Ukuphuka kombhokisi kuyisiphuzo kwelinye lamathambo esandleni, okungukuthi yesine noma yesihlanu metacarpal. La mathambo agijima eceleni kwesigqoko se-pinky nesigxathu sesandla esandleni sakho kusuka esihlakalweni sakho kuze kube seminwe yakho. Ngezinye izikhathi, ikhefu kumetacarpal wokuqala noma yesibili lizohlukaniswa njengokuphuka kombhokisi. Abanye abantu babhekisela ekuqhekekeni kwesibhokisi njengendlela yokuqhaqhazela kwesibhamu.
Izimbangela ze-Fracture ye-Boxer
Isizathu esiyinhloko sokuqhekeka kwesibhokisi kubangelwa ukucindezela okukhulu kwesandla esivame ukukwenzeka uma ushaya okuthile ngesibindi esivaliwe - ngakho-ke ukuphulwa kwebhokisi legama. Ukuphuka kombhokisi kungase kwenzeke ngemuva kokulimala kwe-FOOSH , okuyingozi engenzeka ngokuwa kwesandla eseluliwe.
Izimpawu ze-Fracture ye-Boxer
Izimpawu eziyinhloko zokuphuka komqaphi kubandakanya:
- Ubuhlungu esandleni sakho eduze ne-pinky noma i-ring umunwe
- Ukuvuvukala engxenyeni ye-lateral yesandla sakho
- Ukunyakaza okunciphile ku-pinky yakho, ukushaya umunwe noma isici
- Ukukhipha noma ukulimaza esandleni sakho
- Ukukhipha enye yezinsipho zakho esandleni
Ngokuvamile lezi zimpawu zenzeka ngemva kokuhlukunyezwa esandleni. Uma unobunzima esandleni futhi usolwa ukuthi ulahlekelwe ukuhlukunyezwa kwebhokisi, kufanele ufune usizo lwezokwelapha ngokushesha. Udokotela wakho noma umnyango wesimo esiphuthumayo wangakini ungakunciphisa kahle ukuhlukana kwakho. Ukwehluleka ukuthola usizo lwezokwelapha kungaholela ekulahlekelweni okungapheli komsebenzi esandleni noma iminwe.
I-Initial Treatment ye-Fracture ye-Boxer
Ukutholakala kokuphuka kombhokisi we-boxer kwenziwa nge-x-ray. Amathambo akho angakwazi ukuboniswa, futhi ukwephulwa kwe-metacarpal yakho kungabonakala. Uma kukhona ukwehlukana kwethambo eduze kwesayithi lokuqhekeka, ukusethwa kabusha kwe-manual kungadingeka. Ezimweni ezingavamile kepha ezinzima, inqubo yokuhlinzeka ingadingeka ukusiza ukuzinza ukuphuka.
Ukuhlinzwa ngokuvamile kuhilela ukusebenzisa izikhonkwane ezidlulayo esikhunjeni nasemathanjeni ukuze zibambe amathambo endaweni lapho ukuphulukiswa kwenzeka.
Ngemuva kokuqhaqha kabusha ukusetha kabusha, ungase uphonswe noma ungasebenzi kahle nge-splint ukuze uqinisekise ukuphulukiswa okufanelekile. Ucwaningo lwakamuva olwanyatheliswa ngo-2016 lwathola ukuthi imiphumela yafana nokuthi ukuphulwa kwesibhokisi kuphethwe nge-sprinting ngokuhambisana nokunamathiswa okulula kwesandla nesandla. Abalobi baphetha ngokuthi ukukhipha nokukhazimula kungase kungadingeki ukwelashwa kwesibhamu.
Qinisekisa ukuthi ulandela izikhombisi udokotela wakho akunikeza ngazo mayelana nokukhazimula nokukhipha.
Ukwelashwa Kwemvelo Ngemva kokuqhekeka kwe-Boxer's Fracture
Ngemuva kwamasonto amane kuya kwesikhombisa ku-cast or splint, ukuphulukiswa okwanele kufanele kwenzeke ukuze uqale ukwelapha ngokomzimba ukulungisa ukulimala kwakho.
Ukugxila kokuqala kokwelapha ngokomzimba ukuvimbela imiphumela yokungabi nendawo lapho ukuphulwa kuphulukiswa. Ezinye izimo eziphuthumayo ongase uzizwe zifaka:
- Ukulahlekelwa kokuhamba okuningi
- Ukulahlekelwa amandla
- Ukuvuvukala
- Ubuhlungu
Zonke lezi zimo ezingalungile zingaholela ekulahlekelweni komsebenzi ojwayelekile esandleni sakho nasesandleni sakho. Ungase ube nobunzima bokufaka izinto noma ukulawula imisebenzi emihle yemoto njengokubhala.
I-PT yokwelashwa kwe-Boxer's Fracture
Uhlelo lwakho lokwelapha ngokomzimba emva kokuphuka kwebhokisi kungabandakanya izindlela eziningi zokwelapha nezimo ezahlukene.
Ukuvuselela kagesi kungasetshenziswa ukuphatha ubuhlungu nokuvuvukala. Izindlela zokuzibulala kanye nezithambile zingasiza ekuthuthukiseni ukuhamba kwesikhumba, imisipha, nama-tendon ezungeze isihenqo nesandla.
Ukuzivocavoca kufanele kube yingxenye eyinhloko yohlelo lwakho lokwelapha ngokomzimba ngemuva kokuphuka kombhokisi. Ukuzivocavoca ukuthuthukisa amandla okubamba namandla omunwe kubalulekile ukusiza ukuthuthukisa umsebenzi wesandla. Izindlela zokuhamba ze-motion zekhanda neminwe kufanele zifakwe. Ukuqinisa umzimba kufanele kugxile emisipha ye-forearm, ingalo, nesandla. Umthetho kaWolff uthi amathambo akhula futhi avuselele ukubhekana nokucindezeleka okubekiwe kuwo.
Ukucindezeleka kokuzivocavoca kubalulekile ukuqinisekisa ukuthi amathambo aphulukisa futhi avuselele ngokugcwele ngemva kokuphuka kombhokisi.
Ukuphuka kwakho kufanele kuphulukiswe futhi umsebenzi ovamile kufanele ubuyiselwe amasonto ayishumi kuya kwangu-12 emva kokulimala kokuqala. Izinga lakho elithile lokuphulukisa lingashintsha kuye ngokuthi ubuhlungu bokulimala kanye nesimo sakho samanje sezempilo. Qinisekisa ukuthi ukhuluma nodokotela wakho wezokwelapha nodokotela ukuze uqonde ukuthi isimo sakho esithile kulindeleke ukuba sithuthuke kanjani.
Izwi kusuka
Ukuphuka kwesibhamu esandleni kungaba yinto ebuhlungu. Uma ukuphuka kuhlelwe kahle futhi ukuphulukiswa kwenzeka, uhlelo lokwelapha ngokomzimba lungakusiza ukuba unciphise ubuhlungu futhi uthuthukise umsebenzi esihlakalweni nasesandleni.
Imithombo:
> Dunn, JC, etal. Ukuphuka kombhokisi: ukuchithwa kwe-splendor akudingekile. I-Orthopedics: 2106. 39 (3): 188-192.
I-Wheeless 'Bookbook of Orthopedics
Safran, M., Stone, D., & Zachazewski, J. (2003). Imiyalo yeziguli zemithi yezemidlalo. I-Philadelphia: Saunders.