Iimbangela, iimpawu, unyango kunye neengxaki
Ukuba " unesandla esiphukileyo ," mhlawumbi uye waqhubeka ulwaphulo lwe-metacarpal - ukulimala kwithambo kwinqanaba lesandla sakho. Unamathambo amahlanu e-metacarpal, enye yinye iminwe yakho. Amathambo e-metacarpal asekela isandla, kwaye isiphelo sesithambo se-metacarpal sakha i-knuckle ngasemva kwesandla sakho.
Amanye amathambo kuloo ndawo aquka i-phalanges (iminwe) kunye namathambo e-carpal ( isandla ).
Abanye abantu bangabhekisela ekuphukeni kwesandla njengokulimala kwelinye lamathambo, kodwa banokuthiwa ngokuba yiminwe okanye i-crystal breaks. Yingakho ugqirha wakho wamazinyo mhlawumbi ubhekisela kwenzakalo ngelizwi langempela lesithambo, njengoko oko kuya kuchaza ngokucacileyo ukulimala okwenene.
Iingxaki zeMetacarpal Fracture
Izahlulo zeMetacarpal ziyakwenzeka ngeentlobo ezininzi zokulimala, kubandakanywa:
- kuwa
- ukulimala kwezemidlalo
- ukulwa nokulwa okanye ukubetha
- izingozi zemoto
Iimpawu zeMetacarpal Fracture
Izimpawu eziqhelekileyo ze-metacarpal fracture ziquka intlungu kunye nokuvuvukala kwesandla. Nangona ukutyumla kungabonakali ngokukhawuleza, ngokuqhelekileyo ukunyunyuza okuqhubeka phakathi kweentsuku ezimbalwa zokulimala. Izigulane ziqaphela ukuqina komnwe kunye nentlungu xa uzama ukwenza iqela. Iimpawu ziza kuphucula ngokukhawuleza njengoko ukuphilisa kwenzeka. Uninzi lwama-metacarpal luphulukisa ngokupheleleyo kwiiveki ezili-10, ngoko ke kuqhelekile ukuba ube nokuqina kunye nokuvuvukala ixesha elide.
Iingcangca zeMetacarpal zichazwe ngokubanzi ngendawo yokuqhekeza. Iziqhekeza phakathi kwethambo zibizwa ngokuthi i-metacarpal shaft fractures. Iziqhekeza ngesiseko somnwe kwi-knuckle zibizwa ngokuthi i-metacarpal headaches fractures. Ekugqibeleni, i-fractures ekupheleni kwethambo lesithambo kuthiwa i-fractures yesiseko se-metacarpal.
Indawo yokuqhekeza kubaluleke kakhulu ekuqaliseni unyango olungcono lokwenzakala.
Ukwelashwa kweMetacarpal Fracture
Unyango lwe-metacarpal fracture luyakwazi ukufezwa ngokusetyenziswa kwephosa. Iphoso lidla ngokugqithiswa malunga neeveki ezi-6, lilandelwa ukunyakaza okunyanisekileyo. Ngamanye amaxesha, ukuba ubunzima buba yingxaki emva kokunyanga, unyango luza kukhuthazwa ukuba lusebenze nawe.
Kukho iimeko ezimbalwa apho ukuhlinzwa kunokucetyiswa. Ukuba kukho iziqhekeza ezininzi okanye ukuvuleka kwesandla, utyando lunokucetyiswa. Kwimeko yokutshatyalaliswa kwe-metacarpal yangasese, ugqirha uya kuhlola iimbini ezimbini ukuchonga ukuba kufuneka ukuba utyando lugqirha:
- Ubude
Ugqirha wakho uya kugqiba ukuba umnwe uncishiswe ngenxa yokuphuka. Ukuba kunjalo, ugqirha wakho unokuncoma ukuhlinzwa ukuze ubuyisele ubude bomnwe obuqhelekileyo. - Ukujikeleza
Ukuba umtshini ujikeleze, ugqirha wakho unokuncoma ukuba le meko ilungiswe. Ukujikeleza kungahlolwa ngokuwenza intonga. Ukuba iminwe iwela ngaphaya komnye, kunokwenzeka ukuba ukuguqulwa kokujikeleza.
Ukuba udinga ukuhlinzwa, ugqirha wakho unokulungisa i- bone ephukile kunye nezikhonkwane, iiplates, okanye i-screws. Uhlobo lokulungiswa luxhomekeke kwindlela ethile yokwahlukana.
Amaqhekeza aphantsi kwentloko okanye isiseko se-metacarpal sinokufuna unyango oluphandleyo xa uphathelene nomzimba wethambo lubandakanyeka kwi-fracture. Kule meko, ukunyakaza okwenzeka kwidibeneyo kungaguquleka, kwaye oku kungakhokelela ekufuneni unyango.
Iingxaki Zonyango
Abantu abangenawo unyango ongaphikanga ngophawu lwe-metacarpal bangaqaphela i-bump ngasemva kwesandla sabo, nokuba ngaba i-fracture ihlanganiswe ngokugqibeleleyo. Njengoko ithambo liphilisa, ithambo elithe gqolo lihlala lihlala kwindawo yokuphuka, ngaloo ndlela ivakalelwa kukuba ithambo elongezelelweyo liqhelekile.
Iingxaki zokuhlinzwa zingabandakanya ukusuleleka, ukulimala kwentsholongwane, kunye nesimo esinokwenzeka sokususa izixhobo zetsimbi kwinqanaba elithile.
Umthombo
UHenry MH "Iziqhekeza zePhalanx eziPhambili kunye neMetacarpals esandleni: Izindlela ezikhethiweyo zokuzinzisa" J. Am. Acad. IOrn. Ugqirha, Oktobha 2008; 16: 586 - 595.