Akukho mntu ukhuselwe ngumonakalo wobunzima obuhlukeneyo, ngokukodwa ukubethelwa, kuba xa uthe wawa umntu uzama ukuphepha ukusimaza ngoncedo lwale malungu omzimba. Kwakhona, umonakalo wamunwe ungenzeka ngenxa yokusingathwa ngendlela engafanelekanga yeendlela eziphazamisayo okanye zokucima. Indlela umonakalo wonakaliswe ngayo ngomnwe, kwaye uhlobo lwenkunkuma luxhomekeka, kwaye ngenxa yoko, kunyango lwayo.
Izizathu zokuphulwa kweminwe
Ngokuqhelekileyo, iminwe yalimala kubadlali: abadlali be-volleyball, abadlali bebhoksi yebhola, abadlali be-gymnasts kunye nebhokisi, nangona ezi zilandelayo zikhuselwe iiglavu ezikhethekileyo. Kananjalo abantwana kunye nabantu abane-osteoporosis basengozini.
Kukho nawuphi na, i-fracture ihlala ihlala ngenxa yokulimala ngqo:
- mpe mbelelo;
- uphonsa into enzima kwi-brush;
- ukubetha ibrashi phantsi kweendlela zokuhamba.
Ukuphuka komnwe: iimpawu eziphambili
Ukuqhekeka akunakuhlala kuzimisela ngokuzimela (ngenxa ye-edema), kodwa ngokuqhelekileyo kulula ukuba umntu aqonde ukuba umonakalo wawunzima kakhulu, kwaye mhlawumbi ithambo lonakaliswe.
Impawu eziphambili zomnwe oqhekekileyo engalo:
- intlungu;
- edema;
- hematoma;
- isithintelo kwisindululo;
- kunye nokuphazamiseka okuvulekileyo, ukutshatyalaliswa okubuhlungu kunye nokuphuma kwegazi kunokwenzeka.
Into enzima kakhulu yinto yokuqhekeka kwesithupha, ngokuba kulo mzekelo, amandla omsebenzi abuyiselwa ixesha elide, kwaye nangona unyango lungalunganga, umonakalo unokuthi unyaka owandisa ulwahlulo lwesandla. Ukuba ucinezela kwi-axis yomunwe wakho, intlungu iya kwanda.
Ifom elula kakhulu yokuphulwa kweso sikhumba ithatyathwa ukuba isalathisi sayo sonakalisiwe, kodwa ngokuqhelekileyo kule ndawo isail isilonda, esingahlala iphosakele. Kubi nakakhulu ukuba umnwe uphulwa phantsi kwe-joint kunye ne-1 metacarpal bone ithatyathwa-yiyo ebizwa ngokuba yi-Bennett fracture.
Ngokwezibalo, abaninzi abantu baya kunceda ngenxa yomnwe omncinci wengalo, kodwa ngelitye, ayidlala indima ebalulekileyo kumsebenzi webhashishi njengenkulu, ngoko ke, nangona emva kokuba unyango lubakho intlungu emininzi kunye nokunyanzeliswa kwezinto ezincinci, oku akuyi kuphazamisa ukusebenza kombhobho.
Ukuqhekeka komnwe ophakathi, kunye nokuqhekeka komnwe, kubeka ingozi ekhethekileyo kuphela xa kwenzeka umonakalo odibeneyo, tk. Olu hlobo lokuphuka lukhuni ukuphilisa ngaphandle kwemiphumo: ngokuqhelekileyo abantu abanentlungu engapheliyo neminwe ayinakuguquguquka njengokuba ngaphambili.
Ukwahlulelwa kwamanqatha eminwe
Ngokuxhomekeke kumgca wokuhlukana, hlukanisa:
- olufanelekileyo;
- zi tshintshiwe;
- umda.
Izahluko eziphathekayo ziphathwa ngokukhawuleza kwaye zilula kunabanye, kwaye kunzima kakhulu kule ndawo yokujonga kuthathwa njengengqumbo, xa ithambo liqhekeka libe ngamaqhezu amancinci.
Kwakhona, iziqhekeza ziyavuleka kwaye zivaliwe. Ngentambo evaliweyo, kunzima ukuyihlolisisa ngaphandle koncedo lugqirha, kodwa i-fracture evulekile ihlale ibonakala ngaphandle kwe-radiography kunye neengcali.
Iifractures ingaba neendawo ezahlukeneyo: umonakalo kwi-joint okanye ithambo. Kodwa ezi ntlobo zengxube zingahlanganiswa: ngoko, ukuphulwa kwephalanx yomnwe wesandla kungavuleka okanye kuvaliwe, kodwa ukuba okokuqala kubonakaliswe, kudla ngokuba nefomu evulekile kunye nomonakalo kwisipikili. Ukulimala okunjalo kwenzeka kwizinto zobomi bemihla ngemihla ukuba ugqithise umnwe wakho ngomnyango okanye uphonsa into enzima kuyo.
Unyango lokuphuka komnwe
Unyango luqala ngokuqinisekiswa kokuxilongwa kwaye le X-ray yenziwe.
Ukuba i-fracture ivulekile, oko kubeka umzimba emngciphekweni, kuba isifo sinokungena ngaphakathi kwilonda, kwaye iintsholongwane zisoloko zichongiwe ngenxa yezizahlulo ezinjalo. Oogqirha ukulungisa ithambo kungadinga ukwenza umsebenzi, ukuze umnwe kamva wenziwe ngokufanelekileyo.
Ngentambo evulekileyo, ibhanti eqinile isetyenziselwa ukuyeka igazi, kunye nokugxinwa kunokufuneka kwakhona.
Xa ukufuduka kuqhutyelwa kuqhutyelwa kwakhona, kwenzeka ngokukhawuleza kwisebe lexinzelelo, phantsi kwe-anesthesia yendawo.
Emva kokuba oogqirha bafumene ukuphuka komlomo, kuvunywe i-plaster, engabikho kwiiveki ezi-3.
Xa i-plaster isuswe, izigulana zivakalelwa kukuba zingenakunzima kweminwe emva kokuphuka, kwaye kulo mzekelo zichazwe unyango loqeqesho kunye neenkqubo zokwenza i-physiotherapy. Ngokuhamba kwexesha, le mpawu iyenzeka xa umnwe uvuselelwe ngokupheleleyo.