Izinhlobo Ezihlukahlukene Zokuqhathanisa I-Fractures Nokukhethwa Kwamayeza
Ukuphulwa kwesibindi kwenzeka uma kukhona ukuphulwa kwesinye noma zombili amathambo esiphezulu. Amathambo amabili esiphezulu yi-radius kanye ne-ulna. Zombili amathambo zibalulekile ekuhambeni okuhle kwezingalo kanye namacilisi esikhumba, futhi amathambo womabili asebenza njengamanyathelo abalulekile emisipha yomkhawulo ophezulu.
Izinhlobo ezivame kakhulu zokuhlukana zenzeka ngenxa yokuwa kwesandla, noma ukushaya ngokuqondile esihlokweni (ngokuvamile kubonakala ekushintsheni, ukulimala kwezemidlalo, kanye nezingozi zemoto).
Izimpawu zokuqhekeka kwangaphambili zihlanganisa ubuhlungu, ukuvuvukala, nokukhubazeka kwe-forearm. Ukuxilonga kokuqhekeka kwangaphambili kungenziwa ngokuhlolwa okuhle ngokomzimba kanye nezifundo ze-x-ray.
Ama-fractures of the forearm bones ezenzeka nxazonke zendonga ( ama-head fractures kanye ne- olecranon fractures ) kanye nalabo okwenzeka ngasese esihlakalweni ( ukuhlukunyezwa kwesibindi ), kubhekwa kwenye indawo. Ukuxoxwa lapha kukhona ama-fracture e-radial fractures, i-ulnar shaft fractures, nama-fractures womabili amathambo angaphambili.
I-Radial Shaft Fractures
Ukulimala okungaxhunyiwe kwe-radial shaft ukulimala okungavamile. Ngokuvamile, ukwehlukana kwe-shaft shaft kuhlotshaniswa nokulimala ku-ulna (bheka 'kokubili amathambo aqhuma ukuqhuma' ngezansi) noma ukulimala kwesinye sezihlanganisi eziseduze (i- Galeazzi fracture ).
Uma kwenzeka ukuqhuma kwe-radial okungahlangene, kuvame ukudingwa ukuhlinzwa ngaphandle kokuthi ukuphulwa kungabikho. Uma ukuphuka kuphelelwe yisikhundla, ukujikeleza kwangaphambili kungalinganiselwe ngaphandle kokuthi ukuphulwa kubhalisiwe.
Ngenxa yalesi sizathu, ama-fractures ama-radial amaningi aphethwe ngokuhlinzekwa ukulungisa futhi abambe amathambo endaweni efanele.
Ulnar Shaft Fractures
Ukuqhekeka okwehlukile ku-ulna, okuvame ukubizwa ngokuthi "i-nighttick" ukuphuka, ngokuvamile kuvame ngesikhathi sokuphikisana. Uma othile ezivikela ephakamisa isibhamu sakhe ekuzivikelweni okuvikelayo, i-ulna bone iyabonakala futhi ingonakaliswa ukuvezwa okubuhlungu okukhulu.
Igama le-fracture livela kubantu abazivikela esiteshini sebusuku sephoyisa esisekela ukuhlukana kwe-ulnar.
Uma i-fracture ihambelana kahle kahle, ngokuvamile ukuphuka kwe-ulna okukodwa kuphathwa ngokungafihleki emgodini. Uma ukuphuka kungasebenzi kahle, noma isikhumba siphukile senza ukuvuleka okuvulekile, ukwelashwa okuhlinzekwayo kungacelwa.
Zombili amabhuloho aphikisana nokuhlukunyezwa
Amathambo womabili aphuka ukulimala okudinga njalo ukuthi udinga ukuhlinzwa kumuntu omdala omdala. Ngaphandle kokuhlinza, i-frontarm ngokuvamile ayizinzile futhi ayikho ikhono lokushiya lolu hlobo lokuphuka ngendlela ehlelekile. Ezinganeni ezincane, ukwelashwa okungenasidingo kungacatshangwa, kodwa ngisho nasekuhlinzekeni kwentsha kungadingeka kwenziwe.
Zombili amathambo angama-fracture ajwayele ukuphathwa ngokubeka ipuleti yensimbi nezikulula emaceleni nasemasimini amabili. Lawa mathambo kufanele ahlangane ngalunye ngokukhipha okuhlukile, ngakho-ke uzoba nemibono emibili ebusweni bakho. Abanye odokotela abahlinzayo bazosebenzisa induku ngaphakathi kwethambo ukuze balondoloze isikhundla samathambo, kodwa lokhu akunakwenziwa ezinqandeni lapho ukuzinza ukuzinza kuyinkinga. Ngakho-ke, iningi lazo zombili amathambo aqala ukuhlukunyezwa aphathwa nge plate kanye nezikulufa.
Izinkinga Zokuqhathanisa I-Fractures
Izinkinga ezivame kakhulu kulezi ziphuphu zihlanganisa:
- Ukunyakaza Okunciphile : Ukunyakaza okulinganiselwe kuvamile ngemva kokwelashwa kwe-forearm. Ukunyakaza kunganciphisa emigqeni yezingqimba kanye nesibindi, kodwa kuvame ukuphawula njengokungathi kunomkhawulo wokujikeleza kwe-forearm (ie ukuvula imbiza noma ukuphendula isibambo somnyango).
- Ukuphulukiswa okungewona ukuphulukisa : Amathambo angaphambili angakwazi ukuphulukiswa ngokwanele okuholela ekubuyeni okuqhubekayo . Lokhu kuyiqiniso ikakhulukazi lapho i-frontarm ephuka khona lapho amathambo elahleka ngenxa yohlobo lokuphuka (okungukuthi izingcezu ezincane ezincane) noma ukuvuleka okuvulekile . Phinda uhlinzekwe ukuthungatha amathambo kungadingeka kulezi zimo.
- Ukwelashwa : Ukutheleleka kungenzeka ngemva kwenqubo yokuhlinzwa. Uma ukutheleleka kwenzeka emva kokuqhekeka kwe-forearm, i-plate yensimbi nezikuluzi zingadinga ukususwa ukuze kuphulukiswe ukutheleleka.
- I-hardware ebuhlungu: Izindwangu zensimbi esetshenziswa ngesikhathi sokuhlinzwa zingase zizwakale ngaphansi kwesikhumba, futhi zingaba buhlungu. Uma bebangela ukungakhululeki bangasuswa, ngokuvamile okungenani ngonyaka ngemuva kokuhlinzwa.
> Imithombo:
> I-JL "I-Pediatric kanye ne-Adolescent ihlose ukuhlukumeza ama-Fractures: Izincomo zamanje nezingqinamba zokwelashwa" J Am Acad Orthop Surg. 2016 Nov; 24 (11): 780-788.
> Schulte LM, Ukudla CG, Neviaser RJ "Ukuphathwa komuntu omdala we-diaphyseal fore-bone bone" I-Am Amp Orthop Surg. 2014 Julayi; 22 (7): 437-46.