Zicabange ugijima ngesivinini esikhulu bese uyeka ngokuzumayo, noma uma udlala ikhilikithi, ibhola lishaya isihloko somunwe wakho ngesivinini esikhulu. Kunomsindo "we-pop" kanye nobuhlungu obungabekezeleleki. Indawo iyavuvukala futhi iphenduke ibe luhlaza okwesibhakabhaka. Esimweni esinjalo, kungenzeka ukuthi uke waba nokulimala okungathi sína kunokuklwebheka nje. Namuhla sikhuluma ngokulimala okunjalo, i- 'Avulsion Fracture' .
Kalula nje, kuyini i-Avulsion Fracture?
I-'Avulsion Fracture' iyinto elula kakhulu. Imisipha emzimbeni wethu ixhunywe emathanjeni ngamabhande aqinile abizwa ngokuthi 'ama-tendons'. Futhi amathambo axhunywe komunye nomunye ngamabhande abizwa ngokuthi 'ama-ligaments'. Cabanga ukuthi lapho enye yala 'ma-tendons' noma 'ama-ligaments' idonsa ngamandla ngokuzumayo, ingxenye encane yethambo exhunywe kuyo iyaphuma. Yilokho esikubiza ngokuthi 'Avulsion Fracture'.
Ukuze kube sobala, okwenzekayo kulokhu ukuthi esikhundleni sokuphuka kwe-tendon/ligament, ucezu lwethambo oluxhunywe kulo luyaphuma.
Lesi simo sivame kakhulu kubantu abasha abadlala imidlalo. Sivame kakhulu emalungeni afana nesinqe, indololwane, kanye neqakala. Kodwa-ke, singavela noma kuphi lapho ingxenye yomsipha ihlangana khona nethambo.
Kungani lokhu kwenzeka? Yiziphi izizathu?
Isizathu esiyinhloko salolu hlobo lokuphuka amandla angalindelekile. Isibonelo, uma ugijima ohlangothini olulodwa bese ujika ngokuzumayo ohlangothini olulodwa, imisipha yakho idonsa ohlangothini olulodwa bese ithambo liya kolunye uhlangothi. Ngezikhathi ezinjengalezi, umsipha engikhulume ngawo ekuqaleni ungacindezelwa kakhulu futhi ingxenye yethambo ingaphuma.
Lokhu ngokuvamile kubangelwa yi:
- Izingozi zemidlalo: Ikakhulukazi emidlalweni ehilela ukugijima ngokushesha, ukuma ngokuzumayo, ukugxuma, ukubhowula ngokushesha, noma ukukhahlela.
- Izingozi : Izinto ezifana nokuwa, izingozi zezimoto.
- Amandla aphansi amathambo : Amathambo ezingane ezincane ezikhula kancane awakakhuli ngokugcwele. Ngakho-ke, amathambo azo awanamandla kangako kunemisipha nemisipha yazo. Lokhu kungenxa yobuthakathaka bamathambo kubantu asebekhulile ngenxa yezimo ezifana ne-osteoporosis (isifo sokuncipha kwamathambo).
Le ngozi iphezulu kakhulu kulabo abadlala imidlalo elandelayo:
- Ezemidlalo (Umkhondo nenkundla)
- Ithenisi
- Ibhola Lezinyawo/Ibhola Lezinyawo
- Ihokhi
- Umdanso
- I-Gymnastics
- Ukushushuluza eqhweni
Akuvamile kakhulu ukuthi ukuphuka kwe-avulsion kwenzeke ngenxa yenkinga yezakhi zofuzo, ukutheleleka, umdlavuza, noma njengenkinga yokuhlinzwa.
Izinhlobo ezivamile zokuqhekeka kwe-avulsion
Lokhu kuphuka kwemisipha kungenzeka ezingxenyeni ezahlukene zomzimba. Ake sibheke izinhlobo ezivame kakhulu.
| Uhlobo Lokuphuka | Incazelo |
|---|---|
| I-pelvic | Kwenzeka esinqeni, ezinqeni, noma ethangeni. Kungabangelwa ukugxumagxuma okungazelelwe emathangeni noma emisipheni yesisu lapho ugxuma, ugijima, noma ukhahlela. Lolu hlobo lokuphuka lungenzeka kumuntu osekhulile uma ewa. |
| I-Fibular | I-fibula yithambo elingaphandle komlenze ongezansi. Lokhu kuphuka kungenzeka lapho umlenze ugoba ngokuzumayo ngaphakathi (njengeqakala elikhumukile). Lokhu kuyingozi kakhulu kunokukhubeka kweqakala okuvamile. |
| Indololwane (i-Medial Epicondyle) | Lokhu kwenzeka ekubonakaleni kwamathambo ngaphakathi kwendololwane. Kuvame kakhulu ezinganeni eziphakathi kweminyaka engu-9-14 ezidlala imidlalo esheshayo njenge-baseball nekhilikithi. |
| Umunwe | Kunezinhlobo ezimbili zalokhu. Umunwe we-Mallet (umunwe we-baseball) yilapho into efana nebhola lekhilikithi ishaya khona isihloko somunwe, i-tendon enweba umunwe iphuma nengxenye yethambo. Khona-ke umunwe awukwazi ukwelulwa ngokuphelele. Umunwe we-Jersey yilapho othile ebambe ingubo (ijezi) bese eyidonsa ngokuzumayo, i-tendon egoba umunwe iphuma nengxenye yethambo. Khona-ke umunwe awukwazi ukugoba ngokuphelele. |
Ziyini izimpawu zalokhu?
