Uqhekeko lukaSmith

Umxholo

• Ziintoni iimpawu zokuqhekeka kwentsimbi?
• Yintoni eqhelekileyo ebangela ukuphuka kwentsimbi?
• Ufunyanwa njani umsipha wentsimbi?
• Ngaba ezinye iimeko zinokuphuhliswa xa ukwaphuka kwentsimbi kunganyangwa?
• Uphathwa njani umsipha wentsimbi?
• Iyintoni imbonakalo yokwahlukana kwentsimbi?

Yintoni i-smith fracture?

Ukuqhekeka kwe-smith kukwaphuka kwerediyo esekude. Irediyo yeyona inkulu kula mathambo mabini engalweni. Ukuphela kwethambo lerediyasi kwicala elibizwa ngokuba kukuphela kwendlela. Ukuqhekeka kwe-smith kukwadityaniswa nento ebizwa ngokuba yi-palmar angulation yesiqhekeza se-distal. Oku kuthetha ukuba iqhekeza lethambo eliqhekekileyo lifuduselwe kwicala lesundu.

Ngokuqhelekileyo, i-smith fractures i-articular eyongezelelweyo. Oku kuthetha ukuba ukwaphuka akwandisi kumdibaniso wesihlahla. Ziye zihlala ziqhekeza, oko kuthetha ukuba ukwaphuka kwenzeka ngecala elifanelekileyo ukuya kwithambo. Ukuqhekeka kwe-smith kuyaziwa ngamanye amagama ambalwa, njengokuqhekeka kweGoyrand, kunye nokwahlukana kweColles.

Irediyasi lelona thambo lophuke kakhulu engalweni. Kodwa ukuqhekeka kwe-smith kunqabile kunqabile. Banika ingxelo engaphantsi kweepesenti ezintathu zazo zonke izinto ezaphukileyo zeradiyo. Zihlala zibonwa kubafana abancinci okanye kwabasetyhini abadala.

Ziintoni iimpawu zokuqhekeka kwentsimbi?

Iimpawu zokuqhekeka kwentsimbi ziyafana nezinye iintlobo zokuqhekeka. Kukho iintlungu ezikhawulezileyo, ukuthamba, ukutyumka, kunye nokudumba. Kuxhomekeka kubukrakra bokwaphuka, isihlahla sinokuxhoma ngendlela engaqhelekanga okanye egobileyo.

Yintoni eqhelekileyo ebangela ukuphuka kwentsimbi?

Ngokuqhelekileyo, kukho iindlela ezimbini onokuhlakulela ukuphuka kwentsimbi. Indlela yokuqala kukuwela esihlahleni sakho ngelixa liguquguqukayo. Indlela yesibini kukuqhushumba ngqo ngasemva kwesihlahla.

I-Osteoporosis, ukuphazamiseka apho amathambo esiba sengozini yokwaphuka, kunokunyusa ukubakho kokuwa okuncinci kuguquke kuqhekeko. Nangona kunjalo, ukuqhekeka kwe-smith kusenzeka kumathambo asempilweni, ngakumbi kwimeko yamandla aphezulu njengokuphahlazeka kwemoto okanye ukuwa kwebhayisekile.

Ufunyanwa njani umsipha wentsimbi?

Ukuba uwele esihlahleni sakho, kodwa iintlungu azikho qatha kwaye nesihlahla sakho siyasebenza, kunokwenzeka ukuba ulinde usuku ngaphambi kokuba ubone ugqirha. Ungasebenzisa unyango lwasekhaya, olunjengeqhekeza kunye nomkhenkce, ukunyanga iintlungu de ubone ugqirha.

Nangona kunjalo, ukuba ufumana naluphi na ubundindisholo, iminwe yakho ipinki, okanye isihlahla sakho sigobile kwikona engeyiyo, kuyakufuneka uye kwigumbi likaxakeka.

Ugqirha wakho unokuyalela uthotho lwee-X-ray. Ezi X-reyi ziya kwazisa ugqirha wakho ukuba ithambo laphukile kwaye ukuba iqhekeza lethambo lifudukile. IiX-reyi ziya kunceda ugqirha wakho amisele olona nyango lulungileyo lokophuka kwakho.

Ngaba ezinye iimeko zinokuphuhliswa xa ukwaphuka kwentsimbi kunganyangwa?

