Umphukile Umbhoshongo? Izimpawu, Izimbangela, Nokwelashwa

Umbhoshongo ophakeleyo, obizwa nangokuthi i-clavicle fracture, kwenzeka lapho ithambo elihlanganisa ihlombe lakho nesifuba sakho liqhekeka noma liqhekeka ngokuphelele. Lethambo eligobile lihlala ngaphezulu kwesibambo sakho sokuqala futhi lidla indima ebalulekile ekusekeleni ukunyakaza kwamakhono akho.

Ukuphuka kombhoshongo kuyinto evamile, ikakhulukazi kubantwana nentsha. Izindaba ezinhle ukuthi iningi lalezi ziqhekeko liyaphola kahle ngokunakekelwa okufanele, futhi ungalindela ukubuyela emisebenzini yakho evamile phakathi nezinyanga ezimbalwa.

Ziyini izimpawu zombhoshongo ophakeleyo?

Cishe uzokwazi ngokushesha uma uphukile umbhoshongo wakho ngoba ubuhlungu buvamise ukuba khona ngokushesha futhi obukhulu. Indawo eseduze nehlombe lakho nesifuba sakho esiphezulu izoba buhlungu kakhulu, ikakhulukazi uma uzama ukunyakaza isandla sakho noma uthatha imfutho ejulile.

Nazi izimpawu eziyinhloko ezibonisa ukuphuka kombhoshongo:

• Ubuhlungu obukhulu, obukhulu endaweni yehlombe lakho obukhulu uma kunyakaziswa
• Ukuqhuma noma ukungalingani okubonakalayo ebhoshongweni lakho
• Ukukhula nokushwabana endaweni yokuqhekeka
• Ihlombe lakho lingabonakala liwile noma liwile phambili
• Awukwazi ukuphakamisa isandla sakho ohlangothini olulimale
• Ukuzwa okugqumayo uma uzama ukunyakaza ihlombe lakho
• Ubuhlungu uma ucindezela ebhoshongweni

Ngezinye izikhathi ungase ube nokuqina noma ukungathuthumeli esandleni sakho noma eminweni. Lokhu kwenzeka lapho ithambo eliqhekeke lichaphazela izicubu zezinzwa eziseduze, nakuba lokhu kungavamile.

Ezimeni ezingavamile, ungase uzwe umsindo wokugquma lapho ithambo liqhekeka, ikakhulukazi uma ukuqhekeka kwenzeka ngesikhathi sokulimala okukhulu. Impendulo yemvelo yomzimba wakho izoba ukubamba isandla sakho eduze komzimba wakho ukuze uvikele indawo elimele.

Yini ebangela ukuphuka kombhoshongo?

Iningi lokuphuka kombhoshongo kwenzeka uma uwa bese uwa phezu kwehlombe lakho noma isandla sakho esolule. Amandla ahambela phezulu ngesandla sakho bese ebeka ukucindezela okukhulu ebhoshongweni, okubangela ukuthi liqhekeke.

Ake sibheke izindlela ezivamile abantu abaphula ngazo amabhoshongo abo:

• Ukuwa ngesikhathi sezemidlalo njengokugibela ibhayisikili, ukuskiya, noma ukubhukuda
• Izingozi zezimoto lapho ubetha khona ivili lokuqondisa noma ibhodi
• Ukubethwa ngqo ehlombe ngesikhathi sezemidlalo eziqhakambisayo
• Ukuwa ezinsizeni zezindawo zokudlala noma izitebhisi
• Ukulimala kokuzalwa kubantwana abasanda kuzalwa ngesikhathi sokuzalwa okunzima
• Izingozi zebhayisikili

Abantwana nentsha banamathuba amaningi okuphula amabhoshongo abo ngoba bavame ukuba bashukuma kakhulu futhi amathambo abo asathuthuka. Abadala bangaphila nalokhu kuqhekeka, nakuba ngokuvamile kuhlobene nezingozi ezinzima.

