Ukuwa Kungabangela Kule Ukuqhekeka Kwempi Ejwayelekile okuNcane Ukuphulukisa
Ukuwa phezu kwengalo eyeluliwe kungabangela okungaphezu kokubuhlungu kwesigqoko noma isikhumba. Ukuwa okunjalo kungabangela ukuphuka kwesifo se-scaphoid (esasolwandle) esitheni. Leli thambo elincane lingomunye wamathambo ayisishiyagalombili ekhanda. Ngezinye izikhathi libizwa ngokuthi i-snuff box breaks njengoba lelo gama lisetshenziselwa le ndawo yesandla.
Kungani ukuphulwa kwe-Scaphoid kungasebenzi ukuphulukisa
I-scaphoid ihlezi ngaphansi kwesithupha, futhi ifakwe njengobhontshisi bezinso.
Leli thambo eliyinkimbinkimbi linokunikezwa kwegazi okuyingqayizivele nelinganiselwe okungaphazanyiswa kalula ngokuhlukana. Ukugeleza kwegazi le-scaphoid kuvela emkhunjini omncane ongena ezingxenyeni ezikude kakhulu zethambo futhi uphindele emuva ngethambo ukuze unike ukudla okunomsoco kumaseli amathambo. Ngoba kukhona lokhu kuphela, ukuhlinzeka ngegazi elincanyana, ukwehlukana phakathi kwethambo kungaba empeleni kuhlukanise ukugeleza kwegazi kuya engxenyeni elandelwayo yethambo. Ngenxa yalesi sizathu, i-scaphoid fractures idinga ukuxilongwa ngokushesha nokwelapha. Ama-scaphoid fractures angase aphulukise kancane noma angaphilanga nhlobo.
Isifo sokuhlukunyezwa kwe-scaphoid
Uma unomunyu noma ukukhala ngokujulile ohlangothini lwesithupha lwesandla, ngokuvamile emva kokuwa engalweni eyeluliwe, ungase ube nokuhlukana kwesimo se-scaphoid. Ezinye izimpawu zifaka ukuvuvukala esihlakaleni, ubunzima bokuthinta izinto, nosizi noma ubuhlungu ebhokisini lokuhlanza (isibalo esikhanyisiwe phakathi kwe-tendon yesihenqo).
Iziguli eziningi zitholwa ukuthi zinezikhwama zesikhumba lapho zine-fracture. Ukuthola ukuxilonga kunzima ngoba ngokuvamile ukuqhuma akuveli kuma-x-ray kuze kube amasonto emva kokuphulukiswa sekuqalile. Ngenxa yalokhu, kuvamile ukuthi odokotela baphathe ukulimala kwesibindi njengokuqala kwesifo se-scaphoid, bese uphinda u-x-ray ngaphakathi kwamasonto amabili.
Ukwelashwa kwe-scaphoid ukuphulwa
Uma i-crack elula, engekho i-displaced, odokotela bama-orthopedic ngokuvamile bayiphatha ukulimala nge-immobilization yokuphonsa imvelo ukuze babone ukuthi ukuphuka kwegazi kuphulukisa ngesikhathi esifanele. Phinda u-x-ray uthathwa amasonto ambalwa noma izinyanga, kanti udokotela angabuka ukuphulukiswa okufanele, okungathatha amasonto ayishumi kuya kwangu-12. Uma ingapheli, ukuhlinzwa kungacatshangwa.
Uma ukuhlukumeza kwesifo se- scaphoid kususwa , ingozi yokungabambiswanga iphakeme, futhi udokotela wakho angancoma ukuhlinzekwa kokuqala ukubuyisela amathambo. Futhi, uma ukuphuka kungaphuluki ngelashwa (ukuchithwa), ukuhlinzekwa kuyonconywa. Lolu hlobo lohlinzekwa luhilela ukuphanga ithambo endaweni kanye nezikrini. Ama-technnique amasha okuhlinzeka asetshenziselwa i-scaphoid, kuhlanganise nokuhlinzwa kwe-arthroscopic. Ngezinye izikhathi ukufakelwa kwamathambo nakho kungasetshenziswa, futhi ucwaningo lwenziwa ekusebenziseni i-Bone Morphogenic Proteins (BMP). I-cast isetshenziselwa ukuvimbela ithambo le-scaphoid ngemuva kokuhlinzwa.
Ukuvuselelwa Ngemva kokuqhekeka kwe-Scaphoid
Ukuvuselelwa yingxenye ebalulekile yokuphulukiswa ngenxa yesikhathi eside sokungabi nendawo okudingekayo ukuze kutholakale ukuhlukumeza okuningi kwe-scaphoid. Ukuzivocavoca okuhamba phambili kwekhanda kungaqaliswa emva kokuqedwa kwezimoto, kulandelwa ukuzivocavoca ukuqinisa izikhwama zekhanda nezikhwama.
Ukuphakanyiswa, ukumemezela, nokubamba umzimba kufanele futhi kwengezwe.
Indlela Yokuvimbela Ukuphulwa Kwe-Scaphoid
Indlela engcono kakhulu yokugwema ukuphuka kwesifo se-scaphoid ukusebenzisa i gear efanele yokuzivikela uma kunokwenzeka. Abalindi benkosikazi bawusizo ikakhulukazi emidlalweni njenge-rollerblading, i-snowboarding kanye nemidlalo eminingi yokuxhumana.
Umthombo:>
I-Scaphoid Fracture ye-Wrist, i-OrthoInfo, i-American Academy ye-Orthopedic Surgeons, ngoMashi, 2016.