Ama-elbows aphukile ezinganeni
Izintambo eziphukile zilimala ngokuvamile ezinganeni. Imisebenzi eminingi izingane zihlanganyele ekwenzeni izintambo zazo zibe yingozi ekulimazeni. Ngaphezu kwalokho, kunezinhlamvu eziningana zokukhula (izindawo zethambo ezikhula ngokukhulayo) ezungeze umhlanganiso wesigqoko. Lezi zingqimba zokukhula ziyakwazi ukulimala. Izingane ezinokulimala kufanele zihlolwe udokotela ngokuphuka.
Imisebenzi eminingi ingabangela ukuhlukumeza kwe-elbow kubantwana, kodwa ama-jylly gyms ayedlulele futhi akude nomuntu oyinhloko! Amantombazane awela ezigungwini ze-jungle angalimaza izinduku zawo njengoba ewela phansi. Eminye imisebenzi ejwayelekile eyenza ukulimala kwe-elbow kuhlanganisa ukuvocavoca, ibhola, ukugijima emibhedeni, nokudlala okunzima.
Lapho Ingane Ibona Udokotela Ngomlutha Wokulimala
Uma ungaqiniseki ngokuthola ukuthi utholakala yini, kuhlale kuphephe kakhulu ukuba ingane yakho ibonwe ngodokotela wezingane noma ekamelweni eliphuthumayo. Izimpawu okufanele zikuthintele kunenkinga zifaka:
- Ukungakwazi ukuqondisa noma ukugoba i-elbow
- Ukuvuvukala noma ukuchithwa kwemvelo (ukulimaza) nxazonke
- Ubuhlungu obuzungeze umhlanganiso wesigqoko
Ukuqhekeka Kwe-Elbow Kutholakala Kanjani?
Udokotela wakho uzoqala ukuhlola ingalo yengane yakho ngezibonakaliso zomonakalo emithanjeni nasemithanjeni yegazi eduze komhlanganiso we-elbow. Nakuba ukulimala kulezi zakhiwo kungavamile, kubalulekile ukwazi ukuthi kunenkinga.
Ukulimala ekunikezeni igazi kwezingalo kungahle kudingeke ukuba kungenele kokuqala kokuhlinzwa.
I-X-ray isetshenziselwa ukuxilonga ama-fractures e-elbow. Uma ukulimala kakhudlwana, ukuphuka kuzobonakala kalula kwi-x-ray, kodwa akuvamile ukuthi kunezinhlobo ezithile zezinhlaka ze-elbow ezingabonakali kwi-ray ray.
Isizathu siwukuthi ukuqhuma kwesikhala sokukhula kungase kungabonakali kwi-x ray njengoba amathambo avamile aphukile.
Ngakho-ke, udokotela wakho angacela i-ray ye-elbow elingaphambene (uhlangothi olungenalutho lwengane yakho) ukuqhathanisa lezi ezimbili ngokungafani. Ngokuvamile isibonakaliso sokuphela kwe-elbow ephukile emntwaneni ukuvuvukala kubonwe kwi-x-ray (okuthiwa 'uphawu lwe-fat-pad'). Kulesi simo, i-elbow kufanele iphathwe njengekhefu.
Izinhlobo ze-Elbow Fractures
Ezinye izinhlobo ezivamile ze-elbow fractures zifaka:
- I-Supracondylar Humerus Fracture : I-fracture ye-supracondylar yiyona ndlela ejwayelekile kakhulu yokuphuka kwe-elbow. Zenzeka ngokusebenzisa ipulazi lokukhula le-humerus (ngenhla kwehlangothini lomgodi). Isizathu esivame kakhulu salokhu kulimala ukuwela engxeni eyeluliwe - ngokuvamile i-gym jungle. Lezi zingozi zivame ukuvela ezinganeni ezineminyaka engama-5 no-7 ubudala.
- I-Condylar Fractures: I- Condylar fractures iphinda ivele nje ngaphezu kwehlangothini lwe-elbow. Uma ingane ixhaphaza i-condylar fracture iye yephule eceleni kwehlangothini olulodwa lwesigxobo somgodi.
- I-Radial Neck Fractures : I- radial neck fractures ayinjwayele kubantu abadala, kodwa ngokuvamile ivele ezinganeni. Ukwelashwa kwempuphu ekhanyelayo kuxhomeke ekukhulekeleni kwe-fracture. Ukwelashwa kungase kube nokukhipha, ukuxhaphaza, noma ukubeka izikhonkwane ngaphesheya kokuphuka.
