Ukwelapha Nokululama Kokulimala 'Kwewele Esandleni Eseluliweyo'

-Delile

• Kuyini i-FOOSH?
• Izimbangela zokulimala kwe-FOOSH
• Izinhlobo ezivamile zokulimala kwe-FOOSH
• Ukuphuka kweScaphoid
• Ukuqhekeka kwe-radius okude
• I-radial noma i-ulnar styloid fracture
• Ukuphuka kwekhanda le-Radial
• Izinyembezi ze-Scapholunate
• Ukuqhekeka okuhlangene kwe-radioulnar okuhlangene
• Hook yokuphuka hamate
• I-Synovitis
• I-cellulitis
• Ukuqhuma
• Ukulimala kweCollarbone noma ihlombe
• Ukuhlonza ukulimala kwe-FOOSH
• Ungakuphatha kanjani ukulimala kwe-FOOSH
• Amakhambi asekhaya
• Imithi yokwelashwa
• Ukubonana nodokotela nini
• Ukululama ekulimaleni kwe-FOOSH
• Ukuvimbela ukulimala
• Ukudla okudlela endlini

Kuyini i-FOOSH?

UFOOSH yisiteketiso sokulimala okubangelwa “ukuwela esandleni eseluliwe.” Lokhu kulimala kuphakathi kokulimala okuvamile okuthinta izandla nezihlakala okwenzeka lapho uzama ukuphula ukuwa.

Ubukhulu bokulimala kwe-FOOSH bungahluka kakhulu ngokuya ngezici ezahlukahlukene. Lokhu kufaka phakathi:

• amandla omthelela wakho nomhlabathi
• uhlobo lomhlabathi owe phezu kwalo
• indlela owe ngayo
• noma ngabe unezimo ezikhona zezempilo noma ukulimala okuthinta izandla zakho nezihlakala.

Ukwelashwa kokulimala kwe-FOOSH kuya ngobukhulu bayo. Amanye amacala we-FOOSH angadala amathambo aphukile futhi akuthumele egumbini lezimo eziphuthumayo, kanti amanye aphulukisa ngaphezu kwamasonto ambalwa ngokunweba nokuphumula.

Izimbangela zokulimala kwe-FOOSH

Ukulimala kwe-FOOSH kuvame ukwenzeka kubantu ababamba iqhaza kwezemidlalo lapho ukuwa kuvame khona, njengokwehla kwentaba ngebhayisikili, ukushushuluza, kanye nebhola.

Noma ngubani angathola ukulimala kwe-FOOSH uma ewela endaweni enzima futhi azame ukuziqinisa ngezandla noma ngezingalo. Izicathulo ezingalungile zingadala izingozi zokukhubeka futhi ziholele nasekuweni. Ukuntuleka kokulinganisela noma ukuxhumanisa, ukungaboni kahle, noma imishanguzo ebangela ukozela, nakho kungadala ukuwa ngokulimala kwe-FOOSH.

Izinhlobo ezivamile zokulimala kwe-FOOSH

Ukuphuka kweScaphoid

Ukwephuka kwe-scaphoid kuyikhefu kwelinye lamathambo amancane ayisishiyagalombili akha isihlakala. Ngenye yezingozi ezivame kakhulu ze-FOOSH. Uphawu oluyinhloko ubuhlungu, noma ngaphandle kokuvuvukala noma ukulinyazwa, ohlangothini lwesithupha sakho. Uzobona lobu buhlungu ezinsukwini ezimbalwa emva kokuwa kwakho.

Ukulimala kwesinye isikhathi kukholakala ukuthi kungukuphazamiseka noma ubunzima ngoba akuvamisile ukudala ukukhubazeka ngokomzimba. Kodwa ukuyeka ukwelashwa kwe-scaphoid fracture kungaholela ezinkingeni ezizayo ezibangelwa ukuphulukiswa okungalungile.

Izinkinga zingafaka ukugeleza kwegazi okuncane emathanjeni akho, ukulahleka kwethambo, nesifo samathambo. Uma uzwa ubuhlungu engalweni yesithupha sakho ngemuva kokuwa, bheka udokotela.

Ukwelashwa kuncike ebukhali bayo. Ukwephuka okuncane kakhulu kungaphathwa ngokufaka isandla sakho nesihlakala kusamente, kuyilapho ukuphuka okukhulu kudinga ukuhlinzwa ukuze kulungiswe ithambo le-scaphoid elaphukile ndawonye.

