Ukuqhekeka kwebhokisi kwiphuko kwelinye lamathambo esandleni, oko kukuthi yesine okanye yesihlanu i-metacarpal. La mathambo agijimela e-pinky kunye necala lomnwe wesandla sakho ukusuka kwisikrini sakho ukuya kwisiseko seminwe yakho. Ngamanye amaxesha, ikhefu kwi-metacarpal yokuqala okanye yesibini iya kubalwa njengenqabana yebhokisi. Abanye abantu babhekisela ekuqhekekeni kwesibhokisi njengendlela yokuqhaqhazela.
Iingxaki zeBhokerer's Fracture
Isizathu esibalulekileyo sokuqhaqha kwesibhokisi sinokubethelwa ngamandla kwisandla esivame ukuqhutyelwa xa uphonsa into ethile ngefestile evaliweyo-ke ngoko i-boxer name break. Ukuphulwa kwebhokisi yomnxeba kunokwenzeka kwakhona emva kokulimala kwe-FOOSH , eyona ntlungu engenzeka ngokuwa kwesandla eseluliweyo.
Iimpawu zoKhuphuka kweBhokisi
Iimpawu eziphambili zokuphuka kwebhokisi zibandakanya:
- Ubuhlungu esandleni sakho kufuphi ne-pinky okanye umlenze womnwe
- Ukuvulela kwingxenyana yesandla sakho
- Ukunyuka kokunciphisa kwi-pinky, umlenze womnwe okanye isandla
- Ukungcoliswa okanye ukutyumla esandleni sakho
- Ukufuduswa kwesinye seenkike zakho esandleni
Ngokuqhelekileyo ezi zibonakaliso zivela emva koxinzelelo kwisandla. Ukuba unentlungu esandleni kwaye usukrokrekile ukuba uchithekile, kufuneka ufune unyango ngokukhawuleza. Ugqirha wakho okanye isebe elingxamisekileyo lesebe lingakunciphisa kakuhle ukuphulwa kwakho. Ukungaphumeleli ukufumana unyango kunokukhokelela ekulahlekelweni ngokusisigxina komsebenzi esandleni okanye iminwe.
Ulwaphulo lokuQala lweSahluko seBhokisi
Ukuxilongwa komfaki webhokisi kwenziwe nge x-ray. Amathambo enu angabonakaliswa, kwaye ikhefu kwi-metacarpal yakho ibonakala. Ukuba kukho ukwahlukana kwethambo elisondele kweso sakhiwo sokuqhaqha, isetyenziselwa ukusetha kwakhona kwakhona kufuneka senzeke. Kwiimeko ezinqabileyo kodwa ezinzima, inkqubo yokuhlinzwa ingabakhokelela ekuncedeni ukuzinza.
Uphando lubandakanya ukusetyenziswa kwezikhonkwane ezidlulayo kwesikhumba nasemathanjeni ukuba zibambe amathambo xa zikhona.
Emva kokuba i-fracture iphinda isetyenziswe, unokwenziwa okanye uphazamisekile ngokukhawuleza ukuqinisekisa ukunyanga okufanelekileyo. Uphando olutsha olupapashwe ngo-2016 lufumene ukuba iziphumo zafana kunye xa ukuphulwa kwebhokisi kwiphathwe nge-sprinting ngokukhatyathwa ngokuthe tye kwesikhonkwane nesandla. Ababhali baphetha ngokuthi ukukhangela kunye nokuqhawulwa kungabikho mfuneko yokuphatha i-boxer's break.
Qinisekisa ukuba ulandele izikhokelo wakho ugqirha ekubonelela ngazo ngokukhawulelana nokuphonsa.
Ulwaphulo lweMpilo emva kweNqabana yeBhokisi
Emva kweeveki ezine ukuya ezintandathu kwi-cast or splint, ukuphulukiswa okwaneleyo kwakufanele kwenzeke ukuze uqale unyango lomzimba ukulungisa kwakhona ukulimala kwakho.
Ingqwalaselo yokuqala yonyango lonyango kukulwa nemiphumo yokungafihli impazamo ngelixa iphuka liphiliswe. Ezinye iziphazamiso onokuzifumana ziquka:
- Ukulahlekelwa kwintlobo yesindululo
- Ukulahlekelwa ngamandla
- Ukuvuvukala
- Ubuhlungu
Zonke ezi ngxaki zingakhokelela ekulahlekelweni komsebenzi oqhelekileyo esandleni sakho nasesandleni. Unokuba nobunzima bokuthabatha izinto okanye ukulawula imisebenzi emihle yemoto njengobhala.
Iipilisi zonyango lwe-PT yeFracer's Fracture
Inkqubo yakho yokwelapha yomzimba emva kokuphuka kwebhokisi kungabandakanya unyango oluninzi kunye neendlela .
Ukuvuselelwa kombane kunokusetyenziswa ukuphatha intlungu nokuvuvukala. Izisityambo kunye neendlela eziphathekayo zincinci zinganceda ukuphucula ukuhamba kwesikhumba, izihlunu kunye neetoni ezijikelezayo nesandla kunye nesandla.
Ukuzivocavoca kufuneka kube yinkalo ephambili kwiprogram yakho yokwelapha elandela ukuphulwa kwebhokisi. Ukuzivocavoca ukuphucula amandla okubamba kunye namandla eminwe kubalulekile ukukunceda ukuphucula umsebenzi wesandla. Ukusetyenziswa kweendlela zokunyuka kwesikrini kunye neminwe kufuneka ifakwe. Ukuqinisa umzimba kufuneka kugxininise kwimisipha ye-forearm, ingalo kunye nesandla. Umthetho kaWolff uthi amathambo akhula kwaye ahlaziywa ngokuphendula uxinzelelo olubekwa kuso.
Ukuxinwa koxinzelelo kubalulekile ukuqinisekisa ukuba amathambo aphulukise ngokupheleleyo kwaye abuyele ngokutsha emva kokuphuka kwebhokisi.
Ukuphuka kwakho kufuneka kuphulukiswe kwaye umsebenzi oqhelekileyo kufuneka ubuyiselwe malunga neiveki ezi-10 ukuya kwezi-12 emva kokulimala kokuqala. Isilinganiselo sakho sokuphilisa sinokuhluka ngokuxhomekeka kobunzima bokulimala kunye nesimo sakho sezempilo samanje. Qiniseka ukuba uthetha kunye nomgulana wakho wezonyango kunye nodokotela ukuze uqonde ukuba imeko yakho ethile ilindeleke ukuba iqhube phambili.
ILizwi
Ukuqhekeka kwebhokisi kwisesandla kungabangela amava obuhlungu. Xa ukuphulwa kwendlela isetyenziswe kakuhle kwaye ukuphilisa kuye kwenzeke, inkqubo yonyango yonyango ingakunceda unciphise intlungu kwaye uphucule umsebenzi kwisandla nangesandla.
Imithombo:
> Dunn, JC, etal. Ukuqhekeka kwebhokisi: ukuchithwa kwezinto ezingabalulekanga akudingekile. Oo-Orthopedics: 2106. 39 (3): 188-192.
I-Wheeless 'Incwadi Yobungqina Bama-Orthopedics
I-Safran, M., Stone, D., & Zachazewski, J. (2003). Imiyalelo yezigulane zamachiza ezemidlalo. Philadelphia: Saunders.