Ukwahlukana kukaSalter-Harris
Ukuphulwa kwetafile ye-Growth yenzakala kubakho abantwana abakhulayo kunye nabaselula. Ezi nzakala zenzeke kwindawo yethambo elinoxanduva lokukhula, iplati yokukhula ekupheleni kwamathambo amathambo. Xa le nxalenye yethambo itonakaliswe, kukho inkxalabo malunga neengxaki ezinokwenzeka ngokukhula kwethambo. Ulwaphulo olufanelekileyo lokulimala kweplate lokubaluleka kubalulekile ukuqinisekisa ukukhula okufanelekileyo komntwana.
Udidi lweSalter-Harris lweZityalo zeZityalo eziPhulayo
Ukugqithiswa kokutshatyalaliswa kwenqanawa yokukhula kuxhomekeka kwizinto ezininzi, kubandakanywa uhlobo lokulimala. Abagqirha bama-orthopedic bahlukanisa i-plate plate yokuhluma ngokwe-system ye-Salter-Harris. Olu luhlu lunceda ukwahlula iintlobo ezahlukeneyo zeentlobo kunye nokubonelela ngolwazi lokuxela. Unokubona ukuphuka kweethala ezibizwa ngokuba yiSalter-Harris ngenxa yeli nkqubo.
Uhlobo lweZiko lokuQala lokuThula 1
Uhlobo lwe-1 lwe-Salter-Harris luye lwaba ncinane kubantwana abancinci. Ezi nzakala zihamba ngokukhawuleza kwinqanaba lokukhula, kwaye ithambo elijikelezileyo alibandakanyeki. Ngokuqhelekileyo, i-x-ray yomntwana onokuphulwa kwetafile ye-1 yoku-1 iya kubonakala eqhelekileyo. Ukuphulukiswa kohlobo lwe-1 lwe-fractures ludla ngokukhawuleza kwaye iingxaki aziqabile. Uninzi lwamacebo okukhusela i-plate 1 luphathwa nge-cast.
Uhlobo lweZiko loKhula loLuhlu lwesi-2
Uhlobo lwe-2 lokukhupha isamba sokukhula luqala kwiqonga lokukhula, kodwa i-fracture iyaqhubeka iphakamisa kwi-shaft yethoba (kude ne-joint).
Olu luhlobo oluqhelekileyo lokuveliswa kwetafile lokukhula kwaye lusetyenziswa kubantwana abadala. Ngokuphindaphindiweyo udidi lwe-2 ukukhula kwetafile kufuneka lubekwe phantsi kwe-anesthesia , kodwa ukuphulukiswa ngokuqhelekileyo ukukhawuleza kunye neengxaki aziqhelekanga.
Uhlobo lwe-3 loKhula iFracture
Uhlobo lwe-3 lweqhekeza luqala kwakhona ngeplani yokukhula kodwa lujika kwaye luphume ekupheleni kwethambo, kunye nokudibene kunye.
Ezi nzakala zingabandakanyeka ngenxa yokuba i-cartilage edibeneyo iphazamiseka yintsimbi. Ukumiswa okufanelekileyo kubalulekile emva kokuphazamiseka kwendawo yokukhula kwethala loku-3. Ezi nzakala zihlala zichaphazela abantwana abadala.
Uhlobo lwe-4 lwe-Growth Plate
Uhlobo lwe-4 lokuvelisa i-plate spracture luqala ngaphaya kwiplani yokukhula, uwele umnqweno wokukhula, uphume nge-cartilage ehlangeneyo. Ezi nzakala zinokuchaphazela i- cartilage kunye kunye nokuchaphazela ukukhula okuqhelekileyo. Ukuma ngokufanelekileyo kukwabaluleka kunye nohlobo lwe-4 lokuveliswa kweethala, kunye nokuhlinzwa kunokufuneka ukuba ubambe amaqhekeza amathambo kwindawo efanelekileyo.
Uhlobo lwesi-5 loKhula kweZityalo
Ukulimala kwethala le-5 ukukhutshwa kweplate kwenzeka kunye neplani yokukhula. Uhlobo lwe-5 lokuvelisa i-plate spracture luthwala ngokubhekiselele kwi-prognosis njengoko ukulungiswa kwethambo kunye nobude kunokuchaphazeleka. Ezi ntlobo zentsimbi zingalimaza ngokusisigxina iplani yokukhula, efuna ukuba unyango olulandelayo lubuyisele ukulungiswa kwesilungu.
Unyango lweSalter-Harris Fractures
Ukunyangwa kwamaqhekeza okukhula okuxhomekeke kwiimeko ezininzi kuquka uhlobo lokulimala, ubunzima bokulimala kunye nobudala bomntwana. Ukuphulwa kwamathambo amaninzi kuphathwa kakuhle kunye, kodwa zonke zidinga ukunakekelwa kwezonyango kunye nenkathalo yokulandelelana ukuqinisekisa ukunyanga okwaneleyo kunye nokuphilisa.
Imithombo:
I-American Academy ye-Orthopedic Surgeons "I-Plate Plate Fractures Meyi 2009.