Lapho amathambo egoba kodwa ungaqedi ngokuphelele
Ukuphuka kwesibhamu kubuye kuthiwa i-torus fracture, ukulimala okuvame kakhulu kubantwana . Ngenxa yokuthi izingane zinezitshalo ezincane, ezithinteka kakhulu, olunye uhlangothi lwethambo lungazibopha ngaphandle kokuphazamisa ohlangothini lwethambo-olubizwa nangokuthi i-fracture engaphelele .
Kunezinhlobo ezimbili ezijwayelekile zokuhlukana okungaphelele okwenzeka ezinganeni:
- I-Buckle Fractures: Lokhu kulimala kwenzeka lapho ithambo licindezela futhi ngakho-ke libhekwa njengokulimala kokucindezela. Ohlangothini lwethambo ngaphansi kokucindezela luwela phansi ngokwalo lubangela ukuba ithambo liqhubekele eceleni kwelinye lamathambo.
- I-Greenstick Fractures: Lezi zintambo zilimala okwenzeka lapho ithambo lidonsa kude kakhulu kolunye uhlangothi lwethambo-ukulimala "kokuphazamiseka". Ithimba elihlangothini lomvini lokulimala likhishwa ngaphandle (ngokuphambene nokucindezelwa ngokwayo).
Izimpawu ze-Buckle Fracture
Izimpawu ezivame kakhulu zokuqhekeka kwesikhumba kukhona ubuhlungu nokuvuvukala. Ngokuvamile kukhona ukukhubazeka okungokoqobo, nakuba ngabe kuningi ukuvuvukala umkhawulo kungase kubonakale kungasebenzi kahle. Igama elithi torus lisuselwa egameni lesiLatini elithi "Tori," okusho ukuvuvukala noma ukuqhuma. Izingane zivame ukusekela lokhu kulimala ngokuwela esandleni eseluliwe.
Ezinye izibonakaliso zokuphuka kwesibhamu zingabandakanya:
- Ukuvuvukala
- Ubuhlungu ngokucindezelwa noma ukunyakaza
- Ukuthumba isikhumba
Ama-fracture e-buckle akwenzeki kubantu abadala ngoba amathambo amakhulu asezingeni elincane. Ithambo lomntwana lingamelana nokunye amandla okukhubazeka, ngakho-ke lezi zintambo ezingaphelele zingenzeka.
Isitfuba sabantu abadala sifana nepuleti ye-porcelain ukuthi uma ihluleka ukupheka yonke indlela.
Ukwelashwa Kokulimala
Ukwelashwa kwesifo se-buckle kufezwa ngokuvimbela ukulimala okwesikhashana, ngokuvamile cishe amasonto amathathu noma amane. Lezi zingozi zivame ukuphulukisa ngokushesha kunemifantu efana ne- greenstick fractures .
Kuye kwaba nezifundo eziningi eziqhathanisa ukuxoshwa kokuqhathaniswa nokwehlukana kwemifucu ye-buckle. Isiphetho esivamile akuyona ukwelashwa okungcono.
Inzuzo ye-cast is ukuthi ivikela kahle indawo emelekile. Izingane ezigqoke udoti azikho isikhalazo ngobuhlungu, futhi ngisho nalapho kusetshenzwa kahle amathambo. Izingane azikwazi ukususa ukukhishwa, ngakho-ke abazali akudingeki bakhathazeke ngokuthi ingane yabo isikhalazo mayelana nokwelashwa okunconyiwe.
Inzuzo ye-splint ukuthi yindlela yokwelapha elula eguquguqukayo. Ama-splints angasuswa ukuze avumele ukugeza nokugeza, futhi abazali bangasusa ubukhazikhazi uma ukuphulukiswa sekuphelile. Ngokusobala, izigqoko zidinga ukugqoka ukuze ziphumelele, futhi okunye ukuhlukunyezwa kwesifo esibucayi yizingane eziningi ezizisusa, bese zikhononda ngezinhlungu endaweni yokulimala kwazo.
Ukunquma ukwelashwa okungcono kuncike ekuqhekekeni okuqondile, induduzo yengane kanye nenduduzo yomzali wayo ngemithi ehlongozwayo. Uma ingane yakho ihlukumezeka ungaxoxa ngezinketho zokwelashwa nodokotela wakho. Ngithola ukuthi iningi lezingane eziphethwe ngephonshi zenza kanjalo ngenxa yenjabulo yokuba nebala lokubonisa abangani babo.
Izinkinga Zesikhathi Eside
Iningi lezinhlanzi eziphunyukayo zizophulukisa ngokuphelele ngaphandle kwezinkinga zesikhathi eside isiguli.
Ngenxa yokuthi lezi zintambo azihlali kahle, futhi ngokuvamile azikho ukukhuphuka kweplate, ngokuvamile ngeke kube nomthelela empilweni yesikhathi eside yengane yomntwana. Ukuze kuqinisekiswe ukuthi uphumelele kahle ukwelashwa, kubalulekile ukuqinisekisa ukuthi ukwelashwa okufanele kulandelwa.
Abazali abaningi bakhathazekile ngokuthi kukhona okungahambi kahle ngethambo lapho ingane yabo isekela ukuhlukana. Qinisekisa ukuthi cishe zonke izinsalela zomzimba zijwayelekile ukulimala komntwana okuphulukisa ngokungenasici futhi kungenzeki ngenxa yenkinga ngaphandle kwengane evamile, enomdlandla. Lokho kusho ukuthi uma kwenzeka ukulimala ngaphandle kokulimala okwaziwayo noma kunokulimala okuningi kwe-buckle fracture, kuyasiza ukuxoxa nodokotela wakho.
Kunezivivinyo ezingenziwa ukuze zihlole impilo yezithambo, noma kunjalo, lokhu akudingeki kwenziwe ngaphansi kwezimo ezijwayelekile.
Izwi elivela
Ukuphuka kwesibhamu kuyinto ukulimala okuvamile emzimbeni omncane, okhulayo. Ngokuvamile lokhu kulimala kuholela emiphumeleni yesikhathi eside. Ukwelashwa okuvame ukwedlula zonke ukukhwabanisa kwesikhumba kuwukukhubazeka, kepha iqiniso liwukuthi ngisho nokukhishwa akudingekile. Ukuvikela nje ithambo elimele kuyoholela ekuphulukeleni okuphumelelayo. Uma ithambo liphulukisiwe, izingane ezimele zingabuya imisebenzi evamile. Ama-fracture ama-buckle akufanele aholele engozini enkulu ye-arthritis noma izinkinga ezingavamile ezingavamile.
> Imithombo:
> Pandya NK, Upasani VV, Kulkarni VA. Isiguli se-polytrauma yezingane: imiqondo yamanje. J Am Acad Orthop Surg . 2013 Mar; 21 (3): 170-9.