Ezimeni ezingavamile, abantu abanezimpawu zokunciphisa amandla amathambo njenge-osteoporosis bangase baphuke umbhoshongo wabo ngokuwa okuncane. Ezinye izimo zezokwelapha noma imithi ethonya amandla amathambo ingase futhi enze ukuqhekeka kube lula.

Ziyini izinhlobo zamabhoshongo aphakeleyo?

Odokotela bahlukanisa ukuqhekeka kombhoshongo ngokusekelwe lapho kwenzeka khona emathanjeni nasezingeni lokuqhekeka. Indawo yokuqhekeka kwakho ithonya ukwelashwa kwakho nesikhathi sokuphulukisa.

Uhlobo oluvamile kwenzeka engxenyeni ephakathi yombhoshongo wakho, okwenza cishe u-80% wokuqhekeka kweclavicle konke. Le ndawo iyinhlangothi efinyelela kakhulu yethambo, okwenza kube lula ukuthi liqhekeke uma kuncipha amandla.

Ukuqhekeka kungase futhi kwenzeke eduze nokuphela kwehlombe lombhoshongo, nakuba lokhu kungavamile. Lezi ziqhekeko ngezinye izikhathi zihlanganisa indawo lapho umbhoshongo wakho uhlangana khona nesibambo sakho, okwenza ukwelashwa kube nzima.

Ngokungavamile, ukuqhekeka kwenzeka eduze nokuphela kwesifuba sombhoshongo lapho uhlangana khona ne-breastbone yakho. Lezi ziqhekeko yizinhlobo ezingavamile futhi ngezinye izikhathi zidinga izindlela zokwelapha ezikhethekile.

Udokotela wakho uzobona futhi uma ukuqhekeka kwakho kuye kwaqhekeka, okusho ukuthi izingcezu zethambo ziye zanyakaza endaweni yazo evamile, noma azikho, lapho ithambo lihlala lihambisana kahle naphezu kokuqhekeka.

Kufanele ubona nini udokotela ngombhoshongo ophakeleyo?

Kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha uma ucabanga ukuthi uphukile umbhoshongo wakho. Ngisho noma iningi lalezi ziqhekeko liyaphola kahle, ukuhlolwa okufanele kwezokwelapha kuqinisekisa ukuthi uthola ukwelashwa okufanele futhi ugweme izinkinga.

Iya endaweni yokwelapha ephuthumayo ngokushesha uma uhlangabezana nanoma yiziphi izimpawu zezexwayiso:

• Ubuhlungu obukhulu obungaphuli ngemithi yokunciphisa ubuhlungu
• Isikhumba sakho sibonakala silithayo noma siyabanda esandleni sakho
• Awukwazi ukuzwa iminwe yakho noma iyakungathuthumela kakhulu
• Ithambo liphuma esi khuneni sakho
• Unamahloni okuthola imfutho
• Ucabanga ukuthi unezinye izikhathi ezivela engozini efanayo

Ungalindi ukubona ukuthi ubuhlungu buyaphela yini ngokwalo. Ukwelashwa okusheshayo kusiza ukuqinisekisa ukuphulukisa okufanele futhi kunciphisa ingozi yezinkinga zesikhathi eside. Udokotela wakho angase futhi akhiphe ezinye izikhathi ezingase zibe khona ngesikhathi esifanayo.

Ngisho noma izimpawu zakho zibonakala zingenazinkinga, kufanele uhlolwe phakathi nosuku noma amabili ngemuva kokulimeleka kwakho. Ngezinye izikhathi ukuqhekeka okuqala ukubonakala kuncane kungaba yinkinga ngaphandle kokunakekelwa okufanele.

Ziyini izimbangela zokuthi uphuke umbhoshongo wakho?

Izici ezithile zingakwenza kube lula ukuthi uhlangabezane nokuqhekeka kombhoshongo. Ukuqonda lokhu kungakusiza ukuthi uthathe izinyathelo ezifanele ngesikhathi semisebenzi engozi.

