Amabhondi Aphukile Ezinganeni Kungabangela Izinkinga Zokukhula
Uma ingane ishaywa ithambo epulazini lokukhula , kungokwengeziwe ukukhathazeka lapho unquma indlela yokwelapha ithambo eliphukile. Amapulangwe okukhula emaphethelweni amathambo amade lapho kukhona khona amathambo amasha njengoba izingane zikhula. Ukwelashwa kokulimala kwesikhala sokukhula kuncike ezintweni eziningana ezibalulekile kuhlanganise:
- Ipuleti yokukhula ethize yalimala
- I-age skeletal yesiguli (kungakanani ukukhula kwamathambo okusele)
- Ubukhulu bokulimala
Ukulimala kwamapuleti okukhula okuncane kakhulu, futhi kwenzeka eduze nesikhathi sokuvalwa kwesikhala sokukhula kunesibikezelo esihle kakhulu. Ukulimala kakhudlwana okwenzeka ezithombeni ezincane kudinga ukubonwa kanye nokwelapha ukuvimbela izinkinga. Uma ipulangwe lokukhula lilimazekile, futhi imiphumela yokukhubazeka, kunezinketho eziningi zokwelashwa.
Ukukhipha
Amangqamuzana angahlali esesikhundleni, noma abathunjiwe kancane, angaphathwa nge-cast cast yedwa. Eqinisweni, ukwelashwa okuvamile kunazo zonke izingane kuwukwehla okulula . Uhlobo oluvame kakhulu lwethambo eliphukile oluphathwa ngephonsithi libizwa ngokuthi i- buckle fracture .
Ukunciphisa Kuvaliwe Nokusakaza
Uma ipulazi lokukhula liye lahamba noma lingabe lingavumelanisiwe kahle, udokotela wakho angase avuselele amathambo aphukile ngokufaka ingcindezi endaweni eyalimala. Le nqubo idinga i-anesthesia. Ezinganeni ezincane, i-sedation ngokuvamile iyadingeka, kanti izingane ezindala nezintsha zingase zibekezelele ukuhlinzekwa kwezinzwa zendawo.
Ukunciphisa Kuvaliwe nge-Pinning
Ngokuvamile amathambo angakwazi ukuguqulwa ngaphandle kokuhlinzwa kodwa angadinga ukuqiniswa okungeziwe phakathi nenqubo yokuphulukisa. Kulezi zimo, izikhonkwane zingase zibekwe ngesikhumba ukuze zibambe amathambo aphukile ngokulungiswa. Izikhonkwane zisuswa, ngokuvamile ehhovisi, ngemva kwamasonto ambalwa emva kokuphulukiswa sekuqalile.
Ukulimala okuvamile okukhonjiwe kuwukufa kwe-humercracylar humer .
Vula Ukunciphisa
Ukunciphisa ukuvula kungenye indlela yokusho ukuhlinzwa kwendabuko - ukukhishwa kwenziwa ngethambo eliphukile, namathambo aqondiswa ngqo. Uma kunesidingo, izigxobo, amapuleti, noma izinduku zingasetshenziswa ukufaka ithambo endaweni efanele.
Kuvamise ukunciphisa ngokuvamile kudingekile ezinganeni lapho kuvela ukwehlukana, futhi izicubu ezithambile ezizungeze ukuqhuma ziboshwe phakathi kwamathambo. Kulesi simo, akukho ukudonsa noma ukuxosha kungabuyisa ukulungiswa kwamathambo.
Ukuboshwa Kwendiza Yokukhula
Ukuboshwa ukukhula kuyinkqubo eyenziwa ngokuvame kakhulu emkhakheni ongekho ongalimala. Isimo sasizoba uma ukulimala kwesikhumba esilimele kwesinxele kubangela ukuba ipulazi lokukhula livale maduzane kakhulu, ithambo elifanele le-shin lingase libe nenqubo yokuyeka ukukhula emthonjeni ofanele we-bone. Le nqubo ibizwa ngokuthi i-epiphysiodesis. Ukuboshwa okuvame ukuqhutshwa isikhathi eside emva kokulimala kokuqala, kuphela lapho ukungahambisani kwesikhashana kuyingqinamba.
Ukususwa kweBha
Uma ingxenye yesikhala sokukhula isivaliwe ngaphambi kwesikhathi ngenxa yokulimala kweplate, kodwa ingxenye esele yeplani yokukhula iphilile, indawo okuvalwa ngaphambi kwesikhathi ingasuswa.
Le nqubo isusa ingxenye evaliwe yesikhala sokukhula, okuvumela ukuba isilwane siqhubeke sikhula.
I-Osteotomy / Ukuqamba
Uma ukulimala kwesikhala sokukhuphula kubangele ukuthi umgogodla ube yi-angled, noma uma kukhona ukukhula okuphawulekayo okusele, inqubo ingase iphakanyiswe ukulungisa ukukhukhumeza (i- osteotomy ) noma ikhulise umkhawulo.
Yikuphi Okuhle Kakhulu?
Ukwelashwa okungcono kakhulu kokulimala kwesikhala sokukhula kuxhomeke esimweni ngasinye. Ngokusobala, ukwelashwa okuncane kuyilungele isiguli, kepha uma imithi elula enganele ukubuyisela ukulingana okwanele kwethambo, kungase kuphakanyiswe ukwelashwa okungavamile kakhudlwana.
Imithombo:
I-Chong A, "Ukulimala kwe-Epiphyseal" www.OrthoSeek.com © Wheaton Resource Corp.