Yintoni i-Supracondylar Fracture?

Umxholo

• Ushwankathelo
• Iimpawu zokuqhekeka kwesupracondylar
• Imiba yomngcipheko kolu hlobo lokophuka
• Ukuchonga ukwaphuka kwesupracondylar
• Ukunyanga oku kwaphuka
• Ukuqhekeka kancinci
• Ukuqhekeka okunzima ngakumbi
• Yintoni onokuyilindela ngexesha lokuchacha
• Yintoni omele uyenze emva kotyando
• Imbonakalo yokuqhekeka kwesupracondylar

Ushwankathelo

Ukuqhekeka kwe-supracondylar kukonzakala kwi-humerus, okanye ithambo lengalo ephezulu, kwindawo yalo emxinwa, ngaphezulu kwengqiniba.

Ukuqhekeka kweSupracondylar lolona hlobo luqhelekileyo lokulimala kwengalo ephezulu ebantwaneni. Zihlala zibangelwa kukuwa kwengqiniba eyoluliweyo okanye ukubetha ngqo engqinibeni. Ezi ziqhekeza zinqabile kubantu abadala.

Ukuhlinzwa akusoloko kufunwa. Ngamanye amaxesha i-hard cast inokwanela ukukhuthaza ukuphilisa.

Iingxaki zokuqhekeka kwe-supracondylar kunokubandakanya ukwenzakala kwimithambo-luvo kunye nemithambo yegazi, okanye ukuphilisa okungalunganga (malunion).

Iimpawu zokuqhekeka kwesupracondylar

Iimpawu zokuphuka kwesupracondylar zibandakanya:

• iintlungu eziqubulisayo kwingqiniba nengalo
• i-snap okanye i-pop ngexesha lokwenzakala
• ukudumba ujikeleze ingqiniba
• Ukuba ndindisholo esandleni
• ukungakwazi ukuhamba okanye ukolula ingalo

Imiba yomngcipheko kolu hlobo lokophuka

Ukuqhekeka kweSupracondylar kuxhaphake kakhulu kubantwana abangaphantsi kweminyaka esixhenxe, kodwa banokuchaphazela nabantwana abadala. Ikwaluluhlobo lokophuka olufuna utyando ebantwaneni.

I-Supracondylar fractures bekucingelwa ukuba ixhaphake kakhulu kubafana. Kodwa bonisa ukuba amantombazana asenokwenzeka ukuba amakhwenkwe anolu hlobo lokophuka.

Ukulimala kunokwenzeka ukuba kwenzeke kwiinyanga zasehlotyeni.

Ukuchonga ukwaphuka kwesupracondylar

Ukuba uvavanyo lomzimba lubonisa ukuba kunokwenzeka ukwaphuka, ugqirha uya kusebenzisa i-X-reyi ukumisela apho kwenzeke khona ikhefu, kunye nokwahlula ukwaphuka kwesupracondylar kwezinye iintlobo zengozi.

Ukuba ugqirha uchonga ukwaphuka, baya kukwahlula ngohlobo besebenzisa inkqubo yeGartland. Inkqubo yeGartland yaphuhliswa nguGqirha J.J. IGartland ngo-1959.

Ukuba wena okanye umntwana wakho unokwaphuka okwandisiweyo, oko kuthetha ukuba i-humerus iye yatyhalelwa umva ukusuka kwindibaniselwano yengqiniba. Ezi zenza malunga neepesenti ezingama-95 zokuqhekeka kwesupracondylar ebantwaneni.

Ukuba wena okanye umntwana wakho ufunyenwe unokwenzakala kwebala, oko kuthetha ukuba ukwenzakala kubangelwe kukujikeleza kwengqiniba. Olu hlobo lokulimala aluqhelekanga.