Iminyaka idlala indima ebalulekile engcupheni yokuqhekeka kombhoshongo. Abantwana nentsha abangaphansi kweminyaka engu-20 banamathuba amaningi okulimala ngoba ngokuvamile bashukuma kakhulu ezemidlalo nasemisebenzini yokuzilibazisa lapho ukuwa kuvamile khona.

Izinga lakho lomsebenzi nezinto ozithandayo nazo zithonya ingozi yakho:

• Ukudlala imidlalo ebandakanya ukuxhumana njengebhola, i-hockey, noma i-rugby
• Ukuhlanganyela emisebenzini engozi yokuwa njengokugibela ibhayisikili, ukuskiya, noma ukubhukuda
• Ukusebenza emisebenzini ebandakanya ukuphakama noma imishini enzima
• Ukuba nomlando wezinkinga zombhoshongo ezedlule

Ezinye izimo zezokwelapha zingase zikhulise ingozi yakho yokuqhekeka. I-Osteoporosis iyanciphisa amandla amathambo futhi iwenza kube lula ukuthi aphuke ngokuwa okuncane, ikakhulukazi kubantu abadala.

Ezimeni ezingavamile, izimo ezithile zezakhiwo ezithinta ukuthuthukiswa kwamathhambo zingase zenze ukuqhekeka kombhoshongo kube lula. Udokotela wakho angakusiza ukuthi uqonde ukuthi yiziphi izimo zezempilo ezisekelayo ezikubeka engcupheni enkulu.

Ziyini izinkinga ezingase zenzeke ngombhoshongo ophakeleyo?

Iningi lokuqhekeka kombhoshongo liyaphola ngaphandle kwezinkinga zesikhathi eside, kodwa kubalulekile ukuqonda ukuthi yiziphi izinkinga ezingase zenzeke ngezinye izikhathi. Ukuba uqaphele lokhu kusiza ukuthi uqaphele ukuthi nini kufanele uxhumane nodokotela wakho ngesikhathi sokuphulukisa.

Inkinga evamile kakhulu ukuphulukisa okungalungile, lapho ithambo lingalungile ngendlela efanele njengoba liphulukisa. Lokhu kungadala ukuqhuma okubonakalayo ebhoshongweni lakho noma kubangele ubunzima obuqhubekayo behlombe, nakuba ngokuvamile kungachaphazeli umsebenzi kakhulu.

Nazi ezinye izinkinga ezingase zenzeke ngezinye izikhathi:

• Ukutheleleka endaweni yokuqhekeka, ikakhulukazi ngokuqhekeka okuvulekile
• Ukulimala kwezitho zegazi noma izicubu zezinzwa
• I-Arthritis ehlangeni noma ezinhlanganweni zesifuba eminyakeni eminingi kamuva
• Ukuphulukisa okunselele noma ithambo lingaphuli nhlobo
• Ubuthakathaka behlombe noma ukulinganiselwa kokunyakaza

Ukulimala kwezinzwa kuyinkinga engavamile kodwa ebukhulu okungabangela ukuqina, ukungathuthumeli, noma ubuthakathaka esandleni sakho. Lokhu ngokuvamile kwenzeka lapho izingcezu zethambo zicindezela izicubu zezinzwa eziseduze nebhoshongo lakho.

Ukulimala kwezitho zegazi kuncane kakhulu kodwa kungase kwenzeke ngokuqhekeka okukhulu. Udokotela wakho uzohlola i-pulse yakho nombala wesikhumba ukuze uqinisekise ukuthi ukugeleza kwegazi esandleni sakho kuhlala kujwayelekile kulo lonke ukwelashwa kwakho.

Umphukile umbhoshongo utholakala kanjani?

Udokotela wakho ngokuvamile angakwazi ukuxilonga ukuqhekeka kombhoshongo ngokuhlolwa komzimba kanye ne-X-rays. Inqubo yokuxilonga ngokuvamile ilula ngoba lezi ziqhekeko ngokuvamile zibangela ukushintsha okubonakalayo endaweni yehlombe lakho.

