Ulwazi mayelana nokwelashwa kwesandla sekhanda
Isihlamba esiphukile siphakathi kwamathambo aphukile kakhulu. Eqinisweni, ukuphuka kwesibindi yi-bone evame ukuphulukiswa kweziguli ezingaphansi kweminyaka engama-65 ubudala (ngemuva kweminyaka leyo, i- hip fractures iba yithemba eliphukile kakhulu). Ezingu-1 kwezintambo eziyisithupha eziphathwe ngamakamelo aphuthumayo ukuhlukana kwesandla.
Ngokujwayelekile, lapho udokotela echaza ukuhluleka kwesandla, ubhekisela ekuqhekekeni kwengqikithi (elinye lamathambo amabili angaphambili ).
Kunezinye izinhlobo zamathambo aphukile ayenzeka eduze kwesihenqo, kodwa ukukhubazeka kwesibindi ngokuvamile kusho ukuthi ukuphela kwesigcawu sendawo kuphukile. Amanye amathambo angaphula eduze kwesibindi esihlangene afaka i -scaphoid kanye ne -ulna .
Izimpawu Zesekhanda Eliphukile
Kufanele kukhishwe ukuhlukunyezwa kwesibindi lapho isiguli silimaza isilwane saso futhi sinesihlungu kule ndawo. Izimpawu ezijwayelekile zokuphulwa kwesibindi zihlanganisa:
- Ubuhlungu besandla
- Ukuvuvukala
- Ukukhubazeka kwesandla
Uma isiguli sifika ekamelweni eliphuthumayo ngobuhlungu besibindi, nobufakazi bekhanda elingase liphulwe, i-x-ray izotholakala endaweni eyalimala. Uma kunesihenqo esiphukile, i-x-ray izobuyekezwa ngokucophelela ukuze inqume ukuthi ukuphuka kwesikhundla esifanele, nokuthi kuhlolwe ukuzinza kwezingcezu zethambo.
Ukwelashwa Kwekhanda Lokuhlukana
Ngokuvamile, ama-wrists aphukile angaphathwa ngendlela ekhishwe . Isikhwama siyindawo eyodwa yomzimba wakho onamandla kakhulu wokukhipha ukwelashwa.
Uma amathambo engekho esimweni esifanele, khona-ke isilation esincane noma i- anesthesia yendawo ingasetshenziswa ngakho udokotela wakho angakwazi ukusetha kabusha ukuphuka . Lokhu kubizwa ngokuthi 'ukunciphisa' ukuhlukunyezwa kwesandla samakhanda, nangokusebenzisa ukuqondisa okuqondile, udokotela wakho angakwazi ukulungisa isihenqo esiphukile.
Yisiphi isibhamu esiqhekekile esidinga ukuhlinzekwa ukwelashwa?
Lo mbuzo onzima ukuphendula, futhi kufanele uqondiswe ecaleni ngamacala.
Ngisho nangesisekelo somuntu ngamunye, ama-orthopedists angase ahluke ngokubheka kwabo ngendlela efanele yokwelapha okunikezwayo.
Eminye yalezi zinto ezilandelayo zibalulekile ekunqumeni ukuthi noma cha ukuhlinzwa kuyadingeka yini esikhwameni esiphukile:
- Izidingo zeminyaka yobudala nezomzimba zesiguli
Uma isiguli sisencane futhi sisebenzayo, yonke imizamo iyokwenziwa ukubuyisela isibindi esijwayelekile. Kwezinye ukuhlukunyezwa kwesibindi, lokhu kungasiza ekuvimbeleni izinkinga eminyakeni ezayo. Kodwa-ke, uma isiguli singadingi izidingo ezinzima zesandla, noma uma isiguli sisekhulile, ukubuyiswa okuphelele kwamathambo aphukile kungase kungadingeki. - Ikhwalithi ye-Bone
Uma ithambo lincane futhi libuthakathaka, okusho ukuthi umuntu une- osteoporosis , khona-ke ukuhlinzwa kungase kungabi nzuzo kakhulu. Uma izingcwecwe nezikulula zisetshenziselwa ukulungisa ukuphuka, ikhwalithi yethambo kumele liwanele ukuvikela izikrini. Ukuhlinzwa kuphazamisa amathambo, futhi ngezinye izikhathi inqubo engcono kakhulu yokwenza ukunciphisa umonakalo owengeziwe emathanjeni futhi uphathe emkhathini. - Indawo ye-fracture
Uma ukuphuka kuhilela uhlaka lwe-joint wrist, khona-ke ukuhlinzwa kungase kwenzeke. Ngenkathi ithanga lingakwazi ukulungisa kabusha ngokuhamba kwesikhathi, indawo engxenyeni yesigxobo sekhanda ayikwazi. Uma izindawo zokuqothulwa komzimba zingakhulumi ngokwanele ngokunciphisa (ukusetha kabusha) ukusebenza, khona-ke ukuhlinzwa kungacatshangwa.
- Ukususwa kwe-fracture
Uma amathambo ehlukumezeka kabi, khona-ke ukuhlinzeka kungenziwa ukuze kubekwe kahle iziqephu. Lokhu kuvame ukuzama ngaphandle kokuhlinzwa, kodwa kungenzeka ukuthi imisipha ne-tendon ibanjwe futhi ibambe ukusetha kabusha. Ngaphezu kwalokho, amanye ama-fracture angase aqiniseke futhi angahlali endaweni ngisho nangokwakheka kahle. Lezi zingadinga ukuhlinzwa ukuze zibeke ngokwanele ukuhlukana. - Ukulingana kokuphathwa okungewona ukuhlinzwa
Uma ukuphuka kuqhamuka, ngokuvamile isiguli sizozama ukunciphisa noma ukubeka kabusha i-bone ephukile. Ngezinye izikhathi kunzima ukubeka kabusha amathambo ngaphandle kokuhlinzwa. Ngezinye izikhathi, ukuma kuyagculisa, kodwa ukuphonsa kungase kungabambeli ukuphuka kuleyo ndawo. Ngokuvamile ukuhlinzwa kungenziwa noma nini emasontweni amabili okuqala ngemva kokuphuka ukubuyisela amathambo endaweni efanele.
Njengoba kushiwo ngaphambili, ukuhlinzeka ngokuvamile akudingekile ukuphulwa kwesibindi, kodwa kungase kubhekwe kwezinye izimo. Uma ukuhlinzwa kwenziwa, kunezinketho eziningi zokwelapha. Ezinye iziphuphu zingase zivikeleke ngezikhonkwane ukuze zibambe izingcezu ezikhona. Enye indlela i- fixator yangaphandle , idivaysi esebenzisa izikhonkwane esikhumbeni kanye nedivaysi ngaphandle kwesikhumba ukudonsa iziqephu zibe yisimo. Okokugcina, amapuleti nezikuluzi zingase zisetshenziselwe ukubeka kahle ukuphuka.