Ukuqhekeka kwe-radius okude

Ukuqhekeka kwe-radial distal, kufaka phakathi i-Colles 'ne-Smith fractures, ukulimala okuvamile kwe-FOOSH. Zithinta isihlakala sakho lapho sihlangana nobubanzi bengalo yakho. Irediyasi inkulu kula mathambo amabili engalo yakho. Imvamisa lolu hlobo lokwephuka luzodala ukuvuvukala, ukufuduka kwethambo, ukulimaza, nobuhlungu obukhulu endaweni yakho. Uzobuzwa futhi ubuhlungu lapho uzama ukunyakazisa isihlakala sakho.

Uma unokwephuka okuncane, udokotela wakho angakuncoma ukuthi ugqoke isibani esikhanyayo noma isibambo, futhi usivumele sizelaphe ngokuhamba kwesikhathi sisodwa. Ngaphambi kokwenza lokho, udokotela wakho kungadingeka ukuthi aqondise amathambo akho ngamandla ukuze enze lokho okubizwa ngokuthi ukunciphisa okuvaliwe. Ukwehliswa okuvaliwe kungenziwa ngaphandle kokusika esikhunjeni sakho, kepha kungaba buhlungu kakhulu.

Ngokuqhekeka okukhulu, udokotela uvame ukuncoma ukwelashwa okuhlinzwa okulandelwa ukwelashwa ngokomzimba noma kokusebenza.

I-radial noma i-ulnar styloid fracture

I-radial styloid ibonakala ngamathambo ohlangothini lwesithupha lwesihlakala sakho, kuyilapho i-ulnar styloid ingumbono wamathambo ohlangothini lwe-pinkie esihlakaleni. Ukulimala kwe-FOOSH kungaphula la mathambo ngomthelela. Ukulimala kuvame ukuletha ubuhlungu ngaphandle kwezimpawu ezibonakalayo zokulimala njengokuvuvukala nokulimala.

Kubalulekile ukwelapha ukuphuka kwesitayela ngokushesha okukhulu ukugwema izinkinga. Ukwelashwa kuncike ebucayi bokulimala. Ukulimala okungathi sína kudinga ukwelashwa okubanzi, njengokuhlinzwa. Lokhu kulimala kuvame ukuhlangana ngokuqhekeka kwe-scaphoid, ngakho-ke udokotela kufanele ngaso sonke isikhathi ahlole kahle leyo ngxenye yesihlakala ukulimala.

Ukuphuka kwekhanda le-Radial

Ikhanda le-radial liphezulu kwethambo le-radius, ngaphansi kwengqiniba. Iningi labantu lizwa kuqala lokhu kulimala njengobuhlungu besihlakala nendololwane. Kungaba buhlungu kakhulu kube nzima ukuhamba.

Ukwehluleka ukuhambisa indololwane kuyinkomba enhle yokuqhekeka kwekhanda le-radial okungenzeka. Ukuqhekeka kwekhanda le-Radial akuveli ngaso sonke isikhathi kuma-X-ray.

Ukwelashwa kuhilela iqhwa, ukuphakama, nokuphumula ngesihlilingi noma nge-splint, kulandele ukwelashwa ngokomzimba. Ukunyakaza okulawulwayo kubalulekile ngalokhu kulimala. Ukwephuka okukhulu kwekhanda le-radial lapho ithambo lilimele kudinga ukuhlinzwa.

Izinyembezi ze-Scapholunate

I-scapholunate iyi-ligament (ibhande elinzima lezicubu) esihlakaleni. Ngoba kubangela ubuhlungu futhi imvamisa akukho ukukhubazeka ngokomzimba, abanye abantu benza iphutha ngalokhu kulimala kwe-FOOSH ngenxa yesikhala. Kodwa-ke, ngokungafani nomgogodla, lokhu kulimala kuyaqhubeka nokubangela ubuhlungu ngokuhamba kwesikhathi futhi akupholisi kukodwa.

Uma ishiywe ingalashwa, ukukhala okungahambisani nakho kungaholela ohlotsheni lwesifo samathambo esiwohloza isihlakala esibizwa ngokuthi yi-scapholunate advanced collapse (SLAC).

Ukwelashwa kufaka phakathi ukuhlinzwa okulandelwa ukwelashwa ngokomzimba nokuqapha ngokucophelela izinkinga. Lokhu kulimala akuphulukisi kahle ngaso sonke isikhathi, ngisho nokuhlinzwa. Ngalesi simo, kubalulekile ukuhlola isihlakala sakho nganoma yikuphi okunye ukulimala obekungaqhubeka ngesikhathi sokuwa kwakho.

