Ukwephuka kweScaphoid: Okudingeka Ukwazi Ngesihlakala Esiphukile

-Delile

• Yini i-scaphoid?
• Kwenzekani ekuqhekekeni kwescaphoid?
• Yini ebangela ukuphuka kweskaphoid?
• Kutholakala kanjani ukuphuka kweskaphoid?
• Luyini ukwelashwa lokwephuka kweskaphoid?
• Ukulingisa
• Ukuhlinzwa
• Ukugqugquzela ukukhula kwamathambo
• Uyini umbono wabantu abanokuphuka kwe-scaphoid?

Yini i-scaphoid?

Ithambo le-scaphoid lingenye yamathambo amancane ayisishiyagalombili e-carpal esihlakaleni sakho. Ilele ohlangothini lwesithupha lwesihlakala sakho ngaphansi kwe-radius, elinye lamathambo amabili amakhulu engalweni yakho. Iyabandakanyeka ekunyakaziseni nasekuzinziseni isihlakala sakho. Igama elidala layo yithambo le-navicular.

Ungathola ithambo lakho le-scaphoid ngokubamba isithupha sakho phezulu njengoba ubheka ngemuva kwesandla sakho. Ukungena okungunxantathu okwakhiwa imisipha yesithupha sakho kubizwa ngokuthi "ibhokisi le-anatomic snuffbox." I-scaphoid yakho itholakala ezansi kwalonxantathu.

Kwenzekani ekuqhekekeni kwescaphoid?

Isikhundla se-scaphoid ohlangothini lwesihlakala sakho nosayizi omkhulukazi sikwenza kube sengozini yokulimala nokuqhekeka. Eqinisweni, kuyithambo le-carpal eliphuke kakhulu, elibala mayelana nokuqhekeka kwe-carpal.

I-scaphoid inezingxenye ezintathu:

• pole proximal: ukuphela kusondele kakhulu kusithupha sakho
• okhalweni: indawo egobile yethambo elele ngaphansi kwe-anatomic snuffbox
• isigxobo se-distal: isiphetho esiseduzane nengalo yakho

Cishe amaphesenti ama-80 we-scaphoid fractures ayenzeka okhalweni, amaphesenti angama-20 esigxotsheni esiseduze, namaphesenti ayi-10 esigxotsheni se-distal.

Isayithi lokwephuka lithinta ukuthi lizophola kanjani. Ukuqhekeka esigxotsheni nasesinqeni se-distal kuvame ukuphola ngokushesha ngoba kunegazi elihle.

Iningi lesigxobo esiseduze sinokuphakelwa kwegazi okungekuhle okusika kalula ekuqhekekeni. Ngaphandle kwegazi, kuyafa ithambo, elibizwa nge-avascular necrosis. Ukuqhekeka esigxotsheni esiseduze akuphulukisi futhi noma ngokushesha.

Yini ebangela ukuphuka kweskaphoid?

I-FOOSH imelela “ukuwela esandleni eseluliwe.” Kuyindlela engemuva kokuqhekeka kwezitho eziningi.

Uma ubona ukuthi usuzowa, uphendula ngokwemvelo ngokufaka isihlakala sakho bese welula ingalo yakho ukuzama ukuphula ukuwa ngesandla sakho.

Lokhu kuvikela ubuso bakho, ikhanda lakho, nomhlane ekulimaleni, kepha kusho ukuthi isihlakala sakho nengalo kuthatha amandla agcwele omthelela. Uma kubangela isihlakala sakho ukuba sibuyele emuva kakhulu kunalokho obekuhloselwe ukuya kukho, kungaqhekeka ukwahlukana.

I-engeli yesandla sakho lapho ifika phansi ithinta lapho kwenzeka khona ukuphuka. Lapho isihlakala sakho sijike kakhulu, maningi amathuba okuthi ithambo lakho le-scaphoid lizophuka. Lapho isihlakala sakho sinwetshiwe kancane, ithambo le-radius lithatha amandla omthelela okuholela ekuqhekekeni kwe-distal radius (Colles ’noma Smith fracture).

