Izimbangela, Izimpawu, Ukwelapha, Nezinkinga
Uma unesandla " esiphukile ," kungenzeka ukuthi usuqede ukuhlukunyezwa kwe-metacarpal - ukulimala esitini ezingeni lesandla sesandla sakho. Unamathambo amahlanu we-metacarpal, eyodwa ngomunye weminwe yakho. Amathambo e-metacarpal asekela isandla, futhi ukuphela kwethambo le-metacarpal lifake i-knuckle ngemuva kwesandla sakho.
Amanye amathambo kule ndawo afaka ama-phalanges (iminwe) kanye namathambo e-carpal ( isici ).
Abanye abantu bangase babhekisele ekuqhekekeni kwesandla njengokulimala komunye wamanye amathambo, kodwa futhi bangabizwa nangokuthi ukuhlukunyezwa kwesandla somunwe. Yingakho udokotela wakho wama-orthopedic cishe uzobhekisela ekulimazeni igama langempela lethofu, njengoba lokho kuzochaza ngokunembile ukulimala kwangempela.
Izimbangela ze-Metacarpal Fracture
I-Metacarpal fractures ingenzeka ngokulimala okuhlukahlukene, kubandakanya:
- uyawa
- ukulimala kwezemidlalo
- ukulwa nokuqhaqhazela
- izingozi zemoto
Izimpawu ze-Fracture yeMetacarpal
Izimpawu ezijwayelekile zokuphuka komthamo we-metacarpal zifaka ubuhlungu nokuvuvukala kwesandla. Nakuba ukulimala kungabonakali masinyane, ngokuvamile kuvunyelwa okuvela ngaphakathi kwezinsuku ezimbalwa zokulimala. Iziguli ngokuvamile ziqaphela ukuqina kweminwe nobuhlungu lapho bezama ukwakha isibalo. Izimpawu zizoqhubeka kancane kancane njengoba ukuphulukiswa kwenzeka. Iningi le-metacarpal lahlukana ngokugcwele emasontweni angaba ngu-10, ngakho-ke kuvamile ukuthi ube nokuqina okunye nokuvuvukala isikhathi eside.
I-metacarpal fractures ngokuvamile ichazwa indawo yokuqhekeka. Ama-fractures maphakathi nethambo abizwa ngokuthi ama-metacarpal shaft fractures. Ama-fractures engaphansi komunwe ku-knuckle abizwa ngokuthi i-metacarpal head fractures. Okokugcina, ukuqubuzana ekupheleni kwesithambo kubizwa ngokuthi i-fractures yesisekelo se-metacarpal.
Indawo yokuqhekeka kwangempela kubalulekile ekunqumeni ukwelashwa okungcono kokulimala.
Ukwelashwa kwe-Metacarpal Fracture
Ukwelashwa kwesifo se-metacarpal ngokuvamile kungenziwa ngokusetshenziswa kwe-cast. I-cast ivame ukugqoka cishe amasonto angu-6, ilandelwa ukuzivocavoca okuncane. Ngezinye izikhathi, uma ubunzima beba yinkinga emva kokwelapha okwenziwe, umuntu ohlinzeka ngesandla uzocelwa ukuba asebenze nawe.
Kunezimo ezimbalwa lapho ukuhlinzwa kunganconywa khona. Uma kunezinhlaka eziningi noma ukuvuleka okuvulekile kwesandla, ukuhlinzwa kunganconywa. Esikhathini sokuqothulwa kwe-metacarpal yangasese, udokotela wakho uzohlola izici ezimbili zokunquma uma kudingeka yini ukuhlinzwa:
- Ubude
Udokotela wakho uzoqaphela ukuthi ngabe umunwe unciphise ngenxa yokuphulwa. Uma kunjalo, udokotela wakho angase ancome ukuhlinzwa ukuze abuyisele ubude bomunwe obuvamile. - Ukushintshaniswa
Uma umunwe ujikelezwa, udokotela wakho angancoma ukuthi lokhu kukhubazeka kulungiswa. Ukushintshaniswa kungahlolwa ngokushaya ibhande. Uma iminwe iwela phezu komunye nomunye, cishe kungenzeka ukukhubazeka kokujikeleza.
Uma kudingeka ukwelashwa, udokotela wakho angalungisa ithambo eliphukile ngezikhonkwane, amapuleti, noma izikulufa. Uhlobo lokulungiswa luncike kunhlobo oluthile lokuphulwa.
Ama-fractures aphethwe ekhanda noma isisekelo se-metacarpal ingase idinge ukwelashwa okuhlinzekwayo uma ukuhlanganiswa kwethambo kubandakanyeka ekuqhekekeni. Kulezi zimo, ukunyakaza okwenzeka kuhlangene kungashintshwa, futhi lokhu kungaholela esibhedlela.
Izinkinga zokwelapha
Abantu abanokuphulukiswa okungelashwa kwe-metacarpal fracture bangase babone i-bump ngemuva kwesandla sabo, noma ngabe i-fracture ihlanganisiwe ngokuphelele. Njengoba amathambo ephulukisa, amathambo okweqile ngokuvamile akhiqiza endaweni yokuphuka, ngakho-ke uzizwa ukuthi amathambo engeziwe ajwayelekile.
Izinkinga zokuhlinzwa zingabandakanya ukutheleleka, ukulimala kwesibindi, kanye nesidingo sokususa izimpande zensimbi kwezinye izindawo emgwaqeni.
Umthombo
UHenry MH "Ama-Fractures wePhalanx ehamba phambili ne-Metacarpals esandleni: Izindlela ezikhethwe zokuqiniswa" J. Am. I-Acad. I-Ortho. Ngo-Okthoba 2008; 16: 586 - 595.