Ngesikhathi sokuhlolwa kwakho, udokotela wakho uzocindezela kancane ebhoshongweni lakho ukuze athole indawo ebuhlungu futhi ahlole noma yikuphi ukungalingani okubonakalayo. Bazohlola futhi ukunyakaza kwesandla sakho futhi bahlole ukuzwa eminweni yakho ukuze baqinisekise ukuthi izicubu zezinzwa eziseduze azilimale.

I-X-rays iyithuluzi eliyinhloko lokufana elisetshenziswa ukuqinisekisa ukuxilongwa nokubona ukuthi umbhoshongo wakho uqhekeke kuphi nokuthi uqhekeke kangakanani. Lezi zithombe zisiza udokotela wakho ukuthi ahlele indlela yokwelapha engcono kakhulu yokuqhekeka kwakho okuthile.

Ngezinye izikhathi, udokotela wakho angase ayalele ukuhlolwa okwengeziwe njenge-CT scan uma ukuqhekeka kunzima noma uma becabanga ukuthi kunezinye izikhathi. Lokhu kubanika umbono oluqondile wamathambo nezicubu ezizungezile.

Ngokungavamile, i-MRI ingase idingeke uma udokotela wakho ekhathazekile ngokulimala kwezicubu ezithambile njengokuqhekeka kwamagxathu noma ukulimala kwemisipha okuyenzekile kanye nokuqhekeka kwakho.

Ukuphathwa kombhoshongo ophakeleyo yikuphi?

Izindaba ezinhle ukuthi iningi lokuqhekeka kombhoshongo lingaphathwa ngaphandle kokuhlinzwa. Uhlelo lwakho lokwelashwa luzoxhomeka endaweni nasezingeni lokuqhekeka kwakho, kanye neminyaka yakho kanye nezinga lomsebenzi.

Ngokuqhekeka okulula, udokotela wakho uzokuncoma ukwelashwa okungekho ekuhlinzweni okuqala ngesiling ukuze usekele isandla sakho. Lokhu kugcina ihlombe lakho limi futhi kuvumela ithambo ukuthi liphulukise ngokwemvelo phakathi nezinyanga eziyi-6 kuya kweziyi-12.

Uhlelo lwakho lokwelashwa luzofaka:

• Ukugqoka isiling izinyanga eziyi-3 kuya kweziyi-6
• Ukuthatha imithi yokunciphisa ubuhlungu uma kudingeka
• Ukufaka iqhwa ukuze kunciphisa ukukhula
• Ukuqala ukuzivocavoca okuthambile uma udokotela wakho ethi kuphephile
• Ukuvakashela njalo udokotela ukuze uqaphele ukuphulukisa

Ukuhlinzwa kungase kudingeke uma ukuqhekeka kwakho kuye kwaqhekeka kakhulu, uma ithambo liphuma esi khuneni sakho, noma uma unezinkinga zezitho zegazi noma izicubu zezinzwa. Udokotela uzosebenzisa iziplate, izikrufu, noma amapayipi ukuze agcine izingcezu zethambo zimi kahle.

Ezimeni ezingavamile lapho ithambo lingaphuli kahle ngokwelashwa okuqondile, ungase udinga ukuhlinzwa kamuva ukuze usize inqubo yokuphulukisa. Lokhu kuvame kakhulu kubantu abadala kunabantwana, abamathambo abo ngokuvamile aphulukisa ngokushesha futhi ngokuthembekile.

Ungaphatha kanjani umbhoshongo ophakeleyo ekhaya?

Ngesikhathi umbhoshongo wakho uphulukisa, kunezinto eziningi ongazenza ekhaya ukuze uphathe ubuhlungu futhi usekele ukwelashwa kwakho. Lezi zindlela zokunakekelwa ekhaya zisebenza kanye nehlelo lokwelapha lika-dokotela wakho.

Ukuphathwa kobuhlungu ngokuvamile kuyinto yakho yokuqala phakathi nezinyanga zokuqala ngemuva kokulimeleka. Imithi yokunciphisa ubuhlungu njenge-ibuprofen noma i-acetaminophen ingasiza ekulawuleni ubuhlungu nokunciphisa ukukhula uma ithathwa njengoba kuqondiswe.