Ukulimala kwe-FOOSH kuvame ukuthinta i-scaphoid ngoba ukuxhumana okuyinhloko phakathi kwesandla sakho nengalo yakho. Uma uwa esandleni sakho, wonke amandla akhiqizwayo lapho isandla sakho sishaya phansi ahamba aye esikhwameni sakho nge-scaphoid. Amandla abeka ingcindezi enkulu kuleli thambo elincane, elingadala ukuphuka.

Ukulimala kwe-FOOSH kwenzeka emidlalweni eminingi, ikakhulukazi izinto ezinjenge-skiing, skating, ne-snowboarding. Ukugqoka unogada esihlakaleni kuyindlela elula yokuvimbela lokhu kulimala.

Ukubamba iqhaza kwezemidlalo okucindezela kaningi ithambo lakho le-scaphoid, njenge-shot put noma i-gymnastics, nakho kungadala ukuphuka kwe-scaphoid. Ezinye izimbangela zibandakanya ukushaywa kanzima ngqo ezingozini zesandla sakho nezemoto.

Kutholakala kanjani ukuphuka kweskaphoid?

Ukuphuka kwamaScaphoid kaningi akubonakali ngaso sonke isikhathi futhi kungaba nzima ukukuthola.

Uphawu oluvame kakhulu ubuhlungu nobumnene ngaphezu kwe-anatomic snuffbox. Ubuhlungu buvame ukuba mnene. Kungaba kubi kakhulu ngokuncinza nokubamba.

Kukaningi kungekho ukukhubazeka okubonakalayo noma ukuvuvukala, ngakho akubukeki kuphukile. Ubuhlungu bungathuthuka ezinsukwini nasemasontweni ngemuva kokuphuka. Ngalezi zizathu, abantu abaningi bacabanga ukuthi kuyisihlakala nje esiminyene futhi bayalibazisa ukuthola ukwelashwa okufanele.

Uma ungelashwa ngokungasebenzi ngokushesha, ukuphuka kungahle kungapholi. Lokhu kubizwa ngokuthi yi-nonunion, futhi kungadala izinkinga ezinkulu zesikhathi eside. Mayelana nokwaphuka kwe-scaphoid akuyona inyunyana. I-Avascular necrosis nayo ingadala ukuhlangana.

I-X-ray iyithuluzi eliyinhloko lokuxilonga. Kodwa-ke, kuze kufike lapho kuphuka khona ama-scaphoid akubonakali ku-X-ray ngemuva nje kokulimala.

Uma ukuphuka kungabonwa, kodwa udokotela wakho esasola ukuthi unaso, isihlakala sakho sizokhubazeka ngesicucu sesithupha kuze kuthathwe ama-X-ray aphindaphindiwe kuthathwe izinsuku eziyi-10 kuye kwezingu-14 kamuva. Ngaleso sikhathi, ukuphuka sekuqalile ukuphola futhi kuyabonakala.

Uma udokotela wakho ebona ukuphuka kodwa engakwazi ukusho ukuthi amathambo aqondaniswe kahle noma adinga imininingwane eyengeziwe, i-CT scan noma i-MRI ingasiza udokotela wakho ukuthi anqume ukwelashwa okufanele. Ukuskena kwamathambo nakho kungasetshenziswa kepha akutholakali kabanzi njengezinye izivivinyo.

Luyini ukwelashwa lokwephuka kweskaphoid?

