Uhlobo Olujwayelekile Lokuhlukana Ngaphambi Kokudala 75
Uma kuziwa ekuqhekekeni kwesibindi, inkundla yokudlala ayiyona izinga phakathi kobulili. Kulaba besifazane, inani lezinsalela zekhanda liyakhula ngesikhathi sokuya esikhathini sokuqala nokuya esikhathini sokuzalwa ngemuva kwezindala ezingama-65, cishe okuhlobene nokulahlekelwa okusheshayo kwamathambo eminyakeni elandelayo ngemva kokuya esikhathini sokuya esikhathini. Njengoba amadoda engaboni esikhathini sokuya esikhathini, ukukhubazeka kwesandla samadoda kuhlale kungavamile.
Isikhwama sakhiwa amathambo amabili engxenyeni engezansi, i-radius, ne-ulna, kanye namathambo amancane esandla. Iningi lezintambo zesikhumba zivela ngaphandle phakathi nezinyanga zasebusika lapho iqhwa neqhwa kwenza ukuhamba ngokukhohlisayo, nokuwa kuvamile. Ngokuvamile, umuntu udlulisela ingalo ukuze aphule ukuwa. Isandla kanye nesisindo sithatha sonke isisindo bese sisebenza kusukela ekuwa, kanti elinye lamathambo esibuko liphuka.
Ama-Colles Fracture
Ama-collision fractures ayenzeka uma i-radius iphula ngaphakathi kwe-intshi eyodwa noma amabili yesandla (i-distal radius). Ama-colles fractures (abizwe ngokuthi udokotela owakuchaza okokuqala) ayenzeka kakhulu kubesifazane be-postmenopausal. Ubungozi bokuhlukana kwama-Colle kubonakala sengathi buhlobene nobukhulu besitembu se-distal radius.
Ukuxilongwa kwe-Wrist Fractures
Ngemva kokuwa, ungase uphazamiseke futhi ukhululeke. Ngezinye izikhathi, ukuphuka kungase kungabonakali kabi njenge-sprain embi (ukulimala emigqeni). Ubuhlungu, ukunyakaza okulinganiselwe, nokuphathwa kwesandla esibuthakathaka engxenyeni ethintekile kunganakwa.
Isikhwama sakho cishe siphukile kunokuba siphume uma unayo:
- ubuhlungu obuphikelela
- ukuvuvukala eduze kwesandla
- izinguquko ekunyakeni komunwe
- ukungabi namandla
Ngokuvamile, i-x-ray ingaqinisekisa ukuxilongwa. Lapho kutholakala ukuphuka, ukwelashwa okufanele kuqala.
Ukuphulwa kwesibindi kungase kube uphawu lwezinkinga ezinjengezi:
- ubukhulu besithambo
- ibhalansi empofu
- imibono / izinkinga zokuzwa
Ukwelashwa kwe-Fractures yama-Wrist
Umgomo oyinhloko wokwelashwa ukubuyisela ukuhamba okuvamile esandleni esithintekayo nesandla. Kuyo yonke inqubo yokuphulukisa, kuzoba nokuzivocavoca okumelwe ukwenze ukuze ugcine ukunyakaza nokuguquguquka, futhi uphinde uthole amandla.
Ukwelashwa okufanele kuncike ekutheni indawo kanye nobukhulu be-fracture bahlala kuphi.
- Ukuphuka okulula kusho ukuthi ithambo liphukile, kodwa izimpande eziphukile zihlala zisondelene ngokwanele ndawonye ukuthi ukuphathwa okulula kuqondanisa kabusha ithambo elihilelekile (elaziwa ngokuthi ukunciphisa ukuphuka).
- Ukuphuka okunamandla kusho ukuthi izingcezu eziningi zamathambo ziphukile noma ukuthi ukubandakanya kuhilelekile. Kulokhu, ukukhishwa kwedwa kungase kungenele futhi kungenziwa ukuhlinzwa.
I- cast yokuqala noma i-splint izokwelula ngaphezu kwe-elbow ukuvimbela ukunyakaza kokubili i-elbow nesandla. Uzoqeqeshwa ukuzivocavoca ngeminwe yakho kanye nehlombe ohlangothini oluthintekile. Kubalulekile ukuthi uyenze izivivinyo, ngisho ngenkathi ku-cast. Lokhu kuzokusiza ukuvimbela ukuqina komunwe (omunye wemiphumela emibi ye-Colles fracture).
Emasontweni amabili kuya kwamathathu okuqala, isikhonkwane sakho sizoba x-weekly. Uma amathambo esephumile endaweni, kungase kudingeke ukuthi kusetshenzwe ukubuyisela amathambo futhi uwafake endaweni.
Kunoma yikuphi, i-cast noma i-splint isusiwe ngemva kwamaviki ayisithupha noma ayisithupha. Ungasiza ukuphinde uthole amandla futhi ulondoloze ukuhamba ngokuzivocavoca okusebenzayo nokungenzi lutho kwe:
- isandla
- isibindi
- i-forearm / igoli
- ihlombe
Ngemuva kokukhishwa noma ukugqunywa, kusinye isikhathi ungasebenzisa ukwesekwa kwesandla noma ububanzi bokusekela nokuvikela okuhlangene. Ngesinye isikhathi, isibindi asikwazi ukufana ncamashi nalokho okwenzile ngaphambi kokuphuka, kepha ngomuthi omuhle wezempilo, umsebenzi omncane uzolahleka.
Ekuqaleni, uzodinga usizo ngemisebenzi yakho yansuku zonke. Uma ikhefu lisesandleni sakho esikhulu, ungadinga usizo ngemisebenzi, njengokugqoka, ukuzilungisa nokugeza.
Umgomo wesibili wokwelashwa ukucacisa ukuthi ngabe i- osteoporosis ikhona yini. Njengoba ukuhlukunyezwa kwesibindi kwenzeka kubantu besifazane abaneminyaka yobudala engama-40-60 kungaba umphumela we-osteoporosis noma kungaba isibonakaliso sokuxwayisa kwasekuqaleni , ukuhlolwa kwethambo lokulinganisa kuyoba kufanelekile. Isivivinyo sesisindo samathambo silinganisa impilo yakho yamanje yamathambo futhi yindlela kuphela yokubikezela ingozi yezinsalela ezizayo.
Ukuvimbela i-Wrist Fractures
Uma une- osteoporosis (noma engozini enkulu yokuyihlakulela) izinyathelo kufanele zithathwe ukuze kugcinwe isisindo samathambo akhona. Uma isibalo sakho samathambo sisendaweni ejwayelekile, kufanele ugxile ekulondolozeni impilo yakho yethambo. Ucwaningo luye lwabonisa ukuthi ukudla okwanele kwe- calcium kanye ne-vitamin D nokuzivocavoca kuvikela umzimba. Uma ukuhlolwa kubonisa ukuthi isibalo sakho samathambo siphansi, i-calcium, i-vitamin D, nokuzivocavoca kungenzeka ukuthi akwanele ukuvikela ukulwa ne-osteoporosis. Ungase ubeke imithi yokwelapha i-osteoporosis ukuvimbela noma ukunciphisa ukulahleka kwethambo .
> Imithombo:
> Ukuhlukana kwensimbi. I-NIH ORBD ~ NRC, 8/98.