Isikali esiphukile silimala okuvamile. Eqinisweni, ukuhlukumeza kwesandla kunesifo esivamile kakhulu, kubalwa okungaphezu kwezingu-10 kuzo zonke izingcezu zezingalo noma imilenze. Cishe u-3/4 we-forearm fracture kwenzeka ekugcineni kwe-bone radius - le ngxenye yethambo ibizwa ngokuthi i-distal radius. Enye yezinhlobo ezivame kakhulu zezingqimba ze-distal i-fracture ibizwa ngokuthi i-Colles fracture.
Ama-Colles Fracture Meaning
Ukuqhekeka kwama-Colles uhlobo oluthile lwe-distal radiation fracture. Isizathu esibizwa ngokuthi i-Colles fracture yi-ohlinzayo owaqala ukuchaza le iphethini yokulimala ekuqaleni kwawo-1800. UDkt. Abraham Colles wayengudokotela ohlinzayo wase-Ireland ochaze lokhu ukulimala namagama akhe asetshenziswe namuhla odokotela abaningi bechaza le ndlela yokulimala.
Uma isiguli sisekela ukuhlukana kwama-Colles, kukhona ukuhlanganiswa kwesandla esikhwameni emuva kwesikhumba sangaphambili (irejista). Ukuphuka kwama-Colles ngokuvamile kwenzeka ngemva kokuwela esandleni eseluliwe. Ukuqhekeka kwama-Colles weqiniso kuyaziwa ngokuthi i-break-articular fracture, okusho ukuthi ikhefu alifaki ingxenye ye-cartilage ye-joint wrist. Esikhundleni salokho, ikhefu lingaphezu kwezinga lohlangene.
Ngenkathi incazelo yangempela ye-Colles fracture kwakuyi-radius yokuphambuka, i-distal arusular distal break, okuyinto evame ukubizwa ngokuthi i-Colles fracture cishe noma yikuphi ukuphuka kwesibindi.
Kungenzeka ukuthi utshelwe ukuthi uqubule ama-Colles uma uqobo unamaphethini okuhlukana okuhlukile kunalokho okushiwo ama-Colles eminyakeni engu-200 edlule. Izindaba ezinhle ukuthi, noma ngabe unamaqabunga eqiniso okwephukile noma olunye uhlobo lokuphuka kwesibindi, izimiso zokwelashwa ezivamile zifanayo.
Akuwona wonke ama-Radius Breaking Fracture ayizinhlayiyana
Ngivame ukubona iziguli kanye nodokotela ngokufanayo bebhekisela kunoma iyiphi i-distal radiation ephukile njengoba i-Colles fracture. Lesi akusona isitatimende esinembile, njengoba kunezinhlobonhlobo eziningi ezihlukene zendawo yokuhlukanisa i-radial fractures (indawo ethize, isiqondiso sokuhamba) kanye nokuhlukana kwama-Colles kungomunye walabo.
Ekuhlangenwe nakho kwami, ukuphuka kwamaQembu eqiniso empeleni ukulimala okungavamile. Ngokuvamile ngiyabona ukuqhuma okubangelwa ukuthambekela kwamathambo ampofu, futhi kulezi zimo, i-fracture ivame ukungena kwi-cartilage ehlangene nesibindi, inkinga ebizwa ngokuthi i-intra-articular fracture. Ngenkathi indawo yalokhu kuphazamiseka iseduze nokuqhekeka kwama-Colle weqiniso, kusobala ukuthi akuwona ukulimala okushiwo ama-Colle. Ngakho-ke qatshelwa ngaphambili, uma usuka emnyangweni wezimo eziphuthumayo esibhedlela, futhi ekutshela ukuthi ukuhlukana kwama-Colles, kungenzeka ukuthi ukulimala kungenzeka kube okuhlukile.
Izinketho zokwelapha
Ukunquma ukwelashwa okufanele kwe-Colles fracture kuncike eziningana zezici. Ngokuqondile, udokotela wakho ohlinzayo uzobheka ukulungiswa nokuzinza kokuphuka. Amangqamuzana ahambelana kahle noma engaqiniseki angase afune ukuqiniswa okuhlinzekwayo.
Ngokuvamile ukuhlukana kwamaqoqo kungasetshenziswa kabusha ngaphandle kokuhlinzwa; lokhu kuyinkqubo ebizwa ngokuthi ukunciphisa ukuphuka .
Phakathi nale nqubo, noma i-anesthhesia yendawo noma ejwayelekile ihlinzekwa isiguli, kanti udokotela uzobeka amathambo futhi asebenzise ububanzi bokubamba amathambo ngendlela efanele.
Ngokuya ngesilinganiso sokuthuthwa kwethambo lesiphambano (radius) nokungajwayelekile kwesibindi sokukhanda, ama-Colles 'rupture angase adinge ukuhlinzeka ukwelashwa. Uma ukulimala kubaluleke nakakhulu kuzodinga ukwelashwa okuhlinzekwayo . Phakathi nenqubo yokuhlinza, udokotela wakho ohlinzayo angasebenzisa izikhonkwane, amapuleti, kanye / noma izikulubo zokuvikela amathambo endaweni engcono. Ngenkathi ukuhlinzwa kungenzi ukuphulukisa ukuphumula ngokushesha, kubamba amathambo endaweni efanele ngenkathi bephulukisa.
Ngaphezu kwalokho, ngoba amathambo agcinwa ngokuvikelekile nge-implants zensimbi, ngokuvamile iziguli azidingi ukukhulelwa.
Imithombo:
I-Bushnell BD ne-Bynum DK. "Malunion we-Distal Radius" J Am Acad Orthop Surg NgoJanuwari 2007 vol. 15 no. 1 27-40.
Lichtman DM, et al. "I-AAOS Clinical Practice Guideline Summary Ukwelashwa kwama-Radius Fractures" I-J Am Acad Orthop Surg ngoMashi 2010 18: 180-189.