Ukuphazamiseka kwesibindi kukulimaza kwithambo kwindawo apho ithethoni okanye ligament idibanisa namathambo. Xa kuvela ukuphuka kwintliziyo , i-tendon okanye i-ligament ikhupha iqhekeza lesithambo. Ukuphuka kwamathambo kungenzeka naphi na emzimbeni, kodwa baqheleke kwiindawo ezithile.
Iintlobo zentlungu zixhaphake kakhulu kubantwana kunabantu abadala. Kubantu abadala, iigaments and tendons zilimala kuqala, kanti kubantwana ithambo lingaphumeleli ngaphambi kokuba i-ligament okanye i-tendon yalimala. Abantwana baneengongoma ezibuthathaka ezincinci zabo, ezibizwa ngokuba yi- plate plate . Le yindawo yethambo ekhula ngokukhawuleza. Kubantwana, iintambo okanye iigamentshi kufuphi neplani yokukhula inokubamba ngokukhawuleza ukwenzela ukuba iplatte yokukhula iqhube.
Izizathu
Ngokuphindaphindiweyo ukuphazamiseka kwintliziyo kuqhutyelwa xa kukho ukutsaliswa ngokukhawuleza kwi-tendon ngelixa ithambo lihamba kwelinye icala. Umzekelo ukulimala kwisihlanu seetatarsal , ithambo ngaphandle kwe-midfoot. Ithenda ye-peroneal ifakwa kwisiseko salo thambo. Ngokuphindaphindiweyo xa unyawo linyanzeliswe, ukubetheka okunamandla kwetoni ye-peroneal kudonsa unyawo kwinqanaba elilodwa, ngelixa amandla aphikisayo esenza ngonyawo. Oku kubangela ukuba ithambo lidibanise ngqo apho ithethoni ifakwe kwisithambo. Iindaba ezilungileyo kukuba ezi ziqhekeza zihlala ziziphilisa ngokuphumla kunye nexesha elilula.
Ukulimala okuphazamisayo okuphawuliweyo kwifilimu ye-x-ray kunokudideka, kuba ezi zinto zihlala zihlobene nokulimala komdala. Ngamanye amaxesha inxalenye encinci yethambo ikhutshwe emzimbeni ixesha elidlulileyo, kwaye kuphela xa i-x-ray ifumaneka inyanga okanye kwiminyaka kamva isiqhekeza se bone. Kubalulekile ukuba ungayigxothi unyango kwinto engadingi ukungenelela. Ngako oko, ukuba unogqirha ongenakucacisa kuphela ii-x-ray kodwa ufake ezo ziphumo kwiimeko zomlando wakho wokulimala kunye nokufunyaniswa kweemviwo, kubaluleke kakhulu.
Unyango
Ngokuqhelekileyo, ukuphazamiseka kwintlungu kungaphathwa ngaphandle kokuhlinzwa. Kuphela xa ukutsala i-fragment yeethambo kuthathwa ngaphezu kwamangenti ambalwa ukusuka kwisimo sayo esivamile ukuba utyando kufuneka ucingelwe.
Ukongezelela, ezinye iintlobo zeethambo ziyaxhamla kunye namaqhekeza amancinci athile, amaxesha amaninzi akufuneki ukuba kulungiswe. Ngokomzekelo, i- ankle sprains inokubangela ukuba iziqhekeza ezincinci zincinci. Ezi nzakala zingaphathwa ngokuqhelekileyo njenge-ankle sprain , njengoko iqela elincinane lesithambo alikuchaphazeli izigqibo zonyango okanye isigqibo sesigulane.
Kukho ezinye iinkxalabo malunga nokunyangwa xa ukuphulwa kwe-avulsion kukubandakanya iplani yokukhula kumntwana okhulayo. Ngenxa yokuba amacwecwe okukhula kubalulekile ekuphuculweni kwamathambo aqhelekileyo, le nzakala kufuneka iphathwe ngenyameko. Ukuba kukho inkxalabo yokuba iplani yokukhula ayilunganga kakuhle, utyando lunokwenziwa ukulungelelanisa nokuzinzisa iplani yokukhula.
Ukuphelelwa kwintsholongwane akunakudingeka ukuba ukuphulwa kwevulsion kulungelelene kakuhle, okanye ukuba isigulane siseduze ngokwaneleyo ekuvaleni iiplate zokukhula ukuba le nzakala ayiyi kubangela iingxaki zokukhula ezihlala njalo.
Imithombo:
Schiller J, DeFroda S, i-Blood T. "I-Out Extremity Fractures kwi-Pediatric nakwi-Athletic Athlete" J Am Acad Orthop Surg. 2017 kuMatshi; 25 (4): 251-259.