Nazi izindlela ezisebenzayo zokunakekelwa ekhaya ezingasiza ekuphulukiseni kwakho:

• Sebenzisa ama-ice packs imizuzu engu-15-20 izikhathi eziningi ngosuku phakathi nezinsuku ezimbalwa zokuqala
• Lala ngama-pillows engeziwe ukuze ugcine ingxenye yakho ephezulu yomzimba iphakanyisiwe kancane
• Gqoka isiling sakho njengoba kuqondiswe, ngisho nalapho ulala ekuqaleni
• Gcina indawo elimele ihlanzekile futhi yomile
• Dla ukudla okulinganiselayo okunama-calcium nama-vitamin D ukuze usekele ukuphulukisa amathambo

Ukunyakaza okuthambile kweminwe yakho, ihlombe, kanye ne-elbow kungasiza ekuvimbeni ubunzima, kodwa gwema ukunyakaza ihlombe lakho kuze kube yilapho udokotela wakho ekunikeza imvume. Lokhu ngokuvamile kwenzeka ngemuva kwamasonto ambalwa uma ukuphulukisa okuqalayo kuqalile.

Qaphela izimpawu zezexwayiso ezingase zibonise izinkinga, njengokwanda kobuhlungu, ukungathuthumeli eminweni yakho, noma ukushintsha kombala wesikhumba. Xhumana nodokotela wakho uma uqaphela noma yikuphi ukushintsha okukhathazayo ngesikhathi sokuphulukisa kwakho.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukuba ulungile ngezikhathi zakho zokuvakashela udokotela kusiza ukuqinisekisa ukuthi uthola ukunakekelwa okungcono kakhulu futhi uqonde uhlelo lwakho lokwelapha ngokucacile. Ukuba nolwazi olufanele okulungile kungenza i-aphoyintimenti yakho ibe yiyona enhle.

Ngaphambi kwe-aphoyintimenti yakho, bhala phansi ukuthi ukulimala kwakho kwenzeke kanjani futhi kwenzeke nini. Faka imininingwane mayelana nalokho obekwenza, indlela owa ngayo noma obethwe ngayo, kanye nezimpawu ozibonile ngokushesha ngemuva kwalokho.

Letha lezi zinto ezibalulekile e-aphoyintimenti yakho:

• Uhlu lwemithi yonke oyithathayo njengamanje
• Ulwazi lwakho loku-inshorensi kanye nokuhlonza
• Noma yikuphi i-X-rays edlule noma amarekhodi ezempilo ahlobene nokulimala kwehlombe
• Uhlu lwemibuzo ofuna ukuyibuza udokotela wakho
• Ulwazi mayelana nomsebenzi wakho kanye nezidingo zakho zomsebenzi

Cabanga ngemisebenzi yakho yansuku zonke kanye nokuthi yiziphi izinkinga ozibhekana nazo. Lokhu kusiza udokotela wakho ukuthi aqonde ukuthi ukulimala kuchaphazela kanjani impilo yakho kanye namiphi imigomo yokuphulukisa ebalulekile kuwe.

Ungangabazi ukuletha ilungu lomndeni noma umngani ukuze akusize ukukhumbula ulwazi olubalulekile, ikakhulukazi uma ubuhlungu obukhulu. Bangakusiza futhi ukugqoka noma ukuphatha izinto zakho ngesikhathi sokuvakashela.

Iyini into ebaluleke kakhulu mayelana namabhoshongo aphakeleyo?

Umbhoshongo ophakeleyo uyilimelelo elivamile eliphulukisa kahle ngokwelashwa okufanele nokubekezela. Ngenkathi ubuhlungu bokuqala bungaba bukhulu, abantu abaningi baphulile futhi babuyela emisebenzini yabo evamile phakathi nezinyanga ezimbalwa.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukunakekelwa kwezokwelapha okusheshayo kusiza ukuqinisekisa umphumela ongcono kakhulu. Ungazami ukukhuthaza noma ucabange ukuthi ukulimala kuzophulukisa ngokwalo ngaphandle kokuhlolwa okufanele nokunakekelwa.

