Iingqungquthela ezibhukileyo kubantwana
Iingqungquthela eziphukileyo zilimala ngokuqhelekileyo kubantwana. Imisebenzi emininzi abantwana bayathatha inxaxheba ekwenzeni izibonda zabo zisengozini yokulimala. Ukongezelela, kukho iiplati zokukhula ezininzi (iindawo zethambo ezikhulayo ngokukhawuleza) malunga nomxube weelbow. Ezi zicwangciso zokukhula ziyakwazi ukulimala. Abantwana abanobungozi bemiqolo kufuneka bahlolwe ngugqirha ngenxa yokuphuka.
Imisebenzi emininzi inokubangela i-elbow fractures kubantwana, kodwa i-jungle gyms zide kwaye zide ziyiyona nto ephambili! Abantwana abawela kwi-jungle gyms bangalimaza iinqaba zabo njengoko bewela emhlabathini. Ezinye izinto eziqhelekileyo ezibangela ukulimala kwe-elbow zibandakanya i-gymnastics, ibhola lebhola, ukuxumla kwiibhedi, kunye nokudlala okunzima.
Xa umntwana ebona udokotela malunga nokulimala kwe-Elbow
Ukuba awuqinisekanga ngokuxilongwa kuhlale kukhuselekile ukuba umntwana wakho abone ngodokotela wezilwanyana okanye kwindlu egxininisayo. Iimpawu ezifanele zikuphephe kwiinkinga zibandakanya:
- Ukungakwazi ukulungisa okanye ukugoba i-elbow
- Ukuvuvukala okanye ukutshatyalaliswa kwezinto (ukutyumza) ngeenxa zonke
- Ubuhlungu obujikeleze umxube weelbow
Ukuqhekeka kwe-Elbow Kufunyaniswa njani?
Ugqirha wakho uya kuqala ukuhlola ingalo yengane yakho ngemiqondiso yemonakalo kwimisipha kunye nemithambo yegazi ecaleni kwendibano yomgca. Nangona ukonakala kwezi zakhiwo kungavamile, kubalulekile ukwazi ukuba kukho ingxaki.
Ukulimala ekunikezeni igazi kweengalo kunokudinga ukungenelela kwangethuba lokuqala.
Ii-ray zase-X zisetyenziselwa ukuxilonga iiflethi ze-elbow. Xa kunobungozi obunzima, i-fracture iya kubonakala lula kwi-x-ray, kodwa akuqhelekanga ukuba neentlobo zeentsimbi ezingabonakali kwi-x-ray.
Isizathu kukuba ukuveliswa kwetafile zokukhula akukwazi ukubonakalisa kwi x-ray njengamathambo aqhelekileyo aphukile.
Ngako oko, ugqirha wakho unokucela i-x-ray ye-elbow echaseneyo (icala lomntwana wakho elingenakuncitshiswa) ukuthelekisa le mibini yokwahlukana. Ngokuqhelekileyo isibonakaliso sophawu oluphukileyo emntwaneni luvuvukala kwi-x-ray (ebizwa ngokuba 'uphawu lwe-fat-pad'). Kule meko, i-elbow kufanele iphathwe njengophulaphulo.
Iintlobo ze-Elbow Fractures
Ezinye iindidi eziqhelekileyo zokuhlukana kweelbow zibandakanya:
- I-Supracondylar Humerus Fracture : I-fracture ye-supracondylar iyona nto ixhaphakileyo. Zenzeka ngecala lokukhula le-humerus (ngaphezulu kwe-jointbow). Isizathu esona siqhelekileyo sale nzakala siwa phezu kwengalo eyeluliweyo-kaninzi i-jungle gym. Ezi nzakalo zixhaphaka kakhulu kubantwana abaphakathi kweminyaka emi-5 no-7 ubudala.
- I-Condylar Fractures: Iingqungquthela zomqhubi ziphinde zenzeke ngaphezu kwe-jointbow. Xa umntwana encedisa ukuphulwa kwe-condylar iye yaphuka ngaphandle kwelinye icala lomxube weelbow.
- I-Radial Neck I-Fractures : Iintambo zeentambo ezingenangqondo ziqhelekanga kubantu abadala, kodwa zihlala zivela kubantwana. Ukunyangwa kwentambo yentsimbi exhomekeke kwintsimbi kuxhomekeke ekugqibeleni kwephuka. Unyango lunokuthi lubandakanye ukukhwa, ukuphathwa, okanye ukubeka izikhonkwane kwi-fracture.