Ukuqhekeka okuhlangene kwe-radioulnar okuhlangene

Lelijoyinti lisesihlakaleni lapho kuhlangana khona ithambo elikhulu lengalo, irediyasi, kanye nethambo lalo elincane, i-ulna. Yenziwe ngamathambo kanye newebhu engunxantathu yezicubu ezithambile, imisipha, kanye noqwanga. Ngalokhu kulimala kwe-FOOSH, uzozwa ubuhlungu ohlangothini lwe-pinkie lwengalo yakho, ikakhulukazi lapho uphakamisa. Ungase futhi uzwe umsindo wokuchofoza noma uzizwe sengathi isihlakala sakho asizinzile lapho ucindezela isandla sakho kokuthize.

Ukuhlinzwa cishe njalo kuyadingeka ukwelapha lokhu kulimala, okungaba yinselele ukubeka esimweni esifanele sokuphulukiswa. Ukwelashwa okusheshayo kungathuthukisa umbono ngokunciphisa isikhathi esidingekayo sokuphulukisa nokukhulisa amathuba okuba amathambo akho aqondane kahle. Uma udokotela ethola ukuqhekeka okuhlangene kwe-radioulnar, kufanele futhi bahlole izimpawu zokulimala kwezicubu ezithambile ezizungezile nemisipha, okuvame ukuhlangana.

Hook yokuphuka hamate

I-hamate iyithambo elenziwe ngesigaxa ohlangothini lwe-pinkie esihlakaleni. Ukuvela okuncane kuleli thambo kubizwa ngokuthi yi "hook of hamate." Abantu abanokulimala bavame ukuzwa ukuba ndikindiki noma ukuhayiza emunweni wendandatho nophinki. Lokho kungenxa yokuthi i-hook ye-hamate itholakala eduze ne-ulnar nerve.

Ngaphandle kokundindizela noma ukuhayiza, umuntu ophethe ingwegwe yokuqhekeka kwe-hamate uzozwa ubuhlungu eceleni kohlangothi lwesihlakala, ukubambeka nobuthakathaka obuthakathaka lapho eguqulela iminwe ye-pinkie nendandatho.

Ukwelashwa kuya ngokuthi ulimele kangakanani. Uma ukuphuka kumnene, ukubamba ingalo okufushane kungasebenza kepha ukuqapha okusondele kuyadingeka ukuqinisekisa ukuthi ukulimala kuphola kahle.

Ekuqhekekeni okukhulu lapho ihabhu le-hamate ligudluzwa khona, kungadingeka ukukhipha ithambo esihlakaleni ngokuhlinzwa. Ngalolu hlobo lokuhlinzwa, ukwelashwa okuhle ngokomzimba kungasiza ekugcineni ibanga elihle lokunyakaza namandla okubamba.

I-Synovitis

Ijoyinti le-synovial liyinhlanganisela lapho amathambo amabili exhuma khona emgodini ogcwele uqwanga ogcwele uketshezi olubizwa nge-synovial fluid. I-Synovitis ibuhlungu, ukuvuvukala okungavamile kwejoyinti le-synovial elidala ukunyakaza okulinganiselwe.

Ngenkathi kubonakala njengokulimala kwe-FOOSH, i-synovitis nayo ingabangelwa yi-arthritis noma ukuphazamiseka komzimba okuzenzakalelayo. Udokotela angahlola umlando wakho wezokwelapha ukuze athole noma yiziphi izimbangela eziyisisekelo ze-synovitis.

Kubalulekile ukuhlukanisa lokhu kulimala kwabanye okudala izimpawu ezifanayo, njengokuqhekeka. I-Synovitis ingenzeka kanye nokutheleleka, okungenza ukuvuvukala nobuhlungu kube kubi kakhulu.

Izimpawu zomkhuhlane zibonisa ukuthi unesifo futhi kufanele ufune ukwelashwa okuphuthumayo ukuvimbela ukulahleka kwegazi eminwe yakho. Ukwehla kwegazi eminweni yakho kungalimaza kungadinga ukunqunywa kanye / noma ukulimaza ezinye izicubu ezithambile ezizungezile.Ezimweni ze-synovitis ezingabandakanyi ukutheleleka, udokotela uzokwenza ukuhlolwa komzimba, ezinye izivivinyo ze-imaging, futhi mhlawumbe nezifundo zaselebhu, ukuthola indlela engcono kakhulu yokwelashwa. Ukwelashwa okujwayelekile kubandakanya ukufaka umhlanganiso kanye nokuthatha imishanguzo yokulwa nokuvuvukala ukunciphisa ukuvuvukala.

