Ukuphuka kombhokisi kuyisifo esiphukile sandla, ngokuyinhloko phansi kwesinwe somncane. Ukuphuka kombhokisi kuyisiphuzo esenzeka esifundeni sethambo okuthiwa i- metacarpal intamo . I-metacarpal yithambo entendeni yesandla esivela emathanjeni amancane esihlakalweni kuya emgqonyeni phansi komunwe. Isayithi lekhefu ekuqhekekeni kwebhokisi liseduze nesikhumba.
Ngokuvamile ama-fracture ama-boxer abonakala ngemva kokushaya umuntu noma into enjengodonga. Ngesikhathi ukulimala kuvamise ukuvota, umuntu angagcina nokulimala ngezinhlobo zokulimala okungenayo. Ezinye izimbangela zingase zivele ukuzama ukwephula ukuwa ngesandla sakho, ukuba isandla sakho sichotshozwe ngengozi, ukuguqulwa kwesibindi kwesandla noma ngomunwe, noma kusukela oxhumana naye ngesikhathi semidlalo.
Izimpawu
Iziguli ezisekela ukuphuka kwebhokisi ngokuvamile zikhononda ubuhlungu nokuvuvukala phansi komunwe omncane. I-knuckle ebonakala ekhubazekile iyisibonakaliso esivamile sokuphuka kwesibhamu. Kubuye kube njalo ukuqhuma ngemuva kwesandla esingaphansi kwesonto elincane lomunwe. I-knuckle ngokwayo ingase ibonakale ingenele, noma ingekho. Indlela engcono kakhulu yokubona ukukhubazeka ngukubamba izandla ngezandla zombili, nokuqhathanisa ukubukeka kwezandla zakho. Isandla sokuphuka kwesibhokisi sizoba nomumo ohlukile ohlangothini lwangaphandle lwesandla.
Esikhathini sokuqala ngemuva kokulimala, ukukhubazeka kwesandla kungaba nzima ukuqonda, njengoba ukuvuvukala kungenza uhlangothi lwesandla lubonakale lukhubazekile.
Izibonakaliso ezivame kakhulu zokuphulwa kombhokisi:
- Ubuhlungu ohlangothini olungaphandle lwesandla
- Ukuthambekela phezu komkhonto omncane wesinwe
- Ukubunzima ukwakha isibhamu
- Ukuvuvukala nokulimaza
- Ukukhubazeka kwesandla
Uma ucabanga ukuthi kungenzeka uphule isandla sakho, kufanele ubonwe udokotela wakho. Udokotela wakho cishe uzothola i-x-ray uma kukhona ukukhathazeka mayelana nokuhlukana okungenzeka. Ezinye izivivinyo akufanele zidingeke ukuhlonza ukuphulwa kombhokisi. Udokotela wakho uzohlola ezinye ukulimala okungenzeka zenzeke, futhi ahlole izinga lokukhubazeka kwephutha.
Ukwelapha
Ngokuya ngobukhulu bokuphuka kombhokisi, lezi zingelashwa ngokukhazimula, ukudonsa, ukuphonsa noma ukuhlinzwa. Ukuphuka okuningi kwebhokisi kungaphathwa ngendlela engavamile. Kulezi zimo, kukhona ukuphikisana mayelana nendlela engcono yokwelapha. Inzuzo yokukhipha nokukhazimula yukuthi ukuphuka kuvikelwe kahle ukuvimbela ukungahambi kahle ekuqhumeni ukulimaza isandla esilimele ezintweni. Inzuzo yokubamba ukuthi ukuhamba okuhamba phambili kuholela ekutheni ubunzima be-knuckles, enye yezinkinga ezivame kakhulu zalesi ukulimala.
Kukhona futhi impikiswano enkulu mayelana nokuthi ukukhubazeka okuningi kuyamukeleka ngalokhu ukulimala. Kuyinto enembile ukucabanga ukuthi ukuhlanganisa amathambo endaweni efanele kungcono, noma kunjalo, okungenzeka ukuthi akunjalo. Ukusetha kabusha ukuqhuma ngaphandle kokwenza ukuhlinzeka akukwazi ukufeza okuningi.
Ngokuvamile, ukudonsa izintambo zomunwe kuholela ekuphinjeni kokukhubazeka kwethambo ngaphandle kokuthi ukuphuka kuqiniswe nezikhonkwane noma izikuluvu. Lokho kusho ukuthi ukulimala nokuqina okuvela ekuhlinzeni kungase kube kubi nakakhulu kunokulimala kokuqala kwangempela. Ngivame ukuchazela iziguli zami ukuthi ukuhlinza ukuhweba i-bump ngenxa yesibazi. Yebo, kuyiqiniso ukuthi ukushiya ukuhlukana kwedwa kungaholela ekugcineni kwesandla ngemuva, kodwa ukuhlinzwa kungase kuholele ekuqineni nasekukhaleni.
Uma kudingeka ukuhlinzwa, ukwelashwa okujwayelekile ukufaka izikhonkwane ezincane esikhumbeni ukuze uvikele amathambo endaweni.
Lezi zingase zihlale ngemuva kokuba ithambo seliphulukisiwe noma lingasuswa.
Kungakhathaliseki ukuthi ukwelashwa, kuvamile ukulimala komunwe nxazonke ezikhungweni ukuze kube nokuqina nokungahambi kahle uma uphulukiswe. Ngakho-ke, uma udokotela wakho evumela, kufanele uqale ukuzivocavoca ukuze uphinde uhambe ngokujwayelekile kwesandla.
Umthombo:
I-Hand Fractures, i-American Society for Surgery ye-Hand, Okthoba, 2007.