Ukwelashwa okutholayo kuncike ku:

• ukuqondanisa kwamathambo aqhekekile: noma ngabe amathambo aphelile aphume endaweni (ukuqhekeka okushiye indawo yokuhlala) noma usahleliwe (ukuqhekeka okungafakwanga ndawo)
• isikhathi phakathi kokulimala nokwelashwa: isikhathi eside, ukuhlangana kungenzeka kakhulu
• indawo ephukile: i-ununion yenzeka kaningi ngokuqhekeka kwesigxobo esiseduze

Ukulingisa

Ukwephuka okungafakwanga endaweni okhalweni noma esigxotsheni se-scaphoid sakho eselashwa ngokushesha ngemuva kokulimala kungalashwa ngokuqinisa ingalo yakho ngophose amasonto ayisithupha kuye kwayi-12. Lapho nje i-X-ray ikhombisa ukuthi ukuphuka sekuphulukisiwe, abalingisi bangasuswa.

Ukuhlinzwa

Ama-fractures asesigxotsheni esiseduze se-scaphoid, ashiye amakhaya, noma angalashwa ngokushesha ngemuva kokulimala adinga ukulungiswa kokuhlinzwa. Umgomo ukubeka amathambo emuva ekuqondaneni nasekuqiniseni ukuze elapheke kahle.

Ngemuva kokuhlinzwa, imvamisa uzoba sesikhathini amasonto ayisishiyagalombili kuya kwayi-12. Abalingisi bayasuswa kanye lapho i-X-ray ikhombisa ukuthi ukuphuka sekuphulukisiwe.

Ekuqhekekeni kokuhlangana, ukuhlinzekwa ngokuxhunyelelwa kwamathambo kuyadingeka lapho kunesikhathi eside phakathi kokuqhekeka nokuhlangana, amathambo aqhekekile awasondelani, noma ukunikezwa kwegazi kubi.

Lapho isikhathi esiphakathi kokuqhekeka nokungaboni ndawonye sifushane, ukuphela kwethambo eliqhekekile kusondelene, nokunikezwa kwegazi kuhle, kungasetshenziswa isikhuthazi samathambo.

Ukugqugquzela ukukhula kwamathambo

Ukugqugquzela ukukhula kwamathambo kungabandakanya ukujova ngemithi. Amadivayisi agqokekayo angakhuthaza kokubili ukukhula nokuphulukiswa ngokusebenzisa i-ultrasound noma ileveli ephansi kagesi ethanjeni elimele. Ezimweni ezifanele, lezi ezinye izindlela zingasiza.

Noma ngabe udinga ukuhlinzwa noma cha, cishe uzodinga ukwelashwa ngokomzimba nangokomsebenzi izinyanga ezimbili noma ezintathu ngemuva kokuthi ukhonkolo ususiwe ukuze uphinde uthole amandla nokuhamba esihlakaleni nasemisipheni ezungezile.

Uyini umbono wabantu abanokuphuka kwe-scaphoid?

Lapho ukuphuka kwe-scaphoid kungalashwa ngokushesha, kungahle kungapholi kahle. Izinkinga ezingaba khona zifaka:

• inyunyana ebambezelekile: ukuphuka akukapholi ngokuphelele ngemuva kwezinyanga ezine
• ukuhlangana: ukuphuka akukapholi nhlobo

Lokhu kungaholela ekungazinzini kokuhlangana kwesihlakala. Ngemuva kweminyaka, ilunga lizoba ne-osteoarthritis.

Ezinye izinkinga ezingaba khona zifaka:

• ukulahleka kokuhamba kwesihlakala
• ukulahlekelwa umsebenzi, njengokuncipha kwamandla okubamba
• i-avascular necrosis, eyenzeka emaphesentini afinyelela kuma-50 okwephuka esigxotsheni esiseduze
• i-osteoarthritis, ikakhulukazi uma kwenzeka i-nonunion noma i-avascular necrosis

Umphumela uvame ukuba muhle kakhulu uma ubona udokotela wakho ngemuva nje kokuqhekeka, ngakho-ke isihlakala sakho asikhuli ngokushesha. Cishe wonke umuntu uzobona ukuqina kwesihlakala ngemuva kokuqhekeka kwe-scaphoid, kepha abantu abaningi bazophinde bakwazi ukuhamba namandla ababenawo esihlakaleni ngaphambi kokuphuka.