Ukuqhekeka kwe -Salter-Harris yintlupheko ecaleni, ngokuhamba, okanye kwiplani yokukhula kwithambo. Oku kufuthi kubakho kubantwana abancinci okanye abaselula, kwaye kungabangela ukulinganiselwa okusebenzayo ekuhambeni nasekusebenzeni (ukuba ukuphuka kusemadolweni okanye kwintloko), okanye ukufikelela kunye nokuphakamisa (ekugqibeleni okugqithiseleyo).
Iyintoni iSicwangciso soKhula?
Amathambo akho aphila, akhula izinto.
Bahlala bephula iiseli zamathambo ezindala kwaye bongeza iiseli. Xa usemncinci, kukho indawo ecaleni kwethambo ngalinye elibizwa ngokuba yi-plate plate. Kule ndawo apho amathambo akhula kwaye abe yinde.
Isitya sokukhula sisekupheleni kwethambo lamathambo amathambo emide emzimbeni osondeleyo ekuhlanganyeleni apho amathambo amabini ahlangana khona. Ukuphuka kwithambo apha kungabungozi ngenxa yokuba kunokunciphisa ukukhula okuqhelekileyo kwithambo elithile, okukhokelela ekuphoseni okanye ubude besithambo kwelinye icala lomzimba womntwana okhulayo. Inokuthi iphazamise ukunyakaza okuqhelekileyo, okunokuthi kube nomthelela ombi kumsebenzi.
Izizathu
Phantse enye kwiintlobo zokukhula kweethala ezintathu ziphumo lokuthatha inxaxheba kwezemidlalo. Ngokuqhelekileyo, ezi fracture zenzeka ngokukhawuleza emva kwexesha ngenxa yokuncintwa kokuphindaphinda kwaye zithathwa njengezifo zengcinezelo . Ngamanye amaxesha, ukuxhwaleka kwithambo ekubangeni okanye kwingozi yemoto kunokubangela ukuphuka kwe-Salter-Harris.
Izimpawu kunye neMpawu
Iimpawu kunye neempawu zoqhekeko lwe-Salter-Harris ziquka, kodwa azithethi:
- Ubuhlungu phezu kokuphela kwethambo okanye kufuphi nomgca odibeneyo
- Ukuvulela ecaleni kwenzakalo elimele
- Ubuthathaka kufuphi nommandla owonzakeleyo
- Ukungakwazi ukubeka isisindo kwinqununu yomzimba olimele
KuPhatha ko kuqala
Ukuba uyakrokrela ukuba wena okanye umntwana wakho unokuphuka kwetafile, kufuneka ufune unyango ngokukhawuleza.
Yiya kugqirha wakho okanye ubike ingxelo kwisebe lakho lezengxamiseko zengingqi ukuze uhlalutyo olufanelekileyo kunye unyango .
Ukuxilongwa kwe-Salter-Harris ukuphuka kwenziwa ngama-x-ray elula. Ngamanye amaxesha, ukucinga ngomfanekiso ophambili wokuxilonga , njenge-CT scan okanye i-MRI, kuyimfuneko ukubona ukuphuka kwendiza yokukhula. Xa ukuxilongwa kugqityiwe, i-fracture iya kufuna ukuncitshiswa . Le yinkqubo apho izicathulo zethambo zifakwa kwindawo efanelekileyo ukuqinisekisa ukuphulukiswa okufanelekileyo.
Ngokuqhelekileyo, i-Salter-Harris fractures inokuncitshiswa ngesandla, oko kuthetha ukuba ugqirha wakho unokusebenzisa izandla zakhe ukubeka amathambo kwindawo efanelekileyo. Ngeentsimbi eziqhekezayo, i-pinning ingafuneka, okanye inqubo yokuhlinzwa eyenziwa ukulungiswa kwangaphakathi ngaphakathi (ORIF) ingafuneka . Qiniseka ukuba uthethe nogqirha wakho ukuqonda inkqubo esetyenziswayo ukunciphisa ukuphuka.
Emva kokunciphisa kwakho ukunciphisa, ukulimala kwakho kuya kusenokungenakulungiswa kwindawo yokuphosa. Ngamanye amaxesha, ungeke uvunyelwe ukubeka isisindo kwiqumrhu lakho elenzakele. Ukuba ukuphuka kwe-Salter-Harris kusekhanda lakho okanye ngamadolo, oku kuthetha ukuba unokusetyenzisa iimfonto okanye uhambahamba ukuze ujikeleze. Unokufuna umphathiswa wenyama ukuba akusize ufunde ukusebenzisa isixhobo sakho sokuncedisa.