- I-Radial Head Subluxation : Nangona ingekho ithambo ephukile, i-headal subluxation yenzakalo yinto eqhelekileyo kwintonga yomntwana osemncinci. Xa i- headal subluxation iqhuma , i-jointbow slides isendaweni. Ezi nzakala zivame ukubuyela kwindawo elula ngokulula.
- I-Olecranon Fractures: I- Olecranon fractures inokulimala kwithambo ebonakalayo emva kwelokwe. Ukulimala kweli thambo kunokuba nzima ukuhlula kwiindawo eziqhelekileyo zokukhula kweethala, ngokuqhelekileyo i-x-ray yezibini zombini ziyafumaneka xa kuthelekiswa.
Unyango
Unyango lwamaqhekeza e-elbow luxhomekeka kwizinto eziliqela eziquka:
- Indawo yecala
- Inani lokufuduka kwephuka
- Ubudala besigulane
- Ukulimala kwiintsho kunye nemithambo yegazi
Splints
Ukugqithisa ngonyango lwezinto ezininzi ze-elbow fractures, ingakumbi ezo zinokufuduka ngokukhawuleza (azikho ndawo). Ukuqhaqhaqhaqhelo kusetyenziswa ngokuqhelekileyo xa kukho ukukrokreka kweqhekeza elincinci kodwa ngokuqhelekileyo x-ray.
Kwimeko ye-x-ray eqhelekileyo, kuya kufakwa ubuqaqawuli kwaye umntwana wakho uya kuba ne- x-rays emitsha malunga neveki emva kokulimala. Ukuphinda i-x-ray ihlala ibonisa iimpawu zokuphilisa.
ICapets
Amaxesha amaninzi aqhelekileyo asetyenziselwa ukuphatha i- elbow fractures , kodwa kungekhona emva kokulimala kokuqala. Ngokuqhelekileyo ibhokhwe iya kuqhathaniswa iveki, kwaye i-cast ithoywa emva kokuba ukuvuvukala kube nexesha lokunciphisa.
Ukuhlinzwa
Izinketho zokuphanda ziquka:
- Iiphini
Iiphini zihlala zisetyenziselwa ukuzinzisa ukuphuka kwindawo efanelekileyo. Izikhonkwane zifakwe ngophando lomzimba kunye nomntwana wakho phantsi kwe-anesthesia jikelele. Izikhonkwane zithatha ukuphuka kwindawo efanelekileyo de ukuphilisa okwaneleyo kwenzeka, ngokuqhelekileyo malunga neiveki ezi-3 ukuya kwezi-6. Kufuneka kubekho ukuchithwa okuncinci ukubeka kwakhona i-fracture kunye nokukhusela iimbulunga ezijikelezileyo. - Screws
Kubantwana asebekhulile, ngamanye amaxesha i-screw isetyenziselwa ukubamba iqhekeza kwindawo efanelekileyo. Izipongo zivame ukusetyenziswa kubantwana abancinci, kodwa kubantwana abasondela ekukhuleni komzimba, i-screw ingasetyenziswa endaweni yoko.
Iingxaki zexesha elide ze-Elbow Fractures kubantwana
Ngenxa yokuba iziqhekeza zihlala zijikeleze iplati yokukhula, kukho rhoqo utshintsho lokulimala kwiplani yokukhula. Oku kungabangela ukuvalwa kwangoko kwiplani yokukhula. Oku kuyinto engavamile, kwaye indlela yodwa yokuxelela ukuba iplani yokukhula yalimala ngokusisigxina kukuba ubukele umntwana emva kwexesha.
Ezinye iingxaki ezinokuthi zibandakanya ukukhawulelwa kwesilumko somxube we-elbow, umonakalo kwiimbulunga kunye nemithambo yegazi ecaleni kwelokwe, kunye nokusuleleka kwezikhonkwane ezibekwe kwi-elbow.
Iingxaki aziqhelekanga, kodwa zenzeke kwipesenti ezigulane. Ugqirha wakho uya kulandela umntwana wakho ade aphule ukuphulukiswa, kwaye banokucela ulandelelwano ukuqinisekisa ukukhula kunye nokuhamba ngeenxa zonke. Umzali unako ukubeka iliso kunye kunye nokulumkisa ugqirha ukuba kukho ukukrokraza kwengxaki emva kokuphuka.