I-cellulitis

I-Cellulitis uhlobo olujwayelekile lokutheleleka kwesikhumba kwamagciwane okungenzeka endaweni yokulimala kwe-FOOSH. Kakhulu, lesi simo sithinta abantu asebekhulile, abanamasosha omzimba abuthakathaka, noma abanamanxeba amakhulu futhi angcolisiwe abangelwa ukuwa.

Ngoba ukutheleleka kwamathambo kungaba kubi kakhulu, kubalulekile ukuthi udokotela enze izivivinyo zemifanekiso ukukhipha noma yikuphi ukulimala kwethambo kwangaphakathi ngaphambi kokuqala ukwelashwa kokutheleleka. Uma kungatholakali ukulimala kwesakhiwo, udokotela uzokunika ama-antibiotic ukwelapha ukutheleleka.

Ukuqhuma

Ngokuwa okulula noma ukuwela ezindaweni ezithambile, abanye abantu bazogcina ukulimaza okuncane esikhunjeni sezandla zabo. Imvamisa i-FOOSH ibangela ukulimaza ezintendeni zezandla njengoba uzinweba ngomzamo wokuphula ukuwa kwakho. Imivimbo ingadala ukushintsha kombala, ubuhlungu, nokuvuvukala okuncane esikhunjeni sakho.

Imihuzuko eminingi iyelapheka yodwa ngaphandle kokwelashwa emasontweni amabili kuya kwamane. Ungafaka i-ice pack noma isikhwama sokudla okubandayo engxenyeni elimele yesandla sakho imizuzu eyi-10 kuye kwengu-20 ngasikhathi ukusiza ukunciphisa izinhlungu. Amaphilisi okulwa nokuvuvukala nawo angasiza ekunciphiseni izimpawu.

Ezimweni zokuwa kanzima, imihuzuko ingaba nzima kakhulu futhi ithinte imisipha namathambo ngaphezu kwesikhumba. Lokhu kulimala kudinga ukwelashwa okuqhubekayo. Kwesinye isikhathi lemihuzuko ayibonakali ngamehlo. Uma uqhubeka nokuzwa ubuhlungu ezandleni zakho lapho zithinte khona umhlaba, kufanele ubone udokotela. Bazobheka amathambo noma imisipha eyonakele engadinga ukwelashwa ngokuhlinzwa.

Ukulimala kweCollarbone noma ihlombe

Yize i-collarbone nehlombe kutholakala kude nesandla sakho noma isihlakala, umthelela wokuwa ezandleni zakho ungalimaza lezi zingxenye zomzimba wakho.

Ukwephuka kweCollarbone kudinga ukujikijela ezimweni ezingaphansi kakhulu, nokuhlinzwa ezimweni ezinzima kakhulu. Amahlombe kwesinye isikhathi asuswa ekuweleni esandleni sakho, futhi angalungiswa ngudokotela ohambisa ihlombe lakho libuyele endaweni yalo. Ukwephuka kwekhanda le-humerus akuvamile ngalolu hlobo lokulimala. Konke lokhu kulimala kubonakala kalula ngobuhlungu nokuvuvukala, kanye nokuhlolwa kwe-imaging.

Ukuhlonza ukulimala kwe-FOOSH

Ukulimala kwe-FOOSH kungatholwa ngokuhlolwa ngokomzimba - lapho udokotela ezohlola khona uhla lwakho lokunyakaza - ngokuhambisana nokuhlolwa kwe-imaging njenge-X-ray, MRIs noma i-CT scans. Okunye ukulimala kungahle kungabonakali esivivinyweni sokuthatha izithombe, noma kunjalo.

Ungakuphatha kanjani ukulimala kwe-FOOSH

Ukwelashwa kokulimala kwe-FOOSH kuya ngohlobo lokulimala nobukhulu balo. Ukulimala okuningi kwe-FOOSH kudinga ukwelashwa okuthile, kepha ngemuva kwalokho, kungalawulwa ngokunakekelwa kwasekhaya. Ukulimala okuncane okubangelwa yi-FOOSH kulawulwa ngokuphelele ngokunakekelwa kwasekhaya kuphela.

Amakhambi asekhaya

Ikhambi elihle kakhulu lasekhaya lanoma yikuphi ukulimala kwe-FOOSH iqhwa, ukuphakama, nokuphumula. Uma usola ukuthi unokulimala kwe-FOOSH okunzima kakhulu kunokulimazeka okuncane okuvela kumthelela, ungahlukanisa indawo ethintekile uze uthole ukunakekelwa kwezokwelapha. Isigaxa siqinisa noma yimaphi amathambo aphukile noma imisipha edabukile futhi sinciphisa izinhlungu ngokugcina ukulimala kwakho kuphumule.

