Isalathisi esiphukileyo silimala ngokuqhelekileyo. Enyanisweni, ukuhlukunyezwa kwesandla yinto eqhelekileyo ekugqibeleni, ukubalwa kwama-10% kuwo onke amaqhekeza eengalo okanye imilenze. Phantse i-3/4 yazo yonke i-forearm fracture yenzeka ekupheleni kwethambo le-radius-le ngxenye yethambo kuthiwa yi-radial distal. Enye yezona ntlobo eziqhelekileyo zee-radial fractures kuthiwa i-Colles fracture.
Iiflethi zentsimbi
Ukuqhekeka kwama-Colles uhlobo oluthile lwe-radial fracture. Isizathu sokuba kuthiwa i-Colles fracture ngu-ogqirha owaqala ukuchaza le ndlela yokulimala ekuqaleni kwe-1800s. UDkt. Abraham Colles wayengumgqirha wase-Ireland ochaze le nzakala kunye namagama akhe asetyenziswa namhlanje ngamagcirha amaninzi achaza le ndlela yokulimala.
Xa isigulane senza i-Colles to break, i- joint joint ixoshwa emva kwethambo lesangqa (i-radius). Ukuqhekeza kwamathole ngokuqhelekileyo kwenzeka emva kokuwela kwesandla esiphakanyisiwe. Ukuqhekeka kwamaqhekeza okwenyaniso kuyaziwa ngokuba yintsimbi ekhethiweyo, oku kuthetha ukuba ikhefu ayifaki inxalenye yesikhumba somxhasi wesikhonkwane. Endaweni yoko, ukuphuka kukuphezu kwinqanaba elidibeneyo.
Nangona inkcazo yasekuqaleni ye-Colles fracture yayiyinkqantosi yokufuduka, i-radial break-articular fracture, okuqhelekileyo igama le-Colles fracture lisetyenziswe ngokungaqhelekanga malunga naluphi na ukuphuka kwesandla.
Usenokuba utsheliwe ukuba unamaqhekeza ama-Colles xa uqobo unendlela ehlukileyo yokuphuka kunokuba i-Colles ichaza iminyaka engama-200 edlulileyo. Iindaba ezilungileyo kukuba, nokuba ungenayo i-Colles fracture okanye enye uhlobo lokuphuka kwesibindi, imigaqo yonyango jikelele iyafana.
Akusiyo yonke imirhumo yeRadio Distracts is Colles
Ndisoloko ndibona izigulane kunye namagqirha ngokubhekiselele kwiphina irharasi ephazamisayo njengeqhekeza. Le nto ayikho ingxelo echanileyo, njengoko kukho ukuhlukahluka kweendawo ezihambayo kwiindawo eziqhelekileyo (indawo ethile, isikhokelo sokufuduka) kunye nokuqhekeka kwama-Colles kungomnye wabo.
Kwamava am, ukuphulwa kwamathole okwenyaniso kuyenzeka ukulimala okungavamile. Ngokuphindaphindiweyo ndibona amaqhekeza angumphumo wexinzelelo lwamathambo ahluphekileyo, kwaye kula maxesha, i-fracture ivame ukunyuka kwi-joint cartilage yesikhumba, ingxaki ebizwa ngokuthi i-intra-articular fracture. Nangona indawo yolu qhekeza isondele kwiqhekeza eliqhelekileyo leqhekeza, ngokucacileyo akuyona inzakalo eyenziwa ngamaColle. Ngoko-ke, qwa lasela, xa ushiya isebe eliphuthumayo kwisibhedlele, kwaye bakuxelela ukuba i-Colles fracture, kwenzeka ukuba inzakalo ingachaphake.
Izinyango Zonyango
Ukuchonga unyango olufanelekileyo lwe-Colles fracture kuxhomekeke kwizinto eziliqela. Ngokukodwa, ugqirha wakho uza kukhangela ukulungelelaniswa kunye nokuzinza kwephulwa. Amathambo ahambelaniswe kakuhle okanye engaqinisekanga afuna ukuzinzileyo.
Ngokuqhelekileyo ukuhlukana kwamaqoqo kungenziwa kwakhona ngaphandle kokuhlinzwa; le yinkqubo ebizwa ngokuba yinciphiso yokunciphisa .
Ngethuba le nkqubo, ngaba i-anesthesia yendawo okanye jikelele ilawulwa isigulane, kwaye ugqirha uya kubeka amathambo kwakhona kwaye asebenzise ubuqaqawuli ukuze abambe amathambo kwindawo efanelekileyo.
Ngokuxhomekeke kwinqanaba lokufuduka kwethambo lesangqa (i-radius) kunye nokungaqhelekanga kwesilumkiso somkhonto, i-Colles 'rupture mayingadinga ukuhlinzwa ekunyangeni. Xa ukulimala kubaluleke kakhulu kuya kufuna ukuba unyango unyango . Ngethuba lenkqubo yokugula, ugqirha wakho angasebenzisa izikhonkwane, iiplate, kunye / okanye izikrini ukukhusela amathambo kwindawo engcono. Ngoxa utyando lugqithisi ukuphulukana ngokukhawuleza, lugcina amathambo kwindawo efanelekileyo xa bephilisa.
Ngaphezu koko, kuba amathambo agcinwe ngokukhuselekileyo kunye nokufakelwa kwesinyithi, izigulane azifuneki ukukhulelwa.
Imithombo:
Bushnell BD kunye ne-Bynum DK. "I-Malunion ye-Distal Radius" J Am Acad Orthop Surgery ngoJanuwari 2007 vol. 15 no. 1 27-40.
Lichtman DM, et al. "I-AAOS Clinical Practice Guideline Isishwankathelo unyango lwe-Radius Fractures" J Am Acad Orthop Surg ngoMashi 2010 18: 180-189.