Ukolulwa kwamaqhekeza kukwahlulwa-hlulwa zibe ziindidi ezintathu eziphambili kuxhomekeke ekubeni lingakanani ithambo lengalo ephezulu (ihumerus) eye yafuduswa:

• uhlobo 1: i-humerus ayifudukanga
• uhlobo 2: i-humerus iphakathi ngokuphakathi
• uhlobo 3: I-humerus yafuduswa ngokuqatha

Kubantwana abancinci kakhulu, amathambo awanakuba nzima ngokwaneleyo ukubonisa kakuhle iX-reyi. Ugqirha wakho unokucela i-X-ray yengalo engonzakalanga ukwenza uthelekiso.

Ugqirha uya kukhangela:

• ukuthamba kujikeleze ingqiniba
• ukugruzuka okanye ukudumba
• umda wokuhamba
• ukubakho kokonakala kwimithambo-luvo kunye nemithambo yegazi
• Ukuthintelwa kokuhamba kwegazi kuboniswe ngotshintsho kumbala wesandla
• amathuba okophuka okungaphezulu kwesinye ajikeleze ingqiniba
• ukwenzakala emathanjeni engalo esezantsi

Ukunyanga oku kwaphuka

Ukuba ukrokrela ukuba wena okanye umntwana wakho une-supracondylar okanye olunye uhlobo lokwaphuka, jonga ugqirha wakho okanye uye kwigumbi likaxakeka ngokukhawuleza.

Ukuqhekeka kancinci

Uqhaqho aludingeki ukuba ukuba ukwaphuka luhlobo 1 okanye uhlobo olubi 2, kwaye ukuba akukho ngxaki.

I-cast okanye i-splint ingasetyenziselwa ukukhubaza ukudibanisa kunye nokuvumela inkqubo yokuphilisa kwendalo ukuba iqale. Ngamanye amaxesha ukusasazeka kusetyenziswa kuqala ukuvumela ukudumba ukuba kwehle, kulandele ukuphoswa okupheleleyo.

Kunganyanzeleka ukuba ugqirha abeke amathambo endaweni yakhe ngaphambi kokufaka isicwili okanye isamente. Ukuba kunjalo, baya kukunika okanye umntwana wakho uhlobo oluthile lokuthomalalisa okanye ukubulala iintlungu. Le nkqubo yokungenzi ngoncedo ibizwa ngokuba kukunciphisa okuvaliweyo.

Ukuqhekeka okunzima ngakumbi

Ukulimala kakhulu kunokufuna utyando. Ezi ndidi zimbini zotyando zezi:

• Ukuncitshiswa okuvaliweyo ngokucinezelwa ngasese. Kunye nokuseta kwakhona kwamathambo njengoko kuchaziwe apha ngasentla, ugqirha wakho uya kufaka izikhonkwane ngesikhumba ukuze uphinde ubuye kumalungu atyumkileyo ethambo. Isaliti sisetyenzisiwe kwiveki yokuqala emva koko satshintshwa saphoswa. Olu luhlobo lotyando.
• Ukuncitshiswa okuvulekileyo ngokulungiswa kwangaphakathi. Ukuba ukufuduka kunokuba nzima okanye kukho umonakalo kwimithambo okanye kwimithambo yegazi, kuya kufuneka kwenziwe utyando oluvulekileyo.

Ukuncitshiswa okuvulekileyo kuyafuneka kuphela ngamanye amaxesha. Nokuba uhlobo olubi kakhulu ukonzakala okungama-3 kunokuhlala kunyangwa ngokuncitshiswa okuvaliweyo kunye nokuphina okujikelezayo.

Yintoni onokuyilindela ngexesha lokuchacha

Wena okanye umntwana wakho kuya kufuneka ukuba ninxibe isamente okanye ukubetheka iiveki ezintathu ukuya kwezintandathu, nokuba ziphathwe ngotyando okanye ngokulula.

