Ukuphuka kukaSmith kuyinto uhlobo oluthile lokulimaza emathanjeni ohlangothini (i-radius) eduze kwesigqoko sesandla. Kule ukulimala kukhona ukufuduka kwethambo njengokuthi ukuhlanganiswa kwesibindi kuphelile phambi kwesimo sawo sajwayelekile se-anatomic. Ukulimala kuvame ukutholakala ngemuva kokuwela emuva kwesandla, noma ngokuwa ngesandla esitshalwe phansi umzimba wakho uphenduka nxazonke.
Ukuphuka kuka-Smith kubuye kuthiwa ngezinye izikhathi ukuhlukana kwama-Colles. Ukuqhekeka kwama-Colles kubuye kube uhlobo lwe-distal radiation fracture, kodwa ithambo liphonswa emuva kunokuba liqhubekele phambili.
Izinhlobo ze-Fractures ye-Wrist
Isihlanganisi sesibindi sinhlanganiso ye-forearm ngesandla. Ihlangene yenziwa ngamathambo amabili (foreus kanye ne-ulna) ehlangene namathambo amancane esikhwameni. Ngokuvamile, uma othile echaza ukuhlukunyezwa kwesandla , bakhuluma ngokulimala ekupheleni kwethanga lesigcawu. Kodwa-ke, ukuhlukunyezwa kwesibindi kungasetshenziswa ukuchaza ezinye izinkinga ezifana ne- scaphoid fractures , u-ulna fractures distal, nezinye ukulimala kwamathambo eduze kwesigqoko sesandla.
Ama-radial fracture angase avele ezinhlobonhlobo eziningi, kanti uhlobo oluthile lokuphuka lungasiza ekutholeni ukwelashwa okungcono kakhulu. Kunezici eziningana eziqondene nokuphulwa okungathonya izinqumo mayelana nokwelapha okuhle; Ezinye zalezi zici zihlanganisa:
- Ukufuduka kwe-Fracture (ukuthi kude kangakanani amathambo?)
- Ukwenyuka kwe-Fracture / ukubandakanya okuhlangene (Ingabe ukuphuka kufaka ubuso obumbene?)
- Ukuzinza kwesibindi (kungenzeka ukuthi amathambo angahlala kanjani?)
Ngaphezu kwalokho, kunezinkinga eziningi ezibhekene neziguli ezingathonya isinqumo sendlela yokuphatha kahle ukuhlukunyezwa okuqondile.
Ezinye zalezi zici zihlanganisa:
- Ubudala besiguli
- Izinga lomsebenzi wesiguli
- Ukubusa ngesandla
- Ezinye izinkinga zezokwelapha (ezifana nesifo sikashukela, ukubhema, ukungondleki)
Ukwelapha
Ngenxa yokuthi ukuphuka kukaSmith akuzinzile, lokhu ukulimala cishe kudinga njalo ukuqiniswa kokuhlinzwa ngendlela ethile. Uma ukuphuka kususwa endaweni yakhe evamile, ngokuvamile kuzodingeka ukuthi kuqinisekiswe ukuthi kukhona ukufakelwa kwensimbi, ngokuvamile ipuleti nezikuluzi . Okunye okukhethwa kukho ukusimamisa ukuhlukana kufaka phakathi izikhonkwane ezifakwe esikhunjeni nasesilweni sangaphandle . Iningi leziguli zikhetha ipuleti kanye nezikrini kusukela ukuphuka kuphephile, futhi bangaqala imizamo yokuqala yokuthuthukisa ukujoyina.
Ngenkathi ukuphonsa kungase kuvivinywe, kodwa kudinga ukulinda ngokucophelela ukuqinisekisa ukuthi ukuqhuma kuhlala endaweni efanele njengoba kukhona ukuthambekela kwalezi zinkinga ukuhlehlisa emuva endaweni yokufuduka.
Futhi eyaziwa njenge: Ukuphulwa kwesandla, isandla esibuhlungu
Imithombo:
Lichtman DM, et al. "I-AAOS Clinical Practice Guideline Summary Ukwelashwa kwamaRadious Fractures" J Am Acad Orthop Surg ngoMashi 2010; 18: 180-189.