Iintlobo ezahlukeneyo zokuHlanywa kweeFractures kunye neNyango yokuPhatha
Ukuqhekeka kwesinye senzeke xa kukho ukuphuka komnye okanye zombini amathambo e-forearm. Amathambo amabini e-forearm yi-radius kunye ne-ulna. Zomabini amathambo zibalulekile ukunyuswa okufanelekileyo kweelbow kunye namanxeba esandla, kwaye amathambo amabini akhonza njengezona zibalulekileyo ezixhamliweyo kwiimisipha zomphezulu.
Iintlobo eziqhelekileyo zeziqhekeza zenzeka ngenxa yokuwa kwesandla, okanye ukuxhamla ngokuthe ngqo kwi-forearm (ebonakalayo kwiinguqu, ukulimala kwezemidlalo kunye neengozi zemoto).
Izibonakaliso zokuphulwa kwesiphambano zibandakanya intlungu, ukuvuvukala, kunye nokukhubazeka kwe-forearm. Ukuxilongwa kwesiphene sempembelelo singenziwa kunye nokuhlolwa okusemgangathweni kunye nezifundo ze-x-ray.
Amaqhekeza amathambo angama-forearm atholakala kwi-elbow (i- headal fractures kunye ne- olecranon fractures ) kunye nezo zenzeke ngaphantsi kwesandla ( ukuhlukana kwesandla ), ziqwalaselwa kwenye indawo. Ukuxoxwa apha yi-fracture ye-radial fractures, i-fnut shaft fractures, kunye neziqhekeza zombini zomzimba.
Radial Shaft Fractures
Ukuqhekeza okukude kwerhafini ye-radial kukulimala okungavamile. Ngokuqhelekileyo, i-fractures ye-radial shaft idibene nokulimala kwi-ulna (bonani 'zombini amathambo aphulukisayo' ngezansi) okanye ukulimala kwelinye lamalungu angaseseli (i- Galeazzi fracture ).
Xa kuqhutywe i-shaft radial fracture yangasese, ngokuqhelekileyo kufuneka ukuba unyango ngaphandle kokuba i-break is not displaced. Ukuba i-fracture ayikho kwindawo, ukujikeleza kwangaphambili kunganciphisa ngaphandle kokuba i-fracture ichithwe.
Ngenxa yalesi sizathu, ininzi ye-shaft fractures iphathwa ngokuhlinzwa ukuze ilandelele kwaye ibambe amathambo kwindawo efanelekileyo.
Ulnar Shaft Fractures
Iqhekeza elikude elibhekiselwe kwi-ulna, elidla ngokubizwa ngokuba yi-"nighttick" ephuka, idla ngokuphindaphindiweyo ngexesha lokutshintshana. Xa umntu ozikhuselayo ephakamisa i-forearm yabo kwisithuba sokukhusela, i-ulna bone ityhila kwaye ingonakaliswe ngokugqithisileyo.
Igama leqhekeza livela kubantu abazikhuselayo kwi-nighttick yama-nighttick egcina izifluko ze-ulnar.
Xa i-fracture ihambelaniswe ngokufanelekileyo, i-ulna ehlukumekileyo iqhutywe ngokuqhelekileyo ekukhutshweni kwempahla. Xa i-fracture iqhutywe kakubi, okanye isikhumba siphukile esibangela ukuphuka okuvulekileyo, unyango oluchanekileyo lunokucetyiswa.
Zombini iibhondi zengqungquthela yokuPhula
Amabini amathambo aphukayo yingozi kuba phantse ifuna ukuhlinzwa kwisigulane esipheleleyo. Ngaphandle kokuhlinzwa, i-frontarm ngokuvamile ayizinzile kwaye akukho bucala lokushiya lolu hlobo lokuphuka ngendlela efanelekileyo. Kubantwana abancinci, unyango olungapheliyo lunokuqwalaselwa, kodwa nakwiintsholongwane zentsholongwane kufuneka zenziwe.
Zombili amathambo aphefumula amaqhekeza aqhelekileyo athatyathwa ngokubeka ipenki yensimbi kunye nezikrini kwii-radius kunye namathambo e-ulna. Ngamanye amathambo kufuneka athathwe ngokukodwa, ngoko ke uya kuba neembono ezimbini kwi-forearm yakho. Abanye oogqirha baya kusebenzisa intonga ngaphakathi kwithambo ukuze bagcine isikhundla sesithambo, kodwa oku akunakwenziwa kwimihlaba apho ukuzinza ukuzinza kuyinkinga. Ngoko ke, uninzi lwamathambo aphethwe ngophuphuki aphethwe ngeplate kunye neentloko.
Iingxaki zoPhuculo lweZiphulo
Iingxaki eziqhelekileyo ezi zinto zibandakanya:
- Ukunyakaza okuncinci : Ukunyakaza okufutshane kuyinto eqhelekileyo emva kokuba unyango lwe-forearm fractures. Ukunyakaza kungagqithwa kwi-elbow kunye namanxeba esiko, kodwa ngokuqhelekileyo kuphawulwe njengemida yokujikeleza kwe-forearm (ie ukuvula imbiza okanye ukujika umnyango).
- Ukuphulwa okungekhona-Ukuphulukiswa : Amathambo omzimba angenakho ukuphulukiswa okwaneleyo okukhokelela intlungu eqhubekayo . Oku kuyinyani ngokukodwa kwintlambo ye-frontarm apho ilahle ityekile ngenxa yohlobo lokuphuka (okt uninzi lweengcezu ezincinane) okanye iziqhekeza ezivulekileyo . Ukuphindaphinda ukuhlinzwa ngenxa yokufufusa amathambo kungafuneka kulezi ziko.
- Usulelo : Usulelo luya kwenzeka emva kwenkqubo ephandwayo. Xa usuleleko lwenzeka emva kokuqhekeka kwesiphambano sophawu, isitya sensimbi kunye neentloko zingadinga ukususwa ukuze kunyanga usulelo.
- I-Hardware ye-Painful : Izifakelo zetsimbi ezisetyenziswe ngexesha lotyando zingathi zibonwe phantsi kwesikhumba, kwaye zinokuba zibuhlungu. Ukuba ngaba bangela ukungazinzi, basuswe ubuncinane ngonyaka emva kokuhlinzwa.
> Imithombo:
> I-Pace JL "I-Pediatric kunye ne-Adolescent Forearm Fractures: Iingxabano zangoku kunye neZonyango zonyango" J Am Acad Orthop Surg. 2016 Nov; 24 (11): 780-788.
> I-Schulte LM, ukutya kwe-CG, i-Neviaser RJ "Ukulawulwa kwe-diaphyseal kokubili isangqa le-forearm fractures" J Am Acad Orthop Surg. 2014 Julayi; 22 (7): 437-46.