Ukuphuka kwesandla - ukunakekelwa ngemuva

Amathambo ama-5 asesandleni sakho axhuma isihlakala sakho kusithupha neminwe abizwa ngamathambo e-metacarpal.

Unephuka (ikhefu) kwelinye noma amaningi ala mathambo. Lokhu kubizwa ngokuthi yi-hand (noma i-metacarpal) fracture. Ezinye izingalo zesandla zidinga ukugqoka imbenge noma ukhonkolo. Ezinye zidinga ukulungiswa ngokuhlinzwa.

Ukwephuka kwakho kungaba kwenye yalezi zindawo ezilandelayo esandleni sakho:

• Equnjeni lakho
• Ngaphansi nje kwequpha lakho (kwesinye isikhathi elibizwa ngokuthi ukwaphuka komshayi sibhakela)
• Engxenyeni yethambo noma emaphakathi
• Ngaphansi kwethambo, eduze kwesihlakala sakho
• Ukuphuka okwenziwe indawo yokuhlala (lokhu kusho ukuthi ingxenye yethambo ayikho esimweni sayo esijwayelekile)

Uma unekhefu elibi, ungathunyelwa kudokotela wamathambo (udokotela wamathambo). Ungadinga ukuhlinzwa ukuze ufake izikhonkwane namacwecwe ukulungisa ukuphuka.

Kuzodingeka ukuthi ugqoke i-splint. I-splint izomboza ingxenye yeminwe yakho nezinhlangothi zombili zesandla sakho nesihlakala. Umhlinzeki wakho wokunakekelwa kwezempilo uzokutshela ukuthi udinga ukugqoka isikhathi esingakanani. Imvamisa, kungamasonto amathathu.

Ukwephuka okuningi kuphulukisa kahle. Ngemuva kokuphulukiswa, iqupha lakho lingabonakala lihlukile noma umunwe wakho ungahamba ngenye indlela uma uvala isandla sakho.

Okunye ukuphuka kudinga ukuhlinzwa. Kungenzeka udluliselwe kudokotela ohlinzayo wamathambo uma:

• Amathambo akho e-metacarpal aphukile futhi asuswa endaweni
• Iminwe yakho ayihambisani kahle
• Ukuphuka kwakho kucishe kwahamba ngesikhumba
• Ukuphuka kwakho kudlule esikhunjeni
• Ubuhlungu bakho bukhulu noma buba bukhulu kakhulu

Ungaba nobuhlungu nokuvuvukala isonto elilodwa noma amabili. Ukwehlisa lokhu:

• Faka i-ice pack endaweni elimele yesandla sakho. Ukuvikela ukulimala kwesikhumba ekubandeni kweqhwa, bopha iphakethe leqhwa ngendwangu ehlanzekile ngaphambi kokufaka isicelo.
• Gcina isandla sakho siphakanyiswe ngaphezu kwenhliziyo yakho.

Ngobuhlungu, ungathatha ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), aspirin, noma i-acetaminophen (iTylenol). Ungathenga le mithi yezinhlungu ngaphandle kwemithi kadokotela.

• Khuluma nomhlinzeki wakho ngaphambi kokusebenzisa le mithi uma unesifo senhliziyo, umfutho wegazi ophakeme, isifo sezinso, noma uke waba nezilonda esiswini noma ukopha ngaphakathi esikhathini esedlule.
• Ungathathi ngaphezu kwenani elinconywe ebhodleleni noma ngumhlinzeki wakho.
• Ungaziniki izingane i-aspirin.

Landela imiyalo yomhlinzeki wakho mayelana nokugqoka i-splint yakho. Umhlinzeki wakho uzokutshela uma ungakwazi:

• Qala ukuhambisa iminwe yakho ngaphezulu ngenkathi ugqoke i-splint yakho
• Susa isihlukanisi sakho ukugeza noma ukugeza
• Susa i-splint yakho bese usebenzisa isandla sakho

Gcina i-splint yakho noma i-cast eyomile. Isibonelo, lapho ugeza, bopha i-splint noma uphonsa esikhwameni sepulasitiki.

Kungenzeka ube nokuhlolwa kokulandelela amasonto ayi-1 kuya kwayi-3 ngemuva kokulimala kwakho. Ukwephuka okunzima, ungadinga ukwelashwa ngokomzimba ngemuva kokukhishwa kwe-splint noma i-cast yakho.

Imvamisa ungabuyela emsebenzini noma emisebenzini yezemidlalo cishe amasonto ayi-8 kuye kwayi-12 ngemuva kokuphuka. Umhlinzeki wakho noma umelaphi uzokutshela ukuthi nini.

Shayela umhlinzeki wakho uma isandla sakho:

• Iqinile futhi ibuhlungu
• Ngokunethezeka noma ngendikindiki
• Ubomvu, uvuvukile, noma unesilonda esivulekile
• Kunzima ukuvula nokuvala ngemuva kokuthi i-splint noma i-cast yakho isusiwe

Fonela nomhlinzeki wakho uma ngabe umlingisi wakho ewa noma efaka ingcindezi esikhunjeni sakho.

Ukwephuka kukaBoxer - ukunakekelwa ngemuva; Ukwephuka kweMetacarpal - ukunakekelwa ngemuva

Usuku CS. Ukuqhekeka kwama-metacarpals nama-phalanges. Ku: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Ukuhlinzwa Kwesandla SikaGreen. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 7.

URuchelsman DE, uBindra RR. Ukuqhekeka nokuhlukaniswa kwesandla. Ku: Browner BD, Jupiter JB, Krettek C, Anderson PA, ama-eds. I-Skeletal Trauma: Isayensi Eyisisekelo, Ukuphathwa, kanye nokwakhiwa kabusha. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2020: isahluko 40.

• Ukulimala Kwezandla Nokukhubazeka