Ungenza imbobo yesikhashana usebenzisa izinto ezivamile zasendlini. Ukufaka amakhaza esizeni esilimele nokuthatha imithi elwa nokuvuvukala kungasiza ukuphatha izinhlungu nokuvuvukala.

Imithi yokwelashwa

Ukulimala okuncane kwe-FOOSH kuphathwa ngokuqhekeka, ukubopha, noma ukuphonsa ingxenye ethintekile yesandla, ingalo, noma isihlakala kuze kube amasonto ayisithupha. Imvamisa kuthatha amanye amasonto ayisithupha ukuthi ingxenye ethintekile iqale ukusebenza ngokujwayelekile futhi.

Ukuhlinzwa kuyadingeka ekulimaleni okukhulu kwe-FOOSH. Ukuhlinzwa okuningi kuhilela ukuxhuma imiphetho emibili ephukile yethambo eliphukile. Lokhu kungabandakanya ukufakelwa kwamathambo, ukusetshenziswa kwezinduku zensimbi, noma ezinye izindlela zokuhlinza. Kwezinye izimo, njengakwi-hook of hamate fractures, ukususwa kwethambo kuyadingeka.

Ngesikhathi senqubo yokuphulukiswa, amathambo amahle nemisipha yezandla kanye nezihlakala kungaqina. Ukunyakaza okulawulwayo ngokwelashwa ngokomzimba kungasiza ukuqinisa futhi kubenze basebenze ngokugcwele futhi.

Ukubonana nodokotela nini

Uma uhlangabezana nobuhlungu obungabekezeleleki esandleni sakho, esihlakaleni, noma engalweni kulandela ukuwa kwesandla sakho noma izandla zakho ezeluliwe, kufanele uhlele i-aphoyintimenti nodokotela noma uye egumbini labezimo eziphuthumayo. Ubuhlungu obungaguquguquki, ukuvuvukala, ukulimaza, ukuchofoza, umkhuhlane, noma uhla olulinganiselwe lokunyakaza konke kuyizimpawu zokulimala ezidinga ukwelashwa.

Imivimbo yamathambo nemisipha nayo idinga ukunakekelwa kwezokwelapha. Uma ubuhlungu bakho bungapheli phakathi kwamasonto ambalwa, kufanele ubone udokotela.

Ukululama ekulimaleni kwe-FOOSH

Ukubuyiselwa ngokuvamile kufaka ukwelashwa ngokomzimba ukukusiza ukuthi ubuyele emisebenzini yakho yansuku zonke futhi ubuyisele uhla lwakho lokunyakaza oluphelele. Uchwepheshe wezempilo uzokukhombisa indlela efanele yokugqoka amadivayisi asekelayo njengama-brace, ama-splints, noma ama-slings ngenkathi ukulimala kwakho kusalulama. Bazokufundisa nokuzivocavoca ukukusiza ukuthi ululame.

Ukuvimbela ukulimala

Uma ungumdlali, ungavimbela ukulimala kwe-FOOSH ngokugqoka izinto zokuzivikela lapho ubamba iqhaza emdlalweni wakho. Yazi imingcele yakho ngokomzimba uma kuziwa ekubambeni iqhaza emidlalweni yezemidlalo futhi wazi ukuthi ungazigcina kanjani uphephile lapho ubamba iqhaza kunoma yimuphi umdlalo owedlulele.

Ngesikhathi sokuphila kwakho kwansuku zonke, ungavimbela ukulimala kwe-FOOSH ngokuhlala wazi ngezindawo ozizungezile. Gqoka izicathulo ezifanele zesimo sezulu nemisebenzi obamba iqhaza kuyo ukuvimbela ukushibilika noma ukukhubeka. Uma unezinkinga zombono, qiniseka ukuthi uzelashwa. Ngokwengeziwe, thatha izinyathelo zokuphepha lapho uhamba uma uthatha imithi noma unesimo sempilo esikwenza ozele.

Ukudla okudlela endlini

Ubukhulu bokulimala kwe-FOOSH buxhomeke kumthelela wokuwa kwakho, noma ngabe unezimo zezempilo ezikhona, impilo yakho yamanje, nohlobo lwendawo owela kuyo.

Ukulimala okuningi kwe-FOOSH kudinga uhlobo oluthile lokwelashwa, kanti ukwelashwa ngokomzimba kungakusiza ukuthi uphinde usheshe futhi ube nempilo. Landela imiyalo kadokotela wakho ukuthola imiphumela engcono kakhulu.