Ukwehlukana kwamakholomu esihlakala - ukunakekelwa kwangemva kokunakekelwa

Irediyasi yinkulu yamathambo amabili phakathi kwendololwane yakho nesihlakala. Ukuqhekeka kwamaColles ikhefu endaweni engaphezulu kwesihlakala. Yabizwa ngodokotela ohlinzayo owakuchaza okokuqala. Imvamisa, ikhefu litholakala cishe ngamasentimitha (2.5 amasentimitha) ngezansi lapho ithambo lijoyina isihlakala.

Ukuphuka kwamaColles ukwaphuka okuvamile okwenzeka kaningi kwabesifazane kunabesilisa. Eqinisweni, kuyithambo elaphuka kakhulu kwabesifazane abaze bafike eminyakeni engama-75.

Ukuphuka kwesihlakala seColles kubangelwa ukulimala okunamandla esihlakaleni. Lokhu kungenzeka ngenxa ye:

• Ingozi yemoto
• Xhumana nezemidlalo
• Ukuwa ngenkathi ushibilika eqhweni, ukugibela ibhayisikili, noma omunye umsebenzi
• Ukuwa ngengalo eyeluliwe (imbangela evame kakhulu)

Ukuba ne-osteoporosis kuyingozi enkulu yokuqhekeka kwesihlakala. I-osteoporosis yenza amathambo aqhekeke, ngakho-ke adinga amandla amancane ukuze aphule. Kwesinye isikhathi isihlakala esaphukile siwuphawu lokuqala lokuncipha kwamathambo.

Ngokushesha uzothola imbobo yokugcina isihlakala sakho singanyakazi.

Uma unokwephuka okuncane futhi izingcezu zethambo zingasuki endaweni yazo, cishe uzogqoka i-splint amasonto ama-3 kuye kwayi-5. Amanye amakhefu angadinga ukuthi ugqoke isamente cishe amasonto ayisithupha kuye kwayisishiyagalombili. Ungadinga ukulingiswa kwesibili uma owokuqala ukhululeka kakhulu njengoba ukuvuvukala kwehla.

Uma ikhefu lakho linzima, ungadinga ukubona udokotela wamathambo (udokotela wamathambo). Ukwelashwa kungafaka:

• Ukwehliswa okuvaliwe, inqubo yokusetha (ukunciphisa) ithambo eliphukile ngaphandle kokuhlinzwa
• Ukuhlinzwa ukufaka izikhonkwane namapuleti ukubamba amathambo akho endaweni yawo noma ukufaka ucezu olwephukile ngengxenye yensimbi

Ukusiza ngobuhlungu nokuvuvukala:

• Phakamisa ingalo yakho noma uphakamise ngaphezu kwenhliziyo yakho. Lokhu kungasiza ukunciphisa ukuvuvukala nobuhlungu.
• Faka i-ice pack endaweni elimele.
• Sebenzisa iqhwa imizuzu eyi-15 kuye kwengama-20 njalo emahoreni ambalwa ezinsukwini ezimbalwa zokuqala ngenkathi ukuvuvukala kwehla.
• Ukuvikela ukulimala kwesikhumba, bopha iphakethe leqhwa ngendwangu ehlanzekile ngaphambi kokuyifaka.

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

• Khuluma nomhlinzeki wakho wezempilo 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.
• UNGANIKI izingane i-aspirin.

Ngobuhlungu obukhulu, ungadinga isiqabu sobuhlungu kadokotela.

Landela imiyalo yomhlinzeki wakho mayelana nokuphakamisa isihlakala sakho nokusebenzisa isihlilingi.

• Uma unabalingisi, landela imiyalo yabalingisi bakho okunikezwe umhlinzeki wakho.
• Gcina i-splint yakho noma i-cast eyomile.

Ukuvivinya iminwe yakho, indololwane nehlombe kubalulekile. Kungasiza ukubenza bangalahlekelwa ngumsebenzi wabo. Khuluma nomhlinzeki wakho mayelana nokuthi kungakanani ukuzivocavoca okufanele ukwenze nokuthi ungakwenza nini. Imvamisa, umhlinzeki noma udokotela ohlinzayo uzofuna ukuthi uqale ukuhambisa iminwe yakho ngokushesha okukhulu ngemuva kokufakwa kwe-splint noma i-cast.

Ukululama kokuqala kokuphuka kwesihlakala kungathatha izinyanga ezi-3 kuye kwezi-4 noma ngaphezulu. Ungadinga ukwelashwa ngokomzimba.

Kufanele uqale ukusebenza nomelaphi ngokomzimba lapho umhlinzeki wakho encoma. Umsebenzi ungabonakala ulukhuni futhi kwesinye isikhathi ubuhlungu. Kepha ukwenza izivivinyo onikezwe zona kuzosheshisa ukutakula kwakho. Uma uhlinzwa, ungaqala ukwelashwa ngokomzimba ngaphambi kwesikhathi ukuze ugweme ukuqina kwesihlakala. Kodwa-ke, uma ungenakho ukuhlinzwa, uvame ukuqala ukunyakaza kwesihlakala ngokuhamba kwesikhathi ukuze ugweme ukuguquguquka kokuqhekeka.

Kungathatha noma yikuphi ukusuka ezinyangeni ezimbalwa kuya onyakeni ukuthi isihlakala sakho siphinde sithole ukusebenza kwaso ngokuphelele. Abanye abantu banokuqina nobuhlungu engalweni yabo impilo yabo yonke.

Ngemuva kokuthi ingalo yakho ibekwe ku-cast noma i-splint, bheka umhlinzeki wakho uma:

• Abalingisi bakho bakhululeke kakhulu noma baqinile.
• Isandla sakho noma ingalo yakho ivuvukele ngenhla noma ngaphansi kwesigaxa sakho noma imbenge.
• Abalingisi bakho bayawa noma bahlikihle noma bacasule isikhumba sakho.
• Ubuhlungu noma ukuvuvukala kuyaqhubeka nokuba kubi noma kube nzima.
• Unobundikindiki, ukundindizela, noma ukubanda esandleni sakho noma iminwe yakho ibukeka imnyama.
• Awukwazi ukuhambisa iminwe yakho ngenxa yokuvuvukala noma ubuhlungu.

Ukuqhekeka kwe-radius distal; Isihlakala esaphukile

• Ukuphuka kwamakholomu

I-Kalb RL, i-Fowler GC. Ukunakekelwa kokwephuka. Ku: Fowler GC, ed. Izinqubo zikaPfenninger noFowler zokuNakekela okuyisisekelo. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 178.

UPerez EA. Ukwephuka kwehlombe, ingalo, nengalo. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 57.

UWilliam DT, uKim HT. Isihlakala nengalo. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 44.

• Ukulimala Esihlakaleni Nokukhubazeka