Ukuvuselelwa kwekhanda eliphukile
Ukuphuka kwama- Colles kuyiphupho emathanjeni omzimba, elinye lamathambo esiphezulu esiseduze nesandla. Ngokuvamile ukuqhuma kwenzeka uma uwela esandleni sakho eseluliwe . Lapho ufika ngakwesokunene sakho, ukuphela kwe-radius yakho ivule futhi iphoqelelwe esihlokweni sakho sangaphakathi. Uma uwela esandleni sakho futhi isibindi sisesimweni esivumelana nezimo, i-radius ingase iphule futhi ihambele phambili kwesandla sakho.
Lokhu kuthiwa yi-Smith's fracture.
Izimpawu Ezivamile Zokuphulwa Kwembala
Uma uke wabhekana nesifo esibuhlungu esandleni sakho noma uwile esandleni sakho noma esihlalweni sakho, ungahle ulahlekelwe ama-Colles. Izibonakaliso ezivamile zokuphulwa kwesandla noma ukuhlukana kwama-Colles kufaka:
- Ubuhlungu
- Ukuvuvukala engalweni, isandla, noma isandla
- Ukuthuka
- Ukulahlekelwa kokuhamba esikhwameni
- Ukukhubazeka okubonakalayo kwesikhumba ngakwesokunxele kwesiphambili sakho eduze kwesandla sakho
Ukuqala Ukwelapha Ukuhlukana Kwezimbala
Uma uwile futhi ulimaze isihenqo sakho nesandla futhi usola ukuthi ulahlekelwe ama-Colles, kufanele ufune usizo lwezokwelapha ngokushesha. Ngokushesha shayela udokotela wakho noma ubike kumnyango wendawo ophuthumayo wendawo. Ukwehluleka ukwenza kanjalo kungabangela izinkinga ezinkulu kanye nokulahlekelwa okungapheli kwengalo nokusebenza ngesandla. Ukuthola ukuhlukunyezwa kwesandla kunesithombe se- x-ray .
Ngenxa yobuhlungu nokuvuvukala okwenzeka ngokuphuka, ungase ufise ukubeka iqhwa esihlalweni sakho nasesandleni sakho uze ufike kudokotela noma ekamelweni lokuphuthumayo.
Umgomo we- RICE wokulimala kanzima kungasiza ukugcina ukuvuvukala kulawulwa futhi ubuhlungu bufinyeleleke kuze kube yilapho udokotela wezokwelapha anganikeza ukwelashwa.
Ukwelashwa kokuqala kokuqhekeka kwama-Colles kuwukunciphisa ukuhlukana. Yilapho udokotela wakho ehlala khona othukile amathambo noma amathambo endaweni efanele ukuze ukuphulukiswa okufanele kwenzeke.
Lokhu kwenziwa ngesandla uma amathambo aphukile ashukunyiswe kude kakhulu nesimo. Uma ukuphuka kunzima, inqubo yokuhlinzwa ebizwa ngokuthi ukulungiswa kwangaphakathi kokunciphisa ngaphakathi (ORIF) kungadingeka ukunciphisa ukuphulwa.
Uma ukuhlukunyezwa kwesandla sakho sekuncishisiwe, kufanele kube khona ukungenakulinganiswa. Lokhu kwenziwa nge-cast noma i-brace. Ungase futhi udingeke ukuthi ugqoke ingalo yakho ku-sling. Kungase kudingeke uvakashele udokotela wezempilo ukuze ufunde ukuthi kufanele ugqoke kahle kanjani ukubethela kwakho. Kubalulekile ukugcina amathambo aphikisiwe ukuze ukuphulukiswa okufanele kwenzeke. Qinisekisa ukuthi ukhuluma nodokotela wakho uma unemibuzo mayelana nokukhishwa kwakho, ukuthungatha noma ukubamba.
Ukwelashwa Kwemvelo Ngemva Kokuhlukana Kwembala
Ngemuva kwamasonto amane kuya kwamasonto ayisithupha ekudambiseni, udokotela wakho angasusa isikhwama futhi ungathunyelwa ekuphatheni okwenyama. Ezinye zezinkinga ezivamile ukuthi umhlengikazi wakho ongokwenyama angalinganisa futhi ahlolisise zihlanganisa uhla lwe-motion (ROM) , amandla , ubuhlungu nokuvuvukala. Uma unayo i-ORIF yokwehlisa ukwehlukana, isazi sakho somzimba singase sihlole izicubu zakho zokuhlinzwa eziphuthumayo . Angase ahlaziye isandla sakho, isibindi nesandla somsebenzi.
