Ukuphulwa kwentloko ekhanda kakhulu yiyona ndlela evamile kakhulu yokuphuka kwe-elbow eyenzeka kubantu abadala. Lolu hlobo lokulimala luvame ukubangelwa ukuwela esandleni eseluliwe. Ukuphuka kwekhanda elinomsoco kwenzeka kaningi emaqenjini amabili iziguli: abesifazane asebekhulile ngenxa ye-osteoporosis noma amadoda amasha ngenxa yengozi enkulu. Kungenzeka futhi nakwamanye amaqembu eziguli, kodwa la maqembu amabili ajwayelekile kakhulu.
Ngaphezu kwalokho, ukuqhuma kwekhanda elidakayo kungenziwa ngokuhlanganyela nezinye i-elbow kanye nokuhlukunyezwa okuphezulu.
Inhloko yomsakazo ihlotshaniswa ne-disc yangaphakathi futhi ibalulekile ekuhambeni kwesigqoko. Inhloko yomswakama iyashukumisela kokubili ukujula nokwandisa (ukugoba) komhlangothini we-elbow, kanye nokujikeleza kwe-forearm. Ngakho-ke, ukulimala ekhanda lika-radial kungathinta konke ukunyakaza kwesigqoko.
Izimpawu
Ukuphuka kwentloko ekhanda kwenzeka kaningi ngemva kokuwa, ukuzama ukufinyelela ukuze uzibophe nge-forearm yakho. Izimpawu zaloluhlobo lokuphuka zihlanganisa:
- Ubuhlungu ku-elbow
- Ukuhamba kokuhamba okulinganiselwe kokujoyina
- Ukuvuvukala kokujoyina
- Ububele ikakhulukazi ngaphandle kwehlangene
Ukuphuka kwekhanda elimnandi kungabonakala ku-x-ray, kodwa ngezinye izikhathi kuphumule kahle kwethambo, kungase kungabonisi x-ray evamile. Ngokuvamile ukulimala kubhekwa uma ukuvuvukala kubonakala kwi-x-ray ngaphakathi kwehlangothini lomgodi. Okunye ukuhlolwa, okufana ne-CT scan noma i-MRI, kungatholakala uma kukhona ukungaqiniseki kokuxilongwa.
Kunemikhakha emithathu yokwehluleka kwekhanda eliphezulu:
- Thayipha 1: Akukho ukufuduka (ukwehlukana) kwethambo
- Thayipha 2: Ikhefu elilula ne-displacement
- Uhlobo lwe-3: Ukuphulwa okufakiwe (izingcezu eziningi)
Ukwelashwa Kokulimala
Ukwelashwa kwama-headal fractures kuncike ekubukeni kwe-fracture kwi-x-ray. Ukuphuka kwekhanda elimnyama okungelona ama-displaced kabi kungalawulwa ngokugqokisa i-elbow isikhathi esifushane ukulawula ukungakhululeki, kulandelwa ukuhamba okuhamba phambili.
Ukwehlisa impela isikhathi eside akukhuthazwa futhi kungaholela ezinkingeni eziningi ezibangelwa ukuqina kombuthano.
Ukwehlukana okukhulu kwekhanda le-radial kungase kudinge ukuhlinzwa ukuze kuqiniswe ukuphuka, noma mhlawumbe ukungaxhunyiwe kwekhanda elidumile. Ukunquma ukuthi yiluphi uhlobo lwezokwelapha olufanele kuncike ezintweni eziningana kuhlanganise nenani lamathambo, ukulimala kwamanye amathambo nemigqa ezungeze isigqoko, kanye nesigaba somsebenzi wesiguli.
Uma ikhanda elidangayo lidinga ukususwa, ukufakelwa kungahle kudingeke kufakwe endaweni yayo ukuvimbela ukungazinzi kwe- elbow. Le nqubo ebizwa ngokuthi i-headal radial substlacement iyadingeka uma amanye amathambo kanye / noma imigqa eye yalimala futhi umhlanganiso we-elbow unganamatheli ngaphandle kwekhanda elimnyama. Uma kungenjalo, ukukhipha ukulimala kwekhanda elilodwa elingavamile ngokuvamile akubangeli ukukhubazeka emsebenzini wokuhlanganiswa kwe-elbow.
Izinkinga zokuphuza ikhanda ekhanda zihlanganisa ukungabambisene, ukungena komzimba, ugciwane lwe-elbow, nokuqina kohlangothini lwesigqoko. Ukungahlangani (ukungasebenzi okungahambisani nomzimba) kanye ne-malunion (ukuhlukunyezwa okungahambisani kahle) kuvame kakhulu ukwelashwa okungahlinzekiwe, kepha ngokuvamile kungabangela izimpawu. I-arthritis nokuqina kuyavame ukulimala kakhudlwana, okufana nokwehlukana okubangela izingcezu eziningi zethambo.
Futhi eyaziwa ngokuthi: i- elbow fracture , i-elbow ephukile
Imithombo:
I-Tejwani NC, i-Mehta H. "I-Fractures yenhloko neyonsipho: imisindo yamanje kumphathi" J Am Acad Orthop Surg. 2007 Jul; 15 (7): 380-7.