Ukuba i-fracture isesandleni sakho, isandla, i-elbow okanye ihlombe, unokufuneka ubeke isigxina. Umgulana wakho womzimba unokukunceda ufunde indlela yokulungisa utshintshi ukuze uqinisekise ukuba ifakwe kakuhle.
Ulungiso lwenyama
Emva kweeveki ezi-6-8 zokungasebenzi, unyango lonyango luya kuqalwa kukukunceda ukuba uphinde uhambe ngokuqhelekileyo emva kokuphuka kwe-Salter-Harris. Ukuphazamiseka onokusebenza kuwo kunyango lomzimba kubandakanya:
- Ukuhamba kwesisombululo (ROM) : Emva kwexesha lokungafihli, ukukwazi kwakho ukutshintsha ngokupheleleyo inxalenye yecandelo lakho elenzakalisiweyo lingancinci. Umgqirha wakho wenyama ungakunceda ukuba uphinde ufumane iROM eqhelekileyo ngemisebenzi ethile kunye nezobugcisa. Ukusebenza ngokuzimisela kunokufuneka ukuba uncede ululale imisipha kunye namajoyina, kunye nokuhlanganiswa okudibeneyo kunokusetyenziswa ukuphucula i-ROM yakho.
- Amandla : Unokuthi uqaphele ukuba amandla emisipha ejikeleze ithambo lakho elimazi liye lahla ngenxa yokulimala. Ukuqinisa imizimba kunokunceda ukuphucula ikhono lakho lokusebenzisa umzimba wakho olimele ngokuqhelekileyo. Umgulana wakho womzimba unokumisela umzenzelo wokuncedisa amandla akho emva kokuphuka kwe-Salter-Harris. Ukuba ubuyela kwimidlalo, ukuzomeleza i-plyometric kungafuneka. Ezi zifundo zinokukunceda ukuphucula ukulungelelaniswa kwakho kunye nokukhawuleza kwaye uqinisekise ukuba isifuba sakho esiphulukisiwe singakwazi ukunyamezela iimbambano ezinkulu kunye neengcinezelo ezibangelwa yimidlalo.
- Igalelo : Ukuba ulimazile iplani yokukhula yesangqa okanye idolo, unokuba nobunzima bokuhamba. Ukuqeqeshwa koqeqesho kunokufuneka ukuba uncede ukuphucula amandla akho okuhamba. Ukulinganisela kunye nokuzivocavoca kungeniswa ukuba kukuncede uhambe kakuhle.
- Ukuvuvukala nentlungu : Emva kwexesha lokungafihli, usenokuba nosizi kwithambo elenzakalisiweyo emva kokuphuka kweplate yokukhula. Umgulana wakho womzimba unokumisela amanxusa kunye nezindlela zokuncedisa ukulawula intlungu nokuvuvukala okhoyo.
- Ukulawulwa kwezicubu zokucoca (ukuba utyunjwa) : Emva kwenkqubo yokucoca, izicubu ezinqabileyo zingabakho kufuphi ne-incision. Umgulana wakho womzimba unokwenza i-massage ye-tiscu ebomvu kunye nokukhuthaza ukuphucula ukuhamba kwebala lakho.
- Umsebenzi : Inkqubo yakho yokwelapha emva kokuphuka kwe-Salter-Harris kufuneka igxile kumsebenzi. Yintoni ongenako ukwenza ngenxa yesiphulo sakho? Ingcali yakho yomzimba ingakunceda uphucule ikhono lakho lokwenza imisebenzi yansuku zonke njengokufikelela nokuhamba.
Ukuphuka kwe-Salter-Harris kungaba ngamava obuhlungu, kwaye kunokukhokelela ekulahlekelweni okukhulu kokuhamba xa kungaphathwa kakuhle. Unokuba unganakho ukuthatha inxaxheba ngokupheleleyo kwiklasi yezemidlalo neyomzimba, kwaye unokuba nobunzima ukwenza imisebenzi eyisiseko, njengokuhamba okanye ukuphakamisa izinto, emva kokuphuka. Ulwaphulo olunokwenyama lungakunceda ukhusele ngokusemthethweni kumsebenzi oqhelekileyo kunye nomsebenzi emva kokuphuka kwe-Salter-Harris.
Umthombo:
I-Wheeless 'Incwadi Yobungqina Bama-Orthopedics.