Ukulandela uhlelo lokwelapha lika-dokotela wakho, ikakhulukazi ukugqoka isiling sakho njengoba kuqondiswe nokuba khona e-aphoyintimenti yokulandelela, kukunika ithuba elihle kakhulu lokuphulukisa ngokuphelele. Abantu abaningi bayamangala ngokuthi umsebenzi wehlombe labo ubuyela kanjani uma ithambo seliphulukile.

Ngenkathi ukwelashwa kudinga ukubekela eceleni nokulungisa impilo yansuku zonke okwesikhashana, iningi lokuqhekeka kombhoshongo liyaphola ngaphandle kwezinkinga zesikhathi eside. Hlala uqinile futhi ugxile ekuzinakekeleni ngesikhathi senqubo yokuphulukisa.

Imibuzo evamile mayelana namabhoshongo aphakeleyo

Kuthatha isikhathi esingakanani ukuba umbhoshongo ophakeleyo uphulukise?

Iningi lokuqhekeka kombhoshongo liyaphola phakathi nezinyanga eziyi-6 kuya kweziyi-12, nakuba lokhu kungase kuhluke ngokusekelwe eminyakeni yakho, ezingeni lokuqhekeka, kanye nendlela okulandela ngayo uhlelo lwakho lokwelapha. Abantwana ngokuvamile baphulile ngokushesha kunabadala, ngokuvamile phakathi nezinyanga eziyi-6 kuya kweziyi-8, ngenkathi abadala bengase badinge izinyanga eziyi-8 kuya kweziyi-12 noma isikhathi eside sokuphulukisa ngokuphelele.

Unganyakazisa isandla sakho ngombhoshongo ophakeleyo?

Kufanele ugweme ukunyakaza ihlombe lakho kanye nesandla sakho esiphezulu ngesikhathi umbhoshongo wakho uphulukisa, kodwa ngokuvamile unganyakazisa iminwe yakho, ihlombe, kanye ne-elbow ngobumnene. Udokotela wakho uzokukhomba ukuthi nini kuphephile ukuqala ukunyakaza ihlombe lakho futhi, ngokuvamile ngemuva kwamasonto ambalwa uma ukuphulukisa okuqalayo kuqalile.

Umbhoshongo ophakeleyo uzophulukisa kahle ngaphandle kokuhlinzwa?

Yebo, iningi lokuqhekeka kombhoshongo liyaphola kahle ngaphandle kokuhlinzwa uma kuphathwa ngesiling nokuphumula okufanele. Cishe u-90% walezi zikhathi zingaphathwa ngaphandle kokuhlinzwa ngemiphumela emihle. Ukuhlinzwa ngokuvamile kudingeka kuphela ngokuqhekeka okukhulu noma lapho izinkinga zithuthuka.

Ukuphulukisa kombhoshongo kuzwakala kanjani?

Njengoba umbhoshongo wakho uphulukisa, uzobona ubuhlungu obukhulu buyancipha kancane phakathi kwamasonto ambalwa okuqala. Ungase uzwe ubunzima nobuhlungu okwesikhashana, ikakhulukazi ngokushintsha kwesimo sezulu. Ukuqhuma okuncane kungase kube khona endaweni yokuqhekeka njengoba ithambo liphulukisa, okujwayelekile futhi ngokuvamile liyancipha ngokuhamba kwesikhathi.

Ungavimbela kanjani ukuqhekeka kombhoshongo?

Ngenkathi ungakwazi ukuvimbela zonke izingozi, unganciphisa ingozi yakho ngokugqoka izingubo zokuphepha ezifanele ngesikhathi sezemidlalo, usebenzisa imishini yokuphepha njenge-helmets uma ugibela ibhayisikili, futhi uqaphele izitebhisi noma izindawo ezingalingani. Ukwakha amathambo aqinile ngokudla okuhle nokuzivocavoca okuvamile kusiza futhi ekuvimbeni ukuqhekeka ngokuwa okuncane.