Wake wakubona ukuthi ikhanda nentamo yethu kuphonswa kanjani emuva lapho imoto ibhuleka ngamandla ngokuzumayo, noma lapho siwa ndawana thize? Noma wake waba nengozi entanyeni ngenkathi sidlala ezemidlalo? Namuhla sizokhuluma ngenye yezingozi ezinkulu kakhulu ezingase zenzeke entanyeni esimweni esinjalo. Nakuba igama lalokhu liyesabeka kancane, kubaluleke kakhulu ukuqaphela kahle lokhu.
Kuyini Ukuqhekeka Kwe-Hangman?
Kalula nje, lokhu kuwukuphuka kwesistimu yamathambo entanyeni yethu. Ake siqale siqonde kancane ngesakhiwo sentamo yethu.
Umgogodla wethu wakhiwe ngamathambo amancane abekwe phezu komunye nomunye. Siwabiza ngokuthi 'ama-vertebrae'. Kunezinhlobo ezi-7 zama-vertebrae entanyeni. Siwabiza ngokuthi ama-vertebrae omlomo wesibeletho. Lawa yiwo avikela intambo yemizwa ebaluleke kakhulu eyehla isuka ebuchosheni bethu ebizwa ngokuthi intambo yomgogodla. Ukuqhekeka kwe-Hangman kuwukuphuka kwe-vertebra yesibili entanyeni (i-C2 noma i-axis) kuzo zombili izinhlangothi. Leli thambo le-C2 libunjwe njengendandatho, futhi intambo yomgogodla idlula kuleyo ndandatho. Ngakho-ke, ukuphuka kwaleli thambo kungaba yinto embi kakhulu. Nakuba igama lizwakala liyesabeka, lesi simo sivame kakhulu ngezinye izizathu kunokulenga, njengoba igama lisikisela.
Yini ebangela lesi simo?
Lokhu kuphuka kwenzeka lapho ikhanda liphonswa ngokuzumayo, ngokushesha okukhulu nangokuphoqelelwa emuva naphezulu. Kwezokwelapha, lokhu sikubiza ngokuthi ukulimala kwe-hyperextension. Lokhu kusho ukuthi intamo igoba emuva ngaphezu kwebanga layo elijwayelekile. Cabanga ngalezi zimo:
- Izingozi zezimoto: Ikakhulukazi uma sishayiswa kakhulu yimoto evela ngaphambili, umzimba wethu umiswa yibhande lesihlalo , kodwa ikhanda lethu liphonswa phambili bese libuyela emuva futhi. Ngalesi sikhathi, kufakwa amandla amaningi entanyeni.
- Ukuntywila: Uma ugxumela emanzini angajulile ngekhanda kuqala.
- Izingozi zemidlalo: Ezemidlalo ezithinta kakhulu njenge-rugby nebhola.
- Ukuwa usuka endaweni ephakeme: Ikakhulukazi uma uwa ikhanda lakho lijikijelwe emuva.
Into ebaluleke kakhulu ukuthi uma siphuka intamo, sonke sesaba ukuthi intambo yomgogodla izolimala. Kodwa ezimweni eziningi, kulokhu kuphuka kwe-hangman, intambo yomgogodla ayilimali ngesikhathi sengozi.
Kodwa-ke, lokhu kungaba ukwaphuka okungazinzile. Lokhu kusho ukuthi uma kungelashwa kahle, izingcezu zamathambo eziphukile zingagudluka futhi ekugcineni zilimaze umgogodla. Uma lokhu kwenzeka, ubuhlungu,
ukukhubazeka, kanye, noma ngisho nokufa kungenzeka. Ngakho-ke, kubalulekile ukubona udokotela ngokushesha ngemva kwanoma iyiphi ingozi eholela ekutheni ikhanda lijikijelwe emuva.
