Ukulimala kwama-Femur akuyinto engaqhelekanga yokulimala kubantwana. Ngethamsanqa, ininzi i-femur fractures iphilisa kakuhle, nangona unyango olungenalo unyango. Isixa sokufuduka (ukuhlukana kwethambo kuphelile) esinokumkeleka kuxhomekeke kwiminyaka yomntwana, kunye neenkunkuma ezikhutshwe ngokufudukayo kubantwana abancinci. Ngoko ke, ukuchonga unyango lweentlobo ze-femur zichazwe ngokubanzi ngumntwana wakho.
Kwiintsana
I-Femur ephuka kwiintsana kunye nabantwana abaselula bayaphilisa ngokunyanga. Ngethuba lokusana, i- harlik yePavlik ingagqithwa endaweni ye-spica cast.
Ngenxa yethoba elikhula ngokukhawuleza kubantwana abancinci, ithambo liphela akudingeki ukuba lilungelelanise ngokupheleleyo. Ithefu liya kulungiswa ngokuhamba kwexesha ukuya kwinqanaba apho kungabonakali khona ithambo elenzakele. Ininzi intsana kunye nabantwana abaselula bayakufuna ukupasa ukuxilwa malunga neveki ezi-4 ukuya kwezi-6 ukuvumela ukunyanga okwenziwe ngamathambo.
Ekuqaleni kwabantwana
Kubantwana abancinci (ngaphantsi kweminyaka engama-6), ukugxeka i-spica ngokuqhelekileyo kunokwanela unyango lwe-femur fracture. Ubungakanani bokulahla bunokuba bude kangangoko abantwana bekhula, kodwa ithambo likwazi ukuphulukisa.
Kukho isigwebo esenziwa ngumgqirha wakho wamazinyo kunye nawe (njengabazali) xa ugqiba indlela yokuphatha kakuhle abantwana kwi-intanethi ye-5- ukuya ku-7 ubudala. Njengoko kuthethwe, la bantwana bahlala bephathwa kakuhle njengabantwana abaselula kwi-spica cast.
Kwezinye iimeko, ugqirha wakho unokuncoma ukuhlinzwa ukuze ufake iintonga eziguquguqukayo ngaphakathi kwethambo. Unokuxoxa ngeengxaki kunye noqhaphololo nodokotela wakho.
Ekuhambeni kwabantwana
Akukho cutoff ecacileyo xa ukugxeka i-spica kungabalulekanga, kodwa unokuxoxa ngeendlela ozenzayo nodokotela wakho. Ionyango eziqhelekileyo zonyango olwenziwe ngokugqithiseleyo zizo:
- Ukulungiswa kwangaphandle: Ukulungiswa kwangaphandle kusetyenziswa intonga ngaphandle komzimba oqhotyoshelwe kwithambo kunye nezikhonkwane ezide okanye izibilini. Ukusetyenziswa kwabacwangcisi bangaphandle kuncitshisiwe, ingakumbi ngenxa yeziphumo ezintle ngeentonga eziguquguqukayo. Abacwangcisi bangaphandle bavame ukusetyenziswa ngamaqhekeza avulekileyo okanye xa ithambo ephukile lixutywa ngamanzi amaninzi (atyunjwe).
- I-Flexible Rods: Unyango oluqhelekileyo unyango lwabantwana abadala (iminyaka engama-7 ukuya kwe-12) luyi-rod intraedullary. Ezi ntonga zifakwe kalula kwiziko elingenasiphelo lesithambo kwaye zisuswa kalula emva kokonyango. Iingcingo zifakwe ngaphaya kweedolo kwaye awuweleli i-plate yokukhula. Azinzima, ngoko ke, akakwazi ukuxhasa umntwana. Ekubeni la bantwana abaselula bayaphilisa ngokukhawuleza, kunjalo, bavumi ukuba bangabangeli iingxaki.
- Izindonga eziqhelekileyo: Izindonga ze- intramedullary zonyango oluqhelekileyo lwenkohlakalo ye-femur kumntu omdala. Kanye kuphela xa iifom zokukhula komntwana zivaliwe ukuba lolu hlobo lwentonga lusetyenziswe. Malunga neminyaka eyi-11 ukuya kwe-14, iintlobo ezininzi zeentlobo ze-femour ziya kunyangwa ngendlela efanayo nangokuba ziphathwa kumntu omdala.
Ukuqwala unyango olungcono kwiimeko ezithile kuxhomekeke kwizinto eziliqela, kungekhona nje iminyaka yobudala bomntwana wakho. Ezi ndlela ziqhelekileyo zonyango lwezinto ezininzi ezixhaphakileyo ze-femur, kodwa ngamnye umntwana uya kuba neemeko ezithile ezingayitshintsha indlela yokucetyiswa kwonyango.
Umthombo:
I-LT ye-Staheli, "I-Practice of Orthopedics Orthopedics" uLippincott Williams & Wilkins © 2001. Page 234.