- I-Radial Head Subluxation : Nakuba engekho ithambo eliphukile, ukukhwabanisa kwekhanda eliphansi kuyingozi ejwayelekile emgqeni wengane encane. Uma i- subluxation ekhanda ekhanda ivela, umgoqo wesigqoko ushiya esikhundleni. Lokhu kulimala kuvame ukubuyiselwa endaweni kalula.
- I-Olecranon Fractures: I- Olecranon fractures ilimala ithambo elivelele ngemuva kwendonga. Ukulimala kuleli thambo kungaba nzima ukuhlukanisa nokubonakala okubonakalayo kweplate, ngokuvamile ama-x-ray womabili amabili atholakala uma kuqhathaniswa.
Ukwelapha
Ukwelashwa kwe-elbow fractures kuncike ezintweni eziningana ezifaka:
- Indawo ye-fracture
- Isamba sokuthutha kwe-fracture
- Ubudala besiguli
- Ukulimala kwamagundane nemithambo yegazi
Ama-Splints
Ukugxila kuyindlela yokwelapha okuningi, ikakhulukazi labo abanokuhamba endaweni encane (abangekho endaweni). Ububanzi obuvame ukusetshenziselwa lapho kusolakala ukuthi ukuhlukumeza kwe-elbow kuyi-x-ray evamile.
Endabeni yama-x-ray evamile, kuyobekwa i-splint futhi ingane yakho izoba ne- x-ray emisha cishe ngesonto ngemuva kokulimala. Ama-x-rays aphindaphindiwe avame ukukhombisa izimpawu zokuphulukiswa kwe-fracture.
I-Casts
Ama-casts ngokuvamile asetshenziselwa ukuphatha ama- fractures e-elbow , kodwa hhayi ngemuva kokulimala kokuqala. Ngokuvamile i-elbow izokwehlukaniswa isonto, futhi ukufakwa kungafakwa emva kokuvuvukala kunesikhathi sokuthi singene.
Ukuhlinzwa
Izinketho zokuhlinzwa zihlanganisa:
- Izikhonkwane
Izikhonkwane zivame ukusetshenziselwa ukuzinzisa ukuphuka ngendlela efanele. Izikhonkwane zifakwe ukuhlinzwa kwamathambo nengane yakho ngaphansi kwe-anesthesia jikelele. Izikhonkwane zibamba ukuhlukana ngendlela efanele kuze kufike ukuphulukiswa okwanele, ngokuvamile cishe amasonto amathathu kuya ku-6. Kungenzeka ukuthi ukuqubuka okuncane kuyadingeka ukubeka kabusha i-fracture nokuvikela izinzwa ezungeze umhlanganiso wesigqoko. - Izikrini
Ezinganeni ezindala, ngezinye izikhathi isibuko sisetshenziselwa ukubamba ukuphuka endaweni efanele. Izikhonkwane zivame ukusetshenziselwa izingane ezincane, kodwa ezinganeni eziseduze nokuvuthwa kwamathambo, isikhunta singasetshenziswa esikhundleni salokho.
Izinkinga Zesikhathi Eside Ze-Elbow Fractures Kwazingane
Ngenxa yokuthi izikhukhula zivame ukuzungeza ipuleti lokukhula, kuhlale kuguquka kokulimala epulini lokukhula. Lokhu kungabangela ukuvalwa kokuqala kwesikhala sokukhula. Lokhu akuvamile, futhi indlela ewukuphela kokutshela ukuthi ipulazi lokukhula lilimale unomphela ukubuka ingane ngokuhamba kwesikhathi.
Ezinye izinkinga ezingase zibe khona zibandakanya ukuvinjelwa kokunyakaza kwehlangothini lwe-elbow, ukulimala kwezimbangela nemithambo yegazi eduze komugqa, kanye nokutheleleka kwezikhonkwane ezibekwa ohlangothini.
Izinkinga zingavamile, kodwa zenzeke ngamaphesenti amancane weziguli. Udokotela wakho uzolandela ingane yakho kuze kube yilapho ukuphulukiswa kokuphuluka kuqediwe, futhi bangase bacele ukulandelwa ukuqinisekisa ukuthi ukukhula nokuhamba ngokuzungeza i-elbow kuvamile. Umzali angakwazi futhi ukuqapha umhlanganiso we-elbow futhi aqaphele udokotela uma kukhona ukusola kwenkinga emva kokuphuka.