Emva kokuhlola kwakho kokuqala, uchwepheshe wakho wezokwelapha uzosebenza nawe ukuthuthukisa uhlelo lokunakekelwa olufanele ukusiza ukuthuthukisa ukukhubazeka nokulinganiselwa okusebenzayo okungenzeka ube nakho.
Qiniseka ukuthi ubuza noma yimiphi imibuzo uma unayo. I-PT yakho ingase imisele uhlelo oluthile lokuzivocavoca ngemuva kokuphuka kwama-Colles akho .
Ububanzi bokuhamba . Ngemuva kokuqhekeka kwama-Colle, kungenzeka ukuthi ulahlekelwe ukuhamba okuningi esandleni, isibindi, nesikhumba. Ihlombe lakho lingase libe liqinile, ikakhulukazi uma ugqoke isikebhe . Ukuzivocavoca kokuhamba kwesandla, isandla, nesigqoko kungase kubekiwe, futhi kungadingeka wenze izivivinyo ze-ROM ekhaya.
Amandla . Ukulahlekelwa amandla kuvamile ngemuva kokuphuka kwama-Colles. Ukuzivocavoca okugxila esandleni, isandla samandla kanye ne-elbow amandla angabekwa. Futhi, kungadingeka wenze izivivinyo ekhaya ukuze uthole imiphumela emihle yokwelapha ngokomzimba .
Ubuhlungu nokuvuvukala . Ngemuva kokuqhekeka kwama-Colles, ungase uzwe ubuhlungu nokuvuvukala eduze kwesandla sakho nesandla. Umhlinzeki wakho wenyama angakunikeza ngezindlela ezihlukahlukene zokwelapha kanye nezindlela zokusiza ukwehlisa ukuvuvukala nobuhlungu.
Izicubu zomzimba . Uma ngabe ube nenqubo ye-ORIF yokunciphisa ukuphuka kwama-Colle yakho, cishe kuzoba nezicubu ezibomvu eziye zazungeze ukufakwa kokuhlinzwa. Umhlinzeki wakho wezinto ezingokwenyama angenza ubuhlungu besisindo somzimba kanye nokugqugquzela ukusiza ukuthuthukisa ukuhamba kwesibalo sakho. Angakwazi futhi ukukufundisa ukuthi ungayenza kanjani wena.
Ngemva kwamasonto ambalwa wezokwelapha, kufanele uqaphele ukuthi ukuhamba kwakho namandla akho kuthuthuka ngenkathi ubuhlungu nokuvuvukala kwakho kwehla. Kungase kube lula ukuthola ingalo yakho nesandla ukwenza imisebenzi esebenzayo. Ngenkathi ukuphuka kufanele kuphulukiswe ngokugcwele emasontweni ayisithupha kuya kwangu-8 ngemuva kokulimala, ungase ulinganiselwe amasonto angama-12 kuya kwangu-16. Qinisekisa ukuthi usebenza eduze nodokotela wakho kanye nodokotela ongokwenyama ukwazi ukuthi yini ongayilindela.
Isikhwebu esiphukile noma ukuhlukana kwama-Colles kungaba yisipiliyoni esibuhlungu nesabekayo. Kungaba nzima kuwe ukusebenzisa isandla sakho nengalo ukwenza imisebenzi eyisisekelo njengokugqoka, ukuzondla, noma ukuxubha izinwele zakho. Ungase ungakwazi ukwenza umsebenzi wakho noma uhlanganyele emisebenzini yokuzilibazisa. Umhlinzeki wakho womzimba angakusiza ukuba uthuthukise ukuhamba kwakho kokusebenza ukuqinisekisa ukuthi ungakwazi ukubuyela ngokushesha futhi ngokuphepha emsebenzini ojwayelekile.
Umthombo:
Hertling. , & Kessler, R. (2005). Ukulawulwa kwezifo ezivamile zomzimba wegazi: izimiso zokwelashwa ngokomzimba kanye nezindlela. (4 i-ed.) ULippincott Williams noWilkins.