Ukuhlukaniswa kwe-Salter-Harris ngezigaba
Ukulimala kwe-plate fractures kubangelwa izingane ezikhulayo nezintsha. Lokhu kulimala kwenzeka endaweni yethambo elibhekene nokukhula, ipulazi lokukhula ekupheleni kwamathambo ende. Uma le ngxenye yethambo ibonakalisiwe, kunokukhathazeka ngezinkinga ezingenzeka ngokukhula kwethambo. Ukwelashwa okufanelekile kokulimala kwesikhala sokukhula kubalulekile ukuqinisekisa ukukhula okufanele kwengane.
I-Salter-Harris I-Classification ye-Growth Plate Fractures
Ukubikezelwa kokukhuphuka kwe-plate plate kuncike ezintweni eziningana, kufaka phakathi uhlobo lokulimala. Odokotela bama- orthopedic bahlukanisa ipulazi lokukhula ngokusho kwesigaba seSalter-Harris. Lokhu kuhlukaniswa kusiza ukuhlukanisa izinhlobo ezahlukene zokwahlukana futhi kunikeza ulwazi lokubikezela. Ungase ubone ukuqhuma kwesikhala sokukhula okubizwa ngokuthi i- Salter-Harris fractures ngenxa yalesi simiso.
Thayipha ukuhlukumeza kwe-Plate 1 Yokukhula
Uhlobo lwe-1 lwe-Salter-Harris luvame ukuvela ezinganeni ezincane. Lezi zingozi zihamba ngqo ngapha nangapha epulazini lokukhula, futhi ithambo elizungezile alithintekile. Ngokuvamile, ama-x-ray womntwana one-type 1 yokukhuphula ipuleti yokukhuphula azovela evamile. Ukuphulukiswa kohlobo lwe-1 ukuhlukana kuvame ukushesha futhi izinkinga azivamile. Iningi lokulimala kwephala loku-1 liphathwa nge-cast.
Thayipha ukuqhuma kwe-Plate 2 Yokukhula
Uhlobo lwe-2 lokukhuphuka kwesikhala sokukhula luqala kuwo wonke amapuleti okukhula, kodwa ukuqhuma kuyaqhubeka kuqhubeka phakathi kwe-shaft yethambo (kude nokuhlanganiswa).
Lona uhlobo oluvame kakhulu lokuphuka kweplate lokukhula futhi luvame ukuvela ezinganeni ezindala. Ngokuvamile uhlobo lwe-plate 2 lokukhuphuka kwesikhala kumele lubekwe ngaphansi kwe-anesthesia , kodwa ukuphulukiswa kuvame ukushesha futhi ukucindezeleka akuvamile.
Thayipha ukuhlukunyezwa kwe-Plate 3 ye-Plate
Uhlobo lwe-3 lwe-fracture luqala futhi ngamapulangwe okukhula kodwa luphenduka futhi luphume ekupheleni kwethambo, futhi luhlangene ngokuhlanganyela.
Lezi zingozi zingase ziphathelene ngoba i-cartilage ehlangene iphazamiseka yi-fracture. Ukubeka kahle kudingekile ngemuva kokuphazamiseka kwesikhala sokukhula kwe-type 3. Lezi zingozi zivame ukuphazamisa izingane ezindala.
Thayipha ukuqhuma kwe-Plate 4 Yokukhula
Uhlobo lwe-4 lokukhuphula i-plate plate luqala ngaphezu kweplani yokukhula, udlulise ipuleti lokukhula, uphume ngaphandle kwe-cartilage ehlangene. Lokhu ukulimala kungathinta i- cartilage ehlangene futhi kungadala ukukhula okuvamile. Ukubeka kahle kubuye kudingeke nokwehlukana kwe-plate 4 yokukhuphuka, futhi ukuhlinzwa kungadingeka ukuze ubambe izingcezu zethambo endaweni efanele.
Thayipha i-Fracture ye-5 Plate Growth
Thayipha ukulimala kwe-plate 5 yokukhuphula okwenzeka lapho ipulazi lokukhula lichotshoziwe. Uhlobo lwe-5 lokukhuphuka kweplate lokukhuphuka luhamba phambili ngokubhekiselele ekutheni ukulungiswa kwamathambo nobude kungathinteka. Lezi zinhlobo zezinhlaka zingalimaza unomphela ipuleti lokukhula, okudinga ukwelashwa kwamuva ukubuyisela ukulungiswa kwesilungu.
Ukwelashwa kwe-Salter-Harris Fractures
Ukwelashwa kokukhuphuka kweplate ukukhula kuncike ezintweni eziningana ezihlanganisa uhlobo lokulimala, ubuhlungu bokulimala kanye nobudala bomntwana. Ukuhlukunyezwa kwamantombazane amaningi kuphathwa kahle nge-cast, kodwa konke kudinga ukwelashwa nokunakekelwa kokulandelela ukuqinisekisa ukuphathwa okwanele nokuphulukiswa.
Imithombo:
I-American Academy Yabahlinzeki Bama-Orthopedic "I-Growth Plate Fractures May 2009.