Kuye ngokuthi uhlinzwe kanjani nokuthi yiliphi ithambo eliphukile, ungase ukwazi ukuqala ukunyakaza futhi emavikini ambalwa.

Kodwa-ke, uma ubuhlungu obungabekezeleleki obungapheli, bona udokotela ngokushesha.

Unganciphisa kanjani ingozi yokuqhekeka kwe-transverse?

Landela lezi zinyathelo ezilula ukuze unciphise ingozi yalolu hlobo lwengozi:

• Gqoka ibhande lakho lesihlalo njalo uma ugibele imoto.
• Gqoka izinto zokuzivikela ezidingekayo lapho udlala imidlalo noma wenza eminye imisebenzi.
• Gcina ikhaya lakho nendawo yakho yokusebenza ihlanzekile ngokususa izinto ezingabangela ukuthi ushelele futhi uwe, kanye nezinto ezingabangela ukuthi ukhubeke.
• Uma uthatha okuthile okuvela phezulu, sebenzisa ithuluzi elifanele esikhundleni sokukhwela ezihlalweni, ematafuleni, noma emakhandeni.
• Landela uhlelo lokudla kanye nokuzivocavoca olusiza ekugcineni amathambo enempilo enhle .
• Uma uneminyaka engaphezu kwengu-50, noma uma othile emndenini wakho ene -osteoporosis , khuluma nodokotela wakho mayelana nokuhlolwa kokuqina kwamathambo .
• Uma unenkinga yokuhamba noma kungenzeka kakhulu ukuthi uwe, sebenzisa induku yokubambelela ('umoba' noma 'i-walker') .

Ingabe ukuphuka okuphambene kungavinjelwa?

Lezi zinhlobo zokuphuka kwemisipha zivame ukubangelwa izinto okunzima ukuzivimbela, njengokuwa nezingozi. Kodwa-ke, uma unenkinga yokuhamba, ukusebenzisa izinduku zokusibekela kungasiza ekuvimbeleni ukuwa.

Abesifazane basengozini enkulu yokuthola i-osteoporosis ngemva kweminyaka engu-50. Ngakho-ke, kuwumqondo omuhle ukukhuluma nodokotela wakho mayelana nokuhlolwa kokuqina kwamathambo, okungabona i-osteoporosis ngaphambi kokuba kuqhekeke.

Yini ongayilindela uma unesifo sokuphuka okuphambene?

Uma uphukile ngokushintshashintshayo, ungalindela ukululama ngokuphelele . Kodwa-ke, uzodinga ukwelashwa ngokomzimba ukuze kukusize uthole amandla nokunyakaza okuhlukahlukene engxenyeni yomzimba ethintekile. Iningi labantu alibi nemiphumela yesikhathi eside ngemva kokuphuka okunje.

Kuthatha isikhathi esingakanani ukuthi ukuphuka okuphambeneyo kuphole?

Isikhathi esithathayo ukuze ululame sincike ebunzimeni bokuphuka kwakho kanye nokwelashwa okutholile. Iningi labantu lithatha izinyanga eziningana ukuze lilulame ngokugcwele.

Kunezici eziningi ezithinta ukuthi kuthatha isikhathi esingakanani ukuthi umzimba wakho ululame, ngakho khuluma nodokotela wakho noma udokotela ohlinzayo mayelana nesikhathi esisebenza kahle kakhulu ekulimaleni kwakho.

Ingabe ngeke ngikwazi ukuya emsebenzini/esikoleni?

Isikhathi ongeke ukwazi ukuya emsebenzini, esikoleni, noma kweminye imisebenzi sizoncika ekutheni yiliphi ithambo eliphukile nokuthi unezinye ukulimala.

Ngesikhathi usalulama, khuluma nodokotela wakho ohlinzayo noma udokotela ngaphambi kokuqala noma yimuphi umsebenzi womzimba.

Kunini lapho kudingeka uye eGumbini Lezimo Eziphuthumayo?

Uma ucabanga ukuthi unesifo sokuphuka kwethambo esiphambeneyo – noma esinye isifo sokuphuka kwethambo – kufanele ubonane nodokotela ngokushesha okukhulu . Yiya egumbini lezimo eziphuthumayo ngokushesha uma unezinye zalezi zimpawu:

• Ubuhlungu obukhulu kakhulu.
• Uma ungakwazi ukuhambisa ingxenye yomzimba wakho, ungayihambisa ngokujwayelekile.
• Uma ingxenye yomzimba wakho ibukeka ingajwayelekile noma ibonakala ishintshile kusukela lapho yayikhona.
• Uma ungabona ithambo ngesikhumba sakho.
• Ukuvuvukala.
• Uma kuvela imivimbo emisha kanye nalezi ezinye izimpawu.

Ikakhulukazi uma uke waba nokulimala, iya ekamelweni lezimo eziphuthumayo ngokushesha.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Uma ubona udokotela, ungakhohlwa ukubuza le mibuzo:

• Yiliphi ithambo eliphukile?
• Ingabe nginayo 'i-transverse fracture' noma olunye uhlobo lwe-fracture?
• Ingabe ngidinga ukuhlinzwa?
• Kuzothatha isikhathi engingakanani ukuphola?
• Ngingaphinde ngiqale nini ukwenza umsebenzi ojwayelekile womzimba?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ungalulama ngokugcwele ngemva kokuphuka okuphambene., noma ngabe kungukuhlinzwa. Into ebaluleke kakhulu ukuyithatha kancane futhi iqine ngesikhathi sokululama, bese ulandela imiyalelo kadokotela wakho ngqo . Uma ucindezeleka futhi uya emsebenzini ngaphandle kokunikeza umzimba wakho ukuphumula, kungenzeka ukuthi kuzoba nezinkinga futhi ithambo eliphukile lizolimala kakhulu.

Buza udokotela wakho ukuthi ungawagcina kanjani amathambo akho eqinile futhi enempilo. Uma uneminyaka engaphezu kwengu-50 noma unomlando womndeni we-osteoporosis, kubalulekile futhi ukuthi uhlolwe njalo ukuqina kwamathambo.

Ukuphuka , ukuphuka okuphambeneyo, ukuphuka okuphambeneyo, ukwelashwa kokuphuka, ukuhlinzwa kwamathambo, impilo yamathambo, izingozi