Kuyini i-Supracondylar Fracture?

-Delile

• Ukubuka konke
• Izimpawu zokuqhekeka kwe-supracondylar
• Izici ezinobungozi zalolu hlobo lokuphuka
• Ukuhlonza ukuphuka kwe-supracondylar
• Ukwelapha lokhu kuphuka
• Ukuphuka okuncane
• Ukwephuka okunzima ngokwengeziwe
• Yini ongayilindela ngesikhathi sokululama
• Okufanele ukwenze ngemuva kokuhlinzwa
• Umbono we-supracondylar fractures

Ukubuka konke

Ukuqhekeka kwe-supracondylar kungukulimala kwe-humerus, noma ithambo lengalo elingaphezulu, endaweni yalo encane, ngenhla kwendololwane.

Ukwephuka kweSupracondylar luhlobo oluvame kakhulu lokulimala kwengalo ephezulu ezinganeni. Zivame ukubangelwa ukuwa endololwaneni eyeluliwe noma ngokushaya ngqo endololwaneni. Lezi fractures azivamile kubantu abadala.

Ukuhlinzwa akudingeki ngaso sonke isikhathi. Kwesinye isikhathi i-hard cast ingaba yanele ukukhuthaza ukwelashwa.

Izinkinga zokuphuka kwe-supracondylar zingafaka ukulimala emithanjeni nasemithanjeni yegazi, noma ukuphulukiswa okuyisigwegwe (malunion).

Izimpawu zokuqhekeka kwe-supracondylar

Izimpawu zokuphuka kwe-supracondylar zifaka:

• ubuhlungu obukhulu ngokungazelelwe endololwaneni nasengalweni
• i-snap noma i-pop ngesikhathi sokulimala
• ukuvuvukala kuzungeze indololwane
• ukuba ndikindiki esandleni
• ukungakwazi ukunyakaza noma ukuqondisa ingalo

Izici ezinobungozi zalolu hlobo lokuphuka

Ukwephuka kweSupracondylar kuvame kakhulu ezinganeni ezingaphansi kweminyaka engu-7 ubudala, kepha zingathinta nezingane ezindala. Futhi luhlobo lokwephuka oludinga ukuhlinzwa ezinganeni.

Ama-supracondylar fractures ake acatshangwa ukuthi ajwayelekile kakhulu kubafana. Kepha khombisa ukuthi amantombazane maningi amathuba okuthi abafana babe nalolu hlobo lokwephuka.

Ukulimala kungenzeka kwenzeke ezinyangeni zasehlobo.

Ukuhlonza ukuphuka kwe-supracondylar

Uma ukuhlolwa komzimba kubonisa ukuthi kungenzeka yini ukuphuka, udokotela uzosebenzisa i-X-ray ukuthola ukuthi ukuphuka kwenzeke kuphi, nokuhlukanisa ukuphuka kwe-supracondylar kwezinye izinhlobo zokulimala.

Uma udokotela ekhomba ukuphuka, bazokuhlukanisa ngohlobo besebenzisa uhlelo lweGartland. Uhlelo lweGartland lwakhiwa nguDkt J.J. IGartland ngo-1959.

Uma wena noma ingane yakho unokwephuka kwesandiso, lokho kusho ukuthi i-humerus ihlehliselwe emuva emuva kokuhlangana kwendololwane. Lezi zakha cishe amaphesenti angama-95 okuphuka kwe-supracondylar ezinganeni.

Uma wena noma ingane yakho kutholakala ukuthi unokulimala kwe-flexion, lokho kusho ukuthi ukulimala kubangelwe ukujikeleza kwendololwane. Lolu hlobo lokulimala aluvamile.

Ukwehlukaniswa kwemifantu kuphinda kwahlukaniswa kube yizinhlobo ezintathu eziyinhloko kuya ngokuthi ithambo lengalo ephezulu (i-humerus) lisuswe malini:

• thayipha 1: i-humerus ayishiywanga indawo yayo
• thayipha 2: i-humerus isuswe ngokulingene
• thayipha 3: i-humerus ishiye indawo yayo kanzima

Ezinganeni ezisencane kakhulu, amathambo kungenzeka angabi lukhuni ngokwanele ukukhombisa kahle i-X-ray. Udokotela wakho futhi angacela i-X-ray yengalo engalimele ukwenza ukuqhathanisa.

Udokotela uzophinde afune:

• isizungu esizungeze indololwane
• ukulinyazwa noma ukuvuvukala
• umkhawulo wokunyakaza
• kungenzeka ukulimala kwezinzwa nemithambo yegazi
• ukuvinjelwa kokugeleza kwegazi okukhonjiswe ngokushintsha kombala wesandla
• kungenzeka ukwephuka okungaphezu kokukodwa okuzungeze indololwane
• ukulimala emathanjeni engalo engezansi

Ukwelapha lokhu kuphuka

Uma usola ukuthi wena noma ingane yakho une-supracondylar noma olunye uhlobo lokwephuka, bheka udokotela wakho noma uye egumbini lezimo eziphuthumayo ngokushesha okukhulu.

Ukuphuka okuncane

Ukuhlinzwa ngokuvamile akudingeki uma ukuphuka kunguhlobo 1 noma uhlobo oluthambile 2, futhi uma kungekho zinkinga.

Isamente noma isigaxa kungasetshenziswa ukukhubaza ukujoyina futhi kuvumele inqubo yokuphulukisa yemvelo iqale. Kwesinye isikhathi isigaxa sisetshenziswa kuqala ukuvumela ukuvuvukala kwehle, kulandelwe isamente eligcwele.