Kwiintsuku zokuqala ezimbalwa, kuyanceda ukuphakamisa ingqiniba eyonzakeleyo. Hlala ecaleni kwetafile, ubeke umqamelo phezu kwetafile, kwaye ubeke ingalo phezu komqamelo. Oku akufuneki kungonwabi, kwaye kunokunceda ukukhawulezisa ukubuyisa ngokukhuthaza ukujikeleza kwegazi kwindawo eyenzakeleyo.

Kungonwaba ngakumbi ukunxiba ihempe engafanelekanga kwaye uyeke umkhono kwicala lokulingisa lixhomeke simahla. Ngenye indlela, sika umkhono kwiihempe ezindala ongacwangcisanga ukuzisebenzisa kwakhona, okanye uthenge iihempe ezingabizi kakhulu onokuzitshintsha. Oko kunokunceda ukufaka isamente okanye ukubetha.

Ukutyelela rhoqo kugqirha wakho kuyafuneka ukuqinisekisa ukuba ithambo elonakeleyo liphinda libuyele ngokufanelekileyo.

Ugqirha wakho unokucebisa ngemithambo ejolise kuyo ukuphucula uluhlu lwengqiniba yokuhamba njengoko ukuphilisa kuyaqhubeka. Unyango olusesikweni lomzimba luyimfuneko ngamanye amaxesha.

Yintoni omele uyenze emva kotyando

Ezinye iintlungu zinokwenzeka emva kokuba izikhonkwane kunye nokuphoswa kusendaweni. Ugqirha wakho unokucebisa ukuba kuphele iintlungu, njenge-aspirin, ibuprofen (Advil, Motrin), okanye i-acetaminophen (iTylenol).

Yinto eqhelekileyo ukuba umkhuhlane okumgangatho ophantsi ukhule ngaphakathi kweeyure zokuqala ezingama-48 emva kotyando. Biza ugqirha wakho ukuba ubushushu bakho okanye bomntwana wakho bungaphezulu kwe-101 ° F (38.3 ° C) okanye buhlala ngaphezulu kweentsuku ezintathu.

Ukuba umntwana wakho wenzakele, banokubuyela esikolweni kwiintsuku ezintathu ukuya kwezine emva kotyando, kodwa kufuneka bayiphephe imisebenzi yezemidlalo kunye neendawo zokudlala ubuncinci iiveki ezintandathu.

Ukuba kusetyenziswe izikhonkwane, ezi zihlala zisuswa kwiofisi kagqirha kwiiveki ezintathu ukuya kwezine emva kotyando. Amaxesha amaninzi akukho mfuneko yeanesthesia kule nkqubo, nangona kunokubakho ukungonwabi. Ngamanye amaxesha abantwana bayichaza ngokuba "iyaziva ihlekisa," okanye "iyaziva ingaqhelekanga."

Ixesha elipheleleyo lokufumana kwakhona kulwaphulo luya kwahluka. Ukuba izikhonkwane bezisetyenzisiwe, kuluhlu lwengqiniba yesindululo sinokuphinda sifumaneke kwiiveki ezintandathu emva kotyando. Oku kwanda emva kweeveki ezingama-26, nasemva konyaka.

Eyona ngxaki ixhaphakileyo kukusilela kwethambo ukuphinda ujoyine ngokufanelekileyo. Oku kwaziwa ngokuba yimalunion. Oku kunokwenzeka kwiipesenti ezingama-50 zabantwana abaye baphathwa ngonyango. Ukuba ukungalungelelani kuyaboniswa kwangethuba kwinkqubo yokubuyisela kwimeko yesiqhelo, ungenelelo ngoncedo olukhawulezileyo lunokufuneka ukuze kuqinisekiswe ukuba ingalo iya kuphola ngokuthe tye.

Imbonakalo yokuqhekeka kwesupracondylar

Ukophuka kwesupracondylar kwehumerus yinto eqhelekileyo yokwenzakala ebuntwaneni engqinibeni. Ukuba uphathwe ngokukhawuleza, nokuba kungashukunyiswa isamente okanye ngoqhaqho, amathemba okuchacha ngokupheleleyo ahle kakhulu.