Ngokuqhelekileyo Ukubonwa Ngesandla Esiqhekekileyo, Ngaba Kufuneka Unyango?
Ukuhlukana kwesandla kungabandakanya amathambo ahlukeneyo ajikeleze idibeneyo. Uhlobo oluqhelekileyo lokuqhawula kwesandla luphela ekupheleni kwesangqa lesigxina se-forearm, esibizwa ngokuba yi- radial fractures . I-radial ye-Distal ilahleka i-akhawunti malunga ne-1 kweyesithupha amathambo aphukile abonwa ngamagumbi angxamisekileyo.
Phantse isiqingatha se-distal radius fractures yenzeka ngokubambisana ne-ulnar ipracture fractures.
Ipenitidi ye-ulnar iphelile kwelinye ithambo le-forearm , i-ulna. Nangona i-radial fracture idla ngokubanzi ifuna ukumiswa okanye ukuhlinzwa, ipelitidi ye-ulnar ayisoloko isetyenziswe kunyango.
I-Ulnar Styloid Fractures
Iintlobo zepenitile zase-Ulnar zisoloko zifuna unyango xa zenzeke ngokubambisana ne-distal radius fracture. Impembelelo enkulu xa ukuhlanganisana phakathi kwala mathambo, kunye kunye kunye ne-DRUJ, engaqinisekiyo. Xa i-DRUJ ingaqiniseki, ipenitidi ye-ulnar ingadinga unyango oluzimeleyo.
Nangona kunjalo, iirejista ezininzi eziphambene neentlobo zepenitile ezinxulumene nazo zenzeka ngaphandle kokungazinzi kwe-DRUJ. Uphononongo olutshanje luhlolisise izigulane ezineengqungquthela zengxangxube ye-distal kwaye zafumanisa ukuba ukuhlaselwa kwabo akuzange kuchaphazeleke ukuvela okanye ukungabikho kwe-pennite ye-penny.
Ukungabambisene kwee-Ulnar Styloid Fractures
Olu pho nonongo lufumanise ukuba nangona ukuphulwa kwepenitidi ye-ulnar kwakungekho ndawo (ukufuduka), okanye ukuba ukuphulwa kwepenitidi ye-ulnar ayizange iphilise ( ukungabambisani ), akuzange kuphazamise isigulane.
Kwakhona, oku kukho konke ukuba i-DRUJ izinzile.
Iziphumo zolu pho nonongo ziza kuthetha ukuba unyango oluqhelekileyo lwe-penniti ye-penny (xa kwenzeka nge-distal radius fracture) ayimfuneko. Nangona kunjalo, ugqirha wakho kufuneka ahlole i-DRUJ yakho ngokungazinzi, kwaye ukuba oko kufunyenwe ukuba kunjalo, ukuphulwa kwepenitidi yakho ye-ulnar kungadinga ukuphathwa.
Ingaba ugqirha wakho "Ulahlekile" Ukulimala
Ngenxa yokuba ukuphulwa kwepenitidi ye-ulnar ayitshintshi unyango lomonakalo wesandla, kwiimeko ezininzi, oogqirha bama-orthopedic kaninzi abahluleki ukuvuma ukuba kukho ukuphulwa kwesibini, ngaphandle kwesahlulo se-distal. Le mpazamo iningi labagqirha bafundela ukukhusela, njengoko kubangele ukuba izigulane zivakalelwa ukuba zenzeke ukulimala "ngokupheleleyo." Njengogqirha wamazinyo owenze le mpazamo ngaphezu kweyodwa, ndizama ukunyamekela ukuba ndizise izigulane zam kwaye ndichaze ukuba kutheni andiphathanga i-penniti ye-penny.
Ukuba ubona ukulimala, okufana nokuqhekeka kwepenitidi ye-ulnar, engazange ixoxwe nawe, ungesabi ukubuza ugqirha wakho malunga nalo. Qonda nje ukuba ingozi yayingeke iphoswe - ayitshintshe nje unyango, kwaye ugqirha wakho ugxininise ngakumbi kwingozi eyenza unyango.
ILizwi
Iintlobo zepenitile zase-Ulnar zidibanisa ngokuqhelekileyo kunye neeralus fractures; Enyanisweni, malunga nesiqingatha se-distal radius fractures ine-pennite ye-ulnar ephuka. Iindaba ezilungileyo, kukuba aqhelekanga ukwenza i-ulnar ipentidi fracture ifuna unyango kwaye ngokwalo. Kunoko, isigqibo sonyango sisekelwe kwenzakalo kwi-bone radius, kwaye asinakuchaphazeleka ngenxa yobunzima kwipenitidi ye-ulnar.
Umthombo:
I-Pollack, P. "Izifucu ze-styloid zingenakuchaphazela iziphumo zee-radial fractures." AAOS Ngoku; I-Vol 4, Hayi 1. NgoJanuwari 2010.