Unyango olufanelekileyo lokuphuka kwentsimbi kubalulekile ukuqinisekisa ukuba amathambo akho ayaphola ngokufanelekileyo kwaye ugcina ukusebenza ngokupheleleyo kwesandla sakho kunye nesandla sakho. Ukuba ulinda ixesha elide ukubona ugqirha, amathambo anokungapholi kunye ngokuchanekileyo.

Ingxaki enokwenzeka yokuqhekeka kwe-smith (okanye nakuphi na ukwenzakala okunzima kwilungu lomzimba) yinto ebizwa ngokuba sisifo sentlungu yommandla. Le yimeko yentlungu engapheliyo echaphazela ilungu emva konzakala. Kucingelwa ukuba kubangelwe ngumonakalo kwinkqubo yemithambo-luvo.

Kubalulekile ukuba uthethe nogqirha wakho ukuba uva iintlungu ezingapheliyo kunye nokuba ndindisholo emva kokonzakala.

Uphathwa njani umsipha wentsimbi?

Unyango lokophuka kwentsimbi lubandakanya ukubeka amathambo aphukileyo emva kunye ngokuchanekileyo, kwaye uqiniseke ukuba bahlala bahlala endaweni de baphile ngokupheleleyo. Unyango lunokwahluka ngokuxhomekeke kubudala bakho, umgangatho wekhefu, kunye nenqanaba lomsebenzi wakho.

Kukho zombini iindlela zonyango kunye nezonyango. Ngokwesiqhelo, ugqirha wakho uza kuncomela unyango olungatyandi ukuba kunokwenzeka. Inkqubo yokuhambisa amathambo aphukileyo abuyele endaweni ibizwa ngokuba kukunciphisa. Xa oku kwenziwa ngaphandle kotyando, kubizwa ngokuba kukunciphisa okuvaliweyo.

Emva kokuncitshiswa okuvaliweyo, ugqirha wakho uya kuthi abeke isihlahla kwisiqwenga okanye ngesamente. Ngokuqhelekileyo, uya kunxiba i-splint ekuqaleni ukuvumela indawo yokudumba. Kwiveki okanye kwiintsuku ezimbalwa kamva, emva kokuba ukudumba kwehlile, ugqirha wakho uya kuthatha indawo yokuphoswa kwakho ngesamente.

Ukuba ithambo alikho endaweni apho ukunciphisa okuvaliweyo kungenakwenzeka, kuya kufuneka utyando. Kuya kwenziwa ubuchule bokulungelelanisa kakuhle amathambo. Ugqirha wakho uya kusebenzisa enye yeendlela onokukhetha kuzo ukubamba ithambo kwindawo efanelekileyo ngelixa liphilisa. Olu khetho lubandakanya isamente, izikhonkwane zentsimbi, iipleyiti kunye nezikrufu.

Iyintoni imbonakalo yokwahlukana kwentsimbi?

Ngenxa yokuba kukho uluhlu olubanzi lweentlobo ze-smith fractures, ixesha elithathayo kuyo nayiphi na ingozi yokuphilisa iya kuxhomekeka kuhlobo lokuphuka kunye nonyango. Unokufumana iintlungu kwiintsuku ezimbalwa ukuya kwiiveki ezimbalwa. Umkhenkce, ukunyuka, kunye neyeza zonyango zihlala zinceda.

Ukudityaniswa kwe-ibuprofen kunye ne-acetaminophen kunceda ukunciphisa iintlungu kunye nokudumba. Ukuba iintlungu ziba nzima kakhulu, amayeza kagqirha anokufuneka.

Ukuba ufuna i-cast, zihlala zitshintshwa njengoko ukudumba kuqhubeka ukwehla. Emva kweeveki ezintandathu, isamente yakho iya kususwa.

Phantse wonke umntu ufuna uhlobo oluthile lokuvuselelwa. Kuqhelekile ukuba nomlinganiselo othile wokuqina esihlahleni. Ungaqala unyango lomzimba kwiintsuku ezimbalwa ukuya kwiiveki ezimbalwa emva kotyando ukuphucula ezi mpawu. Kwixesha elide, ukuchacha ngokupheleleyo kuthatha malunga nonyaka. Unokulindela iintlungu kunye nokuqina, ngakumbi ngokuzilolonga ngamandla, kwiminyaka emibini emva kokwenzakala kwakho.