Izingozi kubantu asebekhulile
Ngenxa yokuthi amathambo ayabuthaka njengoba sikhula, ngisho nokuwa okuncane ngezinye izikhathi kungabangela ukuphuka okukhulu kanje. Le ngozi iphezulu kakhulu kubantu abane-
osteoporosis (isifo esibangela ukuba amathambo abe mancane), umdlavuza osusakazekele emathanjeni, noma ukuntuleka
kwevithamini D. Ziyini izimpawu zalokhu?
Uma kwenzeka ukuphuka okunje engozini, kungase kube khona uphawu olulodwa noma ngaphezulu kwalokhu okulandelayo. Kodwa-ke, khumbula ukuthi uma kukhona okunye ukulimala engozini, ubuhlungu bentamo bungase bungezwakali ekuqaleni.
| Isibonakaliso | Incazelo |
|---|
| Ubuhlungu obukhulu entanyeni | Ukuzwa ubuhlungu obukhulu kangangokuthi awukwazi ukunyakazisa intamo yakho. |
| Ukuba ndikindiki noma ubuthakathaka | Ukuba ndikindiki noma umuzwa wobuthakathaka ezingalweni, emilenzeni, noma kwezinye izingxenye zomzimba. Lokhu kungaba uphawu lokuthi umgogodla uthintekile. |
| Imivimbo entanyeni | Ukulimala okuluhlaza okwesibhakabhaka/okunsomi ngaphansi kwesikhumba sentamo ngenxa yomthelela wengozi. |
| Ubunzima bokuphefumula | Lokhu kuyisibonakaliso esibi kakhulu. Ukulimala komgogodla kungathinta imizwa esiza ekuphefumuleni. |
Ngemva kwengozi efana nale, into engcono kakhulu ongayenza ukugcina intamo yesiguli ingashukumi ngangokunokwenzeka bese uyiyisa ngokushesha e-Emergency Treatment Unit (ETU) yesibhedlela.
Odokotela bakuthola kanjani lokhu?
Uma ulethwa esibhedlela, udokotela uzoqala ngokukuhlola ngokomzimba. Bazohlola noma yikuphi ubuhlungu noma ukuklwebheka. Bazohlola futhi ukuthi kukhona yini ukungazweli noma ubuthakathaka ezingalweni nasemilenzeni ukuze babone ukuthi kukhona yini umonakalo emgogodleni wakho. Ngemva kwalokho, nakanjani bazokwenza izifundo zokuthatha izithombe.
- I-X - ray: Kuthathwa i-X-ray ukuze kuhlolwe ikakhulukazi ukuthi iphukile yini.
- I-CT Scan: Lena yindlela engcono kakhulu yokuxilonga lolu hlobo lokuphuka. I-CT scan ingabonisa ubukhali bokuphuka , ukuthi izingcezu eziphukile zisusiwe yini, nokuthi ukuxhumana namathambo angaphansi kuphazamisekile yini esithombeni esicacile, esinezinhlangothi ezintathu (3D).
- I-MRI Scan: Kwezinye izimo, i-MRI scan ingadingeka. I-MRI ingabheka ngokuningiliziwe hhayi amathambo kuphela, kodwa nezicubu ezithambile, njengentambo yomgogodla kanye nama-disc aphakathi kwamathambo omgogodla, ukuze ithole umonakalo.
Ngokusekelwe olwazini oluvela kulezi zivivinyo, udokotela wakho uzohlukanisa ukwaphuka kwakho. Okusho ukuthi, bazokuhlukanisa ngokwesimo sokuphuka kanye nezinga izingcezu zamathambo ezisusiwe ngalo. Lokhu kuhlukaniswa kuzonquma ukwelashwa okungcono kakhulu kuwe.
Iphathwa kanjani?
Ukwelashwa kuncike ebunzimeni bokuphuka, ukuthi ukuphuka kuzinzile noma akuzinzile, ukuthi ama-disc aphakathi kwamathambo omgogodla onakele, nokuthi intambo yomgogodla ithintekile yini. Kunezindlela ezimbili zokwelapha eziyinhloko.
