Uhlobo oluqhelekileyo lweNqabileyo ngaphambi kobudala 75
Xa kuziwa kwiintambo zentambo, umdlalo wokudlala awukho mgangatho phakathi kwesini. Kubasetyhini, inani leentambo zentambo landa ngokunyuka komzimba kunye neengqimba emva kweminyaka yobudala engama-65, eninzi inxulumene nokulahlekelwa ngokukhawuleza kwethambo kwiminyaka elandelayo emva kokuyeka umva. Ekubeni amadoda aphelelwa yindoda yokupheliswa komzimba, iziganeko zesikhumba esiqhekekileyo emadodeni zihlala zihlala zihleli.
Isikristhi senziwe ngamathambo amabini kwingalo engezantsi, i-radius, kunye ne-ulna, kunye namathambo amancinane wesandla. Uninzi lweentambo zentambo zivela ngaphandle kwinyanga zasebusika xa iqhwa neqhwa zihamba ngokukhohlisa, kwaye ukuwa kuqhelekile. Ngokuqhelekileyo, umntu udlulisela ingalo ukuze aphule ukuwa. Isandla kunye ne-forearm sithatha sonke isisindo kwaye sinyanzela ukuwa, kunye nesinye samathambo esiko.
Amaqhekeza amaFracture
Amaqhekeza amaqhekeza ayenzeka xa i-radius iphula ngaphakathi kweyintshi enye okanye iisentimitha ezimbini (i-radial distal). Amaqhekeza amaqhekeza (egama lugqirha ugqirha owalichaza okokuqala) lwenzeka rhoqo kwiinkwenkwezi ze-postmenopausal. Ubungozi bokuqhekeka kwama-Colle kubonakala kuhambelana nokuxinwa kwethambo kwirejista ye-distal.
Ukuxilongwa kweSandla seNkcazo
Emva kokuwa, unokuphazamiseka kwaye utyumle. Ngamanye amaxesha, i-fracture ingahlawuliswa njengento engalunganga (ukulimala kwiigaments). Ubuhlungu, ukunyanzeliswa okuncinciweyo, kunye nobuthathaka obunobunzima kwisandla esichaphazelekayo.
Ingalo yakho mhlawumbi ichithekile kunokuba ifakwe:
- intlungu eqhubekayo
- ukuvuvukala kufuphi nesandla
- utshintsho lwenkohlakalo
- bhinqa
Ngokuqhelekileyo, i-x-ray inokuqinisekisa ukuxilongwa. Emva kokuba i-fracture ifunyenwe, unyango olufanelekileyo luqala.
Ukuqhekeka kwesandla kunokuba ngumqondiso weengxaki ezinjenge:
- bunzima beethambo
- ibhalansi embi
- imbono / iingxaki zengxoxo
Unyango lweeFractures zesiXhosa
Injongo ephambili yonyango ukubuyisela ukunyakaza okuqhelekileyo kwisandla esithintekileyo nesandla. Kuyo yonke inkqubo yokuphulukisa, kuya kuba nemisebenzi ekufuneka uyenze ukugcina intshukumo kunye nokuguquguquka, kwaye ufumane amandla kwakhona.
Unyango olufanelekileyo luxhomekeke kwindawo kunye nobuqili be-fracture.
- Ukuphuka okulula kuthetha ukuba ithambo liphukile, kodwa iindawo eziphukileyo zihlala zivalekile ngokwaneleyo kunye kunye nokuphathwa okulula kulungelelanisa ithambo elithintekayo (eyaziwa njengokunciphisa ukuphuka).
- Ukuqhekeka kwe-Complex kuthetha ukuba iinqununu ezininzi zethambo ziphukile okanye ukuba ukubandakanya kubandakanyekile. Kule meko, i-cast cast yodwa ingasenelanga kwaye kufuneka kwenziwe utyando.
I- cast first or splint will stretch above the bow to restrict the movement of both elbow and wrist. Uya kuthi ufundiswe ukuqeqeshwa kweminwe yakho kunye negalelo kwicala elichaphazelekayo. Kubalulekile ukuba usebenze ngokuzivocavoca, nangona uhamba ngexesha. Oku kuya kunceda ukukhusela ukuqina komunwe (enye yeempembelelo ze-Colles fracture).
Ngaphezulu kweeveki zokuqala ukuya kwiiveki ezintathu, isalathisi sakho siya kuba x-rayed weekly. Ukuba amathambo aphumile kwisikhundla, kunokufuneka ukuba kusebenze ukubeka amathambo kunye nokuwafaka endaweni.
Kukho nawuphi na, i-cast or splint isswe emva kweiveki ezi-6 okanye ezi-8. Unokukunceda ukuphinda unamandla kwaye ugcine ukuhamba kunye nokuzibandakanya okusebenzayo kunye nokungenziwanga oku:
- ngesandla
- wrist
- ummango / umgca
- emagxeni
Emva kokuphosa okanye ukugqithiswa kususwe, ungase usebenzise i- support bras okanye ubuqaqawuli ngezinye iinkxaso ukuxhasa nokukhusela. Ngamanye amaxesha, isikhonkco asinakubonakala ngokufanayo njengoko senza ngaphambi kokuphuka komzimba, kodwa ngokunyango olufanelekileyo lomzimba, umsebenzi omncinci uya kulahleka.
Ekuqaleni, uya kufuna uncedo ngemisebenzi yakho yemihla ngemihla. Ukuba ikhefu lisesandleni sakho esiphezulu, unokufuna uncedo ngemisebenzi, njengokugqoka, ukulungisa nokuhlamba.
Injongo yesibini yokonyango kukubona ukuba i- osteoporosis ikhona. Ekubeni i- crystal breaks eyenzeka kwabasetyhini abaneminyaka engama-40-60 ingaba ngumphumo we-osteoporosis okanye ingaba sisalathiso sokuqala esilumkiso , ukuhlolwa koxinzelelo lwethambo kuyafaneleka. Uvavanyo lwexinzelelo lwethambo lusetyenziswa kwimilinganiselo yakho yangoku yethambo kwaye yindlela ephela yokuchaza ingozi yakho yezahlulo ezizayo.
Ukuthintela iFractures Fractures
Ukuba unayo i- osteoporosis (okanye usemngciphekweni ophezulu wokuphuhlisa) kufuneka kuthathwe amanyathelo ukuze kugcinwe ubunzima beethambo. Ukuba ubuxhakaxhaka beethambo bukwimeko eqhelekileyo, kufuneka ugxininise ekulondolozeni impilo yakho yethambo. Izifundo zibonise ukuba i- calcium eyaneleyo kunye ne-vitamin D yokuzibandakanya kunye nokunyameka kwezilingo kukugcina ubuninzi beethambo. Ukuba uvavanyo lubonisa ukuba ubunzima bakho beethambo buphantsi, i-calcium, i-vitamin D, kwaye ukusetyenziswa kwemisebenzi kunokungoneleli ukukhusela i-osteoporosis. Unokumiselwa unyango lwe-osteoporosis ukukhusela okanye ukuphucula ukulahleka kwethambo .
> Imithombo:
> Ukuhlukana kwesandla. NIH ORBD ~ NRC, 8/98.