Uma uphukile ngenxa yokuvuvukala kwemisipha, ungase uzwe ubuhlungu obungazelelwe, obukhulu kanye nomsindo wokuqhuma noma wokuqhuma. Ngaphandle kwalokho, izimpawu zingahluka kuye ngokuthi ukulimala kwenzeke kuphi.
- Ukuvuvukala: Indawo elimele ivuvukele kakhulu.
- Ukuphuka: Ukopha ngaphansi kwesikhumba, okubangela ukuthi siphenduke sibe luhlaza okwesibhakabhaka/nsomi.
- Kungase kube nokopha kwegazi .
- Ungase uzizwe ungenamizwa noma uthukuthele .
- Kuba nzima ukuhambisa isitho esilimele noma ukuma unesisindo kulolo hlangothi.
- Ubuhlungu bungase bukhuphuke noma bube phansi busuka endaweni yokulimala.
Ukuthola kanjani lokhu ngqo?
Uma ulimele kanje, into engcono kakhulu ongayenza ukubonana nodokotela ngokushesha . Uzokubuza ngezimpawu zakho nokuthi ingozi yenzeke kanjani. Bese bekwenza ukuhlolwa ngokomzimba. Ngezinye izikhathi, ngisho nalokhu kuhlolwa kuphela kungakutshela ukuthi ngabe kuwukuphuka kwe-avulsion.
Kodwa ukuze uqiniseke futhi ubone ukuthi kukhona yini omunye umonakalo omkhulu (isib. ukuqhekeka okuphelele kwe-ligament), udokotela wakho uzokuyala ukuba kwenziwe i-X-ray noma mhlawumbe i -CT scan .
Iphathwa kanjani?
Izindaba ezinhle ukuthi iningi lama-avulsion fractures lingelashwa ngaphandle kokuhlinzwa.
Ukwelashwa okungadingi ukuhlinzwa
Ukwelashwa kuvame ukuhilela:
1. Ukuphumula kanye neqhwa: Kubalulekile ukuphumula indawo elimele. Iqhwa lingasetshenziswa ukunciphisa ubuhlungu nokuvuvukala. Udokotela uzokunikeza imithi yokubulala izinhlungu.
2. Ukungashukumi: Ukuze uvimbele ilungu elilimele ukuthi linganyakazi, kungadingeka usebenzise i-splint (njengomunwe), i-brace (njengendololwane), noma i-plaster of Paris (cast). Uma kuyi-hip noma umlenze, kungadingeka usebenzise izinduku zokusibekela isikhashana.
3. Ukuzivocavoca: Uma ithambo seliqala ukuphola, udokotela wakho angase akuncome ukuthi kwenziwe i-physiotherapy ukuze kubuyiselwe ukunyakaza okugcwele esibayeni, kuqiniswe imisipha, futhi kusize enkambisweni yokuphola kwethambo.
Ukuhlinzwa
Ngezinye izikhathi ukuhlinzwa kuyadingeka. Lokhu kufaka phakathi:
- Uma ingxenye yethambo ephumile isuke kude kakhulu nethambo eliyinhloko.
- Uma ipuleti lokukhula kwengane lonakele.
Izinto ezilandelayo zivame ukwenziwa ngesikhathi sokuhlinzwa:
- Ukunciphisa Okuvulekile: Ukubeka kabusha nokubuyisela ingxenye yethambo ekhululekile endaweni yayo efanele.
- Ukuqina Kwangaphakathi: Ukusebenzisa izintambo, izikulufo, noma amapuleti ensimbi ukuze ubambe ithambo lihlale endaweni yalo kuze kube yilapho liphola.
Izinkinga ezinjalo zingavinjelwa kanjani?
Bathi, “Ukuvimbela kungcono kunokwelapha.” Ngakho-ke kunezindlela zokuvimbela izingozi ezinjengalezi.
- Ukuzifudumeza: Kubalulekile ukuzifudumeza kahle ngaphambi kokudlala noma yimuphi umdlalo.
- Ukuqinisa imisipha: Ngaphambi kokuqala isizini yezemidlalo, hlanganyela ohlelweni lokuzivocavoca oluqinisa imisipha oluqondene nalowo mdlalo.
- Ungadlali ngobuhlungu: Uma uhlala uzwa ubuhlungu ngenkathi wenza umsebenzi ofanayo, ungabunaki. Phumula, ufake iqhwa, mhlawumbe ubone udokotela ukuze akunike iseluleko.
Khumbula, uma ubuyela ekudlaleni umdlalo ofanayo wakudala ngaphambi kokuba ukulimala kuphulukiswe ngokuphelele, kungenzeka kakhulu ukuthi uphinde ulimele.
Umlayezo Wokuya Nawe Ekhaya
- "Ukuphuka kwe-Avulsion" yilapho ingxenye encane yethambo idwengulwa yi-tendon/ligament eqinile.
- Lokhu kuvame kakhulu kubantu abasha abadlala imidlalo nabakhula. Kungabangelwa futhi yizingozi.
- Izimpawu eziyinhloko ubuhlungu obungazelelwe, obukhulu, umsindo "wokuqhuma", kanye nokuvuvukala.
- Nakuba ingelashwa ngokuphumula, iqhwa, kanye nokwelashwa ngokomzimba, ngezinye izikhathi ukuhlinzwa kuyadingeka.
- Uma wena noma ingane yakho ninayo noma iyiphi yalezi zimpawu, ningazinaki, bonana nodokotela ngokushesha bese uthola ukwelashwa okufanele. Ukwelashwa okusheshayo kungavimbela izinkinga zesikhathi eside.
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