Kungadingeka ukuthi udokotela abuyisele amathambo endaweni yawo ngaphambi kokufaka i-splint noma i-cast. Uma kunjalo, bazokunika noma ingane yakho uhlobo oluthile lokuthambisa noma i-anesthesia. Le nqubo yokuhlinza ibizwa ngokuthi ukunciphisa okuvaliwe.

Ukwephuka okunzima ngokwengeziwe

Ukulimala kanzima kungadinga ukuhlinzwa. Izinhlobo ezimbili eziyinhloko zokuhlinzwa yilezi:

• Ukwehliswa okuvaliwe ngokuphina okuzenzakalelayo. Kanye nokusetha kabusha amathambo njengoba kuchaziwe ngenhla, udokotela wakho uzofaka izikhonkwane ngesikhumba ukuze abuyele ezingxenyeni eziphukile zethambo. Kusetshenziswa udoti esontweni lokuqala bese kufakwa ukhonkolo. Le yindlela yokuhlinzwa.
• Ukunciphisa okuvulekile ngokulungiswa kwangaphakathi. Uma ukufuduka kunzima kakhulu noma kukhona ukulimala kwezinzwa noma imithambo yegazi, ukuhlinzwa okuvulekile kungadingeka.

Ukwehliswa okuvulekile kuyadingeka ngezikhathi ezithile kuphela. Ngisho nokulimala kohlobo olubi kakhulu okungu-3 kungaphathwa ngokuncishiswa okuvaliwe nokuphina okuzenzakalelayo.

Yini ongayilindela ngesikhathi sokululama

Wena noma ingane yakho cishe nizodinga ukugqoka ukhonkolo noma isicefe amasonto amathathu kuya kwayisithupha, noma ngabe kulashwa ngokuhlinzwa noma ngokuncishiswa okulula.

Ezinsukwini ezimbalwa zokuqala, kuyasiza ukuphakamisa indololwane elimele. Hlala eduze kwetafula, ubeke umqamelo etafuleni, bese ubeke ingalo phezu komcamelo. Lokhu akufanele kungaphatheki kahle, futhi kungasiza ukusheshisa ukutakula ngokukhuthaza ukujikeleza kwegazi endaweni elimele.

Kungakhululeka ngokwengeziwe ukugqoka ihembe elingakulingani bese uvumela umkhono ohlangothini lwabalingisi ulengiswe mahhala. Ngenye indlela, sika umkhono kumahembe amadala ongahlelile ukuwusebenzisa futhi, noma uthenge amanye amahembe angabizi kakhulu ongawashintsha. Lokho kungasiza ukufaka i-cast noma i-splint.

Ukuvakashelwa njalo kudokotela wakho kuyadingeka ukuqinisekisa ukuthi ithambo elonakele liphinda lihlangana kahle.

Udokotela wakho angancoma izivivinyo ezihlosiwe ukuze uthuthukise ububanzi bendololwane yokunyakaza njengoba ukuphulukiswa kuqhubeka. Ukwelashwa ngokomzimba okuhlelekile kuyadingeka ngezikhathi ezithile.

Okufanele ukwenze ngemuva kokuhlinzwa

Obunye ubuhlungu kungenzeka ngemuva kokuthi izikhonkwane nokuphonswa sekukhona. Udokotela wakho angase asikisele ukudambisa izinhlungu ezithengiswayo, njenge-aspirin, ibuprofen (Advil, Motrin), noma i-acetaminophen (iTylenol).

Kujwayelekile ukuthi umkhuhlane osezingeni eliphansi ukhule ngaphakathi kwamahora okuqala angama-48 ngemuva kokuhlinzwa. Shayela udokotela wakho uma ukushisa kwakho noma kwengane yakho kungaphezu kuka-101 ° F (38.3 ° C) noma kuhlala isikhathi esingaphezu kwezinsuku ezintathu.

Uma ingane yakho ilimele, ingakwazi ukubuyela esikoleni kungakapheli izinsuku ezintathu kuya kwezine ngemuva kokuhlinzwa, kepha kufanele igweme imisebenzi yezemidlalo nenkundla yokudlala okungenani amasonto ayisithupha.

Uma kusetshenziswa izikhonkwane, lezi zivame ukususwa ehhovisi likadokotela emasontweni amathathu kuya kwamane ngemuva kokuhlinzwa. Ngokuvamile asikho isidingo se-anesthesia kule nqubo, yize kungahle kube nokungaphatheki kahle okuthile. Ngezinye izikhathi izingane ziyichaza ngokuthi “izwakala ihlekisa,” noma “izwakala ixakile.”

Isikhathi esiphelele sokutakula kusuka ekuphukeni sizohluka. Uma kusetshenziswe izikhonkwane, ebangeni lokunyakaza lendololwane kungatholwa ngamasonto ayisithupha ngemuva kokuhlinzwa. Lokhu kukhuphukela emuva kwamasonto angama-26, nangemva konyaka.

Inkinga ejwayelekile kunazo zonke ukwehluleka kwethambo ukujoyina kahle. Lokhu kwaziwa njengemalunion. Lokhu kungenzeka kumaphesenti angama-50 ezingane ezelashwa ngokuhlinzwa. Uma ukungaqondakali kahle kutholwa ekuqaleni kwenqubo yokutakula, kungadingeka ukungenelela okusheshayo ukuze kuqinisekiswe ukuthi ingalo izophola iqonde.

Umbono we-supracondylar fractures

Ukwephuka kweSupracondylar kwe-humerus kungukulimala okuvamile kwengane endololwaneni. Uma welashwa ngokushesha, kungaba ngokungahambisani nokhonkolo noma ngokuhlinzwa, amathuba okululama ngokugcwele ahle kakhulu.