1. Ukwelashwa okungadingi ukuhlinzwa (Ukulungiswa Kwangaphandle) 2. Ukuhlinzwa (Ukulungiswa Kwangaphakathi)
| Indlela yokwelapha | Incazelo |
|---|
| I-Brace yomlomo wesibeletho | Uma ukuphuka kungekubi kakhulu, ikhola yentamo eqinile eyenziwe ngepulasitiki ingagqokwa izinyanga eziningana ukuze intamo ingashukumi. |
| Ivesti ye-Halo | Lena idivayisi eyinkimbinkimbi kancane. Uma ukuphuka kungazinzile, isetshenziselwa ukugcina intamo ingashukumi nhlobo. Indandatho yensimbi ibekwa nxazonke zekhanda bese iboshelwa ekhanda ngezikhonkwane ezincane. Indandatho bese ixhunywa nevesti egqokwa esifubeni ngezinduku. Lokhu kungase kubonakale kuyesabeka kancane, kodwa kubaluleke kakhulu ukuthi ithambo liphole kahle. Lokhu sikubiza ngokuthi ukungasebenzi kahle kokwelashwa. |
| Ukuhlinzwa | Uma ukuphuka kukhulu kakhulu, uma ithambo eliphukile liphumile kakhulu, noma uma kukhona ukucindezelwa komgogodla, kungase kudingeke ukuhlinzwa. Ngesikhathi sokuhlinzwa, amathambo aphukile abuyiselwa endaweni yawo futhi aqiniswe ngezikulufo, izinduku, noma amapuleti. Ngezinye izikhathi, ukuhlinzwa kuyadingeka uma ithambo lingapholi ngokuvinjelwa kokunyakaza. |
Izindaba ezinhle ukuthi cishe ama-90% ama-fractures e-hangman angelashwa ngokuphelele ngaphandle kokuhlinzwa, ngokwelashwa kokuvimbela ukuhamba njenge-Halo Vest.
Unjani umkhuba wokululama?
Uma uthola ukwelashwa okufanele ngesikhathi esifanele, unethuba elihle kakhulu lokululama ngokuphelele kulesi simo. Ukuhlaziywa kwemibiko yocwaningo engu-32 kuthole ukuthi uhlobo oluncane kakhulu lokuphuka kwe-hangman lungaphulukiswa ngo-100% ngokuvimbela ukunyakaza kuphela. Kolunye ucwaningo, ama-85% eziguli ezingu-30 ezinalesi simo alulame ngokugcwele phakathi nonyaka. Ngakho-ke, into ebaluleke kakhulu ukungayinaki ingozi bese ucela iseluleko sezokwelapha ngokushesha. Khona-ke udokotela wakho uzokunikeza ukwelashwa okufanele kakhulu futhi asebenzele ukukusiza ululame ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ukuqhekeka kwe-Hangman kuwukuqhekeka kwethambo lesibili lomgogodla womlomo wesibeletho (C2). Lesi yisimo esibucayi.
- Lesi simo sivame ukwenzeka ngenxa yokuthi ikhanda nentamo kuyahlehla ngokushesha ngesikhathi sezingozi zezimoto, ukuwa kusuka phezulu, noma izingozi zemidlalo.
- Izimpawu zingase zihlanganise ubuhlungu obukhulu entanyeni, ukungazweli , ubuthakathaka, noma ubunzima bokuphefumula .
- Ungalokothi uzame ukuhambisa intamo yakho ngemva kwengozi efana nale. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Uma uthola ukwelashwa okufanele (i-brace yentamo, i-halo vest, noma ukuhlinzwa) ngesikhathi esifanele, amathuba okululama ngokuphelele kulesi simo aphezulu kakhulu. Ngakho-ke ungesabi futhi ulandele iseluleko sikadokotela wakho.
Ukuphuka Kwe-Hangman, Ukuphuka Kwe-Hangman, Ukuphuka Kwentamo, Umgogodla we-C2, Ukulimala Kwentamo, Intambo Yomgogodla, Izingozi Zezimoto, Ubuhlungu Bentamo
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