Ukuphulukisa amathambo esiphephelweni sakho esiphakeme
Ukuphuka kwe-humerus ukulimala ethanjeni lesandla elingenhla elixhuma ihlombe kuya eluhleni. I-Humerus fractures ngokuvamile ihlukaniswe yaba izinhlobo ezintathu zokulimala esekelwe endaweni yokuqhekeka. Iphezu lesithambo lesibindi libizwa ngokuthi i-humerus eseduze, futhi phansi kwethambo kuthiwa i-distal humerus. Phakathi nendawo phakathi kwe-shaft ye-humerus.
I-Humerus Fractures ehamba phambili
I-humerus ehamba phambili iqhuma eduze kwesigxobo sehlombe. Ihlangothini lehlombe lihlangene nebhola-ne-socket , ibhola libe phezulu kwe-humerus bone. Ama-fractures ale bhola abhekwa njenge-proximal humerus ama-fractures. Lezi zinhlupho zingase zibandakanye ukufakwa kwamatheni amathanga okubaluleka. Ngenxa yokuthi lezi zithandane zibalulekile ekugxileni ukunyakaza, ukwelashwa kungase kuxhomeke esimweni salezi zifakelo ze-tendon.Mid-Shaft Humerus Fractures
I-mid-shaft i-humerus ilahlekile ivela kude namahlombe ne-elbow. Iningi le- shaft fractures lizophulukisa ngaphandle kokuhlinzwa, kodwa kunezinye izimo ezidinga ukungenela okuhlinzekwa. Lokhu kulimala kuvame ukuhlobaniswa nokulimala komunye wezinzwa ezinkulu ezingalweni, okuthiwa i- radial nererve . Ukulimala kule nerve kungabangela izimpawu esihlokweni nasesandleni.I-Distal i-Humerus Fractures
Ukulimala kwe-humerus kwe-distal kuwukulimala okuvamile kubantu abadala. Lezi ziphuka zenzeka eduze komhlanganiso we-elbow. Lezi zinkinga ngokuvamile zidinga ukwelashwa ngaphandle kokuthi amathambo agcinwe endaweni efanele. Lolu hlobo lokuphuka luvame kakhulu ezinganeni , kodwa ukwelashwa kuhluke kakhulu kuleli qembu lobudala.
Izimbangela
I-Humerus fractures ingenzeka ngokulimala okuningi kodwa ngokuvamile ibangelwa ukuwa. Ezinye izinhlobo zokulimala ezingabangela ukuphuka kwe-humerus kuhlanganisa izingozi zezimoto nokulimala kwezemidlalo. Ngaphezu kwalokho, ngezinye izikhathi ukuqubuka kwe-humerus kwenzeka lapho ithambo libuthakathaka ngenxa yesifo, ukutheleleka, noma ezinye izinkinga.
Lesi simo sibizwa ngokuthi i- pathologic fracture .
Ukwelapha
Izindaba ezinhle ukuthi izinhlanzi eziningi ze-humerus zizophola ngaphandle kokuhlinzwa. Iningi leziguli lingelashwa nge-sling noma brace, futhi ngokuhamba kwesikhathi ukuphulwa kuzophulukisa. Ukushaywa akunakwenzeka ngezinhlobo eziningi ze-humerus fractures.
Ukuhlinzwa kungahle kudingeke lapho izingcezu zethambo zingasebenzi kakhulu. Ukunquma ukuthi ukuvumelanisa kuyamukeleka kuncike ezintweni eziningi. Ama-Fractures aseduze nehlombe kanye namalungu e-elbow, ikakhulukazi ama-fracture afinyelela kuhlangene, cishe amathuba okudinga ukuhlinzwa. Ngakolunye uhlangothi, ukuhlukana phakathi kwe-shaft yethambo akudingeki ukuba kwenziwe ukuhlinzeka, ngisho nezinhlaka zamathambo zibonakala zingahambisani ngokuphelele.
Izinkinga
Iningi labantu abanokuphuka kwe-humerus lizophola ukusebenza okuvamile noma okujwayelekile nokuhamba kwengalo yabo. Kunezinye izinkinga ezikhona zokuthi ukuqina kwe-humerus kuqhubekile. Ezinye zezinkinga ezikhona zingabandakanya:
Ukungaboni ngaso sonke isikhathi : Ukungaboni ngaso sonke isikhathi kwenzeka uma i-bone ephukile ingaphilisi . Kunezizathu eziningi zokuthi kungani ithambo lingeke liphulukise, futhi ukwelashwa kufanele kuqinisekiswe ukuthi inkinga ebangela ukuthi ukungaboni ngaso sonke isikhathi kwenzeke kuqondiswe. Esinye sezimbangela ezivame kakhulu ze-nonunion zibhema ugwayi.
I-Malunion : I-malunion ivela lapho ithambo lisiphulukisa, kodwa hhayi ekuhambisaneni okufanele. Amakholomu angenzeka ngoba ithambo alingenakulinganiswa ngokwanele. Ngezinye izikhathi ukuhlinzwa kwenziwa ukuze kuvinjelwe ithambo lokuphulukiswa endaweni empofu.
Ukulimala kwemisipha: Amantongomane ahamba phansi ingalo, futhi ayesondelene kakhulu ne-humerus bone. I-neral radial, ikakhulukazi, idume ngokulimala lapho i-humerus iphukile. I-radial neral inikeza inzwa ngemuva kwesandla futhi ingabangela ukuphazamiseka nokugwedla kule ndawo. Ngokuvamile inzwa iyodlula kancane kancane ezinyangeni ezimbalwa isikhathi.
Ubunzima obunzima noma obuthakathaka : Ubunzima obuhlangene obuhlangene buvame ngemva kokuphuka kwe-humerus, futhi izinkinga ze-elbow zivamile ngemva kokuphuka kwe-humerus. Ukulahlekelwa kokuhamba okujwayelekile kuvamile, futhi ubuthakathaka bungaba khona uma kunomonakalo we-muscle noma we-tendon.
Imithombo:
> Cadet ER, et al. Ama-Nonunonions ama-Humper no-Humeral ama-proximal J Am Acad Orthop Surg . 2013 Sep; 21 (9): 538-47.
> Carroll EA, et al. Ukuphathwa kwe-Humeral Shaft Fractures J Am Acad Orthop Surg Julayi 2012 vol. 20 cha. 7 423-433.